CN108309399A - A kind of backbone thoracic and lumbar vertebral posterior surgical clamp - Google Patents
A kind of backbone thoracic and lumbar vertebral posterior surgical clamp Download PDFInfo
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- CN108309399A CN108309399A CN201810145068.7A CN201810145068A CN108309399A CN 108309399 A CN108309399 A CN 108309399A CN 201810145068 A CN201810145068 A CN 201810145068A CN 108309399 A CN108309399 A CN 108309399A
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- caliper
- casing
- guiding parts
- backbone
- hinged
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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
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0206—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with antagonistic arms as supports for retractor elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/025—Joint distractors
- A61B2017/0256—Joint distractors for the spine
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Ophthalmology & Optometry (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
The present invention relates to a kind of backbone thoracic and lumbar vertebral posterior surgical clamps, a kind of backbone thoracic and lumbar vertebral posterior surgical clamp, including the first caliper and the second caliper, it is hinged in the middle part of first caliper and the second caliper, first caliper and the second caliper can be relatively movable along hinged end, constitute nip part between the first caliper and the second caliper on front side of hinged end, the lateral surface of the nip part of the first caliper and the second caliper is equipped with sliding groove;Sliding is equipped with matrix in the sliding groove, is rotated on matrix and is equipped with guiding parts, casing is connected on guiding parts;The end face outside of the inner hollow of described sleeve pipe, casing is connected with guiding parts, and casing can circumferentially rotate relative to guiding parts and generate axial displacement.The pliers have into strut, pressurize, the effect of twisting resistance three, be easily placed in art, and can combine closely with nail stick, it is fixed.
Description
The applying date of one divisional application of present patent application, former invention patent application case is 2016-6-29, application number
It is for " 2016105221090 " and invention and created name《A kind of backbone thoracic and lumbar vertebral posterior surgical clamp》.
Technical field
The present invention relates to a kind of backbone thoracic and lumbar vertebral posterior surgical clamp, be mainly used in thoracolumbar fracture way of escape open reduction,
Vertebral internal fixation, lumbar spinal stenosis posterior decompression, intervertebral fusion, vertebral internal fixation, Thoracolumbar disk slippage way of escape open reduction,
Intervertebral fusion, vertebral internal fixation etc..
Background technology
The diseases such as thoracolumbar fracture, lumbar spinal stenosis, lumbar spondylolisthesis are common disease and frequently-occurring disease clinically, disease
Development to a certain extent, generally requires row operative treatment, and is clinically opened up at present with way of escape opening operation the most extensive.Backbone at present
Posterior approach is fixed, and pedicle screw system is generally mostly used.Wherein thoracolumbar fracture way of escape open reduction, vertebral internal fixation
It needs to reset by Postural reduction combination instrument in art and completes thoracolumbar fracture reset, lumbar spinal stenosis posterior decompression, intervertebral melt
It closes, vertebral internal fixation and Thoracolumbar disk slip way of escape open reduction, intervertebral fusion, vertebral internal fixation and need to pass through instrument in art
Intervertebral pulling is completed, to place Invasive lumbar fusion device, needs to complete intervertebral pressurization again by instrument and resist after being placed in Invasive lumbar fusion device
Torque locking nut.
Currently, clinically generally completing the reduction of the fracture, intervertebral pulling by individual distraction forcep, individual pressurized clamp comes
Intervertebral pressurization is completed, individual twisting resistance sleeve completes twisting resistance.And individual distraction forcep, pressurized clamp, twisting resistance sleeve
It is difficult to there is merging in use, nail stick junction can not be stretched into, struts, the shortcomings that pressure process is easy to loosen.This is just needed
It is a kind of to have placement simple in use, it combines closely with nail stick, fixed backbone thoracic and lumbar vertebral posterior surgical clamp comes
The reduction of the fracture is completed, struts between centrum, pressurize and twisting resistance lock nut, makes surgical procedure easy, shortens operating time.
