CN106264857A - Scalable arc-shaped guide rail formula eye socket traction apparatus - Google Patents
Scalable arc-shaped guide rail formula eye socket traction apparatus Download PDFInfo
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- CN106264857A CN106264857A CN201610775458.3A CN201610775458A CN106264857A CN 106264857 A CN106264857 A CN 106264857A CN 201610775458 A CN201610775458 A CN 201610775458A CN 106264857 A CN106264857 A CN 106264857A
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- guide rail
- traction
- arc
- shaped guide
- socket
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
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- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Heart & Thoracic Surgery (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
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- Prostheses (AREA)
Abstract
The present invention relates to a kind of scalable arc-shaped guide rail formula eye socket traction apparatus, mate with length and the radian of volume socket of the eye band, including: a scalable arc-shaped guide rail, for volume socket of the eye band model guide rail, it is made up of the universal joint of symmetrical stagewise arc-shaped guide rail and each stagewise arc-shaped guide rail of connection, having multiple fixing bar thread groove and draw bar sliding tray on described arc-shaped guide rail, centre is passed through with the threaded screw rod consistent with stagewise arc-shaped guide rail;Stagewise medial and lateral orbital border template, mirror is to the lower edge being connected to described volume socket of the eye band model guide rail;Traction screw fastens in the orbital border template of stagewise medial and lateral, is connected with threaded screw rod, rotates threaded screw rod and drives any one piece of inner side fixing with traction screw, outside margo orbitalis template to slide laterally.The present invention is according to the Age Characteristics of infant, it is provided that a kind of volume socket of the eye band model guide rail, to adapt to volume socket of the eye band radian and the length of Different age pediatric patient, meets the demand of all ages and classes patient, reaches optimum therapeuticing effect.
Description
Technical field
The present invention relates to a kind of scalable arc-shaped guide rail formula eye socket traction apparatus, it is adaptable to the Medical treatment device of Eyes Surgery
Tool.
Background technology
The difficulty of Eyes Surgery is big, risk is high.Plastic technic the most conventional has traditional osteotomy bone piece weight
Group+autologous Bone Defect Repari and tradition osteotomy bone piece restructuring+artificial material reparation.
There is respective shortcoming at present conventional plastic technic: (1) tradition osteotomy bone piece restructuring+autologous Bone Defect Repari:
Needing multiple location osteotomy in art, bone piece restructuring is fixing, and operation risk is relatively big, and bone piece restructuring is not moulding good enough;The defect autologous rib of employing,
Lamina externa cranii, ilium etc. are repaired, and autologous rib is relatively big for amount, easily survives, but absorbance is high, secondary deformity occurs for district;Skull
Outside plate absorbtivity is few, and profile radian is good, occurs without secondary deformity for district, but cuts difficulty, and osteocomma filling thickness is not enough;Autologous
Ilium also exists draws materials and the shortcoming such as moulding difficulty, and the application of above-mentioned autologous material all adds Iatrogenic injury.(2) tradition is cut
Bone bone piece restructuring+artificial material reparation: multiple location osteotomy wound is relatively big, the artificial material such as hydroox apatite artificial bone commonly used,
Porous polyethylene high molecular synthetic material and titanium metal material etc., have certain biocompatibility and plasticity, shapes good,
But there is also the shortcomings such as rejection, infection, cyst formation and implant displacement simultaneously.
