CN112545687B - Double-pressing sleeve guide rod pressure spring tooth appliance - Google Patents

Double-pressing sleeve guide rod pressure spring tooth appliance Download PDF

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Publication number
CN112545687B
CN112545687B CN202011393737.6A CN202011393737A CN112545687B CN 112545687 B CN112545687 B CN 112545687B CN 202011393737 A CN202011393737 A CN 202011393737A CN 112545687 B CN112545687 B CN 112545687B
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China
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guide rod
pressing sleeve
lower guide
upper guide
connecting piece
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CN202011393737.6A
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CN112545687A (en
Inventor
徐实谦
陈广俊
赵慧杰
吴迪
侯录
王培军
周珊
张苗苗
朱晓丽
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Harbin Institute of Technology
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Harbin Institute of Technology
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/36Devices acting between upper and lower teeth

Abstract

The invention relates to a tooth appliance with double pressing sleeve guide rods and compression springs, in particular to a tooth appliance, which aims to solve the problems that the tooth appliance in the prior art is difficult to realize mechanized processing and mass production, fatigue fracture can be generated in a long-time drawing and left-falling pressing process, the pressure in the opening and closing process is gradually reduced to generate inflection points, and a multi-bend spring is converted into tensile stress to generate negative action and influence the appliance effect when the tooth appliance is continuously opened; the one end of going up the guide bar is installed and is pushed in the cover at last direction, and the one end fixed mounting of guide bar is pushed in the cover under at the direction down, goes up the direction and pushes in the cover and set up with the direction pressure cover is relative down. The invention belongs to the field of dental correction.

