WO2006011824A1 - Surgical needle and plastic surgery operation method - Google Patents

Surgical needle and plastic surgery operation method Download PDF

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Publication number
WO2006011824A1
WO2006011824A1 PCT/RU2004/000252 RU2004000252W WO2006011824A1 WO 2006011824 A1 WO2006011824 A1 WO 2006011824A1 RU 2004000252 W RU2004000252 W RU 2004000252W WO 2006011824 A1 WO2006011824 A1 WO 2006011824A1
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Prior art keywords
needle
surgical
stitch
skin
point
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French (fr)
Russian (ru)
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Marlen Andreevich Sulamanidze
Georgiih Marlenovich Sulamanidze
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00792Plastic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004Means for attaching suture to needle
    • A61B2017/06047Means for attaching suture to needle located at the middle of the needle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B2017/0609Needles, e.g. needle tip configurations having sharp tips at both ends, e.g. shuttle needle alternately retained and released by first and second facing jaws of a suturing instrument

Definitions

  • the invention relates to medicine, to tools and methods for performing surgical plastic operations.
  • the invention relates to medical materials used in surgery for plastic cosmetic surgery.
  • Surgical needles for suturing the edges of wounds during surgical operations are known (J. Zoltan, “Operational technique and conditions for optimal wound healing”, “Medicine”, Budapest, 1977) They are made of metal, more often steel, needles are straight, bent along a circle or other shape. The needles are pointed at one end, and the suture surgical suture is attached to the other.
  • atraumatic needles are most often used, which have no eye and the suture thread is attached to the needle in a factory way, which allows the surgeon to use a disposable sterile suture material, and most importantly, a needle that does not have a rough eye and a double thread. Such a needle slightly injures soft tissue when passing through them.
  • General characteristics of surgical needles strength, smooth surface, bioinertness. They should easily pierce the skin and pass freely through the subcutaneous tissue.
  • SUBSTITUTE SHEET (RULE 26)
  • Known methods for applying surgical sutures with the help of such needles which are usually used for suturing wounds, or suturing subcutaneous tissues: nodular, mattress, continuous and others. Suture of subcutaneous tissue is performed only in an open wound, or during endoscopic surgery. Such techniques are usually used by aesthetic surgeons to stitch, tighten ptosis subcutaneous tissues and strengthen them in a new, higher position, which provides a better aesthetic option.
  • the surgical needle made of metal or other material, is made double-edged, straight or of any curved shape with a surgical thread attachment element located along the length of the needle in any place, not reaching a certain distance to the needle tips.
  • the method of performing cosmetic surgery which consists in tightening the subcutaneous tissues, is characterized in that a double-edged needle is injected into the subcutaneous tissues along the intended contour and is not completely removed from under the skin with each turn, and further injections are performed with the opposite sharp-end of the needle, while providing a further injection needles at the point of her puncture, and the surgical thread provides high-quality smooth flashing of the subcutaneous tissues, and the final puncture of the needle is carried out to the side to the point of its initial injection, then under subcutaneous tissues are pulled at both ends of the suture as indicated by the operation and a surgical suture attachment site is imposed.
  • the needle may be straight, curved in a circle or other shape.
  • the basis of the present invention is the creation of a surgical needle for cosmetic operations with double-sided patency, which ensures its passage under the skin along a broken or long contour without its complete withdrawal to the skin surface, which will allow the thread to pass under the skin and subcutaneous flashing of soft tissues without skin retraction and get an even tightened contour.
  • FIG. 1 - depicts a double-edged needle of a straight form
  • FIG. 2 - depicts a double-edged needle circumferentially bent
  • FIG. 3 - schematically shows a method of conducting an operation
  • FIG. 4 is a schematic illustration of an operation
  • the surgical needle 1 is double-edged with the pointed ends 2 and 3 made of metal, polymer or other biological material.
  • the fastening element 4 of the surgical suture 5 is located anywhere on the needle along its length without reaching a certain distance to its tips.
  • the needle has a two-way cross and can be straight 1 or curved in a circle 6.
  • FIG. 4 is an example of tightening the soft tissues of the cheek-cheekbone area, creating a higher, aesthetically beneficial contour of this part of the face.
  • SUBSTITUTE SHEET (RULE 26) puncture and incomplete withdrawal of a needle with a thread on the surface of the skin.
  • the tip of the needle should remain in the subcutaneous tissue, at point 8. Then, the needle is deployed under the scythe towards the point 9 and punctured at this point and its incomplete withdrawal to the skin surface is also performed. Here, the needle is also deployed subcutaneously, but already in the direction of point 7 and drawn along a new contour to this point, that is, the point of initial injection. At this point, both ends of the thread are pulled together, tied together in a strong knot, which is recessed under the skin.
  • the present invention can be widely used in various cosmetic and plastic surgeries, both independently and in combination with other surgical interventions.
  • the proposed surgical needle and a method for performing plastic surgery are industrially feasible, manipulations using a double-edged needle are simple and bloodless.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The inventive surgery needle (1) is made of a metal, polymer or biological material, is provided with two acute ends (2, 3) and a surgical thread (5) fixing element (4) which is embodied at any section of the needle at a certain distance from the ends thereof. Said needle is usable in two directions and is straight-shaped or curve-shaped in circular direction. The inventive method for plastic surgical operation consists in introducing said double-pointed needle into subcutaneous tissues along a traced outline, in partially extracting said needle from the skin at each stitch thereof, in carrying out the following entry stitches by the opposite end of the needle, in carrying out the final exit stitch in the direction of the initial entry stitch, in pulling the subcutaneous tissues by using both ends of the thread according to a surgical program and in applying an attachment point for fixing the surgical thread. The inventive method makes it possible to carry out the entry stitch at the point of the exit stitch thereof, thereby smoothly stitching the subcutaneous tissues without drawing the skin.

