CN102178552B - Replaceable stapling and cutting devices of disposable endo-GIA (gastrointestinal anastomosis) stapler - Google Patents
Replaceable stapling and cutting devices of disposable endo-GIA (gastrointestinal anastomosis) stapler Download PDFInfo
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- CN102178552B CN102178552B CN 201110155844 CN201110155844A CN102178552B CN 102178552 B CN102178552 B CN 102178552B CN 201110155844 CN201110155844 CN 201110155844 CN 201110155844 A CN201110155844 A CN 201110155844A CN 102178552 B CN102178552 B CN 102178552B
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- mounting groove
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Abstract
The invention relates to replaceable stapling and cutting devices of disposable endo-GIA (gastrointestinal anastomosis) staplers. The devices are matching devices of disposable endo-GIA staplers applying linear arrays on endo-tissues and are simultaneously surgical suture instruments for cutting the tissues among the endo-GIA staplers applying linear arrays. Each device comprises a nail bin assembly and a thimble assembly, wherein the nail bin assembly is installed at the front end of the thimble assembly; the nail bin assembly comprises a nail pushing base, a nail bin, stapling nails, nail pushing plates, a pushing block and a nail bin base; the nail bin is provided with a plurality of rows of stapling nail troughs; a cutter trough is arranged in the middle of the nail bin; the nail bin is installed in a nail bin installation trough of the nail bin base; the thimble assembly comprises a thimble, an upper connecting plate, a lower connecting plate, an upper half shell, a lower half shell, an upper rotary joint, a lower rotary joint, a cutter, pushing plates, a positioning pin, a swelling-preventing plate, an H-shaped block, a fixed fork, a driving sleeve, a locking brake block, an arc-shaped buckle, a brake block spring, a limiting plate and a steering draw hook; and the upper and lower half shells are installed in the thimble after being assembled.
Description
Technical field
What the present invention relates to is a kind of replaceable osculating device of disposable intracavity Endo-GIA; Be that a kind of disposable intracavity cutting that on intraluminal tissue, applies linear rows is kissed, the corollary apparatus of stiching instrument, and the operation stitching apparatus that between this linear rows stiching instrument, cuts and organizes simultaneously.
Background technology
The abdominal cavity formula with or the inner peeping type operation process in, operation process is implemented through patient's little otch or narrow sleeve pipe that inserts wound on one's body.In traditional or open process, the doctor directly contacts operative site.Because patient's wound of its minimizing shortens patient's convalescent period and significantly reduces overall cost, the abdominal cavity relative open surgery of formula operating-table has advantage.In order to cooperate the real needs of inner peeping type and abdominal cavity formula operation, the inner peeping type surgery suturing apparatus is made the doctor can more easily contact operative site by exploitation.Typically, these suture instrumentses comprise be supported on approach that robotic suturing device do not hold can be hinged tool component.This tool component can selectively be controlled so that the doctor can control operation device in limited space.Operation provides significant medical benefit to these instruments to inner peeping type.However, still hope in the cost reduction and make on the complexity to improve to some extent.
It is bigger that present Endo-GIA is open Endo-GIA apparatus volume; The surgical patient otch is bigger, and it is long that patient is recovered pessimistic time, increases the patient suffering; Endo-GIA osculating head is non-exchange at present; Samely be not practicable for different osculating to apparatus and change use first watch, the osculating head is fixed on the anastomat head and can not rotates, and it is convenient inadequately to use.
Summary of the invention
The present invention seeks to provide a kind of replaceable osculating device of disposable intracavity Endo-GIA to above-mentioned weak point; The replaceable osculating device of different size; All can be inserted in the fixed sleeving front aperture of disposable intracavity Endo-GIA through thimble assembly rear end dress; Turn an angle, positioning and fixing uses replacing very convenient at the fixed sleeving front end.The osculating device of different size goes for the different parts osculating, samely goes for different size osculating device to apparatus and uses, and can reduce the apparatus production cost greatly and reduce the patient medical expense.Replaceable osculating device volume is little, in Minimally Invasive Surgery, can carry out the osculating broadsword play through the convenient patient's intraperitoneal that inserts of perforator, and success rate of operation is high, and less patient suffering is little, recovers fast.
