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CN112494121B - Multi-phase stable adapter abdominal wall puncture device for laparoscopy - Google Patents

Multi-phase stable adapter abdominal wall puncture device for laparoscopy Download PDF

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Publication number
CN112494121B
CN112494121B CN202011557029.1A CN202011557029A CN112494121B CN 112494121 B CN112494121 B CN 112494121B CN 202011557029 A CN202011557029 A CN 202011557029A CN 112494121 B CN112494121 B CN 112494121B
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universal
sheath
special
adapter
adapting
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CN112494121A (en
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凌斌
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B17/3423Access ports, e.g. toroid shape introducers for instruments or hands

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  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
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  • Veterinary Medicine (AREA)
  • Endoscopes (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a multiphase stable adaptation abdominal wall puncture outfit for a cavity mirror, which is characterized by comprising a universal adaptation base, a special adaptation sheath tube, a universal screwing cap, an adapting cap, a universal adaptation needle core and a special taper tube cap. The universal adapting base is provided with a universal adapting interface, the special adapting sheath tube is provided with a universal adapting socket, the universal adapting socket is connected with the universal adapting interface, the special sheath tube of the special adapting sheath tube can be narrowed into different types of sheath tube inner diameter thickness, the universal screwing cap is screwed to fix the connection between the universal adapting base and the special adapting sheath tube, the universal adapting needle core is connected with special taper tube caps of different thickness types in a combined mode, and the requirements of the different thickness types of abdominal wall puncture sheath tubes in the abdominal wall puncture use are met. The invention realizes the combined connection of the base of the abdominal wall puncture outfit with a plurality of sheath tubes with different thicknesses and lengths, meets different clinical requirements and saves resources.

