CN112274321B - Artificial auditory ossicle operation mounting forceps - Google Patents

Artificial auditory ossicle operation mounting forceps Download PDF

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Publication number
CN112274321B
CN112274321B CN202011175230.3A CN202011175230A CN112274321B CN 112274321 B CN112274321 B CN 112274321B CN 202011175230 A CN202011175230 A CN 202011175230A CN 112274321 B CN112274321 B CN 112274321B
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CN
China
Prior art keywords
sleeve
rod
forceps
movable
movable rod
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Active
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CN202011175230.3A
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Chinese (zh)
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CN112274321A (en
Inventor
魏波
郑艳
周鹏
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West China Hospital of Sichuan University
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West China Hospital of Sichuan University
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Priority to CN202011175230.3A priority Critical patent/CN112274321B/en
Publication of CN112274321A publication Critical patent/CN112274321A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F11/00Methods or devices for treatment of the ears or hearing sense; Non-electric hearing aids; Methods or devices for enabling ear patients to achieve auditory perception through physiological senses other than hearing sense; Protective devices for the ears, carried on the body or in the hand
    • A61F11/20Ear surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4601Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for introducing bone substitute, for implanting bone graft implants or for compacting them in the bone cavity
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A40/00Adaptation technologies in agriculture, forestry, livestock or agroalimentary production
    • Y02A40/80Adaptation technologies in agriculture, forestry, livestock or agroalimentary production in fisheries management
    • Y02A40/81Aquaculture, e.g. of fish

Abstract

The invention discloses an artificial auditory ossicle operation mounting forceps, which comprises a hollow sleeve, wherein a movable rod is movably arranged in the sleeve, a first forceps body is arranged at the front end of the movable rod, a second forceps body is arranged at the front end of the sleeve, a first clamping part is arranged at the front end of the first forceps body, a second clamping part is arranged at the front end of the second forceps body, a hand rod is arranged at the tail part of the sleeve, the movable rod penetrates through the sleeve, and the movable rod drives a driving rod to realize driving through a sliding block; the first caliper body and the second caliper body can be electrically rotated by the rotating motor. This scheme is arranged in artifical ossicular installation operation in-process, supplementary centre gripping artifical ossicular, and convenient installation is on stapes head and incus long foot.

