CN108992160A - A kind of guiding resetting apparatus - Google Patents

A kind of guiding resetting apparatus Download PDF

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Publication number
CN108992160A
CN108992160A CN201810637473.0A CN201810637473A CN108992160A CN 108992160 A CN108992160 A CN 108992160A CN 201810637473 A CN201810637473 A CN 201810637473A CN 108992160 A CN108992160 A CN 108992160A
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CN
China
Prior art keywords
footmuff
fixed plate
gear
pilot hole
guide groove
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Granted
Application number
CN201810637473.0A
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Chinese (zh)
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CN108992160B (en
Inventor
冯颖
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Wang Jianzhu
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Individual
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Priority to CN201810637473.0A priority Critical patent/CN108992160B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8866Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/90Guides therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The invention discloses a kind of guiding resetting apparatuses, including the first fixed plate, second fixed plate, first footmuff, second footmuff, third footmuff, 4th footmuff, first guide groove, rack gear, first gear, second guide groove, second gear, first pilot hole, second pilot hole, the multifunctional orthopaedics are oriented to resetting apparatus, clever structure, it is powerful, it is easy to operate, it is cheap, by using the device, facilitate medical staff disposably by therapentic part needed for Kirschner wire or thick steel needle insertion patient, alleviate the pain of patient's treatment, greatly improve the working efficiency of medical staff and the treatment progress of patient.