Application number: 201410826138.7 disclose a kind of wire type lower jaw chin portion distraction osteogenesis device, include arc track
Plate, curved track guidance tape is provided with two screw sleeves extended outwardly relatively, is embedded with the afterburning screw rod of hollow in screw sleeve,
Afterburning screw rod is provided with afterburning nut;There are two for solid with bone transfer dish on curved track guidance tape between two screw sleeves
Bone transfer dish strap even;Also having two traction steel wires, the bone transfer dish that one end of traction steel wire is fixedly arranged on side is solid
On clamp plate, the other end penetrates the hollow bulb after the screw sleeve of offside through afterburning screw rod, and is fixedly arranged on afterburning screw rod, and it is special
Levy and be: two traction steel wires are arranged in a crossed manner outside curved track guidance tape, when two traction steel wires are respectively to adding of each connecting
When power screw rod one end is moved, two bone transfer dish fixation clamps move towards therewith, and bone transfer dish fixation clamp can be at arc track
Arbitrarily slide on plate.This distraction osteogenesis device simple in construction, inserts conveniently, and clinical manipulation is simple and easy to do, and mandible reconstruction chin portion lacks
Damage effective.
But above-mentioned patented technology only limits the use of in lower jaw chin portion.
Application number: 201510051701.2 disclose a kind of built-in arc-shaped distraction device, including being provided with consolidating of the second through hole
Determining plate, a side of described fixed plate is connected with arc-shaped guide rail, and described arc-shaped guide rail center is provided with arcuate groove, described solid
Determine plate and be provided with the connecting plate that can carry out axial rotation, described connecting plate be provided with screw rod with the use of hole, described screw rod
One end be connected with the universal joint being provided with handle, the screwed hole that described screw rod is provided with slide block is flexibly connected, and described slide block sets
The guide pillar carrying out sliding in described arcuate groove, described guide pillar is had to be packed on the blade plate being provided with the first through hole.It is used for jaw
Bone arc distraction skeletonization, rescues the deformitas maxillaris of arc and repairs jawbone arc Cranial defect, providing one for arc-shaped distraction osteogenesis
Plant easy and simple to handle and practical reparation medical apparatus and instruments.
Summary of the invention
Present invention aim at: provide a kind of scalable arc-shaped guide rail formula eye socket traction apparatus, for orbital hypertelorism, eye socket
After wound, all kinds of eye socket inner edge such as secondary deformity, little orbital malformation and eye socket outer rim need the disease rebuild.
Another object of the present invention is: provide the using method of described scalable arc-shaped guide rail formula eye socket traction apparatus.
The object of the invention is achieved through the following technical solutions: a kind of scalable arc-shaped guide rail formula eye socket traction apparatus, with volume socket of the eye
The length of band and radian coupling, it is characterised in that including:
One scalable arc-shaped guide rail, for volume socket of the eye band model guide rail, by symmetrical stagewise arc-shaped guide rail with connect each stagewise arc
The universal joint of guide rail is constituted, and has multiple fixing bar thread groove and draw bar sliding tray on described arc-shaped guide rail, centre pass through with
The threaded screw rod consistent with stagewise arc-shaped guide rail;
Stagewise medial and lateral orbital border template, mirror is to the lower edge being connected to described volume socket of the eye band model guide rail;
Traction screw fastens in the orbital border template of stagewise medial and lateral, is connected with threaded screw rod, rotates threaded screw rod drive and appoints
One piece of inner side fixing with traction screw, the outside margo orbitalis template of anticipating slides laterally.
The present invention designs the pattern guide rail of scalable volume socket of the eye band direction and length, and connection may be used to traction on this guide rail
The segmentation eye socket medial and lateral template of eye socket medial and lateral form and distance, application traction skeletonization technology reaches to rebuild eye socket spacing
From, or improve eye socket inside and outside lateral margin form to rebuild eye socket and the technique effect of eyeball appropriate relation.
On the basis of such scheme, described stagewise orbital border template is divided into 4, including left and right inner side orbital border mould
Orbital border template outside plate and left and right, every orbital border template is equipped with traction screw and fixes groove.
On the basis of such scheme, orbital border template upper end, medial and lateral is provided with groove, and volume socket of the eye band model guide rail lower edge also sets
Fluted, and be mutually matched.
On the basis of such scheme, the upper limb every margo orbitalis template designs the screw thread of multiple applicable arrangement traction screws
Groove, lower edge one thread groove of design, it is interior in order to draw bar connection that traction screw is fixed on thread groove.
