CN111282167A - Puncture guide splicing unit - Google Patents

Puncture guide splicing unit Download PDF

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Publication number
CN111282167A
CN111282167A CN202010245586.3A CN202010245586A CN111282167A CN 111282167 A CN111282167 A CN 111282167A CN 202010245586 A CN202010245586 A CN 202010245586A CN 111282167 A CN111282167 A CN 111282167A
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China
Prior art keywords
splicing
unit
guide
unit body
puncture
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CN202010245586.3A
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Chinese (zh)
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张宏涛
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Individual
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Individual
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Priority to CN202010245586.3A priority Critical patent/CN111282167A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1007Arrangements or means for the introduction of sources into the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048Monitoring, verifying, controlling systems and methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1007Arrangements or means for the introduction of sources into the body
    • A61N2005/1009Apparatus for loading seeds into magazines or needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N2005/1092Details

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to a puncture guiding splicing unit which structurally comprises a first unit body and a second unit body, wherein the first unit body and the second unit body are spliced into a complete splicing unit, the splicing unit is a cuboid, three surfaces of the splicing unit are respectively provided with a fixing bulge, the surfaces of the three fixing bulges are respectively adjacent to each other, the other three surfaces of the splicing unit are respectively provided with a fixing groove, the splicing unit is provided with a guide hole penetrating from the bottom surface to the top surface, and the guide hole is positioned on the splicing surface of the first unit body and the second unit body. The invention can be combined into plane templates with any size for use, each needle channel is adjustable in direction, and the angle adjustable template function is realized. The size, the shape and the angle of the puncture needle can be designed individually, the coplanar needle channel and the non-coplanar needle channel can be guided simultaneously, the angle of each puncture needle can be adjusted according to the actual situation in the operation, the template can be designed, assembled and modified on site during the operation, and the template printing method is more flexible than a 3D printing template.

