KR20080101121A - Surgical soft tissue retractor - Google Patents

Surgical soft tissue retractor Download PDF

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KR20080101121A
KR20080101121A KR1020070047434A KR20070047434A KR20080101121A KR 20080101121 A KR20080101121 A KR 20080101121A KR 1020070047434 A KR1020070047434 A KR 1020070047434A KR 20070047434 A KR20070047434 A KR 20070047434A KR 20080101121 A KR20080101121 A KR 20080101121A
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South Korea
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soft tissue
handle
rod
traction
elastic rod
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KR1020070047434A
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Korean (ko)
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KR100941525B1 (en
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이나경
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이나경
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0293—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with ring member to support retractor elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0206—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with antagonistic arms as supports for retractor elements

Abstract

A soft body retractor for the operation is provided to reduce whole operation time by securing the surgical operation space in short time through only small soft incision. A soft body retractor for operation includes an elastic bar(102) adhered to a plurality of flow pulling blade(101) which the soft body and the fixing unit(104). A leading unit(103) guides movement of the elastic bar while being connected to the fixing unit. A handle(111) is connected to end of the elastic bar contacts while being connected to the leading unit. An inner surface contacted to the flow pulling blade and the soft body of the fixing unit is the concave curved surface.

Description

수술용 연조직 견인기{ surgical soft tissue retractor }Surgical soft tissue retractor

도-1 유동견인날 모양의 연조직 견인기가 닫힌 상태를 보여주는 그림Figure 1 shows the state of the soft-tractor retractor in the shape of a tow blade

도-2 유동견인날 모양의 연조직 견인기가 열린 상태를 보여주는 그림Figure 2-Figure showing the open state of the soft-tractor retractor in the shape of a towing blade

도-3 본 고안의 원통 모양의 견인기의 그림Figure 3-Illustration of the cylindrical retractor of the present invention

도-4 여러 쌍의 유동견인날 모양의 연조직 견인기의 그림Figure 4-Illustration of multiple pairs of tow blade shaped soft tissue retractors

도-5 나사모양의 견인기의 그림Fig. 5 Illustration of the screw retractor

도-6 나사모양의 견인기의 견인 상태를 보여주는 그림Fig. 6-Figure showing the traction state of the threaded retractor

도-7 손잡이가 있어 당기면 견인부위가 늘어나는 권총모양 견인기의 그림Fig.-7 Illustration of a pistol retractor with a handle that stretches when pulled

도-8 주사위처럼 누르면 견인부위가 늘어나는 주사기 모양 견인기의 그림Figure 8-Illustration of a syringe retractor that stretches like a dice and pulls the tow

치과 임플란트 수술및 외과 소수술등을 할때의 기존의 일반적인 수술 방법은, 연조직을 메스로 절개한후 , 시야를 좋게하고 기구의 삽입이 수월하게 하기위하여 판막을 넓게 벌리는 도구를 양쪽에서 각각 걸어서 잡아당기게 하고 수술을 하는 방법이 널리 사용되었다. 그러나 , 수술에 따라서는 수술부위의 최소절개와 최소 골막박리등을 하여, 수술후의 부종을 줄이고 치유기간을 줄이는 시술을 하는 경우가 있다. 이럴때 마땅한 도구가 없어 섬세한 수술이 어려웠다.  Conventional surgical methods for dental implant surgery and surgical minor surgery include cutting the soft tissues with a scalpel, and then holding the valves wide open on both sides for better visibility and ease of insertion. Pulling and surgery were widely used. However, depending on the operation, surgery may be performed to reduce the postoperative edema and to shorten the healing period by performing minimal incision and minimal periosteal detachment. At this time, there was no proper tool, so delicate surgery was difficult.

