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CN110522484A - Medical Stapler - Google Patents

Medical Stapler
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Publication number
CN110522484A
CN110522484ACN201910839057.3ACN201910839057ACN110522484ACN 110522484 ACN110522484 ACN 110522484ACN 201910839057 ACN201910839057 ACN 201910839057ACN 110522484 ACN110522484 ACN 110522484A
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suture
clamp handle
handle
needle
clamp
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CN110522484B (en
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孙玉岭
王立博
朱荣涛
王维杰
梁若鹏
李健
张驰弦
陆勤伟
赵捷
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First Affiliated Hospital of Zhengzhou University
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First Affiliated Hospital of Zhengzhou University
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Abstract

Translated fromChinese

医用缝合器,包括左缝合钳和右缝合钳,左缝合钳和右缝合钳结构相同;右缝合钳包括左钳柄和右钳柄,左钳柄和右钳柄上端部交叉铰接设置,右钳柄的下端部设有握柄,左钳柄的下端部设有拇指扣环,右钳柄的上端连接有顶针板,顶针板为叉状结构,左钳柄的上端部左侧连接有缝合针,缝合针内开设有通道,缝合针前端部外弧面开设有卡口,卡口与通道连通,通道内穿设有固定卡条,左钳柄内开设有空腔,空腔内设有固定卡条拨动装置;综上所述,采用本发明可有效地对患者伤口进行穿刺缝合,避免了缝合针滑脱的风险,使缝合过程中的换线操作更为便捷。

Medical stapler, including left suture forceps and right suture forceps, the left suture forceps and right suture forceps have the same structure; The lower end of the handle is provided with a handle, the lower end of the left pliers handle is provided with a thumb buckle, the upper end of the right pliers handle is connected with a thimble plate, the thimble plate is a fork-shaped structure, and the upper end of the left pliers handle is connected with a suture needle on the left side , a channel is opened in the suture needle, a bayonet is opened on the outer arc surface of the front end of the suture needle, the bayonet is connected with the channel, a fixed clip is worn in the channel, a cavity is opened in the left pliers handle, and a fixed clamp is provided in the cavity. Bar toggle device; in summary, the present invention can effectively puncture and suture the patient's wound, avoiding the risk of suture needle slipping off, and making the thread changing operation more convenient during the suturing process.

Description

Translated fromChinese
医用缝合器Medical Stapler

技术领域technical field

本发明属于医疗技术领域,具体涉及一种医用缝合器。The invention belongs to the field of medical technology, in particular to a medical stapler.

背景技术Background technique

手术切口和外伤导致的伤口都需要缝合,临床上广泛使用缝合针和持针器,缝合针是由针体和针眼组成,医护人员使用时先将线由针眼内穿入,再用持针器钳夹针体进行缝合,针体不易穿刺皮肤,再加上持针器重量较重,使用费力,且由于持针器与针体成一定角度,在缝合时容易使作用力不对称而导致针体弯曲甚至折断,而且有时持针器夹持不稳定,容易打滑甚至脱落造成医疗事故,缝合时有时需要多次换线,换线较为麻烦,现在尚未有任何一种缝合器械能解决以上问题。Surgical incisions and wounds caused by trauma need to be sutured. Suture needles and needle holders are widely used clinically. Suture needles are composed of a needle body and a needle eye. Clamp the needle body for suture, the needle body is not easy to pierce the skin, plus the weight of the needle holder is heavy, it is laborious to use, and because the needle holder and the needle body form a certain angle, it is easy to make the force asymmetric during suturing and cause the needle The body is bent or even broken, and sometimes the needle holder is unstable in clamping, easy to slip or even fall off, causing medical accidents. Sometimes it is necessary to change the thread many times during suturing, which is troublesome. There is no suturing instrument that can solve the above problems.

发明内容Contents of the invention

本发明为了解决现有技术中的不足之处,提供一种医用缝合器,采用该医用缝合器,可有效地对患者伤口进行穿刺缝合,避免缝合针打滑或折断,造成医疗事故,且换线更为便捷。In order to solve the deficiencies in the prior art, the present invention provides a medical suturing device, which can effectively puncture and suture the patient's wound, avoiding the suture needle from slipping or breaking, causing medical accidents, and changing the thread more convenient.

