CN108577932A - A kind of multi-functional orthopedic surgical clamp - Google Patents

A kind of multi-functional orthopedic surgical clamp Download PDF

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Publication number
CN108577932A
CN108577932A CN201810488770.3A CN201810488770A CN108577932A CN 108577932 A CN108577932 A CN 108577932A CN 201810488770 A CN201810488770 A CN 201810488770A CN 108577932 A CN108577932 A CN 108577932A
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jaw
handle
connecting shaft
groove
shaft
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CN201810488770.3A
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CN108577932B (en
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王国伟
窦洪磊
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/285Surgical forceps combined with cutting implements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14Surgical saws ; Accessories therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/2812Surgical forceps with a single pivotal connection
    • A61B17/2816Pivots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/2812Surgical forceps with a single pivotal connection
    • A61B17/282Jaws

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

Abstract

The invention discloses a kind of multi-functional orthopedic surgical clamps, include mainly handle one, handle two, jaw one, jaw two, shaft coupling, handle one is identical with two structure of handle and about shaft coupling central symmetry, and jaw one is identical with two structure of jaw and about shaft coupling central symmetry;Left connecting shaft in shaft coupling with the groove one in jaw one for connecting so that shaft coupling is connect with jaw one;Groove one in jaw two with right connecting shaft by connecting so that jaw two and coupling connection;Left secondary connecting shaft in shaft coupling with the groove two in handle one for connecting so that shaft coupling is connect with handle one, and the groove two in handle two with right secondary connecting shaft by connecting so that handle two and coupling connection.Structure of the invention is novel, feature-rich, easy to operate, can mitigate medical staff's workload and reduce the bone surgery working time, and cost is relatively low, suitable for producing in batches and being widely popularized.

