CN216536020U - Upper limb auxiliary positioning device for scapula fracture surgery - Google Patents

Upper limb auxiliary positioning device for scapula fracture surgery Download PDF

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Publication number
CN216536020U
CN216536020U CN202123416678.2U CN202123416678U CN216536020U CN 216536020 U CN216536020 U CN 216536020U CN 202123416678 U CN202123416678 U CN 202123416678U CN 216536020 U CN216536020 U CN 216536020U
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China
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adjusting structure
arm support
gear
rack
upper limb
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CN202123416678.2U
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Chinese (zh)
Inventor
杨承刚
向常娟
白亚平
李明达
田德方
孙晓峰
段郦真
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Gu'an Bojian Biotechnology Co ltd
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Gu'an Bojian Biotechnology Co ltd
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Abstract

The utility model discloses an upper limb auxiliary positioning device for a scapula fracture operation, which comprises an upper limb fixing component, an adjusting component and an operating bed, wherein the direction vertical to the bed surface of the operating bed is a first direction, and the direction vertical to the first direction is a second direction; the adjusting assembly comprises a first adjusting structure and a second adjusting structure, the first adjusting structure moves along a first direction, and the second adjusting structure moves along a second direction; the upper limb fixing assembly is movably connected with the first adjusting structure; the first adjusting structure is movably connected with the second adjusting structure; the second adjusting structure is detachably connected with the operating bed. The position of the upper limb fixing component is adjusted in a position perpendicular to the bed surface of the operating bed and in a position parallel to the bed surface of the operating bed through the first adjusting structure and the second adjusting structure.