Description

Puncture guide splicing unit
Technical Field
The invention relates to a puncture guiding device, in particular to a puncture guiding splicing unit.
Background
Tumor therapy has entered the minimally invasive therapeutic era mainly with needle penetration. Needle type operations such as needle biopsy, ablation, argon-helium knife, nano knife, particle implantation and the like all need to be accurately punctured into the tumor and then treated. Accurate puncture is the key to needle surgery. Various puncture guide devices are currently available, such as a planar guide template, an adjustable-angle guide template, a 3D printing individualized guide template, and the like. Can partially meet the requirement of puncture guidance, but various templates have respective advantages and disadvantages and cannot be replaced mutually for a while.
The flat template has the advantages of simple application and easy learning, and has the defects that all needle channels are required to be parallel, partial tumors are difficult to puncture in place during multi-needle puncture, and the used needle channels are more.
The angle-adjustable template is greatly improved on the basis of a plane template, the angles among all the needle channels are not required to be parallel, and the single needle channel guide hole can be detached during operation, so that the direction of the needle channel can be conveniently adjusted during the operation. But still limits the adjustment of the needle paths to a certain extent, and the direction of each row of needles must be consistent and can not puncture non-coplanar needle paths.
The 3D printing individualized guide template is designed completely according to the tumor position, the organs at risk and the body surface contour of a patient, each needle channel can be freely designed and is not parallel to each other completely, and not only can puncture a coplanar needle channel but also can puncture a non-coplanar needle channel. Once the procedure is complete, the procedure must be performed as designed, and the intraoperative surgical plan is difficult to adjust. Encountering an emergency may cause the template to be unusable.
At present, no device can simultaneously meet the advantages of the three templates and has no defects.
Disclosure of Invention
The invention aims to provide a puncture guiding and splicing unit, which solves the problems that the needle channel cannot be conveniently adjusted and the use is inflexible in the conventional puncture template.
The invention is realized by the following steps: the utility model provides a puncture guide concatenation unit, includes first cell cube and second cell cube, first cell cube with the second cell cube splices into a complete concatenation unit, the concatenation unit is the cuboid the three of concatenation unit is equipped with fixed arch respectively on the surface, and is three fixed protruding place surface borders on each other respectively the other three of concatenation unit is equipped with fixed recess respectively on the surface the last bullport that runs through to the top surface from the bottom surface that opens of concatenation unit, the bullport is located first cell cube with on the concatenation face of second cell cube.
The guide hole is formed by combining a first guide groove on the splicing surface of the first unit body and a second guide groove on the splicing surface of the second unit body.
The guide hole and the perpendicular line of the bottom surface of the splicing unit form an included angle of-45 degrees to 45 degrees, the splicing units are arranged in a plurality of groups, the included angle between the guide hole of each group of splicing units and the perpendicular line of the bottom surface is gradually changed from-45 degrees to 45 degrees, and the change range is 0.5 degrees to 2 degrees.
And splicing surfaces of the first unit body and the second unit body are respectively provided with an inserting groove or an inserting protrusion, the inserting groove and the inserting protrusion are both in a strip shape, and the inserting protrusion is inserted into the inserting groove to connect the first unit body and the second unit body together.
The fixing protrusion is a convex oblate sphere, the fixing groove is an inward concave oblate sphere, and the fixing protrusion on one splicing unit is fixed with the fixing groove on the other splicing unit through clamping.
The splicing unit is a cube.
The side length of each side of the splicing unit is 1 cm.
The included angle of bullport and concatenation unit bottom surface perpendicular is realized through two kinds of modes:
firstly, the splicing surfaces of the first unit body and the second unit body are perpendicular to the bottom surfaces of the splicing units, and an included angle of-45 degrees to 45 degrees is formed between the center line of the guide hole and the central line of the splicing surface.
And secondly, an included angle of-45 degrees to 45 degrees is formed between the splicing surface of the first unit body and the second unit body and the bottom surface of the splicing unit, and the guide hole is positioned on the central line of the splicing surface.
The invention relates to a splicing unit of a puncture guide template, which is a unit body with small volume and can be spliced into a flat template, an angle-adjustable template and an individualized template through splicing. The single plane combination of the splicing units can be used as a traditional plane template, and the size and the thickness of the template can be controlled by the number of the assembled splicing units. Compared with a plane template with a fixed size, the template is more convenient to use. After the device is assembled into a plane template, each guide position can select splicing units with guide holes with different angles, and each splicing unit can adjust the direction, so that the device has the function of an angle-adjustable template. The assembled planes can be assembled together at different angles, so that a large template is provided with a plurality of planes, and the requirement of individual needle