CN105534564B - Marrow cavity bone cement extractor - Google Patents

Marrow cavity bone cement extractor Download PDF

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Publication number
CN105534564B
CN105534564B CN201610103678.1A CN201610103678A CN105534564B CN 105534564 B CN105534564 B CN 105534564B CN 201610103678 A CN201610103678 A CN 201610103678A CN 105534564 B CN105534564 B CN 105534564B
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CN
China
Prior art keywords
bone cement
drill bit
fragment
memotron
drive link
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.)
Expired - Fee Related
Application number
CN201610103678.1A
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Chinese (zh)
Other versions
CN105534564A (en
Inventor
杨序程
胡懿郃
文霆
钟达
李宇晟
张莹莹
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Xiangya Hospital of Central South University
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Xiangya Hospital of Central South University
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Filing date
Publication date
Application filed by Xiangya Hospital of Central South University filed Critical Xiangya Hospital of Central South University
Priority to CN201610103678.1A priority Critical patent/CN105534564B/en
Publication of CN105534564A publication Critical patent/CN105534564A/en
Application granted granted Critical
Publication of CN105534564B publication Critical patent/CN105534564B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1662Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1664Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip
    • A61B17/1668Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; 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, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1613Component parts
    • A61B17/1615Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1613Component parts
    • A61B17/1622Drill handpieces
    • A61B17/1624Drive mechanisms therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/164Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans intramedullary
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4607Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of hip femoral endoprostheses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4619Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof for extraction

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Dentistry (AREA)
  • Transplantation (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

The invention discloses a medullary cavity bone cement extractor which comprises a tubular drill bit and a driving device, wherein the driving device is connected with the drill bit and drives the drill bit to rotate around the axis of the driving device, and a plurality of protruding excavating teeth surrounding the tube wall are arranged at the top of the tube wall at the front end of the drill bit. The invention has the technical effects that the connecting transmission rod can be changed in direction at will and is suitable for different types of medullary cavities. The head of the tubular saw blade is deviated to the inner side, so that cortical bone can be avoided, bone cement is only cut in the process of propelling and cutting, and the cortical bone cannot be damaged. The cut bone cement is moved up, squeezed and stored in the tubular storage tube. When the bone cement is taken out or the storage is full, the storage tube is provided with an extruding device which can extrude the gathered bone cement fragments at one time.