On the basis of such scheme, described stagewise arc-shaped guide rail is by central authorities' 2, both sides universal joint and the left and right sides 2
Individual universal joint constitutes the adjustable guide rail of radian.
Operation principle of the present invention and technique effect are as follows:
Extract the scalable universal joint of central authorities both sides, can be used for changing the radian of tethered sliding eye socket medial border (wall);Extract
The scalable universal joint of the left and right sides, can be used for changing the radian of tethered sliding eye socket lateral border (wall).
When drawing any a piece of orbital border template, can serve as individual and rebuild margo orbitalis, it is adaptable to wound continues
Send out the unilateral orbital dislocation deformity of deformity.
When combining mobile central both sides margo orbitalis template (inwardly traction), it is possible to reduce the bony orbit between eye socket away from, it is adaptable to
The corrective therapy of orbital hypertelorism;When combining mobile central both sides margo orbitalis template (outwards traction), can increase between eye socket
Bony orbit away from, it is adaptable to socket of the eye is away from narrow and small disease (trigonocephaly of volume craniosynostosis).
When combining mobile left and right sides margo orbitalis template, the orbital aperture transverse diameter of eye socket can be expanded, it is adaptable to Crouzon combines
Simulator sickness expophthalmos deformity, the corrective therapy of the expophthalmos deformity such as secondary expophthalmos deformity after thyroid.
The present invention provides the using method of above-mentioned scalable arc-shaped guide rail formula eye socket traction apparatus, according to operator need move
Dynamic orbital border and age be in the steps below:
Step one: the regulation length of volume socket of the eye band model guide rail and radian, utilizes the universal of volume socket of the eye band model guideway central and both sides
Joint, is arranged to radian and length that the volume socket of the eye band with patient matches by guide rail;
Step 2: regulation orbital border template, is carried out outside skin, when mobile any a piece of orbital border template, can serve as
Individual rebuilds margo orbitalis;
Step 3: install fixing bar, penetrate fixing bar in the fixing bar thread groove of guide rail, the corresponding point in temples and forehead will
Guide rail is fixed on head;
Step 4: install draw bar, is carried out skin is inside and outside, disposes 2 (unilateral cases) or 4 in arc-shaped guide rail and bow groove
Individual (bilateral case) traction fixation clamp, is fixed with spanner after disposing location.Draw bar is inserted in traction fixation clamp.Wear skin
After, one end of draw bar pierces the patient's margo orbitalis after osteotomy, and fixes it;The other end is placed in outside skin, in case postoperative 3-5 days open
Beginning traction is used;
Step 5: postoperative traction, is carried out outside skin, after operation osteotomy, after the refractory stage of 3-5 days, proceeds by Bone traction,
Its method is: the traction being connected with guide rail threaded screw rod fixes screw, according to the design of operator, move day by day 0.2~
0.25mm;Moving direction is according to depending on Design;
Step 6: traction is fixing, carries out outside skin, the mobile foundation Design of orbital border, the inside and outside margo orbitalis after traction
After arriving ideal position, stop traction;
Step 7: taking out traction apparatus, above-mentioned traction apparatus is at last position of sound production 1~takes out extracutaneous dress after 6 months
Putting, draw bar takes out with margo orbitalis hone lamella under skin from external preparation for skin rotation mode.
The present invention is advantageous in that: volume socket of the eye band model guide rail is adjustable, according to the age of infant, regulates the length of this guide rail
And radian, to adapt to volume socket of the eye band radian and the length of Different age pediatric patient, meet the demand of all ages and classes patient, reach most preferably to control
Therapeutic effect.Apparatus of the present invention reach therapeutic purposes eventually through distraction osteogenesis, overcome traditional therapy long-term effect the best,
The shortcoming that complication is more.
