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WO2017198805A1 - Dispositif de modification d'un endoscope et endoscope modifié - Google Patents

Dispositif de modification d'un endoscope et endoscope modifié Download PDF

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Publication number
WO2017198805A1
WO2017198805A1 PCT/EP2017/062074 EP2017062074W WO2017198805A1 WO 2017198805 A1 WO2017198805 A1 WO 2017198805A1 EP 2017062074 W EP2017062074 W EP 2017062074W WO 2017198805 A1 WO2017198805 A1 WO 2017198805A1
Authority
WO
WIPO (PCT)
Prior art keywords
cap
needle
projection
unit
wound
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.)
Ceased
Application number
PCT/EP2017/062074
Other languages
German (de)
English (en)
Inventor
Alexander Meining
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.)
Individual
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
Publication of WO2017198805A1 publication Critical patent/WO2017198805A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00087—Tools
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00089—Hoods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00101—Insertion part of the endoscope body characterised by distal tip features the distal tip features being detachable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/062—Needle manipulators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0491—Sewing machines for surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/00296—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00818—Treatment of the gastro-intestinal system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00902—Material properties transparent or translucent
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B2017/06095—Needles, e.g. needle tip configurations pliable

Definitions

  • a device for modifying an endoscope is provided.
  • the device is composed of an elongate cap, a pusher unit and a lid, the lid being fixedly connected to the proximal end of the elongate cap and the pusher unit being rotatably disposed within the elongate cap.
  • the device according to the invention can be placed on a conventional endoscope, in particular a single-channel endoscope, whereby tangentially sewing of translumial wounds becomes possible with the thus modified endoscope.
  • the use of the device according to the invention in gastrointestinal endoscopy and in the suturing of a transluminal wound is proposed. Furthermore, a method for suturing a transluminal wound with the endoscope modified according to the invention is presented.
  • the object is achieved by the device having the features of claim 1, the modified endoscope according to claim 12, the method for suturing a transluminal wound according to claim 15 and the use according to claim 19.
  • a device for modifying an endoscope comprising or consisting of
  • an elongated cap substantially in the form of a tube, the tube each having an opening at a proximal and distal end thereof; talen end of the elongated cap and is provided with a slot which starts at the distal end of the elongated cap and extends towards the proximal end of the elongated cap, wherein the elongated cap at the distal end of an annular, directed into an interior of the Kappe pe Includes projection and at the proximal end has an internal thread and the elongated cap is provided with at least one substantially circular opening, which is arranged between the proximal and distal end of the elongated cap at the level of the internal thread;
  • a thrust unit substantially in the form of a length of tubing, the length of tubing each including an opening at a proximal and distal end of the thrust unit, the thrust unit at the proximal end including an external thread bolted to the internal thread of the elongate cap wherein the impact unit at the distal end has a first annular protrusion directed into an interior of the impact unit and at the distal end has a second annular protrusion directed into an interior of the impact unit disposed proximal to the first protrusion Shock unit is provided with a substantially circular opening, which is disposed between the proximal and distal end of the impact unit at the height of the external thread; and
  • a lid having substantially the shape of a tube piece, the tube piece each having an opening at a proximal and distal end of the lid, and wherein the proximal end of the lid has an annular projection directed into an interior of the push unit connected to the distal end of the cap;
  • the device according to the invention has the advantage that, in conjunction with a cost-effective, conventional endoscope (eg single-channel endoscope), it also allows a tangential sewing of translumial wounds of hollow organs, even in narrow lumens, in a minimally invasive manner, ie sewing parallel to the surface of the hollow organ.
  • a cost-effective, conventional endoscope eg single-channel endoscope
  • endoscope allows both acute and at Late-complications a reliable closure of a transluminal wound by suturing the wound.
  • Cap contacted and / or the second projection of the impact unit contacted a proximal surface of the projection of the cap.
  • the device may include a pull thread, which is arranged in the substantially circular opening of the joint unit and fixed there, preferably fixed by a node arranged on an inner side of the joint unit, wherein the draw thread particularly preferably also around the external thread of the joint unit is arranged, in particular wound around the external thread of the impact unit and more preferably in the at least one substantially circular opening of the elongated cap is arranged, in particular at this point from an interior of the device to the outside.
  • a pull thread which is arranged in the substantially circular opening of the joint unit and fixed there, preferably fixed by a node arranged on an inner side of the joint unit, wherein the draw thread particularly preferably also around the external thread of the joint unit is arranged, in particular wound around the external thread of the impact unit and more preferably in the at least one substantially circular opening of the elongated cap is arranged, in particular at this point from an interior of the device to the outside.
  • the device may include a needle, the needle preferably being a needle having a curvature and / or being flexible (e.g., a DS15 needle).
  • the needle being particularly preferably arranged in a groove bounded by the projection of the lid and the projection of the cap.
  • the needle is disposed between the projection of the lid and the projection of the cap, i. the projection of the lid and the projection of the cap form the side walls of the groove.
  • the bottom of the groove forms a portion of the tube of the cap.
  • the device may comprise a sewing thread, which is at least partially disposed between the projection of the lid and the projection of the cap and is preferably connected to a needle, more preferably with a needle which has a curvature and / or is flexible (eg DS15 needle), wherein the sewing thread is preferably arranged in the substantially circular opening of the elongate cap or arranged in a further substantially circular opening of the cap, in particular at this point from an interior of the device to the outside.
  • the slot of the elongate cap has a length corresponding to 30% to 70% of the length of the tube and / or a width corresponding to 5% to 30% of the circumference of the tube.
  • the needle has a length which is greater than the width of the slot of the tube.
  • This embodiment has the advantage that, as the groove emerges on one side of the slot, the needle is guided with greater certainty by the rotational movement of the impact unit (after piercing the wound) into the groove on the other side of the slot.
  • a portion of the tube portion of the impact unit may have a length corresponding to 30% to 70% of the length of the tube of the elongated cap and / or having a width corresponding to 5% to 30% of the circumference of the elongated cap tube.
  • the diameter of the at least one substantially round opening of the elongate cap can be from 5 mm to 20 mm, preferably from 10 mm to 17 mm, depending on the endoscope type.
