TWI722865B - Surgical anastomostic assistance device and preparation process thereof - Google Patents

Surgical anastomostic assistance device and preparation process thereof Download PDF

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TWI722865B
TWI722865B TW109112264A TW109112264A TWI722865B TW I722865 B TWI722865 B TW I722865B TW 109112264 A TW109112264 A TW 109112264A TW 109112264 A TW109112264 A TW 109112264A TW I722865 B TWI722865 B TW I722865B
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nozzle
tube
directional
surgical suture
surgical
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TW109112264A
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TW202137940A (en
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廖健宏
葉大森
陳芝琪
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長庚醫療財團法人林口長庚紀念醫院
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Abstract

The present disclosure provides a surgical anastomostic assistance device. The surgical anastomostic assistance device of the present disclosure is used for helping the anastomostic site fixation in surgical suture in eight fiexed directions properly to restrict the passage of suture needles to achieve the effect of stable suture. The surgical anastomostic assistance device of the present disclosure further includes a directional indicator, which can help surgeons find a suitable needle insertion position, enhance the suture effect, and do a good anastomosis of digestive tract, urologic tract or vascular surgery without twist, torsion or bending. The present disclosure also provides a process for preparing the surgical anastomostic assistance device.

Description

外科手術縫合輔助裝置及其製造方法Surgical operation suture auxiliary device and manufacturing method thereof

本發明是有關於一種外科手術縫合輔助裝置及其製造方法。The invention relates to a surgical suture auxiliary device and a manufacturing method thereof.

手術縫合線是一種醫療器材,用來將受傷或外科手術後的人體組織縫合在一起。一般由一根針附上一定長度的絲狀物構成。在千年的歷史中,曾開發出不同的形狀、大小及材料的縫合線。Surgical suture is a medical device used to suture human tissues after injury or surgery. It is generally composed of a needle attached with a certain length of filament. In thousands of years of history, sutures of different shapes, sizes and materials have been developed.

外科手術本身為一個高度專業的學門,手術的品質好壞決定於醫師的經驗。手術的縫合和管腔(消化管、泌尿管及血管)的吻合更是依靠外科醫師的判斷。故要作一個對稱且完整的吻合更是困難。Surgery itself is a highly specialized subject, and the quality of surgery depends on the experience of the physician. The suture of the operation and the anastomosis of the lumen (digestive tract, urinary tract and blood vessel) are more dependent on the judgment of the surgeon. Therefore, it is even more difficult to make a symmetrical and complete anastomosis.

傳統在進行外科手術的過程中,由於傷口的位置往往非常細微而不好找到縫合針線的進針位置,且在縫合過程中往往需藉由醫師的經驗來穩定針線的固定位置,避免針線有不對稱及彎曲的情形,造成醫師在縫合過程中需全神貫注,耗費精力與體力。Traditionally, in the process of surgical operation, it is difficult to find the needle insertion position of the suture thread because the position of the wound is often very subtle, and the doctor’s experience is often needed to stabilize the fixed position of the needle thread during the suture process, so as to avoid the needle thread irregularities. The symmetry and bending conditions cause the doctor to concentrate on the suture process, which consumes energy and energy.

為了解決上述問題,本領域的技術人員亟需開發出新穎之外科手術縫合輔助裝置,以造福有此需求的廣大族群並為本領域的技術帶來重大突破。In order to solve the above-mentioned problems, those skilled in the art urgently need to develop novel surgical suture assist devices to benefit the majority of groups in need and bring major breakthroughs in the field of technology.

有鑑於此,本發明之目的為提供一種外科手術縫合輔助裝置,包含一漏斗狀主體以及複數方向性開口。漏斗狀主體包括一第一管口及一從該第一管口漸縮管徑的第二管口。該些方向性開口設置於該第一管口,每一方向性開口由該第一管口往該第二管口方向延伸。In view of this, the object of the present invention is to provide a surgical suture assisting device, which includes a funnel-shaped body and a plurality of directional openings. The funnel-shaped main body includes a first nozzle and a second nozzle whose diameter is gradually reduced from the first nozzle. The directional openings are arranged at the first nozzle, and each directional opening extends from the first nozzle to the second nozzle.