Description

Upper limb auxiliary positioning device for scapula fracture surgery
Technical Field
The utility model belongs to the technical field of medical instruments, and particularly relates to an upper limb auxiliary positioning device for a scapula fracture operation.
Background
Scapular fractures are rare, accounting for 0.5% -1.0% of all fractures, and high-energy trauma is a common injury mechanism leading to such fractures; most of scapular fractures can achieve satisfactory effects through conservative treatment, but with the deep understanding of scapular fractures and the gradually increasing requirements of people on the functions of upper limbs, potential pain, vascular problems, delayed healing, deformed healing, continuous shoulder symptoms, arm function loss and the like can be caused due to the shortening and middle displacement of scapular bodies, and the surgical treatment of scapular fractures is attracting more and more attention.
The main advantages of the approach are that the exposure to the fracture is sufficient, the defects are that the wound is large, the operation incision is long, the postoperative scar is large, the Bankart injury on the front side of the glenoid can not be solved, and in addition, when the Judet approach is selected, the suprascapular nerve, the circumscapular artery and the suprascapular artery need to be strictly and carefully separated, so that the injuries of the nerves and blood vessels are avoided.
Anterior approaches (deltoid pectoralis major approach) are less applied, mainly to treat fractures of the anterior part of the scapula, such as the anterior part of the pelvis and the coracoid process, but are unsatisfactory for anterior side injury fixation and cannot solve scapular neck and body fractures; the anterior-posterior combined approach is mainly used for treating complex injuries of clavicle, acromion, scapula neck, coracoid process and other parts, has large damage to soft tissues around the shoulder joint, and influences the functional rehabilitation of the shoulder joint after operation.
The armpit approach can fully expose the front lower part of the scapular pelvis, the scapular neck and the outer side edge of the scapula, and has the advantages of small wound, hidden incision, firm internal fixation and the like.
Before operation treatment, the patient is assisted to take a lateral position, an operation area and the upper limb of the affected side for routine disinfection; in the operation treatment, the upper limb at the operation side of the patient is lifted, the armpit is fully exposed, the incision starts from the deviated armpit fold and extends downwards along the front edge of latissimus dorsi, and the incision is about 8-10cm long; the incision is concealed and can reduce irritation of the incision by sweat glands. In the process of surgical treatment, because no special device for fixing the upper limbs of the patient is provided, an assistant is needed to manually fix the upper limbs of the patient, the manual work is very occupied, and the assistant is easy to fatigue.
Aiming at the problems, the utility model provides an upper limb auxiliary positioning device for a scapula fracture operation.
SUMMERY OF THE UTILITY MODEL
In order to overcome the problems in the background art, the utility model adopts the following technical scheme:
an upper limb auxiliary positioning device for scapula fracture surgery comprises an upper limb fixing component, an adjusting component and an operating bed, wherein the direction perpendicular to the bed surface of the operating bed is set as a first direction, and the direction perpendicular to the first direction is set as a second direction; the adjusting assembly comprises a first adjusting structure and a second adjusting structure, the first adjusting structure moves along a first direction, and the second adjusting structure moves along a second direction; the upper limb fixing component is movably connected with the first adjusting structure; the first adjusting structure is movably connected with the second adjusting structure; the second adjusting structure is detachably connected with the operating bed. The position of the upper limb fixing component is adjusted in a position perpendicular to the bed surface of the operating bed and in a position parallel to the bed surface of the operating bed through the first adjusting structure and the second adjusting structure.
Further, the upper limb fixing assembly comprises an arm support, a limiting piece and a connecting piece; one end of the connecting piece is movably connected with the first adjusting structure, and the other end of the connecting piece is fixedly connected with the arm support; one end of the limiting part is fixedly connected with the arm support, and the other end of the limiting part is detachably connected with the arm support. When the arm support is used, the upper limbs of a patient are placed on the arm support, and the upper limbs are fixed through the limiting pieces.
Further, the arm support comprises a first end and a second end, the first end faces the center line of the operating bed, the second end faces the outer side of the operating bed, and the arm support is of an arc-shaped plate-shaped structure with upward trend from the first end to the second end; the lowest point of the second end is higher than the lowest point of the first end. In order to meet the position of the upper limb of the patient during use, the patient adopts a lateral position, the upper limb positioned on the upper side of the body needs to be put into the arm support for fixing, the elbow of the upper limb is lower than the wrist, and the arm support with the shape is arranged so as to meet the trend of the upper limb.
Furthermore, the arm support comprises a soft layer, and the soft layer is fixedly connected with the arm support. When in use, the soft layer contacts with the upper limb of the patient to protect the skin.