Invention content
To solve the above-mentioned problems, the purpose of the present invention is to provide a kind of backbone thoracic and lumbar vertebral posterior surgical clamp, the pliers
Have into strut, pressurize, the effect of twisting resistance three, be easily placed in art, and can combine closely with nail stick, it is fixed.
In order to achieve the above purpose, present invention employs technical solutions below:
A kind of backbone thoracic and lumbar vertebral posterior surgical clamp, including the first caliper and the second caliper, the middle part of the first caliper and the second caliper
It is hinged, the first caliper and the second caliper can be relatively movable along hinged end, the first caliper on front side of hinged end and the second caliper
Between constitute nip part, clamp handle portion is constituted between the first caliper and the second caliper on rear side of hinged end;In the clamp handle portion
Tooth plate is hinged on one caliper, the second caliper in clamp handle portion is equipped with clamp handle mouth and tension spring, and tooth plate movable end passes through second
The clamp handle mouth of caliper, tension spring are located by connecting and tooth plate and keep the clamp handle mouth of tooth plate and the second caliper mutually ratcheting;
The nip part of first caliper and the second caliper includes horizontal segment, arcuate guide section and the section that closes up vertically successively;The
The lateral surface of the nip part of one caliper and the second caliper is equipped with and sequentially passes through horizontal segment, arcuate guide section and vertical closing in section
Sliding groove;Sliding is equipped with matrix in the sliding groove, is rotated on matrix and is equipped with guiding parts, casing is connected on guiding parts;
The end face outside of the inner hollow of described sleeve pipe, casing is connected with guiding parts, and casing can be relative to guiding parts circumferential direction
It rotates and generates axial displacement.
Preferably, the end face outside of described sleeve pipe is equipped with screw thread shape sliding slot, guiding parts is to be slidably arranged in screw thread
Sliding block in shape sliding slot.In above structure, movement of the casing relative to guiding parts is realized by sliding block and screw thread shape sliding slot;Tool
Body, when surgical staff turns casing by external tool, casing is relative to guiding parts(That is sliding block)It is circumferential mobile, and with
Screw thread shape sliding slot is to be oriented to the displacement realized in axial direction;So as to realize that with caliper be positioning in art, casing is set with nail stick
Enter art.
Preferably, if also circumferential rule is equipped with the main pipe wing in the end face outside of described sleeve pipe, Guan Yi includes wing seat, and
The wing bar being hinged on wing seat;The wing bar can be rotated along hinged end between casing radial direction and casing axial direction.
Under above structure, the Guan Yike of outside of sleeve is by overturning the adjustment for being unfolded or being stored;It such as needs to use pliers in art
Pressurization, expanding structure when, Guan Yi can be stored;When such as being needed in art using casing, then the pipe span can be opened, it is convenient
Tool is fixed with sleeve circumferential, and casing is easily turned convenient for surgical staff.
Preferably, the screw thread shape sliding slot offers in the end face outside of the casings of Guan Yi axially below, screw thread shape is slided
Slot end non-close, sliding block can be therewith detached from screw thread shape sliding slot end.As described above, the setting of Guan Yi is for connecting
Tool, the tool are rotated for drive sleeve;During surgery, it is just connect with tool after needing locating sleeve;Therefore all with the tool
The top that should be at screw thread shape guide part to the Guan Yi of clamping is quickly used with this convenient for operation, dismounting;And above structure
In, sliding block may be implemented to be detached from casing in rotation process, embody be occupation mode be first by caliper to casing carry out
It positions, then surgical staff is rotated into patient by tool rotating casing, casing and internal nail stick under the auxiliary of caliper
In vivo, after extending partially into patient's body, the positioning of casing direction can be detached from caliper, facilitate subsequent further surgical procedure.
Preferably, constituting locating fastener structure between the upper axial end opening and lower axial end opening of described sleeve pipe;It should
Structure is for realizing that head and the tail are socketed between two casings, realizing being applied in combination for casing, convenient for the possible period of want or need in art;Such as patient
Build is partially fat, when single casing cannot achieve implantation.
