CN109620359A - A kind of tenosynovitis operation knife assembly - Google Patents
A kind of tenosynovitis operation knife assembly Download PDFInfo
- Publication number
- CN109620359A CN109620359A CN201910019205.7A CN201910019205A CN109620359A CN 109620359 A CN109620359 A CN 109620359A CN 201910019205 A CN201910019205 A CN 201910019205A CN 109620359 A CN109620359 A CN 109620359A
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- Prior art keywords
- cutter hub
- blade
- inner core
- knife
- cutter
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- 208000004760 Tenosynovitis Diseases 0.000 title claims abstract description 26
- 235000005121 Sorbus torminalis Nutrition 0.000 claims description 4
- 244000152100 Sorbus torminalis Species 0.000 claims description 4
- 230000015572 biosynthetic process Effects 0.000 claims description 3
- 238000001727 in vivo Methods 0.000 claims 1
- 230000004308 accommodation Effects 0.000 abstract description 16
- 238000004519 manufacturing process Methods 0.000 abstract description 7
- 210000004204 blood vessel Anatomy 0.000 abstract description 5
- 230000007547 defect Effects 0.000 abstract description 4
- 210000004872 soft tissue Anatomy 0.000 abstract description 3
- 230000000712 assembly Effects 0.000 abstract 1
- 238000000429 assembly Methods 0.000 abstract 1
- 210000002435 tendon Anatomy 0.000 description 14
- 210000001519 tissue Anatomy 0.000 description 14
- 238000005520 cutting process Methods 0.000 description 7
- 230000000694 effects Effects 0.000 description 6
- 238000000034 method Methods 0.000 description 5
- 210000005036 nerve Anatomy 0.000 description 4
- 230000008520 organization Effects 0.000 description 4
- 230000006378 damage Effects 0.000 description 3
- 210000003811 finger Anatomy 0.000 description 3
- 206010020718 hyperplasia Diseases 0.000 description 3
- 238000009434 installation Methods 0.000 description 3
- 238000002324 minimally invasive surgery Methods 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 238000000926 separation method Methods 0.000 description 3
- 206010030113 Oedema Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 239000000284 extract Substances 0.000 description 2
- 210000003195 fascia Anatomy 0.000 description 2
- 238000002955 isolation Methods 0.000 description 2
- 210000000811 metacarpophalangeal joint Anatomy 0.000 description 2
- 230000002093 peripheral effect Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 210000001258 synovial membrane Anatomy 0.000 description 2
- 206010003162 Arterial injury Diseases 0.000 description 1
- 229920000742 Cotton Polymers 0.000 description 1
- 208000035126 Facies Diseases 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 208000031481 Pathologic Constriction Diseases 0.000 description 1
- 241000411545 Punargentus Species 0.000 description 1
- 208000021945 Tendon injury Diseases 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000005266 casting Methods 0.000 description 1
- 208000037976 chronic inflammation Diseases 0.000 description 1
- 230000006020 chronic inflammation Effects 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 238000012790 confirmation Methods 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000004512 die casting Methods 0.000 description 1
- 230000008034 disappearance Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 239000003292 glue Substances 0.000 description 1
- 230000023597 hemostasis Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 230000000302 ischemic effect Effects 0.000 description 1
- 238000005461 lubrication Methods 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- 238000011017 operating method Methods 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 208000009146 rhinoscleroma Diseases 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 230000036262 stenosis Effects 0.000 description 1
- 208000037804 stenosis Diseases 0.000 description 1
- 230000002966 stenotic effect Effects 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 201000004595 synovitis Diseases 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 230000008719 thickening Effects 0.000 description 1
- 210000003813 thumb Anatomy 0.000 description 1
- 210000001215 vagina Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3209—Incision instruments
- A61B17/3211—Surgical scalpels, knives; Accessories therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a kind of tenosynovitis operation knife assemblies, including cutter hub, are in hollow tubular;Cutter head is fixedly installed on the top of the cutter hub, and the cutter head has the first blade and knife spine, and first blade is located at the side on the cutter head close to the cutter hub, and the knife spine is located at the side on the cutter head far from the cutter hub;Inner core is protected, the outer diameter of the protection inner core is not more than the internal diameter of the cutter hub, and the protection inner core is set in the cutter hub, and can be moved along the direction that the cutter hub limits, and one end of the protection inner core has the accommodation groove for accommodating first blade.The present invention can either complete minimally invasive stndon sheath of loosening, while protect surrounding soft tissue to greatest extent to the greatest extent in operation, avoid serious blood vessel, neurotrosis, and in addition production is simple and convenient to operate, and can be efficiently modified defect when current needle knife " blind view " operation.
