CN107496015B - Fracture reduction mechanism - Google Patents

Fracture reduction mechanism Download PDF

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Publication number
CN107496015B
CN107496015B CN201710782342.7A CN201710782342A CN107496015B CN 107496015 B CN107496015 B CN 107496015B CN 201710782342 A CN201710782342 A CN 201710782342A CN 107496015 B CN107496015 B CN 107496015B
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China
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rod
pressurizing
needle clamp
block
sleeve
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CN201710782342.7A
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Chinese (zh)
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CN107496015A (en
Inventor
刘法波
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Weifang Yuding Biological Technology Co ltd
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Weifang Yuding Biological Technology Co ltd
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Publication of CN107496015A publication Critical patent/CN107496015A/en
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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
    • A61B17/60Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66Alignment, compression or distraction mechanisms
    • 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
    • A61B17/60Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64Devices extending alongside the bones to be positioned
    • A61B17/6425Devices extending alongside the bones to be positioned specially adapted to be fitted across a bone joint
    • 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)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a fracture resetting mechanism, which comprises a pressurizing supporting rod, wherein a rotating block capable of rotating around the axis of the pressurizing supporting rod is arranged on the pressurizing supporting rod, a fixed rod capable of swinging on a first plane where the axis of the rotating block and the axis of the pressurizing supporting rod are located is connected to the rotating block through a movable joint, at least one rod needle clamp is arranged on the fixed rod, a sliding block capable of sliding along the axial direction of the pressurizing supporting rod is connected to the pressurizing supporting rod, a longitudinal pressurizing rod perpendicular to the pressurizing supporting rod is arranged on the sliding block, a transverse sliding block capable of sliding along the axial direction of the pressurizing rod is connected to the longitudinal pressurizing rod, and at least one needle clamp is arranged on the transverse sliding block. The invention can accurately determine the nail feeding direction and the nail feeding position to ensure that the fracture part is effectively pulled open, and has the advantages of high efficiency, flexible adjustment, convenience and accuracy.