Accompanying drawing explanation
Accompanying drawing 1 present configuration schematic diagram;
Accompanying drawing 2 draw bar schematic diagram;
Accompanying drawing 3 stagewise arc-shaped guide rail schematic diagram;
Accompanying drawing 4 universal joint schematic diagram;
Accompanying drawing 5 draws fixation clamp schematic diagram;
Label declaration in figure:
1 volume socket of the eye band model guide rail;11 stagewise arc-shaped guide rails;
12 fix bar thread groove;13 sliding trays;
2 universal joints;
Orbital border template inside 3;31, about 32 inner side orbital border template;
Orbital border template outside 4;41, orbital border template outside 42;
The 5 fixing screws of traction;
6 screw mandrels;
7 fixation clamps;
8 draw bars.
Detailed description of the invention
Such as figure accompanying drawing 1 present configuration schematic diagram, accompanying drawing 2 draw bar schematic diagram, accompanying drawing 3 stagewise arc-shaped guide rail schematic diagram
With accompanying drawing 4 universal joint schematic diagram:
A kind of scalable arc-shaped guide rail formula eye socket traction apparatus, mates with length and the radian of volume socket of the eye band, including:
One scalable arc-shaped guide rail, for volume socket of the eye band model guide rail 1, by symmetrical stagewise arc-shaped guide rail 11(as shown in Figure 3) and even
Meet the universal joint 2(of each stagewise arc-shaped guide rail as shown in Figure 4) constitute, described arc-shaped guide rail has multiple fixing bar screw thread
Groove 12 and draw bar sliding tray 13, centre is passed through with the threaded screw rod 6 consistent with stagewise arc-shaped guide rail;
Stagewise medial and lateral orbital border template 3,4, mirror is to the lower edge being connected to described volume socket of the eye band model guide rail 1;
Traction screw fastens in the orbital border template of stagewise medial and lateral, is connected with threaded screw rod, rotates threaded screw rod drive and appoints
One piece of inner side fixing with traction screw, the outside margo orbitalis template of anticipating slides laterally.
In the present embodiment, described stagewise orbital border template is divided into 4, including left and right inner side orbital border template 31,32
With orbital border template 41,42 outside left and right, every orbital border template is equipped with traction screw and fixes groove.
Orbital border template upper end, medial and lateral is provided with groove (not shown), and volume socket of the eye band model guide rail lower edge also is provided with groove
(not shown), and be mutually matched,.
Upper limb every margo orbitalis template designs 2 thread grooves being suitable for disposing traction screw, lower edge one screw thread of design
Groove, it is interior in order to draw bar connection (as shown in Figure 2) that traction screw is fixed on thread groove.
Described stagewise arc-shaped guide rail is by central authorities' 2, both sides central left and right universal joint 21,22 and a left side, 2, the left and right sides
Right outboard joint 23,24 constitutes radian adjustable volume socket of the eye band model guide rail.
Described volume socket of the eye band model guide rail 1 has Collapsible structure, and at least stagewise arc-shaped guide rail in two sides has flexible knot
Structure.
Step one: operation designing and operation osteotomy
Typically require and first carry out osteotomy of performing the operation, it would be desirable to orbital border and the forehead associated bone of movement section, according to operator
Design determines that the margo orbitalis needing movement is (such as interior margo orbitalis, outer margo orbitalis;One side or bilateral).
Step 2: the length of regulation volume socket of the eye band model guide rail and radian
Carry out outside skin.Utilize volume socket of the eye band model guideway central and 4 universal joints of both sides of the design, guide rail is arranged to
The radian matched with the volume socket of the eye band of patient and length.
Step 3: regulation orbital border template
Carry out outside skin.When mobile any a piece of orbital border template, can serve as individual and rebuild margo orbitalis;As being suitable for
Wide abnormal in the bilateral eye socket spacing of the unilateral orbital dislocation deformity of traumatic secondary deformity, applicable congenital orbital hypertelorism
Shape, the bilateral eye socket narrow deformity of spacing etc. of applicable congenital volume craniosynostosis (trigonocephaly).
