CN211911851U - Orthodontic auxiliary device for anterior teeth and orthodontic device - Google Patents

Orthodontic auxiliary device for anterior teeth and orthodontic device Download PDF

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Publication number
CN211911851U
CN211911851U CN202020300803.XU CN202020300803U CN211911851U CN 211911851 U CN211911851 U CN 211911851U CN 202020300803 U CN202020300803 U CN 202020300803U CN 211911851 U CN211911851 U CN 211911851U
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anterior
occlusal
occlusion
maxillary
locator
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CN202020300803.XU
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Chinese (zh)
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潘晓岗
储沨婷
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Suzhou Bosimei Medical Technology Co ltd
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Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Abstract

The utility model discloses a tooth correction auxiliary device and tooth correction device for anterior teeth, this tooth correction auxiliary device fix on the tooth is rescued and is rescued the ware, and this tooth is rescued the ware and is contained preceding dental crown cover, lower preceding dental crown cover, and this auxiliary device contains: the maxillary anterior occlusal positioner and the mandibular anterior occlusal positioner are distributed and fixed on the outer walls of the upper anterior dental crown sleeve and the lower anterior dental crown sleeve; wherein, the maxillary anterior tooth occlusion positioner is fixed on the palatal outer wall of the upper anterior dental crown sleeve; under the occlusion state, the centers of the contact surfaces of the maxillary anterior occlusion positioner and the mandibular anterior occlusion positioner are positioned on the lower anterior occlusion verticality. The utility model discloses a be provided with the transparent ware of rescuring of interlock locator, improved and rescued the in-process and rescued the interlock relation after, the patient obtains more stable interlock function, can avoid in clinical application because the interlock problem need restart, makes transparent ware of rescuring again, perhaps needs the fixed method of rescuring the ware of clinical use to correct the shortcoming of interlock problem.