Description

Artificial auditory ossicle operation mounting forceps
Technical Field
The invention relates to the technical field of medical instruments, in particular to an artificial auditory bone operation mounting forceps.
Background
The human ear mainly hears sound through the air conduction mode, and the sound is passed to human behind the ear transmission channel and is external auditory canal, tympanic membrane, ossicle, inner ear, and wherein the ossicle includes malleus, incus and stapes. Deformity or destruction of the ossicular chain leads to acoustic dysfunction, requiring replacement with an artificial ossicle. In the artificial ossicular installation operation, it is generally required to clamp the artificial ossicle using artificial ossicular installation forceps. The clamping part of the existing artificial auditory ossicle mounting forceps (wheat forceps) is opened and closed in an alligator shape, the opening angle of the forceps handle is changed along with the different positions of the clamping part when the artificial auditory ossicle is clamped, and thus, the opening size of the hand of an operator needs to be adjusted, and an adjustment adaptation process is needed; in addition, the clamping part is opened towards two sides when the artificial ossicle is loosened, and other parts of the inner ear can be touched, so that the inner ear can be injured or scratched.
Disclosure of Invention
Aiming at the defects in the prior art, the invention provides the artificial auditory ossicle operation mounting forceps which are convenient to use.
In order to achieve the purpose of the invention, the technical scheme adopted by the invention is as follows:
the utility model provides an artificial auditory ossicle operation mounting forceps, which comprises a hollow sleeve, a movable rod is movably arranged in the sleeve, a first forceps body is arranged at the front end of the movable rod, a second forceps body is arranged at the front end of the sleeve, a first clamping part is arranged at the front end of the first forceps body, a second clamping part is arranged at the front end of the second forceps body, the first clamping part and the first forceps body, the second clamping part and the second forceps body are all in L shapes, a telescopic hole along the length direction is arranged in the second forceps body, and the first forceps body penetrates through the telescopic hole; a hand lever is arranged at the tail part of the sleeve, an included angle is formed between the hand lever and the sleeve, and a handle is arranged at the tail part of the hand lever; the movable rod penetrates through the sleeve, the tail part of the movable rod is hinged with a driving rod, a sliding block sliding along the hand rod is arranged on the hand rod, and the driving rod is hinged on the sliding block;
a threaded rod is arranged in the hand lever, one end of the threaded rod is fixedly connected with a rotating shaft of the opening and closing motor, the end part of the threaded rod is arranged on a bearing in the hand lever, and the opening and closing motor is fixed in the handle; the threaded rod is sleeved with a movable sleeve, the movable sleeve is in threaded connection with the threaded rod, the sliding block is fixed on the movable sleeve, and the hand lever is provided with a strip-shaped hole for the sliding block to slide;
the tail part of the second clamp body is provided with a connecting ring, the front end of the sleeve is provided with an annular sinking platform, the connecting ring is sleeved on the sinking platform, a plurality of balls are arranged between the connecting ring and the sinking platform, the balls are uniformly distributed on the inner circumference of the connecting ring, and ball grooves for placing the balls are arranged on the inner circumference of the connecting ring and the outer circumference of the sinking platform;
the tail part of the first clamp body is provided with a connecting column, the front end of the movable rod is provided with a counter bore, the connecting column is movably arranged in the counter bore, the front end of the connecting column is provided with a threaded hole, the bottom of the counter bore is provided with a rotating motor, and a rotating shaft of the rotating motor is in threaded connection with the threaded hole;
a circle of limiting ring is arranged outside the first clamp body, a plurality of limiting teeth are arranged on the outer circumference of the limiting ring, a plurality of movable grooves along the length direction are arranged in the telescopic hole, the limiting teeth are arranged in the movable grooves in a matching manner, and the movable length of the limiting ring in the telescopic hole is the maximum opening distance of the first clamping part and the second clamping part;
the handle is provided with an opening button, a closing button, an angle knob and a display screen, the opening button, the closing button, the angle knob, the rotating motor, the opening and closing motor and the display screen are all electrically connected with the controller, and the controller is arranged in the handle.
