CN120616621A - A visual pericardial effusion puncture device - Google Patents

A visual pericardial effusion puncture device

Info

Publication number
CN120616621A
CN120616621A CN202511017301.XA CN202511017301A CN120616621A CN 120616621 A CN120616621 A CN 120616621A CN 202511017301 A CN202511017301 A CN 202511017301A CN 120616621 A CN120616621 A CN 120616621A
Authority
CN
China
Prior art keywords
endoscope
connector
puncture
abutting portion
needle
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
CN202511017301.XA
Other languages
Chinese (zh)
Inventor
黄鑫
徐国纲
张文天
曾舒昊
刘玉渟
于正浩
平荣宇
宗航帆
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Second Medical Center of PLA General Hospital
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Second Medical Center of PLA General Hospital
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 Second Medical Center of PLA General Hospital filed Critical Second Medical Center of PLA General Hospital
Priority to CN202511017301.XA priority Critical patent/CN120616621A/en
Publication of CN120616621A publication Critical patent/CN120616621A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/0045Devices for taking samples of body liquids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/313Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3415Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3478Endoscopic needles, e.g. for infusion

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Hematology (AREA)
  • Endoscopes (AREA)

Abstract

The invention relates to a visual pericardial effusion puncture device, which belongs to the field of medical appliances, the endoscope is integrated in the puncture needle, so that small wounds are generated, and the postoperative recovery of a patient is facilitated. Simultaneously, firmly fix the endoscope in the inside of pjncture needle through support piece, avoid the rocking of endoscope during the puncture, influence doctor's operation. Utilize support piece's elasticity and its left butt portion include left arc section, left horizontal segment and left vertical section, right butt portion includes right arc section, right horizontal segment and right vertical section's structure setting, can realize firm position locking, and no longer need Y type or T type bearing structure like commonly used to reduce support piece's space that occupies, thereby leave abundant hydrops extraction space in the opening part, when reducing the wound, reduced the possibility that the pericardial effusion was blockked up.

