CN109938799A - It can the medical reamer of bracing type - Google Patents
It can the medical reamer of bracing type Download PDFInfo
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- CN109938799A CN109938799A CN201910305584.6A CN201910305584A CN109938799A CN 109938799 A CN109938799 A CN 109938799A CN 201910305584 A CN201910305584 A CN 201910305584A CN 109938799 A CN109938799 A CN 109938799A
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- 239000000203 mixture Substances 0.000 claims description 4
- 238000009434 installation Methods 0.000 claims 1
- 238000000034 method Methods 0.000 description 4
- 238000002324 minimally invasive surgery Methods 0.000 description 4
- 230000008859 change Effects 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 210000000845 cartilage Anatomy 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 239000003550 marker Substances 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- 208000012260 Accidental injury Diseases 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000004927 fusion Effects 0.000 description 1
- 239000011796 hollow space material Substances 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000005855 radiation Effects 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
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Abstract
It can the medical reamer of bracing type the invention discloses one kind, including the body of rod, end and handle, the end and the handle are fixedly arranged on the both ends of the body of rod respectively, extension type screw body is equipped in the body of rod, along laterally flexible sliding block there are two being set on the end, two sliding blocks are positioned opposite, blade is equipped in the outside wall surface of two sliding blocks, driving assembly is equipped in the end, the driving component is fixedly connected with one end of the extension type screw body, one end that the body of rod is equipped with the handle is equipped with adjusting knob, the adjusting knob is fixedly connected with the other end of the extension type screw body;The present invention can strut, to adjust its external dimensions, use one can replace reamer the reamer of a variety of different sizes, help to shorten operating time, improve success rate of operation.
Description
Technical field
The present invention relates to a kind of reamers, and in particular to one kind can the medical reamer of bracing type, belong to medical instruments field.
Background technique
With the progress of China's medical technology, more and more diseases can be used Minimally Invasive Surgery and be treated, minimally invasive hand
Art is exactly the operation of microtrauma as its name suggests, and Minimally Invasive Surgery is more much lower than traditional operation to the injury of human body.Minimally Invasive Surgery
Have many advantages, such as that wound is small, pain is light, restore fast, therefore also has more and more people's selection using minimal invasive operation disease.
In vertebral column minimally invasive field, spinal endoscopes Minimally Invasive Surgery is the core technology in the field.
Currently, requiring all to be to use in minimally invasive channel, need to penetrate in X using reamer in many minimally invasive spine surgicals
Line monitoring is lower to be used.Existing reamer specification is all fixed dimension, as soon as an operation is needed using various sizes of reamer, this is made
At operating time extension, doctor and patient are increased by the radiation risk of X-ray.Existing reamer specification be it is fixed, one
The reamer external dimensions of kind specification is fixed and invariable, therefore in some operations, such as Lumbar Fusion operation, needs vertebral plate
Cartilage endplate is effectively treated, and needing replacing various types of reamers when twisting except cartilage endplate can be only achieved final purpose.
The reamer of one side hospital buying different model needs to spend a large amount of fund, on the other hand will increase the difficulty of operation, also compares
Compared with the physical strength for expending doctor.
Summary of the invention
The object of the present invention is to provide one kind can the medical reamer of bracing type, with solve in the prior art the technical issues of, it
It can strut, to adjust its external dimensions, use one can replace reamer the reamer of a variety of different sizes, and can be
It works under backbone scope is visual, safety effectively precisely, helps to shorten operating time, improves success rate of operation.
The present invention provides one kind can the medical reamer of bracing type, including the body of rod, end and handle, the end and the hand
Handle is fixedly arranged on the both ends of the body of rod respectively, and extension type screw body is equipped in the body of rod, set on the end there are two
Along laterally flexible sliding block, two sliding blocks are positioned opposite, and blade, the end are equipped in the outside wall surface of two sliding blocks
Driving assembly is equipped in head, the driving component is fixedly connected with one end of the extension type screw body, on the body of rod
One end equipped with the handle is equipped with adjusting knob, and the other end of the adjusting knob and the extension type screw body is fixed
Connection;
The driving component under the drive of the extension type screw body, driving two sliding blocks it is close to each other or
It is located remotely from each other.
