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CN107440784A - A kind of Multifunctional hepatobiliary surgical tourniquet - Google Patents

A kind of Multifunctional hepatobiliary surgical tourniquet
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Publication number
CN107440784A
CN107440784ACN201710792578.9ACN201710792578ACN107440784ACN 107440784 ACN107440784 ACN 107440784ACN 201710792578 ACN201710792578 ACN 201710792578ACN 107440784 ACN107440784 ACN 107440784A
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handle
heating head
temperature
hepatobiliary surgery
temperature regulator
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李文生
张晓辉
张小博
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First Affiliated Hospital of Henan University of Science and Technology
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First Affiliated Hospital of Henan University of Science and Technology
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Abstract

Translated fromChinese

本发明提供一种多功能肝胆外科用止血器,属于医疗器械领域,包括加热头和手柄,所述加热头和手柄前端通过连接头匹配连接;所述加热头为底端开口的锥状结构,所述加热头的锥面上设有止血块,所述加热头内部设有电热丝;所述手柄为中空结构,所述手柄内设有温度调节器、抽液管和导液管,所述温度调节器与电热丝电性连接,所述温度调节器连接有电源线,所述手柄上设有温度调节旋钮开关、电源指示灯和温度显示块,所述温度调节旋钮开关、温度显示块分别与温度调节器电性连接。本发明通过电阻丝产生的热效应使生物组织或血管脱水、凝固、达到止血的目的,从而解决了电凝止血过程中易产生烟雾、有辐射以及热损大的问题。

The invention provides a multi-functional hemostat for hepatobiliary surgery, which belongs to the field of medical devices, and includes a heating head and a handle, the heating head and the front end of the handle are matched and connected by a connecting head; the heating head is a cone-shaped structure with an open bottom end, The conical surface of the heating head is provided with a hemostatic block, and the inside of the heating head is provided with a heating wire; the handle is a hollow structure, and a temperature regulator, a suction tube and a catheter are arranged in the handle. The temperature regulator is electrically connected with the heating wire, the temperature regulator is connected with a power cord, the handle is provided with a temperature adjustment knob switch, a power indicator light and a temperature display block, and the temperature adjustment knob switch and the temperature display block are respectively Electrically connected with the temperature regulator. The invention uses the thermal effect generated by the resistance wire to dehydrate and coagulate biological tissues or blood vessels to achieve the purpose of hemostasis, thereby solving the problems of easy generation of smoke, radiation and large heat loss in the electrocoagulation hemostasis process.

Description

Translated fromChinese
一种多功能肝胆外科用止血器A multifunctional hemostat for hepatobiliary surgery

技术领域technical field

本发明属于医疗器械技术领域,具体涉及一种多功能肝胆外科用止血器。The invention belongs to the technical field of medical devices, and in particular relates to a multifunctional hemostat for hepatobiliary surgery.

背景技术Background technique

在临床上在给病人进行肝胆外科手术时,用手术刀做切面后需要立即对伤口进行止血,目前常用的止血方法是电凝止血,电凝法有单极电凝和双极电凝之分,单极电凝的工作原理是利用单极电刀的高频电流通过电刀头、人体组织和患者极板构成一个完整的回路,电凝时使组织细胞迅速脱水、凝固、达到止血目的;双极电凝的工作原理是应用高频的大功率正弦波,通过双极电凝的两个尖端部分释放,从而在电凝之间的人体组织产生热效应,以凝固血液中的蛋白质,从而达到止血效果。但是不管是单极电凝还是双极电凝都存在如下的问题:1、手术中会产生大量烟雾,导致手术视野模糊,一方面延长了手术时间,另一方面,烟雾中含有有毒气体;2、电凝止血热效应大、热损较大。因此,本发明旨在提供一种无辐射、热损小、采用热凝的肝胆外科用止血器。Clinically, when performing hepatobiliary surgery on a patient, the wound needs to be hemostasis immediately after cutting the surface with a scalpel. At present, the commonly used method of hemostasis is electrocoagulation. Electrocoagulation can be divided into unipolar electrocoagulation and bipolar electrocoagulation. , the working principle of monopolar electrocoagulation is to use the high-frequency current of the monopolar electrosurgical unit to form a complete circuit through the electrosurgical head, human tissue and the patient's plate. During electrocoagulation, the tissue cells are rapidly dehydrated and coagulated to achieve hemostasis; The working principle of bipolar coagulation is to apply high-frequency high-power sine waves, which are released through the two tip parts of bipolar coagulation, so as to generate a thermal effect on the human tissue between the coagulation, so as to coagulate the protein in the blood, so as to achieve Hemostatic effect. However, no matter whether it is unipolar coagulation or bipolar coagulation, there are the following problems: 1. A large amount of smoke will be generated during the operation, resulting in blurred surgical vision. On the one hand, the operation time is prolonged, and on the other hand, the smoke contains toxic gases; 2. , Hemostatic thermal effect of electrocoagulation is large, and the heat loss is large. Therefore, the present invention aims to provide a hemostat for hepatobiliary surgery with no radiation, little heat loss and heat coagulation.