Description

Orthodontic auxiliary device for anterior teeth and orthodontic device
Technical Field
The utility model belongs to the field of medical equipment, a tooth plastic device is related to, concretely relates to tooth correction auxiliary device and tooth orthotic devices for anterior teeth.
Background
The transparent appliance is a series of transparent appliances manufactured by the steps of scanning the mouth, taking a model, scanning a plaster model or an impression to obtain a digital model of dentition of a patient, dividing the digital dentition model into single movable digital dentition units, rearranging the dentition units to obtain needed corrected dentition, obtaining a series of intermediate digital dentition models by a step-by-step method, printing the intermediate models in a 3D way, and manufacturing a series of transparent appliances by using a thermoplastic molding film-pressing material. The patient corrects the dentition misalignment by wearing these series of transparent appliances.
Transparent appliances present many uncertainties and inaccessible ways of movement for tooth movement. For the transparent appliance, the effect of aligning the dentition is obvious when the crowded cases are corrected, but the whole treatment effect is not as good as that of the fixed appliance, and the occlusion contact is mainly realized. The transparent appliance design is based on a digitized model, and the upper and lower jaw bite positions of the digitized model are based on the initial neutral position of the patient. When the upper dentition and the lower dentition are arranged, the occlusion of the upper dentition, the lower dentition and the dentition can be changed, but the occlusion relation after the tooth arrangement is designed is artificially determined after digital teeth are moved, and the actual occlusion position of a patient cannot be expressed. Meanwhile, the digital model based on which the existing transparent appliance is designed lacks the relation of relative movement positions of the lower jaw when the mouth is opened or closed. Therefore, the transparent appliance is often not good in the occlusion relationship of the posterior teeth after being corrected, and even opens and closes. The transparent appliance corrects the irregular dentition, the upper part and the lower part of the appliance are separated, and the upper dentition and the lower dentition are actually in occlusion relation. The position of the anterior teeth often in turn affects the initial bite position of the patient. In the process of correction, the teeth are often difficult to bite into a stable position along with the change of the positions of the teeth, and finally, the occlusion effect is poor.
SUMMERY OF THE UTILITY MODEL
The utility model aims at solving the technical problem of the processing of occlusion position determination lack the lower jaw relative movement position when opening and shutting in the transparent ware design of correcting, design assistance-localization real-time's interlock locator in the transparent ware of correcting, can express patient's normal interlock position when wearing the transparent ware of correcting of upper and lower jaw, the in-process patient that the orthodontic tooth row is uneven is rescued to the transparent ware of using can have stable interlock relation, solve the transparent ware of correcting and correct often appear because of the not good and back tooth of the inaccurate back tooth interlock relation that leads to of anterior teeth interlock position open and shut.
In order to achieve the above object, the utility model provides an orthodontic auxiliary device for anterior teeth, it is fixed on the tooth is rescued and is rescued the ware, and this tooth is rescued the ware and is contained preceding dental crown cover, lower preceding dental crown cover, and this auxiliary device contains: the maxillary anterior occlusal positioner and the mandibular anterior occlusal positioner are distributed and fixed on the outer walls of the upper anterior dental crown sleeve and the lower anterior dental crown sleeve; wherein, the maxillary anterior occlusal locator is fixed on the palate side outer wall of the upper anterior dental crown sleeve, the position of 1/3 or 1/3 of the middle incisor of the dental crown is fixed (when the occlusal locator with large inclination of the upper anterior lip is positioned at the middle 1/3, when the upper anterior tooth is positioned at the incisor 1/3 of the upright position), the lower anterior occlusal locator is positioned at the incisor end or the incisor end labial side of the lower incisor; under the occlusion state, the centers of the contact surfaces of the maxillary anterior occlusion positioner and the mandibular anterior occlusion positioner are positioned on the lower anterior occlusion verticality; the lower anterior occlusal perpendicular line is a perpendicular line of a maxillary occlusal reference line which is determined by a connection line of a central point of a condyle and a hyoplasty of a maxillary incisor.
The term "1/3 of the middle or 1/3 of the incisal position of the crown" is the term of the industry, and means that the crown is divided into 3 equal parts according to the length (or height), 1/3 of the middle or 1/3 of the incisal margin of the crown.
Preferably, the maxillary anterior occlusal locator is a first bulge integrally formed with the upper anterior crown sleeve; the mandibular anterior occlusal locator is a second protrusion which is integrally formed with the lower anterior crown sleeve.
Preferably, the first projection is provided at the maxillary lingual protuberance of the upper anterior crown sleeve.
