CN108143502A - A kind of stereo brain orienting instrument that can accurately guide indwelling drainage tube - Google Patents
A kind of stereo brain orienting instrument that can accurately guide indwelling drainage tube Download PDFInfo
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- CN108143502A CN108143502A CN201711441470.1A CN201711441470A CN108143502A CN 108143502 A CN108143502 A CN 108143502A CN 201711441470 A CN201711441470 A CN 201711441470A CN 108143502 A CN108143502 A CN 108143502A
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- drainage tube
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/10—Instruments, 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/10—Instruments, 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
- A61B90/11—Instruments, 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/121—Head or neck
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/10—Instruments, 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
- A61B2090/101—Instruments, 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 for stereotaxic radiosurgery
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Pathology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Neurosurgery (AREA)
- Otolaryngology (AREA)
- External Artificial Organs (AREA)
Abstract
The invention discloses a kind of stereo brain orienting instruments that can accurately guide indwelling drainage tube,Including placement rack,Snap-gauge,Placing groove,Screw rod,Pressure pad,Sliding slot,Slide plate,Mobile base,Arc groove,Slot,Connecting seat,Arc-shaped guide plate,Arc avoid holes,Guide pad,Thread bush,Puncture needle,Flow sub,A kind of stereo brain orienting instrument that can accurately guide indwelling drainage tube,Clever structure,It is powerful,Pass through the effect of fixed mechanism first,Effective clamping limiting can be carried out to patients head to fix,Improve the stability of subsequent procedures operation,Secondly by the multi-direction fiting effect for adjusting guiding mechanism,The accuracy of puncture can be improved,The operation for the medical staff being also convenient for,It also finally is able to as needed,Drainage treatment is carried out to patient by shirtsleeve operation,Eventually by above-mentioned,So as to not only increase surgical quality and curative effect,The operation for returning medical staff brings great convenience,Conducive to clinical popularization and application.
Description
Technical field
The present invention relates to the field of medical instrument technology more particularly to a kind of brain solid that can accurately guide indwelling drainage tube to determine
Xiang Yi.
Background technology
With popularizing for accurate neurosurgery theory, stereo brain orienting instrument is widely used to the precision navigation of neurosurgery
In positioning operation, it played an important role biopsy, the navigation of intracranial lesion.
The stereo brain orienting instrument that clinic generally uses at present is all based on three-dimensional coordinate positioning principle, with the main frame of closed ring
Based on frame, after being determined corresponding X, Y, Z three-dimensional coordinate of target spot by CT or MR scanning boards and main frame, then it will puncture
The surgical instruments such as needle, drainage tube are sent to the specific target spot of encephalic.
Although stereo brain orienting instrument has been widely used for clinic, current stereo brain orienting instrument is all existing common scarce
Point, as a kind of 201320649735.8 brain puncture solid direction finder of Chinese patent, 200920205256.0 brain of Chinese patent are three-dimensional
Orienting device, 200920048677.7 stereotactic apparatus of Chinese patent, 92203166.5 high-precision brain stereotactic of Chinese patent
94217069.5 stereo brain orienting instrument of instrument and Chinese patent, they are without drainage pipe guiding arrangement, if needing to stay after piercing
Drainage tube is put, then relies primarily on feel and range estimation, for deep target spot position inaccurate, influence puts pipe accuracy, influences to perform the operation
Quality and curative effect, in view of disadvantages described above, it is really necessary to design a kind of stereo brain orienting instrument that can accurately guide indwelling drainage tube.
Invention content
The technical problems to be solved by the invention are：A kind of brain stereotactic that can accurately guide indwelling drainage tube is provided
Instrument, to solve the problems, such as that background technology proposes.
