CN109223256B - Pad test mold for knee joint unicondylar replacement operation and matched using method - Google Patents

Pad test mold for knee joint unicondylar replacement operation and matched using method Download PDF

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Publication number
CN109223256B
CN109223256B CN201811337175.6A CN201811337175A CN109223256B CN 109223256 B CN109223256 B CN 109223256B CN 201811337175 A CN201811337175 A CN 201811337175A CN 109223256 B CN109223256 B CN 109223256B
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China
Prior art keywords
liquid
elastic sheet
die unit
test die
cavity
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CN201811337175.6A
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Chinese (zh)
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CN109223256A (en
Inventor
张长成
刘瑜
孙子路
刘舒
王峰
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Nanyang City Center Hospital
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Nanyang City Center Hospital
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Priority to CN201811337175.6A priority Critical patent/CN109223256B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/38Joints for elbows or knees
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/461Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of knees
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • A61F2002/4658Measuring instruments used for implanting artificial joints for measuring dimensions, e.g. length
    • A61F2002/4661Measuring instruments used for implanting artificial joints for measuring dimensions, e.g. length for measuring thickness
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • A61F2002/4666Measuring instruments used for implanting artificial joints for measuring force, pressure or mechanical tension

Abstract

The invention provides a pad test mold for knee joint unicondylar replacement operation and a matched using method, which are used for solving the problem that the pad test mold in the prior art is easy to damage peripheral ligaments and fascia. In the invention, the two ends of the connecting rod are respectively connected with the handle and the test die unit, the test die unit comprises an elastic sheet which automatically adjusts the thickness and gives an alarm, and the test die unit is in threaded connection with the handle; the surface of the test die unit comprises a hard chassis surface and a prismatic surface made of flexible materials, the edge of the prismatic is provided with a support, the elastic sheet is positioned in the prismatic internal cavity, and positioning clamping grooves are formed in two sides of the elastic sheet. The advantages are that: the potential safety hazard possibly caused when the pad test mould forgets to pull out is avoided, the material is light, the use is convenient, and the medical staff can observe and obtain the result conveniently.