arrangement is met to the maximum extent. Meanwhile, the direction of the splicing unit can be adjusted in the left-right direction and the head-foot direction, so that a non-coplanar puncture task is realized. In addition, when the puncture needle direction needs to be adjusted greatly in the operation, the splicing unit can be disassembled to separate the first unit body from the second unit body, so that the guide hole is divided into two parts, the implantation needle is liberated, the splicing unit is replaced, and the angle is adjusted greatly. In contrast to 3D printing templates, the present template can also be individually designed according to the patient's condition and then the units assembled into the desired template shape. After the operation, all units can be reassembled into templates with other shapes after being sterilized to be continuously applied, and the waste of medical resources is greatly reduced.
This patent advantage: 1. can be combined into a plane template with any size for use. 2. Each needle channel is adjustable in direction and has the function of an angle-adjustable template. 3. The size, the shape and the puncture needle angle of the template can be designed individually, coplanar needle channels and non-coplanar needle channels can be guided simultaneously, and the template has partial functions of 3D printing. 4. The angle of each puncture needle can be adjusted according to the actual situation in the operation. 5. The needle passage guide hole unit of each needle is detachable. 6. The template can be designed, assembled and modified on site during operation, and is more flexible than a 3D printing template.
Drawings
FIG. 1 is a schematic diagram of a first configuration of the present invention.
Fig. 2 is a schematic view of fig. 1 taken apart.
Fig. 3 is a schematic diagram of a second configuration of the present invention.
FIG. 4 is a schematic illustration of the present invention assembled into a flat panel form.
FIG. 5 is a schematic view of the present invention assembled into an adjustable angle form.
FIG. 6 is a schematic illustration of the present invention spliced into individualized templates.
In the figure: 1. a splicing unit; 2. a first unit body; 3. a second unit body; 4. a fixed protrusion; 5. fixing the groove; 6. a guide hole; 7. a first guide groove; 8. a second guide groove; 9. inserting grooves; 10. inserting and connecting the bulges; 11. a planar template; 12. an angle-adjustable template; 13. an individualized template.
Detailed Description
As shown in fig. 1, 2 and 3, the present invention includes a first unit body 2 and a second unit body 3, the first unit body 2 and the second unit body 3 are spliced to form a complete splicing unit 1, the splicing unit 1 is a rectangular parallelepiped, three surfaces of the splicing unit 1 are respectively provided with a fixing protrusion 4, the surfaces where the three fixing protrusions 4 are located are respectively adjacent to each other, the other three surfaces of the splicing unit 1 are respectively provided with a fixing groove 5, the splicing unit 1 is provided with a guide hole 6 penetrating from the bottom surface to the top surface, and the guide hole 6 is located on the splicing surface of the first unit body 2 and the second unit body 3.
The guide hole 6 is located on the splicing surface of the first unit body 2 and the second unit body 3 and is formed by combining the first unit body 2 and the second unit body 3. The first unit body 2 is provided with a first guide groove 7, the second unit body 3 is provided with a second guide groove 8, the positions of the two guide grooves correspond to each other, and the first guide groove 7 and the second guide groove 8 are matched to form a guide hole 6.
The guide holes 6 have different diameters and angles to accommodate different puncture needles and puncture requirements at different angles. The guide hole 6 and the vertical line of the bottom surface of the splicing unit 1 form an included angle of-45 degrees to 45 degrees. The angle between the guide hole 6 of each group of splicing units 1 and the vertical line of the bottom surface is gradually changed from minus 45 degrees to 45 degrees, the change range is 0.5 degrees to 2 degrees, an angle can be set from minus 45 degrees to 45 degrees at intervals of 0.5 degrees in the case of precise occasions, and an angle can be set at intervals of 1 degree or even 2 degrees in the case of occasions where precision is not needed. The splicing unit 1 with the corresponding angle guide hole can be arranged at different positions in the operation according to the needle path angle designed by the preoperative plan or according to the actual condition in the operation.
The splicing surface of the first unit body 2 and the splicing surface of the second unit body 3 are respectively provided with an inserting groove 9 or an inserting protrusion 10, the inserting groove 9 and the inserting protrusion 10 are both in a strip shape, the inserting groove 9 or the inserting protrusion 10 are positioned on two sides of the guide hole 6, and the inserting protrusion 10 is inserted in the inserting groove 9 to connect the first unit body 2 and the second unit body 3 together. The cross section of the connecting groove and the cross section of the connecting bulge can be a circular part, an oval part, a trapezoid or a dovetail shape, and the whole connecting groove and the connecting bulge can be in a gradual change shape with a small upper end and a large lower end, so that the first unit body 2 and the second unit body 3 can be conveniently split.
The fixing protrusion 4 is a convex oblate sphere, the fixing groove 5 is a concave oblate sphere, and the fixing protrusion 4 on one splicing unit 1 is fixed with the fixing groove 5 on the other splicing unit 1 through clamping. The fixing protrusion 4 and the fixing groove 5 may have other shapes as long as the fixing protrusion 4 can be caught in the fixing groove 5 when a certain force is applied and the fixing protrusion 4 can be released from the groove when an opposite force is applied. Meanwhile, the fixing groove 5 and the fixing protrusion 4 are required to be symmetrical along the axis, the fixing groove 5 and the fixing protrusion 4 are located in the center of the plane, and two adjacent splicing units 1 can rotate around the axes of the fixing groove 5 and the fixing protrusion 4 relatively.