Description

A kind of guiding resetting apparatus
The application is application number 201610598643X, 26 days July 2016 applying date, a kind of entitled " bone guide To resetting apparatus " divisional application.
Technical field
The present invention relates to a kind of resetting apparatus more particularly to a kind of guiding resetting apparatuses.
Background technique
At present in bone surgery, often need Kirschner wire or the fixed fracture of thick steel needle, Kirschner wire or thick steel needle passing through bone Its holding power of center is maximum, and fixation is the most secured.But since long diaphysis is substantially cylindrical, surface is smooth, and Kirschner wire is easy Bone surface sliding, deviates preparatory position, fixed failure occurs, the development in minimally invasive direction is tended in particular with bone surgery, It need to be often closed inserting needle, bone overall picture cannot be seen clearly, in addition the obstruction of surrounding bone skin, fascia, muscle, operating difficulty is big, compared with Easily there is fixed pin sliding, borehole throw occur, drill repeatedly, or even iatrogenic fracture occur, in view of disadvantages described above, having in fact must Design a kind of orthopaedics guiding resetting apparatus.
Summary of the invention
Technical problem to be solved by the present invention lies in: a kind of guiding resetting apparatus is provided, to solve bone traditional at present The problem of section's guiding reset mode is too simple, reduces the working efficiency and patient's treatment progress of medical staff.
In order to solve the above technical problems, the technical scheme is that a kind of guiding resetting apparatus, it is characterised in that: packet Include the first fixed plate, the second fixed plate, the first footmuff, the second footmuff, third footmuff, the 4th footmuff, the first guide groove, rack gear, First gear, the second guide groove, second gear, the first pilot hole, the second pilot hole, it is fixed that first footmuff is located at first Plate bottom left, first footmuff are connected with the first fixed plate screw thread, and second footmuff is located at the first fixed plate bottom On the right side of portion, second footmuff is connected with the sliding of the first fixed plate, and the third footmuff is located at the second fixed plate top left Side, the third footmuff are connected with the second fixed plate screw thread, and the 4th footmuff is located at the second fixed plate top right side, institute The 4th footmuff stated is connected with the sliding of the second fixed plate, and first guide groove is located inside the first footmuff and the second footmuff, First guide groove is integrally connected with the first footmuff and the second footmuff respectively, and the rack gear is located in the first guide groove Portion, the rack gear are movably connected with the first guide groove, and the first gear is located inside the first footmuff and the second footmuff, institute The first gear stated is rotatedly connected with the first footmuff and the second footmuff respectively, and the first gear and rack gear gear teeth meshing phase Even, second guide groove is located inside third footmuff and the 4th footmuff, second guide groove respectively with third footmuff It is integrally connected with the 4th footmuff, the second gear is located inside third footmuff and the 4th footmuff, the second gear point It is not rotatedly connected with third footmuff and the 4th footmuff, first pilot hole is located at the first footmuff side, and described first Pilot hole is located at the second footmuff side, and the first pilot hole section is semicircle, and first pilot hole is through-hole, institute The second pilot hole stated is located at third footmuff side, and second pilot hole is located at the 4th footmuff side, and described second Pilot hole section is semicircle, and second pilot hole is through-hole;
The first fixed plate bottom right and the second fixed plate top right side is additionally provided with sliding rail, the sliding rail point It is not connected with the first fixed plate and the second fixed plate screw thread;
Also extended through adjusting rod on the left of second footmuff and on the left of the 4th footmuff, the adjusting rod respectively with the second footmuff It is connected with the 4th footmuff screw thread, and the adjusting rod is rotatedly connected with the first footmuff and third footmuff respectively;
First footmuff and the second footmuff front end has also extended through connecting pin, the connecting pin respectively with the first footmuff It is rotatedly connected with the second footmuff, and the connecting pin is connected with first gear close-fitting.
Compared with prior art, guiding resetting apparatus, in use, first according to actual therapeutic situation, medical staff will Third footmuff and the 4th footmuff at second fixed plate are placed in the bottom of patient's therapentic part, and medical staff is fixed by first again The first footmuff and the second footmuff at plate are placed in the top of patient's therapentic part, at this time the first footmuff, the second footmuff, third foot The therapentic part of patient is in the state of package by set and the 4th footmuff, and medical staff holds connecting pin again, and rotates connection Pin, so that connecting pin drives making rotating motion for first gear, under the action of first gear and rack gear gear teeth meshing, rack gear is suitable The inside of the first guide groove and being done along the direction of the second guide groove move from top to bottom, when rack gear moves in the second guide groove When portion, under the action of rack gear is mobile, so that second gear makes rotating motion, in the above manner, making the first footmuff and the Two footmuffs and third footmuff and the 4th footmuff form whole i.e. device and carry out longitudinal clamping to the therapentic part of patient, when the dress Set it is longitudinal clamp regulate after, positioning