Furthermore, the limiting piece comprises an elastic belt and a buckle, the buckle is arranged on one side of the arm support, and the elastic belt is arranged on the opposite side of the buckle; the buckle is fixedly connected with the arm support; one end of the elastic belt is fixedly connected with the arm support, and the other end of the elastic belt is movably connected with the buckle; the elastic band comprises a magic tape, and the free end of the elastic band is wound around the buckle and then fixed through the magic tape.
Further, the buckle is a double-opening buckle. During the use, two mouths of two mouthful buckles are walked around respectively to the free end of elastic webbing, and then the free end is fixed by the magic subsides.
Furthermore, at least two sets of limiting parts are arranged, and the two sets of limiting parts are arranged in an arc shape along the arm support.
Furthermore, the connecting piece includes the connecting plate, one of them one end and arm support fixed connection of connecting plate, the other end and first regulation structure swing joint.
Further, the first adjusting structure comprises a first gear, a first rack, a first motor and a shell, and the first gear is meshed with the first rack; the first rack is arranged in the first direction and fixedly connected with the connecting piece; the first gear is connected with the first motor, and the first motor drives the first gear to rotate; the inner wall of the shell comprises a first rotating shaft for fixing a first gear, one end of the first rotating shaft is fixedly connected with the inner wall of the shell, and the other end of the first rotating shaft is rotatably connected with a first gear. When the arm support is used, the first motor drives the first gear to rotate, and the first gear rotates to enable the first rack to move along the first direction, so that the position of the arm support in the first direction is adjusted.
Furthermore, two groups of first adjusting structures are arranged and are respectively arranged on two sides of the arm support; the two sides of the arm support are respectively provided with the corresponding connecting pieces, the two groups of first adjusting structures are symmetrical, and the connecting pieces are symmetrical.
Further, the casing is including being used for holding a motor holding tank of motor one, and motor one is placed in motor holding tank, and motor one can be dismantled with motor holding tank and be connected.
Further, the housing includes a passage that allows the connector to move in the first direction, the passage extending through the housing.
Further, the shell is a U-shaped cavity shell, an opening is formed in the upper end of the shell, and the first rack can extend out of the opening. This arrangement ensures that the first rack extends from the opening.
Further, the second adjusting structure comprises a rack, a second gear, a second rack and a second motor, the rack comprises a second motor accommodating groove for accommodating the second motor, the second motor is placed in the second motor accommodating groove and connected with the second gear, and the second motor drives the second gear to rotate; the second gear is meshed with the second rack, and the second rack is arranged in the second direction; the second rack comprises a bottom plate which is fixedly connected with the shell; the frame is detachably connected with the operating table. In this kind of setting, the second is adjusted the structure and is whole to be connected with the operation table can be dismantled, realizes first regulation structure and the fixed connection of second regulation structure through the bottom plate, thereby the second rotation of gear makes the second rack remove, realizes the removal of casing to adjust the position of arm support in the second direction.
Furthermore, the rack comprises a second rotating shaft, one end of the second rotating shaft is fixedly connected with the rack, and the other end of the second rotating shaft is rotatably connected with the second gear. This arrangement serves to define the two positions of the gear.
Further, the frame includes the slip subassembly, and the slip subassembly is including setting up the slider of casing bottom to and the slide rail that matches with the slider, slider and casing fixed connection, slide rail and frame fixed connection, the slide rail is parallel with the second direction. This kind of setting is in order to satisfy the removal of casing in the second direction, because the second is adjusted the structure and is driven the casing and remove, consequently needs the demand that the subassembly satisfies the removal of sliding.
Further, the bottom of frame still includes the holder, holder and frame swing joint, and the holder can be dismantled with the operation table and be connected.
Further, the clamping piece comprises a movable plate, a fixed plate and a locking structure, the fixed plate is integrally connected with the rack, the movable plate comprises a through hole allowing the fixed plate to pass through, and the movable plate moves along the fixed plate in the first direction; the locking structure is detachably connected with the movable plate. When the movable plate is used, the movable plate is adjusted to a proper position, the movable plate is located at the bottom of the operating table, the sliding rail is located above the operating table, the movable plate and the sliding rail are matched to form clamping for the operating table, and then the movable plate is locked through the locking structure.
Furthermore, locking structure includes locking screw and the screw hole of setting on the fly leaf, and locking screw matches with the screw hole. When the locking screw is used, the locking screw is inserted into the threaded hole and screwed down.
