CN111759446A - Auxiliary positioning device for puncture of Kirschner wire for orthopedics department - Google Patents

Auxiliary positioning device for puncture of Kirschner wire for orthopedics department Download PDF

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Publication number
CN111759446A
CN111759446A CN202010765000.6A CN202010765000A CN111759446A CN 111759446 A CN111759446 A CN 111759446A CN 202010765000 A CN202010765000 A CN 202010765000A CN 111759446 A CN111759446 A CN 111759446A
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CN
China
Prior art keywords
puncture
arc
positioning device
auxiliary positioning
kirschner wire
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Pending
Application number
CN202010765000.6A
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Chinese (zh)
Inventor
刘源
周伟
朱海洋
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First Affiliated Hospital of Zhengzhou University
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First Affiliated Hospital of Zhengzhou University
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Priority to CN202010765000.6A priority Critical patent/CN111759446A/en
Publication of CN111759446A publication Critical patent/CN111759446A/en
Pending legal-status Critical Current

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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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3472Trocars; Puncturing needles for bones, e.g. intraosseus injections
    • 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
    • A61B17/90Guides therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • A61B2017/3405Needle locating or guiding means using mechanical guide means
    • 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)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Pathology (AREA)
  • Neurosurgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The invention relates to an orthopedic Kirschner wire puncture auxiliary positioning device, which comprises a supporting base, wherein vertical supporting plates are respectively fixed at positions, close to the left side and the right side, on the upper surface of the supporting base, arc-shaped supporting brackets A are arranged, which slide back and forth, on the vertical supporting plates, the supporting brackets A are connected with mounting seats A along arc-shaped tracks in a sliding manner, puncture sleeves are connected onto the mounting seats A, the lower ends of the puncture sleeves are connected onto the mounting seats B, the mounting seats B are connected onto the arc-shaped supporting brackets B in a sliding manner, the supporting brackets B are connected onto the arc-shaped supporting plates in a sliding manner, the mounting seats A and the mounting seats B are respectively connected with the puncture sleeves through spherical connecting pieces, the spherical connecting pieces are in spherical connection with the mounting seats A and the mounting seats B, and the puncture sleeves are arranged; in summary, the invention has the advantages of reasonable structural design, convenient adjustment of puncture position and angle and high puncture precision.