Description

A kind of pulp cavity bone cement extractor
Technical field
The present invention relates to the pulp cavitys of used femur in medical instruments field more particularly to hip revision operation Bone cement extractor.
Background technology
Hip revision is performed the operation:Hip revision operation is the common surgical of joint surgery, is mainly used in hip replacement Afterwards, the patient of Prosthesis related infections loosening or aseptic loosening.Arrival with Chinese aging society and joint surgery Development needs the patient that row hip revision is performed the operation to increase year by year.Revision procedure difficulty is big, if the previous femur used of performing the operation Handle prosthese is bone cement prosthese, and the cleaning and taking-up of original bone cement are a major challenge in femoral bone cavitas medullaris in overhaul technology.
In overhaul technology, the remaining bone cement of femoral bone cavitas medullaris must thorough cleaning, existing bone cement removal equipment includes:Marrow Chamber round bur, pulp cavity directly bore, curet, pulp cavity osteotome, pulp cavity finger pin, splitting knife, nucleus pulposus clamp etc..Existing apparatus is asked there are several Topic, first, drill bit be solid round bur or it is straight bore, can only cement in crush and grind pulp cavity, cause pulp cavity local pressure excessive, be easy Femoral cortex perforation or fracture occurs.Second, connecting rod is strip stiff rod, is unfavorable for turning to, and causes to be easy when drill bit burr It grinds in the femoral shaft cortex of part, the preferable guider of neither one can adjust burr direction, and femoral cortex is caused to be worn Hole or fracture.In addition, existing apparatus cannot easily take out while destroying pulp cavity bone cement, need replacing instrument again Secondary taking-up, and cement block may be caused mobile to femoral bone cavitas medullaris distal end.
Since femoral bone cavitas medullaris is deep narrow, part bone cement is hard and locked engagement in femoral cortex, art by existing Instrument easily causes the destruction of femoral cortex, perforation even fracture of femoral shaft when clearing up.Once occur femoral cortex perforation or Person fractures, and can greatly increase operating time, increase operative hemorrhage and jointing repair prosthesis is caused to fix difficulty, influence surgical effect.Cause This, how original bone cement in faster safer cleaning femoral bone cavitas medullaris be hip revision operation difficult point and key.
Invention content
In view of the defect of existing apparatus and technology, the object of the present invention is to provide a kind of simple in structure, easy to operate, reliable Property it is high and integrate cutting and clear up the pulp cavity bone cement extractor of bone cement.
In order to achieve the above object, the present invention is achieved through the following technical solutions:
A kind of pulp cavity bone cement extractor, includes the drill bit and driving device of tubulose, and the driving device connects drill bit And driving drill bit around own axes rotation, the drill bit is equipped with the tooth of multiple protrusions at the top of the tube wall of front end.
The central axes of a kind of pulp cavity bone cement extractor, the excavation teeth directional drill bit tilt.
A kind of pulp cavity bone cement extractor, the driving device include power source and drive link, and described is dynamic Power source connects drive link by worm drive and drives drive link around own axes rotation, and the drive link connects drill bit and band Dynamic drill bit rotation.
A kind of pulp cavity bone cement extractor, the drive link are flexible metal hose.
A kind of pulp cavity bone cement extractor is further connected with flush pipe and suction tube on the drill bit, and described rushes Pipe one end connection external water source is washed, the other end passes through drive link hollow space from power source and extends to the hollow portion of drill bit Point, the external negative pressure source of described suction tube one end connection, the other end passes through drive link hollow space and is extended to from power source The hollow space of drill bit.
A kind of pulp cavity bone cement extractor is connected with the storage of bone cement fragment between the drill bit and drive link Pipe, the bone cement fragment memotron is interior to be equipped with fragment identical with memotron internal diameter size discharge block, memotron Outer wall is equipped with fragment and block moving member is discharged, and fragment discharge block moving member connection fragment discharge block simultaneously drives fragment discharge block to move It is dynamic.
A kind of pulp cavity bone cement extractor, the fragment discharge block moving member include slide key, sliding groove and Through slot, the sliding groove are set on the outer wall of bone cement fragment memotron, and through slot is set in sliding groove and penetrates through The outer wall of bone cement fragment memotron, slide key is set in sliding groove and block moving member is discharged across through slot connection fragment, sliding The surface of dynamic key and the width for being less than sliding groove not higher than outer surface of tube wall and diameter.
A kind of pulp cavity bone cement extractor, further includes slide handle, the slide handle includes handle and set Cylinder, one end of the sleeve are fixed on handle, and the internal diameter of the other end of sleeve and the diameter of slide key match to be set with Slide key is moved on slide key.
A kind of pulp cavity bone cement extractor is further connected with flush pipe and suction tube on the drill bit, and described rushes Pipe one end connection external water source is washed, the other end passes through drive link hollow space from power source and extends to the storage of bone cement fragment The hollow space of pipe, the external negative pressure source of described suction tube one end connection, the other end pass through drive link hollow portion from power source Divide and extend to the hollow space of bone cement fragment memotron
