CN107468312A - A kind of medical reaming system and its application method - Google Patents

A kind of medical reaming system and its application method Download PDF

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Publication number
CN107468312A
CN107468312A CN201710800126.0A CN201710800126A CN107468312A CN 107468312 A CN107468312 A CN 107468312A CN 201710800126 A CN201710800126 A CN 201710800126A CN 107468312 A CN107468312 A CN 107468312A
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CN
China
Prior art keywords
kirschner wire
reamer
articular process
process position
handle
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.)
Pending
Application number
CN201710800126.0A
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Chinese (zh)
Inventor
胡善云
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Zhuhai Kang Hong Development Co Ltd
Original Assignee
Zhuhai Kang Hong Development Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Zhuhai Kang Hong Development Co Ltd filed Critical Zhuhai Kang Hong Development Co Ltd
Priority to CN201710800126.0A priority Critical patent/CN107468312A/en
Publication of CN107468312A publication Critical patent/CN107468312A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • 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
    • A61B17/1671Bone 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 spine
    • 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
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1725Guides or aligning means for drills, mills, pins or wires for applying transverse screws or pins through intramedullary nails or pins
    • 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
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1757Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the spine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/11Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
    • 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
    • A61B2017/1602Mills
    • 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

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

Abstract

The invention discloses a kind of medical reaming system and its application method, it is desirable to provide a kind of simplified positioning, simple and quick, excision accurate and safe medical reaming system and its a kind of application method by the medical reaming system.The medical reaming system includes reamer, Kirschner wire and Kirschner wire clamping gatherer, the center of the reamer is provided with the hollow channel being adapted with the Kirschner wire, one end of the Kirschner wire passes through the hollow channel, and the other end of the Kirschner wire is connected with Kirschner wire clamping gatherer;The application method is that the Kirschner wire is inserted into the hollow channel, clamped again by the Kirschner wire after the Kirschner wire is locked in gatherer clamping and import lateral margin or hypocentrum upper limb in articular process position, the reamer is rotated by human hand again, so as to carry out excision use.The present invention is applied to the technical field of medicine equipment.