在本發明的一實施例中,該複數方向性開口的數目為大於4的偶數。In an embodiment of the present invention, the number of the plurality of directional openings is an even number greater than 4.

在本發明的一實施例中,該複數方向性開口的數目為8個。In an embodiment of the present invention, the number of the plurality of directional openings is eight.

在本發明的一實施例中,該些方向性開口彼此對稱設置,且該些方向性開口彼此鄰設的距離相等。In an embodiment of the present invention, the directional openings are arranged symmetrically with each other, and the distances between the directional openings adjacent to each other are equal.

在本發明的一實施例中,每一方向性開口是作為一切痕縫合處,設置於該第一管口。In an embodiment of the present invention, each directional opening is used as a suture of a cut and is arranged at the first nozzle.

在本發明的一實施例中,該漏斗狀主體進一步包括一與該第一管口及該些方向性開口相連結且連通的第一管部,及一與該第二管口相連結且連通的第二管部。In an embodiment of the present invention, the funnel-shaped body further includes a first pipe portion connected and communicating with the first nozzle and the directional openings, and a first pipe portion connected and communicating with the second nozzle The second tube section.

在本發明的一實施例中,該第一管部與該第二管部彼此連通。In an embodiment of the present invention, the first tube part and the second tube part communicate with each other.

在本發明的一實施例中,該第一管部的管徑由該第一管口往該第二管口方向逐漸縮小,該第二管部的管徑由該第一管口往該第二管口方向逐漸縮小。In an embodiment of the present invention, the diameter of the first tube portion gradually decreases from the first nozzle to the second nozzle, and the diameter of the second tube moves from the first nozzle to the second nozzle. The direction of the second nozzle is gradually reduced.

在本發明的一實施例中,該第一管部具有一第一管壁,該第二管部具有一第二管壁,該第一管壁的切線與該第二管壁的切線之夾角為一鈍角。In an embodiment of the present invention, the first pipe portion has a first pipe wall, the second pipe portion has a second pipe wall, and the angle between the tangent line of the first pipe wall and the tangent line of the second pipe wall For an obtuse angle.

在本發明的一實施例中,外科手術縫合輔助裝置進一步包含一方向指示器,設置於該第一管部的該第一管壁。In an embodiment of the present invention, the surgical suture assisting device further includes a direction indicator disposed on the first tube wall of the first tube portion.

在本發明的一實施例中,該第一管口的管徑為該第二管口的管徑的1.5~3.5倍。In an embodiment of the present invention, the diameter of the first nozzle is 1.5 to 3.5 times the diameter of the second nozzle.

本發明之另一目的為提供一種用於製造一外科手術縫合輔助裝置的方法,包含:製造一漏斗狀主體,其中該漏斗狀主體包括一第一管口及一從該第一管口漸縮管徑的第二管口;以及製造複數方向性開口,其中該複數方向性開口設置於該第一管口,每一方向性開口由該第一管口往該第二管口方向延伸。Another object of the present invention is to provide a method for manufacturing a surgical suture assisting device, comprising: manufacturing a funnel-shaped body, wherein the funnel-shaped body includes a first nozzle and a tapered nozzle from the first nozzle And manufacturing a plurality of directional openings, wherein the plurality of directional openings are arranged in the first nozzle, and each directional opening extends from the first nozzle to the second nozzle.

綜上所述,本發明外科手術縫合輔助裝置的功效在於:可使用於外科手術縫合中之管腔固定並且藉由複數方向性開口,限制縫合針線的穿過來達到穩定縫合的效果。本發明的外科手術縫合輔助裝置進一步包含一方向指示器,可以幫助手術者找到合適進針位置,加強縫合效果,並且藉由指示方向,可以避免扭轉、不對稱或是折彎之情形。To sum up, the effect of the surgical suture assisting device of the present invention is that it can fix the lumen used in surgical suture and restrict the passage of suture needles through multiple directional openings to achieve a stable suture effect. The surgical suture assisting device of the present invention further includes a direction indicator, which can help the surgeon find a suitable needle insertion position, enhance the suture effect, and by indicating the direction, it can avoid twisting, asymmetry, or bending.