  • the diameter of the substantially round openings of the impact unit may be from 5 mm to 20 mm, preferably from 10 mm to 15 mm.
  • the elongated cap, the impact unit and / or the ceiling may contain or consist of a material selected from the group consisting of optically transparent materials, preferably selected from the group consisting of optically transparent plastics, more preferably selected from the group consisting of polymethyl methacrylate, polythiol, polycarbonate, polyvinyl chloride, polysulfone, polyethylene terephthalate, polyethylene terephthalate glycol, styrene acrylonitrile, and mixtures thereof.
  • optically transparent materials preferably selected from the group consisting of optically transparent plastics, more preferably selected from the group consisting of polymethyl methacrylate, polythiol, polycarbonate, polyvinyl chloride, polysulfone, polyethylene terephthalate, polyethylene terephthalate glycol, styrene acrylonitrile, and mixtures thereof.
  • a modified endoscope which has an endoscope which is connected to the device according to the invention.
  • the connection is a plug connection, in particular a plug connection to the proximal end of the elongate cap.
  • the modified endoscope may be characterized in that the endoscope contains a light source, which is preferably suitable for illuminating an interior of the device according to the invention.
  • the endoscope is a single-channel endoscope.
  • a method for suturing a transluminal wound with a modified endoscope according to the invention.
  • the method comprises the steps
  • the needle is preferably a needle which has a curvature and / or is flexible and the needle is particularly preferably arranged in a groove bounded by the projection of the cover and the projection of the cap ;
  • the suture may be sutured to at least one of the sutures
  • Nodes preferably an extraluminal node, are secured.
  • the wound may be a transluminal wound, preferably a transluminal perforation, leakage and / or fistula.
  • Figure 1 shows the elongated cap 1, which is part of the device according to the invention.
  • the elongated cap 1 is substantially in the form of a tube, the tube each having an opening at a proximal end 3 and distal end 4 of the elongated cap 1 and provided with a slot 2 formed at the distal end 4 of the elongated cap 1 begins and extends in the direction of the proximal end 3 of the elongated cap 1, wherein the elongated cap 1 at the distal end 4 an annular, directed into an interior of the cap projection 5 and at the proximal end 3 includes an internal thread 6 and the elongated cap 1 with at least one substantially round opening 7 is provided, which is arranged between the proximal end 3 and distal end 4 of the elongate cap 1 at the level of the internal thread 6
  • FIG. 2 shows the impact unit 8, which can be rotatably connected to the elongated cap and is part of the device according to the invention.
  • the impact unit 8 essentially has the shape of a tubular piece, wherein the tubular piece in each case has an opening at a proximal end 9 and distal end 10 of the impact unit 8, wherein the impact unit 8 at the proximal end 9 contains an external thread 11 which is connected to the internal thread the elongated cap is screwed or bolted, wherein the impact unit 8 at the distal end 10 has a first annular, directed into an interior of the impact unit 8 projection 12, and at the distal end 10 a second annular, directed into an interior of the impact unit 8 Projection 13 which is arranged proximal to the first projection, the impact unit 8 is provided with a substantially circular opening 14 which is arranged between the proximal end 9 and the distal end 10 of the impact unit 8 at the height of the external thread 11.
  • FIG. 3 shows the lid 15 fixed to the cap and the impact unit is connectable and part of the device according to the invention.
  • the lid 15 has substantially the shape of a tube piece, the tube piece each having an opening at a proximal end 16 and distal end 17 of the lid 15, and wherein the proximal end 16 of the lid 15 an annular, directed into an interior of the joint unit Projection 18 and the proximal end 16 of the lid 15 is connected to the distal end of the cap.
  • Figure 4 shows the orientation of the cap 1, the impact unit 8 and the lid 15 in the assembly of the device according to the invention.
  • FIG. 5 shows a device according to the invention in a side view.
  • the respective proximal ends 3, 9, 16 of the cap 1, the impact unit 8 and the lid 15 are respectively disposed at the proximal end of the device and the respective distal ends 4, 10, 17 of the cap 1, the impact unit 8 and the
  • Lids 15 are each disposed at the distal end of the device.
  • the lid 15 is fixedly connected to the cap 1.
  • the projection 18 of the lid 15 and the projection 5 of the cap 1 each form a wall of a groove, which serves as a receiving location for the sewing needle and the first projection 12 of the Stoßein- unit 8.
  • the movement of the impact unit 8 is by pulling on a
  • Pull thread 19 causes.
  • the drawstring 19 is attached to the round opening 14 of the bump unit 8 (e.g., via a knot) and extends outward in the space between the internal threads 6 of the cap 1 and external threads 11 of the bump unit 8 through the round opening 7 of the cap 1.
  • the drawstring 19 is wound several times around the external thread 11 of the butting unit 8 to effect a multiple turn of the butting unit 8 in the cap 1 by pulling on the drawstring 19, i. to allow multiple passage of the joint unit 8 at the slot 2 of the cap 1.
  • the rotational movement of the impact unit is represented by a curved arrow 23.
  • FIG. 6 shows a device according to the invention in a side view slightly rotated relative to FIG.
  • the respective proximal ends 3, 9, 16 of the cap 1, the impact unit 8 and the lid 15 are respectively disposed at the proximal end of the device and the respective distal ends 4, 10, 17 of the cap 1, the impact unit 8 and the lid 15 are each disposed at the distal end of the device.
  • the lid 15 is fixedly connected to the cap 1.
  • the Sewing needle 20 contacts the first projection 12 of the impact unit 8 and is moved by this in the direction of rotation.
  • a sewing thread 21 is attached.
  • the movement of the impact unit 8 is effected by pulling on a drawstring 19.
  • the pulling thread 19 is fastened to the round opening of the joint unit (eg via a knot) and extends in the space between internal thread 6 of the cap 1 and external thread of the joint unit 8 through the round opening 7 of the cap 1 to the outside.
  • the drawstring 19 is wound several times around the external thread of the joint unit 8 in order to bring about a multiple rotation of the joint unit 8 in the cap 1 by pulling on the drawstring 19, ie passing the joint unit 8 with the sewing needle 20 and the sewing thread 21 several times allow the slot 2 of the cap 1.
  • the rotational movement of the impact unit is represented by a curved arrow 23.
  • FIG. 7 shows a device according to the invention in a view from the distal end in the direction of the proximal end, the device being shown in the vicinity of a transluminal wound 22.
  • the view reveals the lid 15 and internal parts of the cap 1.
  • a pull on the drawstring 19 causes the impact unit to be moved in the direction of rotation by the attachment of the drawstring 19 to the round opening 14 of the impact unit 8.
  • the rotational movement of the impact unit is represented by a curved arrow 23.
  • the first projection 12 of the impact unit 8 pushes the sewing needle 20 together with sewing thread 21 in front of it, whereby the sewing needle 20 emerges from a part of the groove (right part of the slot 2) shown here on the right, first the transluminal wound 22 pierces and then again penetrates a part of the groove shown here on the left.
  • the sewing needle 20 should have stung more than 50% of its length through the tissue to be sutured the wound and the suture needle at least partially penetrated into the groove on the left side (left side of the slot 2).