The included angle between the guide hole 6 and the perpendicular line on the bottom surface of the splicing unit 1 is realized through two modes:
first, as shown in fig. 1 and 2, the splicing surface of the first unit body 2 and the second unit body 3 is perpendicular to the bottom surface of the splicing unit 1, and an included angle of-45 ° to 45 ° is formed between the guide hole 6 and the central line of the splicing surface. Like this first cell cube 2 all is the cuboid with second cell cube 3, and the angle of bullport 6 changes on the concatenation face, nevertheless owing to still be equipped with grafting arch 10 and inserting groove 9 on the concatenation face, when concatenation face width is not wide enough, can lead to the emergence to be interfered between grafting arch 10 or inserting groove 9 and the bullport 6 of slope.
Secondly, as shown in fig. 3, an included angle of-45 ° to 45 ° is formed between the splicing surface of the first unit body 2 and the second unit body 3 and the bottom surface of the splicing unit 1, and the guide hole 6 is located on the central line of the splicing surface. The angle of the guide bore 6 is thus realized by the angle of the splicing face itself. The length directions of the inserting projection 10 and the inserting groove 9 are the same as the direction of the guide hole 6, the guide hole 6 is parallel to the inserting projection 10 or the inserting groove 9, interference cannot occur, and the splicing surface can be at any angle between minus 45 degrees and 45 degrees with the bottom surface.
The splicing unit 1 is generally made into a cube, the splicing surface can just form an included angle of-45 degrees to 45 degrees with the bottom surface of the splicing unit 1, and the splicing unit 1 can still be spliced on the template after rotating the splicing unit 1 for 90 degrees on some positions of the template due to the fact that all edge lengths of the splicing unit 1 are the same, and flexible adjustment of the angle of the guide hole 6 is achieved. Wherein, the side length of each side of the splicing unit 1 is generally 1 cm.
As shown in fig. 4, the splicing units 1 are connected in sequence to form a plurality of unit strips with the same length, and the plurality of unit strips are connected in parallel to form the plane template 11, and the guide holes 6 of all the splicing units 1 are directed from the bottom surface of the plane template 11 to the top surface of the plane template 11. If the single-layered flat template 11 is thin, one or more layers of the flat templates 11 may be stacked on the single-layered flat template 11. After the required plane template 11 is formed, fixing frames or fixing strips are installed on the periphery and two sides of the plane template 11 to reinforce the plane template 11. The plane manufactured by the invention can realize the function of the existing plane template 11, and the template guide bracket sold in the market can be connected after the plane template 11 is manufactured.
As shown in fig. 5, the splicing units 1 are connected in sequence to form a plurality of unit strips, then a guide unit is installed between every two adjacent splicing units 1, so as to assemble the angle-adjustable formwork 12, in the angle-adjustable formwork 12, only two opposite surfaces of a plurality of splicing units 1 are connected with other splicing units 1, such splicing units 1 can rotate around the axis of the connecting protrusion or the connecting groove which participates in the connection, so as to realize the angle adjustment. The angle adjustment function of the angle adjustable template 12 can also be combined with the angle adjustment function of the splicing unit 1 itself, such as: the left and right surfaces of the splicing unit 1 at a certain position are connected with other splicing units 1, so that the splicing unit 1 can only rotate in the front-back direction to realize the adjustment of the guide hole 6 in the front-back direction, but the guide hole 6 of the splicing unit 1 has a certain angle in the left-right direction, and the angle of the guide hole 6 can be adjusted in the left-right direction by replacing different splicing units 1, so that the guide hole 6 at any angle can be obtained, and the requirements for different puncture angles during puncture are met. If the direction of a certain puncture needle needs to be adjusted in the operation, the splicing unit 1 corresponding to the rotation is seen firstly, if the splicing unit 1 cannot be rotated, the splicing unit 1 is detached, the puncture needle is liberated, the splicing unit 1 is replaced, and the angle of the guide hole 6 is adjusted.
As shown in fig. 6, the individualized template 13 will generally have several planes with different directions, and the unit strips or the plane templates 11 spliced by the splicing unit 1 are firstly used to assemble the unit strips or the spliced templates together according to a required angle, and the rotatable splicing unit 1 is rotated to adjust the directions of the guide holes 6, thereby realizing the individualized requirement. For the more complicated individualized template 13, simulation modeling can be performed through a computer, the position and the angle of each splicing unit 1 can be calculated, and the required individualized template can be obtained by assembling according to the scheme provided by the computer.
Above various puncture guide templates all can used repeatedly after using, get off each concatenation unit 1 split, carry out abundant cleanness and disinfection, preserve under sterile environment, alright splice again when using next time and continue to use for required template shape, can very big reduction medical resource's waste when satisfying puncture operation's demand. The splicing unit 1 has great freedom degree, can be spliced into various shapes, and can meet various requirements in puncture operations.