The replaceable osculating device of disposable intracavity Endo-GIA is to take following technical scheme to realize:
The replaceable osculating device of disposable intracavity Endo-GIA is made up of nail bin groupware, thimble assembly, and nail bin groupware is installed in the thimble assembly front end, and nail bin groupware comprises nail supporting base, nail bin, anastomosis staple, pushing slice of nail, pushing block and nail bin seat.Nail bin is provided with plurality of rows anastomosis staple groove (6 row's anastomosis staple groove), is that the center is divided into two groups with the cutter groove, and every two adjacent groups nail bin face is step surface, and the middle part is high, and both sides are low, and compressing reduces to tissue, and is less to tissue injury.Be provided with the cutter groove at the nail bin middle part, in the nail bin both sides fixing lug boss arranged, the nail bin rear portion is provided with the pushing block mounting groove.
The nail bin seat has the nail bin mounting groove, is provided with the cutter sliding tray in nail bin mounting groove bottom, is provided with fixed groove, dowel hole one in nail bin seat both sides.Pushing slice of nail is installed in the anastomosis staple groove, and pushing block is installed in the pushing block mounting groove, and nail bin is installed in the nail bin mounting groove of nail bin seat, and the fixing lug boss of nail bin matches with the fixed groove of nail bin seat, and anastomosis staple is installed in the anastomosis staple groove.
The nail supporting base middle part is provided with the cutter groove, and nail supporting base is provided with the anastomosis staple grooving, and the nail supporting base rear portion is provided with nail supporting base dowel hole, dowel hole two.The nail bin seat that nail bin is housed is installed on the anterior union joint of thimble assembly through alignment pin; The nail supporting base dowel hole is sleeved on down on the adaptor boss, is installed in the adaptor front end through alignment pin after the dowel hole one of nail supporting base aligns with the dowel hole two of nail supporting base.
Thimble assembly comprises sleeve pipe, goes up brace, down brace, upper half-shell, housing lower half, go up adaptor, adaptor, cutter, slurcam one, slurcam two, slurcam three, alignment pin, anti-plate, H shape piece, fixation fork, actuating sleeve, locking brake block, arc buckle, brake block spring, the banking stop and turn to drag hook of rising down, cutter are installed in slurcam one and slurcam two front ends.Said housing lower half inboard is provided with slurcam mounting groove, the anti-plate mounting groove that rises; In housing lower half front end arranged outside the brace mounting groove is arranged, arranged outside has banking stop mounting groove, locking brake block mounting groove, turns to drag hook mounting groove and positioning and locking boss in the housing lower half rear end.Said upper half-shell inboard is provided with slurcam mounting groove, the anti-plate mounting groove that rises.
Slurcam three clampings are installed in the slurcam mounting groove of housing lower half after between slurcam one and slurcam two; Two blocks of anti-plates that rise are installed in respectively in the anti-plate mounting groove that rises of housing lower half; Two H shape pieces are installed on two anti-plate both sides of rising respectively; Be used to be used for fixing the anti-plate that rises, turn to the drag hook dress to be inserted in turning in the drag hook mounting groove of housing lower half.Turn to the drag hook front end to be installed between adaptor and the following adaptor, connect through connecting pin.Fixation fork is installed in the slurcam rear end together with actuating sleeve after being installed in the actuating sleeve draw-in groove, and banking stop is installed in the housing lower half banking stop mounting groove, is used to limit the slurcam position.The brake block spring is installed in locking brake block front end, and the locking brake block is installed in the housing lower half rear end locking brake block mounting groove, and it is outside that the arc buckle is installed on the locking brake block, is used to lock the brake block location.Last adaptor is connected through connecting pin with following adaptor; Last brace, following brace are installed in respectively on upper binding head, the lower union joint boss; Upper half-shell is installed on the housing lower half, and last brace, following brace rear end are contained in respectively in the brace mounting groove of upper half-shell, housing lower half.
Be installed in the sleeve pipe after upper half-shell and the housing lower half assembling.
