CN103181801B - Linear suturing and cutting instrument - Google Patents

Linear suturing and cutting instrument Download PDF

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Publication number
CN103181801B
CN103181801B CN201110454910.3A CN201110454910A CN103181801B CN 103181801 B CN103181801 B CN 103181801B CN 201110454910 A CN201110454910 A CN 201110454910A CN 103181801 B CN103181801 B CN 103181801B
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China
Prior art keywords
push button
slide block
lock dog
linear stapling
lower clamp
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CN201110454910.3A
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CN103181801A (en
Inventor
陈望东
单腾
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Suzhou Tianchen International Medical Technology Co Ltd
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Touchstone International Medical Science Co Ltd
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Priority to CN201110454910.3A priority Critical patent/CN103181801B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially

Abstract

The invention discloses a linear suturing and cutting instrument, which comprises an upper forceps holder, a lower forceps holder, ejector pin rods capable of moving simultaneously, a push-type cutter arbor with a cutter at a far end, a locking piece and a slide block which are pluggable mutually, and two push buttons symmetrically and pivotally arranged on two sides of the locking piece. When the slide block is plugged with the locking piece, the two push buttons are drawn in two sides of the lower forceps holder; and when the slide block is separated from the locking piece, only one push button is opened and is relatively fixed on the slide block, and the other push button is drawn in and is relatively fixed on the locking piece. The linear suturing and cutting instrument has the beneficial effects that the two push buttons are simultaneously drawn in and clung to the forceps holders, so that the size of the whole instrument can be relatively reduced, and the packaging and transportation cost can also be relatively reduced; when one of the two push buttons pushes the slide block to move, the other push button is fixed on the locking piece, so that the occurrence of the phenomenon that the push button at a non-working state is moved to clamp a medical glove of a doctor is avoided; and the linear suturing and cutting instrument has a simple structure, is convenient to assemble, and is very practical.

