CN112618115B - Tibial plateau holder - Google Patents

Tibial plateau holder Download PDF

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Publication number
CN112618115B
CN112618115B CN202011431826.5A CN202011431826A CN112618115B CN 112618115 B CN112618115 B CN 112618115B CN 202011431826 A CN202011431826 A CN 202011431826A CN 112618115 B CN112618115 B CN 112618115B
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CN
China
Prior art keywords
tibial plateau
locker
tibial
block
holder
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Active
Application number
CN202011431826.5A
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Chinese (zh)
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CN112618115A (en
Inventor
解凤宝
史春宝
韩川
郝孟娟
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Beijing Chunlizhengda Medical Instruments Co Ltd
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Beijing Chunlizhengda Medical Instruments Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
Application filed by Beijing Chunlizhengda Medical Instruments Co Ltd filed Critical Beijing Chunlizhengda Medical Instruments Co Ltd
Priority to CN202011431826.5A priority Critical patent/CN112618115B/en
Publication of CN112618115A publication Critical patent/CN112618115A/en
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Publication of CN112618115B publication Critical patent/CN112618115B/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
    • 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
    • A61F2/38Joints for elbows or knees
    • A61F2/389Tibial components
    • 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
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/461Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of knees
    • 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
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30518Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts
    • A61F2002/30528Means for limiting said movement

Abstract

The application relates to a tibial plateau holder, which comprises a mounting block, a locker and a driving piece; installing a block: one end surface forms an adapting surface adapted to the inner edge of the contour of the top surface of the tibial plateau; a locker: the locking device is connected to the mounting block in a sliding manner, a clamping surface matched with the inner edge of the profile of the top surface of the tibial platform is arranged on the locking device, and the clamping surface and the matching surface are coplanar; a driving part: fixed connection is on the installation piece, with locker fixed connection, orders about the locker and slides. This application has the effect that is the even atress of tibial plateau support.