It is above-mentioned can be in the medical reamer of bracing type, it is preferable that the shell of the end is hollow structure, and the shell has
First side plate, the second side plate, first end plate, the second end plate, top plate and bottom plate, first side plate are parallel with second side plate
It arranges, is equipped with a mounting hole in the two, two sliding blocks are separately mounted in two mounting holes, the first end
Plate and second end plate are positioned opposite, offer through-hole on second end plate, the outside wall surface of second end plate with it is described
The body of rod is fixedly connected, and one end of the extension type screw body is protruded into the shell by the through-hole.
It is above-mentioned can be in the medical reamer of bracing type, it is preferable that the extension type screw body includes driving screw rod, driving
One end of casing and limited location snap ring, the driving screw rod is fixedly connected with the driving component, the other end and the drive sleeve
It is spirally connected, the other end of the drive sleeve stretches out the body of rod and is fixedly connected with the adjusting knob, and the limited location snap ring is
It two, is fixed in the body of rod, an annular stop boss is formed in the drive sleeve, the annular stop is convex
Platform is located between two limited location snap rings, and the spacing between two limited location snap rings is equal to the thickness of the positive stop lug boss.
It is above-mentioned can be in the medical reamer of bracing type, it is preferable that the driving component includes at least two driving units, described
Driving unit is symmetrical arranged relative to the driving screw rod two-by-two, and each driving unit includes connecting rod, sliding sleeve and drive
Lever, the connecting rod are parallel to the top plate and bottom plate setting, and one end of the connecting rod and the driving screw rod are solid
Fixed connection, the other end are fixedly connected with the sliding sleeve, and the axis of the sliding sleeve is perpendicular to the top plate and the bottom plate, the drive
Lever is slidably mounted on the sliding sleeve;There is one group of guide chute positioned opposite, the drive rod on the sliding block
Both ends be located in two guide chutes.
It is above-mentioned can be in the medical reamer of bracing type, it is preferable that the sliding block is by the first plate body, the second plate body and third plate body
Composition, three, which is sequentially connected, constitutes "U" shaped structure, wherein first plate body is parallel to each other with the third plate body, it is described
The guide chute is offered on first plate body and the third plate body.
It is above-mentioned can be in the medical reamer of bracing type, it is preferable that the blade is string configuration, is equidistantly arranged in parallel in
In the outside wall surface of second plate body.
It is above-mentioned can be in the medical reamer of bracing type, it is preferable that the inner wall of the top plate and the bottom plate has been respectively formed on
Guide groove, the guide groove are parallel to the driving screw rod setting, and the both ends of the drive rod are located at the top plate and institute
It states in the guide groove on bottom plate.
It is above-mentioned can be in the medical reamer of bracing type, it is preferable that the inner wall of the first end plate is equipped with guide sleeve, described
The end of screw rod is driven to be inserted into the guide sleeve.
It is above-mentioned can be in the medical reamer of bracing type, it is preferable that the middle position of the handle is equipped with groove, and adjustings is revolved
Button is located in the groove.
It is above-mentioned can be in the medical reamer of bracing type, it is preferable that form that there are two annular grooves on the body of rod of the handle.
Compared with prior art, the present invention includes the body of rod, end and handle, is equipped with extension type screw body in the body of rod,
It being set on end there are two along laterally flexible sliding block, two sliding blocks are positioned opposite, it is equipped with blade in the outside wall surface of two sliding blocks,
In end be equipped with driving assembly, driving assembly under the drive of extension type screw body, drive two sliding blocks close to each other or
It is located remotely from each other.To realize the adjusting to overall dimensions of the present invention, operation can be met in the case where being changed without reamer in this way
Demand.Procedure efficiency and success rate of operation are effectively increased, the purchase cost of surgical instrument is also reduced for hospital.