The utility model has the beneficial effects that: can fix patient's upper limbs at the operation in-process to fully expose the operation position that is located armpit department, need not to occupy the manpower, improve medical personnel's work efficiency.
The use method of the utility model comprises the following steps: at first adjust the holder centre gripping of structure with the second on the operation table, lock the fly leaf through locking screw, the patient gets the lateral position, the upper limbs that is located patient's health upside places in the arm support, and it is fixed with the upper limbs through the elastic webbing, adjust the position of arm support in the first direction through first regulation structure, adjust the position of arm support in the second direction through the second, adjust the arm support to suitable position, thereby fix patient's upper limbs in suitable position, fully expose the operation position of armpit.
Drawings
FIG. 1 is a schematic view of the present invention in use;
FIG. 2 is a schematic view of the overall structure of the present invention;
FIG. 3 is a side view of FIG. 2;
FIG. 4 is an enlarged schematic view of the arm rest of the present invention;
FIG. 5 is an enlarged partial schematic view of the present invention;
FIG. 6 is a schematic view of a first adjustment configuration of the present invention;
FIG. 7 is a schematic view of a first rack, a first gear and an arm rest of the present invention;
FIG. 8 is a schematic structural view of a second adjustment mechanism of the present invention;
FIG. 9 is a side view of FIG. 8;
in the figure, 1, an arm support; 11. an elastic band; 12. buckling; 13. a connecting plate; 2. a housing; 21. a first rack; 22. a first gear; 23. a first motor; 3. a frame; 31. a second rack; 311. a base plate; 32. a second gear; 33. a second motor; 34. a fixing plate; 35. a movable plate; 36. locking the screw rod; 37. a slider; 38. a slide rail; 4. an operating bed.
Detailed Description
The technical solutions in the embodiments of the present invention are clearly and completely described below by specific embodiments, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, rather than all embodiments, and other advantages and effects of the present invention can be easily understood by those skilled in the art from the disclosure of the present specification. The present invention can be implemented or applied by other different specific embodiments, and the features in the following embodiments and embodiments can be combined with each other without conflict, and all other embodiments obtained by a person of ordinary skill in the art without creative efforts based on the embodiments of the present invention belong to the protection scope of the present invention.
Example 1
As shown in fig. 1-3, an upper limb auxiliary positioning device for scapula fracture surgery in this embodiment includes an upper limb fixing component, an adjusting component and an operating bed 4, wherein a direction perpendicular to a bed surface of the operating bed 4 is set as a first direction, and a direction perpendicular to the first direction is set as a second direction; the adjusting assembly comprises a first adjusting structure and a second adjusting structure, the first adjusting structure moves along a first direction, and the second adjusting structure moves along a second direction; the upper limb fixing component is movably connected with the first adjusting structure; the first adjusting structure is movably connected with the second adjusting structure; the second adjusting structure is detachably connected with the operating bed 4. The position of the upper limb fixing component, which is perpendicular to the bed surface of the operating bed 4 and parallel to the bed surface of the operating bed 4, can be adjusted through the first adjusting structure and the second adjusting structure.
The upper limb fixing component comprises an arm support 1, a limiting piece and a connecting piece; one end of the connecting piece is movably connected with the first adjusting structure, and the other end of the connecting piece is fixedly connected with the arm support 1; one end of the limiting part is fixedly connected with the arm support 1, and the other end of the limiting part is detachably connected with the arm support 1. When in use, the upper limb of a patient is placed on the arm support 1 and fixed through the limiting piece.
The first adjusting structure comprises a first gear 22, a first rack 21, a first motor 23 and the shell 2, wherein the first gear 22 is meshed with the first rack 21; the first rack 21 is arranged in the first direction, and the first rack 21 is fixedly connected with the connecting plate 13; the first gear 22 is connected with the first motor 23, and the first motor 23 drives the first gear 22 to rotate; the inner wall of the shell 2 comprises a first rotating shaft for fixing the first gear 22, one end of the first rotating shaft is fixedly connected with the inner wall of the shell 2, and the other end of the first rotating shaft is rotatably connected with the first gear 22. When the arm support is used, the first motor 23 drives the first gear 22 to rotate, and the first gear 22 rotates to enable the first rack 21 to move along the first direction, so that the position of the arm support 1 in the first direction is adjusted.
The second adjusting structure comprises a rack 3, a second gear 32, a second rack 31 and a second motor 33, the rack 3 comprises a second motor 33 accommodating groove for accommodating the second motor 33, the second motor 33 is placed in the second motor 33 accommodating groove, the second motor 33 is connected with the second gear 32, and the second motor 33 drives the second gear 32 to rotate; the second gear 32 is meshed with the second rack 31, and the second rack 31 is arranged in the second direction; the second rack 31 comprises a bottom plate 311, and the bottom plate 311 is fixedly connected with the shell 2; the frame 3 is detachably connected with the operating table 4. In the arrangement, the second adjusting structure is detachably connected with the operating table 4, the first adjusting structure is fixedly connected with the second adjusting structure through the bottom plate 311, and the second gear 32 rotates to enable the second rack 31 to move and the shell 2 to move, so that the position of the arm support 1 in the second direction is adjusted.