Description

A kind of multi-functional orthopedic surgical clamp
Technical field
The present invention relates to the field of medical instrument technology, are specifically related to a kind of multi-functional orthopedic surgical clamp.
Background technology
Osteology is also known as orthopedia.Have in terms of diagnosis, treatment with progress, osteology with the development of science and technology Prodigious progress.With the change in epoch and society, injury of orthopaedics department spectrum changes there has also been apparent, for example, tuberculous osteoarthropathy, The diseases such as osteomyelitis, polio significantly reduce, wound showed increased caused by traffic accident, the aging of population, senile bone Fracture, osteology arthropathy caused by matter is loose increase, and the influence of environmental factor, bone tumour, rheumatoid arthritis accordingly increase It is more etc..The variation of injury of orthopaedics department spectrum, it is desirable that the emphasis and prevention emphasis of orthopaedics research must adapt to this transformation, this also determines The developing direction of orthopaedics from now on is determined.The development of modern science should have fine branch, while more emphasize multi-disciplinary conjunction Make, the development of orthopaedics is same, and the development of following orthopaedics does not require nothing more than the combination for more paying attention to same preclinical medicine, Er Qieying The attention makes full use of advanced scientific and technological achievement, for example, joint prosthesis function is further perfect, just has to rely on material The new results of material science are applied to Orthopedic Clinical, it will the treatment level of orthopaedics is made to be increased to by the reach of science in time One new height.
Scissors, bone saw and pliers are also the common basic medical instrument of orthopaedics, and bone art, or shearing are taken for orthopaedics bone grafting With sawing bone wart, poroma, osteoma and chondroma etc..Currently, clinically used scissors is made of cutting edge and handle, planted in orthopaedics Bone takes in bone art, or when shearing the calcification of tissue, poroma, bone wart and osteoma, need to switch repeatedly scissors and The use of bone saw, it is extremely inconvenient, it is time-consuming and laborious, the labor intensity of medical worker is on the one hand increased, when on the other hand making operation Between extend, increase the pain of patient.
Invention content
For the above technical problem, the invention discloses one kind, and scissors, bone saw and pliers can be combined as a whole, and A kind of multi-functional orthopedic surgical clamp of the plier jaws direction of motion can freely be changed.
The technical scheme is that:A kind of multi-functional orthopedic surgical clamp, mainly include handle one, handle two, jaw one, Jaw two, shaft coupling.The handle one is identical with two structure of the handle, is now only illustrated to handle one, and handle one wraps Sliding block, lower buckle, gliding groove, link block, groove two are included, the gliding groove is located at the top of one Inner Front End face of handle, the lower card Button is uniformly installed on the left and right sides, the link block in gliding groove and is installed between lower buckle, and the sliding block is installed on link block At the top of front end face, the groove two is located in handle one at the top of rear end face;The jaw one and two inside top knot of the jaw Structure is different, remaining structure is identical, is now only illustrated to jaw one, and jaw one includes groove one, upper hopper chute, upper buckle, The upper hopper chute is installed on one Inner Front End face bottom of jaw, and the upper buckle is uniformly installed on and the left and right sides, institute in upper hopper chute It states groove one and is located at one rear end face of jaw at bottom;Shaft coupling includes left connecting shaft, right connecting shaft, main shaft, countershaft, lower connecting shaft, the right side Secondary connecting shaft, left secondary connecting shaft, the left connecting shaft are installed on the left of the main shaft, and the right connecting shaft is installed on the right side of main shaft, under described Connecting shaft is installed on main shaft bottom, is equipped with groove at the top of the countershaft, main shaft is connect by lower connecting shaft with the groove in countershaft, described Right pair connecting shaft is located on the right side of countershaft, and the left secondary connecting shaft is located on the left of countershaft;Left connecting shaft in shaft coupling be used for in jaw one Groove one connects so that shaft coupling is connect with jaw one;Groove one in jaw two with right connecting shaft by connecting so that jaw two with Coupling connection;Left secondary connecting shaft in shaft coupling with the groove two in handle one for connecting so that shaft coupling is connect with handle one, handle Groove two in two with right secondary connecting shaft by connecting so that handle two and coupling connection;Link block inlay be installed on it is lower buckle with Between upper buckle, and the track activity that can be formed with upper buckle along lower buckle.
Further, one inside top of jaw is equipped with sawtooth, and two inside top of the jaw is equipped with cutting edge so that the present apparatus Have the function of shearing and sawing, can be used for orthopaedics bone grafting and take bone art, or cut off the calcification of tissue, poroma, bone wart with And bone tumour etc., it is time saving and energy saving, operating time is shortened, the labor intensity of medical worker is reduced, alleviates the pain of patient.
Further, the connecting shaft both ends of the left connecting shaft, right connecting shaft, lower connecting shaft, right secondary connecting shaft and left secondary connecting shaft all use Hemisphere structure so that above-mentioned connecting shaft can freely rotate in corresponding groove, and device is more flexible.
Further, all it is inserted connection between the handle one, handle two, jaw one, jaw two, shaft coupling, it can be with It is freely disassembled;On the one hand the service life for extending device, on the other hand facilitates medical staff more fully to disappear device Poison cleaning.