Description

Double-pressing sleeve guide rod pressure spring tooth appliance
Technical Field
The invention relates to a tooth appliance, in particular to a double-pressing-sleeve guide rod compression spring tooth appliance.
Background
A movable appliance device for treating functional and early-stage osseous malocclusion in the stage of tooth formation from left-falling to right-falling in the deciduous tooth period of patients suffering from Angle III malocclusion. After the infant wears the set in the mouth, the pressure generated by the pressure spring is transferred to the upper invisible base and the lower invisible base through the guide shafts of the upper anchorage positioning bolt and the lower anchorage positioning bolt and acts on the upper and lower jaw whole dentition. The formed correcting force acts on the upper jaw and the lower jaw, so that the upper jaw is pushed forwards by the upper jaw invisible base to promote the forward development of the upper jaw, the lower jaw is pushed backwards by the lower jaw invisible base to inhibit the excessive forward development of the lower jaw, the functional retreat of the lower jaw is caused, and the opposite jaw can be effectively corrected.
The stomacher is commonly known as the Shangtian, the academic name of the III-class malocclusion of the Anshi, the anterior teeth are reversely closed, the lower jaw is functionally advanced, and the molar is in the III-class occlusion relationship, namely the lip of the anterior teeth of the lower jaw is inclined, the tongue of the anterior teeth of the upper jaw is inclined, the lower jaw is advanced and displaced, so that the anterior teeth are reversely jawed.
For such patients, functional appliances are mostly used clinically for several decades for orthodontics, namely, pseudo-stroke, left-falling-tooth, left-falling-bone and III-type malocclusion at home and abroad, and appliances disclosed in clinical and patent documents are mainly classified into the following categories:
the method mainly comprises an FR-III type functional appliance and a Twin-Block appliance by means of generating backward force by rigid extrusion, and the patent documents are as follows: the digital muscle function induction appliance and the manufacturing method CN110215298A, a III type individual function appliance CN 105411692B and the like belong to the former variety; the bracket-free invisible appliance for guiding the mandibular movement and the manufacturing method CN110123464A, the mandibular leading invisible appliance CN110063802A, a mandibular advancement guiding and fixing orthodontic combined appliance CN109730788A, an adjustable mandibular advancement appliance CN103565573A, a double pad appliance CN109009497A and the like are all the variants of the latter. Their greatest disadvantage is the high rigidity of the device and the difficulty in adjusting the backward thrust. Especially, the double-baffle plate appliance directly converts the occlusal force into the backward force, and the occlusal force is far greater than the required correction force, so that the side effects of upper labial inclination, lower lingual inclination and the like are easily generated, and even the permanent tooth falls off. In addition, the steel wire and the labial arch of the FR-III type functional appliance can be exposed when being opened, and the double-baffle appliance can not realize complete occlusion when in use, thus seriously affecting the beauty and the comfort.
Magnetic generation of backward force, patent document: the buccal screen type invisible magnetic force functional appliance CN110063803A and the bony class III malocclusion appliance CN 102068316A are all based on the principle. However, the magnitude of the magnetic force has a complex nonlinear relationship with the shape, magnetization intensity and distance of the magnet, and is extremely sensitive to parameter change, and because the consistency of processing and manufacturing of the magnet is poor, the orthopedic device inevitably has processing errors, so that the force application is difficult to control accurately, the force is difficult to keep constant in the treatment stage, side effects are easy to generate, and the surface shape is also easy to be asymmetrical due to the uneven stress on two sides.
The use of elastic elements to generate the backward force, historically the most classical solution, the Herbst Hinge, is also the main object of the present invention. Such as german patent DE19711536a1 and domestic patent literature: the elastic bracket CN107095723A for orthodontic, the labial attachment CN105792771A used with orthodontic aids and lingual appliance system, a spring loaded mandibular advancement appliance CN1803109A, a composite device CN111265318A which advances the mandible while achieving three dimensional movement of orthodontic teeth, etc. are all variants thereof. It is characterized by that the spring is compressed by a rod sliding in the sleeve barrel, so that it can produce the force for pushing lower jaw backward. Because the rod and the sleeve wall are in non-lubrication surface contact sliding friction pairs, the requirements on rigidity, matching precision and surface roughness are high, if the precision is insufficient, or the structure is deformed by non-axial force, the friction resistance can be greatly increased or even blocked, so that a good correction effect can be achieved, the structure must have enough size to ensure the rigidity, and meanwhile, the manufacturing cost is very high for ensuring the precision. This makes the solution difficult to meet the requirements of early correction, especially for Chinese patients with small face sizes, due to size limitations, and the cost of the solution also imposes a great burden on the patients.