Operation principle
During the supporting use of the replaceable osculating device of disposable intracavity Endo-GIA and disposable intracavity Endo-GIA; The replaceable osculating device of different size all can be contained in the thimble assembly rear end in the fixed sleeving front aperture of disposable intracavity Endo-GIA, and the connecting rod front end of the positioning and fixing that turns an angle in fixed sleeving front end fixed sleeving is connected with slurcam one, slurcam two, slurcam three rear ends through actuating sleeve; The positioning and locking boss fixing and locking of housing lower half rear end is at the fixed sleeving front end; Hold disposable intracavity Endo-GIA handle, the pulling flexible handle makes nail supporting base and nail bin closed; Replaceable osculating device is inserted patient's intraperitoneal through puncture outfit; The pulling reseting handle is opened nail supporting base and nail bin, the patient need be cut identical tissue put between nail supporting base and the nail bin, and the pulling flexible handle is with clamp tissue; Insurance is opened; Spur flexible handle once more and promote slurcam one, two, three through connecting rod, drive pushing block promotion anastomosis staple will be organized and coincide, and drive cutter simultaneously and cut and organize.
The replaceable osculating device of disposable intracavity Endo-GIA is reasonable in design; Compact conformation; The replaceable osculating device of different size all can be inserted in the fixed sleeving front aperture of disposable intracavity Endo-GIA through thimble assembly rear end dress, turns an angle; Positioning and fixing uses replacing very convenient at the fixed sleeving front end.The osculating device of different size goes for the different parts osculating, samely goes for different size osculating device to apparatus and uses, and can reduce the apparatus production cost greatly and reduce the patient medical expense.Because nail supporting base, nail bin is that linear can make things convenient for folding through flexible handle, nail pushing plate one, two, three; Last, half housing, housing lower half turns to drag hook that parts all are arranged in the sleeve pipe, and volume is little; In Minimally Invasive Surgery, can carry out the osculating broadsword play through the convenient patient's intraperitoneal that inserts of perforator; Success rate of operation is high, and less patient suffering is little, and physical recovery is fast.
Description of drawings
Below will combine accompanying drawing that the present invention is described further:
Fig. 1 is the replaceable osculating device user mode sketch map of disposable intracavity Endo-GIA.
Fig. 2 is the replaceable osculating device sketch map of disposable intracavity Endo-GIA.
Fig. 3 is the replaceable osculating device nail bin groupware structural representation of disposable intracavity Endo-GIA.
Fig. 4 is the nail bin structural representation of the replaceable osculating device nail bin groupware of disposable intracavity Endo-GIA.
Fig. 5 is the nail bin A-A cutaway view of replaceable osculating device nail bin groupware of the disposable intracavity Endo-GIA of Fig. 4.
Fig. 6 is the nail bin holder structure sketch map of the replaceable osculating device nail bin groupware of disposable intracavity Endo-GIA.
Fig. 7 is the replaceable osculating device thimble assembly structural representation of disposable intracavity Endo-GIA.
Fig. 8 is the replaceable osculating device thimble assembly upper half-shell structural representation of disposable intracavity Endo-GIA.
Fig. 9 is the replaceable osculating device thimble assembly housing lower half inside structure sketch map of disposable intracavity Endo-GIA.
Figure 10 is the replaceable osculating device thimble assembly housing lower half outboard structure sketch map 1 of disposable intracavity Endo-GIA.
Figure 11 is the replaceable osculating device thimble assembly housing lower half outboard structure sketch map 2 of disposable intracavity Endo-GIA.
The specific embodiment
With reference to accompanying drawing 1～11; The replaceable osculating device of disposable intracavity Endo-GIA is made up of nail bin groupware 1, thimble assembly 2; Nail bin groupware 1 is installed in thimble assembly 2 front ends, and nail bin groupware 1 comprises nail supporting base 1-1, nail bin 1-2, anastomosis staple 1-3, pushing slice of nail 1-4, pushing block 1-5 and nail bin seat 1-6.Nail bin 1-2 tool is provided with plurality of rows anastomosis staple groove 1-2-1 (6 row's anastomosis staple groove), is that the center is divided into two groups with cutter groove 1-2-2, and every two adjacent groups nail bin face is step surface; The middle part is high; Both sides are low, and (see accompanying drawing 5 step surface a, step surface b, step surface c, step surface c is higher than step surface b, step surface a); Compressing reduces to tissue, and is less to tissue injury.Be provided with cutter groove 1-2-2 at nail bin 1-2 middle part, in nail bin 1-2 both sides fixing lug boss 1-2-3 arranged, nail bin 1-2 rear portion is provided with pushing block mounting groove 1-2-4.