Description

A kind of medical reaming system and its application method
Technical field
The present invention relates to a kind of medical reaming system and its application method.
Background technology
When percutaneous backbone endoscopic technic early stage uses transforaminal, the bone of pipe is put in order to avoid nerve or excision stop Tissue, have developed a variety of hand-operated tools, wherein just including Manual medical reamer.When developing into full endoscopic technic, due to hand The limitation of power driven tools, introduces electric cutting tool, improves security and expands the application method of percutaneous backbone scope And indication scope.In recent years, partially manual instrument still had its Clinical practice by improvement for transforaminal and narrow Value and advantage, the especially clinical operation for needing cutting bone property tissue, often using where Manual medical reamer processing lesion Bone tissue and reach therapeutic purposes.But in the prior art, easily there is the situation of reamer skew during reamer excision.Mesh It is preceding also by the reamer system formed using one group of positioning instrument TOM pin and 5 one group of continuous reducings, the bone drill reamer expanded step by step System, the reaming system prevent reamer from offseting, need to rely on multiple x-ray positioning in art, in addition, using to ensure to puncture direction A variety of operating theater instruments such as TOM pins are generally required in journey together carry out operation to play guide effect, need to frequently change operating theater instruments, walk It is rapid complicated, cumbersome.If therefore simplifying guiding step, simultaneously precise ablation will certainly all be of great importance to doctor and patient.
The content of the invention
The technical problems to be solved by the invention are overcome the deficiencies in the prior art, there is provided one kind simplifies positioning, operation Simple and fast, cut off accurate and safe medical reaming system and its a kind of user by the medical reaming system Method.
The technical solution adopted in the present invention is:This medical reaming system, which includes reamer, Kirschner wire and Kirschner wire clamping, leads Enter device, the center of the reamer is provided with the hollow channel being adapted with the Kirschner wire, and one end of the Kirschner wire passes through institute Hollow channel is stated, the other end of the Kirschner wire is connected with Kirschner wire clamping gatherer.
Further, the Kirschner wire clamping gatherer includes regulation angle handle and high-speed electric expreess locomotive, the adjustment angle Degree handle includes handle joint and handle, and the head end of the handle joint is provided with the clamping being adapted with the Kirschner wire Part, the tail end of the handle joint are provided with reduction gearing, one end of the handle and the tail end phase of the handle joint Connection, the other end of the handle is connected with the high-speed electric expreess locomotive, the reduction gearing by the handle and The high-speed electric expreess locomotive is connected.
Further, the Kirschner wire clamping gatherer includes core drill and the driving being connected with core drill electricity Machine, the core drill are connected with the Kirschner wire, the articular process position that the Kirschner wire is squeezed into human body by the core drill Place.
Further, the reamer is hand-operated reamer, and the hand-operated reamer includes connecting rod and is arranged at the connecting rod The bistrique of front end, the bistrique are serrated, and the front end of the bistrique is provided with radian head, and the radian head is described in round table-like The end of connecting rod is provided with connecting seat, is arranged on the connecting seat and is fixed with rotary handle.
Further, the Kirschner wire is stainless steel metal thin bar, and the front end of the Kirschner wire is provided with polishing syringe needle.
In the present embodiment, the medical reaming system also includes expansion sheath and working sheath, is provided with inside the working sheath The passage being adapted with the expansion sheath, the front end of the working sheath is provided with socket.
Further, a kind of application method for including described medical reaming system, comprises the following steps:
A. after inserting the articular process position lateral border in human body by the expansion sheath or enter hypocentrum along articular process position outer rim, by institute State working sheath to be inserted in the expansion sheath, and the socket is placed in the articular process position lateral border in human body or along outside articular process position After edge enters hypocentrum, the expansion sheath is extracted out;
