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US1940351A - Surgical instrument - Google Patents

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Publication number
US1940351A
US1940351A US66216833A US1940351A US 1940351 A US1940351 A US 1940351A US 66216833 A US66216833 A US 66216833A US 1940351 A US1940351 A US 1940351A
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Prior art keywords
jaws
end
instrument
loop
lead
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
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Lloyd G Howard
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Dougald T Mckinnon
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B17/12013Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0474Knot pushers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0477Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery with pre-tied sutures

Description

Dec. 19, G HOWARD SURGICAL INSTRUMENT Filed March 22, 1933 Patented Dec. 19, 1933 PATENT OFFICE SURGICAL INSTRUMENT Lloyd G. Howard, Council Bluifs, Iowa, assignor of one-third to Dougald T. McKinnon, Council Bluffs, Iowa Application March 22, 1933. Serial No. 662,168

2 Claims.

The invention relates to surgical instruments and has for its object to provide a hemostatic ligature, particularly adapted for tying blood vessels and bleeding parts in portions of the body which are difficult to reach for tying purposes.

A further object is to provide a surgical instrument for grasping bleeding points or blood vessels and comprising cooperating jaws adapted to grasp the bleeding point or blood vessel and provided with an eye on one jaw through which the lead end of a strand extends, the other end of said strand terminating in a loop having a slide and jam 'knot surrounding both jaws and adapted to be moved beyond the ends of the jaws and pulled into contracted engagement with the body portion upon a pull on the lead end of the strand extending through the apertured lug of one of the jaws.

With the above and other objects in View the invention resides in the combination and arrangement of parts as hereinafter set forth, shown in the drawing, described and claimed, it being understood that changes in the precise embodiment of the invention may be made within the scope of what is claimed without departing from the spirit of the invention.

In the drawing:

Figure 1 is a perspective view of the instrument, showing the same in position for use.

Figure 2 is a perspective view of the loop end of the ligature.

Figure 3 is a side elevation of the instrument.

Figure 4 is a perspective view of the jaw end of the instrument, showing the ligature loop in position to be contracted by a pull on the lead end thereof.

Referring to the drawing the numeral 1 designates the pivotal point between cross members 2, the outer ends of which terminate in finger loops 3 adapted to receive the fingers of the operator. Cross members 2 adjacent the finger loops 3 are 7 provided with interengaging lugs 4 for holding the toothed gripping jaws 5 and 6 in gripping engagement with a portion 7 of the patient.

At the present time it is extremely diificult and often impossible to reach blood vessels and parts of the body, for instance in cavities for ligating and tying, and to obviate this difficulty the present instrument is primarily designed. Jaw 5 is provided with an apertured lug 8, through which the lead end 9 of the ligating strand extends rearwardly and is adapted to be grasped by the operator for the tying operation. The other end of the strand terminates in a loop 10 encircling the jaws 5 and 6 rearwardlyof the lug 8 and is provided with a slip jam knot 11 which when contracted is held in contracted condition by the jamming.

In operation the part 7 of the body is gripped between the jaws 5 and 6 with the loop 10 in the position shown in Figure 1, then the loop 10 is passed forwardly over the jaws 5 and 6 and lug 8 to a position shown in Figure 4, and at which time the operator imparts a pull on the lead end 9 of the ligature, thereby contracting the same around the part '7 for the tying operation, after which the instrument may be removed from its position on part 7, or further tying operation may be accomplished if desired, utilizing the lead end 9 of the ligature, after passing the same from the lug 8.

From the above it will be seen that an instrument is provided for surgical purposes for tying blood vessels in inaccessible cavities and positions, and that the tying operation is a positive one and controlled from the outside of the cavity, so that the hands of the operator will not interfere with a full view of the operation.

The invention having been set forth what is claimed as new and useful is:

1. A ligating instrument comprising cooperating jaws adapted to be encircled by a ligating loop having a slip knot therein and an apertured lug carried by one of said jaws and through which the lead end from the ligating loop extends rearwardly and through the loop.

2. The combination with a surgical instrument having cooperating jaws adapted to grip a portion of the body, of a ligating device carried thereby, said device comprising an apertured lug carried by one of the jaws, a slip knot strand encircling the jaws and having a lead end, said lead end from the loop extending rearwardly through the apertured lug and through the loop 95 around the jaws.

LLOYD G. HOWARD.

