CN106606371A - Laryngeal function repairing implanting system, fixing nail and nail gun - Google Patents
Laryngeal function repairing implanting system, fixing nail and nail gun Download PDFInfo
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- CN106606371A CN106606371A CN201510708450.0A CN201510708450A CN106606371A CN 106606371 A CN106606371 A CN 106606371A CN 201510708450 A CN201510708450 A CN 201510708450A CN 106606371 A CN106606371 A CN 106606371A
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- nail
- epitheca
- fixed
- distal end
- fixed nail
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8033—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers
- A61B17/8047—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers wherein the additional element surrounds the screw head in the plate hole
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/808—Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8625—Shanks, i.e. parts contacting bone tissue
- A61B17/8635—Tips of screws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8665—Nuts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/92—Impactors or extractors, e.g. for removing intramedullary devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B2017/8655—Pins or screws or threaded wires; nuts therefor with special features for locking in the bone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8665—Nuts
- A61B2017/867—Nuts with integral locking or clamping means
Abstract
The invention provides a laryngeal function repairing implanting system. The laryngeal function repairing implanting system comprises a support board, force-bearing rings and fixing nail sheaths, wherein the support board is provided with fixing holes, an outer side and an inner side; the force-bearing rings are of tubular structures; each fixing nail sheath comprises a near end, a sheath body and a far end; the force-bearing rings are mounted at the outer sides of the sheath bodies of the fixing nail sheaths; the fixing nail sheaths are embedded in the fixing holes of the support board, the near ends of the fixing nail sheaths are arranged at the outer side of the support board, and the far ends of the fixing nail sheaths are arranged at the inner side of the support board. The laryngeal function repairing implanting system can be conveniently fixed to the residual end of the cartilagines larynges at two sides of the thyroid cartilage through fixing nails and a nail gun which are matched with the laryngeal function repairing implanting system, then the laryngeal function repairing is carried out, the surgical operation is simplified, the surgical time is shortened, and the surgical curative effects are improved.
Description
Technical field
The present invention relates to a kind of Srgery grafting system carried out for Surgery for Laryngeal Carcinoma when Laryngeal function after partial laryngectomy is repaired.
Background technology
Since the forties in last century, all over the world the sickness rate of laryngeal carcinoma accounts for second in the trend that rises appreciably in H/N tumors
Position.Operation is still the Main Means for the treatment of laryngeal carcinoma at present, wherein, partial laryngectomy is main art formula, and its application increasingly increases
It is many.However, while using partial laryngectomy radical resection tumor, necessarily causing laryngeal cartilages support defect, postoperative possibility
Cause laryngostenosis, patient to carry out tracheotomy and wear tracheal casing pipe all the life, have a strong impact on quality of life, become patient and return to
The obstruction of society.Modern surgical oncology is required on the premise of radical excision tumor, retained as far as possible or reconstruction important organ
Physiological function improving the life quality of patient.To retain or rebuilding pronunciation, breathing, the function of deglutition of larynx, larynx support weight
It is all the time a difficulties of Surgery for Laryngeal Carcinoma treatment to found a capital.
The invention aims to provide a kind of Srgery grafting carried out for Surgery for Laryngeal Carcinoma when Laryngeal function after partial laryngectomy is repaired
System, in partial laryngectomy, when thyroid cartilage is by part, or even there is defect in most of excision, such as cuts off 1/2 very
To 3/4 thyroid cartilage, using the remaining laryngeal cartilages stump in both sides, the Srgery grafting system of Laryngeal function reparation is carried out, it is fixed
The nail gun of nail and the fixed nail of release, realizes pronunciation, breathing, the reconstruction of function of deglutition of larynx.
The content of the invention
Laryngeal function repairs implant system, it is characterised in that：
A, the Laryngeal function repair implant system 9 containing gripper shoe 1, force bearing ring 2 and fixed nail epitheca 31；
B, the gripper shoe 1 are provided with fixing hole 11；
C, the force bearing ring 2 are tubular structure；
D, the fixed nail epitheca 31 contain near-end 311, body 312 and distal end 313；
E, the force bearing ring 2 are arranged on the outside of the body 312 of the fixed nail epitheca 31；Fixed nail epitheca (31)
It is embedded in the fixing hole (11) of the gripper shoe (1), the near-end (311) of fixed nail epitheca (31) and described
The distal end (313) of fixed nail epitheca (31) is respectively positioned at the both sides of the gripper shoe (1)；Generally, the fixed nail is outer
The near-end 311 of sheath 31 is located at the outside 12 of the gripper shoe 1, and the fixed distal end 313 for following closely epitheca 31 is located at described
The inner side 13 of gripper shoe 1.
The gripper shoe 1 is provided with the hole 14 for facilitating tissue growth；The hole 14 can be through hole, or 3D printing
The irregular hole for being formed.
The gripper shoe 1 has the thyroid shape identical shape with the patient before excision.
The gripper shoe 1 is beaten using 3D according to the thyroid CT data or MRI data of the patient before excision
The manufacture of print technology.
The force bearing ring 2 is provided with anti-slip veins 21.The anti-slip veins 21 can facilitate between the force bearing ring 2 and thyroid cartilage
Adhesion, fixation.