Description

Multiphase stable adaptation abdominal wall puncture outfit for endoscope
Technical Field
The invention relates to an operation auxiliary device which is applied to the establishment of an intra-abdominal wall internal and external channel in laparoscopic operation.
Background
The laparoscopic surgery is to set up a surgical channel in a sheath tube of an abdominal wall puncture outfit, inject high-pressure gas into the abdominal cavity to expand the abdominal cavity, generate a space, and put the laparoscopic surgery into a columnar laparoscope through a hollow tubular structure of the abdominal wall puncture outfit to observe the intra-abdominal-cavity surgical process, and the surgical instrument with a long handle is used to enter the abdominal cavity surgical operation through the hollow tubular structure of the abdominal wall puncture outfit. The abdominal wall puncture Kong Weixiao, also known as a "keyhole" procedure, results in less trauma and faster recovery than conventional open surgery. It is apparent that the abdominal wall puncture outfit is an indispensable auxiliary device for laparoscopic surgery.
The main structure of the abdominal wall puncture outfit is a base and a sheath, wherein the base comprises a three-way pipe gas injection valve, a choke valve, a back cover sealing seat and other complex structures, the base is a main structure of the abdominal wall puncture outfit, the base is always kept outside the body in operation and does not enter the abdominal wall and the abdominal cavity, the sheath of the abdominal wall puncture outfit is of a tubular structure, the structure is simple, the abdominal wall puncture outfit enters the abdominal wall and the abdominal cavity in operation, according to different sheath thickness, the abdominal wall puncture outfit can be divided into different model standards of 3 mm, 5mm, 10 mm, 12 mm, 15 mm and the like, the thicker the sheath is, the larger the wound of the abdominal wall is, the longer the sheath is needed for fat patients with fat abdominal wall, so the types of the abdominal wall puncture outfit are various, the abdominal wall puncture outfits with different model standards are selected clinically according to the fat types of the patients and random strain in the operation process, and the base and the sheath of the abdominal wall puncture outfit are of one-to-one integrated structure in one-to-one, so as to meet the clinical requirements for different types of sheath puncture outfits, the abdominal wall puncture outfit needs to be configured with a plurality of puncture outfits with a corresponding model of the base and one puncture outfit is usually fixed. However, even so, due to unpredictable situations in surgery, there is a frequent occurrence that the abdominal wall puncture outfit already disposed on the operating table either lacks the model actually required, causes surgery difficulties, or increases trauma to the patient, or is disposed superfluously and uselessly, resulting in waste. In addition, the hard sheath on the bag of the isolation protection bag for the laparoscope needs to be connected and matched with the base of the abdominal wall puncture outfit, and the hard sheath on the bag also has various types with different thicknesses, so the same problems are faced.
It is easy to understand that different requirements of clinics on the abdominal wall puncture outfit are that the requirements on the abdominal wall puncture outfit are different by adopting a universal base in an attempt to connect sheath tubes of different types required in the laparoscopic surgery, so that the cost can be reduced, and the requirements of clinicians on the abdominal wall puncture outfit in the surgery are met.
In view of this, the invention sets the base of the abdominal wall puncture outfit with a universal adapter function, and each type of sheath tube set has a universal adapter function, namely one end of the sheath tube with different thickness, fineness, length and length has a universal adapter function, in other words, one type of base can be connected with various types of sheath tubes, so that doctors can randomly connect the sheath tube with the required type according to clinical needs in the operation. In addition, as the soft bag for the sealed isolation protection in the abdominal cavity is connected with a plurality of hard sheaths with different thicknesses during the laparoscopic surgery, the invention also needs a plurality of types of bases matched with the soft bag.
Because the sheath tube encounters resistance when being inserted into the abdominal wall, the puncture can be carried out by rotating with force, the invention discovers that the threaded connection part of the sheath tube and the base is easy to rotate and loose when the abdominal wall is punctured in the early-stage experiment, the operation is affected, obviously, the part of the sheath tube which is in threaded connection with the base is a weak link when the abdominal wall is punctured for use, and the reinforcement and the stabilization are needed.
