CN105877833A - Spatial-positioning assisted drilling device - Google Patents

Spatial-positioning assisted drilling device Download PDF

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Publication number
CN105877833A
CN105877833A CN201610336889.XA CN201610336889A CN105877833A CN 105877833 A CN105877833 A CN 105877833A CN 201610336889 A CN201610336889 A CN 201610336889A CN 105877833 A CN105877833 A CN 105877833A
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China
Prior art keywords
tilt adjustment
head tilt
bore hole
angle
space orientation
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Granted
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CN201610336889.XA
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Chinese (zh)
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CN105877833B (en
Inventor
程自申
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98th Hospital Of Joint Logistics Support Force Of Chinese People's Liberation Army
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Individual
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    • 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
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • 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
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/683Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin comprising bone transfixation elements, e.g. bolt with a distal cooperating element such as a nut
    • 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
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • 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
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/90Guides therefor

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (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)
  • Neurology (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention provides a spatial-positioning assisted drilling device. The spatial-positioning assisted drilling device comprises a clamping device, a head inclination angle adjustment device, internal inclination angle adjustment devices, a displacement adjustment device and a probe guide cylinder, wherein the head inclination angle adjustment device is used for adjusting the head inclination angle, the internal inclination angle adjustment devices are symmetrically arranged at two ends of the head inclination angle adjustment devices and used for adjusting the internal inclination angle, the displacement adjustment device is used for adjusting displacement of the head inclination angle device, and the probe guide cylinder is used for mounting a probe. The spatial-positioning assisted drilling device can accurately position a screwing point and direction of a pedicle screw into a spine, and is simple in structure, convenient to use, low in cost and applicable to popularization in all levels of hospitals.