The distal end 313 of the fixed nail epitheca 31 is provided with yielding groove 313-1, and the yielding groove 313-1 causes in external force
The distal end 313 expands outwardly under effect, flattens, and plastic deformation occurs.Under external force, the distal end 313 occurs
After plastic deformation, flattening so that the near-end 311 of the fixed nail epitheca 31 is located at the outside 12 of the gripper shoe 1, institute
The body 312 for stating fixed nail epitheca 31 is located in the fixing hole 11 of the gripper shoe 1, the fixed nail epitheca 31
Distal end 313 be located at the gripper shoe 1 inner side 13, formed I-shape construction.
Further, the distal end 313 of the fixed nail epitheca 31 is additionally provided with slotted eye 313-2.Under external force, the slotted eye
313-2 can weaken the intensity of the distal end 313, and the distal end 313 for facilitating the fixed nail epitheca 31 expands outwardly, and flattens,
Generation plastic deformation, forms riveting end.
Fixed nail, the fixed nail 3 is characterised by containing the fixed nail epitheca 31 described in claim 1.
The fixed nail 3 sets inner core 30；The inner core 30 contains distal end 301, core bar 302 and near-end 303；The core bar
302 one end connect the distal end 301, and the other end connects the near-end 303；The distal end 301 of the inner core 30 is solid with described
Surely the distal end 313 for following closely epitheca 31 links together；The core bar 302 of the inner core 30 is movably mounted on the fixed nail
In the body 312 of epitheca 31；The near-end 303 of the inner core 30 is provided with anti-slip veins 303-1.
Further, the distal end 301 of the inner core 30 of the fixed nail 3 and the fixed junction of distal end 313 for following closely epitheca 31
It is provided with areas of weak intensity 301-1.
Nail gun, the nail gun 4 is characterised by containing the fixed nail 3 described in claim 7.
Further, the nail gun 4 contains clamp system 41, drawing mechanism 42, handle mechanism 43 and housing 44；The folder
Tight mechanism 41, drawing mechanism 42 and handle mechanism 43 are arranged on the housing 44；The clamp system 41 can be removable
Clamp the fixed nail 3 inner core 30 with unloading is provided with the near-end 303 of anti-slip veins 303-1；Depress the handle mechanism 43
The clamping plate 411 that clamp system 41 can first be ordered about clamps the near-end 303 for being provided with anti-slip veins 303-1；Continue to depress the handss
During handle mechanism 43, the inner core 30 can be stretched out, in the presence of pulling force, the distal end of the fixed nail epitheca 31
There is plastic deformation under this force at 313 yielding groove 313-1, the distal end 313 expands outwardly, flattens,
The force bearing ring and fixed nail epitheca 31 are embedded in the fixing hole 11 of the gripper shoe 1；It is further continued for depressing the handle
During mechanism 43, until the inner core 30 ruptures at the areas of weak intensity 301-1, the inner core 30 is solid with described
Surely follow closely epitheca 31 to separate.
The nail gun 4 contains the nails that can be stored the fixed nail 3 and the fixation can be followed closely the 3 feedings clamp system 41
Storehouse 45.The nail bin 45 is at least containing 1 fixed nail 3.Can deposit in the nail bin 45 simultaneously 3 or 3 with
On described fixed nail 3.When the fixed nail 3 in the nail bin 45 is delivered in the clamp system 41 of the nail gun 4,
After finishing, the inner core 30 of the fixed nail 3 departs from from the clamp system 41 automatically, in the nail bin 45
Remaining other fixation nails 3 are sequentially fed into the clamp system 41, form automatic compensation, facilitate doctor to operate.When described
After fixed nail 3 in nail bin is finished, the upper lid 44-1 of the housing 44 of the nail gun 4 can be opened, into the nail bin 45
The supplement fixed nail 3, after supplement is finished, is fixed the upper lid 44-1 and housing 44 with screw 44-2.
During Clinical practice, on the premise of radical excision tumor, the thyroid cartilage stump 5 of both sides is preserved to greatest extent.According to
The gripper shoe 1 is pruned according to the shape of thyroid cartilage defect.According to the thickness of the thyroid cartilage stump 5, hold described in selection
The height of power ring 2 so that the height of the force bearing ring 2 is equal to or slightly less than the thickness of the thyroid cartilage stump 5；Again will
The force bearing ring 2 is enclosed within the outside of the body 312 of the fixed nail epitheca 31.With surgical drill on thyroid cartilage stump 5
Corresponding to the position of the fixing hole 11 of the gripper shoe 1, installing hole 51 is bored；By fixed 3 distal end 311, described of following closely
Body 312 and the force bearing ring 2 are first inserted after the fixing hole 11 of the gripper shoe 1, are then passed through on thyroid cartilage stump 5
The installing hole 51.Then, fixed 3 near-ends 303 of following closely are placed in the clamp system 41 of the nail gun 4, are pressed
Under the handle mechanism 43, around the shaft 43-1 is rotated the handle mechanism 43, compresses the reset bullet of the clamp system 41
Spring 41-2, order about the clamp system 41 clamping plate 41-1 clamp described in be provided with the near-end 303 of anti-slip veins 303-1.Continue
When depressing the handle mechanism 43, the back-moving spring 42-1 of the drawing mechanism 42 is compressed, the handle mechanism 43 drives
The stretching slide block 42-1 of the drawing mechanism 42 is moved out, and can be stretched out the inner core 30, in the effect of pulling force
Under, there is plastic deformation under this force at the yielding groove 313-1 of the distal end 313 of the fixed nail epitheca 31,
The distal end 313 expands outwardly, flattens, and the force bearing ring and fixed nail epitheca 31 are embedded in into consolidating for the gripper shoe 1
Determine in hole 11；Meanwhile, accompany the gripper shoe 1 between the distal end 313 of the fixed nail epitheca 31 and near-end 311, hold
Power ring 2 and thyroid cartilage stump 5；The gripper shoe 1, force bearing ring 2 and fixed nail epitheca 31 are fixed on into thyroid cartilage residual
On end 5.When being further continued for depressing the handle mechanism 43, the handle mechanism 43 continues to drive the drawing mechanism 42
Stretching slide block 42-1 is moved out, until the inner core 30 ruptures at the areas of weak intensity 301-1, the inner core
30 separate with the fixed nail epitheca 31；The gripper shoe 1, force bearing ring 2 and fixed nail epitheca 31 are fixed on thyroid cartilage
On stump 5, and the fixed inner core 30 for following closely 3 and nail gun 4 are withdrawn from from tissue.The handle mechanism 43 is unclamped,
The back-moving spring of the drawing mechanism 42 is expanded outwardly so that the stretching slide block 42-1 of the drawing mechanism 42 is inwardly moved,
Simultaneously the back-moving spring 41-2 of the clamp system 41 is expanded outwardly, the clamping plate 41-1 of the clamp system 41 that relaxes, will
The clamping plate 41-1 and the inner core 30 are separated, and the inner core 30 is departed from from the nail gun 4.In the nail bin 45
It is remaining other fix nail 3 and be sequentially fed into the clamp system 41, form automatic compensation, the above-mentioned action of repetition can be complete
The implantation of implant system 9 is repaired into the Laryngeal function.