Description

Pad test mold for knee joint unicondylar replacement operation and matched using method
Technical Field
The invention relates to the field of medical operation equipment, in particular to a pad test mold for knee joint unicondylar replacement operation and a matched using method.
Background
The knee joint is divided into three compartments, namely a medial compartment, a lateral compartment and a patellofemoral compartment. Knee degenerative arthritis can affect either compartment, with 1/3 of the knee arthritic patients' early lesions limited to only one compartment. The current surgical methods for treating unicompartmental arthritis include unicondylar joint replacement, tibial plateau osteotomy and total knee replacement. The high-level tibia osteotomy is mainly used as a transitional treatment formula for replacing the knee joint, has the defects of incomplete symptom relief and short curative effect maintenance, and is less used in older people. Single condyle arthroplasty has been receiving increasing attention due to prosthetic designs, case selection, and surgical improvements.
Researchers find that in the current technology, because of more operation steps, the medical staff consumes much energy, passive damage to patients occurs in the operation process, specifically, the measurement of the interval between the femur and the tibia is not completed once, most of the time is two or more, in the process, the reciprocating in-out of the test mould and the damage to related ligaments are easily caused, especially, the process of debugging is often accompanied by the taking out of the test mould, and when the medical staff forgets to take out the steps, the damage is irreversible.
Disclosure of Invention
The invention solves a plurality of inconveniences in the current stage, and provides the pad test die which has high automation degree and prevents the ligament from being damaged in the operation.
The technical scheme of the invention is realized as follows:
the pad test die for knee joint unicondylar replacement surgery is designed, two ends of a connecting rod are respectively connected with a handle and a test die unit, the test die unit comprises an elastic sheet which automatically adjusts the thickness and gives an alarm, and the test die unit is in threaded connection with the handles; the surface of the test die unit comprises a hard chassis surface and a prismatic surface made of flexible materials, the edge of the prismatic is provided with a support, the elastic sheet is positioned in the prismatic internal cavity, and positioning clamping grooves are formed in two sides of the elastic sheet.
Preferably, the width of the elastic sheet corresponds to the width of the inner cavity so as to divide the inner cavity and the outer cavity, and a one-way valve is arranged between the inner cavity and the outer cavity to prevent the backflow of the outer cavity.
Or still include liquid formula survey bypass, liquid formula survey bypass includes sealed liquid storage pot, liquid storage pot connects feed liquor pipeline and drain pipe way, the other end of feed liquor pipeline with inside liquid chamber is linked together, the other end of drain pipe way with outside liquid chamber is linked together still be equipped with flow measurement component on the drain pipe and calculate elastic sheet deformation displacement back the liquid formula survey bypass is equipped with the valve in order to control the opening and close of feed liquor pipeline and drain pipe way.
Preferably, the edge of the elastic sheet is provided with a triggering type alarm element, and the triggering type alarm element is in communication connection with an alarm circuit.
Preferably, the one-way valve comprises a through hole arranged on the elastic sheet and a valve sheet closely arranged above the through hole, and one end of the one-way valve is fixed on the elastic sheet.
Preferably, an electronic distance sensing element is also provided.
Preferably, the liquid outlets are arranged on the inner liquid cavity and the outer liquid cavity, rubber plugs are arranged on the liquid outlets in a sealing mode, and the liquid inlet end and the liquid outlet end of the liquid type measuring bypass are provided with needles.
Preferably, the electronic distance sensing element comprises an infrared distance sensor arranged at the lower part of the side surface of the test unit, and the electronic distance sensing element is in communication connection with a remote terminal.
The application method of the pad test mold uses the pad test mold for the knee joint unicondylar replacement operation, and comprises the following steps:
(1) And (3) assembling: selecting a proper test die unit, installing the test die unit on a handle for fastening, and detecting the pressure deformation capability and rebound capability;
(2) And (5) testing a mold: the pad test die is held by hand, the pad test die is inserted between the femur and the tibia until the upper surface of the test die unit contacts with the lower surface of the femur in a state that the included angle between the femur and the tibia is 90 degrees, and a real-time femur-tibia gap value A is recorded;
(3) And (3) testing and adjusting and measuring: slowly lifting the tibia, reducing the included angle between the femur and the tibia, in the process, changing the elastic sheet, recording the deformed gap value when the included angle is the maximum, or resetting the tibia when an alarm occurs, replacing the relatively small-size liner mold again, and starting from the step (1) again until the deformed gap value B is recorded;
(4) Bone spacing adjustment: obtaining C by utilizing the difference value of A and B, and further adjusting the grinding tibia, wherein the grinding thickness is C;
(5) Final measurement: the test unit is replaced by a conventional liner for measurement, and the measurement is completed after the next operation condition is met.
The measurement of the gap value is replaced by a liquid-type measurement bypass, by measuring the change in volume space on both sides of the elastic sheet.
The invention has the beneficial effects that:
(1) The potential safety hazard possibly caused when the pad test mould forgets to pull out is avoided, the material is light, the use is convenient, and the medical staff can observe and obtain the result conveniently;
(2) The automatic detection device can automatically detect the thickness of the tibia to be ground in the next step, and meanwhile, the surrounding ligaments are not damaged;
(3) The elastic sheet is selected, so that the deformation and measurement in the using process are facilitated, on the one hand, the device is protected by the design of slow rebound, and the contact is line contact or point contact, so that the abrasion to a bone structure can be minimized;
(4) The design of the one-way valve provides the equipment with an instantaneous memory function, so that the state of the equipment is convenient to maintain, and the subsequent measurement is ensured;