The invention has the beneficial effects that: this scheme is arranged in artifical ossicle installation operation process, and the artifical ossicle of supplementary centre gripping is conveniently installed on stapes head and incus long foot. The artificial auditory ossicle is clamped by the first clamping part and the second clamping part, and the opening and the closing of the first clamping part and the second clamping part are controlled by the opening button and the closing button on the handle, so that the opening angle is controlled, and different parts for clamping the artificial auditory ossicle are adapted. Only the front end of the mounting pliers is provided with the clamp, and the sleeve and the movable rod form a rod body, so that the ear canal can be effectively prevented from being injured when entering the ear canal. And when loosening the artificial ossicle, the first clamping part moves forwards, so that large-angle opening is avoided, and the operation is convenient.
The movable rod slides on the hand lever through the sliding block, and then the movable rod is driven to stretch forwards or backwards, clamping and loosening are achieved, the threaded rod is driven to rotate through the motor, the sliding block slides, and the sliding block and the movable rod move stably and reliably. Meanwhile, the rotating motor at the front end of the movable rod can drive the first clamp body and the second clamp body to rotate, and after the installation clamp carries the artificial auditory ossicle to enter the ear, the angle can be adjusted through the rotating knob, so that the installation and the operation are convenient.
Spacing ring and spacing tooth on the first inlay carry on spacingly to the rotation of the second pincers body, ensure that first inlay and the second pincers body can rotate jointly for first inlay can only stretch out and draw back in the second pincers body, and ensure the stability of centre gripping. The whole installation clamp realizes automatic control while ensuring stable and reliable clamping, reduces the labor intensity of doctors during operation, and the doctors do not need to clamp the installation clamp all the time.
Drawings
Fig. 1 is a structural view of an artificial ossicular surgery mounting forceps.
Fig. 2 is a structural view of the first caliper body and the second caliper body.
Fig. 3 is a top view of the connection of the first and second jaw bodies.
Fig. 4 is a structural view of the handle.
Wherein, 1, a first clamping part, 2, a first clamp body, 3, a second clamping part, 4, a sleeve, 5, a spring, 6, a spring limit plate, 7, a movable rod, 8, a driving rod, 9, a slide block, 10, a threaded rod, 11, an opening and closing motor, 12, a handle, 13 and a movable sleeve, 14, a hand lever, 15, a bearing, 16, a display screen, 17, a limit tooth, 18, a ball, 19, a rotating motor, 20, a connecting column, 21, a connecting ring, 22, a rotating shaft, 23, a limit ring, 24, a pressure sensor, 25, an air cushion, 26, an expansion ball, 27 and a second clamp body.
Detailed Description
The following description of the embodiments of the present invention is provided to facilitate the understanding of the present invention by those skilled in the art, but it should be understood that the present invention is not limited to the scope of the embodiments, and it will be apparent to those skilled in the art that various changes may be made without departing from the spirit and scope of the invention as defined and defined in the appended claims, and all matters produced by the invention using the inventive concept are protected.
As shown in fig. 1 to 4, the artificial auditory bone surgery installation forceps provided by the present scheme includes a hollow casing 4, a movable rod 7 is movably arranged in the casing 4, a first forceps body 2 is arranged at the front end of the movable rod 7, a second forceps body 27 is arranged at the front end of the casing 4, a first clamping portion 1 is arranged at the front end of the first forceps body 2, a second clamping portion 3 is arranged at the front end of the second forceps body 27, the first clamping portion 1 and the first forceps body 2, and the second clamping portion 3 and the second forceps body 27 are all L-shaped, a telescopic hole along the length direction is arranged in the second forceps body 27, and the first forceps body 2 penetrates through the telescopic hole; a hand lever 14 is arranged at the tail part of the sleeve 4, an included angle is formed between the hand lever 14 and the sleeve 4, and a handle 12 is arranged at the tail part of the hand lever 14; the movable rod 7 penetrates through the sleeve 4, the tail part of the movable rod 7 is hinged with a driving rod 8, a sliding block 9 sliding along the hand rod 14 is arranged on the hand rod 14, and the driving rod 8 is hinged on the sliding block 9;
a threaded rod 10 is arranged in the hand lever 14, one end of the threaded rod 10 is fixedly connected with a rotating shaft of the opening and closing motor 11, the end part of the threaded rod 10 is arranged on a bearing 15 in the hand lever 14, and the opening and closing motor 11 is fixed in the handle 12; the threaded rod 10 is sleeved with a movable sleeve 13, the movable sleeve 13 is in threaded connection with the threaded rod 10, the sliding block 9 is fixed on the movable sleeve 13, and the hand lever 14 is provided with a strip-shaped hole for the sliding block 9 to slide.
The tail of the second clamp body 27 is provided with a connecting ring 21, the front end of the sleeve 4 is provided with an annular sinking platform, the connecting ring 21 is sleeved on the sinking platform, a plurality of balls 18 are arranged between the connecting ring 21 and the sinking platform, the plurality of balls 18 are uniformly distributed on the inner circumference of the connecting ring 21, and ball grooves for placing the balls 18 are arranged on the inner circumference of the connecting ring 21 and the outer circumference of the sinking platform.