Nail bin seat 1-6 has nail bin mounting groove 1-6-1, is provided with cutter sliding tray 1-6-2 in nail bin mounting groove 1-6-1 bottom, is provided with fixed groove 1-6-3, dowel hole one 1-6-4 in nail bin seat 1-6 both sides.Pushing slice of nail 1-4 is installed in the anastomosis staple groove 1-2-1; Pushing block 1-7 is installed in the pushing block mounting groove 1-2-4; Nail bin 1-2 is installed in the nail bin mounting groove 1-6-1 of nail bin seat 1-6; The fixing lug boss 1-2-1 of nail bin 1-2 matches with the fixed groove 1-6-3 of nail bin seat 1-6, and anastomosis staple 1-3 is installed in the anastomosis staple groove 1-2-1.
Nail supporting base 1-1 middle part is provided with cutter groove 1-1-1, and nail supporting base 1-1 is provided with anastomosis staple grooving 1-1-2, and the nail supporting base rear portion is provided with nail supporting base dowel hole 1-1-3, dowel hole two 1-1-4.The nail bin seat 1-6 that nail bin 1-2 is housed is installed on the thimble assembly 2 anterior union joints through alignment pin 2-12; Nail supporting base dowel hole 1-1-3 is sleeved on down on the adaptor boss 2-7, is installed in adaptor 2-6 front end through alignment pin 2-12 after dowel hole one 1-1-5 of nail supporting base aligns with dowel hole two 1-1-4 of nail supporting base.
Slurcam three 2-11 clampings are installed in the slurcam mounting groove 2-22 of housing lower half after between slurcam one 2-9 and slurcam two 2-10; Two anti-plate 2-13 that rise are installed in respectively in the anti-plate mounting groove 2-23 that rises of housing lower half 2-5; Two H shape piece 2-14 are installed on two anti-plate 2-13 both sides of rising respectively; Be used to be used for fixing the anti-plate 2-13 that rises, turn to drag hook 2-21 dress to be inserted in turning in the drag hook mounting groove 2-24 of housing lower half 2-5.Turn to drag hook 2-21 front end to be installed between adaptor 2-6 and the following adaptor 2-7, connect through connecting pin 2-29.Fixation fork 2-15 is installed in the slurcam rear end together with actuating sleeve 2-6 after being installed in the actuating sleeve 2-16 draw-in groove, and banking stop 2-20 is installed in the housing lower half banking stop mounting groove 2-26, is used to limit the slurcam position.Brake block spring 2-19 is installed in locking brake block 2-17 front end, and locking brake block 2-17 is installed in the housing lower half 2-5 rear end locking brake block mounting groove 2-27, and it is outside that arc buckle 2-18 is installed on locking brake block 2-17, is used to lock brake block 2-17 location.Last adaptor 2-6 is connected through connecting pin 2-29 with following adaptor 2-7; Last brace 2-2, following brace 2-3 are installed in respectively on upper binding head 2-6, the lower union joint 2-7 boss; Upper half-shell 2-4 is installed on the housing lower half 2-5, and last brace 2-2, following brace 2-3 rear end are contained in respectively in the brace mounting groove of upper half-shell, housing lower half.
Be installed in the sleeve pipe 2-1 after upper half-shell 2-4 and the housing lower half 2-5 assembling.
During the supporting use of the replaceable osculating device of disposable intracavity Endo-GIA and disposable intracavity Endo-GIA; The replaceable osculating device of different size all can be contained in thimble assembly 2 rear ends in fixed sleeving 3 front aperture of disposable intracavity Endo-GIA; The connecting rod front end of the positioning and fixing that turns an angle in fixed sleeving 3 front end fixed sleevings 3; Be connected with slurcam one 2-9, slurcam two 2-10, slurcam three 2-11 rear ends through actuating sleeve 2-16, the positioning and locking boss fixing and locking of lower half shell 2-5 body rear end holds disposable intracavity Endo-GIA fixed handle 5 at fixed sleeving 3 front ends; Pulling flexible handle 4; Make nail supporting base 1-1 and nail bin 1-2 closed, replaceable osculating device is inserted patient's intraperitoneal through puncture outfit, pulling reseting handle 6 is opened nail supporting base 1-1 and nail bin 1-2; The patient need be cut identical tissue to put between nail supporting base 1-1 and the nail bin 1-2; Pulling flexible handle 4 is opened clamp tissue with insurance, spur flexible handle 4 once more and promote slurcam one 2-9, slurcam two 2-10, slurcam three 2-11 through connecting rod; Drive pushing block 1-5 promotion anastomosis staple 1-3 will organize and coincide, and drive cutter 2-8 simultaneously and cut and organize.