Description

Visual pericardial effusion puncture device
Technical Field
The invention relates to the technical field of medical appliances, in particular to a visual pericardial effusion puncture device.
Background
Pericardial aspiration is a method of sucking pericardial effusion for diagnosis and treatment by placing a puncture needle into the pericardial cavity, and finding out the cause of pericarditis by assaying pericardial effusion. During operation, ultrasound and image guidance are often relied on, the ultrasound and the image at the front are not clear enough, the operation difficulty is high, and the operation is mainly performed by doctors with abundant operation experience in a large trimethyl hospital.
Although some technologies are known, such as chinese patent CN110522497a, a visual pericardial puncture needle is disclosed, which guides a doctor to perform an operation through a miniature camera, so as to reduce the operation difficulty. The puncture outfit, the puncture needle and the miniature camera are independent parallel components, the structure is complex, larger wounds are easy to generate, and the postoperative recovery is not facilitated.
Disclosure of Invention
The present invention is directed to alleviating or solving at least one aspect or point of the problems discussed above.
The invention provides a visual pericardial effusion puncture device, which comprises a puncture needle, a clamping handle, a decoder, a communication joint, a support piece and an endoscope, wherein the puncture needle is arranged on the inner wall of the puncture needle;
the endoscope is fixed inside the puncture needle through the supporting piece;
The external part of the clamping handle is provided with a suction connector and a first electric connector, the internal part of the clamping handle is provided with a circuit component and a pipeline component, the first electric connector is electrically connected with the endoscope through the circuit component, and the suction connector is communicated with the puncture needle through the pipeline component;
The first electric connector is connected with the decoder through a first cable, and the decoder is connected with the communication connector through a second cable;
the support piece comprises an arc-shaped bending part, a left abutting part and a right abutting part, and a groove for placing an endoscope is formed in one surface of the arc-shaped bending part;
The support piece is provided with a use state and a non-use state, the left abutting part and the right abutting part are provided with a first interval in the non-use state, and a second interval is arranged between the left abutting part and the right abutting part in the use state, wherein the first interval is larger than the second interval;
The arc-shaped bending part can deform, and the left abutting part and the right abutting part are abutted against the inner wall of the puncture needle by the force generated by the deformation of the arc-shaped bending part.
Optionally, the left abutting part comprises a left arc section, a left horizontal section and a left vertical section, the curvature radius of the left arc section is consistent with that of the inner wall of the puncture needle, and the right abutting part comprises a right arc section, a right horizontal section and a right vertical section, and the curvature radius of the right arc section is consistent with that of the inner wall of the puncture needle.
Optionally, the support further comprises a front stop for limiting the front end position of the endoscope and a rear stop for limiting the rear end position of the endoscope.
Alternatively, the left abutting portion forms a structure with a small upper part and a large lower part, and the right abutting portion forms a structure with a small upper part and a large lower part.
Optionally, the puncture needle comprises a needle head, a needle seat and a sealing joint connected with the needle seat, wherein the sealing joint is provided with a first joint and a second joint, the pipeline assembly comprises a first pipeline, the first pipeline is in sealing connection with the first joint, the circuit assembly comprises a third cable, and the third cable is electrically connected with the endoscope through the second joint.
Optionally, the endoscope is electrically connected to the second connector via a fourth cable.
Optionally, an illumination source and a camera are formed on the endoscope.
Optionally, the needle diameter of the puncture needle is 1.6-2.0mm.
Optionally, the communication connector is a USB connector.
Optionally, the aspiration connector is a channel luer connector.
The endoscope is integrated in the puncture needle, so that small wounds are generated, and the postoperative recovery of a patient is facilitated. Simultaneously, firmly fix the endoscope in the inside of pjncture needle through support piece, avoid the rocking of endoscope during the puncture, influence doctor's operation. Utilize support piece's elasticity and its left butt portion include left arc section, left horizontal segment and left vertical section, right butt portion includes right arc section, right horizontal segment and right vertical section's structure setting, can realize firm position locking, and no longer need Y type or T type bearing structure like commonly used to reduce support piece's space that occupies, thereby leave abundant hydrops extraction space in the opening part, when reducing the wound, reduced the possibility that the pericardial effusion was blockked up.
Drawings
Fig. 1 is a schematic perspective view of a visual pericardial effusion puncturing device according to an exemplary embodiment of the present invention.
Fig. 2 is a schematic perspective view of a grip handle and a puncture needle according to an exemplary embodiment of the present invention.
Fig. 3 is an enlarged schematic view at I of fig. 2.