Description

Хирургическая игла и способ выполнения пластической операции Surgical needle and method for performing plastic surgery

Изобретение относится к медицине, к инструментам и способам выполнения хирургических пластических операций. В частности, изобретение имеет отношение к медицинским материалам, используемым в хирургии при пластических косметических операциях.The invention relates to medicine, to tools and methods for performing surgical plastic operations. In particular, the invention relates to medical materials used in surgery for plastic cosmetic surgery.

Предшествующий уровень техникиState of the art

Хирургические иглы для сшивания краев ран при хирургических операциях известны (Я. Золтан, «Oпepaциoннaя техника и условия оптимального заживления paны», «Meдицинa», Будапешт, 1977 г.) Они выполнены из металла, чаще из стали, иглы бывают прямыми, изогнутыми по окружности или другой формы. С одного конца иглы имеют острие, а с другой - элемент крепления шовной хирургической нити. Для пластических и эстетических операций чаще применяется атравматические иглы, у которых отсутствует ушко, а шовная нить скреплена с иглой фабричным способом, что позволяет хирургу иметь для использования одноразовый стерильный шовный материал, а главное, иглу, которая не имеет грубого ушка и двойной нити. Такая игла незначительно травмирует мягкие ткани при прохождении через них. Общие характеристики хирургических игл: прочность, гладкая поверхность, биоинертность. Они должны легко прокалывать кожу и свободно проходить через подкожные ткани.Surgical needles for suturing the edges of wounds during surgical operations are known (J. Zoltan, “Operational technique and conditions for optimal wound healing”, “Medicine”, Budapest, 1977) They are made of metal, more often steel, needles are straight, bent along a circle or other shape. The needles are pointed at one end, and the suture surgical suture is attached to the other. For plastic and aesthetic operations, atraumatic needles are most often used, which have no eye and the suture thread is attached to the needle in a factory way, which allows the surgeon to use a disposable sterile suture material, and most importantly, a needle that does not have a rough eye and a double thread. Such a needle slightly injures soft tissue when passing through them. General characteristics of surgical needles: strength, smooth surface, bioinertness. They should easily pierce the skin and pass freely through the subcutaneous tissue.

ЗАМЕНЯЮЩИЙ ЛИСТ (ПРАВИЛО 26) Известны способы наложения хирургических швов с помощью таких игл, которые обычно применяются для ушивания ран, или прошивания подкожных тканей: узловые, матрацные, непрерывные и другие. Прошивание подкожных тканей производится только в открытой ране, или при проведении эндоскопических операций. Такие приемы обычно используются эстетическими хирургами для прошивания, подтягивания птозированных подкожных тканей и их укрепления в новом, более высоком положении, что обеспечивает лучший эстетический вариант.SUBSTITUTE SHEET (RULE 26) Known methods for applying surgical sutures with the help of such needles, which are usually used for suturing wounds, or suturing subcutaneous tissues: nodular, mattress, continuous and others. Suture of subcutaneous tissue is performed only in an open wound, or during endoscopic surgery. Such techniques are usually used by aesthetic surgeons to stitch, tighten ptosis subcutaneous tissues and strengthen them in a new, higher position, which provides a better aesthetic option.