以下將進一步說明本發明的實施方式,下述所列舉的實施例係用以闡明本發明,並非用以限定本發明之範圍,任何熟習此技藝者,在不脫離本發明之精神和範圍內,當可做些許更動與潤飾,因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。The following will further explain the implementation of the present invention. The following examples are used to illustrate the present invention and are not intended to limit the scope of the present invention. Anyone familiar with the art will not depart from the spirit and scope of the present invention. Some changes and modifications can be made, so the scope of protection of the present invention shall be subject to the scope of the attached patent application.

以下將參照相關圖式,說明依據本發明外科手術縫合輔助裝置的較佳實施例,其中相同的元件將以相同的參照符號加以說明。Hereinafter, a preferred embodiment of the surgical suture assisting device according to the present invention will be described with reference to related drawings, in which the same elements will be described with the same reference signs.

本發明外科手術縫合輔助裝置可使用於外科手術縫合中之管腔固定並且藉由複數方向性開口,限制縫合針線的穿過來達到穩定縫合的效果。本發明的外科手術縫合輔助裝置進一步包含一方向指示器,可以幫助手術者找到合適進針位置,加強縫合效果,並且藉由指示方向(參見圖1及圖2箭頭處),可以避免扭轉、不對稱或是折彎之情形。以下將以實施例來說明本發明外科手術縫合輔助裝置的結構與特徵。The surgical suture auxiliary device of the present invention can be used for lumen fixation in surgical suture, and through multiple directional openings, the suture needle thread is restricted from passing through to achieve a stable suture effect. The surgical suture assisting device of the present invention further includes a direction indicator, which can help the surgeon find a suitable needle insertion position, enhance the suture effect, and by indicating the direction (see the arrow in Figure 1 and Figure 2), it can avoid twisting and distorting. Symmetry or bending. Hereinafter, embodiments will be used to illustrate the structure and features of the surgical suture assisting device of the present invention.

請參閱圖1至圖3,其為本發明外科手術縫合輔助裝置1的較佳實施例的示意圖。外科手術縫合輔助裝置1包含一漏斗狀主體11以及複數方向性開口12。Please refer to FIGS. 1 to 3, which are schematic diagrams of a preferred embodiment of the surgical suture assisting device 1 of the present invention. The surgical suture assisting device 1 includes a funnel-shaped body 11 and a plurality of directional openings 12.

漏斗狀主體11包括一第一管口111及一從該第一管口111漸縮管徑的第二管口112。該些方向性開口12設置於該第一管口111,每一方向性開口12由該第一管口111往該第二管口112方向延伸。The funnel-shaped main body 11 includes a first nozzle 111 and a second nozzle 112 whose diameter is tapered from the first nozzle 111. The directional openings 12 are disposed in the first nozzle 111, and each directional opening 12 extends from the first nozzle 111 toward the second nozzle 112.

在一較佳實施例中,該些方向性開口12的數目為大於4的偶數。較佳地,該些方向性開口12的數目為8個。In a preferred embodiment, the number of the directional openings 12 is an even number greater than 4. Preferably, the number of the directional openings 12 is eight.

在本實施例中,該些方向性開口12彼此對稱設置,且該些方向性開口12彼此鄰設的距離相等。In this embodiment, the directional openings 12 are symmetrically arranged with each other, and the distances between the directional openings 12 adjacent to each other are equal.

在本實施例中,每一方向性開口12作為一切痕縫合處121,設置於該第一管口111。In this embodiment, each directional opening 12 serves as a cut seam 121 and is disposed at the first nozzle 111.

在本實施例中,該漏斗狀主體11進一步包括一與該第一管口111及該些方向性開口12相連結且連通的第一管部113,及一與該第二管口112相連結且連通的第二管部114。In this embodiment, the funnel-shaped body 11 further includes a first tube portion 113 connected to and communicated with the first nozzle 111 and the directional openings 12, and a first tube portion 113 connected with the second nozzle 112 And the connected second pipe 114.

在本實施例中,該第一管部113與該第二管部114彼此連通。In this embodiment, the first pipe portion 113 and the second pipe portion 114 communicate with each other.