기존의 의료용 견인기에는 여러가지가 있다. 치과환자의 입을 벌리고 유지시키는 구강용 견인기와, 흉부수술등에 사용하는 여러날을 각각 조이는 흉곽수술용 견인기, 척추수술용 견인기 등이 있다. 이런 견인기는 주로 경조직용 견인기로 강한 힘으로 견인을 하여야 하므로 각각의 경조직을 견인하는 날들과 각각의 조임쇠를 기본으로 하고있다. 약한 연조직에 맞게 개발된 형태는 없다. There are many existing medical retractors. Oral retractors to open and maintain the mouth of the dental patient, thoracic surgery retractor, respectively for tightening the days used for thoracic surgery, spinal surgery retractors and the like. These retractors are primarily hard tissue retractors, so they must be pulled with a strong force and are based on the blades and the respective fasteners that pull each hard tissue. There is no form developed for weak soft tissues.

또한 ,기존의 플라스틱 구강 보호기구나, 기도확보용 플라스틱 보호기구등은 연조직에 맞게 개발되었지만, 이것은 연조직을 넓히는 기능은 없는 것이다.In addition, the existing plastic oral protector, airway secured plastic protector, etc. was developed for the soft tissue, but this does not have the function of widening the soft tissue.

요즘 임플란트 시술시 많이 시행되고 있는 무판막 수술은, 천공기로 연조직을 제거한후 ,연조직의 판막을 형성하지않고 뼈를 삭제한후 임플란트를 바로 심는 술식으로, 부종이 적고, 통증이 적어 많은 장점을 가지고 있다. 그러나, 판막을 형성하지 않는 이유로 임플란트의 식립시 상피조직세포가 뼈와 임플란트 사이에 끼어들어가 수술의 성공률이 낮아진다는 단점이 있다.A valve-free surgery, which is being used a lot during implant procedures these days, removes soft tissues with a perforation, removes bones without forming a valve of soft tissues, and implants implants directly, with less swelling, less pain, and has many advantages. have. However, there is a disadvantage that epithelial tissue cells are inserted between the bone and the implant when the implant is placed for the reason that the valve is not formed, thereby reducing the success rate of the surgery.

본 고안은 절제한 연조직면적보다 더 넓은 시술 공간확보를 목적으로 한다. The present invention aims to secure a wider surgical space than the soft tissue area removed.

본 고안은 수술에 필요한 공간에 비해 절제량이 매우 적은 수술창을 만들어 상기 견인기를 삽입하여, 탄성봉에 힘을 주면, 유동견인날(101)이 연조직을 견인하여 필요한 시술공간을 확보하는 것이다. 상기 목적을 이루는 본 고안의 구성을 첨부된 도면에 의거하여 설명하면 다음과 같다. 연조직에 고정되는 고정부(104)와, 연조직을 벌리는 다수의 유동견인날(101)과, 유동견인날에 고정되어 견인력을 전달하는 탄성봉(102)과, 고정부(104)에서 이어지며 탄성봉의(109) 움직임을 유도하는 유도부(103)와, 유도부(103)에서 이어지며 탄성봉의 말단에 접해있는 손잡이(111)로 구성된다.The present invention is to create a surgical window with a very small amount of resection compared to the space required for surgery to insert the retractor, when the force is applied to the elastic rod, the tow blade 101 to secure the required surgical space by pulling the soft tissue. Referring to the configuration of the subject innovation to achieve the object based on the accompanying drawings as follows. Fixed part 104 is fixed to the soft tissue, a plurality of floating towing blade 101 to open the soft tissue, the elastic rod 102 is fixed to the flow towing blade to transfer the traction force, and is connected to the fixed portion 104 and elastic The induction part 103 to induce the movement of the rod 109, and the handle 111 is connected to the end of the elastic rod in contact with the induction part 103.