Because the thickness of the force bearing ring 2 is adjustable, thus it is adapted to the thyroid cartilage stump 5 of different-thickness so that
The Laryngeal function of the present invention repairs implant system 9 can have the adaptability of good individual variation.The thickness of the force bearing ring 2
Adjustment mode can select screw thread rotation or slide up and down the various methods of adjustment such as adjustment, protected without departing from the present invention
Scope.In addition, in the present invention, according to thyroid characteristic, the fixed nail 3 have chosen with certain contact area
Rigid rivet arrangement.The fixing meanss commonly used in surgical operation at present have screw to fix, surgical thread sutures the method such as fixed.
For screw is fixed, it is necessary first to which a fixing end by screw placement, and be able to can not loosen after the implantation, therefore, this
Individual fixing end is generally it is desirable that a rigid matrix, such as hard bone.And thyroid cartilage is elastomer, therefore, it is conventional
The fixing meanss one of screw are difficult to screw placement, while due to being Elastic tissue after implantation, and easily loosen, therefore,
The method that screw is fixed generally is unable to reach expected fixed effect to this kind of elastomer of thyroid cartilage.And surgical thread suture is fixed
Method, due to the usual very little of the diameter of surgical thread, typically in below 1mm.And in order to realize fixed purpose, generally
Certain tightening force can be applied to surgical thread.In this case, surgical thread would generally produce larger with the position of contact tissue
Pressure, be easy in the long-term motion of tissue to tissue cut.Simultaneously as the side of the metallic plate of implantation
Edge easily produces abrasion during life-time service to surgical thread, causes surgical thread to be cut, rupture.Therefore, surgical thread
Long-term fixed effect Deng linear object is also undesirable.And the rigid design of the rigid rivet arrangement of the fixed nail 3 is on the one hand
The clamping force that rivet arrangement can be passed through well is fixed on operation gripper shoe 1 on thyroid cartilage stump 5；On the other hand,
The fixed nail 3 and thyroid contact site have certain area, can be by surgical thread and thyroid linear contact lay
Mode be changed into the face way of contact, the pressure of contact site is effectively reduced, so as to the process of being chronically implanted is greatly lowered to tissue
Dissection, it is ensured that long-term treatment effects.
The force bearing ring 2 can form an entirety to follow closely epitheca 31 with the fixation by method made in one piece.
Disclose in the present invention and repair the matching used fixed nail 3 of implant system 9 and nail gun 4 with the Laryngeal function, actually face
In bed use, the Laryngeal function is directly repaired the distal end 313 of the epitheca 31 of implant system 9 by other special vices
Yielding groove 313-2 folders are flat, deformation can also realize that the Laryngeal function repairs the fixation of implant system 9 and thyroid cartilage 5, and
Without departing from protection scope of the present invention.
The Laryngeal function repairs implant system 9 containing gripper shoe 1, force bearing ring 2 and fixed nail epitheca 31；The gripper shoe 1 sets
There are fixing hole 11, outside 12 and inner side 13；The force bearing ring 2 is tubular structure；The fixed nail epitheca 31 contains near-end
311st, body 312 and distal end 313；The force bearing ring 2 is arranged on the outside of the body 312 of the fixed nail epitheca 31；
The fixed nail epitheca 31 is embedded in the fixing hole 11 of the gripper shoe 1, the near-end 311 of the fixed nail epitheca 31
The outside 12 of the gripper shoe 1 is located at, the distal end 313 of the fixed nail epitheca 31 is located at the inner side 13 of the gripper shoe 1.
The Laryngeal function repairs implant system 9 can be by repairing the supporting fixed nail 3 of implant system 9 and nail gun 4 with the Laryngeal function
It is conveniently fixed on the remaining laryngeal cartilages stump 5 in thyroid cartilage both sides, carries out Laryngeal function reparation, simplifies operation technique,
Operating time is shortened, operative effect is improve.