Description

Linear stapling cutter
Technical field
The present invention relates to a kind of medical stapling instrument, especially a kind of Linear stapling cutter of surgical operation, belongs to technical field of medical instruments.
Background technology
Surgical operation Linear stapling cutter is widely used in wound suture, interior tissue is sewed up and cutting.Typical Linear stapling cutter as US Patent No. 5129570 disclose, have simultaneously sew up with cutting two functions, namely while carrying out wound suture by unnecessary cutting tissue.Such Linear stapling cutter generally comprises upper and lower two clamps, is oppositely arranged on nail anvil and the nail bin of upper and lower clamp far-end, and for closing the closed handle of upper and lower clamp; Be provided with the push broach bar that can be provided with cutting knife along the ejector pin bar of apparatus axis movement simultaneously and far-end in this nail bin, one end of described ejector pin bar and push broach bar is all disposed on a slide block; Described nail bin surface is provided with several nail along the arrangement of apparatus axis, is provided with pushing slice of nail and suturing nail in each nail; Described slide block moves and drives described ejector pin bar to promote pushing slice of nail successively and push described suturing nail to nail anvil to form in tissue to be stapled, and drives described cutting knife to be cut off or otch by the tissue between described nail bin and nail anvil.
The outside of all apparatuses for driving the push button of described slide block movement to be generally all arranged on upper and lower clamp, so that doctor's operation, as US Patent No. 5129570 discloses a kind of push button for promoting slide block, ejector pin bar, cutting knife movement, described push button is relative with slide block fixing, and stretches out in left side or the right side of described upper and lower clamp.The deficiency of the push button of this structure is: doctor can only promote push button in the side of upper and lower clamp, once when apparatus is placed in a special operating position, when causing doctor can not control this push button well, then can reduce the operation comfort of this Linear stapling cutter widely.And on the other hand, the handedness of doctor also can cause the use inconvenience of this apparatus.
In order to solve above-mentioned technical problem, US Patent No. 7419081, US7568604 disclose a kind of pushing button structure of novel " W " type, this push button and slide block pivotally connected, two of this push button operating portions are selectively stretched out in outside the clamp of apparatus.When doctor needs to promote push button from left side, then stretch out in outside clamp by the push button operating portion on the left of clamp, the push button operating portion now on the right side of clamp then draws in and is closely attached on clamp.In general, clamp also can be installed with one outward for the protection of the plastics clamp shell of clamp, then the push button operating portion drawn in can be adjacent to clamp shell.The deficiency of the push button of this structure is, the operating portion of push button both sides can not side by side draw in, and the space of apparatus entirety can be made to become large, and packaging and cost of transportation increase.And prior art also has a topmost problem: when doctor promotes the left side push button operating portion stretched out in outside clamp, to draw in and the push button operating portion being closely attached on the right side of clamp also can move along with slide block together, because the operating habit of doctor is for live clamp shell with hand rest, at this moment the push button operating portion on right side can pass from the gap between the palm of the hand of doctor and clamp shell, the medical gloves of doctor probably can clip between push button operating portion and clamp by the push button operating portion on right side in the process of movement, thus cause all can not moving before and after push button, cause malpractice.
Summary of the invention
Object of the present invention: propose a kind of Linear stapling cutter with novel push button, this push button can draw in simultaneously be closely attached on clamp.
Object of the present invention, will be achieved by the following technical programs:
A kind of Linear stapling cutter, comprising: the upper and lower clamp that can mutually close or open, is oppositely arranged on nail anvil and the nail bin of upper and lower clamp far-end respectively; Be provided with the push broach bar that can be provided with cutting knife along the ejector pin bar of described Linear stapling cutter axis movement simultaneously and far-end in described nail bin, described Linear stapling cutter also comprises:
One lock dog, described lock dog is fixed on described lower clamp;
One slide block, one end of described ejector pin bar and push broach bar is all disposed in the side of described slide block, and described slide block is connected to separably on described lock dog and also can moves relative to described lock dog;
Be symmetrically set in two push buttons of lock dog both sides, be respectively left push button and right push button, described left push button and right push button are all pivotally located on described lock dog or slide block;
When described slide block and described lock dog link together, described left push button and right push button are in original state, and all draw in the both sides of lower clamp; When described slide block is separated with described lock dog, has and only have a push button to open and be relatively fixed on described slide block, another push button described draws in and is relatively fixed on described lock dog.
Preferably, the side of described slide block is connected on described lock dog along its axis plug-in type.
Preferably, described lock dog comprises one for the body fixing with clamp, the front end symmetry of described body is extended with two elasticity male arms, and described elasticity male arms is drawn in opposite directions in the situation of not stressing, and the distance between two elasticity male arms after described gathering is less than the insertion section of described slide block.
Preferably, the top of described lock dog is provided with an imperfect first circular lock hook, the top of described slide block is corresponding is provided with an imperfect second circular lock hook, when described slide block inserts along its axis and is connected on described lock dog, described first lock hook and the second lock hook form a complete annulus.
Preferably, the top contact place of described annulus and lock dog and slide block is provided with the groove of a week, the corresponding raised line being provided with a week on described left push button and right push button.
Preferably, the end face of described elasticity male arms is provided with the projection of sliding in a groove for limiting raised line.
