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CN114191015A - Meniscus suturing device and using method thereof - Google Patents

Meniscus suturing device and using method thereof
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Publication number
CN114191015A
CN114191015ACN202111626179.8ACN202111626179ACN114191015ACN 114191015 ACN114191015 ACN 114191015ACN 202111626179 ACN202111626179 ACN 202111626179ACN 114191015 ACN114191015 ACN 114191015A
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China
Prior art keywords
force application
needle body
meniscus
limiting
needle
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CN202111626179.8A
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CN114191015B (en
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朱志亮
胡建成
李斌
蒋冠森
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Hangzhou Rejoin Mastin Medical Device Co ltd
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Hangzhou Rejoin Mastin Medical Device Co ltd
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Abstract

The invention relates to the technical field of medical equipment, in particular to a meniscus suturing device and a using method thereof. The present invention provides a meniscus suturing device comprising: the first needle body and the second needle body are arranged in the same direction; the main body is provided with a holding part; the first transmission device is used for moving the first needle body and comprises a first force application part driven by finger gripping force, the first force application part is arranged on one side of the gripping part, and the movement direction of the first force application part is opposite to that of the first needle body; and the second transmission device is used for moving the second needle body, the second transmission device comprises a second force application part driven by finger thrust, and the second force application part and the second needle body have the same movement direction. Through the cooperation use of the holding part, the first transmission device and the second transmission device, the meniscus sewing process can be better controlled and fed back by the strength of medical staff when puncturing the meniscus.

Description

Meniscus suturing device and using method thereof
Technical Field
The invention relates to the technical field of medical equipment, in particular to a meniscus suturing device and a using method thereof.
Background
When people in the motion process, because reasons such as some irregular actions or dynamics are too big, let the atress of knee joint department thighbone and shin bone unbalanced, lead to the thighbone to act on the power of meniscus to appear the deviation, arouse tearing of meniscus very easily, produce the crack. And the appearance of the meniscus suture main body can suture the torn part and the original meniscus on the operating table, thereby recovering the activity function of the knee joint.
When the posterior half meniscus is torn, the medical staff firstly puncture one side of the half meniscus crack by adopting the half meniscus sewing main body and then excite a first implant to be hung on the rear wall of the half meniscus; after the first implant is successfully attached, the meniscus suture body is taken out to puncture the other side of the meniscus crack again, the second implant is triggered, the second implant is attached to the rear wall of the meniscus in the same way, and finally the suture is tightened to tighten the two implants, so that the meniscus suture is completed.
Medical care personnel are needed to puncture the meniscus by artificially controlling the force in the operation process. Because the meniscus is a cartilage tissue, when medical staff puncture the meniscus, the medical staff often needs a large pushing force to penetrate the meniscus, the puncturing force is difficult to control, and the tissue nerve behind the meniscus is easy to puncture due to the action of inertia. And in current meniscus suture process, need arouse many times and pierce through the meniscus to implant the implant many times, and realize sewing up through the implant, medical staff need study through a period of time just can judge the condition that is in which kind of excitation state when using current meniscus suture main part. If misjudged, secondary damage to the meniscus may result.
Chinese utility model patent with application number CN201520214262.8 discloses a meniscus suture main part, holds the handle and directly punctures the meniscus, arouses an implant to be affiliated to on the meniscus outer wall for the first time, arouses the second implant to be affiliated to on the meniscus outer wall for the second time, tightens up the suture at last and realizes tearing the meniscus and sew up. This patent is all through the arm protraction and stop to control the dynamics of penetrating when puncturing the meniscus and implanting the implant, because arm swing amplitude is great, the dynamics is difficult to control, if the dynamics undersize, be difficult to pass the meniscus, if the dynamics is too big, then puncture behind the meniscus tissue nerve easily. And medical personnel need to learn the main instrument for a period of time before performing the meniscal suture operation to judge that the main instrument is in the second activated state.