Description of the drawings
Fig. 1 is the dimensional structure diagram when Laryngeal function reparation implant system of the present invention is seen from outside to inside.
Fig. 2 is the dimensional structure diagram when Laryngeal function reparation implant system of the present invention is from inside to outside seen.
Fig. 3 is the structural representation that the Laryngeal function of the present invention repairs implant system.
Fig. 3-1 is enlarged drawing at the A of Fig. 3.
Fig. 4 is that the Laryngeal function of Fig. 3 repairs the structural representation after the implantation of implant system.
Fig. 4-1 is enlarged drawing at the B of Fig. 4.
Fig. 5 is the structural representation of the fixed nail that the Laryngeal function of the present invention repairs implant system.
Fig. 6 is that the Laryngeal function of the present invention repairs implant system with the fixed structural representation followed closely when being installed together.
Fig. 7 is dimensional structure diagram when Laryngeal function reparation implant system, fixed nail and the nail gun of the present invention is installed together.
Fig. 7-1 is the structural representation of Fig. 7.
Fig. 7-2 is solid when Laryngeal function reparation implant system, fixed nail and the nail gun of the present invention containing nail bin is installed together
Structural representation.
Fig. 8 is the structural representation of the force bearing ring that the Laryngeal function of the present invention repairs implant system.
Fig. 8-1 is the sectional view of Fig. 8.
Fig. 9 is the structural representation of the threaded adjusting force bearing ring that the Laryngeal function of the threaded adjusting type of the present invention repairs implant system.
Fig. 9-1 is the structure that the Laryngeal function of the threaded adjusting type of the present invention repairs the threaded adjusting force bearing ring after implant system implantation
Schematic diagram.
Figure 10 is the structural representation of the force bearing ring that the Laryngeal function made in one piece of the present invention repairs implant system.
Figure 10-1 is the structural representation that the Laryngeal function made in one piece of the present invention repairs the force bearing ring after implant system implantation.
Figure 11 is the structural representation of the gripper shoe that the Laryngeal function of the 3D printing of the present invention repairs implant system.
In above-mentioned figure：
1 is gripper shoe, and 2 is force bearing ring, and 3 are fixed nail, and 4 is nail gun, and 5 is thyroid cartilage, and 9 is the larynx work(of the present invention
Implant system can be repaired.
11 is fixing hole, and 12 is outside, and 13 is inner side, and 14 is the hole of tissue growth.
30 are the fixed inner core followed closely, and 31 is the epitheca of fixed nail.
301 is the distal end of inner core, and 301-1 is the areas of weak intensity on distal end；302 is core bar；303 is near-end.303-1 is
Anti-slip veins on near-end.
311 are the fixed near-end for following closely epitheca, and 312 is the body of epitheca, and 313 is the distal end of epitheca.313-1 is outer sheath distal
Yielding groove, 313-2 for distal end slotted eye.
41 is clamp system, and 42 is drawing mechanism, and 43 is handle mechanism, and 44 is housing, and 45 is nail bin；41-1 is folder
The clamping plate of tight mechanism, 41-2 is the back-moving spring of clamp system；42-1 is the slide block of drawing mechanism, and 42-2 is drawing mechanism
Back-moving spring；43-1 is the rotating shaft of handle mechanism；44-1 is upper lid, and 44-2 is screw.
51 is the installing hole on thyroid cartilage.
Specific embodiment
Embodiment 1：The Laryngeal function of the present invention repairs implant system
Referring to figs. 1 to Fig. 4-1, in the present embodiment, the Laryngeal function repairs implant system 9 and contains gripper shoe 1, force bearing ring 2
And fixed nail epitheca 31.
The gripper shoe 1 is provided with fixing hole 11, outside 12 and inner side 13.
The force bearing ring 2 is tubular structure.
The fixed nail epitheca 31 contains near-end 311, body 312 and distal end 313.
The force bearing ring 2 is arranged on the outside of the body 312 of the fixed nail epitheca 31；The fixed nail epitheca 31 is inlayed
In the fixing hole 11 of the gripper shoe 1, the near-end 311 of the fixed nail epitheca 31 is located at the outside of the gripper shoe 1
12, the distal end 313 of the fixed nail epitheca 31 is located at the inner side 13 of the gripper shoe 1.
The gripper shoe 1 is provided with the hole 14 for facilitating tissue growth.The hole 14 can be through hole, or 3D printing
The irregular hole for being formed.
The gripper shoe 1 has the thyroid shape identical shape with the patient before excision.
The gripper shoe 1 is beaten using 3D according to the thyroid CT data or MRI data of the patient before excision
The manufacture of print technology.
With reference to Fig. 8 and Fig. 8-1, the force bearing ring 2 is provided with anti-slip veins 21.The anti-slip veins 21 can facilitate the load
Adhesion, fixation between ring 2 and thyroid cartilage.
With reference to Fig. 3 to Fig. 4-1, the distal end 313 of the fixed nail epitheca 31 is provided with yielding groove 313-1, described yielding
Groove 313-1 causes the distal end 313 under external force to expand outwardly, and flattens, and plastic deformation occurs.The fixed nail is outer
Slotted eye 313-2 is additionally provided with the distal end 313 of sheath 31, can be by the yielding groove of the fixed distal end 313 for following closely epitheca 31
313-1 is split so that the yielding groove 313-1 of the fixed nail epitheca 31 is easier to expand outwardly under external force, presses
It is flat, there is plastic deformation, form the I-shaped structure that two ends are big, centre is little.