pin need to be only inserted into third footmuff and the 4th footmuff by medical staff, so that positioning pin will Second gear is stuck, by the stuck of second gear, finally make the device to longitudinal clamping force of patient's therapentic part into Row is locked, and medical staff holds adjusting rod, and rotation adjusting lever again, in adjusting rod and the second footmuff and the 4th footmuff screw-driven Under the action of, so that the second footmuff and the 4th footmuff do with movable slider and along the direction of sliding rail and move from right to left respectively, Purpose be in order to allow the device to carry out horizontal clamping to patient's therapentic part, when the device transverse direction and it is longitudinal be conditioned after I.e. the device clamps patient's therapentic part completely, and the first pilot hole and the second pilot hole are in circular through hole state at this time, doctor Shield personnel Kirschner wire or thick steel needle need to be only inserted into combined by the first pilot hole and the second pilot hole after circular through hole in, in circle Under the action of shape through-hole guides, so that phenomena such as being not in deviation, being mentioned when Kirschner wire or thick steel needle insertion patient's therapentic part The high efficiency of patient's treatment, after Kirschner wire or thick steel needle are inserted into, medical staff is first by the transverse clamping force of the device It eliminates, then longitudinal clamping force of the device is eliminated, the first fixed plate and the separation of the second fixed plate are finally allowed into the first guiding Hole and the second pilot hole separation so that Kirschner wire or thick steel needle stay in patient's therapentic part, facilitate medical staff to patient into Row is treated in next step, and the guiding resetting apparatus, clever structure is powerful, easy to operate, cheap, by using the dress It sets, medical staff is facilitated disposably by therapentic part needed for Kirschner wire or thick steel needle insertion patient, to alleviate the pain of patient's treatment Hardship greatly improves the working efficiency of medical staff and the treatment progress of patient, meanwhile, the first spring is to allow and position Sell Rapid reset, second spring is with neonychium be in order to allow patient's therapentic part and the device carry out it is soft contact, to patient To protective effect.
Detailed description of the invention
Fig. 1 is the local front sectional view for being oriented to resetting apparatus;
Fig. 2 is the partial right side view for being oriented to resetting apparatus;
Fig. 3 is the partial left side view for being oriented to resetting apparatus;
Fig. 4 is the inside partial sectional view of third footmuff;
Fig. 5 is the inside partial sectional view of the first footmuff.
First fixed plate, 1 second fixed plate 2
First footmuff, 3 second footmuff 4
The 4th footmuff 6 of third footmuff 5
First guide groove, 7 rack gear 8
9 second guide groove 10 of first gear
11 first pilot hole 12 of second gear
Second pilot hole, 13 sliding rail 101
301 second spring 302 of connecting pin
303 sliding block 401 of neonychium
402 positioning pin 501 of adjusting rod
First spring 502
The following detailed description will be further explained with reference to the above drawings.
Specific embodiment
Hereinafter, a variety of specific details are elaborated, in order to provide to the saturating of the concept for constituting described embodiment basis Thorough understanding.However, it will be apparent to those skilled in the art that described embodiment can be in these no specific details In some or all situations get off practice.In other cases, well-known processing step is not specifically described.
As shown in figure 1, figure 2, figure 3, figure 4 and figure 5, a kind of guiding resetting apparatus, including the first fixed plate 1, the second fixed plate 2, the first footmuff 3, the second footmuff 4, third footmuff 5, the 4th footmuff 6, the first guide groove 7, rack gear 8, first gear 9, second are led To slot 10, second gear 11, the first pilot hole 12, the second pilot hole 13, first footmuff 3 is located at 1 bottom of the first fixed plate On the left of portion, first footmuff 3 is connected with 1 screw thread of the first fixed plate, and second footmuff 4 is located at 1 bottom of the first fixed plate On the right side of portion, second footmuff 4 is connected with the sliding of the first fixed plate 1, and the third footmuff 5 is located at the second fixed plate 2 top On the left of portion, the third footmuff 5 is connected with 2 screw thread of the second fixed plate, and the 4th footmuff 6 is located at the second fixed plate 2 top On the right side of portion, the 4th footmuff 6 is connected with the sliding of the second fixed plate 2, and first guide groove 7 is located at 3 He of the first footmuff Inside second footmuff 4, first guide groove 7 is integrally connected with the first footmuff 3 and the second footmuff 4 respectively, the rack gear 8 Inside the first guide groove 7, the rack gear 8 is movably connected with the first guide groove 7, and the first gear 9 is located at first Inside footmuff 3 and the second footmuff 4, the first gear 9 is rotatedly connected with the first footmuff 3 and the second footmuff 4 respectively, and described First gear 9 be connected with 8 gear teeth meshing of rack gear, second guide groove 10 is located in third footmuff 5 and the 4th footmuff 6 Portion, second guide groove 10 are integrally connected with third footmuff 5 and the 4th footmuff 6 respectively, and the second gear 11 is located at Inside third footmuff 5 and the 4th footmuff 6, the second gear 11 is rotatedly connected with third footmuff 5 and the 4th footmuff 6 respectively, First pilot hole 12 is located at 3 side of the first footmuff, and first pilot hole 12 is located at 4 side of the second footmuff, institute 12 section of the first pilot hole stated is semicircle, and first pilot hole 12 is through-hole, and