发明内容Contents of the invention

本发明提供一种多功能肝胆外科用止血器,可以解决现有技术中存在的问题。The invention provides a multifunctional hemostat for hepatobiliary surgery, which can solve the problems in the prior art.

本发明采用的技术方案是:The technical scheme adopted in the present invention is:

一种多功能肝胆外科用止血器,包括加热头和手柄,所述加热头和手柄前端通过连接头匹配连接;所述加热头为底端开口的锥状结构,所述加热头的锥面上设有止血块,所述加热头内部设有电热丝;所述手柄为中空结构,所述手柄内设有温度调节器、抽液管和导液管,所述温度调节器与电热丝电性连接,所述温度调节器连接有电源线,所述手柄上设有温度调节旋钮开关、电源指示灯和温度显示块,所述温度调节旋钮开关、温度显示块分别与温度调节器电性连接,A multifunctional hemostat for hepatobiliary surgery, comprising a heating head and a handle, the heating head and the front end of the handle are matched and connected through a connecting head; the heating head is a cone-shaped structure with an open bottom, and the heating head A hemostatic block is provided, and a heating wire is provided inside the heating head; the handle is a hollow structure, and a temperature regulator, a suction tube and a catheter are arranged inside the handle, and the temperature regulator is electrically connected to the heating wire. connection, the temperature regulator is connected with a power cord, the handle is provided with a temperature adjustment knob switch, a power indicator light and a temperature display block, and the temperature adjustment knob switch and the temperature display block are electrically connected to the temperature regulator respectively,

优选地,所述手柄内水平设有一个隔板,将手柄内部隔成导流区和电路区,所述抽液管和导液管设在导流区,所述温度调节器和和电源线设在电路区。Preferably, a partition is horizontally arranged in the handle, and the inside of the handle is divided into a diversion area and a circuit area, the suction tube and the catheter are arranged in the diversion area, the temperature regulator and the power cord located in the circuit area.

更优选地,所述温度调节器的一端固定在隔板上,所述电源线从手柄尾部伸出,所述抽液管和导液管的一端从手柄前端伸出,另一端延伸至手柄尾部并伸出。More preferably, one end of the temperature regulator is fixed on the partition, the power cord protrudes from the tail of the handle, one end of the suction tube and catheter protrudes from the front end of the handle, and the other end extends to the tail of the handle and stick out.

优选地,所述加热头由金属或合金制成,导热快,所述电阻丝沿加热头内壁设置,可以使加热头快速升温到设定温度。Preferably, the heating head is made of metal or alloy, which conducts heat quickly, and the resistance wire is arranged along the inner wall of the heating head, so that the temperature of the heating head can be rapidly raised to a set temperature.

更优选地,所述加热头由不锈钢或铜制成。More preferably, the heating head is made of stainless steel or copper.

优选地,所述加热头与连接头为一体结构,所述连接头与手柄前端螺接,加热头损坏后可以替换。Preferably, the heating head and the connecting head are integrally constructed, the connecting head is screwed to the front end of the handle, and the heating head can be replaced after being damaged.

优选地,所述止血块为纱布或海藻酸钙海绵,所述止血块的形状与加热头的锥面形状相匹配,所述止血块粘接在加热头的锥面上,使用后可替换。Preferably, the hemostatic block is gauze or calcium alginate sponge, the shape of the hemostatic block matches the shape of the conical surface of the heating head, the hemostatic block is bonded to the conical surface of the heating head, and can be replaced after use.

