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CN107126246A - A kind of ultrasonic surgical instruments - Google Patents

A kind of ultrasonic surgical instruments Download PDF

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Publication number
CN107126246A
CN107126246A CN201611176210.1A CN201611176210A CN107126246A CN 107126246 A CN107126246 A CN 107126246A CN 201611176210 A CN201611176210 A CN 201611176210A CN 107126246 A CN107126246 A CN 107126246A
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CN
China
Prior art keywords
ultrasonic
surgical instruments
hand
ultrasonic surgical
held device
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Granted
Application number
CN201611176210.1A
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Chinese (zh)
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CN107126246B (en
Inventor
吉恩·博普瑞
孙秋香
刘占军
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Tianjin Ricky Surgical Instruments Ltd By Share Ltd
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Tianjin Ricky Surgical Instruments Ltd By Share Ltd
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Publication of CN107126246A publication Critical patent/CN107126246A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments

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

Abstract

In surgical operation, it usually needs ultrasonic main frame exports different power according to the operational requirements to tissue, for example, if desired tissue is stopped blooding, exportable relatively low power, and if desired tissue is cut, then need to export higher power.The invention provides a kind of ultrasonic surgical instruments, control signal can be provided for ultrasonic main frame, so that according to button automatic decision and corresponding power output is exported, including:Hand-held device;End effector, is connected by slender bodies with the hand-held device, suitable for clamping tissue;The hand-held device includes at least two control buttons;And, circuit controling assembly is provided with the hand-held device, including:Connection component, suitable for being connected with ultrasonic transducer;Circuit unit is controlled, is connected with the connection component, wherein, the control circuit unit includes at least four controlling switches and at least one is capable of the electronic component of one-way conduction, wherein, when the first controlling switch and the 4th controlling switch are closed, the control circuit unit forward conduction;When the second controlling switch and the 3rd controlling switch are closed, the control circuit unit reverse-conducting.