Description
Technical field
The present invention relates to field of medical technology, specifically a kind of tenosynovitis operation knife assembly.
Background technique
Stndon sheath is divided into fibrous layer and stratum synoviale, and fibrous layer is located at outer layer, is thickened and formed by deep fascia, slided to tendon
Effect of contraction;Stratum synoviale is located in the fibrous sheath of tendon, is two-double cylinder sheath, contains a small amount of synovia between two layers, play lubrication and battalion
Support the effect of tendon.For entire vagina synovialis internal layer packet on the surface of tendon, outer layer is attached to fibrous sheath of tendon inner face, thus constitutes close
It closes, potential gap-synovial membrane chamber.Since hand rubs strain or general disease influences repeatedly, local stndon sheath tissue is caused to occur
Ischemic, oedema, inflammation, local stndon sheath hyperplasia is plump, and stndon sheath inner surface becomes crude, forms tenosynovitis, so make tendon sliding by
Resistance, tendon are pressed by card, oedema, thickening can occur, there is impression on surface, bends and stretches finger activity Shi Keyou Caton phenomenon, passive flexion and extension can
To hear snap sound, therefore stenosing tendon synovitis of flexor is also known as " stuck-finger " or " stuck-finger ", and how slow clinical onset is, common
It is common with thumb, fourth finger, middle finger in mechanic, it shows as metacarpophalangeal joints moving obstacle, localized pain, pull with bending and stretching
With the characteristics of press proof movement and snap.
The invalid tenosynovitis of conservative therapy mainly uses small needle knife to carry out minimal invasive operation, the operation skin incision at present
It is small, by directly cutting plump, narrow, incarceration the coaster of hyperplasia due to chronic inflammation stimulation, release its to the card pressure of tendon, glue
Even, local stenosis is released, restores tendon flexion-extension motion, achieved the purpose that eliminate pain, improved function.
Applicant have discovered that in the prior art at least there is following lack in small needle knife used in tenosynovitis Minimally Invasive Surgery
Point:
Since needle knife is operated under opposite " blind depending on ", need repeatedly to detect diseased region repeatedly in puncture process, by
Lack edge safeguard measure in small needle knife in the prior art, easily cause bad accident in puncture process, such as refers to nerve, refers to
Arterial injury detects cutting stndon sheath repeatedly and causes postoperative local scar hyperplasia, the severe complications such as tendon injury posterior synechia.
Summary of the invention
According to the above-mentioned deficiencies of the prior art, the invention proposes tenosynovitis operation knife assembly, it is dedicated to solving aforementioned back
One of technical problem in scape technology.
The present invention solves its technical problem using following technical scheme to realize:
A kind of tenosynovitis operation knife assembly, including
Cutter hub is in hollow tubular;
Cutter head, is fixedly installed on the top of the cutter hub, and the cutter head has the first blade and knife spine, first blade
Close to the side of the cutter hub on the cutter head, the knife spine is located at the side on the cutter head far from the cutter hub;
Inner core is protected, the outer diameter of the protection inner core is not more than the internal diameter of the cutter hub, and the protection inner core is set to institute
It states in cutter hub, and can be moved along the direction that the cutter hub limits, one end of the protection inner core, which has, accommodates first blade
Accommodation groove.
As a kind of optional embodiment of the invention, the protection inner core has the end of the accommodation groove at least
Side has an inclined surface, and the side wall of the inclined surface and the escape groove forms the second blade, under installation condition, second knife
Height of the height of sword lower than the knife spine of the cutter head.
As a kind of optional embodiment of the invention, the tail end of the cutter hub is provided with anti-slip section, the anti-slip section
On be provided with anti-skid chequer.
As a kind of optional embodiment of the invention, the other end of the protection inner core is provided with positioning region, described
Positioning region is located at the outside of the cutter hub.
As a kind of optional embodiment of the invention, the knife spine is in arc-shaped.
As a kind of optional embodiment of the invention, the cutter head and the cutter hub are integrally formed.
As a kind of optional embodiment of the invention, the end of first blade protrudes to form blade tip.