Description

Auxiliary positioning device for puncture of Kirschner wire for orthopedics department
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to an orthopedic Kirschner wire puncture auxiliary positioning device.
Background
In an orthopedic surgery, a kirschner wire is usually required to penetrate through a bone block through skin and soft tissue and then to be drilled into another preset bone block for fixation, in the surgery, as the length of the kirschner wire is longer and the drilling direction is slightly deviated, the final drilling position has larger deviation and cannot reach the expected position, at present, under the condition, a doctor can poke the kirschner wire in an incision of the surgery by using a tool to deflect the tip of the kirschner wire to the preset direction and then continue to drill; because the deviation is within several millimeters under most conditions, and the Kirschner wire has good elasticity, the poking effect is not obvious, the one-time success cannot be achieved, the repeated clamping and fixing are needed, and the efficiency is greatly reduced, so the Kirschner wire positioner is mostly adopted for auxiliary positioning at present, but the positioning assembly and the fixing structure of the conventional Kirschner wire positioner are generally arranged in a mutually perpendicular mode, the included angle between the positioning assembly and the fixing structure cannot be adjusted according to the specific fixing angle, and the puncture of the Kirschner wire is inconvenient; therefore, it is very necessary to provide an orthopedic kirschner wire puncture auxiliary positioning device with reasonable structural design and a puncture angle convenient to adjust.
Disclosure of Invention
The invention aims to overcome the defects of the prior art and provides the orthopedic Kirschner wire puncture auxiliary positioning device which is reasonable in structural design and convenient for puncture angle adjustment.
The purpose of the invention is realized as follows: the orthopedic Kirschner wire puncture auxiliary positioning device comprises a supporting base, wherein vertical supporting plates are respectively fixed at positions, close to the left side and the right side, of the upper surface of the supporting base, arc-shaped supporting brackets A are arranged on the vertical supporting plates in a front-back sliding manner, mounting seats A are connected on the supporting brackets A in a sliding manner along arc-shaped tracks, puncture sleeves are connected on the mounting seats A, the lower ends of the puncture sleeves are connected on the mounting seats B, the mounting seats B are connected on the arc-shaped supporting brackets B in a sliding manner, the supporting brackets B are connected on the arc-shaped supporting plates in a front-back sliding manner, the mounting seats A and the mounting seats B are respectively connected with the puncture sleeves through spherical connecting pieces, the spherical connecting pieces are connected with the mounting seats A and the mounting seats B in a spherical manner, the puncture sleeves are arranged in mounting holes in the centers of the spherical connecting pieces, the puncture cannula is fixedly connected with the spherical connecting piece on the mounting seat B in a detachable mode, and the puncture cannula is connected with the spherical connecting piece on the mounting seat A in a sliding mode.
And locking pieces A are respectively connected between the mounting seat A and the supporting bracket A and between the mounting seat B and the supporting bracket B.
Locking parts B are respectively connected between the supporting bracket A and the vertical supporting plate and between the supporting bracket B and the arc-shaped supporting plate.
And fixing frames are respectively arranged at the positions above the arc-shaped supporting plate and close to the front end and the rear end.
The air bags are respectively arranged on the upper surface of the arc-shaped supporting plate, close to the positions of the front end and the rear end and the lower surface of the fixing frame, the air bags are respectively connected with an air inlet pipe and an air outlet pipe, the air inlet pipe and the air outlet pipe are respectively provided with an air inlet valve and an air outlet valve, and the other end of the air inlet pipe is connected with an inflating mechanism.
The airbag comprises airbag bulges and an airbag pipeline connected between the airbag bulges.
The inflation mechanism is a hand-pinch type inflatable ball.
The puncture cannula is connected with the spherical connecting piece on the mounting seat B through threads.