Step 4: install fixing bar
Penetrating fixing bar in the fixing bar screw thread seat pocket of guide rail, guide rail is fixed on head by the corresponding point in temples and forehead.
Step 5: install draw bar
Carry out skin is inside and outside.Dispose 2 (unilateral cases) or 4 (bilateral case) traction solid in arc-shaped guide rail and bow groove
Clamp, is fixed with spanner after disposing location.Draw bar is inserted in traction fixation clamp.After wearing skin, one end of draw bar is bored
Enter the patient's margo orbitalis after osteotomy, and fix it;The other end is placed in outside skin, in case starting traction and be used for postoperative 3-5 days.
Step 5: postoperative traction
Carry out outside skin.After operation osteotomy, general refractory stage (rest period) is 3-5 days, can proceed by thereafter bone and lead
Draw.Its method is: the traction in dead for guide rail screw thread bar fixes screw, according to the design of operator, move day by day 0.2~
0.25mm;Moving direction is according to depending on Design.Displacement is according to depending on Design.
Step 6: traction is fixing
Carry out outside skin.The mobile foundation Design of margo orbitalis, (unilateral after the inside and outside margo orbitalis after traction arrives ideal position
Or bilateral), stop traction.Above-mentioned traction apparatus typically requires last position of sound production 1~6 months (depending on according to patient).
Step 7: take out traction apparatus
Traction orbital border and fixing orbital border take out extracutaneous device after terminating.Draw bar can be from external preparation for skin rotation mode
Take out with margo orbitalis hone lamella under skin.
Claims (7)
1. a scalable arc-shaped guide rail formula eye socket traction apparatus, mates with length and the radian of volume socket of the eye band, it is characterised in that bag
Include:
One scalable arc-shaped guide rail, for volume socket of the eye band model guide rail, by symmetrical stagewise arc-shaped guide rail with connect each stagewise arc
The universal joint of guide rail is constituted, and has multiple fixing bar thread groove and draw bar sliding tray on described arc-shaped guide rail, centre pass through with
The threaded screw rod consistent with stagewise arc-shaped guide rail;
Stagewise medial and lateral orbital border template, mirror is to the lower edge being connected to described volume socket of the eye band model guide rail;
Traction screw fastens in the orbital border template of stagewise medial and lateral, is connected with threaded screw rod, rotates threaded screw rod drive and appoints
One piece of inner side fixing with traction screw, the outside margo orbitalis template of anticipating slides laterally.
Scalable arc-shaped guide rail formula eye socket traction apparatus the most according to claim 1, it is characterised in that described stagewise eye
Margo orbitalis template is divided into 4, including orbital border template outside left and right inner side orbital border template and left and right, in every orbital border template
It is equipped with traction screw and fixes groove.
Scalable arc-shaped guide rail formula eye socket traction apparatus the most according to claim 1 and 2, it is characterised in that medial and lateral eye socket
Edge template upper end is provided with groove, and volume socket of the eye band model guide rail lower edge also is provided with groove, and is mutually matched.
Scalable arc-shaped guide rail formula eye socket traction apparatus the most according to claim 3, it is characterised in that every margo orbitalis template
Upper limb design multiple applicable arrangement traction screws thread groove, lower edge design one thread groove, traction screw is fixed on screw thread
In order to draw bar connection in groove.
Scalable arc-shaped guide rail formula eye socket traction apparatus the most according to claim 1, it is characterised in that described stagewise arc
Shape guide rail constitutes radian adjustable volume socket of the eye band model guide rail by central authorities' 2, both sides universal joint and 2, left and right sides universal joint.
Scalable arc-shaped guide rail formula eye socket traction apparatus the most according to claim 1 or 5, it is characterised in that described volume socket of the eye
Band model guide rail has Collapsible structure, and at least stagewise arc-shaped guide rail in two sides has stretching structure.