In 2006, the buccal multi-curved spring movable appliance CN2006101509758 is used for years of clinical application, and the correction of class iii malocclusion of anshi overcomes some defects of the above scheme, and hundreds of patients have good treatment effect, but some problems are encountered. Firstly, the used multi-bent springs are manually bent, and the mechanical processing and mass production are difficult to realize; and secondly, the long-time stretching, downward stroke and pressing process of the multi-curved spring can cause the problem of fatigue fracture, and the correcting effect is influenced.
Thirdly, the upper jaw support and the lower jaw support are made of self-setting resin, and the jaw growth and the face shape of the children patients can be affected after the children patients wear the resin for a long time; fourthly, the pressure is the largest when the mouth is closed in the process of opening and closing the mouth, the pressure in the process of opening the mouth is gradually reduced to zero pressure, an inflection point appears, the multi-bend spring is converted into tensile stress when the mouth is continuously opened, and the tensile stress is opposite to the orthodontic direction to generate negative effect, so that the orthodontic effect is influenced.
The double-pressing-sleeve guide rod compression spring tooth appliance solves the problems, and has the advantages of simple structure, easy processing, mechanized mass production, low manufacturing cost, easy mastering of technology and clinical popularization and application.
Disclosure of Invention
The invention aims to solve the problems that the tooth appliance in the prior art is difficult to realize mechanical processing and mass production, fatigue fracture can be generated in the long-time left-falling stroke process, the pressure is gradually reduced to generate inflection points in the process of opening and closing the opening, and the multi-curved spring is converted into tensile stress to generate negative action to influence the appliance effect when the opening is continued, thereby providing the tooth appliance with the double-pressing sleeve guide rod compression spring.
The technical problem is solved by the following scheme:
the correcting pressure mechanism comprises an upper base support, a lower base support and two correcting pressure mechanisms, wherein the upper base support and the lower base support are connected through the two symmetrically arranged correcting pressure mechanisms; go up the compression spring cover and establish on last guide bar, the one end of going up the guide bar is installed and is pressed to sheathe in last direction, compression spring cover is established under on the guide bar down, the one end fixed mounting of lower guide bar is pressed to sheathe in the direction down, go up the direction and press the cover to set up with the direction down relatively, the other end of going up the guide bar slides and sets up under and presses to sheathe in, the other end of lower guide bar slides and sets up on last direction and presses to sheathe in, it is connected with the last base support rotation of one side through last direction location connecting piece to go up the direction and press the cover to rotate through the lower base support of direction location connecting piece and homonymy down.
Compared with the prior art, the invention has the following beneficial effects:
1. the invention generates thrust through compression of the spiral spring, the elastic force and the compression are in linear relation, and the finished spring is mature in technology and stable in parameters, so that the control of the magnitude of the thrust is accurate, and the adjustment is simple. Meanwhile, as the friction force is small and the consistency is high in the movement process of the appliance, the appliance can ensure that the appliance is stable and accurate, is suitable for the requirements of patients with different ages and different illness states on different appliance forces, achieves the optimal appliance effect, and avoids various side effects caused by improper appliance force.
2. Because the thrust generated by the compression of the spiral spring is used for correction, the change of correction force is very small in the lower jaw retraction process in one treatment stage of a patient, and the correction effect is ensured.
