CN105030292A - Piercing suture device of arterial vessels - Google Patents

Piercing suture device of arterial vessels Download PDF

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Publication number
CN105030292A
CN105030292A CN201510372808.7A CN201510372808A CN105030292A CN 105030292 A CN105030292 A CN 105030292A CN 201510372808 A CN201510372808 A CN 201510372808A CN 105030292 A CN105030292 A CN 105030292A
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CN
China
Prior art keywords
ratchet
driving lever
hole
guiding tube
line
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Granted
Application number
CN201510372808.7A
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Chinese (zh)
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CN105030292B (en
Inventor
莫富灏
吴柯
张凌云
杜庆勇
杨旭静
刘傥
肖溪
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Hunan University
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Hunan University
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Priority to CN201510372808.7A priority Critical patent/CN105030292B/en
Publication of CN105030292A publication Critical patent/CN105030292A/en
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Publication of CN105030292B publication Critical patent/CN105030292B/en
Expired - Fee Related legal-status Critical Current
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0491Sewing machines for surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00778Operations on blood vessels

Abstract

The invention discloses a piercing suture device of arterial vessels. The piercing suture device comprises a pawl body (1), a guiding pipe (2), a shell (3), a locking nut (4), a stirring rod (5), a rotary shaft (6), a locking fastener (7), a pawl opening line (8), a pawl closing line (9) and a pawl locking line (10). The piercing suture device disclosed by the invention has the advantages that a whole set of vessel suture steps are finished by opening, piercing, closing and locking of the pawl; and compared with a doctor hand pressing and needle-line suture method, the operation is simple and the effect is reliable; in addition, the piercing suture device is simple and small in structure and can be operated by one person.