Description

A kind of space orientation auxiliary bore hole device
Technical field
The present invention relates to medical instruments field, be specifically related to a kind of space orientation auxiliary bore hole device.
Background technology
At present, for the location of the operation pedicle of vertebral arch of spinal column, a kind of be based on CT or C-arm transverse scan based on navigation system and robot arm secondary navigation system, another kind is free-hand pedicle screw method for implantation based on experience.But navigation system is the most expensive, it is difficult to promote at situation of all-level hospitals, limited to many vertebral bodys navigation accuracy.Free-hand pedicle screw based on experience is implanted, and the position difference that different people plants nail is relatively big, and especially less to experience patient, the probability that pedicle screw is planted by mistake is the biggest.
Summary of the invention
For solving the problems referred to above, the invention provides a kind of space orientation auxiliary bore hole device, it pedicle of vertebral arch screw of spinal column can be hammered into pin mark and orientation is accurately positioned, its simple in construction, and easy to use, low cost is relatively low, is suitable for promoting at situation of all-level hospitals.
The present invention solves that the technical scheme that the problems referred to above are used is as follows:
The present invention includes clamping device, for regulating the head inclination-angle regulating device at an inclination angle, being symmetricly set in described head inclination-angle regulating device two ends and for regulating the leaning angle adjusting means of leaning angle, for regulating the displacement adjustment device of described head tilt angle device displacement and for installing the probe guide cylinder of probe.
As a further improvement on the present invention, described clamping device includes the resilient clamp block of inverted U and is arranged at described resilient clamp block top, for the fastening bolt of resilient clamp block described in clamping.When tightening fastening bolt, resilient clamp block both sides spacing reduces, and increases enclasping force, prevents resilient clamp block from slipping.
As a further improvement on the present invention, described displacement adjustment device includes being fixedly installed on the slide block that the slide rail of described resilient clamp block upper end is suitable with described slide rail;It is labeled with graduation mark on described slide block;Described slide block side is provided with for controlling the knob that described slide block slides on described slide rail.
As a further improvement on the present invention, described head inclination-angle regulating device includes being fixedly installed on described slide block upper surface one end and the head tilt adjustment sleeve alignd with described graduation mark zero point and the head tilt adjustment bar being socketed in described head tilt adjustment sleeve;Described head tilt adjustment sleeve is a side opening the tube-in-tube structure fastened by fishbolt;The end face of described head tilt adjustment sleeve is labeled with angle index line;It is labeled with length scale line on described head tilt adjustment bar.When fixing point distance in side is fixing, opposite side is transferred to corresponding scale.
As a further improvement on the present invention, described head tilt adjustment bar is the loop bar that two ends can carry out length fine setting.
As a further improvement on the present invention, described head tilt adjustment bar includes interior bar and is socketed on the outer bar outside described interior bar;Described outer bar includes fixed part and is stuck in described fixed part two ends the trimming part that can move forward and backward along described ears by ears respectively;The elongated slot suitable with ears is offered, it is ensured that trimming part moves forward and backward, it is also possible to prevent trimming part from relatively rotating with fixed part on trimming part;It is provided with spring between described fixed part and described trimming part;The free end of trimming part described in both sides is provided with fine-tuning nut.
As a further improvement on the present invention, described leaning angle adjusting means includes the leaning angle graduated disc being fixedly installed on described trimming part;Described leaning angle graduated disc it is articulated with in the middle of described probe guide cylinder;There is auxiliary positioning pipe described probe guide cylinder bottom by connecting the rotating connection of screw rod.
As a further improvement on the present invention, described resilient clamp block is internally provided with the anti-slop serrations for increasing friction force.
As a further improvement on the present invention, described probe guide cylinder contacts side with leaning angle graduated disc and is provided with instruction pin.
As a further improvement on the present invention, described head tilt adjustment sleeve is provided with transverse horizontal chi;Described slide block side is provided with vertical equity chi.
Described head inclination angle is the angle that a tilt adjustment bar rotates in head tilt adjustment sleeve;Described leaning angle is the probe guide cylinder angle around leaning angle graduated disc central rotation.
The present invention has the following technical effect that
