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CN110882034B - Intramedullary cavity rasping and pulling device - Google Patents

Intramedullary cavity rasping and pulling device Download PDF

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Publication number
CN110882034B
CN110882034B CN201911353323.8A CN201911353323A CN110882034B CN 110882034 B CN110882034 B CN 110882034B CN 201911353323 A CN201911353323 A CN 201911353323A CN 110882034 B CN110882034 B CN 110882034B
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China
Prior art keywords
handle
sleeve
locking
handle body
top surface
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Application number
CN201911353323.8A
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Chinese (zh)
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CN110882034A (en
Inventor
丁罡
刘雨
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Shaanxi Dipperson Medical Equipment Co ltd
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Shaanxi Dipperson Medical Equipment Co ltd
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Priority to CN201911353323.8A priority Critical patent/CN110882034B/en
Publication of CN110882034A publication Critical patent/CN110882034A/en
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Publication of CN110882034B publication Critical patent/CN110882034B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/164Instruments for performing osteoclasis; Drills or chisels for bones; Trepans intramedullary
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1659Surgical rasps, files, planes, or scrapers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1662Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1664Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the hip
    • A61B17/1668Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the hip for the upper femur
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1735Guides or aligning means for drills, mills, pins or wires for rasps or chisels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1742Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip
    • A61B17/175Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip for preparing the femur for hip prosthesis insertion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

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

Abstract

The invention discloses a marrow cavity rasping and pulling device, which comprises: a locking mechanism of the marrow cavity file; the beating and pulling mechanism is connected with the intramedullary cavity file locking mechanism and comprises: the handle body is coaxially and fixedly connected with the main body structure of the intramedullary cavity file locking mechanism; the sleeve is of a hollow structure and is sleeved on the handle body in a sliding manner, and the top surface of the hollow structure and the top surface of the handle body are arranged at intervals; the hammer body is sleeved on the sleeve in a sliding way; the first spring is coaxially arranged between the top surface of the hollow structure and the top surface of the handle body, and two ends of the first spring are fixedly connected with the top surface of the hollow structure and the top surface of the handle body respectively; the hammer body can drive the sleeve to axially move along the handle body, and the intramedullary canal file is beaten and pulled under the action of the restoring force of the first spring. The intramedullary cavity file pulling device designed by the invention is provided with the pulling mechanism, drives the sleeve to axially move along the handle body through the hammer body, and pulls the intramedullary cavity file under the action of the restoring force of the first spring, so that the operation is simple and convenient.