7. according to the using method of the scalable arc-shaped guide rail formula eye socket traction apparatus described in any one of claim 1 to 6, according to
Operator need the orbital border of movement and age in the steps below:
Step one: the regulation length of volume socket of the eye band model guide rail and radian, utilizes the universal of volume socket of the eye band model guideway central and both sides
Joint, is arranged to radian and length that the volume socket of the eye band with patient matches by guide rail;
Step 2: regulation orbital border template, is carried out outside skin, when mobile any a piece of orbital border template, can serve as
Individual rebuilds margo orbitalis;
Step 3: install fixing bar, penetrate fixing bar in the fixing bar thread groove of guide rail, the corresponding point in temples and forehead will
Guide rail is fixed on head;
Step 4: install draw bar, is carried out skin is inside and outside, disposes 2 (unilateral cases) or 4 in arc-shaped guide rail and bow groove
Individual (bilateral case) traction fixation clamp, is fixed with spanner after disposing location, inserts draw bar in traction fixation clamp;Wear skin
After, one end of draw bar pierces the patient's margo orbitalis after osteotomy, and fixes it;The other end is placed in outside skin, in case postoperative 3-5 days open
Beginning traction is used;
Step 5: postoperative traction, is carried out outside skin, after operation osteotomy, after the refractory stage of 3-5 days, proceeds by Bone traction,
Its method is: the traction being connected with guide rail threaded screw rod fixes screw, according to the design of operator, move day by day 0.2~
0.25mm;Moving direction is according to depending on Design;
Step 6: traction is fixing, carries out outside skin, the mobile foundation Design of orbital border, the inside and outside margo orbitalis after traction
After arriving ideal position, stop traction;
Step 7: taking out traction apparatus, above-mentioned traction apparatus is at last position of sound production 1~takes out extracutaneous dress after 6 months
Putting, draw bar takes out with margo orbitalis hone lamella under skin from external preparation for skin rotation mode.
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CN201610775458.3A CN106264857A (en) | 2016-08-31 | 2016-08-31 | Scalable arc-shaped guide rail formula eye socket traction apparatus |
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CN201610775458.3A CN106264857A (en) | 2016-08-31 | 2016-08-31 | Scalable arc-shaped guide rail formula eye socket traction apparatus |
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CN201610775458.3A Pending CN106264857A (en) | 2016-08-31 | 2016-08-31 | Scalable arc-shaped guide rail formula eye socket traction apparatus |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111388166A (en) * | 2020-04-14 | 2020-07-10 | 中国人民解放军第四军医大学 | Adjustable arc guide rail type orbit tractor |
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CN104586481A (en) * | 2015-01-30 | 2015-05-06 | 中国人民解放军第306医院 | Internal arced distractor |
CN106109021A (en) * | 2016-08-31 | 2016-11-16 | 复旦大学附属华山医院 | Scalable arc frons pattern guide plate |
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CN101141925A (en) * | 2004-05-04 | 2008-03-12 | 芯赛斯公司 | Midface distractor |
CN101569553A (en) * | 2008-04-29 | 2009-11-04 | 上海交通大学医学院附属第九人民医院 | Built-in orbital orient curved surface traction ossification device |
CN101380247A (en) * | 2008-09-28 | 2009-03-11 | 中国人民解放军第四军医大学 | Built-in inferior maxilla two-dimension stretch device |
WO2011121512A2 (en) * | 2010-03-27 | 2011-10-06 | Rajiv Agarwal | External system for stabilisation and distraction of curved bony surfaces |
CN203138652U (en) * | 2013-03-14 | 2013-08-21 | 上海交通大学医学院附属仁济医院 | Built-in trifocal traction bone forming machine |
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CN111388166B (en) * | 2020-04-14 | 2021-10-22 | 中国人民解放军第四军医大学 | Adjustable arc guide rail type orbit tractor |
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Application publication date: 20170104 |