(1) present invention arranges displacement adjustment device, head inclination-angle regulating device and leaning angle adjusting means, scanned by preoperative SCT, determine entry point, leaning angle and head inclination angle, pedicle screw is made to implant under each parameter quantifies, pedicle screw more " accuracy ", both sides arrange pedicle screw and have more " symmetry ";Spinal column can be accurately positioned by the present invention, it is to avoid the deviation that the experience punching of dependence occurs.
(2) present configuration is simple, easy to use, reduces operation cost, is suitable for promoting at basic hospital.
(3) the resilient clamp block of inverted U has certain elasticity, being strutted at two ends during clamping spinous process and can clamp spinous process, owing to the spinous process of spinal column is vertebral body shape, resilient clamp block is not easy promptly after clamping spinous process, fastening bolt is set and can increase the resilient clamp block enclasping force to spinous process, prevent from slipping.
(4) realized the regulation of displacement by slide rail and slide block, after displacement regulates, realize position-limiting action by knob.
(5) realized the regulation at head inclination angle, simple in construction by the rotation in head tilt adjustment sleeve of the head tilt adjustment bar, take up room little;Head tilt adjustment sleeve is a side opening the tube-in-tube structure fastened by fishbolt, is tightened by fishbolt, can be fixed at head inclination angle after regulating an inclination angle.
(6) entering pin mark gap not quite due to different patient's spinous process to pedicles of vertebral arch, head tilt adjustment bar is the loop bar that two ends can carry out length fine setting, can realize the regulation of length more accurately.
(7) the outer bar of head tilt adjustment bar includes fixed part and is stuck in described fixed part two ends the trimming part that can move forward and backward along described ears by ears respectively;It is provided with spring between described fixed part and described trimming part;The free end of trimming part described in both sides is provided with fine-tuning nut;Turn clockwise fine-tuning nut time, spring is squeezed, and trimming part moves to centre, contraction in length, otherwise, spring flicks, and trimming part moves to both sides, length increase;The setting of ears is possible not only to ensure that trimming part moves forward and backward along ears, simultaneously it is also ensured that trimming part does not rotates.
(8) it is articulated with in the middle of probe guide cylinder on leaning angle graduated disc, probe guide cylinder contacts side with leaning angle graduated disc and is provided with instruction pin, realized the regulation of angle around leaning angle graduated disc center rotating by probe guide cylinder, the reading of angle can be read by instruction pin.
(9) resilient clamp block is internally provided with anti-slop serrations, for increasing friction force, prevents resilient clamp block from slipping with spinous process further.
(10) can be by observing in transverse horizontal chi and vertical equity chi the position determining means of bubble whether level.
Accompanying drawing explanation
Accompanying drawing 1 is present configuration schematic diagram;
Accompanying drawing 2 is leaning angle adjusting means structural representation of the present invention.
In accompanying drawing: 1 resilient clamp block;2 slide rails;3 fastening bolts;4 knobs;5 slide blocks;6 tilt adjustment sleeves;7 outer bars;7-1 fixed part;7-2 spring;7-3 trimming part;8 auxiliary positioning pipes;9 fine-tuning nuts;10 transverse horizontal chis;11 instruction pins;12 anti-slop serrations;13 leaning angle graduated discs;14 connect screw rod;15 probe guide cylinders;16 ears;Bar in 17;18 vertical equity chis;19 fishbolts.
Detailed description of the invention
Below in conjunction with accompanying drawing, technical scheme is described in further detail.
As shown in Figure 1-2, the present invention includes clamping device, for regulating the head inclination-angle regulating device at an inclination angle, being symmetricly set in described head inclination-angle regulating device two ends and for regulating the leaning angle adjusting means of leaning angle, for regulating the displacement adjustment device of described head tilt angle device displacement and for installing the probe guide cylinder 15 of probe;It is determined by displacement, leaning angle and head inclination angle to reach spatial point is accurately positioned, thus realizes " target " position is carried out the purpose of drill precise holes, reduce and rely on doctors experience to judge deviation and the operation risk brought.
Described clamping device includes the resilient clamp block 1 of inverted U and is arranged at described resilient clamp block 1 top, for the fastening bolt 3 of resilient clamp block 1 described in clamping.Owing to the spinous process of spinal column is vertebral body shape, resilient clamp block 1 is not easy promptly after clamping spinous process, and when tightening fastening bolt 3, resilient clamp block 1 both sides spacing reduces, and increases enclasping force, prevents resilient clamp block 1 from slipping.
Described displacement adjustment device includes being fixedly installed on the slide block 5 that the slide rail 2 of described resilient clamp block 1 upper end is suitable with described slide rail 2;It is labeled with graduation mark on described slide block 5;Described slide block 5 side is provided with for controlling the knob 4 that described slide block 5 slides on described slide rail 2, can realize the slide block 5 slip on described slide rail 2 by rack and pinion, when rotating clockwise knob 4, slide block 5 moves right, when rotating counterclockwise knob 4, slide block 5 is moved to the left.