Preferably, described left push button and right push button are equipped with a lozenges, the symmetrical corresponding setting of described two lozenges, when one of them push button opens and stretches out in outside described lower clamp, are located at two lozenges laminatings on left push button and right push button respectively.This structure makes the present invention have and only has a push button expansible and stretch out in outside described lower clamp
Preferably, positive stop lug boss after the end face of described slide block being also provided with, is provided with a through hole, is provided with a hitching post slidably in described through hole in described rear positive stop lug boss; Accordingly, described left push button and right push button are equipped with one for dodging the arc groove of described rear positive stop lug boss, and a circular hole for making described hitching post insert.
Preferably, be coordinate with described lower clamp bottom described hitching post, and the wedge base driven by described lower clamp.
Preferably, the end face of described slide block is also provided with a front limit boss, when one of them push button described opens and stretches out in outside described lower clamp, described push button and described front limit boss match.
Beneficial effect of the present invention is mainly reflected in:
(1) two push button draws in simultaneously and is closely attached on clamp, relatively can reduce the volume of apparatus entirety, and packaging also can reduce relatively with cost of transportation;
(2) when two push buttons one of them promote slide block move time, another push button is fixed on lock dog, thus avoid the push button of off working state to move and clip to doctor's medical gloves situation produce;
(3) structure is simple, easy to assembly, is very suitable for practicality.
Accompanying drawing explanation
Fig. 1 is the schematic perspective view of the lock dog of Linear stapling cutter of the present invention.
Fig. 2 is the front view of the lock dog of Linear stapling cutter of the present invention.
Fig. 3 is the schematic perspective view of the slide block of Linear stapling cutter of the present invention.
Fig. 4 is another schematic perspective view of the slide block of Linear stapling cutter of the present invention.
Fig. 5 is the three-dimensional cutaway view of the slide block of Linear stapling cutter of the present invention.
Fig. 6 is the schematic perspective view of the push button of Linear stapling cutter of the present invention.
Fig. 7 is another schematic perspective view of the push button of Linear stapling cutter of the present invention.
Fig. 8 is the sectional perspective schematic diagram of Linear stapling cutter of the present invention, now only shows a push button.
The front view of afterbody when Fig. 9 is Linear stapling cutter original state of the present invention.
The top view of afterbody when Figure 10 is Linear stapling cutter original state of the present invention.
Figure 11 is the front view of the afterbody of Linear stapling cutter of the present invention when opening one of them push button.
Figure 12 is the top view of the afterbody of Linear stapling cutter of the present invention when opening one of them push button.
Figure 13 is the sectional view along A-A in Figure 12.
Figure 14 is the front view that Linear stapling cutter of the present invention promotes the local after one of them push button.
Figure 15 is the front view of the local of the push button be pushed of Linear stapling cutter of the present invention.
Figure 16 is the top view that Linear stapling cutter of the present invention promotes the local after one of them push button.
Figure 17 is the top view of the local of the push button be pushed of Linear stapling cutter of the present invention.
Figure 18 is the sectional view along B-B in Figure 17.
Detailed description of the invention
Present invention is disclosed a kind of Linear stapling cutter, like the prior art, comprising: the upper and lower clamp that can mutually close or open, the far-end of described upper clamp is provided with nail anvil, the far-end of lower clamp is provided with nail bin, described lower clamp is gone back pivot and is provided with a closed handle for closed upper and lower clamp.
Described lower clamp 1 is ∪ shape, is provided with to be provided with in push broach bar 3(Fig. 8 of cutting knife along the ejector pin bar 2 of described apparatus axial sliding movement and far-end to disclose in it), described nail bin 7 is arranged in this U-shaped structure.
In the preferred embodiments of the present invention, Linear stapling cutter also comprises: a lock dog 4, and described lock dog 4 is fixed on described lower clamp 1; One slide block 5, one end of described ejector pin bar 2 and push broach bar 3 is all disposed in the side of described slide block 5, and the opposite side of described slide block 5 is connected on described lock dog 4 along its axis plug-in type; Be symmetrically set in two push buttons of lock dog both sides, be respectively left push button 61 and right push button 62, described left push button 61 and right push button 62 are all pivotally located on described lock dog 4 or slide block 5.
Specifically see figures.1.and.2, described lock dog 4 comprises one for the body 41 fixing with clamp, the front end symmetry of described body 41 is extended with two elasticity male arms 42, described elasticity male arms 42 draws (in figure the direction of arrow) in opposite directions in the situation of not stressing, and the distance between two elasticity male arms 42 after described gathering is less than the insertion section 52 of described slide block 5.
Shown in composition graphs 3 to Fig. 5, described slide block 5 comprises a body 51, and the rear end of described body is the insertion section 52 for inserting in described lock dog 4.After in the gap 43 that described insertion section 52 extend between two elasticity male arms 42, because the thickness of insertion section 52 is comparatively large, so described elasticity male arms 42 can be supportted all outward.Such elasticity male arms 42 will produce a clamping force to slide block 5, and described lock dog 4 and slide block 5 are fixed together when original state.
Shown in composition graphs 1 to Fig. 5, the top 44 of described lock dog 4 is provided with an imperfect first circular lock hook 45, the top 54 of described slide block 5 is corresponding is provided with an imperfect second circular lock hook 55, when described slide block 5 to insert along its axis and is connected on described lock dog 4 (describing in detail above), described first lock hook 45 and the second lock hook 55 form a complete annulus 90, annulus is herein the closed hoop of broad sense, is not the regular circle ring of narrow sense, as shown in Figure 8.