second pilot hole 13 is located at 5 side of third footmuff, and second pilot hole 13 is located at 6 side of the 4th footmuff, 13 section of the second pilot hole is Semicircle, second pilot hole 13 are through-hole, 2 top of 1 bottom right of the first fixed plate and the second fixed plate Right side is additionally provided with sliding rail 101, and the sliding rail 101 is connected with the first fixed plate 1 and 2 screw thread of the second fixed plate respectively, described The top of second footmuff 4 and 6 bottom of the 4th footmuff are additionally provided with sliding block 401, the sliding block 401 respectively with the second footmuff 4 and the Four footmuffs, 6 screw thread is connected, and the sliding block 401 is connected with the sliding of sliding rail 101,4 left side of the second footmuff and the 4th Adjusting rod 402 has been also extended through on the left of footmuff 6, the adjusting rod 402 is connected with the second footmuff 4 and 6 screw thread of the 4th footmuff respectively, And the adjusting rod 402 is rotatedly connected with the first footmuff 3 and third footmuff 5 respectively, first footmuff 3 and the second footmuff 4 front ends have also extended through connecting pin 301, and the connecting pin 301 is rotatedly connected with the first footmuff 3 and the second footmuff 4 respectively, and institute The connecting pin 301 stated is connected with 9 close-fitting of first gear, and the third footmuff 5 and 6 front end of the 4th footmuff have also extended through positioning pin 501, the positioning pin 501 is movably connected with third footmuff 5 and the 4th footmuff 6 respectively, also passes through outside the positioning pin 501 It is installed with the first spring 502, described 502 one end of the first spring and 501 glue connection of positioning pin, and first spring 502 is another End respectively with 6 glue connection of third footmuff 5 and the 4th footmuff, first footmuff 3, the second footmuff 4, third footmuff 5 and the 4th 6 inner wall of footmuff is additionally provided with second spring 302, the second spring 302 respectively with the first footmuff 3, the second footmuff 4, third foot Set 5 and 6 glue connection of the 4th footmuff, 302 other end of second spring are additionally provided with neonychium 303, the neonychium 303 with 302 glue connection of second spring.
The guiding resetting apparatus, in use, first according to actual therapeutic situation, medical staff will be at the second fixed plate 2 Third footmuff 5 and the 4th footmuff 6 are placed in the bottom of patient's therapentic part, and medical staff is again by first at the first fixed plate 1 Footmuff 3 and the second footmuff 4 are placed in the top of patient's therapentic part, at this time the first footmuff 3, the second footmuff 4, third footmuff 5 with And the 4th footmuff 6 by the therapentic part of patient be in package state, medical staff holds connecting pin 301 again, and rotates connection Pin 301, so that connecting pin 301 drives making rotating motion for first gear 9, in the effect of 8 gear teeth meshing of first gear 9 and rack gear Under, rack gear 8 moves from top to bottom along the inside and doing along the direction of the second guide groove 10 of the first guide groove 7, when rack gear 8 moves When to the second 10 inside of guide groove, under the action of rack gear 8 is mobile, so that second gear 11 makes rotating motion, by with top Formula, so that the first footmuff 3 and the second footmuff 4 form whole i.e. treatment of the device to patient with third footmuff 5 and the 4th footmuff 6 Position carries out longitudinal clamping, and after the device, which longitudinally clamps, to be regulated, positioning pin 501 need to be only inserted into third footmuff by medical staff 5 and the 4th in footmuff 6, so that positioning pin 501 is stuck by second gear 11, by finally making to the stuck of second gear 11 The device locks longitudinal clamping force of patient's therapentic part, and medical staff holds adjusting rod 402, and rotation adjusting lever again 402, under the action of adjusting rod 402 and the second footmuff 4 and the 4th 6 screw-driven of footmuff, so that the second footmuff 4 and the 4th footmuff 6 do with movable slider 401 and along the direction of sliding rail 101 and move from right to left respectively, and its purpose is to allow the device to patient Therapentic part carries out horizontal clamping, when the device transverse direction and it is longitudinal be conditioned after the i.e. device patient's therapentic part is complete Complete to clamp, the first pilot hole 12 and the second pilot hole 13 are in circular through hole state at this time, medical staff only need to by Kirschner wire or In circular through hole after thick steel needle the first pilot hole 12 of insertion and the second pilot hole 13 are combined, in the effect of circular through hole guiding Under, so that phenomena such as being not in deviation, improves the effect of patient's treatment when Kirschner wire or thick steel needle insertion patient's therapentic part Rate, after Kirschner wire or thick steel needle are inserted into, medical staff first eliminates the transverse clamping force of the device, then by the device Longitudinal clamping force is eliminated, and the first fixed plate 1 and the separation of the second fixed plate 2 are finally allowed the first pilot hole 12 and the second pilot hole 13 separation so that Kirschner wire or thick steel needle stay in patient's therapentic part, facilitate medical staff to patient carry out next step treatment, Meanwhile first spring 502 be that second spring 302 is with neonychium 303 in order to allow 501 Rapid reset of positioning pin is to allow and suffer from Person's therapentic part and the device carry out it is soft contact, play a protective role to patient.
The present invention is not limited to above-mentioned specific embodiment, those skilled in the art from the above idea, Without creative labor, the various transformation made are within the scope of the present invention.