Further, the handle one is equipped with rubber gloves with two bottom of handle, and is equipped on the outside of the rubber gloves Three finger slots;On the one hand increase medical staff to hold with a firm grip when in use handle, on the other hand refer to being equipped with for slot and suit human body palm knot Structure so that medical staff is more comfortable when use.
Further, the lower buckle is buckled with upper buckle using specification circular arc body of the same size so that medical staff It can control whether link block enters in upper hopper chute by pushing sliding block up and down.
The working method of the present invention:Medical staff first passes through sliding block and skids off link block from gliding groove, then passes through master Lower connecting shaft rotation jaw one between axis and countershaft and jaw two, by the gliding groove in handle one and the upper hopper chute pair in jaw one Together, then link block is pushed into upper hopper chute by sliding block again so that handle one is connect with jaw one, and handle two connects with jaw two It connects, then by handle one and the handle two held with a firm grip, reduces the distance between handle one and handle so that jaw one is pressed from both sides with jaw two Tightly;When needing jaw one and jaw two to carry out expanded support to target location, medical staff first passes through sliding block by link block from downslide It is skidded off in slot, jaw one and jaw two is then rotated by the lower connecting shaft between main shaft and countershaft, by the gliding groove in handle one It is aligned with the sliding slot in jaw two, after link block is slid into sliding slot so that handle one is connect with jaw two, handle two and jaw one Connection, medical staff hold with a firm grip handle one and handle two so that reduce the distance between handle one and handle and make jaw one and clamp Mouth two opens, and realizes expanded support function;And the sawtooth and cutting edge being equipped with by jaw one and two inner top of jaw, to carry out to bone Shearing when section's corrective surgery and sawing function.
Compared with prior art, the beneficial effects of the invention are as follows:
1, scissors, bone saw and pliers can be combined as a whole by the present invention, avoid and replace scissors in bone surgery repeatedly With the use of bone saw, the labor intensity of medical staff is alleviated.
2, the present invention can so that the direction of motion of jaw is converted by the replacement connection of handle and jaw, medical care people Member is in one's hands to hold can need clamping or expanded support target rear jaw according to operation.
3, the present invention is directly rotatablely connected by multiple connecting shafts so that present apparatus junction can be freely rotated, freely Connection type is changed, and device can be fixed by the flexible of link block.
4, structure of the invention is novel, feature-rich, easy to operate, can mitigate medical staff's workload and reduce bone Section's surgical work time, and cost is relatively low, suitable for producing in batches and being widely popularized.
Description of the drawings
Fig. 1 is the appearance diagram of invention;
Fig. 2 is the front view of the present invention;
Fig. 3 is the bottom view of the present invention;
Fig. 4 is the handle and jaw junction schematic diagram of the present invention;
Fig. 5 is the coupling connection schematic diagram of the present invention;
Fig. 6 is the handle and jaw connection diagram of the present invention;
Fig. 7 is the handle and jaw front view of the present invention;
Fig. 8 is the handle and jaw junction schematic diagram of the present invention;
Fig. 9 is the coupling structure schematic diagram of the present invention;
Figure 10 is the shaft coupling stereoscopic schematic diagram of the present invention;
Wherein, buckle, 13- under 1- handles one, 2- handles two, 3- jaws one, 4- jaws two, 5- shaft couplings, 11- sliding blocks, 12- Gliding groove, 14- link blocks, 15- grooves two, 31- grooves one, 32- upper hopper chutes, buckle on 33-, the left connecting shafts of 51-, the right connecting shafts of 52-, The right secondary connecting shaft of connecting shaft, 56-, 57- left secondary connecting shafts under 53- main shafts, 54- countershafts, 55-.
Concrete case
For ease of the understanding to technical solution of the present invention, below in conjunction with the accompanying drawings and the specific embodiments for do it is further It illustrates.
Embodiment 1:
As shown in Figure 1, 2, a kind of multi-functional orthopedic surgical clamp includes mainly handle 1, handle 22, jaw 1, jaw 24, shaft coupling 5, handle 1 is identical with 22 structure of handle, is now only illustrated to handle 1, such as the institute of Fig. 3,5,6,7,8 Show, handle 1 includes sliding block 11, lower buckle 12, gliding groove 13, link block 14, groove 2 15, and gliding groove 13 is located at handle 1 At the top of Inner Front End face, lower buckle 12 is uniformly installed on the left and right sides in gliding groove 13, and link block 14 is installed between lower buckle 12, Sliding block 11 is installed at the top of 14 front end face of link block, and groove 2 15 is located in handle 1 at the top of rear end face;Jaw 1 and jaw 24 inside top structures are different, remaining structure is identical, is now only illustrated to jaw 1, and jaw 1 includes groove one 31, upper hopper chute 32, upper buckle 33, upper hopper chute 32 are installed on one 3 Inner Front End face bottom of jaw, upper buckle 33 be uniformly installed on it is upper The left and right sides, groove 1 are located at one 3 rear end face of jaw at bottom in sliding slot 32;As shown in Fig. 5,9,10, shaft coupling 5 includes Left connecting shaft 51, right connecting shaft 52, main shaft 53, countershaft 54, lower connecting shaft 55, right secondary connecting shaft 56, left secondary connecting shaft 57, left connecting shaft 51 are installed on 53 left side of main shaft, right connecting shaft 52 are installed on 53 right side of main shaft, and lower connecting shaft 55 is installed on 53 bottom of main shaft, and 54 top of