B. the passage of the reamer along the working sheath is inserted into internal articular process position lateral border or along articular process position Outer rim enters hypocentrum;
C. the articular process position lateral border hollow channel of the Kirschner wire along the reamer inserted in human body or along pass The prominent position outer rim of section enters hypocentrum;
D. after clamping the gatherer locking Kirschner wire by the Kirschner wire, then pass through the Kirschner wire and clamp gatherer The Kirschner wire is squeezed into lateral margin in articular process position or hypocentrum upper limb;
E. after unloading Kirschner wire clamping gatherer, by the Kirschner wire fixation in articular process position or hypocentrum upper limb, Fixed guide effect is played, then the reamer is rotated by human hand, so as to carry out excision use.
The beneficial effects of the invention are as follows:Because the present invention includes medical reaming system and its application method, the medical hinge Knife system includes reamer, Kirschner wire and Kirschner wire clamping gatherer, and the center of the reamer is provided with mutually fits with the Kirschner wire The hollow channel matched somebody with somebody, one end of the Kirschner wire pass through the hollow channel, the other end of the Kirschner wire and the Kirschner wire Clamping gatherer is connected, so the Kirschner wire is inserted the hollow channel by the medical reaming system, then passes through institute State after Kirschner wire clamping gatherer clamping locks the Kirschner wire, then by the Kirschner wire import in articular process position lateral margin or under Centrum upper limb, guide-localization can be played a part of by being fixed on the Kirschner wire of articular process position or hypocentrum upper limb, beneficial to described Reamer reaches accurate excision effect, and the application method can simplify the positioning step used by using the medical reaming system in addition Suddenly, efficiently reduce using error, reduce usage time, improve the security used.
Brief description of the drawings
Fig. 1 is the schematic diagram of the present invention;
Fig. 2 is the installation diagram of reamer and Kirschner wire;
Fig. 3 is the sectional view of reamer;
Fig. 4 is the schematic diagram for adjusting angle handle;
Fig. 5 is the schematic diagram of rotary handle;
Fig. 6 is the scheme of installation of reamer and rotary handle;
Fig. 7 is the separation schematic diagram of reamer and rotary handle.
Embodiment
Specific embodiment one
As shown in Figures 1 to 7, in the present embodiment, the present invention includes reamer 1, Kirschner wire 2 and Kirschner wire clamping gatherer 3, The center of the reamer 1 is provided with the hollow channel 4 that is adapted with the Kirschner wire 2, and one end of the Kirschner wire 2 is through in described Empty passage 4, the other end of the Kirschner wire 2 and Kirschner wire clamping gatherer 3 be connected, the perfect hinge of this design The structure of knife 1, i.e., the hollow channel 4 that the Kirschner wire 2 is adapted is made an addition at the center of the reamer 1, add described gram The practicality of family name's pin 2, realize fixed guide and the purpose of precise ablation.
In the present embodiment, the Kirschner wire clamping gatherer 3 includes regulation angle handle 5 and high-speed electric expreess locomotive, described Regulation angle handle 5 includes handle joint 51 and handle 52, and the head end of the handle joint 51 is provided with and the Kirschner wire 2 The holder 53 being adapted, the holder 53 can effectively clamp the Kirschner wire 2, and pass through the spiral shell on the holder 53 Line is locked, and the tail end of the handle joint 51 is provided with reduction gearing 54, and one end and the handle of the handle 52 connect First 51 tail end is connected, and the other end of the handle 52 is connected with the high-speed electric expreess locomotive, and the reduction gearing 54 is logical Cross the handle 52 with the high-speed electric expreess locomotive to be connected, this design can be by the reduction gearing 54 by a certain percentage by institute The high rotating speed for stating high-speed electric expreess locomotive offer is converted into relatively low rotating speed, is advantageous to the Kirschner wire 2 and squeezes into articular process position.