Example 2
As shown in fig. 4 to 5, the present embodiment specifically sets the arm rest 1:
the arm support 1 comprises a first end and a second end, wherein the first end faces to the center line of the operating bed 4, the second end faces to the outer side of the operating bed 4, and the first end and the second end are of an arc-shaped plate structure with upward trend; the lowest point of the second end is higher than the lowest point of the first end. In order to conform to the position of the upper limb of the patient during use, the patient adopts a lateral position, the upper limb positioned on the upper side of the body needs to be placed in the arm support 1 for fixation, the elbow of the upper limb is lower than the wrist, and the arm support 1 in the shape is arranged so as to conform to the trend of the upper limb.
The arm support 1 comprises a soft layer, and the soft layer is fixedly connected with the arm support 1. When in use, the soft layer contacts with the upper limb of the patient to protect the skin.
The limiting piece comprises an elastic belt 11 and a buckle 12, the buckle 12 is arranged on one side of the arm support 1, and the elastic belt 11 is arranged on the opposite side of the buckle 12; the buckle 12 is fixedly connected with the arm support 1; one end of the elastic belt 11 is fixedly connected with the arm support 1, and the other end is movably connected with the buckle 12; the elastic band 11 includes a hook and loop fastener, and a free end of the elastic band 11 is wound around the buckle 12 and then fixed by the hook and loop fastener.
The clasp 12 is a double mouth clasp 12. When in use, the free end of the elastic belt 11 is respectively wound around the two openings of the double-opening buckle 12, and then the free end is fixed by the magic tape.
At least two sets of limiting parts are arranged, and the two sets of limiting parts are arranged in an arc shape along the arm support 1.
The connecting piece includes connecting plate 13, one of them one end and arm support 1 fixed connection of connecting plate 13, the other end and first regulation structure swing joint.
Example 3
As shown in fig. 6 to 7, the first adjustment structure is specifically set in the present embodiment:
two groups of first adjusting structures are arranged and are respectively arranged on two sides of the arm support 1; corresponding connecting pieces are arranged on two sides of the arm support 1 respectively, the two groups of first adjusting structures are symmetrical to each other, and the connecting pieces are symmetrical to each other.
The housing 2 comprises a first motor 23 accommodating groove for accommodating the first motor 23, the first motor 23 is placed in the first motor 23 accommodating groove, and the first motor 23 accommodating groove are detachably connected.
The housing 2 comprises a passage allowing the connector to move in a first direction, the passage extending through the housing 2.
The shell 2 is a U-shaped hollow shell 2, an opening is formed in the upper end of the shell 2, and the first rack 21 can extend out of the opening. This arrangement ensures that the first rack 21 can extend from the opening.
Example 4
As shown in fig. 8 to 9, the second adjustment structure is specifically set in the present embodiment:
the rack 3 comprises a second rotating shaft, one end of the second rotating shaft is fixedly connected with the rack 3, and the other end of the second rotating shaft is rotatably connected with the second gear 32. This arrangement serves to define the position of gear two 32.
Frame 3 includes sliding assembly, and sliding assembly is including setting up the slider 37 in casing 2 bottom to and the slide rail 38 that matches with slider 37, slider 37 and casing 2 fixed connection, slide rail 38 and frame 3 fixed connection, slide rail 38 is parallel with the second direction. This kind of setting is in order to satisfy the removal of casing 2 in the second direction, because second regulation structure drives casing 2 and removes, consequently needs the demand that the subassembly that slides satisfies the removal.
The bottom of frame 3 still includes the holder, holder and frame 3 swing joint, and the holder can be dismantled with operation table 4 and be connected.
The clamping member includes a movable plate 35, a fixed plate 34 and a locking structure, the fixed plate 34 is integrally connected with the frame 3, the movable plate 35 includes a through hole allowing the fixed plate 34 to pass through, and the movable plate 35 moves along the fixed plate 34 in a first direction; the locking structure is detachably connected to the movable plate 35. When the multifunctional surgical bed is used, the movable plate 35 is adjusted to a proper position, the movable plate 35 is located at the bottom of the surgical bed 4, the sliding rail 38 is located above the surgical bed 4, the movable plate 35 is matched with the sliding rail 38 to clamp the surgical bed 4, and then the movable plate 35 is locked through the locking structure.
The locking structure comprises a locking screw 36 and a threaded hole arranged on the movable plate 35, and the locking screw 36 is matched with the threaded hole. When the locking screw is used, the locking screw is inserted into the threaded hole and screwed down.
The above description of the embodiments is only for the understanding of the present invention. It should be noted that modifications could be made to the utility model without departing from the principle of the utility model, which would also fall within the scope of the claims of the utility model.