Claims (9)

1. The utility model provides a puncture guide concatenation unit, its characterized in that includes first cell cube and second cell cube, first cell cube with the second cell cube splices into a complete concatenation unit, the concatenation unit is the cuboid the three of concatenation unit is equipped with fixed arch respectively on the surface, and is three fixed arch place surface borders on each other respectively the other three of concatenation unit is equipped with fixed recess respectively on the surface the last pilot hole that has run through to the top surface from the bottom surface of opening of concatenation unit, the pilot hole is located first cell cube with on the concatenation face of second cell cube.
2. The puncture guide splicing unit according to claim 1, wherein the guide hole is formed by aligning a first guide groove on the splicing surface of the first unit body and a second guide groove on the splicing surface of the second unit body.
3. The puncture guide splicing unit of claim 1, wherein the guide holes are at an angle of-45 ° to 45 ° with respect to a perpendicular line of the bottom surface of the splicing unit, and the angle of the guide holes of each group of splicing units gradually changes from-45 ° to 45 ° with a range of 0.5 ° to 2 ° with respect to the perpendicular line of the bottom surface, for a plurality of groups of splicing units.
4. The puncture guide splicing unit according to claim 1, wherein a splicing surface of the first unit body and a splicing surface of the second unit body are respectively provided with a splicing groove or a splicing protrusion, the splicing groove and the splicing protrusion are both long-shaped, and the splicing protrusion is spliced in the splicing groove to connect the first unit body and the second unit body together.
5. The puncture guide splicing unit of claim 1, wherein the fixing protrusion is a convex oblate sphere, the fixing groove is a concave oblate sphere, and the fixing protrusion on one splicing unit is fixed with the fixing groove on the other splicing unit through clamping.
6. The puncture guide splicing unit of claim 1, wherein the splicing unit is cubic.
7. The puncture-guided splicing unit of claim 6, wherein each side of the splicing unit has a side length of 1 cm.
8. The puncture guide splicing unit of claim 3, wherein the splicing surfaces of the first unit body and the second unit body are perpendicular to the bottom surface of the splicing unit, and the guide hole forms an included angle of-45 degrees to 45 degrees with the center line of the splicing surfaces.
9. The puncture guide splicing unit of claim 3, wherein the splicing surfaces of the first unit body and the second unit body and the bottom surface of the splicing unit form an included angle of-45 degrees to 45 degrees, and the guide hole is located on the central line of the splicing surfaces.
CN202010245586.3A 2020-03-31 2020-03-31 Puncture guide splicing unit Pending CN111282167A (en)

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CN202010245586.3A CN111282167A (en) 2020-03-31 2020-03-31 Puncture guide splicing unit

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112370123A (en) * 2020-09-29 2021-02-19 上海睿刀医疗科技有限公司 Adjustable puncture template

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6425871B1 (en) * 1998-05-13 2002-07-30 Tomo-Vision Gmbh Puncturing device for tomography
CN204765833U (en) * 2015-06-08 2015-11-18 广州军区广州总医院 CT machine puncture guide positioner
WO2016013055A1 (en) * 2014-07-22 2016-01-28 本多電子株式会社 Ultrasonic probe, ultrasonic image display device, and puncture guide attachment
CN107028646A (en) * 2017-05-25 2017-08-11 张昊 Combined type intervention operation guiding die plate
CN107184252A (en) * 2017-05-11 2017-09-22 张智祥 Ultrasound guided puncture auxiliary stand
CN108096721A (en) * 2017-12-25 2018-06-01 西安交通大学医学院第附属医院 Needle track template
CN209451137U (en) * 2018-07-27 2019-10-01 天津赛德医药研究院有限公司 A kind of radioactive prospecting instrument template of variable-angle
CN212235655U (en) * 2020-03-31 2020-12-29 张宏涛 Puncture guide splicing unit

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6425871B1 (en) * 1998-05-13 2002-07-30 Tomo-Vision Gmbh Puncturing device for tomography
WO2016013055A1 (en) * 2014-07-22 2016-01-28 本多電子株式会社 Ultrasonic probe, ultrasonic image display device, and puncture guide attachment
CN204765833U (en) * 2015-06-08 2015-11-18 广州军区广州总医院 CT machine puncture guide positioner
CN107184252A (en) * 2017-05-11 2017-09-22 张智祥 Ultrasound guided puncture auxiliary stand
CN107028646A (en) * 2017-05-25 2017-08-11 张昊 Combined type intervention operation guiding die plate
CN108096721A (en) * 2017-12-25 2018-06-01 西安交通大学医学院第附属医院 Needle track template
CN209451137U (en) * 2018-07-27 2019-10-01 天津赛德医药研究院有限公司 A kind of radioactive prospecting instrument template of variable-angle
CN212235655U (en) * 2020-03-31 2020-12-29 张宏涛 Puncture guide splicing unit

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112370123A (en) * 2020-09-29 2021-02-19 上海睿刀医疗科技有限公司 Adjustable puncture template

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