The technical effects of the invention are that connection drive link can arbitrarily change direction, different types of pulp cavity is adapted to.Pipe The head of shape saw blade is biased to inside, can avoid cortex of bone, and a cutting bone cement, will not make cortex of bone during promoting and cutting At damage.The bone cement of cutting, which will pass through, to be moved up, squeezes, and is stored in tubulose memotron.Bone cement taking-up is finished or is stored When having expired, memotron has pressurizing unit, can disposably squeeze out assembled bone cement fragment.
Description of the drawings
Fig. 1 is the structural diagram of the present invention;
Fig. 2 is the schematic diagram 1 of tooth of the present invention;
Fig. 3 is the schematic diagram 2 of tooth of the present invention;
Fig. 4 is the schematic diagram 3 of tooth of the present invention;
Fig. 5 is the bone cement fragment memotron structural schematic diagram of the present invention;
Fig. 6 is the slide handle structural schematic diagram of the present invention;
Wherein 1 is bone cement fragment memotron, and 2 are discharged block for fragment, 3 is sliding groove, 4 is through slot, 5 is slide key, 6 It is sleeve for handle, 7,8 be drill bit, 9 be power source, 10 be tooth, 11 be flush pipe, 12 be suction tube, 13 is bone cement Fragment memotron, 14 are drive link.
Specific implementation mode
Referring to Fig. 1, the present invention includes the drill bit and driving device of tubulose, and driving device connection drill bit simultaneously drives drill bit around certainly Body axis rotation, drill bit are equipped with the tooth of multiple protrusions at the top of the tube wall of front end.
In order to avoid generating damage to cortex of bone when crushing bone cement, the central axes for excavating teeth directional drill bit tilt.
Referring to Fig. 2, Fig. 3, Fig. 4, in order to realize that the central axes for excavating teeth directional drill bit tilt, present invention employs different realities The mode of showing, this three width schematic diagram only extract a conduct signal in all tooths, i.e., are seen from the side of tooth Examine seen excavation odontoid.
In wherein Fig. 2, tooth tilts 3-10 ° since root to the central axes of drill bit, and tooth is integrally without radian;
In Fig. 3, tooth is also that the central axes since root to drill bit tilt, the line and drill bit of crown and root Central axes are in 3-10 ° of angle, while tooth is whole with cambered;
In Fig. 4, tooth is the axis parallel with drill bit from root, and tip portions are tilted to the central axes of drill bit, The central axes of the line and drill bit of crown and root are also the angle in 3-10 °, while crown sloping portion band is cambered;
Above-mentioned Fig. 2-Fig. 4 gives corresponding different embodiment forms, but is not limited to implementation above form, this field skill The equivalent oblique form that art personnel are envisioned that also should be regarded as protection scope of the present invention.
The driving device that the present embodiment uses includes power source and drive link, and power source connects drive link by worm drive And driving drive link around own axes rotation, drive link connection drill bit simultaneously drives drill bit rotation, to realize to bone cement in pulp cavity Excavation.
Change excavation direction to enable drill bit to change with pulp cavity, the drive link of the present embodiment is that flexible metal is soft Pipe, metal hose have preferable intensity in the axial direction, and drill bit can be pushed to go deep into pulp cavity.
In order to rinse pulp cavity, flush pipe and suction tube are further connected on drill bit, flush pipe one end connects external water source, the other end Drive link hollow space is passed through from power source and extends to the hollow space of drill bit, the external negative pressure source of suction tube one end connection, The other end passes through drive link hollow space from power source and extends to the hollow space of drill bit, and flush pipe is to the watery blood in pulp cavity And residue etc. is rinsed, suction tube siphons away flushing water, in order to surgical procedure.
In order to allow bone cement fragment smoothly to take out and empty out of pulp cavity, bone cement is connected between drill bit and drive link Fragment memotron, bone cement fragment memotron is interior to be equipped with fragment identical with memotron internal diameter size discharge block, memotron Outer wall be equipped with fragment be discharged block moving member, fragment discharge block moving member connection fragment discharge block simultaneously drive fragment discharge block move It is dynamic.
Further, fragment discharge block moving member includes slide key, sliding groove and through slot, and the sliding groove is set to On the outer wall of bone cement fragment memotron, through slot is set in sliding groove and penetrates through the outer wall of bone cement fragment memotron, sliding Dynamic key is set in sliding groove and is discharged block moving member across through slot connection fragment, the surface of slide key be not higher than tube wall appearance Face and diameter are less than the width of sliding groove, can guarantee drill bit when rotated in this way, slide key will not hit pulp cavity wall.
For the ease of pushing slide key, the present embodiment to be additionally provided with slide handle, the slide handle includes handle and set Cylinder, one end of the sleeve are fixed on handle, and the internal diameter of the other end of sleeve and the diameter of slide key match to be set with Slide key is moved on slide key, after the removing for completing bone cement, drill bit is taken out out of pulp cavity, and slide handle is set with On slide key, consequently facilitating moving slide key to remove the bone cement in bone cement fragment memotron, sliding is resetted after removing Key removes slide handle.
According to the embodiment of bone cement fragment memotron, then the outlet setting of flush pipe and suction tube is broken in bone cement At piece memotron, in order to avoid influence bit operation.