Fig. 4 is a schematic front view of the internal tubing and spike of the grip handle of the present invention.
Fig. 5 is a schematic view of the A-A cross section of fig. 4.
Fig. 6 is a schematic view showing the fit between the puncture needle, the support, and the endoscope of the present invention.
Fig. 7 is an enlarged schematic view at II of fig. 6.
Fig. 8 is a side view schematic of fig. 6.
Fig. 9 is a schematic view showing the fit between the support and the endoscope of the present invention.
Fig. 10 is a schematic perspective view of the support of the present invention.
Fig. 11 is another perspective view of the support of the present invention.
Fig. 12 is a schematic side view of the support of the present invention.
Fig. 13 is a schematic top view of the support of the present invention.
Fig. 14 is a schematic view of the B-B cross section of fig. 13.
Fig. 15 is a schematic view of the C-C section of fig. 13.
Wherein the 1-puncture needle, 11-needle, 12-needle holder, 13-sealing joint, 14-first joint, 15-second joint, 2-clamping handle, 21-suction joint, 22-first electric joint, 23-third cable, 24-first pipeline, 3-video decoder, 4-USB joint, 5-first cable, 6-second cable, 7-support, 71-left abutment, 711-left arc section, 712-left horizontal section, 713-left vertical section, 72-right abutment, 721-right arc section, 722-right horizontal section, 723-right vertical section, 73-front stop, 74-rear stop, 75-bend, 751-groove, 8-endoscope.
Detailed Description
The following description of embodiments of the present invention with reference to the accompanying drawings is intended to illustrate the general inventive concept and should not be taken as limiting the invention. In the present invention, the same reference numerals denote the same or similar components.
The features described herein may be embodied in different forms and should not be construed as limited to the examples described herein. Rather, the examples described herein have been provided to illustrate only some of the many possible ways to implement the methods, devices, and/or systems described herein that will be apparent after an understanding of the present disclosure.
Although terms such as "first," "second," and "third" may be used herein to describe various elements, components, regions, layers or sections, these elements, components, regions, layers or sections should not be limited by these terms. Rather, these terms are only used to distinguish one element, component, region, layer or section from another element, component, region, layer or section.
In the description, when an element (such as a layer, region or substrate) is referred to as being "on" another element, "connected to" or "coupled to" the other element, it can be directly "on" the other element, be directly "connected to" or be "coupled to" the other element, or one or more other elements intervening elements may be present. In contrast, when an element is referred to as being "directly on" or "directly connected to" or "directly coupled to" another element, there may be no other element intervening elements present.
The terminology used herein is for the purpose of describing various examples only and is not intended to be limiting of the disclosure. Singular forms also are intended to include plural forms unless the context clearly indicates otherwise. The terms "comprises," "comprising," and "having" specify the presence of stated features, amounts, operations, components, elements, and/or combinations thereof, but do not preclude the presence or addition of one or more other features, amounts, operations, components, elements, and/or combinations thereof.
In order to enable one skilled in the art to utilize the teachings of the present invention, the following exemplary embodiments are presented in terms of particular application scenarios, particular system, device and component parameters and particular manner of connection. However, it will be apparent to those having ordinary skill in the art that these embodiments are merely examples, and that the general principles defined herein may be applied to other embodiments and applications without departing from the spirit and scope of the invention.
According to an exemplary embodiment of the present invention, as shown in FIGS. 1-15, the visual pericardial effusion puncturing device of the present invention comprises a puncture needle 1, a grip handle 2, a decoder 3, a communication adapter, a support 7, and an endoscope 8. Wherein the decoder 3 is used for decoding the signal received by the endoscope 8, and the decoder 3 is a video decoder 3, which adopts the existing decoder 3. The communication connector is schematically a USB connector 4, but it can also be a type-C, HDMI and other common interfaces, which are all within the scope of the present invention.
As shown in fig. 1, the first electrical connector 22 is connected to the decoder 3 via a first cable 5, and the decoder 3 is connected to the USB connector 4 via a second cable 6.
As shown in fig. 2-5, the grip handle 2 is provided with a suction connector 21 and a first electrical connector 22 on the outside, wherein the suction connector 21 is used for sucking pericardial effusion and can be used as a conveying channel for injecting medicine into pericardium if necessary. The clamping handle 2 is internally provided with a circuit assembly and a pipeline assembly, the first electric connector 22 is electrically connected with the endoscope 8 through the circuit assembly, and the suction connector 21 is communicated with the puncture needle 1 through the pipeline assembly.
As shown in fig. 2-5, the puncture needle 1 comprises a needle 11 and a needle holder 12, and further comprises a sealing joint 13 connected with the needle holder 12, the sealing joint 13 being formed with a first joint 14 and a second joint 15.