Description

A kind of arteries pierces through stitching devices
Technical field
The present invention relates to medical instruments field, be specifically related to a kind of arteries and pierce through stitching devices;
Background technology
Interventional therapy comes from interventional radiology.Interventional radiology is the new subdiscipline of of radiology field, its many technology are all derive from surgical operation, adopt by radiologist and improve.The medical imaging equipments such as X-ray examination, CT location, B-mode ultrasonic apparatus are utilized to lead, special conduit or apparatus are arrived at lesion region in body through the natural pipeline of human body artery, vein, digestive system, biliary tract or postoperative drainage pipe, obtain the data of histiocyte, antibacterial or biochemical aspect, also can carry out radiography and take the photograph sheet acquisition imaging data, thus reach the object diagnosed the illness, also can carry out various special treatment simultaneously.Interventional therapy doctor conduit or apparatus " intervention " to nearly all vessel branch, digestive tract and other specific part of human body, can apply to the treatment of disease.Most projects of interventional therapy are all carried out at Ink vessel transfusing.Some diseases adopts interventional therapy, need not operate on, and only needs one less than the large little openning of the grain of rice, tubule insertion Ink vessel transfusing.More common using method is at thigh root, skin puncture, by a special conduit insertion femoral artery, then inserts ventral aorta,
After arterial intervention therapy terminates, above-mentioned wound needs to sew up, because arteriotony is larger, current most of suture operation carries out hand by Vascular surgeons or push down with high pressure gauze stopping blooding, this wastes the working time of Vascular surgeons greatly, if and artificial hand is careless slightly, due to the pressure of tremulous pulse, outside blood meeting extrusive body.
At present, domestic and international experts and scholars have carried out large quantifier elimination to blood vessel suture instrument.The U.S. plinth application on this base Patents and made the product of relative maturity.Domestic Ye You related scientific research unit is engaged in the research of blood vessel suture instrument, but substantially without output in kind, the medical blood vessel stiching instrument of domestic operation still need from imported from America.
Existing blood vessel suture instrument mainly based on needlework stitching, principle and common suture needle similar, but all need to complete in vivo due to all operations, and need two covering devices to coordinate, operate comparatively loaded down with trivial details.As can be seen from above-mentioned, carry out arteries stitching therapy at present and all there are some shortcomings being difficult to overcome, therefore, constantly exploring the technology that new arteries is sewed up, is the problem of a significant.
Summary of the invention
The present invention is according to the requirement of vascular interventional treatment medium-sized artery vascular suture, provides a kind of Suture device to being adapted at carrying out in arterypuncture blood vessel rapid suture.Make arteries suture operation effectively faster.
The present invention is achieved through the following technical solutions: a kind of arteries pierces through stitching devices, comprising: pawl body, guiding tube, housing, locking nut, driving lever, rotating shaft, locking buckle, and ratchet opens line, jaws close line, ratchet lock wire, it is characterized in that:
Pawl body is made up of ratchet base and the first ratchet, the second ratchet, the 3rd ratchet, and ratchet base is provided with centre bore, each ratchet each other 120 ° of ground and ratchet base hinged; First ratchet has the first ratchet hole and the first ratchet No. two holes, and the second ratchet has the second ratchet hole and the second ratchet No. two holes, and the 3rd ratchet has the 3rd ratchet hole and the 3rd ratchet No. two holes;
Ratchet base has the first detent pin axis hole, the second detent pin axis hole and the 3rd detent pin axis hole, the first ratchet bearing pin, the second ratchet bearing pin, the 3rd ratchet bearing pin insert each pin shaft hole respectively and with each click-fit;
Guiding tube is hollow pipe, and ratchet opens line, jaws close line extends there through; Guiding tube one end each other 120 ° of ground has three grooves, and each ratchet can be launched smoothly;
Guiding tube coordinates with pawl body, the sidewall of the ratchet base of pawl body and guiding tube contact internal walls, first ratchet, the second ratchet, the 3rd ratchet lay respectively in three notches of guiding tube one end, the guiding tube other end is fixed in housing by face contact, and one end that guiding tube coordinates with housing has notch;
Described housing is made up of upper shell and lower house;
After upper shell coordinates with lower house, locking nut locks friction tight one end;
After upper shell coordinates with lower house, locking buckle locks the friction tight other end;
Open driving lever to be provided with driving lever mesopore, to open driving lever winding bore;
Closed driving lever is provided with driving lever mesopore, closed driving lever winding bore;
Open driving lever rotating shaft two ends to coordinate with the hole slot of lower house with upper shell respectively, open driving lever rotating shaft through opening driving lever mesopore and opening driving lever and coordinate;
Closed driving lever rotating shaft two ends coordinate with the hole slot of lower house with upper shell respectively, and closed driving lever rotating shaft coordinates with closed driving lever through closed driving lever mesopore;
Rotating shaft to be coordinated with end cap by axle head and forms.