Description

Intramedullary cavity rasping and pulling device
Technical Field
The invention relates to the technical field of medical instruments, in particular to a intramedullary canal rasp extractor.
Background
The intramedullary cavity rasp is a tool for hip joint replacement surgery, and can rasp the femoral intramedullary cavity by being matched with the intramedullary cavity rasp so as to implant a femoral stem prosthesis. The working principle of the marrow cavity rasping and pulling device is as follows: when the locking handle of the intramedullary canal file extractor is in a locking state, the drag hook of the intramedullary canal file extractor is buckled with the groove at the head of the intramedullary canal file, and the spring piece is in a bent state, so that the intramedullary canal file is locked under the action of the spring piece elastic force, as shown in fig. 1.
The intramedullary canal file in the current market is beaten and pulled out the ware and can be fine quick assembly disassembly intramedullary canal file, but in the use, because the intramedullary canal file of connection need carry out many times file to human femoral canal and grind just can reach the size of final implantation prosthesis, and in-process intramedullary canal file is beaten with the help of the hammer from human femoral canal and is beaten often, and when beating the intramedullary canal file with the hammer outward and beat the ware, when taking out the intramedullary canal file, because unilateral beat, cause the intramedullary canal file skew very easily, cause extra injury to the human body. Furthermore, as the intramedullary canal rasp extractor and the hammer respectively need two hands to operate simultaneously, the operation convenience is very poor, and especially when the intramedullary canal rasp extractor is knocked out, the medical staff is easy to be injured.
Disclosure of Invention
The invention designs and develops a intramedullary cavity file drawing device, one of the purposes is to provide a drawing mechanism, drive a sleeve to axially move along a handle body through a hammer body, and draw the intramedullary cavity file under the action of the restoring force of a first spring, and the operation is simple and convenient.
The second purpose is that the lock pin and the second spring are arranged, so that the structure can be kept stable in a natural state, and the first nail head can be unlocked by the action of external force during use, so that the hammer body can axially move along the handle body.
The technical scheme provided by the invention is as follows:
A intramedullary canal rasp extractor comprising:
A locking mechanism of the marrow cavity file; and
The beating and pulling mechanism is connected with the intramedullary cavity file locking mechanism;
The beating and pulling mechanism comprises:
the handle body is coaxially and fixedly connected with the main body structure of the intramedullary cavity file locking mechanism;
The sleeve is of a hollow structure and is sleeved on the handle body in a sliding manner, and the top surface of the sleeve and the top surface of the handle body are arranged at intervals;
the hammer body is sleeved on the sleeve in a sliding way;
The first spring is coaxially arranged between the top surface of the sleeve and the top surface of the handle body, and two ends of the first spring are fixedly connected with the top surface of the sleeve and the top surface of the handle body respectively;
the hammer body can drive the sleeve to axially move along the handle body, and the intramedullary canal file is beaten and pulled under the action of the restoring force of the first spring.
Preferably, the striking and pulling mechanism further comprises:
the long holes are axially formed along the hammer body and are symmetrically formed on two radial sides of the hammer body;
a stepped hole provided at the bottom of any of the long holes;
the lock pin can radially slide through the lower part of the handle body, and two ends of the lock pin respectively penetrate out of the long hole;
the first nail head is coaxially arranged at one end of the lock pin;
the second nail head is coaxially and fixedly arranged at the other end of the lock pin;
The second spring is sleeved on the lock pin between the hammer body and the first nail head;
the outer diameter of the lock pin is smaller than the width of the long hole, the diameter of the first nail head is larger than the width of the long hole, the diameter of the second nail head is larger than the diameter of the first nail head, and the diameter of the second nail head is smaller than the diameter of the stepped hole; and
When no external force exists, the second nail head is positioned in the stepped hole, and the hammer body is axially locked along the handle body;
When the external force acts on the first nail head, the lock pin moves along the radial direction of the handle body, the second nail head penetrates out of the stepped hole, and the hammer body can move along the axial direction of the handle body.
Preferably, the intramedullary canal file locking mechanism comprises:
a main body structure which is a hollow structure; and
The locking handle is L-shaped, one end of a short side extends into the upper part of the inner side of the main body structure and is hinged with the main body structure, one end of a long side extends out of the main body structure, and the locking handle can be rotated to be close to or far away from the handle body;
the drag hook is arranged at the lower part of the inner side of the main body structure, is hinged with the main body structure and is used for rotationally locking the intramedullary cavity file;
The two axial ends of the spring piece are respectively hinged with the locking handle and the draw hook;
When the locking handle rotates to be close to the handle body, the drag hook locks the intramedullary canal file; when the locking handle rotates away from the handle body, the drag hook unlocks the intramedullary canal file.