The invention discloses a kind of repair the matching used fixed nail 3 of implant system 9 with the Laryngeal function.With reference to Fig. 5 and Fig. 6,
In the present embodiment, the fixed nail 3 is containing the fixed nail epitheca 31.
The fixed nail 3 sets inner core 30.The inner core 30 contains distal end 301, core bar 302 and near-end 303.The core bar
302 one end connect the distal end 301, and the other end connects the near-end 303；The distal end 301 of the inner core 30 is solid with described
Surely the distal end 313 for following closely epitheca 31 links together；The core bar 302 of the inner core 30 is movably mounted on the fixed nail
In the body 312 of epitheca 31；The near-end 303 of the inner core 30 is provided with anti-slip veins 303-1.
Further, the distal end 301 of the inner core 30 of the fixed nail 3 and the fixed junction of distal end 313 for following closely epitheca 31
It is provided with areas of weak intensity 301-1.
The invention discloses a kind of repair the matching used nail gun 4 of implant system 9 with the Laryngeal function.With reference to Fig. 7 to Fig. 7-1,
In the present embodiment, the nail gun 4 is containing the fixed nail 3.
The nail gun 4 contains clamp system 41, drawing mechanism 42, handle mechanism 43 and housing 44.The clamp system 41,
Drawing mechanism 42 and handle mechanism 43 are arranged on the housing 44；The clamp system 41 can removably clamp described
The inner core 30 of fixed nail 3 is provided with the near-end 303 of anti-slip veins 303-1.
When the nail gun 4 is used, first depress the handle mechanism 43 and order about the clamping plate 411 of clamp system 41 and clamp described setting
There is the near-end 303 of anti-slip veins 303-1；When continuing to depress the handle mechanism 43, the inner core 30 can be stretched out,
In the presence of pulling force, send out under this force at the yielding groove 313-1 of the distal end 313 of the fixed nail epitheca 31
Raw plastic deformation, the distal end 313 expands outwardly, flattens, and the force bearing ring and fixed nail epitheca 31 is embedded in described
In the fixing hole 11 of gripper shoe 1；It is further continued for depressing the handle mechanism 43, until the inner core 30 is in the areas of weak intensity
Rupture at 301-1, the inner core 30 is separated with the fixed nail epitheca 31, and the fixation follows closely 3 by the Laryngeal function
Repair implant system 9 and fixation is installed.
Additionally, the nail gun 4 also contains and can store the fixed nail 3 and the fixation can be followed closely into the 3 feedings clamp system
41 nail bin 45.At least 3 fixed nails 3 can be deposited in the nail bin 45, with reference to Fig. 7-2.When the nail bin
Fixed nail 3 in 45 is delivered in the clamp system 41 of the nail gun 4, after finishing, the fixed nail 3 it is interior
Core 30 departs from from the clamp system 41 automatically, and remaining other the fixation nails 3 in the nail bin 45 are sequentially fed into
The clamp system 41, forms automatic compensation, facilitates doctor to operate.After the fixed nail 3 in the nail bin is finished, can be with
The upper lid 44-1 of the housing 44 of the nail gun 4 is opened, the supplement fixed nail 3 into the nail bin 45, after supplement is finished,
The upper lid 44-1 and housing 44 are fixed with screw 44-2.Generally using 4 fixed nails 3, by the gripper shoe
1 is fixed on the stump 5 of the thyroid cartilage both sides, with reference to Figure 11.
During Clinical practice, on the premise of radical excision tumor, the thyroid cartilage stump 5 of both sides is preserved to greatest extent.According to
The gripper shoe 1 is pruned according to the shape of thyroid cartilage defect.According to the thickness of the thyroid cartilage stump 5, hold described in selection
The height of power ring 2 so that the height of the force bearing ring 2 is equal to or slightly less than the thickness of the thyroid cartilage stump 5；Again will
The force bearing ring 2 is enclosed within the outside of the body 312 of the fixed nail epitheca 31.With surgical drill on thyroid cartilage stump 5
Corresponding to the position of the fixing hole 11 of the gripper shoe 1, installing hole 51 is bored；By fixed 3 distal end 311, described of following closely
Body 312 and the force bearing ring 2 are first inserted after the fixing hole 11 of the gripper shoe 1, are then passed through on thyroid cartilage stump 5
The installing hole 51.Then, fixed 3 near-ends 303 of following closely are placed in the clamp system 41 of the nail gun 4, are pressed
Under the handle mechanism 43, around the shaft 43-1 is rotated the handle mechanism 43, compresses the reset bullet of the clamp system 41
Spring 41-2, order about the clamp system 41 clamping plate 41-1 clamp described in be provided with the near-end 303 of anti-slip veins 303-1.Continue
When depressing the handle mechanism 43, the back-moving spring 42-1 of the drawing mechanism 42 is compressed, the handle mechanism 43 drives
The stretching slide block 42-1 of the drawing mechanism 42 is moved out, and can be stretched out the inner core 30, in the effect of pulling force
Under, there is plastic deformation under this force at the yielding groove 313-1 of the distal end 313 of the fixed nail epitheca 31,
The distal end 313 expands outwardly, flattens, and the force bearing ring and fixed nail epitheca 31 are embedded in into consolidating for the gripper shoe 1
Determine in hole 11；Meanwhile, accompany the gripper shoe 1 between the distal end 313 of the fixed nail epitheca 31 and near-end 311, hold
Power ring 2 and thyroid cartilage stump 5；The gripper shoe 1, force bearing ring 2 and fixed nail epitheca 31 are fixed on into thyroid cartilage residual
On end 5.When being further continued for depressing the handle mechanism 43, the handle mechanism 43 continues to drive the drawing mechanism 42