US1940351A 1933-03-22 1933-03-22 Surgical instrument Expired - Lifetime US1940351A (en)

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Application Number Priority Date Filing Date Title
US1940351A US1940351A (en) 1933-03-22 1933-03-22 Surgical instrument

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Application Number Priority Date Filing Date Title
US1940351A US1940351A (en) 1933-03-22 1933-03-22 Surgical instrument

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US1940351A true US1940351A (en) 1933-12-19

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US1940351A Expired - Lifetime US1940351A (en) 1933-03-22 1933-03-22 Surgical instrument

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Cited By (46)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3033204A (en) * 1958-05-05 1962-05-08 Adolph M Brown Ligature-tier
US3040747A (en) * 1959-03-10 1962-06-26 Adolph M Brown Ligature-tier
US3056408A (en) * 1959-04-22 1962-10-02 Adolph M Brown Ligature clip
US3130727A (en) * 1962-03-19 1964-04-28 Rene G Le Vaux Pretied ligature splint
US3367337A (en) * 1965-01-15 1968-02-06 Stephen L. Javna Surgical clamp
US4691704A (en) * 1986-10-03 1987-09-08 Wadsworth Legrand D Ligature tool and process for castrating large animals
US5746755A (en) * 1994-06-01 1998-05-05 Perclose, Inc. Method and device for providing hemostasis at vascular penetration sites
US5792177A (en) * 1996-04-01 1998-08-11 Kaseda; Shizuka Forceps
US5797929A (en) * 1994-06-01 1998-08-25 Perclose, Inc. Apparatus and methods for advancing surgical knots
US6562048B1 (en) * 1998-08-31 2003-05-13 Thomas J. Fogarty Deformable conduits and methods for shunting bodily fluid during surgery
US20070282354A1 (en) * 2003-09-26 2007-12-06 Abbott Laboratories Adevice for suturing intracardiac defects
US8038688B2 (en) 1999-03-04 2011-10-18 Abbott Laboratories Articulating suturing device and method
US8048108B2 (en) 2005-08-24 2011-11-01 Abbott Vascular Inc. Vascular closure methods and apparatuses
US8048092B2 (en) 1999-03-04 2011-11-01 Abbott Laboratories Articulating suturing device and method
US8057491B2 (en) 1999-03-04 2011-11-15 Abbott Laboratories Articulating suturing device and method
US8083754B2 (en) 2005-08-08 2011-12-27 Abbott Laboratories Vascular suturing device with needle capture
US8137364B2 (en) 2003-09-11 2012-03-20 Abbott Laboratories Articulating suturing device and method
US8202281B2 (en) 2002-12-31 2012-06-19 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US8252008B2 (en) 2006-08-18 2012-08-28 Abbott Laboratories Articulating suturing device and method
US8267947B2 (en) 2005-08-08 2012-09-18 Abbott Laboratories Vascular suturing device
US8313498B2 (en) 2005-08-08 2012-11-20 Abbott Laboratories Vascular suturing device
US8419753B2 (en) 2003-12-23 2013-04-16 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US8574244B2 (en) 2007-06-25 2013-11-05 Abbott Laboratories System for closing a puncture in a vessel wall
US8663252B2 (en) 2010-09-01 2014-03-04 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US8668718B2 (en) 2009-06-04 2014-03-11 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
US8858573B2 (en) 2012-04-10 2014-10-14 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US8864778B2 (en) 2012-04-10 2014-10-21 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US8864780B2 (en) 2011-02-15 2014-10-21 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet-like materials
US8920442B2 (en) 2005-08-24 2014-12-30 Abbott Vascular Inc. Vascular opening edge eversion methods and apparatuses
US9033201B2 (en) 2011-02-15 2015-05-19 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
US9101460B2 (en) 2009-01-08 2015-08-11 Rotation Medical, Inc. Implantable tendon protection systems and related kits and methods
US9107661B2 (en) 2011-12-19 2015-08-18 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9113977B2 (en) 2011-02-15 2015-08-25 Rotation Medical, Inc. Guidewire having a distal fixation member for delivering and positioning sheet-like materials in surgery
US9125650B2 (en) 2011-12-19 2015-09-08 Rotation Medical, Inc. Apparatus and method for forming pilot holes in bone and delivering fasteners therein for retaining an implant
CN104939894A (en) * 2015-07-21 2015-09-30 中国人民解放军第三军医大学第二附属医院 Operating forceps with suture clip fixing devices and use method of operating forceps
US9179910B2 (en) 2009-03-20 2015-11-10 Rotation Medical, Inc. Medical device delivery system and method
US9179961B2 (en) 2009-06-04 2015-11-10 Rotation Medical, Inc. Methods and apparatus for deploying sheet-like materials
US9198751B2 (en) 2011-02-15 2015-12-01 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet-like materials in surgery
US9198750B2 (en) 2010-03-11 2015-12-01 Rotation Medical, Inc. Tendon repair implant and method of arthroscopic implantation
US9204940B2 (en) 2011-02-15 2015-12-08 Rotation Medical, Inc. Anatomical location markers and methods of use in positioning sheet-like materials during surgery
US9241707B2 (en) 2012-05-31 2016-01-26 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens
US9271726B2 (en) 2011-12-19 2016-03-01 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9370356B2 (en) 2011-12-19 2016-06-21 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9370353B2 (en) 2010-09-01 2016-06-21 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US9456811B2 (en) 2005-08-24 2016-10-04 Abbott Vascular Inc. Vascular closure methods and apparatuses
US9931119B2 (en) 2015-05-04 2018-04-03 Rotation Medical, Inc. Methods and apparatus having bowstring-like staple delivery to a target tissue