Preferably, the locking mechanism of the intramedullary canal file further comprises:
The limiting block is fixedly arranged in the main body structure above one end of the short side of the locking handle;
When the locking handle rotates to be close to the handle body, and one end of the long side of the locking handle is parallel to the handle body, one end of the short side of the locking handle is in contact with the limiting block.
Preferably, the hammer body includes:
the connecting cylinder is of a hollow structure and is sleeved on the sleeve in a sliding way;
And the pair of end covers are of annular structures, and are coaxially and integrally formed at the two axial ends of the connecting cylinder.
Preferably, the sleeve comprises:
the sleeve is of a hollow structure and is sleeved on the handle body in a sliding way;
The top cover is coaxially and integrally arranged at the top of the sleeve;
Wherein the diameter of the top cover is larger than the inner diameter of the connecting cylinder.
Preferably, the two axial ends of the first spring are respectively and fixedly connected with the top surface of the sleeve and the top surface of the handle body in a threaded manner.
Preferably, the locking handle and the drag hook are hinged with the main body structure through pins.
Preferably, the two axial ends of the spring piece are hinged with the locking handle and the draw hook through pins respectively.
The beneficial effects of the invention are as follows:
(1) The invention relates to a marrow cavity file drawing device which is designed and developed, and is provided with a drawing mechanism, wherein a hammer body drives a sleeve to axially move along a handle body, and the marrow cavity file is drawn under the action of the restoring force of a first spring. Compared with the traditional intramedullary canal rasping and pulling device, the intramedullary canal rasping and pulling device can be used for rapidly disassembling and assembling the intramedullary canal rasp, can also simplify rasping and taking out the intramedullary canal rasp in the intramedullary canal of a human body, does not need a hammer, and prevents medical staff and patients from being injured.
(2) The invention is also provided with the lock pin and the second spring (automatic telescopic device), so that the structure can be kept stable in a natural state, and the first nail head can be unlocked by the action of external force during use, so that the hammer body can axially move along the handle body (namely, the beating and pulling operation can be completed without additional operation).
Drawings
Fig. 1 is a schematic view of a intramedullary canal rasp extractor according to the background of the invention.
Fig. 2 is a schematic cross-sectional view of the intramedullary canal rasp extractor of the present invention.
FIG. 3 is a schematic cross-sectional view of the junction of the sleeve and the shank according to the present invention.
Fig. 4 is a schematic side view of the lower part of the hammer body according to the present invention.
Fig. 5 is a schematic cross-sectional view of the lower part of the hammer body according to the present invention.
FIG. 6 is a schematic view of the structure of the locking pin according to the present invention.
Detailed Description
The present invention is described in further detail below with reference to the drawings to enable those skilled in the art to practice the invention by referring to the description.
This invention may be embodied in many different forms and should not be construed as limited to the embodiments set forth herein, but rather should be construed in breadth and scope in accordance with the appended claims. In the drawings, the size and relative sizes of structures and regions may be exaggerated for clarity.
As shown in fig. 2 to 6, the present invention provides a intramedullary cavity rasping and pulling device, the main structure of which includes: a intramedullary canal file locking mechanism 100 and a reaming mechanism 200; wherein, beat and pull out mechanism 200 and marrow cavity file locking mechanism 100 are connected, beat and pull out mechanism 200 includes: a shank 210 fixedly connected coaxially with the main body structure 110 of the intramedullary file locking mechanism 100; a sleeve 220 is slidably sleeved on the handle body 210, and is of a hollow structure, and the top surface of the hollow structure and the top surface of the handle body 210 are arranged at intervals; a first spring 230 is fixedly disposed coaxially between the top surface of the hollow structure and the top surface of the handle body 210, and preferably, two ends of the first spring 230 are fixedly connected with the top surface of the hollow structure and the top surface of the handle body 210 through threads or welding respectively. The sleeve 220 is slidably sleeved with a hammer 240, and the hammer 240 can drive the sleeve 220 to axially move along the handle 210 and perform beating and drawing on the intramedullary file 300 under the restoring force of the first spring 230.
The beating and pulling mechanism 200 further comprises an automatic telescopic device, which specifically comprises: a pair of long holes 250 axially provided along the hammer 240 and symmetrically provided on both sides of the hammer 240 in the radial direction, and a stepped hole 260 is provided at the bottom of any one of the long holes 250. A locking pin 270 is radially and slidably arranged at the lower part of the handle body 210, and two ends of the locking pin respectively penetrate through the long holes 250; a first stud 271 is coaxially disposed at one end of the latch 270 and a second stud 272 is coaxially disposed at the other end of the latch 270. A second spring 280 is provided over the latch 270 between the ram 240 and the first head 271. When no external force is applied, the second pin 271 is located in the stepped hole 260, and the hammer body 271 is axially locked along the shank 210, i.e. the hammer body 240 cannot axially move along the shank 210, so that the structure can be kept stable in a natural state. When an external force acts on the first pin head 271, the lock pin 270 moves radially along the handle 210, and drives the second pin head 272 to penetrate out of the stepped hole 260, so as to unlock the hammer 240, so that the hammer 240 can move axially along the handle 210, and the pulling operation is completed. Namely, the beating and pulling operation can be completed without additional operation.