The contact position at the top 44,54 of described annulus 90 and lock dog 4 and slide block 5 is provided with the groove 91 of a week, and the groove 56 of groove 46 and slide block 5 that the groove 9 of described a week is respectively lock dog 4 is spliced.Shown in composition graphs 6 and Fig. 7, the corresponding raised line 63 being provided with a week on described right push button 62.Due to the structure of left push button 61 and the symmetrical configuration of right push button 62, therefore disclose the concrete structure of push button herein for right push button 62.When the clamping of described raised line 63 enters after in described groove 91, this raised line 63 can freely slide in described groove 91.During installation, first lock dog 4 can be fixed on (fixing mode has a lot, repeats no more) on lower clamp, and then raised line 63 is snapped in groove 46, and then slide block 5 be inserted described lock dog 4 internal fixtion.
Preferably, the top far-end that the end face 44 of described lock dog 4 is arranged in elasticity male arms 42 is provided with the projection 47 of sliding at groove 46 for limiting raised line 63.When original state, lock dog 4 and slide block 5 interfix, and the elasticity male arms 42 of both sides, to extending out, causes the position of protruding 47 to offset, namely away from groove 46.When slide block 5 departs from from lock dog 4, elasticity male arms 42 concaves, and at this moment described protruding 47 can be positioned at the upper of described groove 46, raised line 63 so just can be stoped to slide in groove 46, namely stop the rotation of push button further.
Shown in composition graphs 3 to Fig. 5, positive stop lug boss 57 after the end face 54 of described slide block 5 being also provided with, is provided with a through hole 58, is provided with its structure of hitching post 7(slidably and hereinafter describes in detail in described through hole 58 in described rear positive stop lug boss); Accordingly, described left push button 61 and right push button 62 are equipped with one for dodging the arc groove 64 of described rear positive stop lug boss 57, and a circular hole 65 for making described hitching post 7 insert.
The end face 54 of described slide block 5 is also provided with a front limit boss 59, when one of them push button 61,62 described opens and stretches out in outside described lower clamp 1, described push button 61,62 and described front limit boss 59 match.
Shown in composition graphs 6, Fig. 7 and Figure 12, described left push button 61 and right push button 62 are equipped with an operating portion 66, distalmost end at a distance of shown operating portion 66 is a lozenges 67, as shown in figure 12, the symmetrical corresponding setting of described two lozenges 67, when one of them push button 62 opens and stretches out in outside described lower clamp, two lozenges 67 be located at respectively on left push button 61 and right push button 62 are fitted.
The schematic diagram of afterbody during Linear stapling cutter original state of the present invention as shown in Figure 9 and Figure 10, now shown slide block 5 inserts described lock dog 4 internal fixtion, described first lock hook 45 and the second lock hook 55 form a complete annulus 90, and described two push buttons 61,62 all draw in and are closely attached on described lower clamp 1.So-called " draw in and be adjacent to " refers to that the outermost side of push button 61,62 is now the shortest to the distance of described lower clamp 1.Because protruding 47 do not work, therefore any one push button 61,62 expansible stretching out in outside described lower clamp 1.As shown in Figure 11 to Figure 13, so-called " open and stretch out " refers to that the surface of the operating portion 66 of right push button 62 is vertical with its running route, and namely in figure, the operating portion 66 of right push button 62 has carried out percussion preparation.When shown push button 61,62 opens, it can rotate around the centrage of annulus 90.
Now, because described two lozenges 67 are bonded to each other, right push button 62 opened and stretches out in after outside described lower clamp 1, limiting left push button 61 and open and stretch out in outside described lower clamp 1.In like manner, open when left push button 61 and stretch out in after outside described lower clamp 1, also can limit right push button 62 and open and stretch out in outside described lower clamp 1.So just guarantee only only have a push button to open and stretch out in outside described lower clamp 1.
When this preferred embodiment reaches the state shown in Figure 11 and Figure 13, doctor can promote right push button 62, and now due to the effect of the second lock hook 55 and front limit boss 59, right push button 62 can be with movable slider 5 to move forward, and lock dog 4 shown in departing from, reach the state as shown in Figure 14 to Figure 17.Now, left push button 61 makes it be fixed on described lock dog 4 due to the effect of projection 47.Namely, when described slide block 5 is separated with described lock dog 4, have and only have a push button to open and be fixed on described slide block 5, another push button described draws in and is fixed on described lock dog 4.
Shown in Figure 13 and Figure 18, for coordinate with described lower clamp 1 bottom described hitching post 7, and the wedge base 70 driven by described lower clamp 1.As shown in fig. 13 that under original state, described hitching post 7 does not enter in the circular hole 65 of push button; When reaching the state shown in Figure 18 after slide block 5 is released by right push button 62, wedge base 70 oppressed by lower clamp 1, and hitching post 7 is extend in circular hole 65.Like this after operation, when back pulling ejector pin bar 2 and push broach bar 3 by right push button 62, right push button 62 by described second lock hook 55 and hitching post 7 limit and can not rotate.Certainly, what drive hitching post 7 to move is not to play clamp 1, also can be fixed on the pad etc. on lower clamp 1.
Effect of the present invention is: two push buttons 61,62 can draw in simultaneously and be closely attached on clamp, relatively can reduce the volume of apparatus entirety, and packaging also can reduce relatively with cost of transportation; When two push buttons one of them promote slide block 5 move time, another push button is fixed on lock dog 4, thus avoid the push button of off working state (the left push button 61 of preferred embodiment) move and clip to doctor's medical gloves situation generation.Novel structure of the present invention is simple, is suitable for promoting.
Expression position described in the present invention and the word in direction are all using exercises on apparatus author as reference, and be near-end or rear end near one end of operator, the one end away from operator is far-end or front end.
The present invention still has numerous embodiments, all employing equivalents or equivalent transformation and all technical schemes formed, and all drops within protection scope of the present invention.