Described head inclination-angle regulating device includes being fixedly installed on described slide block 5 upper surface one end and the head tilt adjustment sleeve 6 alignd with described graduation mark zero point and the head tilt adjustment bar being socketed in described head tilt adjustment sleeve 6;Described head tilt adjustment sleeve 6 is a side opening the tube-in-tube structure fastened by fishbolt 19;The end face of described head tilt adjustment sleeve 6 is labeled with angle index line;It is labeled with length scale line on described head tilt adjustment bar.The displacement between head inclination-angle regulating device and resilient clamp block 1 can be calculated by reading scale corresponding to resilient clamp block 1 edge.Realized the regulation at head inclination angle, simple in construction by the rotation in head tilt adjustment sleeve 6 of the head tilt adjustment bar, take up room little;Head tilt adjustment sleeve 6 is a side opening and passes through the tube-in-tube structure that fishbolt 19 fastens, and is tightened by fishbolt 19, can be fixed at head inclination angle after regulating an inclination angle.
Described head tilt adjustment bar is the loop bar that two ends can carry out length fine setting.
Described head tilt adjustment bar includes interior bar 17 and is socketed on the outer bar 7 outside described interior bar 17;Described outer bar 7 includes fixed part 7-1 and is stuck in described fixed part 7-1 two ends the trimming part 7-3 that can move forward and backward along described ears 16 by ears 16 respectively;The elongated slot suitable with ears 16 is offered, it is ensured that trimming part 7-3 moves forward and backward, it is also possible to prevent trimming part 7-3 from relatively rotating with fixed part 7-1 on trimming part 7-3;It is provided with spring 7-2 between described fixed part 7-1 and described trimming part 7-3;Described in both sides, the free end of trimming part 7-3 is provided with fine-tuning nut 9;Trimming part 7-3 is set and can realize the regulation of length more accurately;The setting of ears 16 is possible not only to ensure that trimming part 7-3 moves forward and backward along ears 16, simultaneously it is also ensured that trimming part 7-3 does not rotates.
Described leaning angle adjusting means includes the leaning angle graduated disc 13 being fixedly installed on described trimming part 7-3;It is articulated with described leaning angle graduated disc 13 in the middle of described probe guide cylinder 15;There is auxiliary positioning pipe 8 described probe guide cylinder 15 bottom by connecting the rotating connection of screw rod 14.
Described resilient clamp block 1 is internally provided with the anti-slop serrations 12 for increasing friction force, prevents resilient clamp block 1 from slipping with spinous process further.
Described probe guide cylinder 15 contacts side and is provided with instruction pin 11 with leaning angle graduated disc 13, is realized the regulation of angle around leaning angle graduated disc 13 center rotating by probe guide cylinder 15, and the reading of angle can be read by instruction pin 11.
It is provided with transverse horizontal chi 10 on described head tilt adjustment sleeve 6;Described slide block 5 side is provided with vertical equity chi 18.Can be by observing in transverse horizontal chi 10 and vertical equity chi 18 position determining means of bubble whether level.
The use process of the present invention is as follows:
Patient lies prone is positioned on operating-table, cuts skin and appears vertebral body.First resilient clamp block 1 is clamped patient's spinous process, observes transverse horizontal chi 10 and vertical equity chi 18, after bubble is adjusted to centre position, fastening bolt 3 is tightened, make resilient clamp block 1 be tightly secured on patient's spinous process.Plan entry point is positioned at the intersection point on the ordinate of the outer trailing edge of superior articular process with transverse process center line, calculate according to preoperative CT and intend the leaning angle (being set to) of entry point, the distance of head inclination angle (being set to β) and transverse process upper limb to transverse process center line, i.e. spacing (being set to D) between probe guide cylinder 15 and auxiliary positioning pipe 8, swivel head tilt adjustment bar angle in head tilt adjustment sleeve 6, after regulating, the fishbolt 19 of head tilt adjustment sleeve 6 side is tightened, prevent the tilt adjustment bar from rotating, with this head tilt adjustment got well and fix;Then rotate probe guide cylinder 15, make to calculate gained angular alignment on instruction pin 11 and leaning angle graduated disc 13, with this leaning angle regulated and fix;Regulation fine-tuning nut 9, when probe guide cylinder 15 end visits the outer trailing edge of superior articular process till.Then one side adjusting knob 4, utilizes probe to pass through auxiliary positioning pipe 8 and visits the upper limb of superior articular process, when visiting and arrive the upper limb of transverse process, drill bit is holed to appropriate depth by probe guide cylinder 15, opposite side parameter is set with method, after holing successfully, is screwed into pedicle screw.
Described above to the disclosed embodiments, makes professional and technical personnel in the field be capable of or uses the present invention.Multiple amendment to these embodiments will be apparent from for those skilled in the art, and generic principles defined herein can realize without departing from the spirit or scope of the present invention in other embodiments.Therefore, the present invention is not intended to be limited to the embodiments shown herein, and is to fit to the widest scope consistent with principles disclosed herein and features of novelty.