countershaft is equipped with recessed Slot, main shaft 53 are connect by lower connecting shaft 55 with the groove in countershaft 54, and right pair connecting shaft 56 is located at 54 right side of countershaft, left secondary connecting shaft 57 Positioned at 54 left side of countershaft;Left connecting shaft 51 in shaft coupling 5 with the groove 1 in jaw 1 for connecting so that shaft coupling 5 and jaw One 3 connections;Groove 1 in jaw 24 with right connecting shaft 52 by connecting so that jaw 24 is connect with shaft coupling 5;In shaft coupling 5 Left secondary connecting shaft 57 for being connect with the groove 2 15 in handle 1 so that shaft coupling 5 is connect with handle 1, in handle 22 Groove 2 15 with right secondary connecting shaft 56 by connecting so that handle 22 is connect with shaft coupling 5;Link block 14, which is inlayed, is installed on lower buckle Between 12 and upper buckle 33, and the track activity that can be formed with upper buckle 33 along lower buckle 12.
Wherein, one 3 inside top of jaw is equipped with sawtooth, and 24 inside top of jaw is equipped with cutting edge;It is cut so that the present apparatus has Cut with sawing function, can be used for orthopaedics bone grafting and take bone art, or calcification, poroma, bone wart and the bone of excision tissue are swollen Tumor etc., it is time saving and energy saving, operating time is shortened, the labor intensity of medical worker is reduced, alleviates the pain of patient;Left connecting shaft 51, the connecting shaft both ends of right connecting shaft 52, lower connecting shaft 55, right secondary connecting shaft 56 and left secondary connecting shaft 57 all use hemisphere structure;On so that Stating connecting shaft can freely rotate in corresponding groove so that device is more flexible;Handle 1, handle 22, jaw 1, pincers All it is inserted connection between mouth 24, shaft coupling 5, can be freely disassembled;On the one hand the service life of device, another party are extended Face facilitates medical staff to carry out more fully disinfection cleaning to device;Handle 1 is equipped with rubber gloves with 22 bottom of handle, and And refer to slot there are three being set on the outside of rubber gloves;On the one hand increase medical staff to hold with a firm grip when in use handle, on the other hand refer to slot Equipped with suiting human body palm structure so that medical staff is more comfortable when use;Lower buckle 12 uses specification size with upper buckle 33 Consistent circular arc body buckle;Medical staff is allow to control whether link block 14 enters upper cunning by pushing sliding block 11 up and down In slot 32.
The working method of the present invention:Medical staff first passes through sliding block 11 and skids off link block 14 from gliding groove 13, then Rotate jaw 1 and jaw 24 by lower connecting shaft 55 between main shaft 53 and countershaft 54, by handle 1 gliding groove 13 with Upper hopper chute 32 in jaw 1 is aligned, and then link block 14 is pushed into upper hopper chute 32 by sliding block 11 again so that handle 1 Connect with jaw 1, handle 22 is connect with jaw 24, then by hold with a firm grip handle 1 and handle 22, reduce handle 1 with The distance between handle 2 makes jaw 1 be clamped with jaw 24;It is carried out when needing 24 pairs of target locations of jaw 1 and jaw When expanded support, medical staff first passes through sliding block 11 and skids off link block from gliding groove 13, then by main shaft 53 and countershaft 54 it Between lower connecting shaft 55 rotate jaw 1 and jaw 24, the gliding groove 13 in handle 1 and the upper hopper chute 32 in jaw 24 is right Together, after link block 14 being slid into upper hopper chute 32 so that handle 1 is connect with jaw 24, and handle 22 is connect with jaw 1, doctor Shield personnel hold with a firm grip handle 1 and handle 22 so that reduce the distance between handle 1 and handle 2 and make jaw 1 and jaw 24 open, and realize expanded support function;And the sawtooth and cutting edge being equipped with by jaw 1 and 24 inner top of jaw, to carry out pair Shearing when orthopaedics patient is performed the operation and sawing function.
Experimental data of the surgical clamp of the present invention in Clinical practice:
Statistics needs the patient for carrying out needing bone orthomorphia in three-level bone surgery to amount to 200 people, according to random side Method is divided into control group, experimental group, and every group of 100 patients, wherein experimental group are to be performed the operation using surgical clamp of the present invention, control group To use traditional operation pincers to perform the operation, Comparison of therapeutic is as shown in table 1 below:
Table 1:Experimental group is with control group mean operative time with operator doctor to respectively using the evaluation contrast table of surgical clamp
It can be seen from the data in Table 1 that surgical clamp of the present invention is satisfied with journey for the operator doctor during bone surgery Degree is significantly greater than traditional operation pincers, illustrates that the surgical clamp of the present invention is more liked by operator doctor, promotes i.e. for convenience, behaviour It is preferable to make feel;And the mean operative time of traditional operation pincers is much smaller than using the mean operative time of surgical clamp of the present invention, It is more convenient to illustrate that the surgical clamp of the present invention operates, effectively reduces the amount of labour of medical staff, improves medical staff Working efficiency.Finally it should be noted that:The above embodiments are merely illustrative of the technical solutions of the present invention, rather than its limitations; Although the present invention is described in detail referring to the foregoing embodiments, it will be understood by those of ordinary skill in the art that:Its according to It can so modify to the technical solution recorded in previous embodiment, or which part technical characteristic is equally replaced It changes;And these modifications or replacements, the spirit for technical solution of the embodiment of the present invention that it does not separate the essence of the corresponding technical solution And range.