Claims (10)

1. a Linear stapling cutter, comprising: the upper and lower clamp that can mutually close or open, and is oppositely arranged on nail anvil and the nail bin of upper and lower clamp far-end respectively; Be provided with the push broach bar that can be provided with cutting knife along the ejector pin bar of described Linear stapling cutter axis movement simultaneously and far-end in described nail bin, it is characterized in that: described Linear stapling cutter also comprises,
One lock dog, described lock dog is fixed on described lower clamp;
One slide block, one end of described ejector pin bar and push broach bar is all disposed in the side of described slide block, and described slide block is connected to separably on described lock dog and also can moves relative to described lock dog;
Be symmetrically set in two push buttons of lock dog both sides, be respectively left push button and right push button, described left push button and right push button are all pivotally located on described lock dog or slide block;
When described slide block and described lock dog link together, described left push button and right push button are in original state, and all draw in the both sides of lower clamp;
When described slide block is separated with described lock dog, has and only have a push button to open and be relatively fixed on described slide block, another push button described draws in and is relatively fixed on described lock dog.
2. Linear stapling cutter according to claim 1, is characterized in that: the side of described slide block is connected on described lock dog along its axis plug-in type.
3. Linear stapling cutter according to claim 2, it is characterized in that: described lock dog comprises one for the body fixing with clamp, the front end symmetry of described body is extended with two elasticity male arms, described elasticity male arms is drawn in opposite directions in the situation of not stressing, and the distance between two elasticity male arms after described gathering is less than the insertion section of described slide block.
4. Linear stapling cutter according to claim 3, it is characterized in that: the top of described lock dog is provided with an imperfect first circular lock hook, the top of described slide block is corresponding is provided with an imperfect second circular lock hook, when described slide block inserts along its axis and is connected on described lock dog, described first lock hook and the second lock hook form a complete annulus.
5. Linear stapling cutter according to claim 4, is characterized in that: the top contact place of described annulus and lock dog and slide block is provided with the groove of a week, the corresponding raised line being provided with a week on described left push button and right push button.
6. Linear stapling cutter according to claim 5, is characterized in that: the end face of described elasticity male arms is provided with the projection of sliding in a groove for limiting raised line.
7. Linear stapling cutter according to claim 6, it is characterized in that: described left push button and right push button are equipped with a lozenges, the symmetrical corresponding setting of described two lozenges, when one of them push button opens and stretches out in outside described lower clamp, be located at two lozenges laminatings on left push button and right push button respectively.
8. Linear stapling cutter according to claim 7, is characterized in that: positive stop lug boss after the end face of described slide block being also provided with, is provided with a through hole, is provided with a hitching post slidably in described through hole in described rear positive stop lug boss; Accordingly, described left push button and right push button are equipped with one for dodging the arc groove of described rear positive stop lug boss, and a circular hole for making described hitching post insert.
9. Linear stapling cutter according to claim 8, is characterized in that: for coordinate and the wedge base driven by described lower clamp with described lower clamp bottom described hitching post.
10. Linear stapling cutter according to claim 9, is characterized in that: the end face of described slide block is also provided with a front limit boss, and when one of them push button described opens and stretches out in outside described lower clamp, described push button and described front limit boss match.
CN201110454910.3A 2011-12-30 2011-12-30 Linear suturing and cutting instrument Active CN103181801B (en)