Description

Fracture reduction mechanism
Technical Field
The invention relates to a fracture reduction mechanism.
Background
In the scene of natural disasters, traffic accidents, building accidents and the like, the wounded is easy to fracture and damage limbs and other parts. In emergency treatment sites and hospitals, effective fixation of fracture parts is required, and reduction of fracture parts is required, so that patient pain is relieved and recovery of patients is facilitated.
The existing fracture reduction mostly adopts an artificial technique to realize the reduction work, but when the artificial technique is adopted for reduction, the requirements on the physical strength and the endurance of medical staff are too high, and the phenomenon of inaccurate reduction is easy to occur, so that the problems of secondary injury and later malformation healing are caused. The prior art provides a plurality of fracture reduction fixing devices, for example, chinese patent publication No. 2014200365504 discloses an external fixing device for the emergency treatment of long tubular bone fracture of limbs, the basic structure of the external fixing device comprises a supporting rod and a traction bow, one end of the supporting rod is connected with a near-end fixing screw or the traction bow, the middle of the supporting rod is provided with a structure for adjusting the length, the other end of the supporting rod is connected with the traction bow, the structure for adjusting the length is a miniature hydraulic jack, the miniature hydraulic jack is transversely placed, the traction bow is a triangular traction bow, the triangular traction bow consists of two traction rods and a transverse needle, the upper ends of the two traction rods are connected with the tail ends of the supporting rod through pin shafts, the lower ends of the two traction rods are provided with clamping grooves, the two ends of the transverse needle are respectively embedded in the clamping grooves of the lower ends of the two traction rods, the tail ends of the transverse needle are screwed with nuts, and the nuts are propped against the outer sides of the clamping grooves of the traction rods on the two sides. The two ends of the supporting rod are respectively connected with the two ends of the long bone where fracture occurs through the triangular traction bow, the transverse needle of the traction bow is fixed with the two ends of the long bone, the length of the supporting rod is adjusted through the miniature hydraulic jack or other hydraulic devices, the distance between the proximal end and the distal end of the femur fracture is adjusted, the shortened fracture is reset, and the length of the fracture is effectively maintained and controlled. The external fixator and the existing fracture reduction structure have the following defects: firstly, the adjustment of the nail feeding position is inconvenient, the mechanism with different lengths and angles is required to be replaced to realize the adjustment, and the problem of universality cannot be realized; secondly, after the nail is fixed, the accurate fracture part can not be pulled, the angle and the direction of the fracture part can not be ensured, the operation treatment is inconvenient, and the postoperative rehabilitation is not facilitated.
Disclosure of Invention
The invention aims to solve the technical problem of providing a fracture reduction mechanism, by adopting the fracture reduction mechanism, the nail feeding angle and direction can be conveniently adjusted, and the fracture reduction mechanism is suitable for fracture reduction of different parts.
In order to solve the technical problem, the fracture reduction mechanism provided comprises a pressurizing support rod, and is characterized in that: the pressurizing support rod is provided with a rotating block capable of rotating around the axis of the pressurizing support rod, the rotating block is connected with a fixed rod capable of swinging on a first plane where the axis of the rotating block and the axis of the pressurizing support rod are located through a movable joint, the fixed rod is provided with at least one rod needle clamp, the pressurizing support rod is connected with a sliding block capable of sliding along the axial direction of the pressurizing support rod, the sliding block is provided with a longitudinal pressurizing rod perpendicular to the pressurizing support rod, the longitudinal pressurizing rod is connected with a transverse sliding block capable of sliding along the axial direction of the longitudinal pressurizing rod, and the transverse sliding block is provided with at least one needle clamp.
After adopting above-mentioned structure, when the patient appears the fracture patient, with the pressurization bracing piece as the benchmark, the rotor block can rotate around its axis to and realize multidimensional adjustment through the swing of movable joint, can fully realize the angle and the position of dead lever, thereby guarantee pin nail's on the pole needle clamp advance nail position and advance the nail direction, the slip of rethread sliding block and the slip of horizontal sliding block realize the two-dimensional motion of needle clamp, adjust pin nail's on the needle clamp advance nail position and advance nail direction, after the implantation bone nail, the multidimensional motion of rethread pole needle clamp and the two-dimensional motion of needle clamp can be accurate and quick fully pull open, align two broken bones of fracture position, can carry out the operation and fracture reduction under the pull open state, have the accurate and efficient advantage of reduction.