Однако часто возникает необходимость прошивания с целью подтяжки мягких тканей без наружных разрезов, но такие иглы не позволяют провести эту процедуру качественно.However, often there is a need for flashing to tighten soft tissues without external incisions, but such needles do not allow this procedure to be carried out qualitatively.

Если прошить определенный участок мягких тканей существующим шовным материалом такими иглами необходимо проколоть кожу, произвести выкол и вывод иглы с нитью на поверхность кожи, затем выполнить вкол иглы в точку вывода иглы, провести иглу по новому контуру, произвести еще один выкол и вкол иглы с нитью, затем опять выполнить вкол иглы в точку вывода, провести иглу с нитью в сторону первоначального вкола иглы и здесь подтягивая оба конца нити наложить узел. Прошивание и подтяжка данного участка мягких тканей состоится, но во всех точках выхода иглы на поверхность кожи получится грубое втяжение кожи, так как возвращение острия иглы в тот же канал, в котором проходила нить, практически невозможно. Поэтому такой прием не используется.If you need to pierce a certain area of soft tissue with existing suture material with such needles, you need to pierce the skin, make a needle and pull the needle with thread to the surface of the skin, then inject the needle into the needle exit point, draw the needle along a new contour, make another needle and inject the needle with thread , then again inject the needle into the withdrawal point, draw the needle with the thread towards the initial needle injection and here pulling both ends of the thread to lay a knot. Sewing and tightening of this area of soft tissues will take place, but at all points of the needle exit to the skin surface, a rough skin retraction will result, since it is almost impossible to return the needle tip to the same channel in which the thread passed. Therefore, this technique is not used.

ЗАМЕНЯЮЩИЙ ЛИСТ (ПРАВИЛО 26) Раскрытие изобретенияSUBSTITUTE SHEET (RULE 26) Disclosure of invention

Поставленная задача решается тем, что хирургическая игла, выполненная из металлического или другого материала, выполнена обоюдоострой, прямой или любой изогнутой формы с элементом крепления хирургической нити, расположенным по длиннику иглы в любом месте, не доходя на некоторое расстояние до остриев иглы.The problem is solved in that the surgical needle, made of metal or other material, is made double-edged, straight or of any curved shape with a surgical thread attachment element located along the length of the needle in any place, not reaching a certain distance to the needle tips.

Способ выполнения косметической операции, заключающийся в подтяжке подкожных тканей отличается тем, что обоюдоострую иглу в подкожные ткани вкалывают по намеченному контуру и при каждом её повороте не выводят полностью из под кожи, а дальнейшие вколы выполняют противоположным острым- концом иглы, при этом обеспечивается дальнейший вкол иглы в точке её выкола, а хирургическая нить обеспечивает качественное плавное прошивание подкожных тканей, а заключительный выкол иглы осуществляют в сторону к точке первоначального вкола её, затем подтягивают за оба конца нити подкожные ткани как намечено операцией и накладывают узел крепления хирургической нити.The method of performing cosmetic surgery, which consists in tightening the subcutaneous tissues, is characterized in that a double-edged needle is injected into the subcutaneous tissues along the intended contour and is not completely removed from under the skin with each turn, and further injections are performed with the opposite sharp-end of the needle, while providing a further injection needles at the point of her puncture, and the surgical thread provides high-quality smooth flashing of the subcutaneous tissues, and the final puncture of the needle is carried out to the side to the point of its initial injection, then under subcutaneous tissues are pulled at both ends of the suture as indicated by the operation and a surgical suture attachment site is imposed.

В зависимости от характера операции игла может быть прямой, изогнутой по окружности или иной формы.Depending on the nature of the operation, the needle may be straight, curved in a circle or other shape.

В основу настоящего изобретения положена задача создания хирургической иглы для косметических операций с двусторонней проходимостью, которая обеспечивает её прохождение под кожей по ломанному или длинному контуру без её полного вывода на поверхность кожи, что позволит произвести прохождение нити под кожей и подкожное прошивание мягких тканей без втяжения кожи и получить ровный подтянутый контур.The basis of the present invention is the creation of a surgical needle for cosmetic operations with double-sided patency, which ensures its passage under the skin along a broken or long contour without its complete withdrawal to the skin surface, which will allow the thread to pass under the skin and subcutaneous flashing of soft tissues without skin retraction and get an even tightened contour.