更优选地,所述加热头为三棱锥或四棱锥结构。More preferably, the heating head is a triangular pyramid or quadrangular pyramid structure.

优选地,所述抽液管和导液管前端均设有吸头。Preferably, suction tips are provided at the front ends of the suction tube and the catheter.

本发明的优点在于:1、本发明采用热凝止血,结构简单,使用方便,通过电阻丝产生的热效应使生物组织或血管脱水、凝固、达到止血的目的,从而解决了电凝止血过程中易产生烟雾、有辐射以及热损大的问题;2、采用金属或合金加热头,传热快,使加热头快速升到指定温度;3、加热头的锥面上设置的止血纱布或海藻酸钙海绵,一方面可以止血,另一方面可以防止加热头直接作用在皮肤上造成热损伤;4、海藻酸钙海绵贴敷创口后,海藻酸钙中的钙离子即与创口渗出液及血液中的钠离子进行交换,释放出钙离子,钙离子的释放,加速了毛细血管末端中血块的形成,从而达到迅速止血;5、当伤口创面较大,出血量较多时,可先通过抽液管前端的吸头将渗出的血液抽吸排出,以露出出血口,然后将整个锥面置于伤口上,提高了止血效率。The advantages of the present invention are: 1. The present invention uses thermal coagulation to stop bleeding, which is simple in structure and easy to use. The thermal effect generated by the resistance wire can dehydrate and coagulate the biological tissue or blood vessels to achieve the purpose of hemostasis, thereby solving the problem of easy bleeding in the process of electrocoagulation and hemostasis. Problems of smoke, radiation and large heat loss; 2. Metal or alloy heating head is used, with fast heat transfer, so that the heating head can quickly rise to the specified temperature; 3. Hemostatic gauze or calcium alginate set on the conical surface of the heating head Sponge, on the one hand, can stop bleeding, on the other hand, it can prevent the heating head from directly acting on the skin to cause thermal damage; 4. After the calcium alginate sponge is applied to the wound, the calcium ions in the calcium alginate will be mixed with the wound exudate and blood. The sodium ions are exchanged to release calcium ions. The release of calcium ions accelerates the formation of blood clots at the end of capillaries, thereby achieving rapid hemostasis; The suction head at the front sucks out the oozing blood to expose the bleeding port, and then places the entire cone on the wound, improving the hemostasis efficiency.

附图说明Description of drawings

图1为本发明实施例1中多功能肝胆外科用止血器的结构示意图;Fig. 1 is the schematic structural view of the multifunctional hemostatic device for hepatobiliary surgery in Example 1 of the present invention;

图2为图1中A-A处剖视图;Fig. 2 is a sectional view at A-A place in Fig. 1;

图3为本发明实施例3中多功能肝胆外科用止血器的结构示意图。Fig. 3 is a schematic structural view of the multifunctional hemostat for hepatobiliary surgery in Example 3 of the present invention.

具体实施方式detailed description

下面结合附图,对本发明的具体实施方式进行详细描述,但应当理解本发明的保护范围并不受具体实施方式的限制。本发明所述的“前端”“底端”“尾部”是以止血器水平放置的状态进行描述的。The specific embodiments of the present invention will be described in detail below in conjunction with the accompanying drawings, but it should be understood that the protection scope of the present invention is not limited by the specific embodiments. The "front end", "bottom end" and "tail" in the present invention are described in the state that the hemostat is placed horizontally.

实施例1Example 1

如图1-2所示,本发明提供一种多功能肝胆外科用止血器,包括加热头1和手柄2,所述加热头1通过连接头3与手柄2前端螺接,所述加热头1和连接头3为一体架构;所述加热头1为底端开口的四棱锥结构,所述加热头1的锥面上粘接有止血纱布101,使用后可替换,所述加热头1内部设有电热丝102,所述电热丝102沿着加热头1的内壁设置,所述加热头1采用不锈钢制成;As shown in Figure 1-2, the present invention provides a multifunctional hemostat for hepatobiliary surgery, which includes a heating head 1 and a handle 2, the heating head 1 is screwed to the front end of the handle 2 through a connecting head 3, and the heating head 1 It has an integrated structure with the connecting head 3; the heating head 1 is a quadrangular pyramid structure with an open bottom end, and a hemostatic gauze 101 is bonded to the conical surface of the heating head 1, which can be replaced after use. There is a heating wire 102, and the heating wire 102 is arranged along the inner wall of the heating head 1, and the heating head 1 is made of stainless steel;