The tail of the first clamp body 2 is provided with a connecting column 20, the front end of the movable rod 7 is provided with a counter bore, the connecting column 20 is movably arranged in the counter bore, the front end of the connecting column 20 is provided with a threaded hole, the bottom of the counter bore is provided with a rotating motor 19, and a rotating shaft 22 of the rotating motor 19 is in threaded connection with the threaded hole.
The first pincers body 2 is externally provided with a circle of limiting ring 23, a plurality of limiting teeth 17 are arranged on the outer circumference of the limiting ring 23, a plurality of movable grooves along the length direction are formed in the telescopic hole, the limiting teeth 17 are arranged in the movable grooves in a matched mode, and the movable length of the limiting ring 23 in the telescopic hole is the maximum opening distance of the first clamping portion 1 and the second clamping portion 3.
An opening button, a closing button, an angle knob and a display screen 16 are arranged on the handle 12, the opening button, the closing button, the angle knob, the rotating motor 19, the opening and closing motor 11 and the display screen 16 are all electrically connected with a controller, and the controller is arranged in the handle 12.
This scheme is arranged in artifical ossicle installation operation process, and the artifical ossicle of supplementary centre gripping is conveniently installed on stapes head and incus long foot. The artificial auditory ossicle is clamped by the first clamping part 1 and the second clamping part 3, the opening and the closing of the first clamping part 1 and the second clamping part 3 are controlled by the opening button and the closing button on the handle 12, the opening angle is controlled, and different parts of the artificial auditory ossicle are clamped in an adaptive manner. Only the front end of the mounting pliers is provided with a clamp, and the sleeve 4 and the movable rod 7 form a rod body, so that the ear canal can be effectively prevented from being injured when entering the ear canal. And when loosening the artificial ossicle, the first clamping part 1 moves forwards, so that large-angle opening is avoided, and the operation is convenient.
The movable rod 7 slides on the hand lever 14 through the sliding block 9, and then the movable rod 7 is driven to stretch forwards or backwards, clamping and loosening are achieved, the threaded rod 10 is driven to rotate through the motor, the sliding block 9 slides, and the sliding block 9 and the movable rod 7 move stably and reliably. Meanwhile, the rotating motor 19 at the front end of the movable rod 7 can drive the first clamp body 2 and the second clamp body 27 to rotate, and after the installation clamp carries the artificial auditory ossicle to enter the ear, the angle can be adjusted through the rotating knob, so that the installation and the operation are convenient.
The limiting ring 23 and the limiting teeth 17 on the first inlay limit the rotation of the second clamp body 27, and ensure that the first inlay and the second clamp body 27 can rotate together, so that the first inlay can only extend and retract in the second clamp body 27, and the stability of clamping is ensured. The whole installation clamp realizes automatic control while ensuring stable and reliable clamping, reduces the labor intensity of doctors during operation, and the doctors do not need to clamp the installation clamp all the time.
A soft air cushion 25 is arranged on the clamping surface of the second clamping part 3. The bottom of the air cushion 25 is hermetically connected with an expansion ball 26 through an air hole, the expansion ball 26 is arranged on a pressure sensor 24, the pressure sensor 24 is electrically connected with a controller, and an anti-skid layer is arranged on the clamping surface of the first clamping part 1.
The air cushion 25 is matched with the expansion ball 26, the size of the clamping force can be detected in the process of clamping the artificial auditory ossicle and is displayed on the display screen 16, and a doctor can directly control opening and closing through the clamping force displayed on the display screen 16 in the operation process. The phenomenon that the artificial auditory ossicle is damaged due to overlarge clamping force and becomes loose due to the overlong clamping force is avoided; the anti-skid layer can effectively prevent skid.
The tail of the movable rod 7 is hinged with two driving rods 8, the two driving rods 8 are respectively arranged on two sides of the movable rod 7, the end parts of the two driving rods 8 are respectively hinged on two sides of the sliding block 9, bearings 15 are respectively arranged at two ends of the threaded rod 10, and the bearings 15 are arranged in the hand lever 14. The bearing 15 can effectively reduce the vibration when the threaded rod 10 rotates, and the two driving rods 8 ensure the stability of the movable rod 7 during extension and contraction.
The front ends and the outer sides of the first clamping part 1 and the second clamping part 3 are both set to be smooth arc surfaces, so that the scratching in the ear is avoided. Be provided with spring limiting plate 6 on the afterbody of movable rod 7, be provided with spring 5 between spring limiting plate 6 and the sleeve pipe 4, spring 5 overlaps on movable rod 7, and spring 5 provides the relative resilience force between movable rod 7 and the sleeve pipe 4, helps first pincers body 2 and the second pincers body 27 to reset.