As a kind of optional embodiment of the invention, the length of the cutter hub is 15-20cm, the width of the cutter hub
For 3-5mm.
The beneficial effects of the present invention are:
In the present invention, by protect inner core end accommodation groove setting, can " blind view " stage by the first blade with
Tissue isolation after the completion of " blind view " operation, extracts protection inner core, exposes the first blade, target can be completed using the first blade
Tissue cutting.The present invention can either complete minimally invasive stndon sheath of loosening, while to the greatest extent to greatest extent soft group of protection surrounding in operation
It knits, avoids serious blood vessel, neurotrosis, in addition production is simple and convenient to operate, and can be efficiently modified current needle knife " blind view " behaviour
Defect when making.
Detailed description of the invention
Present invention will be further explained below with reference to the attached drawings and examples.
Fig. 1 is the main view of present embodiment;
Fig. 2 is the main view of the protection inner core of present embodiment;
Fig. 3 is the A direction view of Fig. 1;
Fig. 4 is the fragmentary detail view of cutter head;
Fig. 5 is the B direction view of Fig. 4;
Fig. 6 is the fragmentary detail view of accommodation groove;
Fig. 7 is the schematic perspective view of accommodation groove.
In figure, 1- cutter hub, 11- anti-slip section, 2- cutter head, the first blade of 21-, 21a- blade tip, 22- knife spine, 3- protection inner core,
The positioning region 31-, 32- accommodation groove, the second blade of 33-.
Specific embodiment
Below by the description to embodiment, the shape of for example related each component of a specific embodiment of the invention, structure
It makes, the mutual alignment between each section and connection relationship, the effect of each section and working principle, manufacturing process and the side of operating with
Method etc., is described in further detail, completeer to help those skilled in the art to have inventive concept of the invention, technical solution
Whole, accurate and deep understanding.
As a kind of specific embodiment of the invention, as shown in figs. 1-3 and 5, a kind of tenosynovitis scalpel is provided
Component, including
Cutter hub 1 is in hollow tubular;
Cutter head 2 is fixedly installed on the top of the cutter hub 1, and the cutter head 2 has the first blade 21 and knife spine 22, described
First blade 21 is located at the side on the cutter head 2 close to the cutter hub 1, and the knife spine 22 is located on the cutter head 2 far from institute
State the side of cutter hub 1;
Inner core 3 is protected, the outer diameter of the protection inner core 3 is not more than the internal diameter of the cutter hub 1, and the protection inner core 3 is arranged
It in the cutter hub 1, and can be moved along the direction that the cutter hub 1 limits, one end of the protection inner core 3, which has, accommodates described the
The accommodation groove 32 of one blade 21.
Under installation condition, protection inner core 3 is inserted in cutter hub 1, and the first blade 21 of cutter head 2 is contained in accommodation groove 32,
Keep tenosynovitis operation knife assembly integrally in the shape of a rod, and without exposed sharp position.In the present invention, protection inner core 3 can give knife
First 2 provide and form protection well, when operation, when the cutter head 2 of tenosynovitis operation knife assembly pass through the mini-incision of patient into
After entering interior tissue, when carrying out " blind depending on " operation to detect diseased region, since the first blade 21 is contained in the accommodation groove 32
It is interior, it is not contacted with tissue, the vital tissues such as blood vessel, nerve will not be scratched, and knife spine 22 can carry out blunt separation around scabbard
Adhesion organization avoids " blind view " operation damage peripheral vessels, nerve, tendon.It is completed when " blind view " operates, finds diseased region
When, protection inner core 3 is extracted outward, keeps the first blade 21 exposed, is then cut off diseased region using the first blade 21, is completed micro-
Create stndon sheath of loosening.In the present invention, the setting of the accommodation groove 32 by protecting 3 end of inner core can be in " blind view " stage by first
Blade 21 is isolated with tissue, after the completion of " blind view " operation, is extracted protection inner core 3, is exposed the first blade 21, use the first blade 21
I.e. cut-off diseased region.The present invention can either complete minimally invasive stndon sheath of loosening, while protect to greatest extent to the greatest extent in operation
Surrounding soft tissue avoids serious blood vessel, neurotrosis, and in addition production is simple and convenient to operate, and can be efficiently modified current needle knife
Defect when " blind view " operates.