Claims (10)

1. An upper limb auxiliary positioning device for scapula fracture surgery comprises an upper limb fixing component, an adjusting component and an operating bed, and is characterized in that the direction perpendicular to the bed surface of the operating bed is set as a first direction, and the direction perpendicular to the first direction is set as a second direction; the adjusting assembly comprises a first adjusting structure and a second adjusting structure, the first adjusting structure moves along a first direction, and the second adjusting structure moves along a second direction; the upper limb fixing component is movably connected with the first adjusting structure; the first adjusting structure is movably connected with the second adjusting structure; the second adjusting structure is detachably connected with the operating bed.
2. The auxiliary positioning device for upper limbs used in scapula fracture surgery according to claim 1, wherein the upper limb fixing assembly includes an arm support, a limiting member, and a connecting member; one end of the connecting piece is movably connected with the first adjusting structure, and the other end of the connecting piece is fixedly connected with the arm support; one end of the limiting part is fixedly connected with the arm support, and the other end of the limiting part is detachably connected with the arm support.
3. The device as claimed in claim 2, wherein the arm support comprises a first end and a second end, the first end faces the midline of the operating bed, the second end faces the outside of the operating bed, and the first end and the second end are of upward-oriented arc-shaped plate structures; the lowest point of the second end is higher than the lowest point of the first end.
4. The device as claimed in claim 3, wherein the arm support comprises a soft layer, and the soft layer is fixedly connected with the arm support.
5. The device for assisting in positioning the upper limb during the scapula fracture surgery according to claim 4, wherein the limiting member comprises an elastic band and a buckle, the buckle is arranged on one side of the arm support, and the elastic band is arranged on the opposite side of the buckle; the buckle is fixedly connected with the arm support; one end of the elastic belt is fixedly connected with the arm support, and the other end of the elastic belt is movably connected with the buckle; the elastic band comprises a magic tape, and the free end of the elastic band is wound around the buckle and then fixed through the magic tape.
6. The device for assisting in positioning the upper limb during the scapula fracture surgery according to any one of claims 2 to 5, wherein the first adjusting structure comprises a first gear, a first rack, a first motor and a shell, and the first gear is meshed with the first rack; the first rack is arranged in the first direction and fixedly connected with the connecting piece; the first gear is connected with the first motor, and the first motor drives the first gear to rotate; the inner wall of the shell comprises a first rotating shaft for fixing a first gear, one end of the first rotating shaft is fixedly connected with the inner wall of the shell, and the other end of the first rotating shaft is rotatably connected with a first gear.
7. The auxiliary positioning device for the upper limb during the scapula fracture surgery according to claim 6, wherein the second adjusting structure comprises a rack, a second gear, a second rack and a second motor, the rack comprises a second motor accommodating groove for accommodating the second motor, the second motor is placed in the second motor accommodating groove, the second motor is connected with the second gear, and the second motor drives the second gear to rotate; the second gear is meshed with the second rack, and the second rack is arranged in the second direction; the second rack comprises a bottom plate which is fixedly connected with the shell; the frame is detachably connected with the operating table.
8. The device as claimed in claim 7, wherein the frame comprises a sliding assembly, the sliding assembly comprises a sliding block disposed at the bottom of the housing, and a sliding rail matched with the sliding block, the sliding block is fixedly connected with the housing, the sliding rail is fixedly connected with the frame, and the sliding rail is parallel to the second direction.
9. The auxiliary positioning device for upper limbs during scapula fracture surgery according to claim 8, wherein the bottom of the frame further comprises a clamping piece, the clamping piece is movably connected with the frame, and the clamping piece is detachably connected with the operating table.
10. The device as claimed in claim 9, wherein the holder comprises a movable plate, a fixed plate and a locking structure, the fixed plate is integrally connected to the frame, the movable plate comprises a through hole for allowing the fixed plate to pass through, and the movable plate moves along the fixed plate in a first direction; the locking structure is detachably connected with the movable plate.
CN202123416678.2U 2021-12-31 2021-12-31 Upper limb auxiliary positioning device for scapula fracture surgery Active CN216536020U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202123416678.2U CN216536020U (en) 2021-12-31 2021-12-31 Upper limb auxiliary positioning device for scapula fracture surgery

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202123416678.2U CN216536020U (en) 2021-12-31 2021-12-31 Upper limb auxiliary positioning device for scapula fracture surgery

Publications (1)

Publication Number Publication Date
CN216536020U true CN216536020U (en) 2022-05-17

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CN202123416678.2U Active CN216536020U (en) 2021-12-31 2021-12-31 Upper limb auxiliary positioning device for scapula fracture surgery

Country Status (1)

Country Link
CN (1) CN216536020U (en)

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