为解决上述技术问题,本发明采用如下技术方案:医用缝合器,包括左缝合钳和右缝合钳,左缝合钳和右缝合钳结构相同;In order to solve the above-mentioned technical problems, the present invention adopts the following technical scheme: a medical stapler, comprising a left suturing forceps and a right suturing forceps, and the left and right suturing forceps have the same structure;

右缝合钳包括左钳柄和右钳柄,左钳柄和右钳柄上端部交叉铰接设置,右钳柄的下端部设有握柄,左钳柄的下端部设有拇指扣环,右钳柄的上端连接有顶针板,顶针板为叉状结构,左钳柄的上端部左侧连接有缝合针,缝合针内开设有通道,缝合针前端部外弧面开设有卡口,卡口与通道连通,通道内穿设有固定卡条,左钳柄内开设有空腔,空腔内设有固定卡条拨动装置;The right suture forceps includes a left pliers handle and a right pliers handle. The upper end of the handle is connected with a thimble plate, the thimble plate is a fork-shaped structure, the upper end of the left pliers handle is connected with a suture needle on the left side, a channel is opened in the suture needle, and a bayonet is opened on the outer arc surface of the front end of the suture needle. The channel is connected, and a fixed clip is worn in the channel, and a cavity is opened in the left pliers handle, and a fixed clip toggle device is installed in the cavity;

固定卡条拨动装置包括拨杆,拨杆自下端左下方至上端右上方倾斜设置在空腔内,拨杆上端部通过铰轴固定铰接在左钳柄内壁上,拨杆下端部右侧连接有第一弹簧,第一弹簧左端连接在左钳柄内壁上,拨杆下端活动铰接有第一连接杆,第一连接杆下端部前侧转动连接有销轴,左钳柄下端部前侧沿轴线方向开设有滑孔,销轴向前穿出左钳柄滑动连接在滑孔内并连接有食指扣环,拨杆前端部左侧开设有T型滑槽,T型滑槽内滑动连接有T型滑块,固定卡条的尾端穿入左钳柄内铰接在T型滑块上。The fixed bar toggle device includes a lever, which is obliquely arranged in the cavity from the bottom left of the lower end to the upper right of the upper end, the upper end of the lever is fixed and hinged on the inner wall of the left pliers handle through a hinge shaft, and the lower end of the lever is connected to the right side There is a first spring, and the left end of the first spring is connected to the inner wall of the left pliers handle. There is a sliding hole in the direction of the axis, the pin shaft passes through the left pliers handle forward and is slidably connected in the sliding hole and is connected with the index finger buckle. There is a T-shaped chute on the left side of the front end of the lever, and the sliding connection in the T-shaped chute is For the T-shaped slide block, the tail end of the fixed clip is inserted into the left pliers handle and is hinged on the T-shaped slide block.

顶针板内设有内腔,顶针板内侧U型壁上开设有裂隙,裂隙与内腔连通,顶针板内安装有两片剪切刀片,两片剪切刀片下端部通过铰轴交叉铰接在顶针板内,两片剪切刀片下端均铰接有第二连接杆,右钳柄内上端部安装有限位板,限位板中部穿设有拉杆,拉杆上端部固定设有挡圈,拉杆上端部套设有第二弹簧,第二弹簧上端连接在挡圈下侧面,第二弹簧下端连接在限位板上侧面,拉杆上端与两根第二连接杆活动铰接,拉杆下端部右侧连接有销轴,销轴向右穿出右钳柄连接有拉环。There is an inner cavity in the thimble plate, and a crack is opened on the U-shaped wall inside the thimble plate. The crack is connected with the inner cavity. Two shearing blades are installed in the thimble plate. Inside the plate, the lower ends of the two shearing blades are hinged with a second connecting rod, the upper end of the right pliers handle is equipped with a limit plate, the middle of the limit plate is pierced with a pull rod, the upper end of the pull rod is fixed with a retaining ring, and the upper end of the pull rod is covered There is a second spring, the upper end of the second spring is connected to the lower side of the retaining ring, the lower end of the second spring is connected to the side of the limit plate, the upper end of the pull rod is hinged with two second connecting rods, and the right side of the lower end of the pull rod is connected with a pin , the pin shaft passes through the right pliers handle to the right and is connected with a pull ring.