Description

A kind of ultrasonic surgical instruments
Technical field
The present invention relates to the technical field of medicine equipment, and in particular to outer to a kind of ultrasound with circuit controling assembly Section's operating theater instruments.
Background technology
Ultrasonic surgical system, it is now wide the features such as small to tissue injury because it has good haemostatic effect General is applied in open surgery and hysteroscope surgical operation.Current ultrasonic surgical system includes main frame, ultrasonic transduction Device, ultrasonic surgical instruments, floor push and other annexes, its operation principle is to be exported by main frame to ultrasonic transducer Electric energy under vibrational system resonant frequency, converts electrical energy into mechanical energy by ultrasonic transducer and is output to ultrasonic surgical device Tool, to this vibration, further amplification carries out mechanical oscillation to ultrasonic surgical instruments, makes water vapor in histocyte, albumen hydrogen bond Fracture, cell disruption, tissue are cut open or blood coagulation, so as to reach the purpose of cutting tissue and hemostasis.
Ultrasonic surgical instruments of the prior art, are broadly divided into the ultrasonic surgical instruments of gun-type and surpassing for scissors Sound surgical operating instrument.As shown in figure 1, in ultrasonic surgical system 1, include ultrasonic surgical instruments 10, ultrasound Transducer 20 and ultrasonic main frame 30, wherein, the distal end of ultrasonic transducer 20 is arranged on ultrasonic surgical instruments 10, ultrasound Transducer 20 is connected proximally by cable 31 with the output end of ultrasonic main frame 30.Specifically, ultrasonic surgical instruments 10 Including hand-held device, slender bodies and end effector, wherein, the hand-held device includes a trigger, and user is by using hand Hold hand-held device and use finger cocking, to control the end effector positioned at the ultrasonic surgical instruments distal end Clamp opening and closing, to realize the blessing to tissue or blood vessel, grasping, separation, fixation, so that end effector Cutter head can be cut or be closed to the tissue or blood vessel of clamping.In addition, in order to realize the output control to ultrasonic main frame 30, Ultrasonic surgical system 1 of the prior art also includes foot-operated control assembly 40, or, in ultrasonic surgical instruments 10 Manual control assembly is provided with hand-held device, when the pedal for stepping on foot-operated control assembly 40 or manual control assembly is pressed During control button, ultrasonic main frame 30 exports electric energy to ultrasonic transducer 20, and ultrasonic main frame 30 exports electric energy to ultrasonic transducer 20, And ultrasonic mechanical vibration is converted electrical energy into by transducer 20, and end effector is passed to by slender bodies, realize to tissue Cutting or hemostasis.
The content of the invention
In surgical operation, it usually needs ultrasonic main frame 30 exports different power, example according to the operational requirements to tissue Such as, if desired to tissue stop blooding, exportable relatively low power, and if desired to tissue cut, then need output compared with High power.The invention provides a kind of ultrasonic surgical instruments, control signal can be provided for ultrasonic main frame 30, so that root According to button automatic decision and export corresponding power output.
The invention provides a kind of ultrasonic surgical instruments, including:
Hand-held device, the person of being adapted in use to grips;
End effector, is connected by slender bodies with the hand-held device, suitable for clamping tissue;Characterized in that, institute Stating hand-held device includes at least two buttons;And,
Control assembly is provided with the hand-held device, including:
Connection component, suitable for being connected with ultrasonic transducer;
Circuit unit is controlled, is connected with the connection component, wherein, the control circuit unit includes at least four controls System switch and at least one realize the electronic component of one-way conduction, wherein, when the first controlling switch and the 4th controlling switch are closed During conjunction, the control circuit unit forward conduction;When the second controlling switch and the 3rd controlling switch are closed, the control circuit Component reverse-conducting.
Preferably, the electronic component is diode.
Preferably, the first button of the hand-held device is suitable to control first controlling switch and the 4th controlling switch Opening and closing;Second button of the hand-held device is suitable to the opening and closing for controlling second controlling switch and the 3rd controlling switch.
Preferably, the connection component of the circuit controling assembly includes connection component body, and installed in described The first connection ring and the second connection ring on connection component body, first connection ring and second connection ring respectively with institute Ultrasonic transducer is stated to be connected.
Preferably, first connection ring and second connection ring are C-shaped ring.
Preferably, the ultrasonic surgical instruments are gun-type ultrasonic surgical instruments.
Preferably, the ultrasonic surgical instruments have a longitudinal axis, and the end effector and the slender bodies can Rotated around the longitudinal axis relative to the hand-held device.
Preferably, the slender bodies includes guided wave bar, inner sleeve and the outer tube connected together successively;Wherein, it is described The near-end of guided wave bar is connected with the ultrasonic transducer, and the ultrasonic mechanical vibration suitable for the ultrasonic transducer is exported is transmitted To the end effector.
Preferably, the end effector includes jaw component, is connected with the slender bodies, described hand-held by pressing The trigger component of component, realizes the opening and closing of jaw component;And
Tool bit part, the tool bit part is arranged on the distal end of the guided wave bar, suitable for ultrasonic mechanical vibration is passed to Tissue.
Preferably, the ultrasonic surgical instruments are scissors surgical operating instrument.
Preferably, the slender bodies includes guided wave bar, sleeve pipe and drive rod;The guided wave rod set is connected in described sleeve pipe, And the near-end of the guided wave bar is connected with the ultrasonic transducer, the ultrasonic machinery suitable for the ultrasonic transducer is exported shakes It is dynamic to pass to the end effector.
Preferably, the near-end of the drive rod is connected with the trigger component of the hand-held device, the drive rod it is remote End is connected with the jaw component of the end effector, by pressing the trigger component of the hand-held device, drives institute Drive rod is stated to move back and forth to realize the opening and closing of jaw component.
Preferably, the end effector still further comprises tool bit part, and the tool bit part is arranged on the guided wave The distal end of bar, suitable for ultrasonic mechanical vibration is passed into tissue.
Brief description of the drawings
Fig. 1 is the schematic diagram of ultrasonic surgical system of the prior art;
Fig. 2 is the structural representation of gun-type ultrasonic surgical instruments provided in an embodiment of the present invention;
Fig. 3 is the sectional view of gun-type ultrasonic surgical instruments provided in an embodiment of the present invention;
Fig. 4 is the circuit diagram of the circuit controling assembly of ultrasonic surgical instruments provided in an embodiment of the present invention;
Fig. 5 a-c are the schematic diagram of the circuit controling assembly of ultrasonic surgical instruments provided in an embodiment of the present invention;
Circuit controling assembly and the assembling schematic diagram of button that Fig. 6 provides for another embodiment of the present invention;
The structural representation for the scissors ultrasonic surgical instruments that Fig. 7 provides for another embodiment of the present invention.
Embodiment
The specific embodiment of the present invention is described in detail below in conjunction with accompanying drawing, what term " distal end " used herein referred to Part or the part of apparatus from user (doctor) farther out, and term " near-end " refer to it is nearer from user (doctor) Part or part.It should be appreciated that embodiment described herein is merely to illustrate and explain the present invention, and without In the limitation present invention.