Claims (7)

1. a kind of multi-functional orthopedic surgical clamp, which is characterized in that mainly include handle one (1), handle two (2), jaw one (3), Jaw two (4), shaft coupling (5), the handle one (1) is identical with the handle two (2) structure, now only to handle one (1) into Row explanation, handle one (1) includes sliding block (11), lower buckle (12), gliding groove (13), link block (14), groove two (15), described Gliding groove (13) is located at the top of handle one (1) Inner Front End face, and the lower buckle (12) is uniformly installed on left and right in gliding groove (13) Both sides, the link block (14) are installed between lower buckle (12), and the sliding block (11) is installed on link block (14) front end face top Portion, the groove two (15) are located at the top of the interior rear end face of handle one (1);The jaw one (3) and the jaw two (4) medial roof Portion structure is different, remaining structure is identical, is now only illustrated to jaw one (3), jaw one (3) include groove one (31), Upper hopper chute (32), upper buckle (33), the upper hopper chute (32) are installed on jaw one (3) Inner Front End face bottom, the upper buckle (33) it is uniformly installed on and is located at jaw one (3) rear end face the bottom of close to the left and right sides, the groove one (31) in upper hopper chute (32) At portion;Shaft coupling (5) includes left connecting shaft (51), right connecting shaft (52), main shaft (53), countershaft (54), lower connecting shaft (55), right secondary connecting shaft (56), left secondary connecting shaft (57), the left connecting shaft (51) are installed on the left of the main shaft (53), and the right connecting shaft (52) is installed on master On the right side of axis (53), the lower connecting shaft (55) is installed on main shaft (53) bottom, and groove, main shaft (53) are equipped at the top of the countershaft (54) It is connect with the groove in countershaft (54) by lower connecting shaft (55), the right secondary connecting shaft (56) is located on the right side of countershaft (54), the left side Secondary connecting shaft (57) is located on the left of countershaft (54);Left connecting shaft (51) in shaft coupling (5) is used for and the groove one (31) in jaw one (3) Connection so that shaft coupling (5) is connect with jaw one (3);Groove one (31) in jaw two (4) by being connect with right connecting shaft (52), So that jaw two (4) is connect with shaft coupling (5);Left secondary connecting shaft (57) in shaft coupling (5) is used for and the groove two in handle one (1) (15) connect so that shaft coupling (5) is connect with handle one (1), the groove two (15) in handle two (2) by with it is right pair connecting shaft (56) Connection so that handle two (2) is connect with shaft coupling (5);Link block (14) inlay be installed on lower buckle (12) and upper buckle (33) it Between, and the track activity that can be formed with upper buckle (33) along lower buckle (12).
2. a kind of multi-functional orthopedic surgical clamp as described in claim 1, which is characterized in that the jaw one (3) inside top Equipped with sawtooth, the jaw two (4) inside top is equipped with cutting edge.
3. a kind of multi-functional orthopedic surgical clamp as described in claim 1, which is characterized in that the left connecting shaft (51), right connecting shaft (52), lower connecting shaft (55), right secondary connecting shaft (56) and the connecting shaft both ends of left secondary connecting shaft (57) all use hemisphere structure.
4. a kind of multi-functional orthopedic surgical clamp as described in claim 1, which is characterized in that the handle one (1), handle two (2), all it is inserted connection between jaw one (3), jaw two (4), shaft coupling (5), can be freely disassembled.
5. a kind of multi-functional orthopedic surgical clamp as described in claim 1, which is characterized in that the handle one (1) and handle two (2) bottom be equipped with rubber gloves, and the rubber gloves on the outside of set there are three refer to slot.
6. a kind of multi-functional orthopedic surgical clamp as described in claim 1, which is characterized in that the lower buckle (12) and upper buckle (33) specification circular arc body buckle of the same size is used.
7. a kind of multi-functional orthopedic surgical clamp as described in claim 1, which is characterized in that the handle one (1) is held with described It is inserted connection two (2), can be freely disassembled.
CN201810488770.3A 2018-05-21 2018-05-21 Multi-functional operating forceps of orthopedics Expired - Fee Related CN108577932B (en)