In the present embodiment, it is described can reamer 1 be hand-operated reamer, the hand-operated reamer can need to select not according to specific With the hand-operated reamer of model specification, the hand-operated reamer includes connecting rod 11 and is arranged at the bistrique of the front end of connecting rod 11 12, the bistrique 12 is serrated, and the bistrique 12 can be ground and cutting bone property tissue, the front end of the connecting rod are additionally provided with position In the escape groove 15 of the end of the bistrique 12, the escape groove 15 can enable the bistrique 12 preferably be ground and cutting bone property Tissue, because the whole cutter head of traditional reamer is all dentation, front end is round, because front end is also required to diameter enlarging use, and The reamer 1 is because have the guiding of the Kirschner wire 2 and the Kirschner wire 2 has also squeezed into articular process position, such institute Reamer 1 is stated just It is not necessary to be to twist tooth again, therefore be arranged to radian first 16 in the front end of the bistrique 12, the radian first 16 is in circle Mesa-shaped, the radian first 16 are advantageous to push open some soft tissues in traveling process or neural class.
In the present embodiment, the end of the connecting rod 11 is provided with connecting seat first 13, is arranged on the connecting seat first 13 Rotary handle 14 is fixed with, the 14 T-shaped shape of rotary handle, the lower end of the rotary handle 14 and the connecting seat first 13 are logical Cross and be threadedly coupled or snap connection or other connected modes are connected, and the center of the rotary handle 14 also is provided with and described gram The passage that family name's pin 2 is adapted, this design is that the reamer 1 can be operated by operating rotary handle 14, makes operation more convenient And it can preferably reach excision bone tissue.
In the present embodiment, the Kirschner wire 2 is stainless steel metal thin bar, and the front end of the Kirschner wire 2 is provided with polishing pin First 21, the polishing syringe needle 21 is polished through processing, is easy to coordinate the use of regulation angle handle 5 to squeeze into articular process position.
In the present embodiment, the medical reaming system also includes expansion sheath and working sheath, is provided with inside the working sheath The passage being adapted with the expansion sheath, the front end of the working sheath are provided with socket, and the working sheath can be that front end is provided with oblique cutting The sheath of mouth, or other shapes of socket sheath.
In the present embodiment, a kind of application method for including described medical reaming system, it is characterised in that including following Step:
A. after inserting the articular process position lateral border in human body by the expansion sheath or enter hypocentrum along articular process outer rim, by described in Working sheath is inserted in the expansion sheath, and the articular process position lateral border that is placed in human body of the socket or is entered along articular process outer rim After entering hypocentrum, the expansion sheath is extracted out;
B. internal pass will be inserted with the passage of the reamer 1 that the rotary handle 14 connects along the working sheath The prominent position lateral border of section enters hypocentrum along articular process position outer rim;
C. articular process position lateral border or the edge hollow channel 4 of the Kirschner wire 2 along the reamer 1 inserted in human body Articular process position outer rim enters hypocentrum;
D. after locking the Kirschner wire 2 by Kirschner wire clamping gatherer 3, then will be described gram by the high-speed electric expreess locomotive Family name's pin 2 is squeezed into lateral margin in articular process position or hypocentrum upper limb;
E. after unloading the regulation angle handle 5, now the Kirschner wire 2 can be positioned at articular process position or hypocentrum upper limb, rise Being acted on to fixed guide, the front end of the reamer 1 is fixed by the Kirschner wire 2, and the end of the reamer 1 is fixed by human hand, and The rotary handle 14 being connected with the reamer 1 is rotated by human hand, so as to carry out excision use, and then can reach essence The purpose definitely removed.
Specific embodiment two
It is in the present embodiment with unique difference of case one is embodied:The Kirschner wire clamping gatherer 3 includes Core drill and the motor being connected with the core drill, the core drill are connected with the Kirschner wire 2, the Kirschner wire 2 be to be squeezed into by core drill clamping at the articular process position in human body.
The present invention is applied to the technical field of medicine equipment.
Although embodiments of the invention are described with practical solution, the limit to implication of the present invention is not formed System, for those skilled in the art, all it is according to modification of this specification to its embodiment and with the combination of other schemes Obviously.