(5) The whole equipment has strong interchangeability, can be combined with traditional equipment for clinical treatment, and is used as an alternative scheme in the operation process;
(6) Can combine multiple measurement methods, further reduce medical personnel's intensity of labour.
Drawings
In order to more clearly illustrate the embodiments of the invention or the technical solutions in the prior art, the drawings that are required in the embodiments or the description of the prior art will be briefly described, it being obvious that the drawings in the following description are only some embodiments of the invention, and that other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1 is a perspective view of the structure of the present invention;
FIG. 2 is a front view of the present invention in use;
FIG. 3 is a second cross-sectional view of the present invention in use;
FIG. 4 is a three-sectional view of the present invention in use;
FIG. 5 is a schematic diagram of the configuration of the fluidic assay bypass and test module unit of the present invention;
1. a handle; 2. a connecting rod; 3. a test module unit; 4. threaded connection; 5. tibia; 6. femur; 7. an elastic sheet; 8. an external liquid chamber; 9. a prismatic surface; 10. positioning clamping grooves; 11. an internal liquid chamber; 12. a one-way valve; 13. an outlet of the external liquid chamber; 14. an outlet of the internal liquid chamber; 15. a flow rate measuring element; 16. a liquid storage tank; 17. a pipeline.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without any inventive effort, are intended to be within the scope of the invention.
In the embodiment 1, a pad test mold for knee joint unicondylar replacement surgery is designed, as shown in fig. 1 to 4, two ends of a connecting rod 2 are respectively connected with a handle 1 and a test mold unit 3, the test mold unit 3 comprises an elastic sheet 7 which automatically adjusts the thickness and gives an alarm, and the test mold unit 3 is in threaded connection 4 with the handle 1; the surface of the test die unit 3 comprises a hard chassis surface and a prismatic surface 9 made of flexible materials, the edge of the prismatic is provided with a support, the elastic sheet 7 is positioned in the prismatic internal cavity, and the two sides of the elastic sheet 7 are provided with positioning clamping grooves 10.
The width of the elastic sheet 7 corresponds to the width of the inner cavity to divide the inner liquid cavity 11 and the outer liquid cavity 8, and a one-way valve 12 is arranged between the inner liquid cavity 11 and the outer liquid cavity 8 to prevent the backflow of the outer liquid cavity 8. When measuring the distance, insert slowly, the test module unit warp, and the survey distance gives medical personnel simultaneously.
The edge of the elastic sheet 7 is provided with a triggering type alarm element which is in communication connection with an alarm circuit. Can alarm in time, avoid the occurrence of the compression injury.
The one-way valve 12 comprises a through hole arranged on the elastic sheet 7 and a valve sheet closely arranged above the through hole, and one end of the one-way valve is fixed on the elastic sheet 7. The design provides the device with a certain memory.
In this embodiment, an electronic distance sensing element is also provided to measure in real time the distance between the top and bottom surfaces of the prismatic surface 9, further assessing the distance between the femur 6 and tibia 5.
The liquid outlet is arranged on the inner liquid cavity 11 and the outer liquid cavity 8, a rubber plug is arranged on the liquid outlet in a sealing way, and needles are arranged at the liquid inlet end and the liquid outlet end of the liquid type measuring bypass. This design facilitates ingress and egress and sealing of the needle.
The electronic distance sensing element comprises an infrared distance sensor arranged at the lower part of the side face of the test die unit 3, and the electronic distance sensing element is in communication connection with a remote terminal.
The application method of the pad test mold uses the pad test mold for the knee joint unicondylar replacement operation, and comprises the following steps:
(1) And (3) assembling: selecting a proper test die unit 3, installing the test die unit on the handle 1 for fastening, and detecting the pressure deformation capability and rebound capability;
(2) And (5) testing a mold: the hand-held gasket test die is inserted between the femur 6 and the tibia 5 until the upper surface of the test die unit 3 contacts with the lower surface of the femur 6 in a state that the included angle between the femur 6 and the tibia 5 is 90 degrees, and a real-time gap value A between the femur 6 and the tibia 5 is recorded;
(3) And (3) testing and adjusting and measuring: slowly lifting the tibia 5, reducing the included angle between the femur 6 and the tibia 5, changing the elastic sheet 7 in the process, recording the deformed gap value when the included angle is maximum, or resetting the tibia 5 when an alarm occurs, replacing the relatively small-size pad test mould again, and starting from the step (1) again until the deformed gap value B is recorded;
(4) Bone spacing adjustment: obtaining C by utilizing the difference value of A and B, and further adjusting the grinding tibia 5, wherein the grinding thickness is C;
(5) Final measurement: the test unit 3 is replaced by a conventional pad for measurement, and after the next operation condition is met, the measurement is completed.
Embodiment 2, see fig. 5, is different from embodiment 1 in that the embodiment further comprises a liquid type measuring bypass, the liquid type measuring bypass comprises a sealed liquid storage tank 16, the liquid storage tank 16 is connected with a liquid inlet pipeline and a liquid outlet pipeline, the other end of the liquid inlet pipeline is communicated with an internal liquid cavity 11, the other end of the liquid outlet pipeline is communicated with an external liquid cavity 8, a flow measuring element 15 is further arranged on the liquid outlet pipeline to calculate deformation displacement of the elastic sheet 7, and a valve is further arranged on the liquid type measuring bypass to control opening and closing of the liquid inlet pipeline and the liquid outlet pipeline. The measurement of the gap value is replaced by a liquid-type measurement bypass, and the change in the volume space on both sides of the elastic sheet 7 is measured.
The design further improves the automation degree of the equipment and further reduces the volume of the equipment.
The foregoing description of the preferred embodiments of the invention is not intended to be limiting, but rather is intended to cover all modifications, equivalents, alternatives, and improvements that fall within the spirit and scope of the invention.