Preferably, the mandibular anterior occlusal locator is fixed to the labial outer wall of the lower crown shell.
Preferably, the mandibular anterior occlusion locator is located on the outer wall of the incisal margin of the lower crown sleeve.
Preferably, the maxillary anterior occlusal locator is provided with a first occlusal surface, the mandibular anterior occlusal locator is provided with a second occlusal surface, and the first occlusal surface and the second occlusal surface are in corresponding occlusal contact, so that the correct occlusion positions of the upper and lower anterior teeth are not influenced by tooth dislocation and tooth movement, and the anterior teeth are always occluded at the correct positions in the correcting process and after the correcting process.
Preferably, the first occlusal surface and the incisal margin of the upper dental crown sleeve are in the same plane, the second occlusal surface is parallel to the incisal margin of the lower dental crown sleeve, and in an occlusal state, the first occlusal surface and the second occlusal surface are mirror-symmetrical.
Preferably, the connection mode of the maxillary anterior occlusal locator and the mandibular anterior occlusal locator with the upper anterior crown sleeve and the lower anterior crown sleeve respectively comprises: and any one of integral molding, bonding and welding.
Preferably, the materials used for the maxillary anterior occlusal locator and the mandibular anterior occlusal locator are selected from the following materials: any one of polymer resin, biological ceramic and silica gel.
The utility model also provides an orthodontic device, it contains: an appliance main body and the orthodontic auxiliary device.
The utility model discloses design interlock positioner on transparent rescue ware for the first time and carry out the interlock and confirm, no matter anterior teeth position changes, the interlock locator can let the anterior teeth from top to bottom sting the position. The problem of the present transparent ware of correcting design time upper and lower jaw separation, the occlusal contact of upper and lower jaw tooth is inconsistent with patient's actual interlock, leads to correcting the good interlock after is mainly solved. The utility model discloses a design has the transparent ware of rescuring of interlock locator, has improved and has rescued the interlock relation after and, makes the patient obtain more stable interlock function. In clinical application, the defect that the occlusion problem needs to be corrected by restarting and remanufacturing the transparent appliance or clinically using a fixed appliance can be avoided.
Drawings
Fig. 1 is a schematic view of the determination of the maxillary occlusion reference line and the lower anterior occlusion perpendicular line of the present invention.
Fig. 2 is a schematic structural view of an orthodontic auxiliary device for anterior teeth according to the present invention.
Fig. 3 is a schematic view showing the wearing state of the orthodontic device for anterior teeth in example 1 (upper anterior labial inclination) of the present invention at each stage.
Fig. 4 is a schematic design diagram of the occlusal locator of the present invention for the upper anterior labial inclination.
Fig. 5 is a schematic view showing the wearing state of the orthodontic device for anterior teeth in example 2 (the upper anterior palate is less inclined) of the present invention at each stage.
Fig. 6 is a schematic diagram of the design of the occlusion positioner of the present invention for a smaller overturn of the upper anterior palate.
Description of reference numerals:
condylar center point A
Lingual eminence of maxillary incisor B
Lower incisor cut point C
Maxillary occlusion reference line 1
Lower anterior occlusal perpendicular 2
Upper anterior teeth 10
Upper anterior crown cover 100
Maxillary anterior occlusion positioner 101
First occlusal surface 1011
Lower anterior teeth 20
Lower anterior crown sleeve 200
Mandibular anterior occlusion positioner 201
Second occlusal surface 2011.
Detailed Description
The technical solution of the present invention will be described clearly and completely with reference to the accompanying drawings, and obviously, the described embodiments are some, but not all embodiments of the present invention. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative work belong to the protection scope of the present invention.
In the description of the present invention, it should be noted that the terms "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description and simplification of description, but do not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and thus, should not be construed as limiting the present invention. Furthermore, the terms "first" and "second" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
In the description of the present invention, it is to be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be, for example, fixedly connected, detachably connected, or integrally connected; may be a mechanical connection; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meaning of the above terms in the present invention can be understood in specific cases to those skilled in the art.
The terms "incisal end" and "incisal margin" are used interchangeably herein to refer to the incisional bite of the crown of an incisor.
The terms "maxillary anterior", "upper incisor" and "upper anterior" are used interchangeably herein.