Claims (2)

1. a kind of guiding resetting apparatus, it is characterised in that: including the first fixed plate, the second fixed plate, the first footmuff, crus secunda Set, third footmuff, the 4th footmuff, the first guide groove, rack gear, first gear, the second guide groove, second gear, the first pilot hole, Second pilot hole, first footmuff are located at the first fixed plate bottom left, first footmuff and the first fixed plate spiral shell Line is connected, and second footmuff is located at the first fixed plate bottom right, and second footmuff slides phase with the first fixed plate Even, the third footmuff is located at the second fixed plate top left side, and the third footmuff is connected with the second fixed plate screw thread, institute The 4th footmuff stated is located at the second fixed plate top right side, and the 4th footmuff is connected with the sliding of the second fixed plate, described First guide groove is located inside the first footmuff and the second footmuff, first guide groove respectively with the first footmuff and the second footmuff It being integrally connected, the rack gear is located inside the first guide groove, and the rack gear is movably connected with the first guide groove, and described One gear is located inside the first footmuff and the second footmuff, and the first gear rotates phase with the first footmuff and the second footmuff respectively Even, and the first gear is connected with rack gear gear teeth meshing, and second guide groove is located at third footmuff and the 4th footmuff Inside, second guide groove are integrally connected with third footmuff and the 4th footmuff respectively, and the second gear is located at third Inside footmuff and the 4th footmuff, the second gear is rotatedly connected with third footmuff and the 4th footmuff respectively, and described first Pilot hole is located at the first footmuff side, and first pilot hole is located at the second footmuff side, and first pilot hole is cut Face is semicircle, and first pilot hole is through-hole, and second pilot hole is located at third footmuff side, and described the Two pilot holes are located at the 4th footmuff side, and the second pilot hole section is semicircle, and second pilot hole is through-hole;
The first fixed plate bottom right and the second fixed plate top right side is additionally provided with sliding rail, the sliding rail respectively with First fixed plate is connected with the second fixed plate screw thread;
Also extended through adjusting rod on the left of second footmuff and on the left of the 4th footmuff, the adjusting rod respectively with the second footmuff and the Four footmuff screw threads are connected, and the adjusting rod is rotatedly connected with the first footmuff and third footmuff respectively;
First footmuff and the second footmuff front end has also extended through connecting pin, the connecting pin respectively with the first footmuff and Two footmuffs are rotatedly connected, and the connecting pin is connected with first gear close-fitting.
2. a kind of guiding resetting apparatus as described in claim 1, it is characterised in that: at the top of the second footmuff and the 4th footmuff bottom Portion is additionally provided with sliding block, and the sliding block is connected with the second footmuff and the 4th footmuff screw thread respectively, and the sliding block and sliding rail are sliding It is dynamic to be connected.
CN201810637473.0A 2016-07-26 2016-07-26 Guiding reset device Active CN108992160B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201810637473.0A CN108992160B (en) 2016-07-26 2016-07-26 Guiding reset device

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CN201610598643.XA CN106214243B (en) 2016-07-26 2016-07-26 A kind of orthopaedics guiding resetting apparatus
CN201810637473.0A CN108992160B (en) 2016-07-26 2016-07-26 Guiding reset device

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CN108992160A true CN108992160A (en) 2018-12-14
CN108992160B CN108992160B (en) 2021-01-19

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CN201810913793.4A Withdrawn CN109106441A (en) 2016-07-26 2016-07-26 A kind of orthopedic devices
CN201810590630.7A Withdrawn CN109009398A (en) 2016-07-26 2016-07-26 A kind of orthopaedics guiding resetting apparatus
CN201810637473.0A Active CN108992160B (en) 2016-07-26 2016-07-26 Guiding reset device
CN201610598643.XA Expired - Fee Related CN106214243B (en) 2016-07-26 2016-07-26 A kind of orthopaedics guiding resetting apparatus
CN201810859976.2A Withdrawn CN109044520A (en) 2016-07-26 2016-07-26 A kind of orthopedics restoration device
CN201810894784.5A Active CN109223159B (en) 2016-07-26 2016-07-26 Orthopedic guiding and resetting device

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CN201810913793.4A Withdrawn CN109106441A (en) 2016-07-26 2016-07-26 A kind of orthopedic devices
CN201810590630.7A Withdrawn CN109009398A (en) 2016-07-26 2016-07-26 A kind of orthopaedics guiding resetting apparatus

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CN201610598643.XA Expired - Fee Related CN106214243B (en) 2016-07-26 2016-07-26 A kind of orthopaedics guiding resetting apparatus
CN201810859976.2A Withdrawn CN109044520A (en) 2016-07-26 2016-07-26 A kind of orthopedics restoration device
CN201810894784.5A Active CN109223159B (en) 2016-07-26 2016-07-26 Orthopedic guiding and resetting device

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CN108992160B (en) 2021-01-19
CN109044520A (en) 2018-12-21
CN106214243B (en) 2018-09-28
CN109223159A (en) 2019-01-18
CN109009398A (en) 2018-12-18
CN109106441A (en) 2019-01-01
CN109223159B (en) 2021-01-15
CN106214243A (en) 2016-12-14

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