Claims (5)

1. The utility model provides a knee joint unicondylar replacement is pad examination mould for operation which characterized in that: the two ends of the connecting rod (2) are respectively connected with the handle (1) and the test die unit (3), the test die unit (3) comprises an elastic sheet (7) which automatically adjusts the thickness and gives an alarm, and the test die unit (3) is in threaded connection (4) with the handle (1); the surface of the test die unit (3) comprises a hard chassis surface and a prismatic surface (9) made of a flexible material, the edge of the prismatic is provided with a support, the elastic sheet (7) is positioned in the prismatic internal cavity, positioning clamping grooves (10) are formed in two sides of the elastic sheet (7), the width of the elastic sheet (7) corresponds to the width of the internal cavity so as to be partitioned into an internal liquid cavity (11) and an external liquid cavity (8), and a one-way valve (12) is arranged between the internal liquid cavity (11) and the external liquid cavity (8) to prevent the external liquid cavity (8) from flowing back; the device is also provided with an electronic distance sensing element, the electronic distance sensing element comprises an infrared distance sensor arranged at the lower part of the side face of the test die unit (3), and the electronic distance sensing element is in communication connection with a remote terminal.
2. The knee unicondylar replacement liner trial of claim 1, wherein: still include liquid formula survey bypass, liquid formula survey bypass includes sealed liquid storage pot (16), liquid storage pot (16) are connected feed liquor pipeline and play liquid pipeline, the other end of feed liquor pipeline with inside liquid chamber (11) are linked together, the other end of play liquid pipeline with outside liquid chamber (8) are linked together still be equipped with flow measurement element (15) on the liquid pipeline in order to calculate elastic sheet (7) deformation displacement liquid formula survey bypass still is equipped with the valve in order to control feed liquor pipeline and play liquid pipeline's start and stop.
3. The knee unicondylar replacement liner trial of claim 1, wherein: the edge of the elastic sheet (7) is provided with a triggering type alarm element which is in communication connection with an alarm circuit.
4. The knee unicondylar replacement liner trial of claim 1, wherein: the one-way valve (12) comprises a through hole arranged on the elastic sheet (7) and a valve sheet closely arranged above the through hole, and one end of the valve sheet is fixed on the elastic sheet (7).
5. The pad trial for knee unicondylar replacement surgery of claim 2, wherein: the liquid inlet and the liquid outlet of the liquid type measuring bypass are respectively provided with a liquid outlet (11) and a liquid outlet (8), a rubber plug is arranged on the liquid outlet in a sealing mode, and a needle is arranged at the liquid inlet end and the liquid outlet end of the liquid type measuring bypass.
CN201811337175.6A 2018-11-02 2018-11-02 Pad test mold for knee joint unicondylar replacement operation and matched using method Active CN109223256B (en)

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Application Number Priority Date Filing Date Title
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CN109223256B true CN109223256B (en) 2024-02-02

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Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110974491B (en) * 2019-12-19 2021-07-30 北京航空航天大学 Knee joint unicondylar friction measuring device based on pressure measurement
CN111839839B (en) * 2020-07-21 2021-09-14 北京市春立正达医疗器械股份有限公司 Novel tibial platform test pad
CN114343923A (en) * 2020-10-13 2022-04-15 苏州微创关节医疗科技有限公司 Tibia prosthesis set

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CN101420911A (en) * 2006-02-06 2009-04-29 康复米斯公司 Selectable arthroplasty device of patient and surgical instrument
WO2010096960A1 (en) * 2009-02-25 2010-09-02 北京纳通投资有限公司 Artificial knee replacement prostheses with anterior cruciate ligament reserved or reconstructed
JP2011078529A (en) * 2009-10-06 2011-04-21 Biomet Japan Inc Tool for installing knee prosthesis
EP2412331A1 (en) * 2010-07-28 2012-02-01 AMPLITUDE Société à Responsabilité Limitée Device for measuring the stress exerted by a femur on a tibia with a view to fitting an artificial joint
CN103501732A (en) * 2010-12-21 2014-01-08 普罗斯特克西斯私人有限公司 Prosthetic menisci and method of implanting in the human knee joint
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CN107485469A (en) * 2017-09-18 2017-12-19 北京安颂科技有限公司 A kind of knee joint tibial pad prosthese of low abrasion
CN107981866A (en) * 2018-01-10 2018-05-04 中山大学附属第医院 A kind of measuring device for hip replacement
CN210384114U (en) * 2018-11-02 2020-04-24 南阳市中心医院 Liner test mould for knee joint unicondylar replacement surgery

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