ЗАМЕНЯЮЩИЙ ЛИСТ (ПРАВИЛО 26) Краткое описание чертежейSUBSTITUTE SHEET (RULE 26) Brief Description of the Drawings

В дальнейшем предлагаемое изобретение поясняется чертежами, на которых:In the future, the invention is illustrated by drawings, in which:

Фиг. 1 - изображает обоюдоострую иглу прямой формыFIG. 1 - depicts a double-edged needle of a straight form

Фиг. 2 - изображает обоюдоострую иглу изогнутой по окружности формыFIG. 2 - depicts a double-edged needle circumferentially bent

Фиг. 3 - изображает схематично способ проведения операцииFIG. 3 - schematically shows a method of conducting an operation

Фиг. 4 - изображает схематично пример операцииFIG. 4 is a schematic illustration of an operation

Основной вариант осуществления изобретенияThe main embodiment of the invention

Хирургическая игла 1 обоюдоострая с заостренными концами 2 и 3 выполнена из металла, полимерного или другого биологического материала. Элемент крепления 4 хирургической нити 5 расположен в любом месте иглы по её длиннику не доходя на некоторое расстояние до её остриев. Игла обладает двусторонней проходимостью и может быть прямой 1 или изогнутой по окружности 6.The surgical needle 1 is double-edged with the pointed ends 2 and 3 made of metal, polymer or other biological material. The fastening element 4 of the surgical suture 5 is located anywhere on the needle along its length without reaching a certain distance to its tips. The needle has a two-way cross and can be straight 1 or curved in a circle 6.

Для иллюстрации способа выполнения пластической операции представлен на фиг. 4 пример подтягивания мягких тканей щечно- скуловой области, создания более высокого, эстетически выгодного контура этой части лица.To illustrate a method for performing plastic surgery, FIG. 4 is an example of tightening the soft tissues of the cheek-cheekbone area, creating a higher, aesthetically beneficial contour of this part of the face.

Иглой производят прокол кожи в точке 7, в области виска, в пределах волосяного покрова и вместе с соединенной с ней нитью проводят подкожно по определенному контуру, затем выполняютThe needle punctures the skin at point 7, in the temple area, within the hairline and, together with the thread connected to it, is carried out subcutaneously along a certain contour, then

ЗАМЕНЯЮЩИЙ ЛИСТ (ПРАВИЛО 26) выкол и неполный вывод иглы с нитью на поверхность кожи.SUBSTITUTE SHEET (RULE 26) puncture and incomplete withdrawal of a needle with a thread on the surface of the skin.

Острие иглы должно остаться в подкожной клетчатке, в точке 8. Затем иглу разворачивают под кощей в сторону точки 9 и выкалывают в этой точке и также производится неполный её вывод на поверхность кожи. Здесь также иглу разворачивают подкожно, но уже в сторону точки 7 и проводят по новому контуру до этой точки, то есть точки первоначального вкола. В этом месте оба конца нити подтягивают, связывают между собой в прочный узел, который утапливается под кожу.The tip of the needle should remain in the subcutaneous tissue, at point 8. Then, the needle is deployed under the scythe towards the point 9 and punctured at this point and its incomplete withdrawal to the skin surface is also performed. Here, the needle is also deployed subcutaneously, but already in the direction of point 7 and drawn along a new contour to this point, that is, the point of initial injection. At this point, both ends of the thread are pulled together, tied together in a strong knot, which is recessed under the skin.

Таким образом, получают прошитый и подтянутый участок мягких тканей щечно-скуловой области без наружных разрезов, без грубых втяжений кожи, с ровным, плавным контуром. Аналогично производят операцию на противоположной стороне.Thus, a stitched and tightened area of soft tissues of the buccal-zygomatic region is obtained without external incisions, without rough skin retracts, with an even, smooth contour. Similarly, an operation is performed on the opposite side.

Промышленная применимость.Industrial applicability.

Как показано в описании предлагаемое изобретение можно широко использовать при различных косметических и пластических операциях как самостоятельно, так и в комбинациях с другими хирургическими вмешательствами. Предлагаемое хирургическая игла и способ выполнения пластических операций промышленно осуществимы, манипуляции с применением обоюдоострой иглы просты и бескровны.As shown in the description, the present invention can be widely used in various cosmetic and plastic surgeries, both independently and in combination with other surgical interventions. The proposed surgical needle and a method for performing plastic surgery are industrially feasible, manipulations using a double-edged needle are simple and bloodless.