Detailed description of the invention
Fig. 1 is axonometric drawing of the invention;
Fig. 2 is the axonometric drawing under the head state of sliding block extension end;
Fig. 3 is the schematic diagram of internal structure after end is half-sectional;
Fig. 4 is the cross-sectional view of cylindric visual end;
Fig. 5 is the axonometric drawing of the detachable body of rod and extension type screw body;
Fig. 6 is the axonometric drawing of driving assembly and sliding block;
Fig. 7 is the structural schematic diagram of handle and adjusting knob.
Description of symbols: the 1- body of rod, the end 2-, 3- handle, 4- sliding block, 5- driving assembly, 6- adjusting knob, 7- first
Side plate, the second side plate of 8-, 9- first end plate, the second end plate of 10-, 11- top plate, 12- bottom plate, 13- mounting hole, 14- through-hole, 15-
Driving screw rod, 16- drive sleeve, 17- limited location snap ring, 18- annular stop boss, 19- connecting rod, 20- sliding sleeve, 21- drive rod,
22- guide chute, 23- blade, the first plate body of 24-, the second plate body of 25-, 26- third plate body, 27- guide groove, 28- guide sleeve,
29- groove, 30- annular groove, first body of rod of 31-, second body of rod of 32-, 33- lightening hole, 34- scale, 35- marker arrow.
Specific embodiment
The embodiment of the present invention is described below in detail, examples of the embodiments are shown in the accompanying drawings, wherein from beginning to end
Same or similar label indicates same or similar element or element with the same or similar functions.Below with reference to attached
The embodiment of figure description is exemplary, and for explaining only the invention, and is not construed as limiting the claims.
The embodiment of the present invention: as depicted in figs. 1 and 2, one kind can the medical reamer of bracing type, including the body of rod 1,2 and of end
Handle 3, end 2 and handle 3 are fixedly arranged on the both ends of the body of rod 1 respectively, and extension type screw body is equipped in the body of rod 1, is set on end 2
There are two along laterally flexible sliding block 4, two sliding blocks 4 are positioned opposite, blade 23 are equipped in the outside wall surface of two sliding blocks 4, such as
Shown in Fig. 3, driving assembly 5 is equipped in end 2, driving assembly 5 is fixedly connected with one end of extension type screw body, the body of rod 1
The one end for being equipped with handle 3 is equipped with adjusting knob 6, and adjusting knob 6 is fixedly connected with the other end of extension type screw body;It drives
Dynamic component 5 drives two sliding blocks 4 close to each other or is located remotely from each other under the drive of extension type screw body.
In use, as shown in Figure 1, two sliding blocks 4 are shunk in the blade in end 2, in outside wall surface under original state
23 overhang very littles, make when being unsatisfactory for use demand, when needing to increase the distance between two sliding blocks 4, need to only rotate adjusting rotation
Button 6, adjusting knob 6 drive adjusting screw elongation, push driving assembly 5, and driving assembly 5 drives two sliding blocks 4 to be located remotely from each other, i.e.,
End 2 is stretched out, can refer to Fig. 2, Fig. 2 is state when sliding block 4 stretches out end 2, can be according to the stretching of use demand adjusting slider 4
Amount.It is stretched out it should be noted that the another two sliding block 4 when extension type screw body is shunk can also be designed as needed.It can
It is configured according to use demand.The change of distance between two sliding blocks 4 may be implemented through the invention, to replace different straight
The reamer of diameter realizes the multi-purpose purpose of a knife, helps to improve procedure efficiency and success rate, reduces instrument purchase cost.
It should be noted that as long as foot can drive two sliding blocks 4 close to each other or be located remotely from each other in the present embodiment
Driving assembly 5 may be applicable to the present invention, a kind of preferably structure type can be hereafter provided.