Claims (2)
1. the replaceable osculating device of a disposable intracavity Endo-GIA is characterized in that being made up of nail bin groupware, thimble assembly; Nail bin groupware is installed in the thimble assembly front end; Nail bin groupware comprises nail supporting base, nail bin, anastomosis staple, pushing slice of nail, pushing block and nail bin seat; Nail bin is provided with plurality of rows anastomosis staple groove; Be provided with the cutter groove at the nail bin middle part, in the nail bin both sides fixing lug boss arranged, the nail bin rear portion is provided with the pushing block mounting groove;
The nail bin seat has the nail bin mounting groove; Be provided with the cutter sliding tray in nail bin mounting groove bottom, be provided with fixed groove, dowel hole one in nail bin seat both sides, pushing slice of nail is installed in the anastomosis staple groove; Pushing block is installed in the pushing block mounting groove; Nail bin is installed in the nail bin mounting groove of nail bin seat, and the fixing lug boss of nail bin matches with the fixed groove of nail bin seat, and anastomosis staple is installed in the anastomosis staple groove;
The nail supporting base middle part is provided with the cutter groove; Nail supporting base is provided with the anastomosis staple grooving; The nail supporting base rear portion is provided with nail supporting base dowel hole, dowel hole two; The nail bin seat that nail bin is housed is installed on the anterior union joint of thimble assembly through alignment pin, and the nail supporting base dowel hole is sleeved on the adaptor boss, is installed in the adaptor front end through said alignment pin after the dowel hole one of nail bin seat aligns with the dowel hole two of nail supporting base;
Thimble assembly comprises sleeve pipe, goes up brace, brace, upper half-shell, housing lower half, said adaptor, adaptor, cutter, slurcam one, slurcam two, slurcam three, alignment pin, anti-plate, H shape piece, fixation fork, actuating sleeve, locking brake block, arc buckle, brake block spring, the banking stop and turn to drag hook of rising down gone up down; Cutter are installed in slurcam one and slurcam two front ends; Said housing lower half inboard is provided with slurcam mounting groove, the anti-plate mounting groove that rises; In housing lower half front end arranged outside the brace mounting groove is arranged, arranged outside has banking stop mounting groove, locking brake block mounting groove, turns to drag hook mounting groove and positioning and locking boss in the housing lower half rear end; Said upper half-shell inboard is provided with slurcam mounting groove, the anti-plate mounting groove that rises;
Slurcam three clampings are installed in the slurcam mounting groove of housing lower half after between slurcam one and slurcam two; Two blocks of anti-plates that rise are installed in respectively in the anti-plate mounting groove that rises of housing lower half; Two H shape pieces are installed on two anti-plate both sides of rising respectively, are used for fixing the anti-plate that rises; Turn to the drag hook dress to be inserted in turning in the drag hook mounting groove of housing lower half, turn to the drag hook front end to be installed between adaptor and the following adaptor, connect through connecting pin; Fixation fork is installed in the slurcam rear end together with actuating sleeve after being installed in the actuating sleeve draw-in groove, and banking stop is installed in the housing lower half banking stop mounting groove, is used to limit the slurcam position; The brake block spring is installed in locking brake block front end, and the locking brake block is installed in the housing lower half rear end locking brake block mounting groove, and it is outside that the arc buckle is installed on the locking brake block, is used to lock the brake block location; Last adaptor is connected through connecting pin with following adaptor; Last brace, following brace are installed in respectively on adaptor, the following adaptor boss; Upper half-shell is installed on the housing lower half, and last brace, following brace rear end are contained in respectively in the brace mounting groove of upper half-shell, housing lower half; Be installed in the sleeve pipe after upper half-shell and the housing lower half assembling.
