CN111407388A - Phalanx fracture reduction fixing forceps convenient to clamp left and right - Google Patents

Phalanx fracture reduction fixing forceps convenient to clamp left and right Download PDF

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Publication number
CN111407388A
CN111407388A CN202010187038.XA CN202010187038A CN111407388A CN 111407388 A CN111407388 A CN 111407388A CN 202010187038 A CN202010187038 A CN 202010187038A CN 111407388 A CN111407388 A CN 111407388A
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CN
China
Prior art keywords
forceps
penetration
clamping
hole
split
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Pending
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CN202010187038.XA
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Chinese (zh)
Inventor
茅天
邢树国
王古衡
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Affiliated Hospital of Nantong University
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Affiliated Hospital of Nantong University
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Priority to CN202010187038.XA priority Critical patent/CN111407388A/en
Publication of CN111407388A publication Critical patent/CN111407388A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8866Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
    • 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
    • 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
    • A61B17/2841Handles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8875Screwdrivers, spanners or wrenches
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

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

Abstract

The invention provides phalanx fracture reduction fixing forceps convenient for left and right clamping, which comprise two forceps bodies, namely a left forceps body and a right forceps body, wherein the left forceps body and the right forceps body are hinged through a pin shaft, the tail ends of the left forceps body and the right forceps body are finger holes, the left forceps body and the right forceps body are respectively clamped on the left side and the right side of a phalanx, and at least one forceps body is provided with an inclined hole for a kirschner wire to pass through. The invention changes the traditional clamping mode of the resetting and fixing clamp from up and down clamping into left and right clamping, and at least one clamp body is provided with an inclined hole for the Kirschner wire to pass through, thereby facilitating the phalanx resetting treatment.