Preferably, circumferential rule has several positioning convex strips, convex on the lateral surface in described sleeve pipe lower axial end portion
Item is axially arranged along casing;Circumferential rule has the locating slot to match with positioning convex strip on the medial surface of casing axial direction upper end.
It can be realized by above structure circumferentially positioned between two casings, when operation being prevented to be placed in, week occurs between the casings of two sockets
To displacement.
Preferably, circumferential rule has several positioning protrusion, convex on the lateral surface in described sleeve pipe lower axial end portion
Section is played to be arc-shaped;Circumferential rule has the location hole to match with positioning protrusion on the medial surface of casing axial direction upper end.It should
Structure can realize the axially position between two casings, prevent axial play between two casings.
Preferably, the guiding parts is the swivel nut of inner hollow, described sleeve pipe is threaded through in swivel nut and screw thread therewith
Connection.The swivel nut for the guiding parts that the structure uses more is stablized by swivel nut locating sleeve, prevents from loosening and deviate.
The present invention uses above-mentioned technical proposal, the surgical clamp to apply in the operation of backbone thoracic and lumbar vertebral posterior, and pliers has into
It struts, pressurize, three effects of twisting resistance, being easily placed in art, and can combine closely with nail stick, it is fixed.Specifically, the hand
Art pincers include the first caliper and the second caliper, and the first caliper and the second caliper are hinged;The pincers of first caliper and the second caliper
It is movably equipped with matrix on oral area, casing is connected with by guiding parts on matrix;In above structure, the first caliper and the second caliper
Relative motion, make it have pressurization and strut function, casing has the function of the twisting resistance of locating pin stick.It is needing using pressurization
When with strutting function, matrix can be slid into horizontal segment, casing is on the outside of nip part, is convenient for the operation of nip part;Work as needs
Using the twisting resistance function of sleeve, matrix can be slid into vertical closing in section, casing is vertically arranged, the first caliper and the second caliper
On casing mutually precisely align;Under the structure, inside pipe casing turns casing for being placed in nail stick, by external force, casing and interior
The nail stick in portion is rotated into patient's body under the auxiliary of caliper, is positioned convenient for surgical procedure.
Description of the drawings
Fig. 1 is the structural schematic diagram of embodiment one.
Fig. 2 is the structural schematic diagram of casing.
Fig. 3 is the structural schematic diagram of embodiment two.
Specific implementation mode
Below in conjunction with the accompanying drawings, the preferred embodiments of the invention are described in further detail.
Embodiment one:
Such as a kind of Fig. 1 ~ backbone thoracic and lumbar vertebral posterior surgical clamp shown in Fig. 2, including the first caliper 11 and the second caliper 12, the first pincers
The middle part of body 11 and the second caliper 12 is hinged, and the first caliper 11 and the second caliper 12 can be relatively movable along hinged end, hinged
Nip part 13 is constituted between the first caliper 11 and the second caliper 12 on front side of holding, the first caliper 11 and second pincers on rear side of hinged end
Clamp handle portion 14 is constituted between body 12.It is hinged with tooth plate 15 on the first caliper 11 in the clamp handle portion 14, in clamp handle portion 14
Two calipers 12 are equipped with clamp handle mouth and tension spring 16, and 15 movable end of tooth plate passes through the clamp handle mouth of the second caliper 12, tension spring 16 to position
Connection tooth plate 15 simultaneously keeps tooth plate 15 and the clamp handle mouth of the second caliper 12 mutually ratcheting.
The nip part 13 of first caliper, 11 and second caliper 12 includes horizontal segment 21,22 and of arcuate guide section successively
Vertical closing in section 23;The lateral surface of the nip part 13 of first caliper 11 and the second caliper 12 be equipped with sequentially pass through horizontal segment 21,
The sliding groove 24 of arcuate guide section 22 and vertical closing in section 23;Sliding is equipped with matrix 25 in the sliding groove 24, turns on matrix 25
It is dynamic to be equipped with guiding parts, it is connected with casing 3 on guiding parts;The inner hollow of described sleeve pipe 3, the end face outside of casing 3 with lead
It is connected to component, casing 3 can circumferentially rotate relative to guiding parts and generate axial displacement.