As a specific structural form of the movable joint, the movable joint comprises a first locking bolt which is screwed on the rotating block and is perpendicular to the first plane, and the upper part of the fixed rod is hinged on the first locking bolt and can lock the fixed rod through a nut.
As a concrete structural form of pole needle clamp, pole needle clamp is including the cover dress on the dead lever and can slide and pivoted needle clamp splice along the dead lever, be equipped with overhanging threaded rod on the needle clamp splice, the cover is equipped with needle splint and spiro union on the threaded rod and is located the nut in the needle splint outside, be equipped with half curved pinhole on the needle splint and when screwing the nut needle splint and needle clamp splice cooperation with bone screw fixation, the position locking of needle clamp splice is made along the radial slip of dead lever to the needle clamp splice simultaneously, can realize bone screw's fixed and needle clamp splice position's confirm through the screwing of this nut, accurate nail position and nail advancing direction have been confirmed promptly.
As an improvement of the invention, the needle clamping block comprises a door-shaped frame wrapped on the outer side of the fixed rod, the thread section is arranged on one side of the door-shaped frame, the other side of the door-shaped frame is connected with a baffle plate, the baffle plate is connected with a propping bolt in a threaded manner, the inward extending end of the propping bolt can prop against the fixed rod, and the position of the screw can be properly and accurately adjusted by screwing the propping bolt.
As a specific structural form of the sliding block, the sliding block comprises at least one sliding hand wheel which is in threaded connection with the pressurizing support rod, a sleeve is rotationally connected to the sliding hand wheel, the sleeve is freely sleeved on the pressurizing support rod, the longitudinal pressurizing rod is fixedly connected to the sleeve, and a second locking bolt capable of locking the position of the sleeve is further in threaded connection with the sleeve.
As a further improvement of the invention, the pressurizing support rod is provided with a first sinking groove which is axially arranged along the pressurizing support rod, the extending end of the second locking bolt is positioned in the first sinking groove, and the second locking bolt not only realizes the locking effect, but also can effectively prevent the sleeve from rotating.
As a specific structural form of the transverse sliding block, the transverse sliding block comprises at least one moving hand wheel which is in threaded connection with a longitudinal pressurizing rod, a moving sleeve is rotationally connected to the moving hand wheel, the moving sleeve is freely sleeved on the longitudinal pressurizing rod, the needle clamp is arranged on the moving sleeve, and a third locking bolt capable of locking the position of the moving sleeve is also in threaded connection with the moving sleeve.
The longitudinal pressurizing rod is provided with a second sinking groove axially arranged along the longitudinal pressurizing rod, and the extending end of the third locking bolt is positioned in the second sinking groove.
The needle clamp comprises a bone nail hole arranged on the moving sleeve, and a locking nail bolt capable of penetrating into the bone nail hole is screwed on the moving sleeve.
In summary, the invention can accurately determine the nail feeding direction and the nail feeding position to ensure that the fracture part is effectively pulled open, and has the advantages of high efficiency, flexible adjustment, convenience and accuracy.
Drawings
The invention is further described below with reference to the accompanying drawings:
FIG. 1 is a schematic view of a preferred embodiment of the present invention;
FIG. 2 is a schematic view of the structure taken along line A-A of FIG. 1;
fig. 3 is a schematic view of the structure taken along line B-B in fig. 1.
Detailed Description
Referring to fig. 1, the present invention provides a preferred embodiment of a fracture reduction mechanism, for convenience of description, taking the left-right direction in fig. 1 as the transverse direction and the up-down direction in fig. 1 as the longitudinal direction, the fracture reduction mechanism comprises a pressurizing support rod 1, a rotating block 2 capable of rotating around the axis of the pressurizing support rod 1 is mounted on the pressurizing support rod 1, in this embodiment, the left end part of the pressurizing support rod 1 is provided with a thin rod section, the rotating block 2 is sleeved on the thin rod section so as to realize rotation around the axis of the pressurizing support rod, the end part of the thin rod section is further screwed with a rotation stopping nut 15, the rotating block 2 is further screwed with a locking bolt 3, after the rotation stopping nut 15 and the locking bolt 3 are screwed, the position of the rotating block 2 can be locked, namely, the rotating block 2 is not rotated any more, a fixed rod 4 capable of swinging on a first plane where the axis of the rotating block and the axis of the pressurizing support rod are located is connected through a movable joint, and referring to fig. 1 and fig. 2, the movable joint comprises a first locking bolt 10 arranged perpendicular to the first plane, and the fixed rod 4 can be hinged on the first locking bolt 10 through the locking bolt.