Disclosure of Invention
The technical problem to be solved by the invention is as follows: when present meniscus sews up impaling and implanting the implant when its uses, the dynamics is difficult to control, if the dynamics undersize, is difficult to puncture harder meniscus, if the dynamics is too big, then stab the tissue nerve very easily after piercing half meniscus, and two needle bodies of single impaling mode control are unfavorable for medical staff's judgement meniscus suturing device's operating condition, and the operation degree of difficulty is high, lead to easily impaling misoperation.
(II) technical scheme
In order to solve the above technical problem, an embodiment of the present invention provides a meniscus suture apparatus, including: the needle comprises a first needle body, a second needle body, a main body, a first transmission device and a second transmission device; the first needle body and the second needle body are arranged in the same direction, and a holding part is arranged on the main body; the first transmission device is used for moving the first needle body and comprises a first force application part driven by finger holding force, the first force application part is arranged on one side of the holding part, and the movement direction of the first force application part is opposite to that of the first needle body; the second transmission device is used for moving the second needle body and comprises a second force application part driven by finger thrust, and the second force application part and the second needle body are in the same movement direction.
According to one embodiment of the present invention, the meniscal suturing device further comprises:
the depth limiting sleeve is used for limiting the puncture depth of the first needle body, and the depth limiting sleeve is sleeved outside the first needle body and the second needle body;
the depth limiting device is fixedly connected with one end of the depth limiting sleeve and is clamped at the front end of the main body, the depth limiting sleeve can be controlled to move a preset distance along the direction of the first needle body, and the depth limiting distance of the depth limiting sleeve can be adjusted.
According to one embodiment of the invention, the inner walls of the two sides of the front end of the main body are respectively provided with a corresponding toothed clamping groove and a corresponding adjusting opening, the depth limiting device comprises a pressing part, two groups of elastic parts and two groups of clamping teeth, the two groups of pressing parts, the two groups of elastic parts and the two groups of clamping teeth are symmetrically arranged on the two sides of the depth limiting sleeve, the elastic parts penetrate through the adjusting openings on the same side and are connected with the pressing part and the two sides of the depth limiting sleeve, and the clamping teeth are fixedly connected with the inner end of the pressing part, can move along the length direction of the depth limiting sleeve through the pressing part and the elastic parts and are clamped in the toothed clamping grooves, so that the front-back distance of the depth limiting sleeve is further adjusted, and the positioning is more accurate.
According to one embodiment of the invention, the outer end of the pressing part is provided with an anti-slip protrusion.
According to an embodiment of the invention, the first transmission device is arranged on one side of the first needle body, and further comprises a first rack, a second rack and a gear, the first rack and the second rack are in toothed connection through the gear, the first rack is connected with and pushes the first needle body to move along the length direction, and one end of the second rack is fixedly connected with the first transmission device.
According to an embodiment of the invention, the second transmission device is arranged at the tail end of the second needle body, and further comprises an elastic member and a fixing member which are sequentially arranged at the inner end of the second force application part, the elastic member is connected with the fixing member and the second force application part, the fixing member is fixedly connected with the inner wall of the main body, and the elastic member can provide a certain resistance for the propulsion of the second force application part, so that the force control is facilitated, and the resilience of the second force application part is facilitated.
According to an embodiment of the invention, the second transmission device is further provided with an early warning device for detecting the moving distance of the second force application part, and the early warning device gives an early warning when the second force application part moves to the preset position to remind medical personnel that the second needle body reaches the preset position.
According to an embodiment of the present invention, the tail end of the main body is provided with a limiting groove, the second force application portion is located in the limiting groove, the limiting groove is provided with a first limiting member, a second limiting member and a tail opening, the first limiting member is used for limiting the second force application portion to be located at an initial preset position in the limiting groove, the second limiting member is located at the tail end of the limiting groove and is used for limiting the second force application portion to be located at a second preset position in the limiting groove, the movement of the second force application portion is more stable due to the arrangement of the limiting groove, the second force application portion is located at different positions in the limiting groove when the first limiting member and the second limiting member are activated twice, and thus, medical personnel can conveniently judge the working state of the meniscus suture device.