Beneficial effect of the present invention is: as can be seen from the technical scheme of the invention described above, this arteries pierces through stitching devices opening by ratchet, pierces through, closed and locked come a whole set of vascular suture step, simple to operate, reliable for effect compared with doctor's hand, needlework sewing method.Structure of the present invention is simply small and exquisite in addition, one man operation.
Accompanying drawing explanation
Fig. 1 is structural diagrams of the present invention intention;
Fig. 2 is top view of the present invention;
Fig. 3 is the pawl body structural representation in the present invention;
Fig. 4 is that ratchet base in the present invention and bearing pin assemble explosive view;
Fig. 5 is the guiding tube schematic diagram in the present invention;
Fig. 6 is that the guiding tube in the present invention coordinates schematic diagram with pawl body;
Fig. 7 is that the guiding tube in the present invention coordinates schematic diagram with lower house;
Fig. 8 is upper shell in the housing in the present invention, lower house coordinates schematic diagram;
Fig. 9 is the lower house structural representation in the present invention;
Figure 10 is that the locking buckle in the present invention coordinates schematic diagram with housing;
Figure 11 is driving lever and rotating shaft schematic diagram in the present invention;
Figure 12 is that in the present invention, lower house coordinates schematic diagram with rotating shaft;
Figure 13 is that in the present invention, lower house coordinates schematic diagram with rotating shaft, driving lever;
Figure 14 is the assembling explosive view of shaft of the present invention;
Figure 15 is the coiling schematic diagram that ratchet opens line;
Figure 16 is the coiling schematic diagram of jaws close line;
Figure 17 is the coiling schematic diagram of ratchet lock wire;
Wherein:
1-pawl body, 100-ratchet base, 101-first detent pin axis hole, 102-second detent pin axis hole, 103-the 3rd detent pin axis hole, 11-first ratchet, 111-first ratchet hole, 112-first ratchet No. two pawl holes, 12-second ratchet, 121-second ratchet hole, 122-second ratchet No. two holes, 13-the 3rd ratchet, 131-the 3rd ratchet hole, 132-the 3rd ratchet No. two holes, 141-first ratchet bearing pin, 142-second ratchet bearing pin, 142-the 3rd ratchet bearing pin; 2-guiding tube; 3-housing, 31-upper shell, 311-opens driving lever groove, and 312-closes driving lever groove, 32-lower house, 321-lower house square hole; 4-nut; 51-opens driving lever, and 511-opens driving lever shaft hole, and 512-opens driving lever winding bore, and 52-closes driving lever, 521-closes driving lever shaft hole, and 522-closes driving lever winding bore, 6-rotating shaft, 601-rotating shaft axle head, 602-rotating shaft end cap, 61-opens driving lever rotating shaft, and 62-closes driving lever rotating shaft; 7-buckle; 8-ratchet opens line; 9-jaws close line, 10-ratchet lock wire.
Detailed description of the invention
Below with reference to accompanying drawing 1-10, concrete technical scheme of the present invention is described in detail.
As shown in Figure 1, the present invention proposes a kind of arteries and pierces through stitching devices, comprising: pawl body 1, guiding tube 2, housing 3, locking nut 4, driving lever 5, rotating shaft 6, locking buckle 7, and ratchet opens line 8, jaws close line 9, ratchet lock wire 10.
Pawl body 1 is made up of magnesium base alloy and the part that need stay in the body, after pawl body 1 sends into tremulous pulse, three ratchets of pawl body 1 complete expansion action, single unit system proposes, until ratchet puncturing arteries wall, three jaws close lockings afterwards, tensioning the skin makes wound close, and pawl body comes off from stitching devices again.
As shown in Figure 3, described pawl body 1 is made up of ratchet base 10 and the first ratchet 11, second ratchet 12, the 3rd ratchet 13, and ratchet base 10 is provided with centre bore, each ratchet each other 120 ° with ratchet base hinged; First ratchet 11 has the first ratchet hole 111 and the first ratchet No. two holes 112, second ratchet 12 has the second ratchet hole 121 and the second ratchet No. two holes the 122, three ratchet 13 has the 3rd ratchet hole 131 and the 3rd ratchet No. two holes 132.
As shown in Figure 4, ratchet base 10 has the first detent pin axis hole 101, second detent pin axis hole 102 and the 3rd detent pin axis hole 103, first ratchet bearing pin 141, second ratchet bearing pin 142, the 3rd ratchet bearing pin 143 insert each pin shaft hole respectively and with each click-fit;
As shown in Figure 5, described guiding tube 2 is hollow pipe, and ratchet opens line 8, jaws close line 9 extends there through.Its one end each other 120 ° have three grooves, each ratchet can be launched smoothly.Guiding tube coordinates with pawl body 1, the sidewall of the ratchet base 100 of pawl body 1 and guiding tube contact internal walls, and three ratchets just lay respectively in three notches of guiding tube 2 one end, and it coordinates as shown in Figure 6.
Its other end is fixed in housing 3 by face contact, and one end that guiding tube 2 coordinates with housing 3 has notch, and upper shell 31 is respectively provided with through hole halfround bar slice with the end of thread of lower house 32, can stick into the notch that above-mentioned guiding tube 2 is opened.Its cooperation of institute is as shown in Figure 7.
The Design of length of guiding tube 2 is to ensure that operation has certain distance from wound, and the thickness design of guiding tube 2 is in order to assurance device can stretch into wound, thus ensures action executing then.
As shown in Figure 8, described housing 3 is made up of upper shell 31 and lower house 32, and upper shell has upper shell and opens driving lever groove 311 and closed driving lever groove 312, and that opens driving lever 51 and closed driving lever 52 by the restriction of these grooves stirs distance;