또한, 다른 예로, 내부원통(201)이 외부원통(202) 안에서 하강할 때 견인 날이 벌어지는 원통모양 연조직견인기(도-3)에 있어서, 내부원통(201)과; 이것의 외부에 끼워져있는 외부원통(202)과; 내부원통(201)또는 외부원통(202)의 하단에 이어져서 원통의 밖으로 휘어진 다수의 견인날(213)을 특징으로 하는 수술용 원통형 연조직 견인기가 있다. 이것은 원통을 누르는 힘을 이용하여 연조직을 넓히는 경우이다.Further, in another example, in the cylindrical soft tissue tow (FIG. 3) in which the traction blade is opened when the inner cylinder 201 descends in the outer cylinder 202, the inner cylinder 201; An outer cylinder 202 fitted to the outside thereof; There is a surgical cylindrical soft tissue retractor characterized by a plurality of towing blades 213 that extend from the bottom of the inner cylinder 201 or the outer cylinder 202 and bend out of the cylinder. This is the case where the soft tissue is widened using the force of pushing the cylinder.

다른 예는,탄성봉(404)과; 탄성봉에 이어진 연조직 견인부(401) 또는 다수의 견인날(401)과; 탄성봉(404)과 연결된 수나사(406)와; 수나사에 연결된 손잡이(407)와; 탄성봉을 유도하는 유도부와; 유도부와 연결되어 암나사가 있는 몸통관(405)으로; 구성된 나사모양의 수술용 연조직 견인기로, 손잡이의 수나사를 돌리 면 몸통관(405) 안에서 손잡이가 전방방향(b1)으로 회전하면서 탄성봉(404)이 유도부를 통하여 앞으로 나아가고, 탄성봉(404)에 연결되어있는 연조직 견인부 또는 다수의 견인날(401)들이 벌어지게 되는 것을 특징으로 한다. Another example, the elastic rod 404; Soft tissue traction unit 401 or a plurality of traction blades 401 connected to the elastic rod; An external thread 406 connected to the elastic rod 404; A handle 407 connected to the male screw; An induction part for inducing elastic rods; It is connected to the induction part to the body tube 405 having a female screw; With a screw-shaped surgical soft tissue retractor, by turning the male screw of the handle in the trunk tube 405 the handle is rotated in the forward direction (b1) while the elastic rod 404 is moved forward through the induction portion, the elastic rod 404 It is characterized in that the soft tissue traction or the plurality of traction blades 401 are connected.

이와 비슷한 다른 예는 탄성봉(502)과; 탄성봉에 이어진 연조직 견인부(501) 또는 다수의 견인날(501)과; 탄성봉(502)과 연결된 내부막대(506)와; 탄성봉(504)을 유도하는 유도부(512)와; 유도부와 연결되어 원통으로 구성된 몸통관(505)과 ;몸통관에 연결되어 움직이는 몸통관손잡이(511)와; 내부막대에 연결된 내부막대 손잡이(5507)로; 구성된 주사기 모양의 수술용 연조직 견인기로, 내부막대손잡이(507)를 몸통관 손잡이의 속으로 밀면 내부막대(506)가 앞으로 진행하면서 탄성봉(504)이 유도부(512)를 통하여 앞으로 나아가고, 탄성봉(502)에 연결되어있는 연조직 견인부(501) 또는 다수의 견인날(501)들이 벌어지게 되는 것을 특징으로 한다.Other similar examples include an elastic rod 502; Soft tissue traction 501 or a plurality of traction blades 501 connected to the elastic rod; An inner rod 506 connected to the elastic rod 502; An induction part 512 for inducing an elastic bar 504; A trunk tube 505 connected to the induction part and formed of a cylinder; a trunk tube handle 511 connected to the trunk tube and moving; An inner bar handle 5507 connected to the inner bar; With a syringe shaped surgical soft tissue retractor, the inner rod handle 507 is pushed into the handle of the barrel tube, the inner rod 506 proceeds forward while the elastic rod 504 is moved forward through the induction portion 512, the elastic rod The soft tissue traction 501 or the plurality of traction blades 501 connected to the 502 is characterized in that the opening.