3. Because this application produce thrust through coil spring's compression and correct, make the facial lower jaw both sides atress of patient even, can not cause the face type asymmetry.
4. The appliance is provided with an idle stroke interval, when the opening of the patient exceeds the relaxation length of the spring, the spring is separated from the compression device, the lower jaw cannot be applied with reverse force, and the treatment effect is ensured.
5. Due to the structural design of the orthosis, the requirement on the rigidity of the structure is greatly reduced, and the size of the structure can be obviously reduced, so that the orthosis is attractive in shape and comfortable to wear. On the one hand, the oral cavity-adjustable therapeutic device is suitable for developmental patients, particularly Chinese children patients, and on the other hand, the patients can be ensured to follow treatment, and the correction effect is ensured.
6. Due to the creative design, the device is simple in principle and structure, low in machining precision requirement, and capable of forming serial models according to different sizes and correction force requirements and conducting standardized and batch production. Not only avoids the quality from being influenced by the technical level of a maker, but also is easy to popularize and can serve more patients.
7. The device principle and simple structure, the machining precision requirement is low, can form serialized model according to not unidimensional and correction power demand, carries out batch operation, consequently corrects ware low cost, has alleviateed patient's economic burden greatly.
Drawings
Fig. 1 is a front view of the overall structure of the present application.
Fig. 2 is a front view of the pressure-correcting mechanism of the present application.
Fig. 3 is a top view of fig. 2.
Fig. 4 is a view from a-a in fig. 3.
Fig. 5 is a schematic view showing the connection between the bolt fixing plate 19 and the bolt guide shaft 21.
Fig. 6 is a top view of fig. 5.
Fig. 7 is a schematic structural view of the upper guide positioning connecting member 15.
Detailed Description
The first embodiment is as follows: the embodiment is described with reference to fig. 1 to 7, and the tooth appliance with double pressing sleeve guide rods and compression springs comprises an upper base 1, a lower base 2 and two correction pressure mechanisms, wherein the upper base 1 and the lower base 2 are connected through two symmetrically arranged correction pressure mechanisms, and each correction pressure mechanism comprises an upper guide pressing sleeve 3, a lower guide pressing sleeve 4, an upper guide rod 9, a lower guide rod 10, an upper compression spring 11, a lower compression spring 12, an upper guide positioning connecting piece 15 and a lower guide positioning connecting piece 16; go up compression spring 11 cover and establish on last guide bar 9, the one end of going up guide bar 9 is installed on last direction pressure cover 3, compression spring 12 cover is established under on guide bar 10, the one end fixed mounting of lower guide bar 10 is on direction pressure cover 4 down, it presses cover 3 and the relative setting of cover 4 down to lead to go up, the other end of going up guide bar 9 slides and sets up under on direction pressure cover 4, the other end of lower guide bar 10 slides and sets up on last direction pressure cover 3, it is connected with the last base support 1 rotation of one side through last direction location connecting piece 15 to lead to press cover 3 down, lower direction pressure cover 4 is connected with the lower base support 2 rotation of homonymy through lower direction location connecting piece 16.
The second embodiment is as follows: the present embodiment is described with reference to fig. 1 to 4, and the tooth appliance device with dual-press-sleeve guide-bar compression springs according to the present embodiment has the same structure for the upper guide press sleeve 3 and the lower guide press sleeve 4, the same structure for the upper guide bar 9 and the same structure for the lower guide bar 10, the same structure for the upper compression spring 11 and the same structure for the lower compression spring 12, and the same structure for the upper guide positioning connector 15 and the same structure for the lower guide positioning connector 16. Other components and connection modes are the same as those of the first embodiment.
The third concrete implementation mode: the embodiment is described with reference to fig. 1, 5 to 7, and in the embodiment, the upper guiding and positioning connector 15 includes a bolt fixing disk 19, a bolt guiding shaft 21 and a fixing nut 27, a plurality of fixing claws are arranged on the periphery of the bolt fixing disk 19, one end of the bolt guiding shaft 21 is fixedly connected with the bolt fixing disk 19, an external thread 23 is processed on the other end of the bolt fixing disk 19, the external thread of the bolt guiding shaft 21 is in threaded connection with the fixing nut 27, the fixing nut 27 is provided with a plurality of fastening ports 25 along the radial direction, the bolt fixing disk 19 of the upper guiding and positioning connector 15 is mounted on the upper base support 1, and the bolt fixing disk 19 of the lower guiding and positioning connector 16 is mounted on the lower base support 2. Other components and connection modes are the same as those of the second embodiment.