As shown in Figure 9, lower house 32 wall has square hole 321, and shears completes trimming operation in can stretching into.As shown in Figure 1, after upper shell 31 coordinates with lower house 32, locking nut 4 can lock friction tight one end;
As shown in Figure 10, after upper shell 31 coordinates with lower house 32, locking buckle 7 can lock the friction tight other end, prevents the change of upper and lower casing generation relative position.
As shown in figure 11, open driving lever 51 to have driving lever mesopore 511, open driving lever winding bore 512; Closed driving lever 52 has driving lever mesopore 521, closed driving lever winding bore 522; Open driving lever rotating shaft 61 two ends to coordinate with the hole slot of upper and lower casing respectively, rotating shaft 61 is through opening driving lever mesopore 511 and opening driving lever 51 and coordinate; Closed driving lever rotating shaft 62 two ends coordinate with the hole slot of upper and lower casing respectively, and rotating shaft coordinates with closed driving lever 52 through closed driving lever mesopore 521.Groove in upper-lower casing and aperture respectively with open driving lever rotating shaft 61, closed driving lever rotating shaft 62 coordinates; Lower house with open driving lever and closed driving lever coordinate as shown in figure 12, lower house, rotating shaft coordinate as shown in figure 13 with driving lever.
As shown in figure 14, described rotating shaft 6 to be coordinated with end cap 602 by axle head 601 and forms.
As shown in figure 15, through opening driving lever 51 opens driving lever winding bore 512 for ratchet opens line 8 one end described in left figure, tie up and opening on driving lever 51, three bunches are divided into for ratchet opens the line other end described in right figure, behind hole through ratchet base 100, three bunches of ratchets open line and are each passed through ratchet hole 121, the first ratchet hole 111, second on each ratchet, the 3rd ratchet hole 131, and then tie up on the first ratchet 11, second ratchet 12, the 3rd ratchet 13;
As shown in figure 16, be that jaws close line 9 one end is through the closed driving lever winding bore 522 on closed driving lever 52 described in left figure, tie up on closed driving lever 52, three bunches are divided into for the jaws close line other end described in right figure, three bunches of jaws close lines are each passed through ratchet No. two holes 122, the first ratchet No. two holes 112, second on each ratchet, the 3rd ratchet No. two holes 132, and then tie up on the first ratchet 11, second ratchet 12, the 3rd ratchet 13;
As shown in figure 17, described ratchet lock wire 10 is each passed through ratchet No. two holes 122, the first ratchet No. two holes 112, second on the first ratchet 11, second ratchet 12, the 3rd ratchet 13, the 3rd ratchet No. two holes 132, and leave sufficient length at two ends, with adhesive plaster, two ends are bonded in the middle part of guiding tube.
Operating procedure:
1. device being taken out from aseptic packaging, check whether this device occurs breakage before use, as there is breakage, please change.
2. guiding tube is aimed at the wound propulsion plant caused by arterial intervention therapy, see in lonizing radiation imaging and stop advancing after ratchet enters tremulous pulse.
3. stir ratchet downwards and open driving lever to driving lever lower edge and body contact, namely no longer can continue to stir downwards.Now, the first ratchet can be observed in lonizing radiation imaging, the second ratchet, the 3rd ratchet open about 30 degree of angles respectively.Meanwhile, closed driving lever is put, and jaws close line is tension.
4. package unit is outwards proposed along guiding tube direction, in lonizing radiation imaging, see ratchet puncturing arteries blood vessel wall, and when pawl body starts to touch blood vessel, stop outer carrying.
5. stir jaws close driving lever downwards to driving lever lower edge and body contact, namely no longer can continue to stir downwards.Now, can observe each jaws close in lonizing radiation imaging, blood vessel wall is around gathered to wound direction.
6. stretch in the square hole of lower house by shears, cut off ratchet and open line, jaws close line, now, pawl body is separated with single unit system.Untie the adhesive plaster encasing ratchet lock wire.
It is different with jaws close line 9 that ratchet lock wire 10 and ratchet open line 8, and it is wound on ratchet.In surgical operation step 6, cut off after ratchet opens line 8, jaws close line 9, pawl body is connected without any with all the other devices, but after jaws close line-ratchet lock wire, ratchet just completes closed action, but due to the pressure in arteries, the flowing of blood of human body tissue fluid, the factors such as the elastic force of blood vessel wall own, probably make ratchet open when wound does not heal.So, not only need ratchet to complete closed operation in vivo, also need lasting being kept closed of ratchet.
7. hold ratchet lock wire, device is outwards proposed along guiding tube direction arrive external to guiding tube.Now, the device stayed in the body only has pawl body.
8. strain ratchet lock wire and tie a knot, cutting off the end of a thread redundance.Ensure that each ratchet can remain on closure state.Now, can observe the first ratchet in lonizing radiation imaging, the second ratchet, the 3rd ratchet close, the blood vessel wall around wound is gathered to wound direction, and wound is closed.
Although describe in detail invention has been in conjunction with the embodiments; but those skilled in the art are with being to be understood that; the present invention is not limited only to specific embodiment; on the contrary; do not exceeding the various corrections of the application's spirit and essence, distortion and replacement all drop among the protection domain of the application.