In a kind of specifically embodiment, incorporated by reference to Fig. 3 and Fig. 4, the shell of end 2 is hollow structure, and shell has
First side plate 7, the second side plate 8, first end plate 9, the second end plate 10, top plate 11 and bottom plate 12, the first side plate 7 and the second side plate 8
It is arranged in parallel, is equipped with a mounting hole 13 in the two, mounting hole 13 is connected to the hollow space of shell, and two sliding blocks 4 are distinguished
It is mounted in two mounting holes 13, and can be slided in mounting hole 13, stretched out in shell or income shell with realizing, first end plate
9 is positioned opposite with the second end plate 10, and through-hole 14 is offered on the second end plate 10, and the outside wall surface and the body of rod 1 of the second end plate 10 are fixed
One end of connection, extension type screw body is protruded into shell by through-hole 14.Since first end plate 9 is located at most head end, in order to
Prevent its intracorporal organ or tissue of end accidental injury people, it is preferable that the outer end face of first end plate 9 is designed as spherical shape knot
Structure or convex structure without corner angle.
Further, as shown in figure 5, extension type screw body includes driving screw rod 15, drive sleeve 16 and limited location snap ring
17, driving screw rod 15 one end be fixedly connected with driving assembly 5, the other end is spirally connected with drive sleeve 16, drive sleeve 16 it is another
One end is stretched out the body of rod 1 and is fixedly connected with adjusting knob 6, and limited location snap ring 17 is two, is fixed in the body of rod 1, actuating sleeve
An annular stop boss 18 is formed on pipe 16, annular stop boss 18 is located between two limited location snap rings 17, two limits
Spacing between snap ring 17 is equal to the thickness of positive stop lug boss 18.
When passing through 6 rotating drive sleeve 16 of adjusting knob, since driving screw rod 15 and drive sleeve 1 are drill form,
Therefore it can realize that driving screw rod 15 move alongs the axial direction, also just play the purpose for pushing or pulling on driving assembly 5.For the ease of life
It produces and assembles, it is preferable that the body of rod 1 can be designed as split type structure, that is, be designed to by first body of rod 31 and second body of rod
32 compositions, the two is connected through a screw thread or is clamped, not only easy to process in this way, is also convenient for carrying, in order to reduce manufacturing cost
Lightening hole 33 can also be set on the body of rod of the two.The body of rod 1 is designed as split type structure there are one important advantage,
It in some operations, needs using the reamer being relatively large in diameter, that is to say, that when reamer end does not strut, minimum diameter is greater than
The service aisle of working column or endoscope, if first in patient body by working column or endoscope insertion, reamer can not be inserted
Enter working column or endoscope.It needs that first reamer is mounted on working column or endoscope in response to this, by the body of rod 1
Being designed as split type structure can solve the problems, such as that major diameter reamer can not cooperate with working column or endoscope.
Driving assembly 5 is illustrated below, as shown in fig. 6, driving assembly 5 includes at least two driving units, is driven
Moving cell is symmetrical arranged relative to driving screw rod 15 two-by-two, and in order to guarantee the mobile stationarity of sliding block 4, the present embodiment is preferably provided with
Two driving units are arranged in every side of four driving units, i.e. driving screw rod 15.As shown in fig. 6, each driving unit wraps
Include connecting rod 19, sliding sleeve 20 and drive rod 21, connecting rod 19 is parallel to top plate 11 and bottom plate 12 is arranged, one end of connecting rod 19 with
Driving screw rod 15 is fixedly connected, and the other end is fixedly connected with sliding sleeve 20, and the axis of sliding sleeve 20 drives perpendicular to top plate 11 and bottom plate 12
Lever 21 is slidably mounted on sliding sleeve 20;Two groups of guide chutes 22 positioned opposite, drive rod are all had on each sliding block 4
21 both ends are located in guide chute 22.Herein it should be noted that the setting quantity of guide chute 22 is single by driving
What the quantity of member determined, each driving unit needs to be arranged one group of guide chute 22.
Specifically, sliding block 4 is made of the first plate body 24, the second plate body 25 and third plate body 26, and three is sequentially connected composition
"U" shaped structure opens up on first plate body 24 and third plate body 26 wherein the first plate body 24 is parallel to each other with third plate body 26
There is guide chute 22.