在本實施例中,該第一管部113的管徑由該第一管口111往該第二管口112方向逐漸縮小,該第二管部114的管徑由該第一管口111往該第二管口112方向逐漸縮小。In this embodiment, the diameter of the first tube portion 113 gradually decreases from the first nozzle 111 to the second nozzle 112, and the diameter of the second tube 114 moves from the first nozzle 111 to the direction of the second nozzle 112. The direction of the second nozzle 112 is gradually reduced.

在本實施例中,該第一管部113具有一第一管壁115,該第二管部114具有一第二管壁116,該第一管壁115的切線與該第二管壁116的切線之夾角為一鈍角。較佳地,該鈍角的角度範圍為135度至150度。In this embodiment, the first pipe portion 113 has a first pipe wall 115, the second pipe portion 114 has a second pipe wall 116, and the tangent of the first pipe wall 115 is the same as that of the second pipe wall 116. The angle of the tangent is an obtuse angle. Preferably, the angle range of the obtuse angle is 135 degrees to 150 degrees.

在本實施例中,外科手術縫合輔助裝置1進一步包含一方向指示器13以指示方向(參見圖1及圖2箭頭處),其亦可為方向圖形,設置於該第一管部113的該第一管壁115。In this embodiment, the surgical suture assisting device 1 further includes a direction indicator 13 to indicate the direction (see the arrows in Figures 1 and 2), which can also be a directional graphic, which is provided on the first tube portion 113. First tube wall 115.

在本實施例中,該第一管口111的管徑及該第二管口112的管徑皆可依照實際需求調整。較佳地,該第一管口的管徑為該第二管口的管徑的1.5~3.5倍。In this embodiment, the diameter of the first nozzle 111 and the diameter of the second nozzle 112 can be adjusted according to actual requirements. Preferably, the diameter of the first nozzle is 1.5 to 3.5 times the diameter of the second nozzle.

較佳地,該第一管口111及該第二管口112可呈圓形、橢圓形或方形,本發明並無限制。Preferably, the first nozzle 111 and the second nozzle 112 can be circular, oval or square, and the present invention is not limited.

較佳地,第一管部113與第二管部114可一體成形或可分離地組裝,本發明並無限制。Preferably, the first tube portion 113 and the second tube portion 114 can be integrally formed or detachably assembled, and the present invention is not limited.

本發明亦提供一種用於製造外科手術縫合輔助裝置1的方法,包含:製造一漏斗狀主體11,其中該漏斗狀主體11包括一第一管口111及一從該第一管口111漸縮管徑的第二管口112;以及製造複數方向性開口12,其中該複數方向性開口12設置於該第一管口111,每一方向性開口12由該第一管口111往該第二管口112方向延伸。The present invention also provides a method for manufacturing a surgical suture assisting device 1, including: manufacturing a funnel-shaped body 11, wherein the funnel-shaped body 11 includes a first nozzle 111 and a tapered nozzle 111 The second nozzle 112 of the pipe diameter; and the manufacture of a plurality of directional openings 12, wherein the plurality of directional openings 12 are provided in the first nozzle 111, and each directional opening 12 extends from the first nozzle 111 to the second The nozzle 112 extends in the direction.

本發明裝置在操作時可以固定縫合方向性,以漏斗狀主體11的設計先行插入孔道中,藉由位於前端的第二管部114的微小管道,可以方便插入或植入孔腔2中,並藉由方向指示器13,可以避免錯誤縫合,或是縫合時造成旋轉,參見圖2。接著,再藉由複數個方向性開口12來進行縫合,可以做到兩方開口縫合對稱之用,並輔助運針,讓固定針線3穿過,參見圖3,便可降低縫合難度,尤其在小管徑的接口或是胰管腸道接口。The device of the present invention can fix the direction of suture during operation, and is inserted into the tunnel first with the design of the funnel-shaped body 11. With the tiny pipe of the second tube portion 114 at the front end, it can be easily inserted or implanted into the cavity 2 and With the direction indicator 13, it is possible to avoid wrong stitching or rotation during stitching, see Figure 2. Then, suture through a plurality of directional openings 12 can be used to sew the two openings symmetrically, and assist the needle movement to allow the fixed needle thread 3 to pass through. See Figure 3, which can reduce the difficulty of suture, especially in small areas. The interface of the pipe diameter or the pancreatic duct interface.