左缝合钳和右缝合钳缝合针整体为向后凹陷的弧形结构,缝合针的针尖部为直线结构。The suture needles of the left suture forceps and the right suture forceps are in a concave arc structure as a whole, and the needle points of the suture needles are in a straight line structure.

左缝合钳和右缝合钳缝合针的外弧面设有刻度线。The outer arc surface of the left suture forceps and the right suture forceps suture needle is provided with scale lines.

握柄上设有软垫。The handle is padded.

采用上述技术方案,本发明具有以下有益效果:在使用本发明时,左缝合钳和右缝合钳配合使用,医护人员右手持右缝合钳通过拇指扣环和食指扣环的配合捏动,使拨杆推动固定卡条在缝合针内滑动,将缝线夹持在卡口内,通过捏合握柄和拇指扣环,使顶针板顶压待缝合的伤口,使缝合针针尖部更容易穿刺患者皮肤表层,然后一边旋转一边推进左钳柄,使缝合针完全穿过伤口两皮瓣,然后松开食指扣环,使缝合针卡口处的缝合线松脱,将右缝合钳退回,医护人员左手持左缝合钳,将缝线夹持在缝合针的卡口内重新从左边向右边缝合;本发明使缝合针和持针器为一个整体,避免了缝合针滑脱造成医疗事故;缝合针的前端部设置为直线型,方便配合顶针板对患者伤口皮肤进行穿刺,减小了缝合针穿刺患者表皮皮肤的难度;左钳柄和右钳柄上端部交叉铰接设置,使铰接处下方的钳柄长度长于铰接处上方的钳柄长度,从而在进行伤口缝合时更为省力;缝合完毕后需要剪缝线时,可通过拉动右钳柄的拉环,驱动顶针板内的剪切刀片将缝线剪断。By adopting the above technical scheme, the present invention has the following beneficial effects: when using the present invention, the left suture forceps and the right suture forceps are used together, and the medical personnel hold the right suture forceps in their right hand and pinch the right suture forceps through the cooperation of the thumb buckle and the index finger buckle to make the dial The rod pushes the fixed bar to slide inside the suture needle, and clamps the suture in the bayonet. By pinching the handle and the thumb buckle, the thimble plate is pressed against the wound to be sutured, making it easier for the needle tip of the suture needle to pierce the surface of the patient's skin , and then push the left forceps handle while rotating, so that the suture needle completely passes through the two skin flaps of the wound, and then release the buckle of the index finger to loosen the suture thread at the bayonet of the suture needle, return the right suture forceps, and the medical staff hold it with their left hand The left suture forceps clamp the suture in the bayonet of the suture needle and suture from the left to the right again; the invention integrates the suture needle and the needle holder to avoid medical accidents caused by the suture needle slipping off; the front end of the suture needle is set It is linear, which is convenient to puncture the patient's wound skin with the thimble plate, which reduces the difficulty of the suture needle puncturing the patient's epidermis; the upper ends of the left and right pliers handles are hinged cross-hinged, so that the length of the pliers handle below the hinge is longer than that of the hinged joint. The length of the pliers handle above the pliers handle is more labor-saving when suturing the wound; when the suture needs to be cut after the suture is completed, the pull ring of the right pliers handle can be pulled to drive the shear blade in the thimble plate to cut the suture.

综上所述,采用本发明可有效地对患者伤口进行穿刺缝合,避免了缝合针滑脱的风险,使缝合过程中的换线操作更为便捷。To sum up, the present invention can effectively puncture and suture patients' wounds, avoid the risk of suture needle slipping, and make the thread changing operation more convenient during the suturing process.

附图说明Description of drawings

图1是本发明右缝合钳结构示意图;Fig. 1 is a structural representation of the right sewing forceps of the present invention;

图2是本发明顶针板结构示意图;Fig. 2 is a schematic structural view of the ejector plate of the present invention;

图3是本发明右缝合钳缝合针结构示意图;Fig. 3 is a schematic diagram of the structure of the suture needle of the right suture forceps of the present invention;

图4是图1中I处局部放大图。Fig. 4 is a partial enlarged view of I in Fig. 1 .