In the present embodiment, due to being provided with four driving units, that is to say, that there is two sets of driving units on each sliding block 4
It is matched, then the guide chute 22 on each sliding block 4 is then two groups.It should be noted that since drive rod 21 can only be done
Linear motion, therefore want to realize that drive rod 21 drives the movement of sliding block 4, then guide chute 22 is necessarily required to be in tilted layout, it is single
Guide chute 22 on a sliding block 4 tilts in the same direction, and the guide chute 22 on left slider 4 and right side sliding block 4 is then pair
Title relationship, specifically please refers to Fig. 6.It should be noted that the tilt angle and length of the overhang of sliding block 4 and guide chute 22
Related, tilt angle more long length more long then overhang are bigger.
In order to guarantee service life of the invention, it is preferable that be respectively formed on and led in the inner wall of top plate 11 and bottom plate 12
To slot 27, guide groove 27 is parallel to driving screw rod 15 and is arranged, and the both ends of drive rod 21 are located on top plate 11 and bottom plate 12
In guide groove 27.By the setting of guide groove 27, the motion profile of drive rod 21 can be effectively limited, prevents it from turning round because of external force
Song deformation.
In addition, the inner wall of first end plate 9 is equipped with guide sleeve 28, the end of driving screw rod 15 is inserted into guide sleeve 28.
Guide sleeve 28 can then play the role of support driving screw rod 15, make to drive 15 stress of screw rod more evenly, keep operation of the present invention more suitable
Freely.
It is preferably carried out in mode in one kind, blade 23 is string configuration, and intermediate high both sides are low, at convex knot
Structure is equidistantly arranged in parallel in the outside wall surface of the second plate body 25 between blade 23.
The middle position of handle 3 is equipped with groove 29, and adjusting knob 6 is located in groove 29.As shown in fig. 7, adjusting knob 6
Periphery wall is equipped with scale 34, is additionally provided with marker arrow 35 on handle 3.Since adjusting knob 6 drives screw rod 15 for each revolution
Mobile displacement is fixed, so can calculate the moving distance of two sliding blocks 4 according to the scale 34 on adjusting knob 6, just
In the precision for improving operation.For ease of operation, it is formed on the body of rod of handle 3 there are two annular groove 30, is exerted a force convenient for manpower.
Structure, feature and effect of the invention, the above institute are described in detail based on the embodiments shown in the drawings
Only presently preferred embodiments of the present invention is stated, but the present invention does not limit the scope of implementation as shown in the drawings, it is all according to structure of the invention
Think made change or equivalent example modified to equivalent change, when not going beyond the spirit of the description and the drawings,
It should all be within the scope of the present invention.
Claims (10)
1. one kind can the medical reamer of bracing type, it is characterised in that: including the body of rod (1), end (2) and handle (3), the end
(2) and the handle (3) is fixedly arranged on the both ends of the body of rod (1) respectively, is equipped with extension type screw rod machine in the body of rod (1)
Structure is set on the end (2) there are two along laterally flexible sliding block (4), and two sliding blocks (4) are positioned opposite, described in two
It is equipped in the outside wall surface of sliding block (4) blade (23), is equipped with driving assembly (5) in the end (2), the driving component (5)
It is fixedly connected with one end of the extension type screw body, one end that the body of rod (1) is equipped with the handle (3), which is equipped with, adjusts
It saves knob (6), the adjusting knob (6) is fixedly connected with the other end of the extension type screw body;
For the driving component (5) under the drive of the extension type screw body, two sliding blocks (4) of driving are close to each other
Or it is located remotely from each other.