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Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
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CN108577932B CN108577932B (en) 2020-10-30

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5254129A (en) * 1991-11-22 1993-10-19 Alexander Chris B Arthroscopic resector
US20050186536A1 (en) * 2004-02-19 2005-08-25 Helmut Zepf Dental pliers
CN2928011Y (en) * 2006-04-21 2007-08-01 张志忠 Medical multifunction hole cutting forceps
CN202942195U (en) * 2012-12-18 2013-05-22 张勇 Multi-joint type rongeur
CN103702625A (en) * 2012-04-19 2014-04-02 德鲁有限责任公司 Disassemblable surgical forceps
CN205988308U (en) * 2016-11-22 2017-03-01 肖岩 A kind of Multifunctional operation nursing pincers

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5254129A (en) * 1991-11-22 1993-10-19 Alexander Chris B Arthroscopic resector
US20050186536A1 (en) * 2004-02-19 2005-08-25 Helmut Zepf Dental pliers
CN2928011Y (en) * 2006-04-21 2007-08-01 张志忠 Medical multifunction hole cutting forceps
CN103702625A (en) * 2012-04-19 2014-04-02 德鲁有限责任公司 Disassemblable surgical forceps
CN202942195U (en) * 2012-12-18 2013-05-22 张勇 Multi-joint type rongeur
CN205988308U (en) * 2016-11-22 2017-03-01 肖岩 A kind of Multifunctional operation nursing pincers

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