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CN108635008A - A kind of insulation hemostatic clamp - Google Patents

A kind of insulation hemostatic clamp Download PDF

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Publication number
CN108635008A
CN108635008A CN201810578133.5A CN201810578133A CN108635008A CN 108635008 A CN108635008 A CN 108635008A CN 201810578133 A CN201810578133 A CN 201810578133A CN 108635008 A CN108635008 A CN 108635008A
Authority
CN
China
Prior art keywords
insulation
hemostatic clamp
pin shaft
clamping limbs
clamping
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201810578133.5A
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Chinese (zh)
Inventor
唐丹
令狐恩强
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
First Medical Center of PLA General Hospital
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to CN201810578133.5A priority Critical patent/CN108635008A/en
Publication of CN108635008A publication Critical patent/CN108635008A/en
Pending 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
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/122Clamps or clips, e.g. for the umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00831Material properties
    • A61B2017/00929Material properties isolating electrical current
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for haemostasis, for prevention of bleeding

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

Abstract

The present invention relates to a kind of insulation hemostatic clamp, the insulation hemostatic clamp includes clamping device and fixed seat, and the clamping device includes sequentially connected clip body and steel wire buckle;The fixed seat front end is equipped with fixed pin shaft, the clip body is made of two clamping limbs, the tail end of two clamping limbs is connected by active pin shaft, a sliding slot is respectively provided in the middle part of two clamping limbs, the fixed pin shaft passes through the sliding slot, two clamping limbs to move back and forth the opening and closing to form clip body along sliding slot;The outer surface of two clamping limbs is covered at least one layer of insulating materials.The insulation hemostatic clamp of the present invention passes through the outer surface covering insulating material in two clamping limbs, metal hemostatic clamp is isolated with electric knife or electric snare by insulating materials, electric current, which imports metal hemostatic clamp, when metal hemostatic clamp being avoided to be contacted with electric knife leads to alimentary canal tissue electric injury.