In order to solve the above technical problems, the technical scheme is that：It is a kind of the brain of indwelling drainage tube accurately to be guided to stand
Body direction finder, including placement rack, snap-gauge, placing groove, screw rod, pressure pad, sliding slot, slide plate, Mobile base, arc groove, slot, connection
Seat, arc-shaped guide plate, arc avoid holes, guide pad, thread bush, puncture needle, flow sub, the snap-gauge are located at placement rack bottom
Portion, the snap-gauge are integrally connected with placement rack, and the placing groove is located at placement rack inner upper end, and the placing groove is half
Round recessed, at left and right sides of placement rack inner upper end, the screw rod is connected the screw rod with placement rack screw thread, described
Pressure pad is located at screw rod inner wall, and the pressure pad is connected with screw rod glue, and the sliding slot is located at placement rack interior lower end, described
Sliding slot is rectangular recess, and the slide plate is located at sliding slot Internal back end, and the slide plate is connected with placement rack slip, the shifting
Dynamic seat is located at skateboard back-end, and the Mobile base is integrally connected with slide plate, and the arc groove is located at Mobile base inner upper end, institute
The arc groove stated is groove, and the slot quantity is several, and the slot is sequentially distributed from left to right in Mobile base
Portion upper end, the slot are circular groove, and the connecting seat is located at arc groove inner upper end, the connecting seat and movement
Seat, which slides, to be connected, and the arc-shaped guide plate is located at the top of connecting seat, and the arc-shaped guide plate is weldingly connected with connecting seat, described
Arc avoid holes are located inside arc-shaped guide plate, and the arc avoid holes are rectangular through-hole, and the guide pad is through arc
Guide plate, the guide pad are connected with arc-shaped guide plate slip, and the thread bush is through middle-end inside guide pad, the screw thread
Set is connected with guide pad screw thread, and the puncture needle is located inside thread bush, and the puncture needle is connected with thread bush slip, institute
The flow sub stated is located at puncture needle outer wall rear end side, and the flow sub is integrally connected with puncture needle.
Further, the placement rack inner wall is additionally provided with press resistant pillar, and the press resistant pillar uses velcro phase with placement rack
Even.
Further, the left and right sides is additionally provided with the first bolt, first bolt and snap-gauge screw thread inside the snap-gauge
It is connected.
Further, the placement rack inside left rear end is additionally provided with the second bolt, second bolt and placement rack
Screw thread is connected.
Further, third bolt, the third bolt and connecting seat are additionally provided on the upside of the connecting seat Internal back end
Screw thread is connected.
Further, the left and right sides is additionally provided with the 4th bolt, the 4th bolt and guide pad inside the guide pad
Screw thread is connected.
Further, the puncture needle rear end is additionally provided with handle, and the handle is integrally connected with puncture needle.
Compared with prior art, a kind of stereo brain orienting instrument that can accurately guide indwelling drainage tube, operation consent, medical care people
The device is put at the top of operating bed by member first, is then tightened the first bolt, i.e., is cooperated by the first bolt and snap-gauge
Press resistant pillar so as to fulfill being fixedly connected for the device and operating bed, is then bonded placing groove inner wall by effect, during operation, will be suffered from
Person head is put into placing groove, because press resistant pillar is silica gel material, has good flexibility, improves the comfortable of patients head's placement
Property, then medical staff tightens screw rod, i.e. screw rod drives pressure pad rotating contact patients head both sides, is clamped at this time by screw rod
Effect so as to which the effective limiting reached to patients head is fixed, improves the stability of subsequent procedures, then medical staff passes through
CT or MR scanning boards determine corresponding X, Y, Z three-dimensional coordinate of target spot, and the second bolt, i.e. the second bolt cancellation pair are unclamped in then rotation
Slide plate clamps, then pulls Mobile base, makes Mobile base that slide plate be driven to carry out front and back position movement along sliding slot, when X-axis determines to finish
After stop drag, and tighten the second bolt, that is, realize the fixation of slide plate, then medical staff, which rotates, unclamps third bolt, i.e., the
Three bolts are detached from slot, then pull Mobile base, Mobile base is made to be moved along arc groove, when Mobile base reaches medical staff
It is stopped drag behind required position, and tightens third bolt, that is, the fixation of Mobile base is realized, at this time by above-mentioned, so as to fulfill Y-axis
It determines, then medical staff, which rotates, unclamps the 4th bolt, i.e. the 4th bolt cancels clamping arc-shaped guide plate, then pulls guide pad, makes
Guide pad moves up and down along arc-shaped guide plate, is stopped drag after guide pad is moved to position needed for medical staff, and revolve
Turn to tighten the 4th bolt, be operated at this time by above-mentioned adjusting successively, it is achieved thereby that determining, the then medical care of X, Y and Z axis
Personnel hold handle, and first extraneous drainage tube is plugged together with flow sub and is connected, then puncture needle is placed in by the guiding of thread bush
Patient's intracerebral stops movement, at this time by aforesaid operations, so as to fulfill patient when puncture needle reaches patient's intracerebral therapentic part
Intracerebral hydrops passes through drainage of the puncture needle by drainage tube outwardly, a kind of brain stereotactic that can accurately guide indwelling drainage tube
Instrument, clever structure is powerful, and first by the effect of fixed mechanism, effective clamping limiting can be carried out to patients head
It is fixed, the stability of subsequent procedures operation is improved, secondly by the multi-direction fiting effect for adjusting guiding mechanism, can be improved
The accuracy of puncture, the operation for the medical staff being also convenient for, also finally be able to as needed, by shirtsleeve operation to patient into
Row drainage treatment, eventually by above-mentioned, so as to not only increase surgical quality and curative effect, the operation for returning medical staff brings pole
Convenience, conducive to clinical popularization and application, meanwhile, because thread bush is external screw thread, rotation can be carried out with guide pad and is connected and dismounting,
It is i.e. convenient that thread bush is replaced.