As used herein, "deep occlusions" are malposition (occlusal) deformities resulting from the vertical dysplasia of the maxillary and mandibular arches and/or the maxillary and mandibular bones. The length of the upper anterior incisor margin covering the crown of the lower anterior teeth is more than 1/3 or the lower anterior teeth is occluded on the lingual side of the upper anterior teeth by more than 1/3.
As used herein, "deep coverage" means that the incisal ends of the upper and lower anterior teeth are too far apart horizontally and in an anteroposterior relationship, such as the maxillary protrusive mandibular recession. The distance between the upper and lower anterior incisor ends is greater than 3mm, which is called deep coverage.
As shown in fig. 1, the design concept of the present invention is as follows:
(1) taking a skull positioning side piece of a patient, marking a condylar central point A and a lingual protuberance B of a maxillary incisor on the skull positioning side piece, and linking the two points A, B to form a maxillary occlusion reference line 1; and marking a lower incisor point C, and drawing a vertical line of an upper jaw occlusion reference line 1, namely a lower anterior tooth occlusion vertical line 2 from the lower incisor point C. The occlusion of the upper and lower anterior teeth is most stable when the long axis of the lower anterior tooth 20 (i.e., the lower incisor) coincides with the perpendicular 2.
(2) Designing a maxillary anterior occlusion positioner 101 at the occlusion position of the maxillary lingual eminence B and the lower incisor;
(3) at the incisal end of the lower incisor, the mandibular anterior occlusal locator 201 is designed along the lower anterior occlusal vertical line 2, so that when the mandibular anterior occlusal locator 201 is occluded, it moves along the vertical line 2, and the centers of the contact surfaces of the mandibular anterior occlusal locator and the mandibular anterior occlusal locator are always located on the lower anterior occlusal vertical line 2.
The utility model discloses anterior teeth interlock locator about the perpendicular line within range design of interlock datum line. When the positions of the upper and lower anterior teeth are changed, the upper and lower anterior teeth can still bite on the correct position by the aid of the occlusion positioner.
Fig. 2 shows an orthodontic auxiliary device for anterior teeth according to the present invention, which is fixed on a dental appliance, the dental appliance includes an upper front crown cover 100 and a lower front crown cover 200. The auxiliary device comprises: a maxillary anterior occlusal locator 101 and a mandibular anterior occlusal locator 201 which are distributed and fixed on the outer walls of the upper anterior dental crown sleeve 100 and the lower anterior dental crown sleeve 200; wherein, the maxillary anterior occlusion positioner 101 is fixed on the palatal side outer wall of the upper anterior crown sleeve 100, 1/3 of the middle of the crown or 1/3 of the incisional position; in the occlusion state, the centers of the contact surfaces of the maxillary anterior occlusion locator 101 and the mandibular anterior occlusion locator 201 are located on the lower anterior occlusion vertical line 2.
The maxillary anterior occlusal locator 101 is provided with a first occlusal surface 1011, the mandibular anterior occlusal locator 201 is provided with a second occlusal surface 2011, and the first occlusal surface 1011 and the second occlusal surface 2011 are in corresponding occlusal contact to induce the upper and lower anterior teeth (10 and 20) to move so as to realize correction.
In some embodiments, the first occlusal surface 1011 is coplanar with the incisal edge of the upper crown sleeve 100, the second occlusal surface 2011 is parallel to the incisal edge of the lower crown sleeve 200, and the first occlusal surface 1011 and the second occlusal surface 2011 are mirror images in the occlusal state.
In some embodiments, the maxillary anterior bite locator 101 is a first protrusion integrally formed with the upper anterior crown sleeve 100; the mandibular anterior occlusal locator is a second protrusion which is integrally formed with the lower anterior crown sleeve. The first bulge is disposed at the maxillary lingual bulge of the upper anterior crown sleeve. The first bulge and the second bulge are triangular bulges, and the bottom edges of the first bulge and the second bulge are opposite.
The mandibular anterior occlusion locator 201 may be fixed to the incisal labial outer wall of the lower crown shell 200 or to the incisal margin outer wall of the lower crown shell 200, depending on the clinical practice.
The connection mode of the maxillary anterior occlusion positioner 101 and the mandibular anterior occlusion positioner 201 with the upper anterior dental crown sleeve 100 and the lower anterior dental crown sleeve 200 respectively comprises: and any one of integral molding, bonding and welding.
The materials of the maxillary anterior occlusion positioner 101 and the mandibular anterior occlusion positioner 201 are selected from the following materials: any one of polymer resin, biological ceramic and silica gel.
The utility model provides a pair of orthodontic device, it contains: an appliance main body and the orthodontic auxiliary device. The appliance body may be an existing transparent appliance, or other dental appliance.
The utility model discloses the occlusion problem that the irregular in-process of dentition was rescued to current transparent ware is rescued to the transparent ware of rescuring of current design anterior teeth interlock locator as orthodontic device, can be overcome. The upper and lower position relation of tooth movement designed by the transparent appliance is matched with the actual position relation through the occlusion positioner.