Specifically, if also circumferential rule is equipped with the main pipe wing 31 in the end face outside of described sleeve pipe 3, the pipe wing 31 includes wing seat
31a, and the wing bar 31b that is hinged on wing seat 31a.The wing bar 31b can be along hinged end in 3 radial direction of casing and casing
It is rotated between 3 axial directions.The end face outside of the casing 3 of the pipe wing 31 axially below is equipped with screw thread shape sliding slot 32, screw thread
32 end non-close of shape sliding slot, guiding parts are the sliding block 26 being slidably arranged in screw thread shape sliding slot 32, and sliding block 26 can be in spiral shell
32 end of line shape sliding slot is detached from therewith.Under above structure, what the pipe wing 31 on the outside of casing 3 can be unfolded or be stored by overturning
Adjustment;When such as needing the pressurization using pliers, expanding structure in art, the pipe wing 31 can be stored;Such as need to make in art
When with casing 3, then the pipe wing 31 can be unfolded, facilitate tool and casing 3 circumferentially fixed, casing 3 is easily turned convenient for surgical staff.
The step of being needed in art using casing 3 is as follows:
The first step;Matrix 25 is moved to along sliding groove 24 in vertical closing in section 23, and keep casing 3 perpendicular by rotating guiding parts
Straight setting.
Second step;Two casings 3 on first caliper 11 and the second caliper 12 are needed to be aligned merging point of performing the operation according to operation,
Caliper carries out auxiliary positioning to it.
Third walks;Stick is followed closely into 3 inside merging of casing, the pipe wing 31 on casing 3 is unfolded, and connects external tool on it
(Such as box spanner), keep external tool and casing 3 circumferentially positioned;Surgical staff passes through tool rotating casing 3, casing 3 and inside
Nail stick be rotated into patient's body under the auxiliary of caliper.
4th step;In 3 rotation process of casing, threadingly shape sliding slot 32 moves sliding block 26, and in 32 end of screw thread shape sliding slot
It is detached from therewith, 3 direction of casing positions at this time, and caliper is detached from casing 3, and medical staff can use lower clamp.
5th step;Staff can operate casing 3, until completing implantation.
For above-mentioned surgical clamp when using casing 3, caliper carries out auxiliary positioning to casing 3, and casing 3 is relative to guiding parts
(That is sliding block 26)It is circumferential mobile, and be to be oriented to the displacement realized in axial direction with screw thread shape sliding slot 32, it completes casing 3 and follows closely setting for stick
Enter art;With convenient for surgical procedure, shorten the advantage of operating time.
In addition, in order to deal with the possible period of want or need in art;If patient size is partially fat, when single casing 3 cannot achieve implantation.
The upper axial end of described sleeve pipe 3 is open and constitutes locating fastener structure between lower axial end opening;The structure is to be used for two casings 3
Between realize that head and the tail are socketed, realize that casing 3 is applied in combination.Specifically, circumferential rule on the lateral surface in 3 lower axial end portion of casing
There are several positioning convex strips 33 and several positioning protrusion 34, positioning convex strip 33 is along the axial setting of casing 3,34 section of positioning protrusion
It is arc-shaped;Circumferential rule has the locating slot to match with positioning convex strip 33, Yi Jiyu on the medial surface in 3 upper axial end portion of casing
The location hole that positioning protrusion 34 matches.In above structure, between positioning convex strip 33 and achievable two casings 3 of locating slot cooperation
It is circumferentially positioned, when operation being prevented to be placed in, occur between the casing 3 of two sockets circumferentially displaced.Positioning protrusion 34 coordinates with location hole
The axially position between two casings 3 can be achieved, prevent axial play between two casings 3.