Description of the drawings
Fig. 1 is a kind of front view for the stereo brain orienting instrument that can accurately guide indwelling drainage tube；
Fig. 2 is a kind of vertical view for the stereo brain orienting instrument that can accurately guide indwelling drainage tube；
Fig. 3 is a kind of sectional view for the stereo brain orienting instrument that can accurately guide indwelling drainage tube；
Fig. 4 is a kind of side view for the stereo brain orienting instrument that can accurately guide indwelling drainage tube.
Placement rack 1, snap-gauge 2, placing groove 3, screw rod 4, pressure pad 5, sliding slot 6, slide plate 7, Mobile base 8, arc groove 9, slot 10,
Connecting seat 11, arc-shaped guide plate 12, arc avoid holes 13, guide pad 14, thread bush 15, puncture needle 16, flow sub 17, press resistant pillar
101st, the second bolt 102, the first bolt 201, third bolt 1101, the 4th bolt 1401, handle 1601.
Following specific embodiment will combine above-mentioned attached drawing and further illustrate.
Specific embodiment
Hereinafter, a variety of specific details are elaborated, in order to provide the saturating of the concept to forming described embodiment basis
Thorough understanding, however, it will be apparent to those skilled in the art that described embodiment can be in these no specific details
In it is some or all in the case of put into practice, in other cases, do not specifically describe well-known processing step.
As shown in Figure 1, Figure 2, Figure 3, Figure 4, a kind of stereo brain orienting instrument that can accurately guide indwelling drainage tube, including placing
Seat 1, snap-gauge 2, placing groove 3, screw rod 4, pressure pad 5, sliding slot 6, slide plate 7, Mobile base 8, arc groove 9, slot 10, connecting seat 11, arc
Shape guide plate 12, arc avoid holes 13, guide pad 14, thread bush 15, puncture needle 16, flow sub 17, the snap-gauge 2, which is located at, to be put
1 bottom of seat is put, the snap-gauge 2 is integrally connected with placement rack 1, and the placing groove 3 is located at 1 inner upper end of placement rack, described
Placing groove 3 for semicircle groove, the screw rod 4 is at left and right sides of 1 inner upper end of placement rack, and the screw rod 4 is with placing
1 screw thread of seat is connected, and the pressure pad 5 is located at 4 inner wall of screw rod, and the pressure pad 5 is connected with 4 glue of screw rod, the sliding slot 6
In 1 interior lower end of placement rack, the sliding slot 6 is rectangular recess, and the slide plate 7 is located at 6 Internal back end of sliding slot, the cunning
Plate 7 is connected with the slip of placement rack 1, and the Mobile base 8 is located at 7 rear end of slide plate, and the Mobile base 8 is integrally connected with slide plate 7,
The arc groove 9 is located at 8 inner upper end of Mobile base, and the arc groove 9 is groove, and 10 quantity of slot is several
Part, the slot 10 are sequentially distributed from left to right in 8 inner upper end of Mobile base, and the slot 10 is circular groove, described
Connecting seat 11 be located at 9 inner upper end of arc groove, the connecting seat 11 is connected with the slip of Mobile base 8, the arc-shaped guide plate
12 are located at 11 top of connecting seat, and the arc-shaped guide plate 12 is weldingly connected with connecting seat 11, and the arc avoid holes 13 are located at
Inside arc-shaped guide plate 12, the arc avoid holes 13 are rectangular through-hole, and the guide pad 14 is through arc-shaped guide plate 12, institute
The guide pad 14 stated is connected with the slip of arc-shaped guide plate 14, and the thread bush 15 runs through 14 inside middle-end of guide pad, the spiral shell
Line set 15 is connected with 14 screw thread of guide pad, and the puncture needle 16 is located inside thread bush 15, the puncture needle 16 and screw thread
Set 15, which slides, to be connected, and the flow sub 17 is located at 16 outer wall rear end side of puncture needle, and the flow sub 17 is with puncturing
Needle 16 is integrally connected, and 1 inner wall of placement rack is additionally provided with press resistant pillar 101, and the press resistant pillar 101 is with placement rack 1 using evil spirit