At present, the abdominal wall puncture outfits with different thickness types are provided with puncture needle cores with corresponding different thickness types, in other words, one puncture needle core can only be matched with a sheath tube with one type, and a plurality of puncture needle cores are often needed for one operation due to the requirement of various types in clinical operation.
Because the abdominal wall puncture outfit is widely used clinically, the puncture needle core dosage and the base dosage of the main structure are huge, and the medical waste treatment after use involves the problems of environmental protection and the like, the abdominal wall puncture outfit has important economic value and important social value if the puncture needle core dosage and the base dosage are reduced.
Disclosure of Invention
The invention aims to avoid the problems of the prior art, save resources, reduce pollution and meet the actual clinical needs with lower cost.
The invention adopts the following technical scheme for solving the technical problems:
1. The multiphase stable adaptation abdominal wall puncture outfit for the endoscope is characterized by comprising a universal adaptation base (1), a special-shaped adaptation sheath tube (2), a universal screwing cap (3), an adapting cap, a universal adaptation needle core (5A) and a special-shaped adaptation sheath tube cap (6), wherein the universal adaptation base (1) can be respectively connected with the special-shaped adaptation sheath tube (2), the universal screwing cap (3) and the adapting cap, and the universal adaptation needle core (5A) can be connected with the special-shaped taper tube cap (6) and can penetrate through the universal adaptation base (1) and the special-shaped adaptation sheath tube (2).
2. The multiphase stable adaptation abdominal wall puncture outfit for the endoscope is characterized in that a universal adaptation base (1) is of a hollow structure and consists of a rear cover sealing seat (11), an air injection valve (12), an air blocking valve (13) and a universal adaptation interface (14), the universal adaptation interface (14) is connected with the rear cover sealing seat (11) through a buckle (15), the air blocking valve (13) and the sealing buckle (15) are arranged between the universal adaptation interface (14) and the rear cover sealing seat (11), the inner wall of a pipe orifice of the universal adaptation interface (14) is a universal adaptation interface inner thread (16), and the outer wall of the pipe orifice of the universal adaptation interface (14) is a universal adaptation interface outer thread (17).
3. The multiphase stable adaptation abdominal wall puncture outfit for the endoscope is characterized in that a special adaptation sheath tube (2) is of a hollow tube type structure, the top end of the special adaptation sheath tube is a universal adaptation socket (21), a furling slope (22) can be arranged in the sheath tube, special sheath tubes (25) with different types of sheath tube inner diameters are narrowed, the special sheath tube comprises a large special sheath tube (25A) and a small special sheath tube (25B) and the like, the outer wall of the sheath tube of the universal adaptation socket (21) is provided with a universal sheath tube external thread (23), the universal sheath tube external thread (23) of the special sheath tube (25) of the universal special adaptation sheath tube (2) is connected with a universal adaptation interface internal thread (16) of a universal adaptation interface (14) of the universal adaptation base (1), the outer periphery of the sheath tube adjacent to the universal sheath tube external thread (23) is an annular universal sheath tube external baffle (24), and the surface of the universal sheath tube external baffle (24) is provided with an annular gasket (26).
4. The multiphase stable adapting abdominal wall puncture outfit for the endoscope is characterized in that the universal screwing cap (3) is of a hollow pipe-shaped structure, an anti-slip groove (35) is formed in the surface of the universal screwing cap, one end of the universal screwing cap is a wide-mouth end (31), threads or bayonets (32) are arranged in the pipe and are connected with universal adapting interface external threads (17) of a universal adapting interface (14) of the universal adapting base (1), the other end of the universal screwing cap is a small adapting baffle (33), the pipe diameter of the small adapting baffle is reduced to form an inner baffle (34), and when the internal threads or bayonets (32) of the universal screwing cap (3) are connected with universal adapting interface external threads (17) of the universal adapting interface (14) of the universal adapting base (1), the inner baffle (34) of the universal screwing cap (3) is close to and extrudes a universal sheath external baffle (24) of the special adapting sheath pipe (2).