According to an embodiment of the invention, the first limiting part comprises an inclined limiting plate, the inclined limiting plate is obliquely inserted between the second force application part of the limiting groove and the fixing part, the outer end of the inclined limiting plate is provided with a clamping hook clamped with the second force application part, the inner end of the inclined limiting plate is connected with the main body through a ratchet wheel, the limiting plate is turned upwards by pushing the second force application part, the limitation of the first limiting part on the second force application part is removed, and the limiting plate is turned upwards to enable medical personnel to judge the working state of the meniscus suturing device more clearly.
According to one embodiment of the invention, the first needle body is a puncture needle, the second needle body is a push needle, the puncture needle is sleeved outside the push needle, the front end of the push needle is provided with a first implant and a second implant, when meniscus suture is performed, the puncture needle is connected with the first transmission device to better crack and control the puncture force, and two excitation states of the push needle prepare for implantation of the first implant and the second implant.
According to one embodiment of the invention, the main body is in a gun body shape and comprises a left gun body and a right gun body, the left gun body and the right gun body are symmetrically arranged and detachably connected, and the detachable design of the gun body shape enables the half-moon plate sewing device to be more attractive as a whole and easy to maintain internally.
In another aspect, the present invention further provides a method for using a meniscus suture device, where the meniscus suture device provided in any one of the above embodiments includes the following steps:
s1, the first force application part is buckled by holding the holding part with the finger holding force, the first needle body moves forwards through the first transmission device, and the meniscus to be sutured is punctured;
and S2, the second force application part is pushed forwards by fingers to enable the second needle body to move forwards, and the implant pre-installed at the front end of the second needle body is pushed to the preset position.
The invention has the beneficial effects that: the meniscus suturing device provided by the invention has the advantages that through the matched use of the holding part, the first transmission device and the second transmission device, the force of medical staff when puncturing a meniscus can be better controlled and fed back in the meniscus suturing process, so that the influence of the force inertia on the tissue nerve behind the meniscus by the existing meniscus suturing main body can be effectively avoided, the two transmission devices are mutually independent and are arranged in opposite driving directions, the operation is simple and convenient, more visual operation experience can be brought to the medical staff, the working state of the meniscus suturing device can be easily distinguished, and the misoperation of the medical staff can be avoided.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and other drawings can be obtained by those skilled in the art without creative efforts.
FIG. 1 is a perspective view of a meniscal suturing device in a second state in accordance with one embodiment of the present invention;
FIG. 2 is a perspective view of a meniscal suturing device in a second state according to one embodiment of the present invention;
FIG. 3 is a schematic view of the initial end perspective of a meniscal suturing device according to one embodiment of the present invention;
fig. 4 is an enlarged schematic view of a three-dimensional structure of a depth stop device according to an embodiment of the present invention;
FIG. 5 is a schematic perspective view of a main body according to an embodiment of the present invention;
fig. 6 is a schematic perspective view of an inner structure of a front end of a main body according to an embodiment of the present invention.
Icon: 1. a main body; 101. a left gun body; 102. a right gun body; 11. a first needle body; 12. a second needle body; 13. a grip portion; 14. a tooth-shaped clamping groove; 15. adjusting the opening; 16. a limiting groove; 161. a first limit piece; 1611. a limiting plate; 1612. a hook; 1613. a ratchet wheel; 162. a second limiting member; 163. the tail part is opened; 2. a first transmission device; 21. a first force application part; 22. a first rack; 23. a second rack; 24. a gear; 3. a second transmission device; 31. a second force application part; 32. an elastic member; 33. a fixing member; 34. an early warning device; 4. a depth limiting sleeve; 5. a depth stop device; 51. a pressing part; 511. anti-skid protrusions; 52. an elastic portion; 53. and (4) clamping teeth.