Art patch is connected, and the 2 inside left and right sides of snap-gauge is additionally provided with the first bolt 201, first bolt 201 and 2 spiral shell of snap-gauge
Line is connected, and the 1 inside left rear end of placement rack is additionally provided with the second bolt 102, second bolt 102 and placement rack 1
Screw thread is connected, and third bolt 1101 is additionally provided on the upside of 11 Internal back end of connecting seat, the third bolt 1101 is with connecting
11 screw thread of joint chair is connected, and the 14 inside left and right sides of guide pad is additionally provided with the 4th bolt 1401, the 4th bolt
1401 are connected with 14 screw thread of guide pad, and 16 rear end of puncture needle is additionally provided with handle 1601, and the handle 1601 is with puncturing
Needle 16 is integrally connected.
A kind of stereo brain orienting instrument that can accurately guide indwelling drainage tube, operation consent, medical staff is first by the device
It is put at the top of operating bed, then tightens the first bolt 201, i.e., the effect to be cooperated by the first bolt 201 with snap-gauge 2, from
And realize being fixedly connected for the device and operating bed, press resistant pillar 101 is then bonded 3 inner wall of placing groove, during operation, by patient's head
Portion is put into placing groove 3, because press resistant pillar 101 is silica gel material, has good flexibility, improves the comfortable of patients head's placement
Property, then medical staff tightens screw rod 4, i.e. screw rod 4 drives 5 rotating contact patients head both sides of pressure pad, is pressed from both sides at this time by screw rod 4
The effect held so as to which the effective limiting reached to patients head is fixed, improves the stability of subsequent procedures, then medical staff
Corresponding X, Y, Z three-dimensional coordinate of target spot is determined by CT or MR scanning boards, the second bolt 102, i.e. the second spiral shell are unclamped in then rotation
Bolt 102, which is cancelled, to be clamped slide plate 7, then pull Mobile base 8, makes Mobile base 8 that slide plate 7 be driven to carry out front and back position shifting along sliding slot 6
It is dynamic, it is stopped drag after X-axis determines, and tighten the second bolt 102, that is, realizes the fixation of slide plate 7, then medical staff is revolved
Turn to unclamp third bolt 1101, i.e. third bolt 1101 is detached from slot 10, then pulls Mobile base 8, makes Mobile base 8 along arc
Slot 9 is moved, and is stopped drag, and tighten third bolt 1101, that is, is realized after Mobile base 8 reaches position needed for medical staff
The fixation of Mobile base 8 at this time by above-mentioned, determines that then medical staff, which rotates, unclamps the 4th bolt 1401 so as to fulfill Y-axis,
That is the 4th bolt 1401 cancels clamping arc-shaped guide plate 12, then pulls guide pad 14, and guide pad 14 is made to be carried out along arc-shaped guide plate 12
It moves up and down, is stopped drag after guide pad 14 is moved to position needed for medical staff, and rotate and tighten the 4th bolt 1401, this
When operated by above-mentioned adjusting successively, it is achieved thereby that X, Y and Z axis determine that then medical staff holds handle 1601,
First extraneous drainage tube with flow sub 17 is plugged together and is connected, then puncture needle 16 is placed in patient's brain by the guiding of thread bush 15
It is interior, stop movement when puncture needle 16 reaches patient's intracerebral therapentic part, at this time by aforesaid operations, so as to fulfill patient's intracerebral
Hydrops by drainage of the puncture needle 16 by drainage tube outwardly, meanwhile, because thread bush 15 be external screw thread, can be carried out with guide pad 14
Rotation is connected and dismounting, i.e., convenient that thread bush 15 is replaced.
The present invention is not limited to above-mentioned specific embodiment, those of ordinary skill in the art from above-mentioned design,
Without performing creative labour, the various transformation made are within the scope of the present invention.