The embodiments of the invention provide a kind of gun-type ultrasonic surgical instruments 50, as shown in Fig. 2 including end effector 100th, slender bodies 200 and hand-held device 300, wherein, the distal end 201 of slender bodies 200 is connected with end effector 100, elongated The near-end 202 of body 200 is connected with hand-held device 300.Hand-held device 300 includes hand-held device body 301 and fixed Handle 302, and the pivotally-mounted trigger component 303 in hand-held device body 301.Further, as shown in figure 3, carefully Long body includes guided wave bar 210, inner sleeve 220 and the outer tube 230 connected together successively;Wherein, the near-end of guided wave bar 210 with Ultrasonic transducer 20 is connected, for example, be connected by screw thread, and the ultrasonic machinery suitable for the ultrasonic transducer 20 is exported shakes It is dynamic to pass to end effector 100, to realize the cutting and/or hemostasis to tissue.With continued reference to Fig. 3, end effector 100 is wrapped Jaw component 110 and tool bit part 120 are included, wherein, tool bit part 120 is arranged on the distal end of guided wave bar 210, jaw component 110 near-end is connected with the distal end of slender bodies 200, by pressing the trigger component 303 of hand-held device 300, and jaw can be achieved The opening and closing of component 110, so as to realize the clamping to tissue.
Further, hand-held device 300 also includes the first button 311 and the second button 312, is arranged at the upper of trigger 303 Side, electric energy is exported suitable for control main frame to ultrasonic transducer.Fig. 3 is the sectional view of ultrasonic surgical instruments 50, as illustrated, The trigger 303 of ultrasonic surgical instruments 50 is pivotably mounted in hand-held device body 301 by bearing pin 304.In addition, Control assembly 310 is additionally provided with hand-held device body 301, specifically, control assembly 310 include connection component 320, suitable for Ultrasonic transducer 20 is connected, and control circuit unit 330, and the circuit controling assembly 330 is connected with connection component 320, Wherein, control circuit unit 330, which includes at least four controlling switches and at least one, can realize the electronics member of one-way conduction Part.Preferably, the electronic component is diode D1.As alternative embodiment, the electronic component can also be it He can realize the electronic component of one-way conduction function, such as triode, optical coupling element or optically isolated element.
In the present embodiment, control circuit unit 330 includes four controlling switches, i.e. the first controlling switch K1, second Controlling switch K2, the 3rd controlling switch K3 and the 4th controlling switch K4, and a diode D1.The control electricity of present embodiment The circuit diagram of road component 330 is as shown in Figure 4.Specifically, control circuit unit 330 is configured to:As the first controlling switch K1 and When 4th controlling switch K4 is closed, the forward conduction of circuit unit 330 is controlled;As the second controlling switch K2 and the 3rd controlling switch K3 During closure, the reverse-conducting of circuit unit 330 is controlled.
The assembling figure of the button 311 of control assembly 310 and first and the second button 312 is excellent as shown in Fig. 5 a, Fig. 5 b and Fig. 5 c Selection of land, the first button 311 is offseted with the first controlling switch K1 and the 4th controlling switch K4, and the second button 312 is opened with the second control K2 and the 3rd controlling switch K3 is closed to offset.When pressing the first button 311, the first controlling switch K1 and the 4th controlling switch K4 are same When close so that control the forward conduction of circuit unit 330;When pressing the second button 312, the controls of the second controlling switch K2 and the 3rd System switch K3 is closed at so that the control reverse-conducting of circuit unit 330.Further, control assembly 310 also includes connection group Part 320, as shown in fig. 6, connection component 320 include connection component body 321 and on connector body 321 the One connection ring 322 and the second connection ring 323, the first connection ring 322 and the second connection ring 323 are connected with ultrasonic transducer 20 respectively Connect.First connection ring 322 and the second connection ring 323 are C-shaped conducting ring.
Preferably, in the present embodiment, the first button 311 and the second button 312 are configured to correspond to ultrasonic master respectively Two grades of power outputs of machine 30, for example, the first button 311 can be set to the higher power output of correspondence, can be right using the gear Tissue is cut;Second button 312 can be set to the relatively low power output of correspondence, can be to organizing into whereabouts using the gear Blood;Vice versa.By the control assembly 310 described in embodiment of the present invention, it is first that ultrasonic main frame 30, which can be automatically identified, The button 312 of button 311 or second is pressed, so that higher or lower energy is exported accordingly, to realize to tissue not With action.
Preferably, as shown in fig. 6, the first connection ring 322 and the second connection ring 323 are respectively equipped with card base, for being connected Part body 321 is connected and fixed.
Preferably, the ultrasonic surgical instruments 50 described in present embodiment have a longitudinal axis, the He of end effector 100 Slender bodies 200 can rotate around the longitudinal axis relative to hand-held device 300.
Embodiment of the present invention additionally provides a kind of scissors ultrasonic surgical instruments 60, as shown in fig. 7, included end Actuator 400, slender bodies 500 and hand-held device 600, wherein, the distal end 501 of slender bodies 500 is connected with end effector 400 Connect, the near-end 502 of slender bodies 500 is connected with hand-held device 600.Similar with gun-type ultrasonic surgical instruments 50, scissors surpass The hand-held device 600 of sound surgical operating instrument 60 includes hand-held device body 601 and fixed handle 602, and and hand Hold the trigger component 603 of the pivotable connection of component body 601.Further, as shown in fig. 7, slender bodies 500 includes guided wave bar (not shown), drive rod 520 and sleeve pipe 530, wherein, the near-end of guided wave bar is connected with ultrasonic transducer 20, for example, logical Cross screw thread to be connected, the ultrasonic mechanical vibration that ultrasonic transducer 20 is exported passes to the tool bit part of end effector 400 420, to realize the cutting and/or hemostasis to tissue.End effector 400 includes jaw component 410 and tool bit part 420, its In, tool bit part 420 is arranged on the distal end of the guided wave bar of slender bodies 500, the distal end of jaw component 410 respectively with drive rod 520 It is connected with sleeve pipe 530.Trigger component 603 and the pivotable connection of hand-held device body 601 due to hand-held device 600, lead to Operating trigger component 603 is crossed, drives drive rod 520 to move back and forth to realize the opening and closing of jaw component 410, realization pair The clamping of tissue.
Further, as shown in fig. 7, hand-held device 600 also includes the first button 611 and the second button 612, to control master Machine exports electric energy to ultrasonic transducer.Control assembly is additionally provided with hand-held device body 601, it is outer with being arranged on gun-type ultrasound Control assembly 310 in section's operating theater instruments 50 is similar, specifically, and control assembly includes connection component, is suitable to and ultrasonic transducer 20 are connected, and control circuit unit, and the circuit controling assembly is connected with connection component, wherein, control circuit unit Circuit structure is identical with the control circuit unit 330 of gun-type ultrasonic surgical instruments 50, repeats no more here.
Obviously, those skilled in the art can carry out the essence of various changes and modification without departing from the present invention to the present invention God and scope.So, if these modifications and variations of the present invention belong to the scope of the claims in the present invention and its equivalent technologies Within, then the present invention is also intended to comprising including these changes and modification.