다른 예는 탄성봉(602)과; 탄성봉에 이어진 연조직 견인부(601) 또는 다수의 견인날(601)과; 탄성봉(602)과 연결된 내부막대(606)와; 탄성봉(604)을 유도하는 유도부(609)와; 유도부와 연결되어 원통으로 구성된 몸통관(605)과 ;몸통관에 연결된 몸통관 손잡이(608)와; 내부막대에 연결된 막대손잡이(607)로; 구성된 권총모양의 수술용 연조직 견인기로, 막대손잡이(607)를 몸통관 손잡이(608)와 같이 잡아 몸통관 손잡이(608)를 몸통관(605) 안쪽으로 밀어 넣어 내부 막대(606)가 앞(b1)으로 진행하면서 탄성봉(604)이 유도부(612)를 통하여 앞으로 나아가고, 탄성봉(602)에 연결되어있는 연조직 견인부(601) 또는 다수의 견인날(601)들이 벌어지게 되는 것을 특징으로 한다.Another example is an elastic rod 602; Soft tissue traction 601 or a plurality of traction blades 601 connected to the elastic rod; An inner rod 606 connected to the elastic rod 602; An induction part 609 for inducing an elastic bar 604; A trunk tube 605 connected to the induction part and formed of a cylinder; a trunk tube handle 608 connected to the trunk tube; A rod handle 607 connected to the inner rod; With a pistol-shaped surgical soft tissue retractor, the rod handle 607 is gripped with the trunk handle 608 and the trunk handle 608 is pushed into the trunk tube 605 into the inner rod 606 in front (b1). The elastic rod 604 is moved forward through the induction portion 612, and the soft tissue traction unit 601 or a plurality of traction blades 601 are connected to the elastic rod 602 as it proceeds to .

상기 견인기를 이용하여 수술공간을 확보할 경우, 적은 연조직의 절개만으로도 짧은 시간 안에 시술공간의 확보가 가능해져, 전체 수술이 간편해지고, 총 수술시간이 줄어들며, 수술 완료 후 회복과정의 통증과 부종이 줄어든다. 아울러, 이식수술시 상피세포의 완벽한 배제로 수술의 성공률이 높아지게 된다.When the surgical space is secured using the retractor, the surgical space can be secured within a short time by only a small incision of the soft tissue, thereby simplifying the entire operation, reducing the total operation time, and pain and edema of the recovery process after the operation is completed. Decreases. In addition, the complete rejection of epithelial cells during transplantation increases the success rate.

Claims (9)