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Publication number Priority date Publication date Assignee Title
CN110420041A (en) * 2019-09-11 2019-11-08 舒拓 A kind of deformation-compensated mechanism of push broach rod bending suitable for stapler

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US4850355A (en) * 1987-04-06 1989-07-25 Richard-Allan Medical Industries, Inc. Hemostatic clip applicator for applying multiple hemostatic clips
US5129570A (en) * 1990-11-30 1992-07-14 Ethicon, Inc. Surgical stapler
JP2002165801A (en) * 2000-12-05 2002-06-11 Johnson & Johnson Kk Surgical suturing instrument, and suturing and cutting instrument
US20080283573A1 (en) * 2000-10-13 2008-11-20 Tyco Healthcare Group Lp Surgical Fastener Applying Apparatus
CN201949071U (en) * 2010-12-10 2011-08-31 苏州天臣国际医疗科技有限公司 Linear type cutting suturing device
CN202489986U (en) * 2011-12-30 2012-10-17 苏州天臣国际医疗科技有限公司 Linear suturing-cutting device

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Publication number Priority date Publication date Assignee Title
CN102058421B (en) * 2010-12-16 2012-04-11 苏州天臣国际医疗科技有限公司 Linear cutting and stitching instrument

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4850355A (en) * 1987-04-06 1989-07-25 Richard-Allan Medical Industries, Inc. Hemostatic clip applicator for applying multiple hemostatic clips
US5129570A (en) * 1990-11-30 1992-07-14 Ethicon, Inc. Surgical stapler
US20080283573A1 (en) * 2000-10-13 2008-11-20 Tyco Healthcare Group Lp Surgical Fastener Applying Apparatus
JP2002165801A (en) * 2000-12-05 2002-06-11 Johnson & Johnson Kk Surgical suturing instrument, and suturing and cutting instrument
CN201949071U (en) * 2010-12-10 2011-08-31 苏州天臣国际医疗科技有限公司 Linear type cutting suturing device
CN202489986U (en) * 2011-12-30 2012-10-17 苏州天臣国际医疗科技有限公司 Linear suturing-cutting device

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Address after: 215021 No. 278 Dongping Street, Suzhou Industrial Park, Jiangsu Province

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