所述手柄2为中空结构,所述手柄2内水平设有一个隔板210,将手柄内部从上至下隔成导流区和电路区,所述导流区设有抽液管201,所述抽液管201一端从手柄2前端伸出,另一端延伸至手柄2尾部并伸出,所述抽液管201前端设有吸头202,所述导流区内还设有导液管203,所述导液管203一端从手柄2前端伸出,另一端延伸至手柄2尾部并伸出,所述导液管203前端设有吸头204,所述电路区设有温度调节器205,所述温度调节器205的一端固定在隔板210上,所述温度调节器205与电热丝102电性连接,所述温度调节器205连接有电源线206,所述电源线206从手柄2尾部伸出,所述手柄2上设有温度调节旋钮开关207、电源指示灯208和温度显示块209,所述温度调节旋钮开关207、温度显示块209分别与温度调节器205电性连接,电源指示灯208用于显示电源通电情况。The handle 2 is a hollow structure, and a separator 210 is horizontally arranged in the handle 2, and divides the inside of the handle into a diversion area and a circuit area from top to bottom, and the diversion area is provided with a pumping tube 201, so One end of the liquid suction tube 201 extends from the front end of the handle 2, and the other end extends to the tail of the handle 2 and protrudes. The front end of the liquid suction tube 201 is provided with a suction head 202, and a catheter 203 is also provided in the diversion area. , one end of the catheter 203 protrudes from the front end of the handle 2, and the other end extends to the tail of the handle 2 and protrudes. The front end of the catheter 203 is provided with a suction head 204, and the circuit area is provided with a temperature regulator 205. One end of the temperature regulator 205 is fixed on the partition 210, the temperature regulator 205 is electrically connected to the heating wire 102, and the temperature regulator 205 is connected to a power cord 206, and the power cord 206 is connected to the rear of the handle 2. Stretch out, the handle 2 is provided with a temperature adjustment knob switch 207, a power indicator light 208 and a temperature display block 209, and the temperature adjustment knob switch 207 and the temperature display block 209 are electrically connected with the temperature regulator 205 respectively, and the power indicator Light 208 is used to display the power on status.

使用前,将抽液管201和导液管203分别与负压抽吸器和抽液泵连接,使用时,先通过抽液管201前端的吸头202将渗出的血液等排出,以露出出血口,然后打开抽液泵,通过导液管203向伤口处导入海藻酸钙的氯化钠水溶液,一方面,氯化钠可以对伤口消毒,另一方面,海藻酸钙中的钙离子可与创口渗出液及血液中的钠离子进行交换,释放出钙离子,钙离子的释放,加速了毛细血管末端中血块的形成,从而达到迅速止血,最后打开温度调节旋钮开关207,温度显示块209可以显示设定温度,旋转温度调节旋钮开关207到合适的温度,此时电热丝102通电加热,将加热头1的锥面置于伤口上,通过热效应使生物组织或血管脱水、凝固、达到止血的目的。Before use, connect the suction tube 201 and the catheter tube 203 to the negative pressure aspirator and the suction pump respectively. Bleeding port, then turn on the liquid suction pump, lead the sodium chloride aqueous solution of calcium alginate to the wound through the catheter 203, on the one hand, sodium chloride can disinfect the wound, on the other hand, the calcium ions in the calcium alginate can Exchanging with wound exudate and sodium ions in blood, calcium ions are released. The release of calcium ions accelerates the formation of blood clots at the end of capillaries, thereby achieving rapid hemostasis. Finally, turn on the temperature adjustment knob switch 207, and the temperature display block 209 can display the set temperature, turn the temperature adjustment knob switch 207 to a suitable temperature, at this time, the heating wire 102 is energized and heated, and the conical surface of the heating head 1 is placed on the wound, and the biological tissue or blood vessel is dehydrated and coagulated by the thermal effect, reaching The purpose of hemostasis.