The left end of the fixing frame is hinged to the arc-shaped supporting plate, and the right end of the fixing frame is fixedly connected with the supporting rod fixed on the right side face of the arc-shaped supporting plate through the magic tape fixed on the fixing frame.
The invention has the beneficial effects that:
1. the top end and the bottom end of the puncture sleeve are respectively connected to the mounting seat A and the mounting seat B, and the mounting seat A and the mounting seat B can respectively move back and forth along respective sliding tracks along with the supporting bracket A and the supporting bracket B, so that the puncture position can be adjusted back and forth;
2. according to the invention, the mounting seat A and the mounting seat B can respectively move along the arc-shaped guide rails on the support bracket A and the support bracket B, so that the left and right positions of the puncture position can be adjusted;
3. the angle of the puncture cannula can be adjusted by adjusting the relative position between the mounting seat A and the mounting seat B;
4. the fixing frames are arranged at the front end and the rear end of the arc-shaped supporting plate, so that the position needing to be punctured can be fixed when needed, and the puncturing and fixing are facilitated.
Drawings
Fig. 1 is a schematic top view of the orthopedic kirschner wire puncture auxiliary positioning device.
Fig. 2 is a rear structural section view of the orthopedic kirschner wire puncture auxiliary positioning device.
Fig. 3 is a schematic view of a connection structure between a spherical connecting piece and a mounting seat A and a puncture cannula in the orthopedic Kirschner wire puncture auxiliary positioning device.
In the figure: 1. support base 2, vertical support plate 3, retaining member A4, support bracket A5, mount pad A6, arc layer board 7, gasbag pipeline 8, gasbag arch 9, bracing piece 10, magic subsides 11, mount 12, spherical connecting piece 13, retaining member B14, puncture sleeve 15, mounting hole 16, inflating mechanism 17, intake pipe 18, blast pipe 19, exhaust valve 20, intake valve 21, support bracket B22, mount pad B.
Detailed Description
The invention is further described below with reference to the accompanying drawings.
Example 1
As shown in fig. 1-3, an orthopedic kirschner wire puncture auxiliary positioning device comprises a supporting base 1, wherein vertical supporting plates 2 are respectively fixed on the upper surface of the supporting base 1 near the left side and the right side, an arc-shaped supporting bracket a4 is arranged on the vertical supporting plate 2 in a front-back sliding manner, a mounting seat a5 is connected on the supporting bracket a4 in a sliding manner along an arc-shaped track, a puncture cannula 14 is connected on the mounting seat a5, the lower end of the puncture cannula 14 is connected on the mounting seat B22, the mounting seat B22 is connected on the arc-shaped supporting bracket B21 in a sliding manner, the supporting bracket B21 is connected on an arc-shaped supporting plate 6 in a front-back sliding manner, the mounting seat a5 and the mounting seat B22 are respectively connected with the puncture cannula 14 through a spherical connecting member 12, the spherical connecting member 12 is in a spherical connection with the mounting seat a5 and the mounting seat B22, the puncture cannula 14 is arranged in a mounting hole 15 at the center of the spherical connecting piece 12, the puncture cannula 14 is fixedly connected with the spherical connecting piece 12 on the mounting seat B22 in a detachable mode, and the puncture cannula 14 is connected with the spherical connecting piece 12 on the mounting seat A5 in a sliding mode.
When the puncture cannula is used, the fracture part of a patient is placed on the arc-shaped supporting plate and is properly fixed according to needs, then the positions of the supporting bracket A and the supporting bracket B and the positions of the mounting seat A and the mounting seat B on the supporting bracket A and the supporting bracket B are respectively adjusted according to needs, the spherical connecting piece on the mounting seat A is connected with the puncture cannula in a sliding manner, and the spherical connecting piece on the mounting seat B is fixedly connected with the puncture cannula, so that the relative position between the mounting seat A and the mounting seat B can be randomly adjusted within a certain range, and the aim of adjusting the inclination angle of the puncture cannula is fulfilled; in summary, the invention has the advantages of reasonable structural design, convenient adjustment of puncture position and angle and high puncture precision.
Example 2