Cited By (81)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3033204A (en) * 1958-05-05 1962-05-08 Adolph M Brown Ligature-tier
US3040747A (en) * 1959-03-10 1962-06-26 Adolph M Brown Ligature-tier
US3056408A (en) * 1959-04-22 1962-10-02 Adolph M Brown Ligature clip
US3130727A (en) * 1962-03-19 1964-04-28 Rene G Le Vaux Pretied ligature splint
US3367337A (en) * 1965-01-15 1968-02-06 Stephen L. Javna Surgical clamp
US4691704A (en) * 1986-10-03 1987-09-08 Wadsworth Legrand D Ligature tool and process for castrating large animals
US5746755A (en) * 1994-06-01 1998-05-05 Perclose, Inc. Method and device for providing hemostasis at vascular penetration sites
US5797929A (en) * 1994-06-01 1998-08-25 Perclose, Inc. Apparatus and methods for advancing surgical knots
US6117145A (en) * 1994-06-01 2000-09-12 Perclose, Inc. Method and device for providing hemostasis at vascular penetration sites
US5792177A (en) * 1996-04-01 1998-08-11 Kaseda; Shizuka Forceps
US6562048B1 (en) * 1998-08-31 2003-05-13 Thomas J. Fogarty Deformable conduits and methods for shunting bodily fluid during surgery
US8663248B2 (en) 1999-03-04 2014-03-04 Abbott Laboratories Articulating suturing device and method
US8038688B2 (en) 1999-03-04 2011-10-18 Abbott Laboratories Articulating suturing device and method
US8323298B2 (en) 1999-03-04 2012-12-04 Abbott Laboratories Articulating suturing device and method
US8048092B2 (en) 1999-03-04 2011-11-01 Abbott Laboratories Articulating suturing device and method
US8057491B2 (en) 1999-03-04 2011-11-15 Abbott Laboratories Articulating suturing device and method
US9301747B2 (en) 1999-03-04 2016-04-05 Abbott Laboratories Articulating suturing device and method
US9282960B2 (en) 1999-03-04 2016-03-15 Abbott Laboratories Articulating suturing device and method
US8172860B2 (en) 1999-03-04 2012-05-08 Abbott Laboratories Articulating suturing device and method
US8202281B2 (en) 2002-12-31 2012-06-19 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US8998932B2 (en) 2002-12-31 2015-04-07 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US9889276B2 (en) 2002-12-31 2018-02-13 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US8137364B2 (en) 2003-09-11 2012-03-20 Abbott Laboratories Articulating suturing device and method
US8211122B2 (en) 2003-09-26 2012-07-03 Abbott Laboratories Device for suturing intracardiac defects
US20070282354A1 (en) * 2003-09-26 2007-12-06 Abbott Laboratories Adevice for suturing intracardiac defects
US9155535B2 (en) 2003-09-26 2015-10-13 Abbott Laboratories Device and method for suturing intracardiac defects
US8361088B2 (en) 2003-09-26 2013-01-29 Abbott Laboratories Device and method for suturing intracardiac defects
US8257368B2 (en) 2003-09-26 2012-09-04 Abbott Laboratories Device for suturing intracardiac defects
US8419753B2 (en) 2003-12-23 2013-04-16 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US8597309B2 (en) 2003-12-23 2013-12-03 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US9375211B2 (en) 2003-12-23 2016-06-28 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US8267947B2 (en) 2005-08-08 2012-09-18 Abbott Laboratories Vascular suturing device
US8313498B2 (en) 2005-08-08 2012-11-20 Abbott Laboratories Vascular suturing device
US8083754B2 (en) 2005-08-08 2011-12-27 Abbott Laboratories Vascular suturing device with needle capture
US9592038B2 (en) 2005-08-08 2017-03-14 Abbott Laboratories Vascular suturing device
US9456811B2 (en) 2005-08-24 2016-10-04 Abbott Vascular Inc. Vascular closure methods and apparatuses
US8048108B2 (en) 2005-08-24 2011-11-01 Abbott Vascular Inc. Vascular closure methods and apparatuses
US8920442B2 (en) 2005-08-24 2014-12-30 Abbott Vascular Inc. Vascular opening edge eversion methods and apparatuses
US8252008B2 (en) 2006-08-18 2012-08-28 Abbott Laboratories Articulating suturing device and method
US8430893B2 (en) 2006-08-18 2013-04-30 Abbott Laboratories Articulating suturing device and method
US8574244B2 (en) 2007-06-25 2013-11-05 Abbott Laboratories System for closing a puncture in a vessel wall
US9101460B2 (en) 2009-01-08 2015-08-11 Rotation Medical, Inc. Implantable tendon protection systems and related kits and methods
US9179910B2 (en) 2009-03-20 2015-11-10 Rotation Medical, Inc. Medical device delivery system and method
US9095337B2 (en) 2009-06-04 2015-08-04 Rotation Medical, Inc. Methods and apparatus for delivering staples to a target issue