Referring to fig. 1 and 3, at least one rod needle clamp 5 is installed on the fixing rod 4, in this embodiment, two rod needle clamps 5 are provided, the rod needle clamp 5 includes a needle clamp block 51 which is sleeved on the fixing rod 4 and can slide and rotate along the fixing rod 4, an overhanging threaded rod 52 is arranged on the needle clamp block 51, a needle clamp plate 53 and a nut positioned outside the needle clamp plate are sleeved on the threaded rod 52, a semi-arc needle hole is arranged on the needle clamp plate 53, when the nut is screwed, the needle clamp plate is matched with the needle clamp block to fix a bone screw, and meanwhile, the needle clamp block 51 slides along the radial direction of the fixing rod 4 to lock the position of the needle clamp block, the needle clamp block 51 includes a door-shaped frame wrapped outside the fixing rod, a thread section is arranged on one side of the door-shaped frame, a baffle is connected to the other side of the door-shaped frame, a propping bolt 54 is screwed on the baffle, and the inward extending end of the propping bolt can prop against the fixing rod 4.
Referring to fig. 1, the pressurizing support rod 1 is connected with a sliding block 6 capable of sliding along the axial direction of the pressurizing support rod, a longitudinal pressurizing rod 7 perpendicular to the pressurizing support rod 1 is installed on the sliding block 6, the sliding block 6 comprises at least one sliding hand wheel 62 screwed on the pressurizing support rod 1, in this embodiment, two opposite sliding hand wheels 62 are installed, anti-skid threads and insertion holes are formed in the outer circumferential surface of the sliding hand wheel 62, fingers or wrenching tools can be inserted into the insertion holes so as to drive the sliding hand wheels, a sleeve 61 is rotatably connected to the sliding hand wheel 62, in this embodiment, a ring groove is formed in the sliding hand wheel 62, a ring table clamped in the ring groove is arranged on the sleeve 61, sliding connection between the ring table and the ring groove is achieved by matching the ring table with the ring groove, the sleeve 61 is freely sleeved on the pressurizing support rod 1, the longitudinal pressurizing rod 7 is fixedly connected to the sleeve 61, a second locking bolt 63 capable of locking the sleeve position is also screwed on the sleeve, a first sinking groove 11 is formed in the pressurizing support rod 1, and the extending end of the second locking bolt 63 is located in the first sinking groove.
Referring to fig. 1, the longitudinal pressurizing rod 7 is connected with a transverse sliding block 8 capable of sliding along the axial direction of the longitudinal pressurizing rod, at least one needle clip 9 is installed on the transverse sliding block 8, the transverse sliding block 8 comprises at least one moving hand wheel 81 screwed on the longitudinal pressurizing rod 7, in this embodiment, two opposite moving hand wheels 81 are provided, the structure of the moving hand wheel 81 is the same as that of the sliding hand wheel, the moving hand wheel 81 is not described in detail herein, a moving sleeve 82 is rotatably connected to the moving hand wheel 81, the moving sleeve 82 is freely sleeved on the longitudinal pressurizing rod 7, the needle clip 9 is provided on the moving sleeve 82, and a third locking bolt 83 capable of locking the position of the moving sleeve 82 is also screwed on the moving sleeve 82. The longitudinal pressurizing rod 7 is provided with a second countersink 71 axially arranged along the longitudinal pressurizing rod, the extending end of the third locking bolt 83 is positioned in the second countersink, the needle clamp 9 comprises a bone screw hole 91 arranged on the moving sleeve 82, and the moving sleeve 82 is in threaded connection with a locking screw bolt 92 capable of penetrating into the bone screw hole 91.
Referring to fig. 1 to 3, the operation of the above preferred embodiment is as follows: when a patient suffers from fracture, the pressurizing support rod 1 is taken as a reference, the rotating block 2 can rotate around the axis of the pressurizing support rod, multidimensional adjustment of the rod needle clamp on the fixed rod 4 is realized through swing of the movable joint, the rod needle clamp 5 can be provided with bone screws, the screw feeding position and the screw feeding direction of the bone screws are guaranteed, the two-dimensional movement of the needle clamp is realized through sliding of the sliding block 6 and sliding of the transverse sliding block 8, the screw feeding position and the screw feeding direction of the bone screws on the needle clamp 9 can be fully adjusted, and after the bone screws are implanted, two broken bones of the fracture part can be accurately and rapidly pulled apart and aligned fully through multidimensional movement of the rod needle clamp and the two-dimensional movement of the needle clamp, and surgery and fracture reduction can be performed under the pulled apart state.
The invention can be used for reducing the fracture of the rod-shaped bones such as femur, tibia, femur, ulna and the like, and also can be used for reducing the fracture of the abnormal bones such as pelvic bone and the like, and has wide application range.
Other embodiments of the present invention are also possible, and other technical solutions formed in the claims are not repeated, so that the present invention is not limited by the above embodiments, and equivalent changes and component replacement based on the above embodiments of the present invention are all within the scope of the present invention.