The fourth concrete implementation mode is as follows: referring to fig. 1, 5-7, this embodiment will be described, in which the upper guide sleeve 3 is provided with a strip-shaped through hole along the length direction, the lower guide sleeve 4 is provided with a strip-shaped through hole along the length direction, the bolt guide shaft 21 of the upper guide positioning connector 15 is slidably disposed in the strip-shaped through hole of the upper guide sleeve 3, and the bolt guide shaft 21 of the lower guide positioning connector 16 is slidably disposed in the strip-shaped through hole of the lower guide sleeve 4. The length of the bolt guide shaft 21 is greater than the thickness of the upper guide pressing sleeve 3, so that the strip-shaped through hole of the upper guide pressing sleeve 3 can slide on the upper guide positioning connecting piece 15, the length of the bolt guide shaft 21 is greater than the thickness of the lower guide pressing sleeve 4, and the strip-shaped through hole of the lower guide pressing sleeve 4 can slide on the lower guide positioning connecting piece 16. Other compositions and connection modes are the same as those of the second or third phase of the specific embodiment
The fifth concrete implementation mode: the embodiment will be described with reference to fig. 1 to 4, in which the double-pressing sleeve guide rod compression spring dental appliance device is provided with an upper guide rod fixing hole 5, an upper spring clamping groove and a lower guide rod sliding hole which are formed on an upper guide pressing sleeve 3, the upper guide rod fixing hole 5 is communicated with the upper spring clamping groove, a lower guide rod fixing hole 6 is formed on a lower guide pressing sleeve 4, lower spring clamps groove and last guide bar sliding hole, guide bar fixed orifices 6 and lower spring clamping groove intercommunication, the one end of going up guide bar 9 and the one end fixed connection of last guide bar fixed orifices 5, it sets up at last spring clamping inslot to go up compression spring 11, the other end of going up guide bar 9 slides and sets up in the last guide bar sliding hole of guide pressure cover 4 down, the one end fixed mounting of guide bar 10 is in guide bar fixed orifices 6 down, compression spring 12 sets up in spring clamping inslot down, the other end of guide bar 10 slides and sets up in the lower guide bar sliding hole of last guide pressure cover 3 down. Other components and connection modes are the same as those of the second embodiment.
The sixth specific implementation mode is as follows: referring to fig. 1 to 4, the present embodiment will be described, in which an upper fastening nut 13 is disposed on an upper guide bar 9, a lower fastening nut 14 is disposed on a lower guide bar 10, the upper fastening nut 13 is disposed in a lower guide bar sliding hole of a lower guide pressing sleeve 4, the upper guide bar 9 is in threaded connection with the upper fastening nut 13, the lower fastening nut 14 is disposed in a lower guide bar sliding hole of an upper guide pressing sleeve 3, and the lower guide bar 10 is in threaded connection with the lower fastening nut 14. The composition and the connection mode are the same as those of the fifth embodiment.
The seventh concrete implementation mode: referring to fig. 1 to 4, the present embodiment, which is a dual-cuff guide-bar compression spring dental appliance device, has an upper guide bar 9 and a lower guide bar 10 arranged in parallel. The composition and the connection mode are the same as those of the fifth embodiment.
Principle of operation
Firstly, according to the mouth scanning of a patient, an upper base 1 or a lower base 2 is printed by using a 3D printing resin material, then a bolt fixing disk 19 of an upper guiding and positioning connecting piece 15 is arranged on the upper base 1 at the central position of a maxillary bicuspid, a bolt fixing disk 19 of a lower guiding and positioning connecting piece 16 is arranged on the lower base 2 at the central position of a mandibular bicuspid, the bolt fixing disk 19 is arranged on the upper base 1 or the lower base 2 through the heating, vacuumizing and plastic suction steps of a vacuum plastic suction film pressing machine to form an invisible composite tooth socket, the redundant edges are cut off, the bolt fixing disk 19 of the upper base 1 and the bolt fixing disk 19 of the lower base 2 are fused and fixed with the inner layer of the base, and two pressure correction mechanisms are arranged on the upper base 1 and the lower base 2 by using a fixing nut 27.