Due to need to first do a skin incision in tenosynovitis surgical procedure, to facilitate tenosynovitis operation knife assembly that can wear
It crosses skin and carries out organization internal.As an alternative embodiment, the protection inner core 3 has as shown in Fig. 1,3,6 and 7
At least side of the end of the accommodation groove 32 has inclined surface, side wall the second knife of formation of the inclined surface and the escape groove
Sword 33, under installation condition, the height of the height of second blade 33 lower than the knife spine 22 of the cutter head 2.Surgical procedure
In, protection inner core 3 is extracted out from cutter hub 1 first, is then cut using the second blade 33 in skin suitable location, to generate
Suitable mini-incision.Preferably, the length of mini-incision can be the outer diameter of 1-1.5 times of cutter hub 1, in order to the tenosynovitis
Operation knife assembly enters in tissue and carries out " blind view " operation.After the completion of mini-incision manufacture, inner core 3 will protected to be inserted in cutter hub
It inside 1, and is contained in the first blade 21 in accommodation groove 32, cutter head 2 is then passed through into the mini-incision and enters fascia superficialis layer, then
Carry out subsequent operation.By the way that the second blade 33 is arranged on the top of protection inner core 3, make the tenosynovitis Minimally Invasive Surgery without it
His instrument, it will be able to the operation for manufacturing mini-incision on the skin is completed, it is simple and convenient.In addition, due to the second blade 33 by
The side wall of escape groove and inclined surface are constituted, when the first blade 21 of cutter head 2 is contained in accommodation groove 32, the one of the second blade 33
Cutter head 2 is close in side, and the height of the second blade 33 is lower than the height of cutter head 2, at this point, the first blade 21 is by 3 end of protection inner core
Accommodating cavity isolation, the second blade 33 be close to cutter head 2, the first blade 21 and the second blade 33 constitute the effect mutually protected, " blind
Depending on " operation under, will not injury tissue.
As an alternative embodiment, as shown in Figure 1, the tail end of the cutter hub 1 is provided with anti-slip section 11, it is described anti-
Anti-skid chequer is provided in sliding section 11.The setting of anti-skid chequer facilitates operator to the gripping of the scalpel, prevents from skidding.
As an alternative embodiment, the other end of the protection inner core 3 is provided with positioning region 31, the positioning region
31 are located at the outside of the cutter hub 1.Specifically, positioning region 31 can be positioning ring.On the one hand the setting of positioning region 31 can make
Operator holds the positioning region 31, facilitates it that protection inner core 3 is installed into cutter hub 1 or is extracted out of cutter hub 1, another party
Face can prevent knife by observing positioning region 31 when cutter head 2, which is inserted into mini-incision, enters organization internal with auxiliary positioning cutter head 2
First 2 generate deflection around the central axes of cutter hub 1.
As an alternative embodiment, as shown in figure 4, the knife spine 22 carries out blunt in arc-shaped when facilitating operation
Property separation of synechia tissue, avoid " blind view " operation damage peripheral vessels, nerve, tendon.
As an alternative embodiment, the cutter head 2 is integrally formed with the cutter hub 1, the cutter hub 1 and cutter head 2
It can be shaped by casting or die casting mode, reduce its preparation cost.
As an alternative embodiment, as shown in figure 4, the end of first blade 21 protrudes to form blade tip
21a.By the setting of blade tip 21a, when finding diseased region accurately, can effectively prevent in pathological tissues cutting-off process
Tissue slips, and improves cutting effect.
As an alternative embodiment, the width that the length of the cutter hub 1 is cutter hub 1 described in 15-20cm is 3-
5mm。
Using the operating method of Minimally Invasive Surgery of the invention specifically: trouble is referred to and stretches fixation, the tenosynovitis after taking sterilizing
Operation knife assembly, routine disinfection skin, at proximal end (or distal end) about 1cm of scleroma, the central axes of metacarpophalangeal joints facies palmaris are
Inlet point scratches skin using the second blade 33 of protection inner core 3 and subcutaneous, formation mini-incision, the width of mini-incision is
1-1.5 times of 1 width of cutter hub;Then tenosynovitis operation knife assembly is assembled,
Cutter head 2 is passed through into mini-incision insertion organization internal and carries out blunt separation, arrives at stndon sheath A1 coaster surface rear-inclined
Tail end separates peritendinal tissue, detects cutting position, pays attention to that protection inner core handle is kept to withstand blade forward, avoids the first knife
Sword 21 is detached from accommodation groove 32;After confirmation clearly cuts starting point, keep cutter head 2 perpendicular to flesh by the indicative function of positioning region 31
Tendon surface, extraction protection inner core 3,1 tail portion of cutter hub suitably tilt outward, make longitudinal cut by proximad distal end along tendon direction of travel
Cut, when cutting, can feel there is " click click " sound and apparent Cutting Drag sense, be cut to resistance sense disappearance, trouble refer to bends and stretches from
Such as, no snap and " trigger refers to " are success of loosening;Wound sterilizes again, and after five minutes, medical cotton covering applies for hemostasis by compression
Wrapping.