Claims (13)

1. a kind of ultrasonic surgical instruments, including:
Hand-held device, the person of being adapted in use to grips;
End effector, is connected by slender bodies with the hand-held device, suitable for clamping tissue;Characterized in that,
The hand-held device includes at least two buttons;And,
Control assembly is provided with the hand-held device, including:
Connection component, suitable for being connected with ultrasonic transducer;
Circuit unit is controlled, is connected with the connection component, wherein, the control circuit unit includes at least four controls and opened Close and at least one is capable of the electronic component of one-way conduction, wherein, when the first controlling switch and the 4th controlling switch are closed, The control circuit unit forward conduction;When the second controlling switch and the 3rd controlling switch are closed, the control circuit unit Reverse-conducting.
2. ultrasonic surgical instruments according to claim 1, it is characterised in that the electronic component is diode.
3. ultrasonic surgical instruments according to claim 1, it is characterised in that the first button of the hand-held device is fitted In the opening and closing for controlling first controlling switch and the 4th controlling switch;It is described that second button of the hand-held device is suitable to control The opening and closing of second controlling switch and the 3rd controlling switch.
4. ultrasonic surgical instruments according to claim 1, it is characterised in that the company of the circuit controling assembly Connected components include connection component body, and the first connection ring and the second connection ring on the connection component body, First connection ring and second connection ring are connected with the ultrasonic transducer respectively.
5. ultrasonic surgical instruments according to claim 4, it is characterised in that first connection ring and described second connects Ring is connect for C-shaped ring.
6. according to any described ultrasonic surgical instruments of claim 1-5, it is characterised in that the ultrasonic surgical device Tool is gun-type ultrasonic surgical instruments.
7. ultrasonic surgical instruments according to claim 6, it is characterised in that the ultrasonic surgical instruments have One longitudinal axis, the end effector and the slender bodies can rotate around the longitudinal axis relative to the hand-held device.
8. ultrasonic surgical instruments according to claim 7, it is characterised in that the slender bodies includes being socketed in successively Guided wave bar, inner sleeve and outer tube together;Wherein, the near-end of the guided wave bar is connected with the ultrasonic transducer, is suitable to The ultrasonic mechanical vibration that the ultrasonic transducer is exported passes to the end effector.
9. ultrasonic surgical instruments according to claim 8, it is characterised in that the end effector includes jaw group Part, is connected with the slender bodies, by pressing the trigger component of the hand-held device, realizes an open and close for jaw component Close;And
Tool bit part, the tool bit part is arranged on the distal end of the guided wave bar, suitable for ultrasonic mechanical vibration is passed into tissue.
10. according to any described ultrasonic surgical instruments of claim 1-5, it is characterised in that the ultrasonic surgical Apparatus is scissors surgical operating instrument.
11. ultrasonic surgical instruments according to claim 10, it is characterised in that the slender bodies include guided wave bar, Sleeve pipe and drive rod;The guided wave rod set is connected in described sleeve pipe, and the near-end of the guided wave bar and the ultrasonic transducer phase Connection, the ultrasonic mechanical vibration suitable for the ultrasonic transducer is exported passes to the end effector.
12. ultrasonic surgical instruments according to claim 11, it is characterised in that the near-end of the drive rod with it is described The trigger component of hand-held device is connected, and the distal end of the drive rod is connected with the jaw component of the end effector, leads to Cross the trigger component for operating the hand-held device, drive the drive rod to move back and forth with realize jaw component open and Closure.
13. ultrasonic surgical instruments according to claim 12, it is characterised in that the end effector is also further Including tool bit part, the tool bit part is arranged on the distal end of the guided wave bar, suitable for ultrasonic mechanical vibration is passed into tissue.
CN201611176210.1A 2016-02-27 2016-12-13 Ultrasonic surgical instrument Active CN107126246B (en)