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

Abstract

L'invention concerne un dispositif de modification d'un endoscope. Le dispositif est composé d'un capuchon allongé, d'un poussoir et d'un couvercle, le couvercle étant relié fixement à l'extrémité proximale du capuchon allongé et le poussoir étant disposé de manière rotative à l'intérieur du capuchon allongé. Le dispositif selon l'invention peut être placé sur un endoscope traditionnel, en particulier un endoscope à canal unique, une suture tangentielle de plaies transluminales étant possible à l'aide de l'endoscope ainsi modifié. L'invention concerne également l'utilisation du dispositif selon l'invention dans l'endoscopie gastro-intestinale et dans la suture d'une plaie transluminale. L'invention concerne en outre un procédé de suture d'une plaie transluminale à l'aide de l'endoscope modifié selon l'invention.
PCT/EP2017/062074 2016-05-19 2017-05-19 Dispositif de modification d'un endoscope et endoscope modifié Ceased WO2017198805A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102016208624.3A DE102016208624B4 (de) 2016-05-19 2016-05-19 Vorrichtung zur Modifizierung eines Endoskops, modifiziertes Endoskop und seine Verwendung in der gastrointestinalen Endoskopie und in einem Verfahren zur Vernähung einer Wunde
DE102016208624.3 2016-05-19