具体实施方式Detailed ways

如图1-4所示,本发明的医用缝合器,包括左缝合钳和右缝合钳,左缝合钳和右缝合钳配套使用,左缝合钳和右缝合钳结构相同,左缝合钳和右缝合钳配合人体手型设置为镜像结构;As shown in Figure 1-4, the medical stapler of the present invention comprises left sewing forceps and right sewing forceps, left sewing forceps and right sewing forceps are used together, left sewing forceps and right sewing forceps are identical in structure, left sewing forceps and right sewing forceps The pliers match the shape of the human hand and set it as a mirror image structure;

右缝合钳包括左钳柄2和右钳柄1,左钳柄2和右钳柄1上端部交叉铰接设置,右钳柄1的下端部设有握柄3,左钳柄2的下端部设有拇指扣环4,右钳柄1的上端连接有顶针板5,顶针板5为叉状结构,左钳柄2的上端部左侧连接有缝合针6,缝合针6内开设有通道,缝合针6前端部外弧面开设有卡口7,卡口7与通道连通,通道内穿设有固定卡条8,左钳柄2内开设有空腔10,空腔10内设有固定卡条拨动装置;The right suture forceps comprises a left pliers handle 2 and a right pliers handle 1, the upper ends of the left pliers handle 2 and the right pliers handle 1 are cross-hingedly arranged, the lower end of the right pliers handle 1 is provided with a handle 3, and the lower end of the left pliers handle 2 is provided with Thumb buckle 4 is arranged, and the upper end of right pliers handle 1 is connected with thimble plate 5, and thimble plate 5 is a fork-shaped structure, and the upper end of left pliers handle 2 is connected with suture needle 6 on the left side, and there is a channel in suture needle 6, and the sewing The outer curved surface of the front end of the needle 6 is provided with a bayonet 7, the bayonet 7 communicates with the channel, the channel is provided with a fixed clip 8, the left pliers handle 2 is provided with a cavity 10, and the cavity 10 is provided with a fixed clip toggle device;

固定卡条拨动装置包括拨杆11,拨杆11自下端左下方至上端右上方倾斜设置在空腔10内,拨杆11上端部通过铰轴固定铰接在左钳柄2内壁上,拨杆11下端部右侧连接有第一弹簧12,第一弹簧12左端连接在左钳柄2内壁上,拨杆11下端活动铰接有第一连接杆13,第一连接杆13下端部前侧转动连接有销轴14,左钳柄2下端部前侧沿轴线方向开设有滑孔9,销轴14向前穿出左钳柄2滑动连接在滑孔9内并连接有食指扣环15,拨杆11前端部左侧开设有T型滑槽,T型滑槽内滑动连接有T型滑块16,固定卡条8的尾端穿入左钳柄2内铰接在T型滑块16上。The fixed bar toggle device includes a driving rod 11, which is obliquely arranged in the cavity 10 from the bottom left of the lower end to the upper right of the upper end. The right side of the lower end of 11 is connected with the first spring 12, the left end of the first spring 12 is connected on the inner wall of the left pliers handle 2, and the lower end of the driving rod 11 is articulated with the first connecting rod 13, and the front side of the lower end of the first connecting rod 13 is rotatably connected. There is a pin shaft 14, and the front side of the lower end of the left pliers handle 2 is provided with a slide hole 9 along the axial direction, and the pin shaft 14 passes through the left pliers handle 2 forward and is slidably connected in the slide hole 9 and is connected with an index finger buckle 15, a lever The left side of the 11 front end is provided with a T-shaped chute, which is slidably connected with a T-shaped slider 16 in the T-shaped chute, and the tail end of the fixed clip 8 penetrates into the left pincer handle 2 and is hinged on the T-shaped slider 16.