Description

Tibial plateau holder
Technical Field
The application relates to the field of medical equipment, in particular to a tibial plateau holder.
Background
The knee joint is one of the most complex joints of the human body and is also an important bearing joint of the lower limbs of the human body. Due to accidents, bad exercise habits, diseases and the like, knee joints of many patients have injuries of different degrees, and the lives of the patients are extremely inconvenient. Wherein, the knee joint function of part of patients can be recovered by knee joint replacement surgery. In knee joint replacement surgery, especially total knee joint replacement surgery, the knee joint prosthesis needs to be installed, the first step of installing the knee joint prosthesis is to install a tibial plateau support (shown in fig. 1), the tibial plateau support comprises a support body 1, an intramedullary column 11 and a support body top surface inner edge 12 used for accommodating the bottom of a tibial plateau pad, wherein an inward concave avoiding groove 13 is further arranged on the side wall of the support body and used for accommodating a posterior cruciate ligament after installation.
The mode that the tibial plateau held in the palm is commonly used at present relies on the operator to operate with bare-handed, lays the false body to increase separator on the tibial plateau holds in the palm, be used for preventing to hit the damage that causes the tibial plateau to hold in the palm after the direct and tibial plateau of beating apparatus holds in the palm contacts.
To the correlation technique among the above-mentioned, the inventor thinks, current separator keeps through artifical handheld mode with the tibial plateau holds in the palm between fixed, separator receives the influence one side perk of people's activity or takes place other can not completely with the tibial plateau and hold in the palm the laminating condition, and job stabilization nature is relatively poor, and the atress direction of tibial plateau holds in the palm is difficult to control, misplaces when leading to prosthetic implantation easily, takes place the condition of shin bone fracture even.
Disclosure of Invention
In order to make the even atress that the tibial plateau held can be stable, this application provides a tibial plateau holds ware.
The application provides a tibial plateau holds in palm holder adopts following technical scheme:
a tibial plateau holder comprises a mounting block, a locker and a driving piece;
installing a block: one end surface forms an adapting surface adapted to the inner edge of the contour of the top surface of the tibial plateau;
a locking device: the locking device is connected to the mounting block in a sliding manner, a clamping surface matched with the inner edge of the profile of the top surface of the tibial platform is arranged on the locking device, and the clamping surface and the matching surface are coplanar;
a driving part: fixed connection is on the installation piece, with locker fixed connection, orders about the locker and slides.
Through adopting the above technical scheme, when the staff installs the tibial platform support, earlier adaptation face butt on the installation piece is on tibial platform support top surface, and make the edge of adaptation face be located the interior edge of tibial platform support top surface and enclose into regional inside, then make the locker slide for the installation piece through the driving piece, and make the joint face support tightly all the time on the top surface of tibial platform support, make the edge of joint face be located the interior edge of tibial platform support top surface all the time and enclose into regional inside simultaneously, when the edge of joint face and the edge of adaptation face respectively the butt when different positions along last in tibial platform support top surface, the locker blocks the tibial platform support with the installation piece, and joint face and the complete top surface laminating with the tibial platform support of adaptation face, then, the staff only need to the installation that the tibial platform support has just been realized to the installation of installation piece application of force.
Optionally, the driving piece includes the threaded rod of threaded connection on the installation piece, and the threaded rod rotates with the locker to be connected, is equipped with the locating part on the threaded rod, and the locker is located between locating part and the installation piece.
Through adopting above-mentioned technical scheme, during the use, the staff can be through making joint face butt on the top surface that tibial platform held in the palm to the mode of rotating the threaded rod makes the locker not rotate along with the threaded rod together under the restriction that tibial platform held in the palm, but along with the removal of the relative installation piece of screw rod together removes, finally realizes the joint that holds in the palm to the tibial platform. Simple structure and convenient maintenance.
Optionally, the limiting member includes a nut fixedly connected to an end of the threaded rod.
Through adopting above-mentioned technical scheme, the setting of nut can be with the tip cladding of the comparatively sharp threaded rod in edge, has reduced the possibility that the locker drops from the threaded rod, has reduced the possibility that the human body led to the fact the damage after the threaded rod tip touches the human body simultaneously.
Optionally, the mounting block is connected with a guide rod in a sliding manner, the guide rod is parallel to the threaded rod, and the guide rod is fixedly connected with the locker.
Through adopting above-mentioned technical scheme, the guide bar can exert spacing and guide effect to the locker for the process that the locker removed along with the threaded rod is more stable.