Claims (7)
1. a kind of stereo brain orienting instrument that can accurately guide indwelling drainage tube, it is characterised in that including placement rack, snap-gauge, placement
Slot, screw rod, pressure pad, sliding slot, slide plate, Mobile base, arc groove, slot, connecting seat, arc-shaped guide plate, arc avoid holes, guide pad,
Thread bush, puncture needle, flow sub, the snap-gauge are located at placement rack bottom, and the snap-gauge is integrally connected with placement rack, institute
The placing groove stated is located at placement rack inner upper end, and the placing groove is semicircle groove, and the screw rod is inside placement rack
At left and right sides of upper end, the screw rod is connected with placement rack screw thread, and the pressure pad is located at screw rod inner wall, the pressure pad and spiral shell
Bar glue is connected, and the sliding slot is located at placement rack interior lower end, and the sliding slot is rectangular recess, and the slide plate, which is located at, to be slided
Slot Internal back end, the slip of the slide plate and placement rack are connected, the sliding seats in skateboard back-end, the Mobile base and
Slide plate is integrally connected, and the arc groove is located at Mobile base inner upper end, and the arc groove is groove, the slot quantity
It it is several, the slot is sequentially distributed from left to right in Mobile base inner upper end, and the slot is circular groove, described
Connecting seat be located at arc groove inner upper end, the connecting seat is connected with Mobile base slip, and the arc-shaped guide plate is located at company
At the top of joint chair, the arc-shaped guide plate is weldingly connected with connecting seat, and the arc avoid holes are located inside arc-shaped guide plate, described
Arc avoid holes for rectangular through-hole, the guide pad is slided through arc-shaped guide plate, the guide pad with arc-shaped guide plate
It is connected, the thread bush is connected through middle-end inside guide pad, the thread bush with guide pad screw thread, the puncture needle
Inside thread bush, the puncture needle is connected with thread bush slip, and the flow sub is located at puncture needle outer wall rear end
Side, the flow sub are integrally connected with puncture needle.
2. a kind of stereo brain orienting instrument that can accurately guide indwelling drainage tube as described in claim 1, it is characterised in that described
Placement rack inner wall be additionally provided with press resistant pillar, the press resistant pillar is connected with placement rack using velcro.
3. a kind of stereo brain orienting instrument that can accurately guide indwelling drainage tube as described in claim 1, it is characterised in that described
Snap-gauge inside the left and right sides be additionally provided with the first bolt, first bolt is connected with snap-gauge screw thread.
4. a kind of stereo brain orienting instrument that can accurately guide indwelling drainage tube as described in claim 1, it is characterised in that described
Placement rack inside left rear end be additionally provided with the second bolt, second bolt is connected with placement rack screw thread.
5. a kind of stereo brain orienting instrument that can accurately guide indwelling drainage tube as described in claim 1, it is characterised in that described
Connecting seat Internal back end on the upside of be additionally provided with third bolt, the third bolt is connected with connecting seat screw thread.
6. a kind of stereo brain orienting instrument that can accurately guide indwelling drainage tube as described in claim 1, it is characterised in that described
Guide pad inside the left and right sides be additionally provided with the 4th bolt, the 4th bolt is connected with guide pad screw thread.
7. a kind of stereo brain orienting instrument that can accurately guide indwelling drainage tube as described in any in claim 1 to 6, feature
It is that the puncture needle rear end is additionally provided with handle, the handle is integrally connected with puncture needle.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201711441470.1A CN108143502A (en) | 2017-12-27 | 2017-12-27 | A kind of stereo brain orienting instrument that can accurately guide indwelling drainage tube |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201711441470.1A CN108143502A (en) | 2017-12-27 | 2017-12-27 | A kind of stereo brain orienting instrument that can accurately guide indwelling drainage tube |
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| CN201711441470.1A Pending CN108143502A (en) | 2017-12-27 | 2017-12-27 | A kind of stereo brain orienting instrument that can accurately guide indwelling drainage tube |
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| CN110368100A (en) * | 2019-08-23 | 2019-10-25 | 张追阳 | A kind of stereo brain orienting instrument |
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| WO2021128836A1 (en) * | 2019-12-22 | 2021-07-01 | 深圳市瑞沃德生命科技有限公司 | Manipulator and brain stereotactic instrument |
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