Claims (6)

1. The fracture resetting mechanism comprises a pressurizing supporting rod (1), and is characterized in that: the pressurizing support rod (1) is provided with a rotating block (2) capable of rotating around the axis of the rotating block, the rotating block (2) is connected with a fixed rod (4) capable of swinging on a first plane where the axis of the rotating block and the axis of the pressurizing support rod are located through a movable joint, the fixed rod (4) is provided with at least one rod needle clamp (5), the pressurizing support rod (1) is connected with a sliding block (6) capable of sliding along the axial direction of the pressurizing support rod, the sliding block (6) is provided with a longitudinal pressurizing rod (7) perpendicular to the pressurizing support rod (1), the longitudinal pressurizing rod (7) is connected with a transverse sliding block (8) capable of sliding along the axial direction of the pressurizing support rod, and the transverse sliding block (8) is provided with at least one needle clamp (9); the movable joint comprises a first locking bolt (10) which is in threaded connection with the rotating block (2) and is perpendicular to the first plane, and the upper part of the fixed rod (4) is hinged with the first locking bolt (10) and can lock the fixed rod through a nut; the rod needle clamp (5) comprises a needle clamp block (51) which is sleeved on the fixed rod (4) and can slide and rotate along the fixed rod (4), an overhanging threaded rod (52) is arranged on the needle clamp block (51), a needle clamp plate (53) and a nut which is screwed on the outer side of the needle clamp plate are sleeved on the threaded rod (52), a semi-arc needle hole is formed in the needle clamp plate (53), when the nut is screwed, the needle clamp plate is matched with the needle clamp block to fix a bone screw, and meanwhile, the needle clamp block (51) slides along the radial direction of the fixed rod (4) to lock the position of the needle clamp block; the needle clamp splice (51) comprises a gate-shaped frame wrapped on the outer side of the fixed rod, the thread section is arranged on one side of the gate-shaped frame, the other side of the gate-shaped frame is connected with a baffle, a propping bolt (54) is screwed on the baffle, and the inner extending end of the propping bolt can prop against the fixed rod (4).
2. The fracture reduction mechanism of claim 1, wherein: the sliding block (6) comprises at least one sliding hand wheel (62) which is in threaded connection with the pressurizing support rod (1), a sleeve (61) is rotationally connected to the sliding hand wheel (62), the sleeve (61) is freely sleeved on the pressurizing support rod (1), the longitudinal pressurizing rod (7) is fixedly connected to the sleeve (61), and a second locking bolt (63) capable of locking the sleeve position is further in threaded connection with the sleeve.
3. The fracture reduction mechanism according to claim 2, wherein: the pressurizing support rod (1) is provided with a first sinking groove (11) arranged along the axial direction of the pressurizing support rod, and the extending end of the second locking bolt (63) is positioned in the first sinking groove.
4. The fracture reduction mechanism of claim 1, wherein: the transverse sliding block (8) comprises at least one moving hand wheel (81) which is in threaded connection with the longitudinal pressurizing rod (7), a moving sleeve (82) is rotationally connected to the moving hand wheel (81), the moving sleeve (82) is freely sleeved on the longitudinal pressurizing rod (7), the needle clamp (9) is arranged on the moving sleeve (82), and a third locking bolt (83) capable of locking the position of the moving sleeve (82) is further in threaded connection with the moving sleeve (82).
5. The fracture reduction mechanism according to claim 4, wherein: the longitudinal pressurizing rod (7) is provided with a second sinking groove (71) arranged along the axial direction of the longitudinal pressurizing rod, and the extending end of the third locking bolt (83) is positioned in the second sinking groove.
6. The fracture reduction mechanism according to claim 4, wherein: the needle clamp (9) comprises a bone screw hole (91) arranged on the moving sleeve (82), and a locking screw bolt (92) capable of penetrating into the bone screw hole (91) is screwed on the moving sleeve (82).
CN201710782342.7A 2017-09-02 2017-09-02 Fracture reduction mechanism Active CN107496015B (en)

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Application Number Priority Date Filing Date Title
CN201710782342.7A CN107496015B (en) 2017-09-02 2017-09-02 Fracture reduction mechanism

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Application Number Priority Date Filing Date Title
CN201710782342.7A CN107496015B (en) 2017-09-02 2017-09-02 Fracture reduction mechanism

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CN107496015B true CN107496015B (en) 2024-02-09

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Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109907811B (en) * 2019-04-29 2023-09-26 大博医疗科技股份有限公司 Fixing frame and resetting system
CN110584761B (en) * 2019-09-29 2020-05-26 淮安市第二人民医院(淮安仁慈医院) Fracture reduction device
CN111743613B (en) * 2020-07-14 2022-02-15 山东中医药大学附属医院 Adjustable fracture repositor

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2686543Y (en) * 2004-03-17 2005-03-23 鲁晓波 Opening-resetting fixing device for fracture synthetism
CN201389069Y (en) * 2009-04-23 2010-01-27 赵铭 Reduction and compression fixator
CN104546066A (en) * 2015-01-22 2015-04-29 中国科学院深圳先进技术研究院 Passive type nasal endoscopic surgery assisting robot
CN105342667A (en) * 2015-12-16 2016-02-24 嘉思特华剑医疗器材(天津)有限公司 Precise eccentric distance knee joint tool module system
CN107115129A (en) * 2017-03-10 2017-09-01 杭州诺茂医疗科技有限公司 Interventional medical device induction system

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8585703B2 (en) * 2010-12-09 2013-11-19 Stryker Trauma Sa Adjustment tool for external fixator
US9168064B2 (en) * 2012-07-17 2015-10-27 Ellen Hokanson Bilateral dynamic external distractor for the treatment of complex fracture luxations of the proximal interphalangeal joint of the hand

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2686543Y (en) * 2004-03-17 2005-03-23 鲁晓波 Opening-resetting fixing device for fracture synthetism
CN201389069Y (en) * 2009-04-23 2010-01-27 赵铭 Reduction and compression fixator
CN104546066A (en) * 2015-01-22 2015-04-29 中国科学院深圳先进技术研究院 Passive type nasal endoscopic surgery assisting robot
CN105342667A (en) * 2015-12-16 2016-02-24 嘉思特华剑医疗器材(天津)有限公司 Precise eccentric distance knee joint tool module system
CN107115129A (en) * 2017-03-10 2017-09-01 杭州诺茂医疗科技有限公司 Interventional medical device induction system

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