Optionally, the mounting block includes a connecting block and a striking head, the striking head is detachably connected with the connecting block, and the adaptive surface is arranged on the end surface of the striking head, which faces away from the connecting block.
Through adopting above-mentioned technical scheme, because the size specification that the tibial platform held in the palm has the multiple, so when the different tibial platform of installation holds in the palm, can select the suitable striking head of size, make that the striking head can be better with tibial platform hold in the palm the adaptation, realize more stable and quick centre gripping, improve the installation accuracy and the stability that the tibial platform held in the palm.
Optionally, the striking head is connected with the connecting block by a bolt.
Through adopting above-mentioned technical scheme, bolted connection's mode is simpler, stable, is convenient for the staff to the change of beating the head.
Optionally, the mounting block is fixedly connected with a handle, and the handle and the adapting surface are respectively arranged on two end surfaces of the mounting block, which are opposite to each other.
Through adopting above-mentioned technical scheme, the setting of handle is convenient for the staff to support the installation piece that is connected with the tibial plateau and holds in the palm, and when holding in the palm the application of force to the tibial plateau, the staff can install the tibial plateau support through the mode of pounding the handle, and staff's activity space is bigger, judges more easily simultaneously whether the installation angle that the tibial plateau held in the palm accords with the standard.
Optionally, an installation groove is formed in the end face, opposite to the adaptive surface, of the installation block, and one end of the handle is inserted into the installation groove and fixed through a pin.
By adopting the technical scheme, the handle is directly contacted with the striking instrument and is impacted by the striking instrument, so that the handle is more easily damaged and more frequently replaced; simultaneously when the installation tibial plateau holds in the palm, dismantling of handle can make things convenient for the staff installation more, consequently selects to realize being connected between handle and the connecting block through the pin.
Optionally, the bottom profile of the clamping surface is matched with the concave part of the tibial plateau support top surface cruciate ligament avoiding groove, and the top profile of the matching surface is matched with the top surface inner edge of the tibial plateau support.
Through adopting above-mentioned technical scheme, can make joint face can be the contact of bigger area with the tibial plateau support, can restrict the relative rotation between tibial plateau support and the locker simultaneously for the relative motion state between tibial plateau support and the installation piece is more stable.
In summary, the present application includes at least one of the following beneficial technical effects:
1. when a worker installs the tibial platform support, the adaptive surface on the installation block is abutted against the top surface of the tibial platform support, the edge of the adaptive surface is positioned in the inner edge of the top surface of the tibial platform support to form an area, then the locker slides relative to the installation block through the driving piece, the clamping surface is always abutted against the top surface of the tibial platform support, meanwhile, the edge of the clamping surface is always positioned in the inner edge of the top surface of the tibial platform support to form the area, when the edge of the clamping surface and the edge of the adaptive surface are respectively abutted against different positions on the inner edge of the top surface of the tibial platform support, the locker and the installation block clamp the tibial platform support, the clamping surface and the adaptive surface are completely attached to the top surface of the tibial platform support, and then, the worker can install the tibial platform support only by applying force to the installation block;
2. because the tibial platform support has various dimensions, when different tibial platform supports are installed, the striking head with the proper dimension can be selected, so that the striking head can be better matched with the tibial platform support, more stable and faster clamping is realized, and the installation precision and stability of the tibial platform support are improved;
3. the clamping surface can be in contact with the tibial platform support in a larger area, and meanwhile, the relative rotation between the tibial platform support and the locker can be limited, so that the relative motion state between the tibial platform support and the mounting block is more stable.
Drawings
FIG. 1 is a background art drawing;
FIG. 2 is an isometric view of the embodiment;
FIG. 3 is an exploded view with the handle omitted;
fig. 4 is a schematic diagram illustrating the connection relationship between the tibial plateau tray and the striking head and the locker in the embodiment.
Description of the reference numerals: 1. a support body; 11. an intramedullary rod; 12. an inner edge; 13. an avoidance groove; 2. mounting a block; 21. connecting blocks; 22. a striking head; 23. an adaptation surface; 24. a bump; 25. mounting grooves; 3. a locker; 31. a clamping surface; 32. a guide bar; 4. a drive member; 41. a threaded rod; 42. a locking member; 43. a nut; 5. a pin; 6. a handle.
Detailed Description
The present application is described in further detail below with reference to the attached drawings.