탄성봉(109)을 누르면 유동견인날(101)이 벌어지는 수술용 연조직 견인기에 있어서, 연조직을 벌리는 다수의 유동견인날(101)과; 고정부(104)과; 유동견인날에(101) 붙여있는 탄성봉과(102); 고정부(104)과 이어지며, 탄성봉(109)의 움직임을 유도하는 유도부(103)와; 유도부(103)에서 이어지며 탄성봉(109)의 말단이 접하는 손잡이(111);로 구성된 것을 특징으로 하는 유동견인날모양 수술용 연조직 견인기.In the soft tissue retractor for surgical operation to open the fluid towing blade 101 is pushed the elastic rod 109, a plurality of fluid towing blades to open the soft tissue 101; A fixing part 104; An elastic rod 102 attached to the fluid towing blade 101; An induction part 103 which is connected to the fixing part 104 and induces movement of the elastic rod 109; A soft tow retractor for a tow blade-shaped surgery, characterized in that consisting of; handle 111 that extends from the induction part 103 and the end of the elastic rod 109 abuts. 제 1항에 있어서, 유동견인날(101), 고정부(104)의 연조직에 닿는 내면이 오목한 곡면이 있는 것을 특징으로 하는 유동견인날모양 수술용 연조직 견인기.       2. The soft tissue retractor for fluid towing blade surgery according to claim 1, characterized in that there is a concave curved surface on the inner surface of the fluid towing blade (101) and the soft tissue of the fixing part (104). 내부원통(201)이 외부원통(202) 안에서 하강(a1)할 때 견인 날이 벌어지는 원통형 연조직 견인기(도-3)에 있어서, 내부원통(201)과; 이것의 외부에 끼워져 있는 외부원통(202)과; 내부원통(201)또는 외부원통(202)의 하단에 이어진 다수의 견인날(213)을 특징으로 하는 수술용 원통형 연조직 견인기.In the cylindrical soft tissue retractor (Fig.-3) in which the traction blade is opened when the inner cylinder 201 descends (a1) in the outer cylinder 202, the inner cylinder 201; An outer cylinder 202 fitted to the outside thereof; Surgical cylindrical soft tissue retractor, characterized in that a plurality of traction blades (213) connected to the lower end of the inner cylinder (201) or outer cylinder (202). 제 3항에 있어서, 내부 원통(210)에 이어지는 상부 손잡이 연결막대(205)와; 외부원통(202)에서 이어지는 하부 손잡이 연결막대(210)와; 상부 손잡이 연결막대(205)와 하부 손잡이 연결막대(210)를 고정하는 손잡이(207)를 특징으로 하는 원 통형 수술용 연조직 견인기.4. An upper handle connecting rod (205) connected to the inner cylinder (210); A lower handle connecting rod 210 extending from the outer cylinder 202; Cylindrical surgical soft tissue retractor, characterized in that the handle 207 for fixing the upper handle connecting rod 205 and the lower handle connecting rod 210. 탄성봉이 두쌍 이상 있는 유동견인날 모양의 연조직 수술용 견인기에 있어서, 앞쪽 견인날과(301); 앞쪽 견인날과 이어지는 탄성봉(304); 탄성봉을 몸통(307)과 연결하는 손잡이(308); 뒤쪽 견인날(303)과 뒤쪽 견인날을 연결하는 탄성봉(306); 탄성봉을 몸통(307)으로 연결하는 손잡이(308)로 구성되며, 앞뒤 견인날(301,303)은 앞뒤 탄성봉(304,306)에 힘을 가했을 경우, 앞뒤 견인날(301,303)이 사방(a1,a2,b1,b2)으로 벌어지는것을 특징으로 한다.In the retractor for soft-tissue surgery of the fluid towing blade shape having two or more pairs of elastic rods, the front traction blade (301); An elastic bar (304) leading to the front traction blade; A handle 308 connecting the elastic rod to the body 307; An elastic rod 306 connecting the rear traction blade 303 and the rear traction blade; Consists of a handle 308 for connecting the elastic rod to the body 307, the front and rear traction blades (301,303) is applied to the front and rear elastic rods (304,306), the front and rear traction blades (301,303) (a1, a2, and b1, b2). 탄성봉(404)과; 탄성봉에 이어진 연조직 견인부(401) 또는 다수의 견인날(401)과; 탄성봉(404)과 연결된 수나사(406)와; 수나사에 연결된 손잡이(407)와; 탄성봉을 유도하는 유도부(408)와; 유도부와 연결되어 암나사가 있는 몸통관(405)으로; 구성된 나사모양의 수술용 연조직 견인기에 있어서, 손잡이의 수나사를 돌리면 몸통관(405) 안에서 손잡이가 회전하면서 탄성봉(404)이 유도부를 통하여 앞으로 나아가고, 탄성봉(404)에 연결되어있는 연조직 견인부 또는 다수의 견인날(401)들이 벌어지게 되는 것을 특징으로 하는 연조직수술용 견인기An elastic rod 404; Soft tissue traction unit 401 or a plurality of traction blades 401 connected to the elastic rod; An external thread 406 connected to the elastic rod 404; A handle 407 connected to the male screw; An induction part 408 for inducing an elastic rod; It is connected to the induction part to the body tube 405 having a female