Detailed Description
In order that the above objects, features and advantages of the present invention can be more clearly understood, the present invention will be described in further detail below with reference to the accompanying drawings and detailed description, and the embodiments and features of the embodiments of the present application may be combined with each other without conflict. It is to be understood that the embodiments described are only a few embodiments of the present invention, and not all embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
As shown in fig. 1 to 6, an embodiment of the present invention provides a meniscus suture apparatus, including: the first needle body 11, the second needle body 12, the main body 1, the first transmission device 2 and the second transmission device 3; the first needle body 11 is a puncture needle, the second needle body 12 is a push needle, the puncture needle is sleeved outside the push needle, damage caused by the puncture of a meniscus can be reduced, the main body 1 is pistol-shaped, and a grab handle is the holding part 13; the first transmission device 2 is used for moving the first needle body 11, the first transmission device 2 comprises a first force application part 21 driven by finger gripping force, the first force application part 21 is arranged at the trigger of the pistol-shaped body 1 and is in a trigger shape, and the finger gripping force is easier to control relative to the arm force application; when the first force application part 21 is buckled backwards, the first needle body 11 is stabbed out from the muzzle direction; the second transmission device 3 is used for moving the second needle body 12, the second transmission device 3 includes a second force application part 31 driven by finger thrust, the second force application part 31 is a disc-shaped button, and the center of the second force application part is vertically connected with the extending part of the tail end of the second needle body 12 and used for pushing the second needle body 12.
As shown in fig. 1, 2 and 4, the meniscal suturing device is further provided with:
the depth limiting sleeve 4 is tubular and is used for limiting the penetration depth of the first needle body 11, and the depth limiting sleeve 4 is sleeved on the outer sides of the first needle body 11 and thesecond needle body 12;
the depth limiting device 5 is fixedly connected with the inner end of the depth limiting sleeve 4 and is connected with the front end of the main body 1 in a clamping mode, the depth limiting sleeve 4 can be controlled to move a preset distance along the direction of the first needle body 11, and the depth limiting distance of the depth limiting sleeve 4 can be adjusted.
As shown in fig. 1, 2, 4, 5, and 6, the inner walls of the two sides of the muzzle of the pistol-shaped main body 1 are respectively provided with a correspondingtoothed slot 14 and an adjustingopening 15, thetoothed slots 14 are arranged in a step shape, the depth stop device 5 includes apressing portion 51, anelastic portion 52, and alatch 53, thepressing portion 51, theelastic portion 52, and thelatch 53 are respectively provided with two sets, and are symmetrically arranged on the two sides of the inner end of the depth stop sleeve 4, one end of theelastic portion 52 penetrating through the adjustingopening 15 on the same side is connected to the other end of thepressing portion 51 and connected to one side of the inner end of the depth stop sleeve 4, thelatch 53 is fixedly connected to the inner end of thepressing portion 51 and is clamped in thetoothed slots 14, and can move along the length direction of the depth stop sleeve 4 through thepressing portion 51 and theelastic portion 52, so as to further adjust the front-rear distance of the depth stop sleeve 4, and make the positioning more accurate.
The width of the meniscal tear needs to be measured before the meniscus is sutured and after the width is measured the depth stop 5 needs to be adjusted. Relatively light when pressing back limit device 5, if limit dark cover 4 when touchhing the meniscus, because the size structure influence of dentate draw-ingroove 14, just be difficult to make limit dark device 5 toward rolling back, can reach the measuring size and be difficult to the effect because of external force changes. If the depth limiting devices 5 on the two sides need to be pressed towards the gun body when the depth is required to be adjusted back, the depth limiting devices 5 can be withdrawn from the zigzag structure, and the movable depth limiting devices 5 drive the depth limiting sleeves 4 to be withdrawn.
As shown in fig. 1, 2 and 4, the outer end of thepressing portion 51 is further provided with a strip-shapedanti-slip protrusion 511 for exerting a better force when thepressing portion 51 is pressed by a finger to play an anti-slip role.
As shown in fig. 2, thefirst transmission device 2 is disposed on one side of the first needle body 11, and further includes afirst rack 22, asecond rack 23 and agear 24, thefirst rack 22 and thesecond rack 23 are movably connected through thegear 24, the top of thefirst rack 22 is connected to the first needle body 11 and pushes the first needle body 11 to move along the length direction, the front end of thesecond rack 23 is fixedly connected to thefirst transmission device 2, and the side edges of thefirst rack 22 and thesecond rack 23 are both provided with slide rails and slidably connected to the inner wall of the main body 1.