The locking pin 270 has an outer diameter smaller than the width of the slot 250, so that the hammer 240 can move axially along the shank 210 after the hammer 240 is unlocked. The diameter of the first pin 271 is larger than the width of the long hole 250, so as to avoid the first pin 271 from entering the handle 210 and further causing pin removal. The diameter of the second nail head 272 is larger than that of the first nail head 271, and the diameter of the second nail head 272 is smaller than that of the stepped hole 260, so that the second nail head 272 can freely enter the stepped hole 260, and locking and unlocking of the hammer body 240 are realized.
As another embodiment of the present invention, the hammer 240 includes: the connecting cylinder 241 is of a hollow structure and is slidably sleeved on the sleeve 220; end covers 242 are arranged at the two axial ends of the connecting cylinder 241 in a coaxial integrated manner, are of annular structures, and are used for increasing the contact area between the hammer 240 and the main structure 110 of the intramedullary file locking mechanism 100 and improving the beating and pulling effect and the beating and pulling stability.
As another embodiment of the present invention, the sleeve 220 includes: a sleeve 221, which is hollow and is slidably sleeved on the handle 210; a top cover 222 is coaxially and integrally formed at the top of the sleeve 221, and the diameter of the top cover 222 is larger than the inner diameter of the connecting cylinder 221. The hammer 240 can drive the sleeve 220 to move together when moving along the axial direction of the handle 210, and the sleeve 220 can drive the hammer 240 to move when returning under the action of the restoring force of the first spring 230, so as to realize the pulling operation.
The locking 100 mechanism of the intramedullary cavity file comprises: a body structure 110, which is a hollow structure; the locking handle 120 is L-shaped, one end of the short side extends into the upper part of the inner side of the main body 110 and is hinged with the main body 110 through a pin 121, one end of the long side extends out of the main body 110, and the locking handle 120 can rotate close to or far from the handle body 210. A drag hook 130 is provided at the inner lower portion of the main body structure 110, and is hinged with the main body structure 110 through a pin 131 for rotationally locking the intramedullary canal file 300. The spring plate 140 is hinged at its axial ends to the locking handle 120 and the drag hook 130 by pins 141, respectively. When the locking handle 120 rotates to be close to the handle body 210, the head of the drag hook 130 hooks the groove of the intramedullary file 300, and the spring piece 140 is in a bending state and keeps not to rebound, and the elasticity generated by bending of the spring piece 140 ensures that the intramedullary file 300 is in a locking state; when the locking knob 120 is rotated away from the handle body 210, the retractor 130 unlocks the intramedullary canal file 300.
The limiting block 150 is fixedly arranged in the main body structure 110 above one end of the short side of the locking handle 120, when the locking handle 120 rotates to be close to the handle body 210, and one end of the long side of the locking handle is parallel to the handle body 210, one end of the short side of the locking handle contacts with the limiting block 150, so that the over-limit of the rotation of the locking handle 120 is avoided, the service lives of the spring piece 140, the locking handle 120 and the drag hook 130 are shortened, and damage to the intramedullary file 300 is possibly caused by overlarge locking moment to the intramedullary file 300.
The invention relates to a marrow cavity file drawing device which is designed and developed, and is provided with a drawing mechanism, wherein a hammer body drives a sleeve to axially move along a handle body, and the marrow cavity file is drawn under the action of the restoring force of a first spring. Compared with the traditional intramedullary canal rasping and pulling device, the intramedullary canal rasping and pulling device can be used for rapidly disassembling and assembling the intramedullary canal rasp, can also simplify rasping and taking out the intramedullary canal rasp in the intramedullary canal of a human body, does not need a hammer, and prevents medical staff and patients from being injured. The invention is also provided with the lock pin and the second spring (automatic telescopic device), so that the structure can be kept stable in a natural state, and the first nail head can be unlocked by the action of external force during use, so that the hammer body can axially move along the handle body (namely, the beating and pulling operation can be completed without additional operation).
Although embodiments of the present invention have been disclosed above, it is not limited to the details and embodiments shown and described, it is well suited to various fields of use for which the invention would be readily apparent to those skilled in the art, and accordingly, the invention is not limited to the specific details and illustrations shown and described herein, without departing from the general concepts defined in the claims and their equivalents.