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CN201610123685 2016-02-27
CN2016101236858 2016-02-27

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108969059A (en) * 2018-09-25 2018-12-11 嘉善飞阔医疗科技有限公司 The ultrasonic scalpel system that fast energy is adjusted
CN111297442A (en) * 2020-04-02 2020-06-19 珠海市司迈科技有限公司 a surgical instrument
CN113229891A (en) * 2021-05-21 2021-08-10 以诺康医疗科技(苏州)有限公司 Multifunctional surgical instrument
CN116549094A (en) * 2022-01-29 2023-08-08 天津瑞奇外科器械股份有限公司 Surgical instruments and surgical systems integrating electrosurgical monopole and ultrasonic functions

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Publication number Priority date Publication date Assignee Title
CN107126246B (en) * 2016-02-27 2023-09-19 天津瑞奇外科器械股份有限公司 Ultrasonic surgical instrument

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US20140114327A1 (en) * 2012-10-22 2014-04-24 Ethicon Endo-Surgery, Inc. Surgeon feedback sensing and display methods
CN206641887U (en) * 2016-02-27 2017-11-17 天津瑞奇外科器械股份有限公司 A kind of ultrasonic surgical instruments

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CN1826084A (en) * 2003-06-17 2006-08-30 伊西康内外科公司 Hand activated ultrasonic instrument
US20080015473A1 (en) * 2004-09-27 2008-01-17 Koh Shimizu Ultrasonic Surgery System
CN101600393A (en) * 2007-01-16 2009-12-09 伊西康内外科公司 Ultrasonic device for cutting and coagulation
US20140114327A1 (en) * 2012-10-22 2014-04-24 Ethicon Endo-Surgery, Inc. Surgeon feedback sensing and display methods
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Publication number Priority date Publication date Assignee Title
CN108969059A (en) * 2018-09-25 2018-12-11 嘉善飞阔医疗科技有限公司 The ultrasonic scalpel system that fast energy is adjusted
CN108969059B (en) * 2018-09-25 2024-02-09 嘉善飞阔医疗科技有限公司 Ultrasonic scalpel system with rapid energy adjustment
CN111297442A (en) * 2020-04-02 2020-06-19 珠海市司迈科技有限公司 a surgical instrument
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CN113229891A (en) * 2021-05-21 2021-08-10 以诺康医疗科技(苏州)有限公司 Multifunctional surgical instrument
CN113229891B (en) * 2021-05-21 2024-03-12 以诺康医疗科技(苏州)有限公司 Multifunctional surgical instruments
CN116549094A (en) * 2022-01-29 2023-08-08 天津瑞奇外科器械股份有限公司 Surgical instruments and surgical systems integrating electrosurgical monopole and ultrasonic functions

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