Description

A kind of insulation hemostatic clamp
Technical field
The present invention relates to the field of medical instrument technology, and in particular to a kind of insulation hemostatic clamp.
Background technology
Endoscope hemostasis folder is because its traumatic small, anthemorrhagic speed is fast, bleeding event is low again, few intercurrent disease, curative effect in recent years The features such as definite, it has also become critical patient acute gastrointestinal bleeding non-operative treatment is most effective, most has the side of clinical value Method.After the effect of hemostatic clamp closes thin vessels and hemostasis for folder has gained public acceptance at present, but hemostatic clamp folder closes wound, if all Still there is a small amount of bleeding on side, and because closing on previous piece of metal clip, when can not reuse new hemostatic clamp, can generally take electric knife The mode of coagulation is stopped blooding, but electric knife can not avoid contact to previous piece of metal clip and usually be led at this time due to the effect of metallic conduction Send a telegraph damage, sometimes even cause transmural lesion, especially metal clip for enteron aisle pedicle skin flap polypus pre-process when, sometimes the base of a fruit compared with Short, electric snare inevitably touches metal clip in cutting, it might even be possible to the generation for causing patient's Delayed onset to perforate, it is therefore, clinical It is badly in need of a insulation hemostatic clamp.Not only can be with the hemostatic function of current metal clip, but also metallic conduction is brought one can be avoided Serial new problem.
Invention content
The purpose of the present invention is to provide a kind of insulation hemostatic clamps, to solve existing hemostatic clamp presence and electric knife And when electricity snare partner treatment, it is easy to cause electric injury.
To achieve the above object, the present invention provides a kind of insulation hemostatic clamp, the insulation hemostatic clamp include clamping device with And fixed seat, the clamping device include sequentially connected clip body and steel wire buckle;The fixed seat front end is equipped with fixed pin Axis, the clip body are made of two clamping limbs, and the tail end of two clamping limbs is connected by active pin shaft, described in two A sliding slot is respectively provided in the middle part of clamping limb, the fixed pin shaft passes through the sliding slot, two clamping limbs reciprocal along sliding slot Movement forms the opening and closing of clip body;The outer surface of two clamping limbs is covered at least one layer of insulating materials.
Preferably, the end of the sliding slot is equipped with bending structure, when the clamping limb moves so that fixed pin shaft is positioned at curved When in folded structure, two clamping limbs are in locked closed position;The steel wire buckle around being located on the active pin shaft, when When the pulling force applied on the steel wire buckle reaches predetermined value, the steel wire buckle is detached from the active pin shaft;The steel wire buckle with After the active pin shaft is detached from, the rear portion of the clip body is fixed in fixed seat.
Preferably, the tail end of two clamping limbs is provided with crotch structure, and the fixed seat is equipped with and the crotch The protrusion of physical fit, when two clamping limbs are in locked closed position, the crotch structure card of two clamping limb tail ends It is buckled in the protrusion.
Preferably, the inner surface of two clamping limbs is again covered at least one layer of insulating materials.
Preferably, the fixed seat is sequentially connected transition cap, locking cap and remote spring pipe composition housing tube assembly, institute It includes the connector for connecting the steel wire buckle to state clamping device, and flexible chaste tree pawl, the chaste tree pawl are arranged on the connector The buckle of deformation can be carried out by being equipped with two or more, and the fixed seat is mutually nested with the transition cap portion, and mutually embedding The part of set is equipped with the card slot that can accommodate buckle, and fixed seat is connected with transition cap, applied when on the chaste tree pawl by the buckle When the pulling force added reaches preset value, the buckle generates elastic deformation and stretches so that the buckle is detached from card slot, the fixed seat It is detached from the transition cap;The transition cap tail end is equipped with transition cap mold insert so that the outer wall of transition cap forms annular groove, described solid Determine cap one end to be fixedly connected with the remote spring pipe, the other end is equipped with the annular projection being adapted to the annular groove so that described It can be relatively rotated between transition cap and the locking cap.
Preferably, the peripheral surface of the fixed seat is again covered at least one layer of insulating materials.
Preferably, the internal diameter of the locking cap and the remote spring pipe is more than steel wire buckle, connector and chaste tree pawl most Big outer diameter.
Preferably, bourdon tube transition piece is equipped in the remote spring pipe, the connector is connect with an operating rope, described Bourdon tube transition piece be equipped with only accommodate operating rope by through-hole.
Preferably, the hole shape of the clamping limb setting active pin shaft is oval shape.
Preferably, the peripheral surface of the transition cap and the locking cap is again covered at least one layer of insulating materials.
The invention has the advantages that:The insulation hemostatic clamp of the present invention in the outer surface of two clamping limbs by covering insulation Metal hemostatic clamp is isolated with electric knife or electric snare by insulating materials, avoids metal hemostatic clamp and high-frequency electrical by material Electric current, which imports metal hemostatic clamp, when knife contacts leads to alimentary canal tissue electric injury.
Description of the drawings
Fig. 1 is the structural schematic diagram of present invention insulation hemostatic clamp.
Fig. 2 is the partial enlarged view of part i in Fig. 1.
Fig. 3 is the first variable condition schematic diagram in Fig. 2.
Fig. 4 is the second variable condition schematic diagram in Fig. 2.
Fig. 5 is third variable condition schematic diagram in Fig. 2.
Fig. 6 is the partial enlarged view of part ii in Fig. 1.
Fig. 7 is the side structure schematic view of one of clamping limb.
Fig. 8 is the side elevational cross-section structural schematic diagram of clamping limb in Fig. 7.
Fig. 9 is the side elevational cross-section structural schematic diagram of a clamping limb in embodiment 2.
Specific implementation mode
The following examples are used to illustrate the present invention, but are not intended to limit the scope of the present invention..
Embodiment 1