Claims (6)

1. The mounting forceps for the artificial auditory bone surgery are characterized by comprising a hollow sleeve (4), a movable rod (7) is movably arranged in the sleeve (4), a first forceps body (2) is arranged at the front end of the movable rod (7), a second forceps body (27) is arranged at the front end of the sleeve (4), a first clamping part (1) is arranged at the front end of the first forceps body (2), a second clamping part (3) is arranged at the front end of the second forceps body (27), the first clamping part (1) and the first forceps body (2), the second clamping part (3) and the second forceps body (27) are L-shaped, a telescopic hole along the length direction is formed in the second forceps body (27), and the first forceps body (2) penetrates through the telescopic hole; a hand lever (24) is arranged at the tail part of the sleeve (4), an included angle is formed between the hand lever (14) and the sleeve (4), and a handle (12) is arranged at the tail part of the hand lever (14); the movable rod (7) penetrates through the sleeve (4), the tail of the movable rod (7) is hinged with a driving rod (8), a sliding block (9) which slides along the hand rod (14) is arranged on the hand rod (14), and the driving rod (8) is hinged on the sliding block (9);
a threaded rod (10) is arranged in the hand lever (14), one end of the threaded rod (10) is fixedly connected with a rotating shaft of the opening and closing motor (11), the end part of the threaded rod (10) is arranged on a bearing (15) in the hand lever (14), and the opening and closing motor (11) is fixed in the handle (12); a movable sleeve (13) is sleeved on the threaded rod (10), the movable sleeve (13) is in threaded connection with the threaded rod (10), the sliding block (9) is fixed on the movable sleeve (13), and a strip-shaped hole for the sliding block (9) to slide is formed in the hand lever (14);
the tail part of the second clamp body (27) is provided with a connecting ring (21), the front end of the sleeve (4) is provided with an annular sinking platform, the connecting ring (21) is sleeved on the sinking platform, a plurality of balls (18) are arranged between the connecting ring (21) and the sinking platform, the balls (18) are uniformly distributed on the inner circumference of the connecting ring (21), and ball grooves for placing the balls (18) are formed in the inner circumference of the connecting ring (21) and the outer circumference of the sinking platform;
a connecting column (20) is arranged at the tail part of the first clamp body (2), a counter bore is formed in the front end of the movable rod (7), the connecting column (20) is movably arranged in the counter bore, a threaded hole is formed in the front end of the connecting column (20), a rotating motor (19) is arranged at the bottom of the counter bore, and a rotating shaft (22) of the rotating motor (19) is in threaded connection with the threaded hole;
a circle of limiting ring (23) is arranged outside the first clamp body (2), a plurality of limiting teeth (17) are arranged on the outer circumference of the limiting ring (23), a plurality of movable grooves along the length direction are arranged in the telescopic hole, the limiting teeth (17) are arranged in the movable grooves in a matching manner, and the movable length of the limiting ring (23) in the telescopic hole is the maximum opening distance of the first clamping part (1) and the second clamping part (3);
the handle (12) is provided with an opening button, a closing button, an angle knob and a display screen (16), the opening button, the closing button, the angle knob, the rotating motor (19), the opening and closing motor (11) and the display screen (16) are all electrically connected with a controller, and the controller is arranged in the handle (12);
a soft air cushion (25) is arranged on the clamping surface of the second clamping part (3), the bottom of the air cushion (25) is hermetically connected with an expansion ball body (26) through an air hole, the expansion ball body (26) is arranged on a pressure sensor (24), and the pressure sensor (24) is electrically connected with a controller.
2. The artificial ossicular surgery mounting forceps according to claim 1, wherein an anti-slip layer is provided on a clamping surface of the first clamping portion (1).
3. The artificial ossicular surgery mounting forceps according to claim 1, wherein the movable rod (7) has two driving rods (8) hinged to the tail thereof, the two driving rods (8) are respectively disposed at two sides of the movable rod (7), and the ends of the two driving rods (8) are respectively hinged to two sides of the sliding block (9).
4. An artificial ossicular surgery mounting forceps according to claim 1, characterized in that bearings (15) are provided at both ends of the threaded rod (10), said bearings (15) being mounted in the hand rod (14).
5. The artificial ossicular surgery installation forceps according to claim 1, wherein the front ends and the outer sides of the first clamping portion (1) and the second clamping portion (3) are provided with smooth circular arc surfaces.
6. The artificial ossicular surgery mounting forceps according to claim 1, wherein a spring limiting plate (6) is disposed at a tail portion of the movable rod (7), a spring (5) is disposed between the spring limiting plate (6) and the sleeve (4), and the spring (5) is sleeved on the movable rod (7).
CN202011175230.3A 2020-10-28 2020-10-28 Artificial auditory ossicle operation mounting forceps Active CN112274321B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
CN202011175230.3A CN112274321B (en) 2020-10-28 2020-10-28 Artificial auditory ossicle operation mounting forceps

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CN112274321A CN112274321A (en) 2021-01-29
CN112274321B true CN112274321B (en) 2023-04-07

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