Claims (10)

1. a space orientation auxiliary bore hole device, it is characterized in that, it includes clamping device, for regulating the head inclination-angle regulating device at an inclination angle, being symmetricly set in described head inclination-angle regulating device two ends and for regulating the leaning angle adjusting means of leaning angle, for regulating the displacement adjustment device of described head tilt angle device displacement and for installing the probe guide cylinder (15) of probe.
A kind of space orientation auxiliary bore hole device the most according to claim 1, it is characterized in that: described clamping device includes the resilient clamp block (1) of inverted U and is arranged at described resilient clamp block (1) top, for the fastening bolt (3) of resilient clamp block (1) described in clamping.
A kind of space orientation auxiliary bore hole device the most according to claim 2, it is characterised in that: slide rail (2) that described displacement adjustment device includes being fixedly installed on described resilient clamp block (1) upper end and the suitable slide block (5) of described slide rail (2);Described slide block is labeled with graduation mark on (5);Described slide block (5) side is provided with for controlling described slide block (5) at the upper knob (4) slided of described slide rail (2).
A kind of space orientation auxiliary bore hole device the most according to claim 3, it is characterised in that: described head inclination-angle regulating device includes being fixedly installed on described slide block (5) upper surface one end and head tilt adjustment sleeve (6) alignd with described graduation mark zero point and the head tilt adjustment bar being socketed in described head tilt adjustment sleeve (6);Described head tilt adjustment sleeve (6) is a side opening the tube-in-tube structure fastened by fishbolt (19);The end face of described head tilt adjustment sleeve (6) is labeled with angle index line;It is labeled with length scale line on described head tilt adjustment bar.
A kind of space orientation auxiliary bore hole device the most according to claim 4, it is characterised in that: described head tilt adjustment bar is the loop bar that two ends can carry out length fine setting.
A kind of space orientation auxiliary bore hole device the most according to claim 5, it is characterised in that: described head tilt adjustment bar includes interior bar (17) and is socketed on the outer bar (7) that described interior bar (17) is outside;Described outer bar (7) includes fixed part (7-1) and is stuck in described fixed part (7-1) two ends the trimming part (7-3) that can move forward and backward along described ears (16) by ears (16) respectively;Spring (7-2) it is provided with between described fixed part (7-1) and described trimming part (7-3);The free end of trimming part described in both sides (7-3) is provided with fine-tuning nut (9).
A kind of space orientation auxiliary bore hole device the most according to claim 6, it is characterised in that: described leaning angle adjusting means includes the leaning angle graduated disc (13) being fixedly installed on described trimming part (7-3);It is articulated with described leaning angle graduated disc (13) in the middle of described probe guide cylinder (15);There is auxiliary positioning pipe (8) described probe guide cylinder (15) bottom by connecting screw rod (14) rotating connection.
A kind of space orientation auxiliary bore hole device the most according to claim 7, it is characterised in that: described resilient clamp block (1) is internally provided with the anti-slop serrations (12) for increasing friction force.
A kind of space orientation auxiliary bore hole device the most according to claim 8, it is characterised in that: described probe guide cylinder (15) contacts side and is provided with instruction pin (11) with leaning angle graduated disc (13).
A kind of space orientation auxiliary bore hole device the most according to claim 9, it is characterised in that: it is provided with transverse horizontal chi (10) on described head tilt adjustment sleeve (6);Described slide block (5) side is provided with vertical equity chi (18).
CN201610336889.XA 2016-05-20 2016-05-20 A kind of space orientation auxiliary bore hole device Active CN105877833B (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106491178A (en) * 2016-09-26 2017-03-15 上海盟博电器有限公司 The adjustable medical electric drill of drilling depth
CN108908748A (en) * 2018-07-19 2018-11-30 高文杰 Water heater water tank installation punching positioning aid based on centrifugal force leveling
CN114948168A (en) * 2022-05-12 2022-08-30 中国人民解放军总医院第四医学中心 Angle-adjustable screw guiding and fixing device

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN203815568U (en) * 2014-03-24 2014-09-10 中国人民解放军第二军医大学 Atlantoaxial pedicle screw guider
CN104983459A (en) * 2015-07-19 2015-10-21 岳学锋 Three-dimensional adjustable combined guiding device for assisting in implanting screws into vertebral pedicle and using method
CN205758700U (en) * 2016-05-20 2016-12-07 程自申 A kind of space orientation auxiliary bore hole device

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN203815568U (en) * 2014-03-24 2014-09-10 中国人民解放军第二军医大学 Atlantoaxial pedicle screw guider
CN104983459A (en) * 2015-07-19 2015-10-21 岳学锋 Three-dimensional adjustable combined guiding device for assisting in implanting screws into vertebral pedicle and using method
CN205758700U (en) * 2016-05-20 2016-12-07 程自申 A kind of space orientation auxiliary bore hole device

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106491178A (en) * 2016-09-26 2017-03-15 上海盟博电器有限公司 The adjustable medical electric drill of drilling depth
CN108908748A (en) * 2018-07-19 2018-11-30 高文杰 Water heater water tank installation punching positioning aid based on centrifugal force leveling
CN111231132A (en) * 2018-07-19 2020-06-05 高文杰 Punching positioning assistor for mounting water storage tank of water heater and using method
CN108908748B (en) * 2018-07-19 2020-06-05 南京六六创业科技有限公司 Water heater water storage tank installation location assistor that punches based on gravity leveling
CN114948168A (en) * 2022-05-12 2022-08-30 中国人民解放军总医院第四医学中心 Angle-adjustable screw guiding and fixing device

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Effective date of registration: 20191023

Address after: 050000 No. 398 Shanxi Road, Qiaoxi District, Shijiazhuang City, Hebei Province

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