顶针板5内设有内腔,顶针板5内侧U型壁上开设有裂隙19,裂隙19与内腔连通,顶针板5内安装有两片剪切刀片20,两片剪切刀片20下端部通过铰轴交叉铰接在顶针板5内,两片剪切刀片20下端均铰接有第二连接杆21,右钳柄2内上端部安装有限位板22,限位板22中部穿设有拉杆23,拉杆23上端部固定设有挡圈24,拉杆23上端部套设有第二弹簧25,第二弹簧25上端连接在挡圈24下侧面,第二弹簧25下端连接在限位板22上侧面,拉杆23上端与两根第二连接杆21活动铰接,拉杆23下端部右侧连接有销轴,销轴向右穿出右钳柄连接有拉环26。The thimble plate 5 is provided with an inner cavity, and a crack 19 is provided on the inner U-shaped wall of the thimble plate 5. The crack 19 communicates with the inner cavity. Two shear blades 20 are installed in the thimble plate 5, and the lower ends of the two shear blades 20 are Cross-hinged in the thimble plate 5 through the hinge shaft, the lower ends of the two shearing blades 20 are hinged with the second connecting rod 21, the upper end of the right clamp handle 2 is equipped with a limit plate 22, and the middle part of the limit plate 22 is pierced with a pull rod 23 The upper end of the pull rod 23 is fixed with a retaining ring 24, the upper end of the pull rod 23 is covered with a second spring 25, the upper end of the second spring 25 is connected to the lower side of the retaining ring 24, and the lower end of the second spring 25 is connected to the upper side of the limit plate 22 , the upper end of the pull rod 23 is articulated with two second connecting rods 21, and the right side of the lower end of the pull rod 23 is connected with a pin shaft, and the pin shaft passes through the right pliers handle to the right and is connected with a pull ring 26.

左缝合钳和右缝合钳缝合针6整体为向后凹陷的弧形结构,缝合针6的针尖部为直线结构。The suture needle 6 of the left suture forceps and the right suture forceps is an arc structure recessed backward as a whole, and the needle tip of the suture needle 6 is a straight line structure.

左缝合钳和右缝合钳缝合针6的外弧面设有刻度线17。The outer arc surface of the suturing needle 6 of the left suture forceps and the right suture forceps is provided with a scale line 17 .

握柄3上设有软垫18。The handle 3 is provided with a cushion 18 .

在使用本发明时,左缝合钳和右缝合钳配合使用,医护人员右手持右缝合钳,拇指扣在拇指扣环4内,食指扣在食指扣环15内,剩余三指扣在握柄3内,通过捏动拇指扣环4和食指扣环15,使销轴14沿滑孔9向下滑动,第一连接杆13拉动拨杆11,使拨杆11绕拨杆11前端部的固定铰轴转动,使拨杆11前端拨动固定卡条8,固定卡条8沿缝合针6内的通道滑动,此时将缝线卡在缝合针6外弧面的卡口7处,使固定卡条8穿入卡口7内将缝线夹持,然后捏动握柄3,使顶针板5顶压患者的伤口左侧皮瓣,使患者的伤口皮瓣置于缝合针6针尖与顶针板5之间,通过拇指扣环4和握柄3的捏合,在缝合针6针尖部和顶针板5的配合下,使缝合针6顺利穿过伤口皮瓣,然后通过拇指扣环4和食指扣环15对该装置的把持作用,使缝合针6完全穿过患者伤口皮瓣,接着松开拇指扣环4和食指扣环15,使右缝合钳缝合针6上的缝线松脱,医护人员用同样的方法用左手持左缝合钳,将缝线重新夹在缝合针6的卡口7内,将右缝合钳的缝合针6退回,继续采用左缝合钳进行缝合即可;缝合完毕后,将缝线打结,多余的缝线需要剪断,医护人员将食指插入拉环26内,向下拉动拉环26,拉环26带动拉杆23向下移动,拉杆23通过第二连接杆21的传动使两个剪切刀片20实现剪切的作用,从而将多余缝线剪断,松开拉环26后,第二弹簧25的弹力推动挡圈24向上运动,从而推动拉杆23向上运动,使两片剪切刀片20复位。When using the present invention, the left suture forceps and the right suture forceps are used together, the medical personnel hold the right suture forceps in their right hands, the thumb is buckled in the thumb buckle 4, the index finger is buckled in the index finger buckle 15, and the remaining three fingers are buckled in the handle 3 , by pinching the thumb ring 4 and index finger ring 15, the pin shaft 14 slides down along the sliding hole 9, and the first connecting rod 13 pulls the driving rod 11 to make the driving rod 11 go around the fixed hinge shaft at the front end of the driving rod 11 Rotate to make the front end of the driving lever 11 move the fixed clip 8, and the fixed clip 8 slides along the passage in the suture needle 6. At this time, the suture is stuck at the bayonet 7 on the outer arc surface of the suture needle 6, so that the fixed clip 8 8 Insert the suture into the bayonet 7 to hold the suture, and then pinch the handle 3 to make the thimble plate 5 press against the patient's left wound skin flap, so that the patient's wound skin flap is placed between the needle point of the suture needle 6 and the thimble plate 5 Between, through the kneading of the thumb buckle 4 and the handle 3, under the cooperation of the needle tip of the suture needle 6 and the ejector plate 5, the suture needle 6 can pass through the wound flap smoothly, and then through the thumb buckle 4 and the index finger buckle 15 Hold the device so that the suture needle 6 passes through the patient's wound skin flap completely, and then loosen the thumb buckle 4 and index finger buckle 15 to loosen the sutures on the suture needle 6 on the right suture forceps. In the same way, hold the left suture forceps with the left hand, clamp the suture thread in the bayonet 7 of the suture needle 6 again, return the suture needle 6 of the right suture forceps, and continue to suture with the left suture forceps; The suture is knotted, and the redundant suture needs to be cut off. The medical staff inserts the index finger into the pull ring 26, pulls the pull ring 26 downward, and the pull ring 26 drives the pull rod 23 to move downward. The two shearing blades 20 realize the function of shearing, thereby cutting off the redundant sutures. After the pull ring 26 is released, the elastic force of the second spring 25 pushes the retaining ring 24 to move upward, thereby pushing the pull rod 23 to move upward, so that the two shears Cutting blade 20 resets.