As depicted in figs. 1 and 2, the invention discloses a kind of insulation hemostatic clamp, which includes housing tube assembly With the clamping device in housing tube assembly, the housing tube assembly includes sequentially connected fixed seat 4, transition cap 8, fixes Cap 10 and remote spring pipe 11, the clamping device include sequentially connected clip body 1, steel wire buckle 5, connector 7 and The operating rope 14 of attended operation handle 13;Fixed seat front end is equipped with fixed pin shaft 2, and clip body 1 is by two clamping limb 1a, 1b structures At the tail end of two clamping limbs 1a, 1b are connected by active pin shaft 3, and a sliding slot is respectively provided in the middle part of two clamping limbs 1a, 1b 1c, 1d, the occlusion distal end indention 1b2 cooperations of described two clamping limb 1a, 1b.As shown in figure 8, two clamping limbs 1a, 1b Outer surface be covered at least one layer of insulating materials, the preference of insulating materials is silica gel 18, and the covering method of silica gel 18 is logical It crosses clamping limb 1a, 1bEntering in liquid silica gel so that liquid silica gel is contacted with its outer surface, then clamping limb 1a, 1b are taken out, After liquid silica gel solidification on the outer surfaces arm 1a, 1b to be held, then clamping limb 1a, 1bEnter and carries out second layer silicon in liquid silica gel The covering of glue 18 can cover multilayer silica gel 18, silica gel by the way that the above process is repeated several times in the outer surface of clamping limb 1a, 1b 18 number of plies preference is 2-8 layers.
As shown in fig. 7, the end of sliding slot 1c, 1d are equipped with bending structure 1c1,1d1, fixed pin shaft passes through sliding slot 1c, 1d, when Two clamping limbs 1a, 1b move back and forth the opening and closing for constituting clip body 1 along sliding slot;Steel wire buckle 5 around being located on active pin shaft 3, when When the pulling force applied on steel wire buckle 5 reaches predetermined value, steel wire buckle 5 is stretched to be detached from active pin shaft 3;Steel wire buckle 5 and removable pin After axis 3 is detached from, clip body 1 is fixed in fixed seat 4.Flexible chaste tree pawl 14 is set on connector 7, and chaste tree pawl 14 is equipped with Buckle 6, fixed seat 4 and transition cap 8 have the part of mutually nested overlapping, and mutually nested part is equipped with can accommodate buckle 6 card slot 15, buckle 6 connect fixed seat 4 and transition cap 8, when the pulling force applied on buckle 6 reaches preset value, buckle 6 It generates deformation to stretch so that buckling 6 disengaging card slots 15, fixed seat 4 and transition cap 8 are detached from;8 tail end of transition cap is inlayed equipped with transition cap Part 9 so that the outer wall of transition cap 8 forms annular groove 16, and one end of locking cap 10 is fixedly connected with remote spring pipe 11, and the other end is set There is the annular projection 10a being adapted to annular groove so that can be relatively rotated between transition cap 8 and locking cap 10.Locking cap 10 and remote The internal diameter of bourdon tube 11 is held to be more than the maximum outside diameter of steel wire buckle 5, connector 7 and chaste tree pawl 14.As shown in fig. 6, remote spring pipe Be equipped with bourdon tube transition piece 12 in 11, bourdon tube transition piece 12 be equipped with only accommodate operating rope 14 by through-hole.As shown in fig. 7, The hole shape of clamping limb 1a, 1b setting active pin shaft 3 is oval shape 1b3.
It is illustrated in figure 2 the open configuration of two clamping limbs 1a, 1b, insulation hemostatic clamp alignment can be needed to be clamped at this time The human body of hemostasis.Operating rope 14 can be rotated as needed, thus drive insulation hemostatic clamp ontology rotation.
As shown in figure 3, (insulation hemostatic clamp ontology direction is front, operating rope side in the present invention after finding puncture site accurately To for rear), operating rope 14 is pulled back, the track that two clamping limbs 1a, 1b are formed along sliding slot 1c, 1d and fixed pin shaft 2 at this time Recession, while being closed.The end of sliding slot 1c, 1d are equipped with bending structure 1c1,1d1, when clamping limb 1a, 1b are moved so that fixing When axis pin 2 is located in bending structure 1c1,1d1, that is, ensure to be formed when two clamping limbs 1a, 1b are moved backward to be closed, while in cunning The end of slot 1c, 1d are set as locking position.Meanwhile the tail end of two clamping limbs 1a, 1b are provided with crotch structure 1b1, it is fixed Seat 4 is equipped with the raised 4a being adapted to crotch structure 1b1, when two clamping limbs 1a, 1b are in locked closed position, two folders The crotch structure of gripping arm 1a, 1b tail end is buckled in protrusion.I.e. on this position, clamping limb 1a, 1b will not open again.
As shown in figure 4, continue to pull back operating rope 14, when the pulling force applied on buckle 6 reaches preset value 20-30N, 6 generation deformation of buckle stretches so that buckling 6 disengaging card slots 15, fixed seat 4 and transition cap 8 are mutually disengaged.
As shown in figure 5, continuing to pull back operating rope 14, when the pulling force applied on steel wire buckle 5 reaches preset value 35-40N When, steel wire buckle 5 generates deformation and stretches and the disengaging of active pin shaft 3.
Further, the side wall of two clamping limbs 1a, 1b by distal end to proximal end in gradually wide structure.
Further, sliding slot 1c, 1d is with cambered sliding slot.
In use, by insulation hemostatic clamp bulk transport to lesion designated position under the Lookout assist effect of endoscope, such as Gastral pedicle skin flap polypus can carry out folder in advance in root and close, art medium vessels bleeding be prevented, simultaneously as hemostatic clamp has absolutely Edge function, electric current will not be reached the other end and cause electric injury by electric snare touching clamp arm in art.Secondly, endoscopic minimally-invasive Bleeding occurs in surgical procedure, sliding block at handle can be promoted, make binding clip open simultaneously rotate core bar take the lead binding clip rotate, can and When to stopping blooding at bleeding.
Embodiment 2
As shown in figure 9, the present embodiment is based on embodiment 1, the present embodiment difference from example 1 is that, folder The inner surface of gripping arm 1a, 1b also covers multilayer silica gel 18, the number of plies of the number of plies and the outer surfaces clamping limb 1a, 1b silica gel 18 of silica gel 18 It is identical.
Embodiment 3
The present embodiment based on embodiment 2, the present embodiment and embodiment 2 the difference is that, the periphery of fixed seat 4 Face also covers multilayer silica gel 18, and the number of plies of silica gel 18 is identical as the number of plies of clamping limb 1a, 1b inner surface silica gel 18.Further, In order to improve insulation performance, also multilayer silica gel 18 can be covered in the peripheral surface of transition cap 8.
Although being above described in detail to the present invention with generality explanation and specific embodiment, at this On the basis of invention, it can be modified or is improved, this will be apparent to those skilled in the art.Therefore, These modifications or improvements without departing from theon the basis of the spirit of the present invention belong to the scope of protection of present invention.