As shown in fig. 1, fig. 2, fig. 3, fig. 5, and fig. 6, thesecond transmission device 3 is disposed at the tail end of thesecond needle body 12, and further includes anelastic member 32 and a fixingmember 33 sequentially disposed at the inner end of the secondforce application portion 31, the fixingmember 33 is plate-shaped, the elastic member is a spring and disposed in parallel with the secondforce application portion 31, theelastic member 32 is connected to the fixingmember 33 and the secondforce application portion 31, the fixingmember 33 is fixedly connected to the inner wall of the main body 1, and theelastic member 32 can provide a certain resistance for the propulsion of the secondforce application portion 31, so as to control the force and facilitate the rebound of the secondforce application portion 31.
Still be equipped with onsecond transmission 3 and be used for detecting second application offorce portion 31 displacement distance'searly warning device 34, soundearly warning device 34 includes lug and shell fragment, the lug is fixed set up in second application offorce portion 31 inner wall, the shell fragment corresponds the lug set up in on mounting 33, when second application offorce portion 31 moves to predetermineeing the position the lug with the shell fragment meets the department, andearly warning device 34 sends the sound early warning, reminds medical personnelsecond needle body 12 to arrive predetermined position.
The 1 tail end of main part is equipped with spacinggroove 16, second application offorce portion 31 is located the spacinggroove 16, spacinggroove 16 is equipped with first locating part 161, second locatingpart 162 andtail opening 163,tail opening 163 is the ergonomic design, the thumb of being convenient for press in, first locating part 161 is used for limiting second application offorce portion 31 is located the initial default position in spacinggroove 16, second locatingpart 162 is located the 16 tail end of spacing groove is used for limiting second application offorce portion 31 is located the second default position in spacinggroove 16, and the setting ofspacing groove 16 makes the removal of second application offorce portion 31 more stable, and the setting of first locating part 161 and second locatingpart 162 makes when arousing twice second application offorce portion 31 be in the different positions in spacinggroove 16.
This is not very friendly for novice medical personnel, as existing suturing bodies all require a period of learning to tell which gear the current position is in. This structure makes medical personnel rely on the structure that the audio-visual judgement of naked eye is in which state, has reduced the working condition that medical personnel of being convenient for to main part mechanical study time judge meniscus suturing device and locate.
First locating part 161 includesslope limiting plate 1611,slope limiting plate 1611 insert to one side between limitinggroove 16 second application offorce portion 31 and mounting 33, and the outer end is equipped with thepothook 1612 of joint second application offorce portion 31, and the inner is connected throughratchet 1613 main part 1 because limitingplate 1611 inserts in limitinggroove 16 to one side, makes limitingplate 1611 turn up alongratchet 1613 through promoting second application offorce portion 31 to remove the restriction of first locating part 161 to second application offorce portion 31, limitingplate 1611 turns up and makes the operating condition that medical personnel can be more clear judgement meniscus suturing device and locate.
As shown in fig. 3, the first limiting member 161 is not triggered, and is in an initial state after the meniscal suturing device leaves the factory, and the secondforce applying portion 31 is in a position before the first activation.
As shown in fig. 1 and 2, the first limiting member 161 is triggered, and the secondforce application portion 31 is at the advanced position of the second excitation.
As shown in fig. 3, after the first firing of thesecond needle body 12 is completed; theratchet 1613 is turned up, the hook is disengaged from the secondforce application portion 31, and due to the action of theelastic member 32, the secondforce application portion 31 rebounds to the rearmost second position-limitingmember 162, which is the second pre-excitation position.
As shown in fig. 2 and 4, the front end of the push needle is provided with a first implant and a second implant, when the meniscus suture operation is carried out, the puncture force can be better controlled by connecting the puncture needle with thefirst transmission device 2, and two excitation states of the push needle prepare for the implantation of the first implant and the second implant.