5. The multiphase stable adapting abdominal wall puncture outfit for the endoscope is characterized in that an adapting cap is of a hollow tubular structure and can be of an A type structure and a B type structure, one end of the adapting cap A type (4A) is an adapting cap small adapting interface (43 a), an inner thread I (44A) can be arranged in the tube and connected with a sheath outer thread (91 s), the other end of the adapting cap A type (4A) is an adapting cap wide-mouth end (41 a), a conversion inner thread (42 a) can be arranged in the tube and connected with a universal adapting interface outer thread (17) of a universal adapting interface (14) of a universal adapting base (1) to form a first adapting combined base (7A), and an outer thread I (42B) can be arranged outside the tube of the wide-mouth end (41B) of the adapting cap B type (4B) and connected with a universal adapting interface inner thread (16) of a universal adapting interface (14) of the universal adapting base (1) to form a second adapting combined base (7B).
6. The multiphase stable adapting abdominal wall puncture outfit for the endoscope is characterized by comprising a universal adapting needle core (5A) and a special cone tube cap (6), wherein the universal adapting needle core (5A) is of a rod-shaped structure and consists of a base part (51), a needle rod part (52) and a needle tip part (53), a thickening bearing area (54) is arranged on the needle rod part, an external thread II (55) is arranged on the periphery of the needle rod part, the special cone tube cap (6) is of a hollow tubular structure, one end of the special cone tube cap is provided with a conical slope (62), and an internal thread II (61) is arranged in the tube and connected with the external thread II (55) of the thickening bearing area (54) of the universal adapting needle core (5A) to form the combined needle core (5B).
Compared with the prior art, the invention has the beneficial effects that:
1. The universal base is adopted, so that the universal base can be connected with a single type sheath tube, and can also be connected with sheath tubes of different types at will, and the universal base comprises the hard sheath tube on the bag, which can be connected with an isolation protection bag for a laparoscope, so that the resources can be saved, the cost can be reduced, different requirements of a clinician on the application of an abdominal wall puncture outfit in the operation can be met, and the physician can be connected with sheath tubes of required types at will according to clinical requirements in the operation, so that the smoothness and safety of the clinical operation can be effectively ensured.
2. The invention can be used with sheath tubes of various types by adopting a puncture needle core through simple combination, and can be used with sheath tubes of various types by adopting a universal base, so that the base consumption of an abdominal wall puncture device and the consumption of the puncture needle core can be obviously reduced, the resource consumption is effectively reduced, and the pollution of solid medical consumables is reduced from the source, thereby having important economic value and social value.
3. The joint of the sheath tube and the base is stabilized, the abdominal wall is ensured not to loosen during puncture rotation, and the operation is smoother.
Drawings
FIG. 1 shows a combined abdominal wall puncture outfit
FIG. 2 is a combined abdominal wall puncture sheath
FIG. 3 is a generic adapter base
FIG. 4 is a large-size special sheath
FIG. 5 is a small-size special sheath
FIG. 6 is a cross-sectional view of a universal screw cap
FIG. 7 is a top view of a universal screw cap
FIG. 8 is a view of adapter cap A
FIG. 9 is a view of adapter cap B
FIG. 10 shows a first transfer assembly base
FIG. 11 is a second transfer assembly base
FIG. 12 is a generic adapter core
FIG. 13 is a special spinal cap
FIG. 14 shows a combination puncture needle core
FIG. 15 is a schematic view of a connection of a sheath adaptor assembly base on a pouch
FIG. 16 is a schematic view of a combined abdominal wall puncture outfit application
Detailed Description
According to the clinical operation requirement, the base can be matched with sheath pipes with different thicknesses to realize various combination modes, wherein the basic combination modes and processes are as follows:
The universal adapter base (1) is connected with the universal adapter interface internal thread (16) of the universal adapter interface (14) and the universal sheath external thread (23) of the universal adapter socket (21) of the large-size special sheath (25A) in the special adapter sheath (2). The universal screwing cap (3) is sleeved into the special sheath tube (25A) of the special-shaped adapting sheath tube (2), the universal screwing cap (3) is rotated, the internal thread (32) of the wide-mouth end (31) of the universal screwing cap (3) is connected with the external thread (17) of the universal adapting interface (14) of the universal adapting base (1), the internal thread (32) of the universal screwing cap (3) is connected with the external thread (17) of the universal adapting interface (14) of the universal adapting base (1), and when the in-tube baffle (34) of the universal screwing cap (3) extrudes the universal sheath outer baffle (24) of the large-size special-shaped sheath tube (25A), the universal adapting base (1) and the special-shaped adapting sheath tube (2) are guaranteed to be firmly connected, so that the large-size combined abdominal wall puncture sheath tube (figure 2) is formed.