Description

Phalanx fracture reduction fixing forceps convenient to clamp left and right
Technical Field
The invention belongs to the field of medical instruments, and particularly relates to phalangeal fracture reduction fixing forceps convenient for left and right clamping.
Background
Phalangeal fracture is the most common fracture of the hand, also known as fracture of the bamboo joint. Because the finger action function is fine, the tendons are complex, and the distributed blood vessels are positioned at the end of limbs, how to reset the fractured ends of the phalanges and ensure the finger function and the end blood supply are the key for treating the fractured phalanges and enabling the patient to recover smoothly. The fracture reduction forceps are surgical instruments commonly used for orthopedic surgery, and when reduction and fixation operations are needed after fracture of palmar bones or phalanges of hands, the fracture reduction forceps can be used for lifting and clamping bone folding pieces, reducing joints and parts and temporarily fixing the joints. Bone reduction is carried out to fracture reduction pincers after the upper and lower centre gripping of finger, but present fracture reduction pincers end is mostly most pointed end or arc, and the centre gripping is unstable, influences treatment.
When the phalangeal fracture is reset, the existing fracture reset forceps need one person to hold the forceps, and the other person inserts a kirschner wire into the fracture line, namely, two persons are needed to operate the forceps, so that the operation is troublesome.
Disclosure of Invention
The invention aims to provide phalanx fracture reduction fixing forceps convenient to clamp left and right, and the phalanx fracture reduction fixing forceps are reasonable in structural design, convenient to use and stable in clamping.
In order to solve the technical problem, an embodiment of the invention provides a phalangeal fracture reduction fixing forceps convenient for left and right clamping, which comprises two forceps bodies, namely a left forceps body and a right forceps body, wherein the left forceps body and the right forceps body are hinged through a pin shaft, the tail ends of the left forceps body and the right forceps body are finger holes, the left forceps body and the right forceps body on the front side of the pin shaft are respectively clamped on the left side and the right side of a phalangeal, a forceps body locking device is arranged between the left forceps body and the right forceps body on the rear side of the pin shaft, and a kirschner wire through hole for a kirschner wire to pass through is formed in one section of at least one forceps body on the front side of the pin shaft.
Wherein the axis of the Kirschner wire through hole is inclined relative to the length direction of the finger.
Preferably, the angle of inclination of the axis of the k-wire through hole with respect to the finger length direction is 30 °, 45 ° or 60 °.
The clamp body is provided with a plurality of Kirschner wire through holes arranged at intervals along the length direction, the aperture range of the Kirschner wire through holes is 0.5-2.5mm, and the apertures of the Kirschner wire through holes are sequentially increased from front to back.
The clamp body is detachably provided with a Kirschner wire penetrating block, and the Kirschner wire penetrating hole is formed in the Kirschner wire penetrating block.
Further, the kirschner wire runs through the piece including running through a body, running through the spheroid and running through a connection page or leaf, run through a connection page or leaf and the detachable connection of pincers body, run through the spheroid mounting hole that runs through around seting up on the body, run through the spheroid install run through in the spheroid mounting hole and with run through between the spheroid mounting hole bulb be connected, run through and run through around seting up on the spheroid the kirschner wire through hole.
The penetrating sphere mounting hole is a spherical hole, and the penetrating sphere is an elliptic sphere.
Preferably, the penetrating block body is of a half structure, the penetrating ball mounting hole is divided into two parts which are symmetrically arranged on the two parts of the penetrating block body, and the penetrating block connecting page is integrally formed above one part of the penetrating block body.
Furthermore, one of the pincers bodies comprises a first pincers body split body, the first pincers body split body is connected with the front end of the pincers body in a separable mode, the first pincers body split body comprises a clamping flat plate, a rotating shaft and a first branch body short rod, the rear end of the first branch body short rod is connected with the front end of the pincers body in a separable mode through a pin shaft, and the front end of the first branch body short rod is connected with the clamping flat plate in a rotating mode through the rotating shaft.
The other clamp body comprises a second clamp body split body, the second clamp body split body is detachably connected with the front end of the clamp body, the second clamp body split body comprises a second split body short rod and a second clamping body, the rear end of the second split body short rod is detachably connected with the front end of the clamp body, and the second clamping body is connected with the front end of the second split body short rod;
the second clamping body is one of an arc-shaped clamp, a clamping ball body, a clamping tip and a clamping flat plate.