Claims (8)

  1. A kind of 1. medical reaming system, it is characterised in that:It includes reamer(1), Kirschner wire(2)Gatherer is clamped with Kirschner wire (3), the reamer(1)Center be provided with and the Kirschner wire(2)The hollow channel being adapted(4), the Kirschner wire(2)One Hold through the hollow channel(4), the Kirschner wire(2)The other end and the Kirschner wire clamping gatherer(3)It is connected.
  2. A kind of 2. medical reaming system according to claim 1, it is characterised in that:The Kirschner wire clamps gatherer (3)Including adjusting angle handle(5)And high-speed electric expreess locomotive, the regulation angle handle(5)Including handle joint(51)And hadle Hand(52), the handle joint(51)Head end be provided with and the Kirschner wire(2)The holder being adapted(53), the handle connects Head(51)Tail end be provided with reduction gearing(54), the handle(52)One end and the handle joint(51)Tail end It is connected, the handle(52)The other end be connected with the high-speed electric expreess locomotive, the reduction gearing(54)By described Handle(52)It is connected with the high-speed electric expreess locomotive.
  3. A kind of 3. medical reaming system according to claim 1, it is characterised in that:The Kirschner wire clamps gatherer (3)The motor being connected including core drill and with the core drill, the core drill and the Kirschner wire(2)It is connected, The Kirschner wire(2)Squeezed into by the core drill at the articular process position in human body.
  4. A kind of 4. medical reaming system according to claim 1, it is characterised in that:The reamer(1)For hand-operated reamer, institute Stating hand-operated reamer includes connecting rod(11)Be arranged at the connecting rod(11)The bistrique of fore-end(12), the bistrique(12) It is serrated, the bistrique(12)Front end be provided with radian head(16), the radian head(16)In round table-like.
  5. A kind of 5. medical reaming system according to claim 1, it is characterised in that:The Kirschner wire(2)For stainless steel gold Belong to thin bar, the Kirschner wire(2)Front end be provided with polishing syringe needle(21).
  6. A kind of 6. medical reaming system according to claim 4, it is characterised in that:The connecting rod(11)End set There is connecting seat head(13), the connecting seat head(13)On be arranged and be fixed with rotary handle(14).
  7. A kind of 7. medical reaming system according to claim 1, it is characterised in that:The medical reaming system also includes expanding Open sheath and work is sold, provided with the passage being adapted with the expansion sheath inside the work pin, the front end of the work pin is provided with Socket.
  8. 8. a kind of application method of the medical reaming system including described in claim 7, it is characterised in that it includes following step Suddenly:
    A. after inserting the articular process position lateral border in human body by the expansion sheath or enter hypocentrum along articular process position outer rim, by institute State working sheath to be inserted in the expansion sheath, and the socket is placed in the articular process position lateral border in human body or along outside articular process position After edge enters hypocentrum, the expansion sheath is extracted out;
    B. by the reamer(1)Internal articular process position lateral border is inserted along the passage of the work pin or along articular process Position outer rim enters hypocentrum;
    C. by the Kirschner wire(2)Along the reamer(1)The hollow channel(4)Insert on the outside of the articular process position in human body Edge enters hypocentrum along articular process position outer rim;
    D. gatherer is clamped by the Kirschner wire(3)Lock the Kirschner wire(2)Afterwards, then by Kirschner wire clamping lead Enter device(3)By the Kirschner wire(2)Squeeze into lateral margin in articular process position or hypocentrum upper limb;
    E. the Kirschner wire clamping gatherer is unloaded(3)Afterwards, the Kirschner wire is passed through(2)It is fixed on articular process position or hypocentrum Upper limb, fixed guide effect is played, then the reamer is rotated by human hand(1), so as to carry out excision use.
CN201710800126.0A 2017-09-07 2017-09-07 A kind of medical reaming system and its application method Pending CN107468312A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201710800126.0A CN107468312A (en) 2017-09-07 2017-09-07 A kind of medical reaming system and its application method

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201710800126.0A CN107468312A (en) 2017-09-07 2017-09-07 A kind of medical reaming system and its application method

Publications (1)

Publication Number Publication Date
CN107468312A true CN107468312A (en) 2017-12-15

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CN201710800126.0A Pending CN107468312A (en) 2017-09-07 2017-09-07 A kind of medical reaming system and its application method

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CN (1) CN107468312A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108175450A (en) * 2018-01-05 2018-06-19 珠海康弘医疗科技有限公司 Visual reamer structure under mirror

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2662839Y (en) * 2003-12-10 2004-12-15 上海光电技术有限公司 Medical hollow operation electric drill
CN101267774A (en) * 2005-09-23 2008-09-17 霍格兰德·托马斯 A surgical drill, a set of surgical drills, a system for cutting bone and a method for removing bone
CN207898516U (en) * 2017-09-07 2018-09-25 珠海康弘发展有限公司 A kind of medical reaming system

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2662839Y (en) * 2003-12-10 2004-12-15 上海光电技术有限公司 Medical hollow operation electric drill
CN101267774A (en) * 2005-09-23 2008-09-17 霍格兰德·托马斯 A surgical drill, a set of surgical drills, a system for cutting bone and a method for removing bone
CN207898516U (en) * 2017-09-07 2018-09-25 珠海康弘发展有限公司 A kind of medical reaming system

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108175450A (en) * 2018-01-05 2018-06-19 珠海康弘医疗科技有限公司 Visual reamer structure under mirror

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Application publication date: 20171215

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