Claims (7)

1. a kind of pulp cavity bone cement extractor, which is characterized in that the drill bit including tubulose and driving device, the driving device Connection drill bit simultaneously drives drill bit around own axes rotation, and the drill bit is equipped with the digging of multiple protrusions at the top of the tube wall of front end Dig tooth;
It is connected with bone cement fragment memotron between the drill bit and drive link, is equipped in the bone cement fragment memotron Block is discharged in fragment identical with memotron internal diameter size, and the outer wall of memotron is equipped with fragment and block moving member, fragment is discharged Discharge block moving member connection fragment discharge block simultaneously drives fragment discharge block movement;
The fragment discharge block moving member includes slide key, sliding groove and through slot, and the sliding groove is set to bone cement On the outer wall of fragment memotron, through slot is set in sliding groove and penetrates through the outer wall of bone cement fragment memotron, and slide key is set In being discharged block moving member in sliding groove and across through slot connection fragment, the surface of slide key with not higher than outer surface of tube wall and straight Diameter is less than the width of sliding groove.
2. a kind of pulp cavity bone cement extractor according to claim 1, which is characterized in that the excavation teeth directional drill bit Central axes tilt.
3. a kind of pulp cavity bone cement extractor according to claim 1, which is characterized in that the driving device includes dynamic Power source and drive link, the power source connect drive link by worm drive and drive drive link around own axes rotation, institute The drive link stated connects drill bit and drives drill bit rotation.
4. a kind of pulp cavity bone cement extractor according to claim 3, which is characterized in that the drive link is flexible Metal hose.
5. a kind of pulp cavity bone cement extractor according to claim 1, which is characterized in that be further connected with punching on the drill bit Pipe and suction tube are washed, described flush pipe one end connects external water source, and the other end passes through drive link hollow space from power source And the hollow space of drill bit is extended to, the external negative pressure source of described suction tube one end connection, the other end is passed through from power source and is passed The outlet of lever hollow space and the hollow space for extending to drill bit, flush pipe and suction tube is arranged in bone cement fragment memotron Place.
6. a kind of pulp cavity bone cement extractor according to claim 1, which is characterized in that further include slide handle, it is described Slide handle include handle and sleeve, one end of the sleeve is fixed on handle, the internal diameter and cunning of the other end of sleeve The diameter of dynamic key matches moves slide key to be sleeved on slide key.
7. a kind of pulp cavity bone cement extractor according to claim 1, which is characterized in that be further connected with punching on the drill bit Pipe and suction tube are washed, described flush pipe one end connects external water source, and the other end passes through drive link hollow space from power source And the hollow space of bone cement fragment memotron is extended to, described suction tube one end connects external negative pressure source, and the other end is driven Drive link hollow space is passed through at power source and extends to the hollow space of bone cement fragment memotron.
CN201610103678.1A 2016-02-24 2016-02-24 Marrow cavity bone cement extractor Expired - Fee Related CN105534564B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610103678.1A CN105534564B (en) 2016-02-24 2016-02-24 Marrow cavity bone cement extractor

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Application Number Priority Date Filing Date Title
CN201610103678.1A CN105534564B (en) 2016-02-24 2016-02-24 Marrow cavity bone cement extractor

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CN105534564B true CN105534564B (en) 2018-08-14

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106963447B (en) * 2017-02-27 2023-12-19 北京爱康宜诚医疗器材有限公司 Intramedullary canal central device

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CN2229795Y (en) * 1995-06-06 1996-06-26 贵阳市第四人民医院 Pulpiform nucleus trepan cutting and removing implement
US5720749A (en) * 1996-03-18 1998-02-24 Snap-On Technologies, Inc. Integral reamer apparatus with guide counterbores in female press-fitted parts
CN1585623A (en) * 2001-11-21 2005-02-23 库尔斯恩蒂斯股份公司 Attachable/detachable reamer head for surgical reamer
CN201115676Y (en) * 2007-11-23 2008-09-17 张力 Medical bone taking out device
CN201701257U (en) * 2010-05-29 2011-01-12 张永强 Chip cleaning bone drill for bone surgery
CN203291020U (en) * 2013-06-06 2013-11-20 苏加向 Broken nail taking-out machine
CN104125806A (en) * 2011-12-21 2014-10-29 巴奥米特生物制品有限公司 Bone marrow aspiration needle
CN205814379U (en) * 2016-02-24 2016-12-21 中南大学湘雅医院 Marrow cavity bone cement extractor

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CA2403925C (en) * 2000-04-05 2008-09-16 Stx Medical, Inc. Intralumenal material removal systems and methods

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2229795Y (en) * 1995-06-06 1996-06-26 贵阳市第四人民医院 Pulpiform nucleus trepan cutting and removing implement
US5720749A (en) * 1996-03-18 1998-02-24 Snap-On Technologies, Inc. Integral reamer apparatus with guide counterbores in female press-fitted parts
CN1585623A (en) * 2001-11-21 2005-02-23 库尔斯恩蒂斯股份公司 Attachable/detachable reamer head for surgical reamer
CN201115676Y (en) * 2007-11-23 2008-09-17 张力 Medical bone taking out device
CN201701257U (en) * 2010-05-29 2011-01-12 张永强 Chip cleaning bone drill for bone surgery
CN104125806A (en) * 2011-12-21 2014-10-29 巴奥米特生物制品有限公司 Bone marrow aspiration needle
CN203291020U (en) * 2013-06-06 2013-11-20 苏加向 Broken nail taking-out machine
CN205814379U (en) * 2016-02-24 2016-12-21 中南大学湘雅医院 Marrow cavity bone cement extractor

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Granted publication date: 20180814