The technical scheme of the invention has the following beneficial effects:
1. the invention changes the traditional clamping mode of the resetting and fixing clamp from up and down clamping into left and right clamping, and at least one clamp body is provided with an inclined hole for the Kirschner wire to pass through, thereby facilitating the phalanx resetting treatment.
2. The invention designs the clamping end of one of the left forceps body and the right forceps body into a clamping flat plate form, clamps the phalangeal fracture by utilizing the large area of the clamping flat plate, has stable clamping and ensures the treatment effect.
3. In the invention, under the unlocking state of the clamp body locking device, the front ends of the left clamp body and the right clamp body are clamped on the left side and the right side of a phalanx, and then the clamp body locking device is locked; the operation operator holds the pincers by one hand, and the other hand holds the kirschner wire and inserts and run through the fracture line from the outside of kirschner wire through hole to the finger slope, accomplishes the fixed operation of phalangeal fracture, from this, alone can operate the reduction of phalangeal fracture operation of accomplishing, easy operation is quick.
Drawings
FIG. 1 is a schematic structural diagram according to a first embodiment of the present invention;
FIG. 2 is a schematic structural diagram according to a second embodiment of the present invention;
FIG. 3 is an enlarged view of the front view of the K-wire penetration block of the second embodiment;
FIG. 4 is an enlarged right side view of the K-wire penetration block of the second embodiment;
FIG. 5 is an enlarged view of the front view of the penetration block body according to the second embodiment;
FIG. 6 is an enlarged view of the right side view of the penetration block body according to the second embodiment;
FIG. 7 is an enlarged view of a cross-sectional view through the sphere in the second embodiment;
FIG. 8 is an enlarged view of a portion of the through connection page of the second embodiment in the form of a slot;
FIG. 9 is a schematic structural diagram of a third embodiment of the present invention;
FIG. 10 is an enlarged view of a split portion of the first body in the third embodiment;
fig. 11 is an enlarged view of a split portion of the second caliper body according to the third embodiment.
Description of reference numerals:
1. a left clamp body; 2. a right clamp body; 3. a finger hole; 4. a clamp body locking device; 5. a Kirschner wire; 6. a kirschner wire through hole; 7. a K-wire penetration block; 71. the block body is penetrated; 710. the ball body mounting hole is penetrated; 72. penetrating the sphere; 73. a through block connection page; 8. the first clamp body is split; 81. a first split stub; 82. a first clamping body; 9. the second clamp body is split; 91. clamping the flat plate; 92. a second split short bar; 93. a rubber sleeve.
Detailed Description
In order to make the technical problems, technical solutions and advantages of the present invention more apparent, the following detailed description is given with reference to the accompanying drawings and specific embodiments.
Example 1
As shown in fig. 1, the present embodiment provides a phalangeal fracture reduction fixing forceps convenient for left and right clamping, including two forceps bodies, including a left forceps body 1 and a right forceps body 2, the left forceps body 1 and the right forceps body 2 are hinged through a pin, the tail ends of the left forceps body 1 and the right forceps body 2 are finger holes 3, the left forceps body 1 and the right forceps body 2 on the front side of the pin are clamped on the left and right sides of the phalangeal bone respectively, a forceps body locking device 4 is arranged between the left forceps body 1 and the right forceps body 2 on the rear side of the pin, and a kirschner wire through hole 6 for passing a kirschner wire 5 is provided on at least one section of the forceps body on the front side of the pin. Wherein, the clamp body locking device 4 can be a conventional structure used by the current phalangeal fracture reduction clamp.
The axis of the kirschner wire through hole 6 is inclined relative to the length direction of the finger.
Such as: the inclination angle of the axis of the kirschner wire through hole 6 relative to the length direction of the finger can be 30 degrees, 45 degrees or 60 degrees.
Preferably, a plurality of kirschner wire through holes 6 are formed in the forceps body along the length direction at intervals, the aperture range of the kirschner wire through holes 6 is 0.5-2.5mm, and the apertures of the plurality of kirschner wire through holes 6 are gradually increased from front to back.
The working steps of this embodiment are:
(1) under the unlocking state of the clamp body locking device, the front ends of the left clamp body and the right clamp body are clamped on the left side and the right side of the phalanx, and then the clamp body locking device is locked;
(2) one hand holds the forceps, and the other hand holds the kirschner wire and obliquely inserts the kirschner wire from the outer side of the through hole of the kirschner wire to the finger and penetrates through the fracture line, so that the fixation operation of the phalangeal fracture is completed.
Example 2
As shown in fig. 2, the structure of the present embodiment is substantially the same as that of the first embodiment, except that: the clamp body is detachably provided with a Kirschner wire penetrating block 7, and the Kirschner wire penetrating hole 6 is formed in the Kirschner wire penetrating block 7.