Embodiment two:
As shown in figure 3, the program is the another embodiment of surgical clamp, surgical clamp includes the first caliper 11 and the in the program
The middle part of two calipers 12, the first caliper 11 and the second caliper 12 is hinged, and the first caliper 11 and the second caliper 12 can be along hinged
End is relatively movable, and nip part 13 is constituted between the first caliper 11 and the second caliper 12 on front side of hinged end, and the on rear side of hinged end
Clamp handle portion 14 is constituted between one caliper 11 and the second caliper 12;It is hinged with tooth plate on the first caliper 11 in the clamp handle portion 14
15, the second caliper 12 in clamp handle portion 14 is equipped with clamp handle mouth and tension spring 16, and 15 movable end of tooth plate passes through the second caliper 12
Clamp handle mouth, tension spring 16 are located by connecting and tooth plate 15 and keep tooth plate 15 and the clamp handle mouth of the second caliper 12 mutually ratcheting.
The nip part 13 of first caliper, 11 and second caliper 12 includes horizontal segment 21,22 and of arcuate guide section successively
Vertical closing in section 23;The lateral surface of the nip part 13 of first caliper 11 and the second caliper 12 be equipped with sequentially pass through horizontal segment 21,
The sliding groove 24 of arcuate guide section 22 and vertical closing in section 23;Sliding is equipped with matrix 25 in the sliding groove 24, turns on matrix 25
It is dynamic to be equipped with guiding parts, it is connected with casing 3 on guiding parts;The inner hollow of described sleeve pipe 3, the end face outside of casing 3 with lead
It is connected to component, casing 3 can circumferentially rotate relative to guiding parts and generate axial displacement.The guiding parts is inside
Hollow swivel nut 27, described sleeve pipe 3 are threaded through in swivel nut 27 and are threadedly coupled therewith.The swivel nut for the guiding parts that the structure uses
27, more stablized by 27 locating sleeve 3 of swivel nut, prevents from loosening and deviate.
Summary:
In summary two kinds of embodiments, the surgical clamp apply in the operation of backbone thoracic and lumbar vertebral posterior, and pliers, which has into, to be strutted, adds
Pressure, twisting resistance three act on, and are easily placed in art, and can combine closely with nail stick, fixed.Specifically, the surgical clamp packet
The first caliper 11 and the second caliper 12 are included, the first caliper 11 and the second caliper 12 are hinged;First caliper 11 and the second caliper
It is movably equipped with matrix 25 on 12 nip part 13, casing 3 is connected with by guiding parts on matrix 25;In above structure, first
The relative motion of caliper 11 and the second caliper 12 makes it have pressurization and struts function, and casing 3 has the twisting resistance of locating pin stick
Function.When needing using pressurizeing and strutting function, matrix 25 can be slid into horizontal segment 21, casing 3 is in outside nip part 13
The operation of nip part 13 is convenient in side;When needing the twisting resistance function using sleeve, matrix 25 can be slid into vertical closing in section
23, casing 3 is vertically arranged, and the casing 3 on the first caliper 11 and the second caliper 12 mutually precisely aligns;Under the structure, in casing 3
Portion turns casing 3 for being placed in nail stick, by external force, and casing 3 and internal nail stick are rotated into patient under the auxiliary of caliper
In vivo, it is convenient for surgical procedure to position.