A special cone pipe cap (6) matched with a large-size special sheath pipe (25A) of the special adapting sheath pipe (2) is selected, the special cone pipe cap (6) is sleeved through a needle point part (53) of the universal adapting needle core (5A), the special cone pipe cap (6) is rotated, and an internal thread II (61) of the special cone pipe cap (6) is connected with an external thread II (55) of a thickening bearing area (54) of the universal adapting needle core (5A), so that the combined needle core (5B) is formed.
The base part (51) of the combined type needle core (5B) is held, and the needle tip part (53), the thickening receiving area (54) and the special cone tube cap (6) and the needle rod part (52) connected with the needle tip part, the thickening receiving area (54) sequentially penetrate through the large-size combined abdominal wall puncture sheath tube (figure 2), so that the combined type abdominal wall puncture device (figure 1) is formed.
The base part (51) of the combined type needle core (5B) of the combined type abdominal wall puncture outfit (16: 10 a) is held, the needle tip part (53) of the combined type abdominal wall puncture outfit (16: 10 a) is forced to puncture through the abdominal wall (10) to enter the abdominal cavity, the combined type needle core (5B) is withdrawn, and the large-size special sheath tube (25A) of the special type adaptation sheath tube (2) on the combined type abdominal wall puncture sheath tube (16: 10 a) is placed in the abdominal wall puncture hole (101), so that a large-size laparoscopic operation path is established on the abdominal wall as shown in the figure (16: 10B).
The base part (51) of the universal adapting needle core (5A) of the combined abdominal wall puncture outfit (fig. 16:10 c) is held, the needle tip part (53) of the combined abdominal wall puncture outfit (fig. 16:10 c) is forcefully rotated to puncture the abdominal cavity through the abdominal wall (10), the universal adapting needle core (5A) is withdrawn, and the small-size special sheath tube (25B) of the special adapting sheath tube (2) on the combined abdominal wall puncture sheath tube (fig. 16:10 c) is arranged in the abdominal wall puncture hole (101), so that a small-size laparoscopic operation path is established at the abdominal wall puncture part.
In addition, aiming at various combined connection of the sheath tube on the laparoscopic object taking bag, the basic combined flow is that the large-size bag sheath tube and the small-size bag sheath tube (shown in fig. 15:9L and 9S) with different thicknesses in the abdominal cavity are respectively pulled out through the abdominal wall puncture hole (101) under the laparoscope, the distal end of the large-size bag sheath tube (shown in fig. 15: 9L) is provided with external threads (91L), and the distal end of the small-size bag sheath tube (shown in fig. 15: 9S) is provided with external threads (91S).
The external thread III (91L) of the distal end of the sheath tube (fig. 15: 9L) on the large bag is directly connected with the internal thread (16) of the universal adapter interface (14) of the universal adapter base (1) (fig. 15:9 b).
The connection of the sheath tube (15: 9S) on the small-size bag and the universal adapter base (1) can adopt two connection modes of A type and B type, the conversion internal thread (42 a) in the tube at the wide-mouth end (41 a) of the adapter cap A type (4A) is connected with the universal adapter external thread (17) of the universal adapter interface (14) of the universal adapter base (1) to form a first adapter combined base (7A), the external thread four (91S) at the distal end of the sheath tube (15: 9S) on the small-size bag is connected with the internal thread 1 (44A) of the small adapter interface (43 a) of the adapter cap (4A) (15), the external thread 1 (42B) at the tube outside of the wide-mouth end (41B) of the adapter cap B type (4B) is connected with the universal adapter interface internal thread (16) of the universal adapter interface (14) of the universal adapter base (1) to form a second adapter combined base (7B), and the external thread four (91S) at the distal end of the small-size bag sheath tube (15: 9S) is connected with the internal thread 1 (44B) of the small-size bag (43B).
The foregoing examples are merely illustrative of preferred embodiments of the present invention, and the scope of the present invention is not limited thereto, but all equivalent changes or modifications made to the present invention without departing from the spirit of the present invention shall be covered by the scope of the present invention.