As shown in fig. 1 and 5, the main body 1 comprises aleft gun body 101 and aright gun body 102, theleft gun body 101 and theright gun body 102 are symmetrically arranged and detachably connected, and the half-moon plate sewing device is more attractive as a whole and is easy to maintain inside due to the detachable design of the gun body.
The use principle and the flow of the meniscus suture device are as follows:
1. after the crack width of the meniscus is measured by a ditch or other equipment, the depth limiting device 5 is adjusted by manually pressing thepressing part 51, so that the depth limiting sleeve 4 reaches a proper position;
2. after the depth limiting device 5 is adjusted, the firstforce application part 21 is buckled by holding the holdingpart 13 with the finger holding force, the first needle body 11 is moved forwards through thefirst transmission device 2, and the first needle body 11 is made to move forwards to penetrate through the meniscus;
3. when the puncture needle emerges from a meniscus, the secondforce application part 31 is pushed forwards by a thumb to enable thesecond needle body 12 to move forwards, the first implant is pushed out to a first preset position, and at the moment, theearly warning device 34 is triggered and a prompt tone appears to realize first excitation;
4. after the first excitation is completed, the limitingplate 1611 is turned up, the draw hook falls off, the first limiting member 161 fails, and thesecond needle body 12 and the secondforce application part 31 will move back to the second limitingmember 162 at the end of the limitinggroove 16;
5. withdrawing the meniscus suture body to the other side of the meniscus crack, repositioning the firstforce application part 21, pulling the firstforce application part 21 again, and enabling the first needle body 11 to pass through the meniscus again;
6. when the first needle body 11 protrudes out of the meniscus, the secondforce application part 31 is pushed forwards again, thesecond needle body 12 moves forwards to push the second implant out to a second preset position, theearly warning device 34 is triggered again, and a warning sound appears to realize secondary excitation;
7. the meniscal suturing device is withdrawn and the suture is sutured, completing the meniscal suture.
In the description of the present invention, it should be noted that the terms "upper", "lower", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, which are merely for convenience in describing the present invention and simplifying the description, and do not indicate or imply that the referred device or element must have a specific orientation, be constructed in a specific orientation, and operate, and thus, should not be construed as limiting the present invention. Furthermore, the terms "first" and "second" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
In the description of the present invention, it should be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral connection; can be mechanically or electrically connected; the communication may be direct, indirect via an intermediate medium, or internal to both elements. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art. In addition, in the description of the present invention, "a plurality" means two or more unless otherwise specified.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents, improvements and the like that fall within the spirit and principle of the present invention are intended to be included therein.

Claims (12)

3. The meniscus suture device according to claim 2, wherein the inner walls of both sides of the front end of the main body (1) are provided with corresponding toothed slots (14) and adjusting openings (15), the depth limiting device (5) comprises a pressing part (51), an elastic part (52) and a latch (53), the pressing part (51), the elastic part (52) and the latch (53) are provided in two groups and symmetrically arranged on both sides of the depth limiting sleeve (4), the elastic part (52) penetrates through the adjusting openings (15) on the same side and is connected with the pressing part (51) and both sides of the depth limiting sleeve (4), and the latch (53) is fixedly connected with the inner end of the pressing part (51), can move along the length direction of the depth limiting sleeve (4) through the pressing part (51) and the elastic part (52), and is clamped in the toothed slots (14).
CN202111626179.8A2021-12-282021-12-28Meniscus suturing device and application method thereofActiveCN114191015B (en)

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CN114191015B CN114191015B (en)2024-03-26

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CN114668437A (en)*2022-05-312022-06-28杭州锐健马斯汀医疗器材有限公司Suturing device and suturing method
CN115153697A (en)*2022-08-112022-10-11杭州锐健马斯汀医疗器材有限公司Stitching instrument
CN116098664A (en)*2023-04-072023-05-12杭州锐健马斯汀医疗器材有限公司Suture device and suture method
CN116687480A (en)*2022-12-052023-09-05杭州锐健马斯汀医疗器材有限公司Meniscus suture instrument

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