本实施例并非对本发明的形状、材料、结构等作任何形式上的限制,凡是依据本发明的技术实质对以上实施例所作的任何简单修改、等同变化与修饰,均属于本发明技术方案的保护范围。This embodiment does not impose any formal restrictions on the shape, material, structure, etc. of the present invention. All simple modifications, equivalent changes and modifications made to the above embodiments according to the technical essence of the present invention belong to the protection of the technical solution of the present invention. scope.

Claims (5)

Fixing strip striking gear includes driving lever, and driving lever is inclined in cavity from lower end lower left to upper end upper right side, is dialledBar upper end on left clamp handle inner wall, is connected with the first spring, the first spring on the right side of driving lever lower end by hinged shaft fixed hingeLeft end is connected on left clamp handle inner wall, and driving lever lower end is movably hinged with first connecting rod, rotation on front side of first connecting rod lower endIt is connected with pin shaft, offers slide opening in the axial direction on front side of left clamp handle lower end, pin shaft is pierced by forward left clamp handle and is slidably connected atIn slide opening and it is connected with index finger retaining ring, T-type sliding slot is offered on the left of driving lever front end, it is sliding that T-type is slidably connected in T-type sliding slotBlock, the tail end of fixing strip, which penetrates in left clamp handle, to be hinged on T-type sliding block.
2. medical suturing instrument according to claim 1, it is characterised in that: inner cavity is equipped in the ejector retainner plate, in ejector retainner plateCrack is offered on the U-shaped wall in side, crack is connected to inner cavity, two panels shear-blade is equipped in ejector retainner plate, under two panels shear-bladeThrough hinged shaft cross-articulation in ejector retainner plate, two panels shear-blade lower end is hinged with the second connecting rod for end, in right clamp handle onEnd is equipped with limit plate, is equipped with pull rod in the middle part of limit plate, pull rod upper end is fixed with retaining ring, and pull rod upper end is arranged withSecond spring, second spring upper end are connected to retaining ring downside, and second spring lower end is connected to limit plate upper side, pull rod upper endIt is hinged with two second connecting rods, it is connected with pin shaft on the right side of pull rod lower end, pin shaft is pierced by the right right clamp handle and is connected with pull ring.
CN201910839057.3A2019-09-052019-09-05Medical suture deviceActiveCN110522484B (en)

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CN115737029A (en)*2023-01-102023-03-07青岛智兴医疗器械有限公司Continuous stitching instrument

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