Claims (7)

1. an arteries pierces through stitching devices, comprise: pawl body (1), guiding tube (2), housing (3), locking nut (4), driving lever (5), rotating shaft (6) rotating shaft (6), locking buckle (7), ratchet opens line (8), jaws close line (9), ratchet lock wire (10), it is characterized in that:
Pawl body (1) is made up of ratchet base (100) and the first ratchet (11), the second ratchet (12), the 3rd ratchet (13), ratchet base (100) is provided with centre bore, each ratchet each other 120 ° of ground and ratchet base (100) hinged; First ratchet (11) has the first ratchet hole (111) and the first ratchet No. two holes (112), second ratchet (12) has the second ratchet hole (121) and the second ratchet No. two holes (122), and the 3rd ratchet (13) has the 3rd ratchet hole (131) and the 3rd ratchet No. two holes (132);
Ratchet base (100) has the first detent pin axis hole (101), second detent pin axis hole (102) and the 3rd detent pin axis hole (103), the first ratchet bearing pin (141), the second ratchet bearing pin (142), the 3rd ratchet bearing pin (143) insert each pin shaft hole respectively and with each click-fit;
Guiding tube (2) is hollow pipe, and ratchet opens line (8), jaws close line (9) extends there through; Guiding tube (2) one end each other 120 ° of ground has three grooves, and each ratchet can be launched smoothly;
Guiding tube (2) coordinates with pawl body (1), the sidewall of the ratchet base (100) of pawl body (1) and guiding tube (2) contact internal walls, first ratchet (11), the second ratchet (12), the 3rd ratchet (13) lay respectively in three notches of guiding tube (2) one end, guiding tube (2) other end is fixed in housing (3) by face contact, and one end that guiding tube (2) coordinates with housing (3) has notch;
Described housing (3) is made up of upper shell (31) and lower house (32);
After upper shell (31) coordinates with lower house (32), locking nut (4) locks friction tight one end;
After upper shell (31) coordinates with lower house (32), locking buckle (7) locks the friction tight other end;
Open driving lever (51) to be provided with and to open driving lever shaft hole (511), open driving lever winding bore (512);
Closed driving lever (52) is provided with closed driving lever shaft hole (521) in driving lever, closed driving lever winding bore (522);
Open driving lever rotating shaft (61) two ends to coordinate with the hole slot of upper shell (31) with lower house (32) respectively, open driving lever rotating shaft (61) through opening driving lever shaft hole (511) and opening driving lever (51) and coordinate;
Closed driving lever rotating shaft (62) two ends coordinate with the hole slot of upper shell (31) with lower house (32) respectively, and closed driving lever rotating shaft (62) coordinates with closed driving lever (52) through closed driving lever shaft hole (521);
Rotating shaft (6) to be coordinated with end cap (602) by axle head (601) and forms.
2. arteries according to claim 1 pierces through stitching devices, it is characterized in that: pawl body (1) is made up of magnesium base alloy and the part that need stay in the body, after pawl body (1) sends into tremulous pulse, three ratchets of pawl body (1) complete expansion action, single unit system proposes, until ratchet puncturing arteries wall, and three jaws close lockings afterwards, tensioning the skin makes wound close, and pawl body (1) comes off from stitching devices again.
3. arteries according to claim 1 pierces through stitching devices, it is characterized in that: upper shell has upper shell and opens driving lever groove (311) and closed driving lever groove (312), that opens that driving lever groove (311) and closed driving lever groove (312) restriction open driving lever (51) and closed driving lever (52) by upper shell stirs distance.
4. arteries according to claim 1 pierces through stitching devices, it is characterized in that: lower house (32) wall has square hole (321), and shears completes trimming operation in can stretching into.
5. arteries according to claim 1 pierces through stitching devices, it is characterized in that: ratchet opens line (8) one end and through opening driving lever (51) opens driving lever winding bore (512), tie up and opening on driving lever (51), ratchet opens line (8) other end and is divided into three bunches, behind hole through ratchet base (100), three bunches of ratchets open line (8) and are each passed through the first ratchet hole (111) on each ratchet, second No. one, ratchet hole (121), 3rd No. one, ratchet hole (131), and then tie up in the first ratchet (11), second ratchet (12), on 3rd ratchet (13).
6. arteries according to claim 1 pierces through stitching devices, it is characterized in that: jaws close line (9) one end is through the closed driving lever winding bore (522) on closed driving lever (52), tie up on closed driving lever (52), jaws close line (9) other end is divided into three bunches, three bunches of jaws close lines are each passed through the first ratchet No. two holes (112) on each ratchet, second No. two, ratchet hole (122), 3rd No. two, ratchet hole (132), and then tie up in the first ratchet (11), second ratchet (12), on 3rd ratchet (13).
7. arteries according to claim 1 pierces through stitching devices, it is characterized in that: ratchet lock wire (10) is each passed through the first ratchet No. two holes (112) on the first ratchet (11), the second ratchet (12), the 3rd ratchet (13), the second ratchet No. two holes (122), the 3rd ratchet No. two holes (132), and blend compounds cloth is bonded at two ends in the middle part of guiding tube.
CN201510372808.7A 2015-06-30 2015-06-30 A kind of arteries pierce through stitching devices Expired - Fee Related CN105030292B (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112451017A (en) * 2020-11-25 2021-03-09 浙江海创医疗器械有限公司 Pancreas intestine anastomat