Stretching slide block 42-1 is moved out, until the inner core 30 ruptures at the areas of weak intensity 301-1, the inner core
30 separate with the fixed nail epitheca 31；The gripper shoe 1, force bearing ring 2 and fixed nail epitheca 31 are fixed on thyroid cartilage
On stump 5, and the fixed inner core 30 for following closely 3 and nail gun 4 are withdrawn from from tissue.The handle mechanism 43 is unclamped,
The back-moving spring of the drawing mechanism 42 is expanded outwardly so that the stretching slide block 42-1 of the drawing mechanism 42 is inwardly moved,
Simultaneously the back-moving spring 41-2 of the clamp system 41 is expanded outwardly, the clamping plate 41-1 of the clamp system 41 that relaxes, will
The clamping plate 41-1 and the inner core 30 are separated, and the inner core 30 remained in the nail gun 4 is taken off from the nail gun 4
From.Remaining other fixation nails 3 in the nail bin 45 are sequentially fed into the clamp system 41, form automatic compensation,
The above-mentioned action of repetition, can complete the implantation that the Laryngeal function repairs implant system 9.When the fixed nail 3 in the nail bin is finished
Afterwards, the upper lid 44-1 of the housing 44 of the nail gun 4 can be opened, the supplement fixed nail 3, mends into the nail bin 45
Charge after finishing, fixed the upper lid 44-1 and housing 44 with screw 44-2.
The thickness of the force bearing ring 2 is adjustable, thus is adapted to the thyroid cartilage stump 5 of different-thickness so that this
Bright Laryngeal function repairs implant system 9 can have the adaptability of good individual variation.In addition, in the present invention, according to
Thyroid characteristic, the fixed nail 3 have chosen the rigid rivet arrangement with certain contact area.Current surgical operation
In the method such as the fixing meanss commonly used have screw to fix, surgical thread suture is fixed.For screw is fixed, it is necessary first to which one solid
Fixed end by screw placement, and be able to can not loosen after the implantation, therefore, this fixing end is generally it is desirable that a rigidity
Matrix, such as hard bone.And thyroid cartilage is elastomer, therefore, the fixing meanss one of conventional screw are difficult to screw
Implantation, while due to being Elastic tissue after implantation, and easily loosen, therefore, the method that screw is fixed is this kind of to thyroid cartilage
Elastomer is generally unable to reach expected fixed effect.And the fixed method of surgical thread suture, due to the diameter of surgical thread it is usual
Very little, typically in below 1mm.And in order to realize fixed purpose, it will usually certain tightening force is applied to surgical thread.
In this case, surgical thread would generally produce larger pressure with the position of contact tissue, in the long-term motion of tissue
In be easy to cut tissue, therefore the long-term fixed effect of the linear object such as surgical thread is also undesirable.And the fixation
On the one hand the rigid design of the rigid rivet arrangement of nail 3 can pass through the clamping force of rivet arrangement well will operation gripper shoe 1
It is fixed on thyroid cartilage stump 5；On the other hand, the fixed nail 3 and thyroid contact site have certain face
Product, can be changed into the face way of contact in the way of by surgical thread and thyroid linear contact lay, effectively reduce the pressure of contact site,
So as to dissection of the process of being chronically implanted to tissue is greatly lowered, it is ensured that long-term treatment effects.
With reference to Figure 11, during Clinical practice, can also before surgery, first according to the thyroid of the patient before excision
CT data or MRI data manufacture the gripper shoe 1 using 3D printing technique；Then tumor cut off again, treats tumor
After excision is clean, will be pacified by the gripper shoe 1 that 3D printing technique is manufactured according to the CT data or MRI data of patient
Dress is fixed on thyroid cartilage stump 5.Because the gripper shoe 1 is to pass through 3D according to the CT data or MRI data of patient
Printing technique is made, the shape of the towing plate 1 can to the greatest possible extent with patient's excision after thyroid cartilage stump 5
Matching, can further reduce the wound of operation process, also more save operating time.
The Laryngeal function repairs implant system 9 by repairing the supporting fixed nail 3 of implant system 9 and nail gun with the Laryngeal function
4 can be conveniently fixed on the remaining laryngeal cartilages stump 5 in thyroid cartilage both sides, carry out Laryngeal function reparation, simplify operation
Operation, shortens operating time, improves operative effect.
The Laryngeal function of the present invention repairs implant system 9 to adapt to the difference between Different Individual, and the thickness of the force bearing ring 2 is
It is adjustable.The adjustment mode of the height of the force bearing ring 2 can have many kinds, such as carry out rotation tune by helicitic texture
Save or slided up and down by slide block and be adjusted, the professional person of this area can also design other various methods to reach this
The purpose of invention, but all without departing from protection scope of the present invention.
The method that the thickness by threaded adjusting force bearing ring 2 is show only in the present embodiment, with reference to Fig. 9 and Fig. 9-1.Institute
The outer surface for stating the inner surface of force bearing ring 2 and the body 312 of the fixed nail epitheca 31 is provided with the screw thread being mutually matched, and leads to
Cross and rotate the force bearing ring 2 and just can easily set the thickness of the force bearing ring 2.