As shown in fig. 3-6, the kirschner wire penetrating block 7 includes a penetrating block body 71, a penetrating sphere 72 and a penetrating block connecting leaf 73, the penetrating block connecting leaf 73 is detachably connected with the forceps body, a penetrating sphere mounting hole 710 penetrating front and back is formed on the penetrating block body 71, the penetrating sphere 72 is mounted in the penetrating sphere mounting hole 710 and is connected with the ball head between the penetrating sphere mounting holes 710, and a kirschner wire penetrating hole 6 penetrating front and back is formed on the penetrating sphere 72.
In this embodiment, the through ball mounting hole 710 is a spherical hole, and the through ball 72 is an elliptical ball. Run through spheroid 72 and can design into seriation product, the external diameter is unchangeable to be connected with the spheroid mounting hole bulb that runs through, but the different hole diameter that runs through the kirschner wire through hole of seting up on the spheroid changes in 0.5-2.5mm within range, when carrying out phalange fracture reduction of fracture operation, medical staff can choose suitable spheroid that runs through to install in running through the spheroid mounting hole and use according to the external diameter of kirschner wire, shake the momentum when passing through the kirschner wire through hole with the reduction kirschner wire.
The penetrating block body 71 is of a half structure, the penetrating ball mounting hole 710 is divided into two parts and symmetrically arranged on the two parts of the penetrating block body 71, and the penetrating block connecting leaf 73 is integrally formed above one part of the penetrating block body 71.
The through connection leaf 73 can be a hinge and is fixedly connected with the clamp body through a screw; or a clamping groove, as shown in fig. 8, preferably made of a spring plate, which is directly clamped on the clamp body.
In this embodiment, the penetrating ball body is connected with the penetrating ball body mounting hole through a ball head, and after a medical worker inserts the kirschner wire into the kirschner wire through hole, the mounting angle of the penetrating ball body is properly adjusted according to the position of the phalangeal fracture line, so that the kirschner wire penetrates through the fracture line at a proper angle.
Example 3
As shown in fig. 9, the structure of the present embodiment is a structural improvement based on the structure of the first embodiment, in the present embodiment, the left caliper body 1 includes a first caliper body split body 8, the first caliper body split body 8 is detachably connected to the front end of the left caliper body 1, the first caliper body split body 8 includes a first split short rod 81, a rotating shaft, and a first clamping body 82, the rear end of the first split short rod 81 is detachably connected to the front end of the left caliper body 1 through the rotating shaft, and the first clamping body 82 is connected to the front end of the first split short rod 81.
Preferably, the first clamping body 82 is one of an arc-shaped clamp (as shown in fig. 10), a clamping ball, a clamping tip, and a clamping plate.
As shown in fig. 10, the pin shaft is a T-shaped shaft, the T-shaped shaft is formed by integrally forming a cylindrical short shaft and a strip-shaped cap end, a straight hole is formed in the front end of the clamp body, and the strip-shaped cap end of the T-shaped shaft is relatively rotated by 90 degrees after penetrating through the straight hole for positioning.
The right forceps body 2 comprises a second forceps body split body 9, and the second forceps body split body 9 is detachably connected with the front end of the right forceps body 2. As shown in fig. 11, the second caliper body split 9 includes a clamping plate 91, a rotating shaft, and a second split short rod 92, a rear end of the second split short rod 92 is detachably connected to a front end of the right caliper body 2 by a pin, and a front end of the second split short rod 92 is rotatably connected to the clamping plate 91 by the rotating shaft.
The second clamp body split body 9 further comprises a rubber sleeve 93, and two ends of the rubber sleeve 93 are sleeved with two ends of the clamping flat plate 91 and then cover the upper side of the clamping flat plate 91.
Compared with the prior art, the invention has the following advantages:
1. the invention changes the traditional clamping mode of the resetting and fixing clamp from up and down clamping into left and right clamping, and at least one clamp body is provided with an inclined hole for the Kirschner wire to pass through, thereby facilitating the phalanx resetting treatment.
2. The front end of one of the forceps bodies is set as the clamping flat plate, the large area of the clamping flat plate is utilized to clamp the phalangeal fracture part, the clamping is firm, and the successful restoration is ensured.
3. The invention designs the front end of at least one forceps body into a separable and replaceable structure, and the positions of the two forceps body split bodies can be interchanged, such as: the clamping plate is usually disposed at the front end of the right caliper body, but the clamping plate may be disposed at the front end of the left caliper body.
While the foregoing is directed to the preferred embodiment of the present invention, it will be understood by those skilled in the art that various changes and modifications may be made without departing from the spirit and scope of the invention as defined in the appended claims.