The embodiment of the application discloses a tibial plateau holder. Referring to fig. 1 and 2, the tibial plateau holder includes a mounting block 2, a locker 3, a driving member 4, and a handle 6. An end face of the mounting block 2 is integrally provided with a protruding block 24 protruding outwards, a mounting groove 25 used for accommodating the handle 6 is formed in the protruding block 24, one end of the handle 6 is inserted into the mounting groove 25 and is in interference fit with the mounting groove 25, meanwhile, a pin 5 penetrating through the protruding block 24 and the handle 6 is arranged on the protruding block 24 and used for further fixing the handle 6, and the length direction of the handle 6 is arranged along the length direction of the mounting block 2.
The mounting block 2 comprises a connecting block 21 and a striking head 22 connected to the connecting block 21 through two bolts, wherein a projection 24 connected with the handle 6 is formed on one end face of the connecting block 21, and the striking head 22 is positioned on the other end face of the connecting block 21 and completely attached to the end face. In order to enable the striking head 22 to be stably arranged in the region enclosed by the inner edge 12 of the bracket body 1, the side wall of the striking head 22, which is back to the connecting block 21, is set to be an adapting surface 23, the shape of the edge of the top side of the adapting surface 23 is adapted to the shape of the inner edge 12 of the tibial plateau support, which is opposite to the avoiding groove 13, and the adapting surface 23 can be completely attached to the top surface of the bracket body 1 enclosed by the inner edge 12 to be used as a structure for fixing the tibial plateau support.
Referring to fig. 1 and 3, the connecting block 21 and the side wall of the striking head 22 are both provided with a longitudinal cavity for accommodating the locker 3.
The locking device 3 in this embodiment is a plate-shaped structure with a bending part, the end of the locking device 3 bends towards the direction away from the connecting block 21 and is perpendicular to the horizontal part, a clamping surface 31 matched with the contour of the inner edge 12 of the tibial platform support top surface avoiding groove 13 is formed, a through groove for accommodating the inner edge 12 of the tibial platform support upper avoiding groove 13 is formed in the clamping surface 31, and the clamping surface 31 is coplanar with the adapting surface 23. The engagement surface 31 serves as another structure for cooperating with the mating surface 23 to secure the tibial plateau tray.
The horizontal part of the locker 3 is fixedly connected with a vertically arranged guide rod 32, the guide rod 32 is inserted into the connecting block 21 and can freely slide along the length direction of the guide rod, and the guide rod 32 and the connecting block are in transition fit for playing a guide effect on the movement of the locker 3. Driving piece 4 in this embodiment is threaded rod 41, and threaded rod 41 and connecting block 21 threaded connection run through connecting block 21 along guide bar 32 length direction, and the setting of the screw tail end of threaded rod 41 is the undergauge form, and the locker 3 cover is established on this undergauge part and can use threaded rod 41 as pivot free rotation, and the screw tail end of threaded rod 41 stretches out locker 3 and threaded connection has nut 43.
Referring to fig. 3 and 4, when in use, a worker abuts the adapting surface 23 in a region enclosed by the inner edge 12 of the support body 1, so that the top side of the adapting surface 23 abuts against the side wall of the inner edge 12 at the position opposite to the avoiding groove 13, the locker 3 can slide along the advancing direction of the threaded rod 41 relative to the connecting block 21 under the limiting and guiding effects of the guide rod 32 by rotating the threaded rod 41 until the bottom side of the clamping surface 31 abuts against the side wall of the inner edge 12 at the position of the avoiding groove 13, and at the moment, the top side of the adapting surface 23 abuts against the side walls of the inner edges 12 at multiple positions of the top surface of the support body 1 with the bottom side of the clamping surface 31, the top surface of the support body 1 can be uniformly stressed, and the possibility of stress direction change of the support body 1 caused by non-abutting between the top surface of the support body 1 and the separating device is greatly reduced.
The implementation principle of the tibial plateau holder provided by the embodiment of the application is as follows: after the support body 1 is fixed through the striking head 22 and the locker 3, force is applied to the handle 6 through hammering, the force is transmitted to the support body 1 through the connecting block 21 and the striking head 22, and the striking head 22 and the locker 3 respectively apply opposite acting force to the upper edge 12 of the support body 1, so that a gap is difficult to be generated between the support body 1 and the adapting surface 23, a gap is difficult to be generated between the support body 1 and the clamping surface 31, the direction of force finally transmitted to the top surface of the support body 1 is difficult to change, and the possibility of operation failure caused by the change of the force direction of the support body 1 is reduced. In addition, because the handle 6 is hit for a long time, the handle 6 can be replaced by removing the pin 5, pulling the handle 6 out of the mounting groove 25, replacing the handle with a new one, and fixing the handle with the pin 5 again.
The above are preferred embodiments of the present application, and the scope of protection of the present application is not limited thereto, so: equivalent changes in structure, shape and principle of the present application shall be covered by the protection scope of the present application.