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CN101579245A (en) * 2009-06-15 2009-11-18 吉林科罗纳多医疗器械有限公司 Artery wound plugging device
US20110087275A1 (en) * 2007-10-01 2011-04-14 Boston Scientific Scimed, Inc. Connective tissue closure device and method
US20120296373A1 (en) * 2011-05-19 2012-11-22 Abbott Cardiovascular Systems, Inc. Closure devices and methods

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5496332A (en) * 1994-10-20 1996-03-05 Cordis Corporation Wound closure apparatus and method for its use
CN1292665A (en) * 1998-03-09 2001-04-25 苏图诺有限公司 Suturing device for sealing opening in blood vessel
CN1352539A (en) * 1999-03-19 2002-06-05 拜帕斯公司 Vascular surgery
US20110087275A1 (en) * 2007-10-01 2011-04-14 Boston Scientific Scimed, Inc. Connective tissue closure device and method
CN101579245A (en) * 2009-06-15 2009-11-18 吉林科罗纳多医疗器械有限公司 Artery wound plugging device
US20120296373A1 (en) * 2011-05-19 2012-11-22 Abbott Cardiovascular Systems, Inc. Closure devices and methods

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112451017A (en) * 2020-11-25 2021-03-09 浙江海创医疗器械有限公司 Pancreas intestine anastomat

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