The utility model provides an auxiliary device is corrected to tooth, promptly, the interlock locator enables the in-process that the patient progressively corrected in from the position dislocation of upper and lower anterior teeth to the treatment before correcting, and the anterior tooth is in stable interlock state all the time, does not receive the interlock interference of dislocation tooth.
In some embodiments, the positioner is positioned on the palatal side of the transparent upper jaw appliance, the lingual bulge of the upper jaw incisor is positioned at a triangular shape when viewed from the side, the length of the bottom edge of the front upper jaw occlusion positioner is 2-5mm, the height of the front upper jaw occlusion positioner is 2-5mm, the front lower jaw occlusion positioner is positioned at the incisal end or labial side of the lower incisor, and the length of the bottom edge is 2-5mm and corresponds to that of the front upper jaw occlusion positioner.
Example 1 Upper anterior labial inclination coverage was greater
In the clinical situation, the patient has a large lip inclination coverage of the upper anterior teeth, and the upper and lower anterior teeth with the transparent appliance are schematically shown in fig. 3 (a). When the upper and lower anterior teeth are engaged, the lower anterior teeth are likely to be engaged posteriorly on the palatal side of the upper anterior teeth to form a deep occlusal deep coverage, as shown in fig. 3 (b). In the case of such a large upper anterior labial capsizing, the maxillary anterior occlusal locator 101 and the mandibular anterior occlusal locator 201 are designed as shown in fig. 4: designing a maxillary anterior occlusion positioner 101 at the occlusion part of the maxillary hyoplasty and the lower incisor (the upper anterior palatal side, the middle 1/3 of the crown); at the cut end of the lower incisor 20, a mandibular anterior occlusal locator 201 is designed along the lower anterior occlusal vertical line 2.
The patient wears the orthodontic device of the present invention, i.e., the above-mentioned transparent appliance is connected with an orthodontic auxiliary device (occlusion positioner), as shown in fig. 3 (c), and the anterior mandibular occlusion positioner 201 is positioned on the labial side of the lower incisors 20 at this time. The upper and lower teeth are engaged by the occlusion locator in a stable and comfortable position as shown in fig. 3 (d). The patient wears the orthodontic device of the utility model after an orthodontic period, takes off the orthodontic device, and obtains good occlusion relation after upper and lower orthodontic, as shown in (e) of 3.
EXAMPLE 2 little overlying of the Upper anterior palate
In the clinical situation, the palate of the upper anterior teeth of the patient is less prone to toppling, and as shown in fig. 5 (a), the upper and lower anterior teeth of the patient are schematically shown with the transparent appliance. When the upper and lower anterior teeth are engaged, the lower anterior teeth are likely to be engaged posteriorly on the palatal side of the upper anterior teeth to form a deep bite, as shown in fig. 5 (b). For the case that the upper anterior palate is less prone to toppling, the designs of the maxillary anterior bite positioner 101 and the mandibular anterior bite positioner 201 are as shown in fig. 6: designing a maxillary anterior occlusion positioner 101 at the occlusion position of the maxillary hyoplasty and the lower incisor (the upper anterior palatal side, the position of 1/3 incisor of the crown); at the cut end of the lower incisor 20, a mandibular anterior occlusal locator 201 is designed along the lower anterior occlusal vertical line 2.
The patient wears the orthodontic device of the present invention, i.e., the above-mentioned transparent appliance is connected with an orthodontic auxiliary device (occlusion positioner), as shown in fig. 5 (c), and the anterior mandibular occlusion positioner 201 is positioned at the incisor end of the lower incisor 20. The upper and lower teeth are engaged by the engaging positioner (101, 201) at a stable and comfortable position as shown in fig. 5 (d). The patient wears the orthodontic device of the utility model after an orthodontic period, takes off the orthodontic device, and obtains a good occlusion relation after upper and lower orthodontic, as shown in (e) of 5.
To sum up, the utility model discloses a set up the interlock locator on the ware is rescued to conventional for when patient's upper and lower tooth is stung, stings all the time at stable comfortable position through upper and lower jaw anterior teeth interlock locator, has improved the interlock relation after the treatment, and the patient obtains more stable interlock function. The utility model discloses a tooth correction auxiliary device can avoid in clinical application needing to restart because the interlock problem, makes transparent the ware or the fixed method of correcting the ware of correcting of clinical use again and corrects the shortcoming of interlock problem.
While the present invention has been described in detail with reference to the preferred embodiments thereof, it should be understood that the above description should not be taken as limiting the present invention. Numerous modifications and alterations to the present invention will become apparent to those skilled in the art upon reading the foregoing description. Accordingly, the scope of the invention should be limited only by the attached claims.