The line assembly includes a first line 24, the first line 24 being sealingly connected to the first fitting 14. The circuit assembly includes a third cable 23, the third cable 23 being electrically connected to the endoscope 8 via the second connector 15. Illustratively, the circuit assembly includes a third cable 23, where illustratively the third cable 23 is two, one being a power line and one being a signal line. The second connector 15 is used for communicating the third cable 23 with a fourth cable (not shown) located inside the puncture needle 1, and the fourth cable is an external cable of the endoscope 8, where the second connector 15 may be an existing pipeline sealing connector 13. The first connector 14 is used for communicating the first pipeline 24 with the needle seat 12. As shown in fig. 2-5, the sealing joint 13 is made of rubber material, and is in a circular ring structure, one end of the sealing joint is in sealing connection with the needle seat 12, and the other end of the sealing joint is provided with a first joint 14 and a second joint 15. Illustratively, the second connector 15 may also be a cylindrical structure, through which the wire passes in a sealed manner, and the sealing connector 13 is formed with a circular opening that mates with the second connector 15, and the second connector 15 is removably mounted within the circular opening. Illustratively, the first connector 14 is a circular ring structure, and the first conduit 24 is sealable to plug into the circular ring structure.
As shown in fig. 6 to 15, the endoscope 8 is fixed inside the puncture needle 1 by a support 7, wherein the support 7 comprises an arc-shaped bending part 75, a left abutting part 71, a right abutting part and a groove 751 for placing the endoscope 8 is formed on one surface of the arc-shaped bending part 75;
The arc-shaped bent portion 75 is elastically deformable, and the left abutting portion 71 and the right abutting portion 72 are abutted against the inner wall of the puncture needle 1 by the force generated by the deformation of the arc-shaped bent portion 75. The support 7 of the present invention may be made of, for example, polytetrafluoroethylene (PTFE), polyethylene (PE), polypropylene (PP), rubber (RU), etc.
The left abutting portion 71 includes a left arc segment 711, a left horizontal segment 712, and a left vertical segment 713, the radius of curvature of the left arc segment 711 is substantially identical to the radius of curvature of the inner wall of the puncture needle 1, and the right abutting portion 72 includes a right arc segment 721, a right horizontal segment 722, and a right vertical segment 723, the radius of curvature of the right arc segment 721 is substantially identical to the radius of curvature of the inner wall of the puncture needle 1. The support 7 further includes a front stopper 73 for restricting the front end position of the endoscope 8 and a rear stopper 74 for restricting the rear end position of the endoscope 8.
The left abutting portion 71 has a structure with a small top and a large bottom, and the right abutting portion 72 has a structure with a small top and a large bottom. As shown in fig. 8, the above structure allows the support 7 to be firmly fixed to the inside of the puncture needle 1.
As shown in fig. 10, the support 7 of the present invention has a first pitch between the left abutting portion 71 and the right abutting portion 72 before the insertion of the puncture needle 1, and a second pitch between the left abutting portion 71 and the right abutting portion 72 when the insertion of the puncture needle 1 is performed, wherein the first pitch is larger than the second pitch. The left abutting portion 71 and the right abutting portion 72 are thereby firmly abutted against the inner wall of the puncture needle 1 by the elastic force.
As shown in fig. 6 to 9, an illumination light source and a camera head are formed on the endoscope 8. The endoscope 8 is of a conventional structure and will not be described in detail herein.
As shown in Figs. 1-15, the needle 11 of the puncture needle 1 of the present invention has a diameter of 1.6-2.0mm, and may be 1.8mm in particular, and the needle 11 has a length of 60-80mm. When the endoscope 8 is installed, the endoscope 8 is placed in the groove 751 of the support 7, the limit of the endoscope 8 can be conveniently carried out through the front baffle and the rear baffle, and the support 7 is extruded and deformed by medical forceps or forceps, so that the support 7 and the endoscope 8 are pushed to the position of the puncture needle 1 close to the opening together. When the puncture needle 1 is used, the position can be observed in real time through the endoscope 8, so that the risk to the heart is avoided.
The endoscope 8 is integrated in the puncture needle 1, so that small wounds are generated, and the postoperative recovery of a patient is facilitated. Simultaneously, the endoscope 8 is firmly fixed in the puncture needle 1 through the support piece 7, so that the shaking of the endoscope 8 during puncture is avoided, and the operation of doctors is influenced. By means of the elasticity of the support 7 and the structural arrangement of the left abutment 71 comprising the left arc segment 711, the left horizontal segment 712 and the left vertical segment 713, and the right abutment 72 comprising the right arc segment 721, the right horizontal segment 722 and the right vertical segment 723, a stable position locking can be achieved without the need for a Y-or T-shaped support structure as usual, thereby reducing the space occupied by the support, leaving sufficient effusion extraction space at the opening, reducing the possibility of pericardial effusion blockage while reducing the wounds.
Although embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes may be made and equivalents may be made therein without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (10)