实施例2Example 2

实施例2与实施例1不同的是,所述加热头1的四棱锥锥面上粘接的是海藻酸钙海绵。The difference between embodiment 2 and embodiment 1 is that calcium alginate sponge is bonded to the pyramid surface of the heating head 1 .

使用前,将抽液管201和导液管203分别与负压抽吸器和抽液泵连接,使用时,先通过抽液管201前端的吸头202将渗出的血液等排出,以露出出血口,然后打开抽液泵,通过导液管203向伤口处导入生理盐水,最后旋转温度调节旋钮开关207,温度显示块209可以显示设定温度,旋转温度调节旋钮开关207到合适的温度,此时电热丝102加热,将加热头1的锥面置于伤口上,一方面,海藻酸钙海绵贴敷伤口后,海藻酸钙中的钙离子可与创口渗出液及血液中的钠离子进行交换,释放出钙离子,钙离子可促进血液凝固,另一方面,通过电阻丝产生的热效应使生物组织或血管脱水、凝固、达到止血的目的。Before use, connect the suction tube 201 and the catheter tube 203 to the negative pressure aspirator and the suction pump respectively. Bleeding port, then turn on the suction pump, introduce physiological saline to the wound through the catheter 203, finally rotate the temperature adjustment knob switch 207, the temperature display block 209 can display the set temperature, turn the temperature adjustment knob switch 207 to a suitable temperature, At this time, the heating wire 102 is heated, and the conical surface of the heating head 1 is placed on the wound. On the one hand, after the calcium alginate sponge is applied to the wound, the calcium ions in the calcium alginate can interact with the sodium ions in the wound exudate and blood. Exchange and release calcium ions, which can promote blood coagulation. On the other hand, the thermal effect generated by the resistance wire dehydrates and coagulates biological tissues or blood vessels to achieve the purpose of hemostasis.

实施例3Example 3

如图3所示,实施例3与实施例2不同的是,所述加热头1为三棱锥结构,所述加热头1由铜制成。As shown in FIG. 3 , the difference between embodiment 3 and embodiment 2 is that the heating head 1 has a triangular pyramid structure, and the heating head 1 is made of copper.

以上公开的仅为本发明的几个具体实施例,但是,本发明实施例并非局限于此,任何本领域的技术人员能思之的变化都应落入本发明的保护范围。The above disclosures are only a few specific embodiments of the present invention, however, the embodiments of the present invention are not limited thereto, and any changes conceivable by those skilled in the art shall fall within the protection scope of the present invention.

Claims (9)