Claims (10)

1. An orthodontic auxiliary device for anterior teeth, characterized in that it is fixed on an orthodontic appliance comprising an upper anterior crown shell, a lower anterior crown shell, the auxiliary device comprising: the maxillary anterior occlusal positioner and the mandibular anterior occlusal positioner are distributed and fixed on the outer walls of the upper anterior dental crown sleeve and the lower anterior dental crown sleeve; wherein, the maxillary anterior tooth occlusion positioner is fixed on the palatal outer wall of the upper anterior dental crown sleeve; in the occlusion state, the centers of the contact surfaces of the maxillary anterior occlusion locator and the mandibular anterior occlusion locator are positioned on a lower anterior occlusion perpendicular line which is a perpendicular line of a maxillary occlusion reference line determined by connecting the center of a condyle with a lingual eminence of maxillary incisors.
2. The orthodontic auxiliary device for the anterior teeth as claimed in claim 1, wherein the maxillary anterior bite locator is a first protrusion integrally formed with the upper anterior crown sleeve; the mandibular anterior occlusal locator is a second protrusion which is integrally formed with the lower anterior crown sleeve.
3. The orthodontic auxiliary device for the anterior teeth as claimed in claim 2, wherein the first projection is provided at the maxillary hyoplasty of the upper anterior crown sleeve.
4. The orthodontic auxiliary device for the anterior teeth as claimed in claim 1, wherein the maxillary anterior bite locator is fixed at a position of 1/3 th or 1/3 th of the incisor on the palatal-side outer wall of the upper anterior crown shell, and the lower anterior bite locator is located at the incisor or the incisor labial side of the lower incisor.
5. The orthodontic auxiliary device for the anterior teeth as claimed in claim 1, wherein the mandibular anterior bite locator is located on an outer wall of the incisal margin or an outer wall of the labial side of the lower crown shell.
6. The orthodontic auxiliary device for the anterior teeth as claimed in claim 1, wherein the maxillary anterior occlusal locator has a first occlusal surface, and the mandibular anterior occlusal locator has a second occlusal surface, and the first occlusal surface and the second occlusal surface are in corresponding occlusal contact with each other, so that the upper and lower anterior teeth are not affected by the malposition of the teeth and are always bitten in the correct position during and after the orthodontic treatment.
7. The orthodontic auxiliary device for the anterior tooth as claimed in claim 6, wherein the first occlusal surface is in the same plane as the incisal margin of the upper crown sleeve, and the second occlusal surface is parallel to the incisal margin of the lower crown sleeve, and wherein the first occlusal surface and the second occlusal surface are mirror-symmetrical in the occlusal state.
8. The orthodontic auxiliary device for anterior teeth as claimed in claim 1, wherein the maxillary and mandibular anterior occlusal positioners are coupled to the upper and lower anterior crown casings, respectively, in a manner comprising: and any one of integral molding, bonding and welding.
9. The orthodontic auxiliary device for the anterior teeth as claimed in claim 1, wherein the maxillary and mandibular anterior occlusal positioners are made of materials selected from the group consisting of: any one of polymer resin, biological ceramic and silica gel.
10. An orthodontic device, comprising: an appliance body and an orthodontic auxiliary device as claimed in any one of claims 1 to 9.
CN202020300803.XU 2020-03-12 2020-03-12 Orthodontic auxiliary device for anterior teeth and orthodontic device Active CN211911851U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202020300803.XU CN211911851U (en) 2020-03-12 2020-03-12 Orthodontic auxiliary device for anterior teeth and orthodontic device

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Application Number Priority Date Filing Date Title
CN202020300803.XU CN211911851U (en) 2020-03-12 2020-03-12 Orthodontic auxiliary device for anterior teeth and orthodontic device

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CN211911851U true CN211911851U (en) 2020-11-13

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Effective date of registration: 20220706

Address after: 215000-3-311, building 2, microsystem Park, No. 2 Peiyuan Road, Suzhou high tech Zone, Suzhou, Jiangsu Province

Patentee after: SUZHOU BOSIMEI MEDICAL TECHNOLOGY CO.,LTD.

Address before: 200011 No. 639, manufacturing Bureau Road, Shanghai, Huangpu District

Patentee before: SHANGHAI NINTH PEOPLE'S HOSPITAL SHANGHAI JIAOTONG University SCHOOL OF MEDICINE