當進行縫合時,將外科手術縫合輔助裝置1適度地插入孔腔中,利用孔徑不同固定住後,手術醫師利用漏斗狀主體11及複數個方向性開口12開始進行單側縫合,當縫合完一半後,取出外科手術縫合輔助裝置1放置到另外一側,然後進行相同動作,可以達到穩固、美觀、規則的孔腔吻合。When suturing is performed, the surgical suture assisting device 1 is appropriately inserted into the cavity and fixed with different apertures. The surgeon uses the funnel-shaped body 11 and a plurality of directional openings 12 to start unilateral suturing. When half of the suturing is completed After that, the surgical suture auxiliary device 1 is taken out and placed on the other side, and then the same action is performed to achieve a stable, beautiful, and regular cavity anastomosis.

綜上所述,本發明外科手術縫合輔助裝置可使用於外科手術縫合中之管腔固定並且藉由複數方向性開口,限制縫合針線的穿過來達到穩定縫合的效果。本發明的外科手術縫合輔助裝置進一步包含方向指示器,可以幫助手術者找到合適進針位置,加強縫合效果,並且藉由指示方向,可以避免扭轉、不對稱或是折彎之情形。In summary, the surgical suture assisting device of the present invention can be used for lumen fixation in surgical suture, and through multiple directional openings, the passage of suture needles is restricted to achieve a stable suture effect. The surgical suture assisting device of the present invention further includes a direction indicator, which can help the surgeon find a suitable needle insertion position, enhance the suture effect, and by indicating the direction, it can avoid twisting, asymmetrical or bending situations.

以上所述僅為舉例性,而非為限制性者。任何未脫離本發明之精神與範疇,而對其進行之等效修改或變更,均應包含於後附之申請專利範圍中。The above description is only illustrative, and not restrictive. Any equivalent modifications or alterations that do not depart from the spirit and scope of the present invention should be included in the scope of the appended patent application.

1:外科手術縫合輔助裝置 11:漏斗狀主體 111:第一管口 112:第二管口 113:第一管部 114:第二管部 115:第一管壁 116:第二管壁 12:方向性開口 121:切痕縫合處 13:方向指示器 2:孔腔 3:固定針線 1: Surgical suture assist device 11: Funnel-shaped body 111: The first nozzle 112: second nozzle 113: The first tube 114: The second tube 115: The first tube wall 116: second tube wall 12: Directional opening 121: Cut and Suture 13: Direction indicator 2: cavity 3: fixed needle thread

圖1是本發明外科手術縫合輔助裝置的較佳實施例的示意圖。 圖2是本發明外科手術縫合輔助裝置的較佳實施例的使用示意圖。 圖3是本發明外科手術縫合輔助裝置的較佳實施例的使用示意圖。 Fig. 1 is a schematic diagram of a preferred embodiment of the surgical suture assisting device of the present invention. Fig. 2 is a schematic diagram of the use of a preferred embodiment of the surgical suture assisting device of the present invention. Fig. 3 is a schematic diagram of the use of a preferred embodiment of the surgical suture assisting device of the present invention.

Claims (9)