Translated fromChinese
1.一种多功能肝胆外科用止血器,其特征在于,包括加热头(1)和手柄(2),所述加热头(1)和手柄(2)前端通过连接头(3)匹配连接;1. A multifunctional hemostat for hepatobiliary surgery, characterized in that it comprises a heating head (1) and a handle (2), and the heating head (1) and the front end of the handle (2) are matched and connected by a connector (3);所述加热头(1)为底端开口的锥状结构,所述加热头(1)的锥面上设有止血块(101),所述加热头(1)内部设有电热丝(102);The heating head (1) is a conical structure with an open bottom end, a hemostatic block (101) is provided on the conical surface of the heating head (1), and a heating wire (102) is provided inside the heating head (1) ;所述手柄(2)为中空结构,所述手柄(2)内设有温度调节器(205)、抽液管(201)和导液管(203),所述温度调节器(205)与电热丝(102)电性连接,所述温度调节器(205)连接有电源线(206),所述手柄(2)上设有温度调节旋钮开关(207)、电源指示灯(208)和温度显示块(209),所述温度调节旋钮开关(207)、温度显示块(209)分别与温度调节器(205)电性连接。The handle (2) is a hollow structure, and the handle (2) is provided with a temperature regulator (205), a suction tube (201) and a catheter (203), and the temperature regulator (205) is connected with an electric heater Wire (102) is electrically connected, the temperature regulator (205) is connected with a power cord (206), and the handle (2) is provided with a temperature adjustment knob switch (207), a power indicator light (208) and a temperature display The block (209), the temperature adjustment knob switch (207), and the temperature display block (209) are respectively electrically connected to the temperature regulator (205).2.根据权利要求1所述的多功能肝胆外科用止血器,其特征在于,所述手柄(2)内水平设有一个隔板(210),将手柄(2)内部隔成导流区和电路区,所述抽液管(201)和导液管(203)设在导流区,所述温度调节器(205)和电源线(206)设在电路区。2. The multifunctional hemostat for hepatobiliary surgery according to claim 1, characterized in that, a partition (210) is horizontally provided in the handle (2), and the inside of the handle (2) is divided into a diversion area and In the circuit area, the liquid suction pipe (201) and the catheter (203) are arranged in the diversion area, and the temperature regulator (205) and the power line (206) are arranged in the circuit area.3.根据权利要求2所述的多功能肝胆外科用止血器,其特征在于,所述温度调节器(205)的一端固定在隔板(210)上,所述电源线(206)从手柄(2)尾部伸出,所述抽液管(201)和导液管(203)的一端从手柄(2)前端伸出,另一端延伸至手柄(2)尾部并伸出。3. The multifunctional hemostat for hepatobiliary surgery according to claim 2, characterized in that, one end of the temperature regulator (205) is fixed on the dividing plate (210), and the power cord (206) is connected from the handle ( 2) The tail protrudes, one end of the suction tube (201) and the catheter (203) protrude from the front end of the handle (2), and the other end extends to the tail of the handle (2) and protrudes.4.根据权利要求1所述的多功能肝胆外科用止血器,其特征在于,所述加热头(1)由金属或合金制成,所述电阻丝(102)沿加热头(1)内壁设置。4. The multifunctional hemostat for hepatobiliary surgery according to claim 1, characterized in that, the heating head (1) is made of metal or alloy, and the resistance wire (102) is arranged along the inner wall of the heating head (1) .5.根据权利要求4所述的多功能肝胆外科用止血器,其特征在于,所述加热头(1)由不锈钢或铜制成。5. The multifunctional hemostat for hepatobiliary surgery according to claim 4, characterized in that, the heating head (1) is made of stainless steel or copper.6.根据权利要求1所述的多功能肝胆外科用止血器,其特征在于,所述加热头(1)与连接头(3)为一体结构,所述连接头(3)与手柄(2)前端螺接。6. The multifunctional hemostat for hepatobiliary surgery according to claim 1, characterized in that, the heating head (1) and the connecting head (3) are integrally structured, and the connecting head (3) and the handle (2) Front screw connection.7.根据权利要求1所述的多功能肝胆外科用止血器,其特征在于,所述止血块(101)为纱布或海藻酸钙海绵,所述止血块(101)的形状与加热头(1)的锥面形状相匹配,所述止血块(101)粘接在加热头(1)的锥面上。7. The multifunctional hemostatic device for hepatobiliary surgery according to claim 1, characterized in that, the hemostatic block (101) is gauze or calcium alginate sponge, and the shape of the hemostatic block (101) is similar to that of the heating head (1 ), the hemostatic block (101) is bonded to the cone surface of the heating head (1).8.根据权利要求7所述的多功能肝胆外科用止血器,其特征在于,所述加热头(1)为三棱锥或四棱锥结构。8. The multifunctional hemostat for hepatobiliary surgery according to claim 7, characterized in that, the heating head (1) is a triangular pyramid or quadrangular pyramid structure.9.根据权利要求1所述的多功能肝胆外科用止血器,其特征在于,所述抽液管(201)和导液管(203)前端均设有吸头(202,204)。9 . The multifunctional hemostat for hepatobiliary surgery according to claim 1 , characterized in that suction tips ( 202 , 204 ) are provided at the front ends of the suction tube ( 201 ) and the catheter tube ( 203 ).
CN201710792578.9A2017-09-052017-09-05A kind of Multifunctional hepatobiliary surgical tourniquetPendingCN107440784A (en)

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CN108420527A (en)*2018-04-022018-08-21李又春A kind of Multifunctional hepatobiliary surgical clinical haemostat
CN108814709A (en)*2018-04-182018-11-16王铮A kind of hepatobiliary surgery haemostat
CN112957122A (en)*2021-02-072021-06-15达州市中心医院Radio frequency ablation device
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