Claims (7)

1. A tibial plateau holds in palm holder which characterized in that: comprises a mounting block (2), a locker (3) and a driving piece (4);
mounting block (2): one end surface forms an adapting surface (23) which is adapted to the inner edge of the outline of the top surface of the tibial plateau;
locker (3): the locking device is connected to the mounting block (2) in a sliding manner, a clamping surface (31) matched with the inner edge of the profile of the top surface of the tibial platform is arranged on the locking device (3), and the clamping surface (31) and the matching surface (23) are coplanar;
drive member (4): the locker (3) is driven to slide; the driving piece (4) comprises a threaded rod (41) in threaded connection with the mounting block (2), the threaded rod (41) is in rotary connection with the locker (3), a limiting piece is arranged on the threaded rod (41), and the locker (3) is located between the limiting piece and the mounting block (2); the bottom profile of the clamping surface (31) is matched with the concave part of the tibial plateau top surface cruciate ligament avoiding groove, and the top profile of the matching surface (23) is matched with the top surface inner edge (12) of the tibial plateau support.
2. The tibial plateau holder of claim 1, wherein: the limiting part comprises a nut (43) fixedly connected to the end of the threaded rod (41).
3. The tibial plateau holder of claim 1, wherein: the mounting block (2) is connected with a guide rod (32) in a sliding mode, the guide rod (32) is parallel to the threaded rod (41), and the guide rod (32) is fixedly connected with the locker (3).
4. The tibial plateau holder of claim 1, wherein: the installation block (2) comprises a connecting block (21) and a striking head (22), the striking head (22) is detachably connected with the connecting block (21), and an adaptive surface (23) is arranged on the end surface of the striking head (22) back to the connecting block (21).
5. The tibial plateau holder of claim 4, wherein: the striking head (22) is connected with the connecting block (21) through a bolt.
6. The tibial plateau holder of claim 1, wherein: fixedly connected with handle (6) on installation piece (2), handle (6) are located on two terminal surfaces that installation piece (2) were carried on the back mutually with adaptation face (23) branch.
7. The tibial plateau holder of claim 6, wherein: the end face, back to the adaptation face (23), of the installation block (2) is provided with an installation groove (25), and one end of the handle (6) is inserted into the installation groove (25) and fixed through the pin (5).
CN202011431826.5A 2020-12-07 2020-12-07 Tibial plateau holder Active CN112618115B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202011431826.5A CN112618115B (en) 2020-12-07 2020-12-07 Tibial plateau holder

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202011431826.5A CN112618115B (en) 2020-12-07 2020-12-07 Tibial plateau holder

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CN112618115A CN112618115A (en) 2021-04-09
CN112618115B true CN112618115B (en) 2022-09-06

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Application Number Title Priority Date Filing Date
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Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114469292A (en) * 2021-12-09 2022-05-13 北京纳通医疗科技控股有限公司 Tibia tray beating and extracting device
US11903845B2 (en) 2022-02-25 2024-02-20 Globus Medical Inc. Tibial tray inserter

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Publication number Priority date Publication date Assignee Title
US5690636A (en) * 1995-12-21 1997-11-25 Johnson & Johnson Professional, Inc. Punch system for tibial prosthesis
US7390327B2 (en) * 2003-10-03 2008-06-24 Howmedica Osteonics Corp. Punch apparatus and method for surgery
US7776044B2 (en) * 2004-12-21 2010-08-17 Zimmer Technology, Inc. Tibial tray inserter
CN201701333U (en) * 2010-05-18 2011-01-12 创生医疗器械(江苏)有限公司 Installer for tibia support
US8951301B2 (en) * 2011-06-30 2015-02-10 Depuy (Ireland) Method of using a trialing system for a knee prosthesis
US8939986B2 (en) * 2011-06-30 2015-01-27 Depuy (Ireland) Surgical instruments for use in surgically preparing a tibia for implantation of a prosthetic component
JP6788459B2 (en) * 2016-09-28 2020-11-25 京セラ株式会社 Instrument for total knee arthroplasty
WO2018144332A2 (en) * 2017-02-01 2018-08-09 Zimmer, Inc. Tibial tray impactor
CN209827110U (en) * 2019-02-25 2019-12-24 大博医疗科技股份有限公司 Tibial plateau impactor

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Inventor after: Zhang Chun

Inventor after: Xie Fengbao

Inventor after: Shi Chunbao

Inventor after: Han Chuan

Inventor after: Hao Mengjuan

Inventor before: Xie Fengbao

Inventor before: Shi Chunbao

Inventor before: Han Chuan

Inventor before: Hao Mengjuan