Claims (10)

1. The utility model provides a phalanx fracture reduction fixation clamp convenient to left and right centre gripping, includes two pincers bodies, is left pincers body and right pincers body respectively, left side pincers body and right pincers body are articulated through the round pin axle, the tail end of left side pincers body and right pincers body is the finger hole, its characterized in that, the left side pincers body and the right pincers body of round pin axle front side centre gripping respectively in the left and right sides of phalanx, be equipped with pincers body locking device between the left side pincers body and the right pincers body of round pin axle rear side, at least one set up the ke shi needle through hole that supplies ke shi needle to pass on the pincers body that is located round pin axle front side.
2. The phalangeal fracture reduction fixation forceps facilitating left and right clamping according to claim 1, wherein an axis of said k-wire through hole is inclined with respect to a finger length direction.
3. The phalangeal fracture reduction fixation forceps facilitating left and right clamping according to claim 2, wherein the axis of said k-wire penetration hole is inclined at an angle of 30 °, 45 ° or 60 ° with respect to the finger length direction.
4. The phalangeal fracture reduction fixation forceps convenient for left and right clamping according to claim 1 or 2, wherein the forceps body is provided with a plurality of k-wire through holes arranged at intervals along the length direction, the hole diameter range of the k-wire through holes is 0.5-2.5mm, and the hole diameters of the k-wire through holes increase gradually from front to back.
5. The phalangeal fracture reduction fixation forceps facilitating left and right clamping according to claim 1, wherein a kirschner wire penetration block is detachably mounted on the forceps body, and the kirschner wire penetration hole is opened on the kirschner wire penetration block.
6. The phalangeal fracture reduction fixation forceps convenient for left and right clamping according to claim 5, wherein the kirschner wire penetration block comprises a penetration block body, a penetration ball and a penetration block connection leaf, the penetration block connection leaf is detachably connected with the forceps body, a penetration ball mounting hole penetrating front and back is formed on the penetration block body, the penetration ball is mounted in the penetration ball mounting hole and is connected with a ball head between the penetration ball mounting holes, and the penetration ball is provided with the kirschner wire penetration hole penetrating front and back.
7. The phalangeal fracture reduction fixation forceps facilitating left and right clamping according to claim 6, wherein the through sphere mounting hole is a spherical hole, and the through sphere is an elliptical sphere.
8. The phalangeal fracture reduction fixation forceps facilitating left and right clamping according to claim 6, wherein the penetration block body is of a half structure, the penetration sphere mounting hole is divided into two parts symmetrically arranged on the two parts of the penetration block body, and the penetration block connection leaf is integrally formed on one part of the penetration block body.
9. The phalangeal fracture reduction fixation forceps of claim 1, wherein one of the forceps bodies includes a first forceps body split body, the first forceps body split body is detachably connected to the front end of the forceps body, the first forceps body split body includes a first split short rod and a first clamping body, the rear end of the first split short rod is detachably connected to the front end of the forceps body, and the first clamping body is connected to the front end of the first split short rod;
the first clamping body is one of an arc-shaped clamp, a clamping ball body, a clamping tip and a clamping flat plate.
10. The phalangeal fracture reduction fixation forceps of claim 1, wherein the other forceps body comprises a second forceps body split body, the second forceps body split body is detachably connected with the front end of the forceps body, the second forceps body split body comprises a clamping flat plate, a rotating shaft and a second forceps body short rod, the rear end of the second forceps body short rod is detachably connected with the front end of the forceps body through a pin shaft, and the front end of the second forceps body short rod is rotatably connected with the clamping flat plate through the rotating shaft.
CN202010187038.XA 2020-03-17 2020-03-17 Phalanx fracture reduction fixing forceps convenient to clamp left and right Pending CN111407388A (en)

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CN202010187038.XA CN111407388A (en) 2020-03-17 2020-03-17 Phalanx fracture reduction fixing forceps convenient to clamp left and right

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CN202010187038.XA CN111407388A (en) 2020-03-17 2020-03-17 Phalanx fracture reduction fixing forceps convenient to clamp left and right

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114983550A (en) * 2022-05-24 2022-09-02 中国人民解放军空军军医大学 Fracture treatment kirschner wire positioning device

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106073857A (en) * 2016-08-15 2016-11-09 昆明市中医医院 A kind of multi-functional replacement and fixation guide forceps
CN205697929U (en) * 2016-01-14 2016-11-23 广东义晟实业有限公司 A kind of laminectomy rongeur of innovation
CN206414318U (en) * 2016-09-20 2017-08-18 河北医科大学第三医院 Reduction of the fracture apparatus
CN208492226U (en) * 2017-08-16 2019-02-15 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 Small sclerite reduction forceps

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN205697929U (en) * 2016-01-14 2016-11-23 广东义晟实业有限公司 A kind of laminectomy rongeur of innovation
CN106073857A (en) * 2016-08-15 2016-11-09 昆明市中医医院 A kind of multi-functional replacement and fixation guide forceps
CN206414318U (en) * 2016-09-20 2017-08-18 河北医科大学第三医院 Reduction of the fracture apparatus
CN208492226U (en) * 2017-08-16 2019-02-15 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 Small sclerite reduction forceps

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114983550A (en) * 2022-05-24 2022-09-02 中国人民解放军空军军医大学 Fracture treatment kirschner wire positioning device

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Application publication date: 20200714