一種外科手術縫合輔助裝置,包含:一漏斗狀主體,包括一第一管口及一從該第一管口漸縮管徑的第二管口;以及複數方向性開口,設置於該第一管口,每一方向性開口由該第一管口往該第二管口方向延伸,其中該複數方向性開口的數目為大於4的偶數,該漏斗狀主體進一步包括一與該第一管口及該些方向性開口相連結且連通的第一管部,及一與該第二管口相連結且連通的第二管部,該第一管部具有一第一管壁,該第二管部具有一第二管壁,該第一管壁的切線與該第二管壁的切線之夾角為一鈍角。 A surgical suture auxiliary device, comprising: a funnel-shaped main body, including a first nozzle and a second nozzle whose diameter is tapered from the first nozzle; and a plurality of directional openings arranged in the first tube Each directional opening extends from the first nozzle to the second nozzle, wherein the number of the plurality of directional openings is an even number greater than 4, and the funnel-shaped body further includes a connection with the first nozzle and The first pipe portion connected and communicated with the directional openings, and a second pipe portion connected and communicated with the second nozzle, the first pipe portion has a first pipe wall, and the second pipe portion There is a second tube wall, and the included angle between the tangent line of the first tube wall and the tangent line of the second tube wall is an obtuse angle. 如請求項1的外科手術縫合輔助裝置,其中該複數方向性開口的數目為8個。 The surgical suture assisting device of claim 1, wherein the number of the plurality of directional openings is 8. 如請求項1的外科手術縫合輔助裝置,其中該些方向性開口彼此對稱設置,且該些方向性開口彼此鄰設的距離相等。 According to the surgical suture assisting device of claim 1, wherein the directional openings are symmetrically arranged with each other, and the distances between the directional openings adjacent to each other are equal. 如請求項3的外科手術縫合輔助裝置,其中每一方向性開口是作為一切痕縫合處,設置於該第一管口。 According to the surgical suture assisting device of claim 3, each directional opening is used as an incision suture location, and is arranged at the first nozzle. 如請求項1的外科手術縫合輔助裝置,其中該第一管部與該第二管部彼此連通。 The surgical suture assisting device of claim 1, wherein the first tube portion and the second tube portion are in communication with each other. 如請求項5的外科手術縫合輔助裝置,其中該第一管部的管徑由該第一管口往該第二管口方向逐漸縮小,該第二管部的管徑由該第一管口往該第二管口方向逐漸縮小。 According to claim 5, the surgical suture assisting device, wherein the diameter of the first tube portion gradually decreases from the first nozzle to the second nozzle, and the diameter of the second tube decreases from the first nozzle It gradually narrows toward the second nozzle. 如請求項1的外科手術縫合輔助裝置,其進一步包含一方向指示器,設置於該第一管部的該第一管壁。 According to claim 1, the surgical suture assisting device further includes a direction indicator disposed on the first tube wall of the first tube portion. 如請求項7的外科手術縫合輔助裝置,其中該第一管口的管徑為該第二管口的管徑的1.5~3.5倍。 According to the surgical suture assisting device of claim 7, wherein the diameter of the first nozzle is 1.5 to 3.5 times the diameter of the second nozzle. 一種用於製造一外科手術縫合輔助裝置的方法,包含:製造一漏斗狀主體,其中該漏斗狀主體包括一第一管口及一從該第一管口漸縮管徑的第二管口;以及製造複數方向性開口,其中該複數方向性開口設置於該第一管口,每一方向性開口由該第一管口往該第二管口方向延伸,其中該複數方向性開口的數目為大於4的偶數,該漏斗狀主體進一步包括一與該第一管口及該些方向性開口相連結且連通的第一管部,及一與該第二管口相連結且連通的第二管部,該第一管部具有一第一管壁,該第二管部具有一第二管壁,該第一管壁的切線與該第二管壁的切線之夾角為一鈍角。 A method for manufacturing a surgical suture assisting device, comprising: manufacturing a funnel-shaped body, wherein the funnel-shaped body includes a first nozzle and a second nozzle whose diameter is tapered from the first nozzle; And manufacturing a plurality of directional openings, wherein the plurality of directional openings are disposed in the first nozzle, and each directional opening extends from the first nozzle to the second nozzle, wherein the number of the plurality of directional openings is An even number greater than 4, the funnel-shaped main body further includes a first tube connected and communicated with the first nozzle and the directional openings, and a second tube connected and communicated with the second nozzle The first pipe portion has a first pipe wall, the second pipe portion has a second pipe wall, and the included angle between the tangent line of the first pipe wall and the tangent line of the second pipe wall is an obtuse angle.
TW109112264A 2020-04-10 2020-04-10 Surgical anastomostic assistance device and preparation process thereof TWI722865B (en)

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Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2012074141A1 (en) * 2010-11-29 2012-06-07 (주)알씨티 Automatic blood vessel anastomosis device using a suture
CN209474694U (en) * 2018-10-26 2019-10-11 史可心 A kind of pancreas intestines and Cholangio- jejunostomy assist dilator

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2012074141A1 (en) * 2010-11-29 2012-06-07 (주)알씨티 Automatic blood vessel anastomosis device using a suture
CN209474694U (en) * 2018-10-26 2019-10-11 史可心 A kind of pancreas intestines and Cholangio- jejunostomy assist dilator

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