Claims (3)

1. Multiphase firm adaptation abdominal wall puncture outfit for endoscope, characterized by: consists of a general adapting base (1), a special adapting sheath tube (2), a general screwing cap (3), an adapting cap, a general adapting needle core (5A) and a special cone tube cap (6), wherein the general adapting base (1) is respectively connected with the special adapting sheath tube (2), the general screwing cap (3) and the adapting cap, the general adapting needle core (5A) is connected with the special cone tube cap (6) and penetrates through the general adapting base (1) and the special adapting sheath tube (2), the general adapting base (1) is of a hollow structure and consists of a rear cover sealing seat (11), an air injection valve (12), an air blocking valve (13) and a general adapting interface (14), the universal adapter interface (14) is connected with the rear cover sealing seat (11) through the buckle (15), the choke valve (13) and the sealing buckle (15) are arranged between the universal adapter interface (14) and the rear cover sealing seat (11), the inner wall of the pipe orifice of the universal adapter interface (14) is a universal adapter interface internal thread (16), the outer wall of the pipe orifice of the universal adapter interface (14) is a universal adapter interface external thread (17), the special adapter sheath pipe (2) is of a hollow pipe-shaped structure, the top end of the special adapter sheath pipe is a universal adapter socket (21), a furling slope (22) is arranged in the sheath pipe, the special sheath pipe (25) with different types of sheath pipe inner diameter thickness is formed by narrowing, the universal sheath comprises a large special sheath (25A) and a small special sheath (25B), the outer wall of the sheath of the universal adapter socket (21) is provided with universal sheath external threads (23), the universal sheath external threads (23) of the special sheath (25) of the universal special adapter sheath (2) are connected with the universal adapter internal threads (16) of the universal adapter interface (14) of the universal adapter base (1), the outer periphery of the sheath adjacent to the universal sheath external threads (23) of the special sheath (25) is provided with annular universal sheath external baffle plates (24), the surface of the universal sheath external baffle plates (24) is provided with an annular gasket (26), the universal screwing cap (3) is of a hollow tubular structure, the surface of the universal adapter socket is provided with an anti-slip groove (35), one end of the universal screw cap is a wide-mouth end (31), threads or bayonets (32) are arranged in the tube and are connected with the universal adapter external threads (17) of the universal adapter interface (14) of the universal adapter base (1), the other end of the universal adapter cap (33) is a small adapter baffle plate (33), the universal screw cap (32) is connected with the universal adapter interface (14) of the universal adapter base (1) in a shrinking mode, the inner baffle (34) of the universal screwing cap (3) is close to and presses the universal outer baffle (24) of the special-shaped adaptive sheath tube (2).
2. The multi-phase stable fit abdominal wall puncture outfit for the endoscope according to claim 1 is characterized in that the adapter cap is of a hollow tubular structure and is of an A type and a B type, one end of the A type of the adapter cap is a small adapter interface (43 a) of the adapter cap, an inner thread (44 a) is arranged in the tube and is connected with an outer thread (91 s) of a sheath, the other end of the A type of the adapter cap is a wide-mouth end (41 a) of the adapter cap, a conversion inner thread (42 a) is arranged in the tube and is connected with an outer thread (17) of a universal adapter interface (14) of the universal adapter base (1) to form a first adapter combined base (7A), and an outer thread (42B) is arranged outside the tube of the B type of the wide-mouth end (41B) of the adapter cap and is connected with an inner thread (16) of the universal adapter interface (14) of the universal adapter base (1) to form a second adapter combined base (7B).
3. The multiphase firm-fit abdominal wall puncture outfit for the endoscope, according to claim 1, is characterized by comprising a universal fit needle core (5A) and a special cone tube cap (6), wherein the universal fit needle core (5A) is of a rod-shaped structure and consists of a base part (51), a needle rod part (52) and a needle tip part (53), a thickening receiving area (54) is arranged on the needle rod part, an external thread II (55) is arranged on the periphery of the needle rod part, the special cone tube cap (6) is of a hollow tubular structure, one end of the special cone tube cap is provided with a cone slope (62), and an internal thread II (61) is arranged in the tube and connected with the external thread II (55) of the thickening receiving area (54) of the universal fit needle core (5A) to form the combined needle core (5B).
CN202011557029.1A 2020-12-25 2020-12-25 Multi-phase stable adapter abdominal wall puncture device for laparoscopy Active CN112494121B (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN202011557029.1A CN112494121B (en) 2020-12-25 2020-12-25 Multi-phase stable adapter abdominal wall puncture device for laparoscopy
PCT/CN2021/128306 WO2022134874A1 (en) 2020-12-25 2021-11-03 Multi-phase stable adaptive abdominal wall puncture outfit for endoscope

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CN202011557029.1A CN112494121B (en) 2020-12-25 2020-12-25 Multi-phase stable adapter abdominal wall puncture device for laparoscopy

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CN112494121B true CN112494121B (en) 2025-01-24

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CN112494121B (en) * 2020-12-25 2025-01-24 凌斌 Multi-phase stable adapter abdominal wall puncture device for laparoscopy
CN116328148B (en) * 2023-02-22 2025-07-15 中国人民解放军总医院第五医学中心 Quick-to-insert vascular sheath group with transition sheath
CN116328149A (en) * 2023-02-22 2023-06-27 中国人民解放军总医院第五医学中心 A Vascular Sheath Group Effectively Maintaining Position
CN117065179A (en) * 2023-08-28 2023-11-17 深圳復瑞德医疗科技有限公司 An introducer sheath assembly with optimized jointing method

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