screw; In the configured screw-shaped surgical soft tissue retractor, when turning the male screw of the handle, the handle is rotated in the trunk tube 405, the elastic rod 404 is moved forward through the guide portion, the soft tissue traction is connected to the elastic rod 404 Or retractor for soft tissue surgery, characterized in that a plurality of towing blades 401 are to be opened 탄성봉(602)과; 탄성봉에 이어진 연조직 견인부(601) 또는 다수의 견인날(601)과; 탄성봉(604)과 연결된 내부막대(606)와; 탄성봉(604)을 유도하는 유도부(609)와; 유도부와 연결되어 원통으로 구성된 몸통관(605)과 ;몸통관에 연결되어 있는 몸통관 손잡이(608)와; 내부막대에 연결된 막대손잡이(607)로; 구성된 수술용 주사기 모양 연조직 견인기에 있어서, 막대손잡이(607)를 몸통관 손잡이(608)와 같이 잡아 막대 손잡이(608)를 몸통관(605) 안쪽으로 밀어 내부 막대가(606) 앞으로 진행하면서 탄성봉(604)이 유도부(609)를 통하여 앞으로 나아가고, 탄성봉(602)에 연결되어있는 연조직 견인부(601) 또는 다수의 견인날(601)들이 벌어지게 되는 것을 특징으로 하는 연조직수술용 견인기.An elastic rod 602; Soft tissue traction 601 or a plurality of traction blades 601 connected to the elastic rod; An inner rod 606 connected to the elastic rod 604; An induction part 609 for inducing an elastic bar 604; A trunk tube 605 connected to the induction part and formed of a cylinder; a trunk tube handle 608 connected to the trunk tube; A rod handle 607 connected to the inner rod; In the configured surgical syringe shaped soft tissue retractor, the rod handle 607 is held together with the trunk handle 608 and the rod handle 608 is pushed into the trunk tube 605 into the elastic rod while the inner rod proceeds forward 606. Retractor for soft tissue surgery, characterized in that 604 advances through the induction part 609, and the soft tissue traction part 601 or the plurality of traction blades 601 are connected to the elastic rod 602. 청구항 7항에 있어서 내부막대손잡이(511)가 유동적으로 움직이며, 몸통관의 일부에 렛지(510)가 있어서, 내부막대손잡이(511)와 몸통관 손잡이(508)를 함께 조여 쥘때, 내부막대(506)가 앞으로 진행하면서 탄성봉(504)이 유도부(512)를 통하여 앞으로(b1) 나아가고, 탄성봉(502)에 연결되어있는 연조직 견인부(501) 또는 다수의 견인날(501)들이 벌어지게 되는 것을 특징으로 하는 권총모양 연조직수술용 견인기.The method of claim 7, wherein the inner rod handle 511 is moved in a fluid, a part of the trunk tube has a ledge 510, when tightening the inner rod handle 511 and the barrel handle 508 together, the inner rod ( As the 506 proceeds forward, the elastic rod 504 moves forward (b1) through the induction portion 512, and the soft tissue traction 501 or the plurality of traction blades 501 connected to the elastic rod 502 are opened. Pistol-shaped soft tissue surgery retractor, characterized in that. 청구항 제 1,3,5,6,7항에 있어서, 견인후 견인량을 고정하는 걸림편(107)과 걸림쇠(109)가 있는 것을 특징으로 하는 수술용 연조직 견인기.The surgical soft tissue retractor according to claim 1, 3, 5, 6, or 7, wherein there is a locking piece (107) and a latch (109) for fixing the towing amount after the towing.
KR1020070047434A 2007-05-16 2007-05-16 Surgical soft tissue retractor KR100941525B1 (en)

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KR101231581B1 (en) * 2011-08-23 2013-02-08 김미경 Soft tissue dilator for implant operation

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KR101820436B1 (en) * 2016-05-17 2018-01-19 박전진 Surgical retractor for mini-flap implant surgery

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US4616633A (en) 1985-03-07 1986-10-14 Commonwealth Of Puerto Rico Retractor for use in oral and maxillofacial surgery
US5810721A (en) 1996-03-04 1998-09-22 Heartport, Inc. Soft tissue retractor and method for providing surgical access
US5931777A (en) 1998-03-11 1999-08-03 Sava; Gerard A. Tissue retractor and method for use
JP3732191B2 (en) 2003-06-06 2006-01-05 俊夫 澤田 An abdominal dilator used for surgery using a laparoscope

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR101231581B1 (en) * 2011-08-23 2013-02-08 김미경 Soft tissue dilator for implant operation

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