Claims (3)
1. a kind of backbone thoracic and lumbar vertebral posterior surgical clamp, it is characterised in that:Including the first caliper and the second caliper, the first caliper and
It is hinged in the middle part of two calipers, the first caliper and the second caliper can be relatively movable along hinged end, the first pincers on front side of hinged end
Nip part is constituted between body and the second caliper, and clamp handle portion is constituted between the first caliper and the second caliper on rear side of hinged end;It is described
Tooth plate is hinged on the first caliper in clamp handle portion, the second caliper in clamp handle portion is equipped with clamp handle mouth and tension spring, tooth plate activity
End passes through the clamp handle mouth of the second caliper, tension spring to be located by connecting and tooth plate and keep the clamp handle mouth of tooth plate and the second caliper mutually ratcheting;
The nip part of first caliper and the second caliper includes horizontal segment, arcuate guide section and the section that closes up vertically successively;The
The lateral surface of the nip part of one caliper and the second caliper is equipped with and sequentially passes through horizontal segment, arcuate guide section and vertical closing in section
Sliding groove;Sliding is equipped with matrix in the sliding groove, is rotated on matrix and is equipped with guiding parts, casing is connected on guiding parts;
The end face outside of the inner hollow of described sleeve pipe, casing is connected with guiding parts, and casing can be relative to guiding parts circumferential direction
It rotates and generates axial displacement;The upper axial end of described sleeve pipe is open and constitutes locating fastener structure between lower axial end opening.
2. a kind of backbone thoracic and lumbar vertebral posterior surgical clamp according to claim 1, it is characterised in that:Described sleeve pipe lower axial end
Circumferential rule has several positioning convex strips, positioning convex strip to be axially arranged along casing on the lateral surface in portion;Casing axial direction upper end
Circumferential rule has the locating slot to match with positioning convex strip on medial surface.
3. a kind of backbone thoracic and lumbar vertebral posterior surgical clamp according to claim 2, it is characterised in that:Described sleeve pipe lower axial end
Circumferential rule has several positioning protrusion, positioning protrusion section to be arc-shaped on the lateral surface in portion;Casing axial direction upper end it is interior
Circumferential rule has the location hole to match with positioning protrusion on side.
Priority Applications (1)
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CN201810145068.7A CN108309399A (en) | 2016-06-29 | 2016-06-29 | A kind of backbone thoracic and lumbar vertebral posterior surgical clamp |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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CN201810145068.7A CN108309399A (en) | 2016-06-29 | 2016-06-29 | A kind of backbone thoracic and lumbar vertebral posterior surgical clamp |
CN201610522109.0A CN105997192B (en) | 2016-06-29 | 2016-06-29 | A kind of backbone thoracic and lumbar vertebral posterior surgical clamp |
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CN201610522109.0A Division CN105997192B (en) | 2016-06-29 | 2016-06-29 | A kind of backbone thoracic and lumbar vertebral posterior surgical clamp |
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CN108309399A true CN108309399A (en) | 2018-07-24 |
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CN201610522109.0A Active CN105997192B (en) | 2016-06-29 | 2016-06-29 | A kind of backbone thoracic and lumbar vertebral posterior surgical clamp |
CN201810145068.7A Pending CN108309399A (en) | 2016-06-29 | 2016-06-29 | A kind of backbone thoracic and lumbar vertebral posterior surgical clamp |
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CN201610522109.0A Active CN105997192B (en) | 2016-06-29 | 2016-06-29 | A kind of backbone thoracic and lumbar vertebral posterior surgical clamp |
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CN108567453A (en) * | 2018-03-15 | 2018-09-25 | 郭子恒 | A kind of new-type multi-purpose gun-shaped surgical dilator |
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US8377070B2 (en) * | 2007-05-17 | 2013-02-19 | Michael T. Gauthier | Compressor distractor tool |
US8287546B2 (en) * | 2008-07-31 | 2012-10-16 | Zimmer Spine, Inc. | Surgical instrument with integrated compression and distraction mechanisms |
CN104605903B (en) * | 2015-02-12 | 2017-03-01 | 贺新宁 | Minimally invasive unfolding pressurizing device |
CN105559836B (en) * | 2016-02-06 | 2019-08-20 | 贺新宁 | A kind of minimally invasive unfolding pressurizing device |
CN205924112U (en) * | 2016-06-29 | 2017-02-08 | 丽水市中心医院 | Backbone chest lumbar vertebrae posterior approach operation pincers |
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2016
- 2016-06-29 CN CN201610522109.0A patent/CN105997192B/en active Active
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CN105997192B (en) | 2018-08-10 |
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Application publication date: 20180724 |