As shown in fig. 1-3, an orthopedic kirschner wire puncture auxiliary positioning device comprises a supporting base 1, wherein vertical supporting plates 2 are respectively fixed on the upper surface of the supporting base 1 near the left side and the right side, an arc-shaped supporting bracket a4 is arranged on the vertical supporting plate 2 in a front-back sliding manner, a mounting seat a5 is connected on the supporting bracket a4 in a sliding manner along an arc-shaped track, a puncture cannula 14 is connected on the mounting seat a5, the lower end of the puncture cannula 14 is connected on the mounting seat B22, the mounting seat B22 is connected on the arc-shaped supporting bracket B21 in a sliding manner, the supporting bracket B21 is connected on an arc-shaped supporting plate 6 in a front-back sliding manner, the mounting seat a5 and the mounting seat B22 are respectively connected with the puncture cannula 14 through a spherical connecting member 12, the spherical connecting member 12 is in a spherical connection with the mounting seat a5 and the mounting seat B22, the puncture cannula 14 is arranged in a mounting hole 15 at the center of the spherical connecting piece 12, the puncture cannula 14 is fixedly connected with the spherical connecting piece 12 on the mounting seat B22 in a detachable mode, and the puncture cannula 14 is connected with the spherical connecting piece 12 on the mounting seat A5 in a sliding mode; a locking member A3 is respectively connected between the mounting seat A5 and the supporting bracket A4 and between the mounting seat B22 and the supporting bracket B21; locking pieces B13 are respectively connected between the supporting bracket A4 and the vertical supporting plate 2 and between the supporting bracket B21 and the arc-shaped supporting plate 6; the upper parts of the arc-shaped supporting plates 6, which are close to the front end and the rear end, are respectively provided with a fixed frame 11; the upper surface of the arc-shaped supporting plate 6, which is close to the front end and the rear end, and the lower surface of the fixing frame 11 are respectively provided with air bags, the air bags are respectively connected with an air inlet pipe 17 and an air outlet pipe 18, the air inlet pipe 17 and the air outlet pipe 18 are respectively provided with an air inlet valve 20 and an air outlet valve 19, and the other end of the air inlet pipe 17 is connected with an inflating mechanism 16; the air bag comprises air bag bulges 8 and an air bag pipeline 7 connected between the air bag bulges 8; the inflation mechanism 16 is a hand-pinch type inflatable ball; the puncture cannula 14 is connected with the spherical connecting piece on the mounting seat B22 through threads; the left end of the fixing frame 11 is hinged on the arc-shaped supporting plate 6, and the right end of the fixing frame 11 is fixedly connected with the supporting rod 9 fixed on the right side face of the arc-shaped supporting plate 6 through the magic tape 10 fixed on the fixing frame 11.
When the puncture cannula is used, the fracture part of a patient is placed on the arc-shaped supporting plate, the arc-shaped supporting plate is properly fixed by the fixing frame as required, then the positions of the supporting bracket A and the supporting bracket B and the positions of the mounting seat A and the mounting seat B on the supporting bracket A and the supporting bracket B are respectively adjusted as required, then the positions of the supporting bracket A, the supporting bracket B, the mounting seat A and the mounting seat B are respectively locked by the locking piece A and the locking piece B, the spherical connecting piece on the mounting seat A is in sliding connection with the puncture cannula, and the spherical connecting piece on the mounting seat B is fixedly connected with the puncture cannula, so that the relative position between the mounting seat A and the mounting seat B can be randomly adjusted within a certain range, and the aim of adjusting the inclination angle of the puncture cannula is fulfilled; the air bags are respectively arranged on the upper surface of the arc-shaped supporting plate close to the front end and the rear end and on the lower surface of the fixing frame, when the area near the fracture needs to be fixed, the air bags are inflated through the inflating mechanism, so that the operation is convenient, the inflating quantity can be adjusted according to the needs of different people, and the use comfort level is high; the puncture cannula is connected with the spherical connecting piece on the mounting seat B through threads, the height of the puncture cannula can be adjusted by rotating the puncture cannula, and the use is convenient; in summary, the invention has the advantages of reasonable structural design, convenient adjustment of puncture position and angle and high puncture precision.