Claims (10)

1. a kind of insulation hemostatic clamp, the insulation hemostatic clamp includes clamping device and fixed seat, the clamping device include according to The clip body and steel wire buckle of secondary connection;It is characterized in that, the fixed seat front end be equipped with fixed pin shaft, the clip body by Two clamping limbs are constituted, and the tail end of two clamping limbs is connected by active pin shaft, and the middle part of two clamping limbs is respectively set There are one sliding slot, the fixed pin shaft passes through the sliding slot, two clamping limbs to move back and forth to form clip body along sliding slot Opening and closing;The outer surface of two clamping limbs is covered at least one layer of insulating materials.
2. insulation hemostatic clamp according to claim 1, which is characterized in that the end of the sliding slot is equipped with bending structure, when When the clamping limb is moved so that fixed pin shaft is located in bending structure, two clamping limbs are in locked closed position;Institute Steel wire buckle is stated around being located on the active pin shaft, when the pulling force applied on the steel wire buckle reaches predetermined value, the steel wire Button is detached from the active pin shaft;After the steel wire buckle is detached from the active pin shaft, the rear portion of the clip body is fixed on In fixed seat.
3. insulation hemostatic clamp according to claim 2, which is characterized in that the tail end of two clamping limbs is provided with crotch Structure, the fixed seat are equipped with the protrusion with the crotch physical fit, and position is locked and closed when two clamping limbs are in When setting, the crotch structure of two clamping limb tail ends is buckled in the protrusion.
4. insulation hemostatic clamp according to claim 3, which is characterized in that the inner surface of two clamping limbs is again covered with At least one layer of insulating materials.
5. insulation hemostatic clamp according to claim 4, which is characterized in that the fixed seat is sequentially connected transition cap, fixation Cap and remote spring pipe form housing tube assembly, and the clamping device includes the connector for connecting the steel wire buckle, the company Flexible chaste tree pawl is set on fitting, and the chaste tree pawl, which is equipped with two or more, can carry out the buckle of deformation, the fixed seat The card slot of buckle can be accommodated by being equipped with the mutually nested and mutually nested part of the transition cap portion, and the buckle will be consolidated Reservation is connected with transition cap, and when the pulling force applied on the chaste tree pawl reaches preset value, the buckle generates elastic deformation and draws Directly so that the buckle is detached from card slot, and the fixed seat and the transition cap are detached from;The transition cap tail end is inlayed equipped with transition cap Part so that the outer wall of transition cap forms annular groove, and described locking cap one end is fixedly connected with the remote spring pipe, and the other end is equipped with The annular projection being adapted to the annular groove so that can be relatively rotated between the transition cap and the locking cap.
6. according to the insulation hemostatic clamp described in any one of claim 1-5 claims, which is characterized in that outside the fixed seat Circumferential surface is again covered at least one layer of insulating materials.
7. insulation hemostatic clamp according to claim 5, which is characterized in that the locking cap and the remote spring pipe it is interior Diameter is more than the maximum outside diameter of steel wire buckle, connector and chaste tree pawl.
8. insulation hemostatic clamp according to claim 5, which is characterized in that be equipped with spring tube transitions in the remote spring pipe Part, the connector are connect with an operating rope, the bourdon tube transition piece be equipped with only accommodate operating rope by through-hole.
9. insulation hemostatic clamp according to claim 5, which is characterized in that the hole shape of the clamping limb setting active pin shaft For oval shape.
10. insulation hemostatic clamp according to claim 5, which is characterized in that the periphery of the transition cap and the locking cap Face is again covered at least one layer of insulating materials.
CN201810578133.5A 2018-06-05 2018-06-05 A kind of insulation hemostatic clamp Pending CN108635008A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201810578133.5A CN108635008A (en) 2018-06-05 2018-06-05 A kind of insulation hemostatic clamp