In the present invention, the setting of the accommodation groove 32 by protecting 3 end of inner core can be in " blind view " stage by the first blade
21 are isolated with tissue, after the completion of " blind view " operation, extract protection inner core 3, expose the first blade 21, use the first blade 21
Cut off diseased region.The present invention can either complete minimally invasive stndon sheath of loosening, while protect surrounding to greatest extent to the greatest extent in operation
Soft tissue avoids serious blood vessel, neurotrosis, and in addition production is simple and convenient to operate, and it is " blind can be efficiently modified current needle knife
Depending on " operation when defect.
The present invention is exemplarily described above, it is clear that present invention specific implementation is not subject to the restrictions described above,
As long as using the improvement for the various unsubstantialities that the inventive concept and technical scheme of the present invention carry out, or not improved this is sent out
Bright conception and technical scheme directly apply to other occasions, within the scope of the present invention.Protection of the invention
Range should be determined by the scope of protection defined in the claims.
Claims (8)
- The knife assembly 1. a kind of tenosynovitis is performed the operation, it is characterised in that: includingCutter hub is in hollow tubular;Cutter head is fixedly installed on the top of the cutter hub, and the cutter head has the first blade and knife spine, and first blade is located at Close to the side of the cutter hub on the cutter head, the knife spine is located at the side on the cutter head far from the cutter hub;Inner core is protected, the outer diameter of the protection inner core is not more than the internal diameter of the cutter hub, and the protection inner core is set to the knife In vivo, it and can be moved along the direction that the cutter hub limits, one end of the protection inner core has the appearance for accommodating first blade Set slot.
- The knife assembly 2. tenosynovitis according to claim 1 is performed the operation, it is characterised in that: the protection inner core has the accommodating At least side of the end of slot has inclined surface, and side wall the second blade of formation of the inclined surface and the escape groove installs shape Under state, the height of second blade is lower than the height of the knife spine of the cutter head.
- The knife assembly 3. tenosynovitis according to claim 1 is performed the operation, it is characterised in that: the tail end of the cutter hub is provided with anti-skidding Section, anti-skid chequer is provided in the anti-slip section.
- The knife assembly 4. tenosynovitis according to claim 1 is performed the operation, it is characterised in that: the other end setting of the protection inner core There is positioning region, the positioning region is located at the outside of the cutter hub.
- The knife assembly 5. tenosynovitis according to claim 1 is performed the operation, it is characterised in that: the knife spine is in arc-shaped.
- The knife assembly 6. tenosynovitis according to claim 1 is performed the operation, it is characterised in that: the cutter head and cutter hub one at Type.
- The knife assembly 7. tenosynovitis according to claim 1 is performed the operation, it is characterised in that: protrude the end of first blade Form blade tip.
- The knife assembly 8. tenosynovitis according to claim 1 is performed the operation, it is characterised in that: the length of the cutter hub is 15-20cm, The width of the cutter hub is 3-5mm.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201910019205.7A CN109620359B (en) | 2019-01-09 | 2019-01-09 | Tenosynovitis scalpel assembly |
Applications Claiming Priority (1)
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CN201910019205.7A CN109620359B (en) | 2019-01-09 | 2019-01-09 | Tenosynovitis scalpel assembly |
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CN109620359B CN109620359B (en) | 2024-06-18 |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN114767222A (en) * | 2022-03-29 | 2022-07-22 | 北京博海康源医疗器械有限公司 | Tendon loosening push broach |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN114767222A (en) * | 2022-03-29 | 2022-07-22 | 北京博海康源医疗器械有限公司 | Tendon loosening push broach |
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