Claims (9)

1. The utility model provides an orthopedics is with ke shi needle puncture auxiliary positioning device, it includes supports the base, its characterized in that: the upper surface of the supporting base is respectively fixed with a vertical supporting plate at the position close to the left side and the right side, the vertical supporting plate is provided with an arc-shaped supporting bracket A in a front-back sliding manner, the supporting bracket A is connected with an installation seat A in a sliding manner along an arc-shaped track, the installation seat A is connected with a puncture sleeve, the lower end of the puncture sleeve is connected with an installation seat B, the installation seat B is connected with an arc-shaped supporting bracket B in a sliding manner, the supporting bracket B is connected with an arc-shaped supporting plate in a front-back sliding manner, the installation seat A and the installation seat B are respectively connected with the puncture sleeve through spherical connecting pieces, the spherical connecting pieces are in spherical connection with the installation seat A and the installation seat B, the puncture sleeve is arranged in an installation hole in the center of the spherical connecting pieces, and the puncture sleeve is fixedly connected with the spherical connecting pieces on the installation seat B through a detachable manner, the puncture cannula is connected with the spherical connecting piece on the mounting seat A in a sliding way.
2. The orthopedic kirschner wire puncture auxiliary positioning device according to claim 1, wherein: and locking pieces A are respectively connected between the mounting seat A and the supporting bracket A and between the mounting seat B and the supporting bracket B.
3. The orthopedic kirschner wire puncture auxiliary positioning device according to claim 1, wherein: locking parts B are respectively connected between the supporting bracket A and the vertical supporting plate and between the supporting bracket B and the arc-shaped supporting plate.
4. The orthopedic kirschner wire puncture auxiliary positioning device according to claim 1, wherein: and fixing frames are respectively arranged at the positions above the arc-shaped supporting plate and close to the front end and the rear end.
5. The orthopedic Kirschner wire puncture auxiliary positioning device according to claim 4, wherein: the air bags are respectively arranged on the upper surface of the arc-shaped supporting plate, close to the positions of the front end and the rear end and the lower surface of the fixing frame, the air bags are respectively connected with an air inlet pipe and an air outlet pipe, the air inlet pipe and the air outlet pipe are respectively provided with an air inlet valve and an air outlet valve, and the other end of the air inlet pipe is connected with an inflating mechanism.
6. The orthopedic kirschner wire puncture auxiliary positioning device according to claim 5, wherein: the airbag comprises airbag bulges and an airbag pipeline connected between the airbag bulges.
7. The orthopedic kirschner wire puncture auxiliary positioning device according to claim 6, wherein: the inflation mechanism is a hand-pinch type inflatable ball.
8. The orthopedic kirschner wire puncture auxiliary positioning device according to claim 1, wherein: the puncture cannula is connected with the spherical connecting piece on the mounting seat B through threads.
9. The orthopedic Kirschner wire puncture auxiliary positioning device according to claim 4, wherein: the left end of the fixing frame is hinged to the arc-shaped supporting plate, and the right end of the fixing frame is fixedly connected with the supporting rod fixed on the right side face of the arc-shaped supporting plate through the magic tape fixed on the fixing frame.
CN202010765000.6A 2020-08-03 2020-08-03 Auxiliary positioning device for puncture of Kirschner wire for orthopedics department Pending CN111759446A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202010765000.6A CN111759446A (en) 2020-08-03 2020-08-03 Auxiliary positioning device for puncture of Kirschner wire for orthopedics department

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202010765000.6A CN111759446A (en) 2020-08-03 2020-08-03 Auxiliary positioning device for puncture of Kirschner wire for orthopedics department

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CN111759446A true CN111759446A (en) 2020-10-13

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN204072306U (en) * 2014-09-28 2015-01-07 中国人民解放军南京军区南京总医院 Phalangeal fracture Kirschner wire positioner
CN107280758A (en) * 2017-07-21 2017-10-24 湖南丹尼尔智能科技有限公司 A kind of orthopaedics Kirschner wire fixation device
CN109620388A (en) * 2019-01-29 2019-04-16 丽水市人民医院 A kind of Kirschner wire auxiliary locator for bone surgery
CN209595859U (en) * 2018-12-13 2019-11-08 臧丽 A kind of thecal puncture auxiliary locator
CN111067612A (en) * 2020-01-06 2020-04-28 重庆医药高等专科学校 Kirschner wire positioner for orthopedics
CN111388066A (en) * 2020-04-07 2020-07-10 王小军 Intracutaneous positioning device in lumbar vertebra minimally invasive surgery for orthopedics clinic

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN204072306U (en) * 2014-09-28 2015-01-07 中国人民解放军南京军区南京总医院 Phalangeal fracture Kirschner wire positioner
CN107280758A (en) * 2017-07-21 2017-10-24 湖南丹尼尔智能科技有限公司 A kind of orthopaedics Kirschner wire fixation device
CN209595859U (en) * 2018-12-13 2019-11-08 臧丽 A kind of thecal puncture auxiliary locator
CN109620388A (en) * 2019-01-29 2019-04-16 丽水市人民医院 A kind of Kirschner wire auxiliary locator for bone surgery
CN111067612A (en) * 2020-01-06 2020-04-28 重庆医药高等专科学校 Kirschner wire positioner for orthopedics
CN111388066A (en) * 2020-04-07 2020-07-10 王小军 Intracutaneous positioning device in lumbar vertebra minimally invasive surgery for orthopedics clinic

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