2. the replaceable osculating device of disposable intracavity Endo-GIA according to claim 1; It is characterized in that the plurality of rows anastomosis staple groove that is provided with on the said nail bin, is that the center is divided into two groups with the cutter groove, and every two adjacent groups nail bin face is step surface; The middle part is high, and both sides are low.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201110155844 CN102178552B (en) | 2011-06-10 | 2011-06-10 | Replaceable stapling and cutting devices of disposable endo-GIA (gastrointestinal anastomosis) stapler |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201110155844 CN102178552B (en) | 2011-06-10 | 2011-06-10 | Replaceable stapling and cutting devices of disposable endo-GIA (gastrointestinal anastomosis) stapler |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN102178552A CN102178552A (en) | 2011-09-14 |
| CN102178552B true CN102178552B (en) | 2012-12-12 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN 201110155844 Active CN102178552B (en) | 2011-06-10 | 2011-06-10 | Replaceable stapling and cutting devices of disposable endo-GIA (gastrointestinal anastomosis) stapler |
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| CN (1) | CN102178552B (en) |
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| KR102111471B1 (en) | 2011-11-15 | 2020-05-19 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | Surgical instrument with stowing knife blade |
| CN103181796A (en) * | 2011-12-30 | 2013-07-03 | 苏州天臣国际医疗科技有限公司 | Surgical apparatus |
| US9498215B2 (en) | 2012-12-31 | 2016-11-22 | Intuitive Surgical Operations, Inc. | Surgical staple cartridge with enhanced knife clearance |
| CN103690216B (en) * | 2014-01-07 | 2015-09-30 | 四川大学华西医院 | Abdominal and the dual-purpose line cutting stitching instrument of laparo-assisted |
| CN103829984A (en) * | 2014-03-07 | 2014-06-04 | 常州威克医疗器械有限公司 | Suturing nail pushing block subassembly |
| CN103860229B (en) * | 2014-03-19 | 2015-12-30 | 常州威克医疗器械有限公司 | Disposable intracavity Endo-GIA rotary joint assembly |
| CN107510484B (en) * | 2017-09-22 | 2023-06-23 | 江苏孜航精密五金有限公司 | Clamping anastomat of disposable endoluminal incision anastomat |
| CN107714121B (en) * | 2017-11-13 | 2023-06-13 | 江苏孜航精密五金有限公司 | Nail supporting seat assembly of disposable endoluminal cutting anastomat and manufacturing method thereof |
| CN108354652A (en) * | 2018-02-08 | 2018-08-03 | 南昌元合泽众科技有限公司 | A kind of reusable ultrasonic surgical blade |
| CN108969042A (en) * | 2018-09-28 | 2018-12-11 | 江苏孜航精密五金有限公司 | Reuse the percussion component of the hysteroscope Endo-GIA body of a gun |
| CN110292408A (en) * | 2019-07-30 | 2019-10-01 | 舒拓 | Mounting structure for disposable hysteroscope Endo-GIA nail bin groupware |
| CN112914644B (en) * | 2021-01-25 | 2022-05-17 | 重庆迈科唯医疗科技有限公司 | Endoscope anastomat |
| CN113616260B (en) * | 2021-08-24 | 2022-08-26 | 常州安康医疗器械有限公司 | Anastomat is with identical nail seat convenient to installation is dismantled |
| CN115068029B (en) * | 2022-06-08 | 2023-10-27 | 宝玛医疗科技(无锡)有限公司 | Double-connecting-rod anastomat capable of preventing nail supporting seat and nail bin from falling off |
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| EP1621139A2 (en) * | 2004-07-28 | 2006-02-01 | Ethicon Endo-Surgery, Inc. | Articulating surgical stapling instrument |
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| CN202113112U (en) * | 2011-06-10 | 2012-01-18 | 常州威克医疗器械有限公司 | Changeable osculating device of disposable intracavity cutting stapler |
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| EP1621139A2 (en) * | 2004-07-28 | 2006-02-01 | Ethicon Endo-Surgery, Inc. | Articulating surgical stapling instrument |
| CN101292888A (en) * | 2006-10-03 | 2008-10-29 | 伊西康内外科公司 | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
| CN201453315U (en) * | 2008-11-20 | 2010-05-12 | 曲直 | Medical disposal stream-line tube-type anastomat |
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| CN102178552A (en) | 2011-09-14 |
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