2. one kind according to claim 1 can the medical reamer of bracing type, it is characterised in that: the shell of the end (2) is
Hollow structure, the shell have the first side plate (7), the second side plate (8), first end plate (9), the second end plate (10), top plate
(11) it is arranged in parallel with bottom plate (12), first side plate (7) and second side plate (8), is equipped with an installation in the two
Hole (13), two sliding blocks (4) are separately mounted in two mounting holes (13), the first end plate (9) and described the
Two end plates (10) are positioned opposite, offer through-hole (14) on second end plate (10), the outside wall surface of second end plate (10)
It is fixedly connected with the body of rod (1), the shell is protruded by the through-hole (14) in one end of the extension type screw body
It is interior.
3. one kind according to claim 2 can the medical reamer of bracing type, it is characterised in that: the extension type screw body
Including driving screw rod (15), drive sleeve (16) and limited location snap ring (17), one end of driving screw rod (15) and the driving
Component (5) is fixedly connected, and the other end is spirally connected with the drive sleeve (16), described in the other end stretching of the drive sleeve (16)
The body of rod (1) is simultaneously fixedly connected with the adjusting knob (6), and the limited location snap ring (17) is two, is fixed at the body of rod
(1) in, an annular stop boss (18) is formed on the drive sleeve (16), the annular stop boss (18) is located at two
Between a limited location snap ring (17), the spacing between two limited location snap rings (17) is equal to the thickness of the positive stop lug boss (18)
Degree.
4. one kind according to claim 3 can the medical reamer of bracing type, it is characterised in that: the driving component (5) includes
At least two driving units, the driving unit are symmetrical arranged relative to the driving screw rod (15) two-by-two, each driving
Unit includes connecting rod (19), sliding sleeve (20) and drive rod (21), the connecting rod (19) be parallel to the top plate (11) and
The bottom plate (12) setting, one end of the connecting rod (19) are fixedly connected with the driving screw rod (15), the other end with it is described
Sliding sleeve (20) is fixedly connected, and the axis of the sliding sleeve (20) is perpendicular to the top plate (11) and the bottom plate (12), the driving
Bar (21) is slidably mounted on the sliding sleeve (20);There is one group of guide chute positioned opposite on the sliding block (4)
(22), the both ends of the drive rod (21) are located in two guide chutes (22).
5. one kind according to claim 4 can the medical reamer of bracing type, it is characterised in that: the sliding block (4) is by the first plate
Body (24), the second plate body (25) and third plate body (26) composition, three, which is sequentially connected, constitutes "U" shaped structure, wherein described the
One plate body (24) is parallel to each other with the third plate body (26), opens on first plate body (24) and the third plate body (26)
Equipped with the guide chute (22).
6. one kind according to claim 5 can the medical reamer of bracing type, it is characterised in that: the blade (23) is strip
Structure is equidistantly arranged in parallel in the outside wall surface of second plate body (25).
7. one kind according to claim 4 can the medical reamer of bracing type, it is characterised in that: the top plate (11) and the bottom
The inner wall of plate (12) has been respectively formed on guide groove (27), and the guide groove (27) is parallel to driving screw rod (15) setting,
The both ends of the drive rod (21) are located at the guide groove (27) on the top plate (11) and the bottom plate (12) Nei.
8. one kind according to claim 3 can the medical reamer of bracing type, it is characterised in that: the first end plate (9) it is interior
Wall surface is equipped with guide sleeve (28), and the end of driving screw rod (15) is inserted into the guide sleeve (28).
9. one kind according to claim 1 can the medical reamer of bracing type, it is characterised in that: the interposition of the handle (3)
It installs fluted (29), the adjusting knob (6) is located in the groove (29).
10. according to claim 1 or one kind described in 9 can the medical reamer of bracing type, it is characterised in that: the bar of the handle (3)
There are two being formed on body annular groove (30).
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CN201910305584.6A CN109938799B (en) | 2019-04-16 | 2019-04-16 | Medical reamer capable of being opened |
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Cited By (1)
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CN110680455A (en) * | 2019-10-25 | 2020-01-14 | 中国人民解放军陆军军医大学第一附属医院 | Reamer for medullary cavity |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN110680455A (en) * | 2019-10-25 | 2020-01-14 | 中国人民解放军陆军军医大学第一附属医院 | Reamer for medullary cavity |
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