US8821536B2 (en) 2009-06-04 2014-09-02 Rotation Medical, Inc. Methods and apparatus for delivering staples to a target tissue
US9027819B2 (en) 2009-06-04 2015-05-12 Rotation Medical, Inc. Methods and apparatus having bowstring-like staple delivery to a target tissue
US9179961B2 (en) 2009-06-04 2015-11-10 Rotation Medical, Inc. Methods and apparatus for deploying sheet-like materials
US8821537B2 (en) 2009-06-04 2014-09-02 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
US8920464B2 (en) 2009-06-04 2014-12-30 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
US9675346B2 (en) 2009-06-04 2017-06-13 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
US9259220B2 (en) 2009-06-04 2016-02-16 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
US8763878B2 (en) 2009-06-04 2014-07-01 Rotation Medical, Inc. Methods and apparatus having bowstring-like staple delivery to a target tissue
US8840642B2 (en) 2009-06-04 2014-09-23 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
US8668718B2 (en) 2009-06-04 2014-03-11 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
US9393104B2 (en) 2010-03-11 2016-07-19 Rotation Medical, Inc. Tendon repair implant and method of arthroscopic implantation
US9393103B2 (en) 2010-03-11 2016-07-19 Rotation Medical, Inc. Tendon repair implant and method of arthroscopic implantation
US9198750B2 (en) 2010-03-11 2015-12-01 Rotation Medical, Inc. Tendon repair implant and method of arthroscopic implantation
US9370353B2 (en) 2010-09-01 2016-06-21 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US8663252B2 (en) 2010-09-01 2014-03-04 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US9204940B2 (en) 2011-02-15 2015-12-08 Rotation Medical, Inc. Anatomical location markers and methods of use in positioning sheet-like materials during surgery
US9198751B2 (en) 2011-02-15 2015-12-01 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet-like materials in surgery
US9113977B2 (en) 2011-02-15 2015-08-25 Rotation Medical, Inc. Guidewire having a distal fixation member for delivering and positioning sheet-like materials in surgery
US9033201B2 (en) 2011-02-15 2015-05-19 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
US9005224B2 (en) 2011-02-15 2015-04-14 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet-like materials
US9743970B2 (en) 2011-02-15 2017-08-29 Rotation Medical, Inc. Anatomical location markers and methods of use in positioning sheet-like materials during surgery
US9314314B2 (en) 2011-02-15 2016-04-19 Rotation Medical, Inc. Anatomical location markers and methods of use in positioning sheet-like materials during surgery
US9314331B2 (en) 2011-02-15 2016-04-19 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet-like materials in surgery
US8864780B2 (en) 2011-02-15 2014-10-21 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet-like materials
US9566063B2 (en) 2011-12-19 2017-02-14 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9271726B2 (en) 2011-12-19 2016-03-01 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9855037B2 (en) 2011-12-19 2018-01-02 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9107661B2 (en) 2011-12-19 2015-08-18 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9414841B2 (en) 2011-12-19 2016-08-16 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9125650B2 (en) 2011-12-19 2015-09-08 Rotation Medical, Inc. Apparatus and method for forming pilot holes in bone and delivering fasteners therein for retaining an implant
US9370356B2 (en) 2011-12-19 2016-06-21 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9247978B2 (en) 2011-12-19 2016-02-02 Rotation Medical, Inc. Apparatus and method for forming pilot holes in bone and delivering fasteners therein for retaining an implant
US8864778B2 (en) 2012-04-10 2014-10-21 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US8858573B2 (en) 2012-04-10 2014-10-14 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US9241707B2 (en) 2012-05-31 2016-01-26 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens
US9931119B2 (en) 2015-05-04 2018-04-03 Rotation Medical, Inc. Methods and apparatus having bowstring-like staple delivery to a target tissue
CN104939894A (en) * 2015-07-21 2015-09-30 中国人民解放军第三军医大学第二附属医院 Operating forceps with suture clip fixing devices and use method of operating forceps

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