For convenience of Clinical practice, the force bearing ring 2 and the fixation can also be determined epitheca 31 and be formed integrally as.With reference to
Figure 10 and Figure 10-1, the force bearing ring 2 and the epitheca 31 can be prefabricated into difference according to the thickness of thyroid cartilage stump 5
Thickness specification, or produced suitable thickness in advance according to the CT data or MRI data of patient.Clinical practice
When, it is only necessary to put according to the different thickness specification of individual instances selection or by the overall structure of prefabricated force bearing ring 2 and epitheca 31
Enter, Clinical practice process is convenient.
It should be noted that structure disclosed and illustrated herein can be replaced with other effect identical structures, while institute of the present invention
The embodiment of introduction not realizes the exclusive architecture of the present invention.Although the preferred embodiments of the present invention are introduced herein
And explanation, but those skilled in the art be aware that know these embodiments only be illustrate and oneself, it is in the art
Technical staff can make countless changes, improve and replace, without departing from the present invention, therefore, should be according to institute of the present invention
What the spirit and scope of attached claims were come defines protection scope of the present invention.
Claims (13)
1. Laryngeal function repairs implant system, it is characterised in that：
A, the Laryngeal function repair implant system (9) containing gripper shoe (1), force bearing ring (2) and fixed nail epitheca (31)；
B, the gripper shoe (1) are provided with fixing hole (11)；
C, the force bearing ring (2) are tubular structure；
D, fixed nail epitheca (31) are containing near-end (311), body (312) and distal end (313)；
E, the force bearing ring (2) are installed in the outside of the body (312) of fixed nail epitheca (31)；The fixation
Nail epitheca (31) is embedded in the fixing hole (11) of the gripper shoe (1), the near-end of fixed nail epitheca (31)
(311) and fixed nail epitheca (31) distal end (313) respectively positioned at the both sides of the gripper shoe (1).
2. according to claim 1 Laryngeal function repairs implant system, it is characterised in that：Gripper shoe (1) side of being provided with
Just the hole (14) of tissue growth.
3. according to claim 1 Laryngeal function repairs implant system, it is characterised in that：Gripper shoe (1) has
With the thyroid shape identical shape of the patient before excision.
4. according to claim 1 Laryngeal function repairs implant system, it is characterised in that：The gripper shoe (1) is foundation
The thyroid CT data of the patient before excision or MRI data are using 3D printing technique manufacture.
5. according to claim 1 Laryngeal function repairs implant system, it is characterised in that：The force bearing ring (2) is provided with anti-
Sliding stricture of vagina (21).
6. according to claim 1 Laryngeal function repairs implant system, it is characterised in that：Fixed nail epitheca (31)
Distal end (313) be provided with yielding groove (313-1), the yielding groove (313-1) causes described under external force remote
End (313) expands outwardly, and flattens, and plastic deformation occurs.
7. according to claim 1 Laryngeal function repairs implant system, it is characterised in that：Fixed nail epitheca (31)
Distal end (313) be provided with slotted eye (313-2).
8. nail is fixed, and the fixed nail (3) is characterised by containing fixed nail epitheca (31) described in claim 1.
It is 9. fixed according to claim 8 to follow closely, it is characterised in that：The fixed nail (3) sets inner core (30)；It is described
Inner core (30) is containing distal end (301), core bar (302) and near-end (303)；Core bar (302) one end connection is described
Distal end (301), the other end connects the near-end (303)；The distal end (301) of the inner core (30) and the fixed nail
The distal end (313) of epitheca (31) links together；The core bar (302) of the inner core (30) is movably mounted on institute
In stating the body (312) of fixed nail epitheca (31)；The near-end (303) of the inner core (30) is provided with anti-slip veins (303-1).
It is 10. fixed according to claim 9 to follow closely, it is characterised in that：The remote of the inner core (30) of (3) is followed closely in the fixation
End (301-1) is provided with areas of weak intensity (301-1) with distal end (313) junction of fixed nail epitheca (31).
11. nail guns, the nail gun (4) is characterised by containing the fixed nail (3) described in claim 8.
12. according to claim 11 nail gun, it is characterised in that：The nail gun (4) is containing clamp system (41), drawing
Stretch mechanism (42), handle mechanism (43) and housing (44)；The clamp system (41), drawing mechanism (42) and handss
Handle mechanism (43) is on the housing (44)；The clamp system (41), drawing mechanism (42), handle mechanism
(43) clamp system (41) can removably clamp the fixed inner core (30) for following closely (3) and be provided with anti-slip veins
(303-1) near-end (303)；Depressing the handle mechanism (43) can first order about the clamping plate (411) of clamp system (41)
The near-end (303) of anti-slip veins (303-1) is provided with described in clamping；When continuing to depress handle mechanism (43), can be by institute
State inner core (30) to stretch out, in the presence of pulling force, the mutability of the distal end (313) of fixed nail epitheca (31)
There is under this force plastic deformation in shape groove (313-1) place, the distal end (313) expands outwardly, flattens, by institute
State force bearing ring and fixed nail epitheca (31) is embedded in the fixing hole (11) of the gripper shoe (1)；It is further continued for pressure described
During handle mechanism (43), until the inner core (30) ruptures at the areas of weak intensity (301-1) place, it is described interior
Core (30) is separated with fixed nail epitheca (31).
13. according to claim 11 nail gun, it is characterised in that：The nail gun (4) follows closely (3) containing storing the fixation
And can be by the fixed nail bin (45) for following closely (3) feeding clamp system (41).