Publications (1)

Publication Number Publication Date
WO2017198805A1 true WO2017198805A1 (fr) 2017-11-23

Family

ID=58737573

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2017/062074 Ceased WO2017198805A1 (fr) 2016-05-19 2017-05-19 Dispositif de modification d'un endoscope et endoscope modifié

Country Status (2)

Country Link
DE (1) DE102016208624B4 (fr)
WO (1) WO2017198805A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112704536A (zh) * 2021-01-07 2021-04-27 西安交通大学医学院第一附属医院 一种用于消化内镜下组织夹闭的磁吻合装置

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020198542A1 (en) * 2001-06-07 2002-12-26 Tetsuya Yamamoto Suturing device for endoscope
US20070270752A1 (en) * 2006-05-18 2007-11-22 Labombard Denis Multifunctional instrument introducer
US20090177031A1 (en) * 2008-01-03 2009-07-09 Wilson-Cook Medical Inc. Medical systems, devices and methods for endoscopically suturing perforations
US20100056861A1 (en) * 2008-08-29 2010-03-04 Ethicon Endo-Surgery, Inc. Articulating end cap
WO2010051250A1 (fr) * 2008-10-29 2010-05-06 Wilson-Cook Medical, Inc. Coiffe d'endoscope pour tissu de suture
US20100152539A1 (en) * 2008-12-17 2010-06-17 Ethicon Endo-Surgery, Inc. Positionable imaging medical devices
US20100280368A1 (en) * 2007-08-27 2010-11-04 Technische Universitat Munchen Trocar tube, Trocar, Obturator and/or Rectoscope for the Transluminal Endoscopic Surgery Via Natural Body Orifices
US20150038794A1 (en) * 2013-08-05 2015-02-05 Mary Pattison Transabdominal Gastric Surgery System and Method

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US8906039B2 (en) * 2005-03-21 2014-12-09 Design Standards Corporation Suturing device
CN105919636B (zh) * 2016-05-11 2019-02-19 中国人民解放军第一七五医院 一种可旋转的订书机式内镜缝合器

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020198542A1 (en) * 2001-06-07 2002-12-26 Tetsuya Yamamoto Suturing device for endoscope
US20070270752A1 (en) * 2006-05-18 2007-11-22 Labombard Denis Multifunctional instrument introducer
US20100280368A1 (en) * 2007-08-27 2010-11-04 Technische Universitat Munchen Trocar tube, Trocar, Obturator and/or Rectoscope for the Transluminal Endoscopic Surgery Via Natural Body Orifices
US20090177031A1 (en) * 2008-01-03 2009-07-09 Wilson-Cook Medical Inc. Medical systems, devices and methods for endoscopically suturing perforations
US20100056861A1 (en) * 2008-08-29 2010-03-04 Ethicon Endo-Surgery, Inc. Articulating end cap
WO2010051250A1 (fr) * 2008-10-29 2010-05-06 Wilson-Cook Medical, Inc. Coiffe d'endoscope pour tissu de suture
US20100152539A1 (en) * 2008-12-17 2010-06-17 Ethicon Endo-Surgery, Inc. Positionable imaging medical devices
US20150038794A1 (en) * 2013-08-05 2015-02-05 Mary Pattison Transabdominal Gastric Surgery System and Method

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* Cited by examiner, † Cited by third party
Title
DRAY X ET AL: "Gastric wall healing after NOTES procedures: closure with endoscopic clips provides superior histological outcome compared with threaded tags closure", GASTROINTESTINAL ENDOSCOPY, ELSEVIER, NL, vol. 72, no. 2, 1 August 2010 (2010-08-01), pages 343 - 350, XP027178581, ISSN: 0016-5107, [retrieved on 20100730] *

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112704536A (zh) * 2021-01-07 2021-04-27 西安交通大学医学院第一附属医院 一种用于消化内镜下组织夹闭的磁吻合装置
CN112704536B (zh) * 2021-01-07 2024-05-31 西安交通大学医学院第一附属医院 一种用于消化内镜下组织夹闭的磁吻合装置

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Publication number Publication date
DE102016208624A1 (de) 2017-11-23
DE102016208624B4 (de) 2018-02-15

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