1.一种可视心包积液穿刺装置,其特征在于:包括:穿刺针、夹持手柄、解码器、通信接头、支撑件和内窥镜;1. A visual pericardial effusion puncture device, characterized by comprising: a puncture needle, a clamping handle, a decoder, a communication connector, a support member, and an endoscope; 内窥镜通过支撑件固定在穿刺针内部;The endoscope is fixed inside the puncture needle through a support; 夹持手柄外部设有抽吸接头和第一电接头,夹持手柄内部设有电路组件和管路组件,第一电接头通过电路组件与内窥镜电连接,抽吸接头通过管路组件与穿刺针连通;The outside of the clamping handle is provided with a suction connector and a first electrical connector, and the inside of the clamping handle is provided with a circuit assembly and a pipeline assembly, the first electrical connector is electrically connected to the endoscope through the circuit assembly, and the suction connector is connected to the puncture needle through the pipeline assembly; 第一电接头通过第一线缆与解码器连接,解码器通过第二线缆与通信接头连接;The first electrical connector is connected to the decoder via a first cable, and the decoder is connected to the communication connector via a second cable; 支撑件包括弧形弯曲部、左抵接部和右抵接部,弧形弯曲部的一面形成有用于安放内窥镜的凹槽;The support member includes an arc-shaped curved portion, a left abutting portion and a right abutting portion, and a groove for placing an endoscope is formed on one side of the arc-shaped curved portion; 支撑件具有使用状态和非使用状态,在非使用状态,左抵接部与右抵接部具有第一间距,在使用状态,左抵接部与右抵接部之间具有第二间距,其中,第一间距大于第二间距;The support member has a use state and a non-use state. In the non-use state, a first distance exists between the left abutting portion and the right abutting portion. In the use state, a second distance exists between the left abutting portion and the right abutting portion, wherein the first distance is greater than the second distance. 弧形弯曲部可变形,通过弧形弯曲部变形产生的力将左抵接部、右抵接部抵靠在穿刺针的内壁上。The arc-shaped curved portion is deformable, and the force generated by the deformation of the arc-shaped curved portion causes the left abutting portion and the right abutting portion to press against the inner wall of the puncture needle. 2.根据权利要求1所述的穿刺装置,其特征在于:左抵接部包括左弧段、左水平段和左竖直段,左弧段的曲率半径与穿刺针内壁的曲率半径一致;右抵接部包括右弧段、右水平段和右竖直段,右弧段的曲率半径与穿刺针内壁的曲率半径一致。2. The puncture device according to claim 1 is characterized in that: the left abutment portion includes a left arc segment, a left horizontal segment and a left vertical segment, and the curvature radius of the left arc segment is consistent with the curvature radius of the inner wall of the puncture needle; the right abutment portion includes a right arc segment, a right horizontal segment and a right vertical segment, and the curvature radius of the right arc segment is consistent with the curvature radius of the inner wall of the puncture needle. 3.根据权利要求2所述的穿刺装置,其特征在于:支撑件还包括前挡部和后挡部,前挡部用于限制内窥镜的前端位置,后挡部用于限制内窥镜的后端位置。3. The puncture device according to claim 2, characterized in that the support member further comprises a front stopper and a rear stopper, the front stopper being used to limit the front end position of the endoscope, and the rear stopper being used to limit the rear end position of the endoscope. 4.根据权利要求3所述的穿刺装置,其特征在于:左抵接部形成上小下大的结构,右抵接部形成上小下大的结构。4. The puncture device according to claim 3, wherein the left abutting portion is formed into a structure that is smaller at the top and larger at the bottom, and the right abutting portion is formed into a structure that is smaller at the top and larger at the bottom. 5.根据权利要求1所述的穿刺装置,其特征在于:穿刺针包括针头和针座,还包括与针座连接的密封接头,密封接头形成有第一接头和第二接头;管路组件包括第一管路,第一管路与第一接头密封连接;电路组件包括第三线缆,第三线缆通过第二接头与内窥镜实现电连接。5. The puncture device according to claim 1 is characterized in that: the puncture needle includes a needle head and a needle seat, and also includes a sealing joint connected to the needle seat, the sealing joint forming a first joint and a second joint; the pipeline assembly includes a first pipeline, the first pipeline is sealedly connected to the first joint; the circuit assembly includes a third cable, and the third cable is electrically connected to the endoscope through the second joint. 6.根据权利要求5所述的穿刺装置,其特征在于:内窥镜通过第四线缆与第二接头电连接。6 . The puncture device according to claim 5 , wherein the endoscope is electrically connected to the second connector via a fourth cable. 7.根据权利要求1所述的穿刺装置,其特征在于:内窥镜上形成有照明光源和摄像头。7. The puncture device according to claim 1, wherein an illumination light source and a camera are formed on the endoscope. 8.根据权利要求1所述的穿刺装置,其特征在于:穿刺针的针头直径为1.6-2.0mm。8. The puncture device according to claim 1, wherein the diameter of the puncture needle is 1.6-2.0 mm. 9.根据权利要求1所述的穿刺装置,其特征在于:通信接头为USB接头。9. The puncture device according to claim 1, wherein the communication connector is a USB connector. 10.根据权利要求1所述的穿刺装置,其特征在于:抽吸接头为通道鲁尔接头。10. The puncture device according to claim 1, wherein the suction connector is a channel Luer connector.
CN202511017301.XA 2025-07-23 2025-07-23 A visual pericardial effusion puncture device Pending CN120616621A (en)

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CN109907805A (en) * 2019-04-15 2019-06-21 重庆医科大学附属第二医院 Visualized pleural and ascites injection and suction device and its auxiliary device
CN114533210A (en) * 2020-11-26 2022-05-27 微创优通医疗科技(上海)有限公司 Medical catheter and medical system
CN219306655U (en) * 2022-11-30 2023-07-07 湖南省华芯医疗器械有限公司 Endoscope handle and endoscope

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