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|---|---|---|---|
| CN201510708450.0A CN106606371B (en) | 2015-10-24 | 2015-10-24 | Larynx function restoration system of implanting, staple and nail rifle |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510708450.0A CN106606371B (en) | 2015-10-24 | 2015-10-24 | Larynx function restoration system of implanting, staple and nail rifle |
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| CN106606371A true CN106606371A (en) | 2017-05-03 |
| CN106606371B CN106606371B (en) | 2020-04-28 |
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Citations (14)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1303761A (en) * | 2000-01-13 | 2001-07-18 | 美克司公司 | Power actuated setting device |
| CN2472689Y (en) * | 2001-04-06 | 2002-01-23 | 彭解人 | Marmem laryngophatom for laryngeal cavity defect repairing |
| CN1785131A (en) * | 2005-04-12 | 2006-06-14 | 梁巍 | Skeleton fixation method for medical use, and its fixation nails |
| RU2286095C2 (en) * | 2004-08-30 | 2006-10-27 | Михаил Николаевич Мельников | Method for treating median laryngeal stenoses |
| CN2860670Y (en) * | 2006-01-06 | 2007-01-24 | 傅东良 | Manual draw riveting gun |
| US20080023012A1 (en) * | 2005-02-08 | 2008-01-31 | Aspire Medical, Inc. | Glossopexy adjustment system and method |
| CN101385668A (en) * | 2008-08-29 | 2009-03-18 | 张湘民 | Embedded soft palate supporter and embedding method thereof |
| CN101439528A (en) * | 2007-11-19 | 2009-05-27 | 株式会社牧田 | Neil chamber of driving machine |
| CN101732108A (en) * | 2008-11-17 | 2010-06-16 | 张湘民 | High-flexibility soft palate support and implantation method |
| CN202211720U (en) * | 2010-09-29 | 2012-05-09 | 周星 | Implantable tongue drawing device, towing plate, pull wire and drawing machine |
| RU2487681C1 (en) * | 2012-03-12 | 2013-07-20 | Марат Рафкатович Мухамедов | Method of surgical treatment of larynx cancer |
| CN103894973A (en) * | 2014-04-11 | 2014-07-02 | 河北万迪机械制造有限公司 | Nail gun |
| CN103961201A (en) * | 2013-02-04 | 2014-08-06 | 张湘民 | Elastic tongue dorsum traction apparatus and method for implanting same |
| CN205597997U (en) * | 2015-10-24 | 2016-09-28 | 刘学奎 | System, staple and nail rifle are implanted in restoration of larynx function |
-
2015
- 2015-10-24 CN CN201510708450.0A patent/CN106606371B/en active Active
Patent Citations (14)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1303761A (en) * | 2000-01-13 | 2001-07-18 | 美克司公司 | Power actuated setting device |
| CN2472689Y (en) * | 2001-04-06 | 2002-01-23 | 彭解人 | Marmem laryngophatom for laryngeal cavity defect repairing |
| RU2286095C2 (en) * | 2004-08-30 | 2006-10-27 | Михаил Николаевич Мельников | Method for treating median laryngeal stenoses |
| US20080023012A1 (en) * | 2005-02-08 | 2008-01-31 | Aspire Medical, Inc. | Glossopexy adjustment system and method |
| CN1785131A (en) * | 2005-04-12 | 2006-06-14 | 梁巍 | Skeleton fixation method for medical use, and its fixation nails |
| CN2860670Y (en) * | 2006-01-06 | 2007-01-24 | 傅东良 | Manual draw riveting gun |
| CN101439528A (en) * | 2007-11-19 | 2009-05-27 | 株式会社牧田 | Neil chamber of driving machine |
| CN101385668A (en) * | 2008-08-29 | 2009-03-18 | 张湘民 | Embedded soft palate supporter and embedding method thereof |
| CN101732108A (en) * | 2008-11-17 | 2010-06-16 | 张湘民 | High-flexibility soft palate support and implantation method |
| CN202211720U (en) * | 2010-09-29 | 2012-05-09 | 周星 | Implantable tongue drawing device, towing plate, pull wire and drawing machine |
| RU2487681C1 (en) * | 2012-03-12 | 2013-07-20 | Марат Рафкатович Мухамедов | Method of surgical treatment of larynx cancer |
| CN103961201A (en) * | 2013-02-04 | 2014-08-06 | 张湘民 | Elastic tongue dorsum traction apparatus and method for implanting same |
| CN103894973A (en) * | 2014-04-11 | 2014-07-02 | 河北万迪机械制造有限公司 | Nail gun |
| CN205597997U (en) * | 2015-10-24 | 2016-09-28 | 刘学奎 | System, staple and nail rifle are implanted in restoration of larynx function |
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| Publication number | Publication date |
|---|---|
| CN106606371B (en) | 2020-04-28 |
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Effective date of registration: 20200908 Address after: 510275 Xingang West Road, Guangdong, Guangzhou, No. 135, No. Co-patentee after: GUANGZHOU T. K MEDICAL INSTRUMENT Co.,Ltd. Patentee after: SUN YAT-SEN University Address before: 510995 Guangdong city of Guangzhou province Yuexiu District Zhengping No. 5 North Street, room 801 Co-patentee before: GUANGZHOU T. K MEDICAL INSTRUMENT Co.,Ltd. Patentee before: Liu Xuekui |
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