Claims (4)

1. Ware is rescued to two pressure sleeve guide arm pressure spring teeth, it includes base support (1), base support (2) and two correction pressure mechanisms down, goes up base support (1) and base support (2) down and connects its characterized in that through the correction pressure mechanism that two symmetries set up: the pressure correcting mechanism comprises an upper guide pressing sleeve (3), a lower guide pressing sleeve (4), an upper guide rod (9), a lower guide rod (10), an upper compression spring (11), a lower compression spring (12), an upper guide positioning connecting piece (15) and a lower guide positioning connecting piece (16); an upper guide rod fixing hole (5), an upper spring clamping groove and a lower guide rod sliding hole are processed on the upper guide pressing sleeve (3), the upper guide rod fixing hole (5) is communicated with the upper spring clamping groove, a lower guide rod fixing hole (6), a lower spring clamping groove and an upper guide rod sliding hole are processed on the lower guide pressing sleeve (4), the lower guide rod fixing hole (6) is communicated with the lower spring clamping groove, an upper compression spring (11) is sleeved on the upper guide rod (9), one end of the upper guide rod (9) is installed on the upper guide pressing sleeve (3), a lower compression spring (12) is sleeved on the lower guide rod (10), one end of the lower guide rod (10) is fixedly installed on the lower guide pressing sleeve (4), the upper guide pressing sleeve (3) and the lower guide pressing sleeve (4) are oppositely arranged, the other end of the upper guide rod (9) is slidably arranged on the lower guide pressing sleeve (4), and the other end of the lower guide rod (10) is slidably arranged on the upper guide pressing sleeve (3), the upper guide pressing sleeve (3) is rotatably connected with the upper base support (1) on one side through an upper guide positioning connecting piece (15), the lower guide pressing sleeve (4) is rotatably connected with the lower base support (2) on the same side through a lower guide positioning connecting piece (16), the upper guide pressing sleeve (3) and the lower guide pressing sleeve (4) are of the same structure, an upper guide rod (9) and a lower guide rod (10) are of the same structure, an upper compression spring (11) and a lower compression spring (12) are of the same structure, the upper guide positioning connecting piece (15) and the lower guide positioning connecting piece (16) are of the same structure, one end of the upper guide rod (9) is fixedly connected with one end of an upper guide rod fixing hole (5), the upper compression spring (11) is arranged in an upper spring clamping groove, the other end of the upper guide rod (9) is slidably arranged in an upper guide rod sliding hole of the lower guide pressing sleeve (4), one end of the lower guide rod (10) is fixedly arranged in a lower guide rod fixing hole (6), the lower compression spring (12) is disposed downward.
2. The dental appliance of claim 1, wherein the dental appliance comprises: go up guiding orientation connecting piece (15) including bolt fixed disk (19), bolt guiding axle (21) and fixation nut (27), bolt fixed disk (19) are along being equipped with a plurality of stationary dogs all around, the one end and the bolt fixed disk (19) fixed connection of bolt guiding axle (21), the other end processing of bolt fixed disk (19) has external screw thread (23), and the external screw thread and the fixation nut (27) threaded connection of bolt guiding axle (21), fixation nut (27) are along radially being equipped with a plurality of fastening mouths (25), install on last base support (1) bolt fixed disk (19) of going up guiding orientation connecting piece (15), bolt fixed disk (19) of lower guiding orientation connecting piece (16) are installed under on base support (2).
3. The dental appliance of claim 1 or 2, wherein the dental appliance comprises: the upper guide pressing sleeve (3) is provided with a strip-shaped through hole along the length direction, the lower guide pressing sleeve (4) is provided with a strip-shaped through hole along the length direction, a bolt guide shaft (21) of the upper guide positioning connecting piece (15) is arranged in the strip-shaped through hole of the upper guide pressing sleeve (3) in a sliding manner, and a bolt guide shaft (21) of the lower guide positioning connecting piece (16) is arranged in the strip-shaped through hole of the lower guide pressing sleeve (4) in a sliding manner.
4. The dental appliance of claim 1, wherein the dual-cuff guide bar compression spring comprises: an upper fastening nut (13) is arranged on the upper guide rod (9), a lower fastening nut (14) is arranged on the lower guide rod (10), the upper fastening nut (13) is arranged in a lower guide rod sliding hole of the lower guide pressing sleeve (4), the upper guide rod (9) is in threaded connection with the upper fastening nut (13), the lower fastening nut (14) is arranged in a lower guide rod sliding hole of the upper guide pressing sleeve (3), and the lower guide rod (10) is in threaded connection with the lower fastening nut (14).
CN202011393737.6A 2020-12-02 2020-12-02 Double-pressing sleeve guide rod pressure spring tooth appliance Active CN112545687B (en)

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CN202011393737.6A CN112545687B (en) 2020-12-02 2020-12-02 Double-pressing sleeve guide rod pressure spring tooth appliance

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CN112545687B true CN112545687B (en) 2022-06-28

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6162051A (en) * 1999-12-10 2000-12-19 Ortho Organizers Class II or III malocclusion correction appliance
CN107106264A (en) * 2014-12-23 2017-08-29 3M创新有限公司 Correction auxiliary member and connector with revisable activation parameter
CN108478297A (en) * 2018-03-12 2018-09-04 哈尔滨医科大学 Bouncing plate module activities appliance

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2007081990A2 (en) * 2006-01-11 2007-07-19 Ormco Corporation Orthodontic device and method for treating malocclusions
DE102018108352B4 (en) * 2018-04-09 2022-07-14 Aladin Sabbagh Intraoral telescopic spring

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6162051A (en) * 1999-12-10 2000-12-19 Ortho Organizers Class II or III malocclusion correction appliance
CN107106264A (en) * 2014-12-23 2017-08-29 3M创新有限公司 Correction auxiliary member and connector with revisable activation parameter
CN108478297A (en) * 2018-03-12 2018-09-04 哈尔滨医科大学 Bouncing plate module activities appliance

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