Claims (5)

1. A intramedullary canal rasp extractor, comprising:
A locking mechanism of the marrow cavity file; and
The beating and pulling mechanism is connected with the intramedullary cavity file locking mechanism;
The beating and pulling mechanism comprises:
the handle body is coaxially and fixedly connected with the main body structure of the intramedullary cavity file locking mechanism;
The sleeve is of a hollow structure and is sleeved on the handle body in a sliding manner, and the top surface of the sleeve and the top surface of the handle body are arranged at intervals;
the hammer body is sleeved on the sleeve in a sliding way;
The first spring is coaxially arranged between the top surface of the sleeve and the top surface of the handle body, and two ends of the first spring are fixedly connected with the top surface of the sleeve and the top surface of the handle body respectively;
The hammer body can drive the sleeve to axially move along the handle body, and the intramedullary canal file is beaten and pulled under the action of the restoring force of the first spring;
The beating and pulling mechanism further comprises:
the long holes are axially formed along the hammer body and are symmetrically formed on two radial sides of the hammer body;
a stepped hole provided at the bottom of any of the long holes;
the lock pin can radially slide through the lower part of the handle body, and two ends of the lock pin respectively penetrate out of the long hole;
the first nail head is coaxially arranged at one end of the lock pin;
the second nail head is coaxially and fixedly arranged at the other end of the lock pin;
The second spring is sleeved on the lock pin between the hammer body and the first nail head;
the outer diameter of the lock pin is smaller than the width of the long hole, the diameter of the first nail head is larger than the width of the long hole, the diameter of the second nail head is larger than the diameter of the first nail head, and the diameter of the second nail head is smaller than the diameter of the stepped hole; and
When no external force exists, the second nail head is positioned in the stepped hole, and the hammer body is axially locked along the handle body;
when an external force acts on the first nail head, the lock pin moves along the radial direction of the handle body, the second nail head penetrates out of the stepped hole, and the hammer body can move along the axial direction of the handle body;
the hammer body comprises:
the connecting cylinder is of a hollow structure and is sleeved on the sleeve in a sliding way;
the pair of end covers are of annular structures and are coaxially and integrally formed at two axial ends of the connecting cylinder;
the locking mechanism of the intramedullary cavity file comprises:
a main body structure which is a hollow structure; and
The locking handle is L-shaped, one end of a short side extends into the upper part of the inner side of the main body structure and is hinged with the main body structure, one end of a long side extends out of the main body structure, and the locking handle can be rotated to be close to or far away from the handle body;
the drag hook is arranged at the lower part of the inner side of the main body structure, is hinged with the main body structure and is used for rotationally locking the intramedullary cavity file;
The two axial ends of the spring piece are respectively hinged with the locking handle and the draw hook;
When the locking handle rotates to be close to the handle body, the drag hook locks the intramedullary canal file; when the locking handle rotates away from the handle body, the drag hook unlocks the intramedullary canal file;
The locking mechanism of the intramedullary canal file further comprises:
The limiting block is fixedly arranged in the main body structure above one end of the short side of the locking handle;
When the locking handle rotates to be close to the handle body, and one end of the long side of the locking handle is parallel to the handle body, one end of the short side of the locking handle is in contact with the limiting block.
2. The intramedullary canal rasp of claim 1, wherein the cannula comprises:
the sleeve is of a hollow structure and is sleeved on the handle body in a sliding way;
The top cover is coaxially and integrally arranged at the top of the sleeve;
Wherein the diameter of the top cover is larger than the inner diameter of the connecting cylinder.
3. The intramedullary canal rasp extractor of claim 2, wherein the first spring has axially opposite ends in threaded fixed connection with the cannula top surface and the handle top surface, respectively.
4. The intramedullary rasp of claim 3 wherein the locking handle and the retractor are hinged to the body structure by pins.
5. The intramedullary canal rasp extractor of claim 4, wherein the spring plate is pivotally connected at both axial ends to the locking handle and the retractor by pins, respectively.
CN201911353323.8A 2019-12-25 2019-12-25 Intramedullary cavity rasping and pulling device Active CN110882034B (en)

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Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
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CN110882034A CN110882034A (en) 2020-03-17
CN110882034B true CN110882034B (en) 2024-05-14

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* Cited by examiner, † Cited by third party
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CN112353453B (en) * 2021-01-12 2021-03-26 上海龙慧医疗科技有限公司 Eight-gear medullary cavity file stroke protection directional knocking device
CN113974761B (en) * 2021-11-30 2023-06-20 优适医疗科技(苏州)有限公司 Hip joint femur lateral medullary cavity file auxiliary device
CN114795383A (en) * 2022-05-11 2022-07-29 天衍医疗器材有限公司 Knee joint revision is with beating and drawing spacing system

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