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201810578133.5A CN108635008A (en) 2018-06-05 2018-06-05 A kind of insulation hemostatic clamp

Publications (1)

Publication Number Publication Date
CN108635008A true CN108635008A (en) 2018-10-12

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Family Applications (1)

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CN201810578133.5A Pending CN108635008A (en) 2018-06-05 2018-06-05 A kind of insulation hemostatic clamp

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Country Link
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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109223110A (en) * 2018-10-22 2019-01-18 上海科瑞思工业设计有限公司 A kind of locking means and its device of rotary open-and-close soft tissue folder
CN109770987A (en) * 2019-03-19 2019-05-21 崔守永 A kind of emergency treatment Quick hemostat
CN110051398A (en) * 2019-04-18 2019-07-26 浙江朗特医疗科技有限公司 Dual locking tissue folder with limiting and protecting device
CN110251186A (en) * 2019-07-17 2019-09-20 扬州富达医疗器械有限公司 A chuck structure of tissue clip for endoscope
CN111513817A (en) * 2020-05-25 2020-08-11 贵州医科大学附属医院 Polyp clamping cutter
WO2020186838A1 (en) * 2019-03-21 2020-09-24 南微医学科技股份有限公司 Medical hemostatic clip
CN112168271A (en) * 2019-07-01 2021-01-05 南微医学科技股份有限公司 Medical device capable of being opened and closed repeatedly

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103989500A (en) * 2014-05-23 2014-08-20 南京微创医学科技有限公司 Hemostatic clip
CN205947835U (en) * 2016-05-03 2017-02-15 浙江省肿瘤医院 Neural protection separation plier
CN209186823U (en) * 2018-06-05 2019-08-02 唐丹 A kind of insulation hemostatic clamp

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103989500A (en) * 2014-05-23 2014-08-20 南京微创医学科技有限公司 Hemostatic clip
CN205947835U (en) * 2016-05-03 2017-02-15 浙江省肿瘤医院 Neural protection separation plier
CN209186823U (en) * 2018-06-05 2019-08-02 唐丹 A kind of insulation hemostatic clamp

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109223110A (en) * 2018-10-22 2019-01-18 上海科瑞思工业设计有限公司 A kind of locking means and its device of rotary open-and-close soft tissue folder
CN109770987A (en) * 2019-03-19 2019-05-21 崔守永 A kind of emergency treatment Quick hemostat
WO2020186838A1 (en) * 2019-03-21 2020-09-24 南微医学科技股份有限公司 Medical hemostatic clip
CN110051398A (en) * 2019-04-18 2019-07-26 浙江朗特医疗科技有限公司 Dual locking tissue folder with limiting and protecting device
CN112168271A (en) * 2019-07-01 2021-01-05 南微医学科技股份有限公司 Medical device capable of being opened and closed repeatedly
CN110251186A (en) * 2019-07-17 2019-09-20 扬州富达医疗器械有限公司 A chuck structure of tissue clip for endoscope
CN111513817A (en) * 2020-05-25 2020-08-11 贵州医科大学附属医院 Polyp clamping cutter

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Effective date of registration: 20240130

Address after: 100039 Fuxing Road 28, Beijing, Haidian District

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Application publication date: 20181012