ЗАМЕНЯЮЩИЙ ЛИСТ (ПРАВИЛО 26) SUBSTITUTE SHEET (RULE 26)

Claims

Формула изобретения Claim Игла хирургическая, выполненная из металла или любого другого материала, содержащая заостренный конец и элемент крепления хирургической нити, размещенный на противоположном острию конце иглы, отличающийся тем, что игла выполнена обоюдоострой, прямой или любой изогнутой формы, а элемент крепления хирургической нити расположен по длиннику иглы в любом месте не доходя на некоторое расстояние до острия иглы.Surgical needle made of metal or any other material, containing a pointed end and a surgical thread attachment element located on the opposite end of the needle, characterized in that the needle is double-edged, straight or of any curved shape, and the surgical thread attachment element is located along the length of the needle anywhere without reaching a certain distance to the tip of the needle. Способ выполнения пластической операции, заключающийся в подтяжке подкожных тканей, отличающийся тем, что обоюдоострую иглу вкалывают в подкожные ткани по намеченному контуру и при каждом её повороте не выводят полностью из-под кожи, а дальнейшие вколы выполняют противоположным острым концом иглы, при этом обеспечивается дальнейший вкол иглы в точке её выкола, а хирургическая нить обеспечивает качественное плавное прошивание подкожных тканей, а заключительный выкол иглы осуществляют в сторону к точке первоначального вкола её, затем подтягивают за оба конца нити подкожные ткани как намечено операцией и накладывают узел крепления хирургической нити.A method for performing plastic surgery, which consists in tightening the subcutaneous tissues, characterized in that a double-edged needle is injected into the subcutaneous tissue along the intended contour and is not completely removed from under the skin with each turn, and further injections are performed with the opposite sharp end of the needle, while providing further needle injection at the point of its injection, and the surgical thread provides high-quality smooth flashing of subcutaneous tissues, and the final needle injection is carried out to the side to the point of its initial injection, then subcutaneous tissue is pulled at both ends of the suture as indicated by the operation and a surgical suture attachment site is imposed. ЗАМЕНЯЮЩИЙ ЛИСТ (ПРАВИЛО 26) SUBSTITUTE SHEET (RULE 26)
PCT/RU2004/000252 2004-06-30 2004-06-30 Surgical needle and plastic surgery operation method Ceased WO2006011824A1 (en)

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2007098535A1 (en) * 2006-02-28 2007-09-07 Jassim Daood Surgical device
WO2007133103A1 (en) 2006-05-16 2007-11-22 Marlen Andreevich Sulamanidze Surgical suture material and a method to the use thereof
JP2011517007A (en) * 2008-04-08 2011-05-26 サンディスク コーポレイション Non-volatile memory detection using pull-down to tuned source voltage to remove system noise
CN110680429A (en) * 2019-10-10 2020-01-14 广东药科大学附属第一医院 Simple inner to outer meniscus stapler
US10548591B2 (en) 2017-01-18 2020-02-04 Roman Kelner Surgical instruments
TWI692351B (en) * 2017-05-12 2020-05-01 張哲豪 Needle apparatus for reposition surgery of orbital fat

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EP0205811A1 (en) * 1985-06-18 1986-12-30 Wilson Kam Chor Dr. Lee Surgical needle
RU2186536C2 (en) * 2000-01-05 2002-08-10 Калачев Сергей Леонидович Disposable skin puncturing device

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Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2007098535A1 (en) * 2006-02-28 2007-09-07 Jassim Daood Surgical device
WO2007133103A1 (en) 2006-05-16 2007-11-22 Marlen Andreevich Sulamanidze Surgical suture material and a method to the use thereof
EP2020209A4 (en) * 2006-05-16 2010-05-19 Marlen Andreevich Sulamanidze SURGICAL SUTURE MATERIAL AND METHOD OF USE THEREOF
US8192462B2 (en) 2006-05-16 2012-06-05 Marlen Andreevich Sulamanidze Surgical suture material and method for the application thereof
JP2011517007A (en) * 2008-04-08 2011-05-26 サンディスク コーポレイション Non-volatile memory detection using pull-down to tuned source voltage to remove system noise
US10548591B2 (en) 2017-01-18 2020-02-04 Roman Kelner Surgical instruments
TWI692351B (en) * 2017-05-12 2020-05-01 張哲豪 Needle apparatus for reposition surgery of orbital fat
CN110680429A (en) * 2019-10-10 2020-01-14 广东药科大学附属第一医院 Simple inner to outer meniscus stapler

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