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CN1081020C - Automatic tubular-bone extending and reduction fixing system - Google Patents

Automatic tubular-bone extending and reduction fixing system Download PDF

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Publication number
CN1081020C
CN1081020C CN 95104293 CN95104293A CN1081020C CN 1081020 C CN1081020 C CN 1081020C CN 95104293 CN95104293 CN 95104293 CN 95104293 A CN95104293 A CN 95104293A CN 1081020 C CN1081020 C CN 1081020C
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China
Prior art keywords
ring
reduction
gear
resistance
screw
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Expired - Fee Related
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CN 95104293
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Chinese (zh)
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CN1115630A (en
Inventor
汤福刚
刘占国
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150056 Auto-Electric Factory Institute Harbin Cit
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Individual
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Priority to CN 95104293 priority Critical patent/CN1081020C/en
Priority to PCT/CN1996/000006 priority patent/WO1996034585A1/en
Priority to AU45336/96A priority patent/AU4533696A/en
Publication of CN1115630A publication Critical patent/CN1115630A/en
Application granted granted Critical
Publication of CN1081020C publication Critical patent/CN1081020C/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
    • A61B17/60Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/62Ring frames, i.e. devices extending around the bones to be positioned
    • 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
    • A61B17/60Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66Alignment, compression or distraction mechanisms

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (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)
  • Surgical Instruments (AREA)

Abstract

The present invention relates to an automatic tubular bone extending and reduction fixing system, which comprises a reduction fixer, a motor operation component and a remote controller, wherein the reduction fixer is in a three-ring support pole squirrel cage type structure; various fixers and operating devices suitable for folding bones on the direction of X, Y and Z for tension, compression, rotation, shift and fixing are arranged on the reduction fixer. The fixing system can realize reduction bone elongation and fixing to one bone with two fractures or fracture reduction of one position, bone elongation and bone fixing by manual operation, automatic operation or remote control. The elongation alignment and the contraposition of fractured bones can be completed by remote control in a remote from an X-ray region and omnibearing (comprises positive direction rotation and reverse direction rotation) mode. The physiology anatomical reduction degree can be achieved.

Description

Automatic tubular-bone extending and reduction fixing system
The present invention relates to a kind of surgical instruments, especially relate to a kind of multi-functional tubulose bone reduction fixed system that automatically prolongs.
Several years, the mankind continued to use the Therapeutic Method of artificial reduction synthetism to tubular bone fracture always, and the reduction para-position is low to the line precision.Divide internal fixation and external fixation with regard to its fixed form, then divide non-operation fixed splinting, the new material coating fixation in closed-plaster method and modern age, but said method can not guarantee stable again because of binding causes poor blood circulation after the reduction of synthetism position to prolong the traumatic part healing cycle.
Internal fixation (AO) Therapeutic Method after the operation of Chu Xianing in recent years, the fracture bonded area is big, and the fix tightly solidity is good, but that the operation level requires is high, and destroy blood circulation, infect easily again.Also will carry out second operation, so the patient suffering is big, financial burden is heavy.
The measure of treatment fracture in the world becomes the problem of many scholar's Recent study, and has multiple external fixator to come out.As: И JI И 3APOB, KROMER and FISHER external fixator all are manually or finely tune apparatus.And by " whole bone anchor " of our design though make artificial reduction always realize advantages such as apparatus reduction, also exist such as: spicule can not be adjusted, defectives such as single width spicule instability.
The objective of the invention is to: provide a kind of six direction that can realize three axles (X, Y, Z axle) of every section fracture smoothly that line is moved and around the machinery of the rotation para-position of two directions of an axle (axis of bone line Z axle), spicule can be adjusted, overcome the unsettled purpose of single width spicule, the far distance automatic operation of energy simultaneously avoids the medical worker to be subjected to roentgenization under X-ray.
The present invention is achieved in that this system is made up of reduction holder, motor operation assembly, remote controller (adopt cable power transmission ﹠ distribution formula button control type or microcomputer test oneself control type two kinds).
The reduction holder is three ring column support type structures, and left side ring has the worm gear of anglec of rotation groove, worm structure to finish rotation for rotatable employing.In, the compound gear of band external gear and outer worm-gear toothing is installed in the right ring, respectively with fit over ring on transmitting gear and worm screw be meshed, forms the screw thread width of cloth by transmitting gear and four pillars that adopt the external screw rod pattern, the right side is encircled and is moved freely thereon in making.Hand fastening type spicule clamping device is installed on the pillar, can fix the location spicule of any angle, three ring sides the additional spicule fixation clamp of the solid posture of screwed hole is arranged, in position fixedly epiphysis is reinforced spicule, at the left side ring and the right ring outside spicule adjustment rack of multi-directional ball structure is installed, transfer screw rod that multi-directional ball is moved up and down to transfer the spicule gradient to make the existing X-direction of folding bony process to line, the multi-directional ball place of spicule adjustment has strain-type force sensor to show synthetism pressure through display system, the hand fastening type shift unit is installed on the pillar is realized that by electric machine assembly (or manually) rotation displacement bar Y direction folding diostosis is to line.When the close joint of fracture site is within 5 centimeters,, can be added on four posts for guaranteeing that Y-axis to displacement, also has the cantilevered adapter.At left medium ring, be equipped with 11 groups of motor operation assemblies respectively and adopt straight cutting and two kinds of combination forms of flexible axle respectively at 11 places such as spicule frame shift unit.When electric motor starting, left rim gear wheel rotation makes bone reach line around the rotation of axis of bone line Z axle; Make medium ring, right ring finish the bone tension and compression and reach para-position along pillar (being axis of bone Z axle) move left and right; Multi-directional ball is moved finish the adjustment realization bone X axis at spicule inclination angle line; Shift unit superior displacement piece is moved finish folding bone Y-axis line.
Electric machine assembly adopts remote controller control.Remote controller can adopt two kinds of patterns, i.e. the regular grade button remote control control chamber formed of cable power allotter and by the senior button remote control control chamber that microsystem is formed, high and low grade of two class can doing to operate.After fixedly securing,,,, make the medical worker avoid contacting X ray carry out the reduction operation away from X source by observing the additional display image of X-ray machine for the accelerated bone healing can add installation magnetic block (will remove electric machine assembly) after fixing through reduction doubling bone.
Good effect of the present invention is:
1, can move by six orientation of wired, that the folding bone is finished in the wireless microcomputer operation X, Y, Z axle and rotate around the positive reverse of Z axle, the elongation that can omnibearingly finish the folding bone is to line, to bit motion.
2, operation can carried out away from the X ray district, so can make the medical worker avoid x-ray.
3, can be to the reduction of place fracture and fixing, also can be to the reduction of same bone double fracture and fixing, conveniently reach the dissect physiology degree that resets.
4, spicule is squeezed into direction and is not subjected to facility constraints, reduction automaticity height, and fixation, easy for installation, simple in structure, in light weight, be easy to carry.
5, can do synthetism and also can make bone under the dissect physiology reset case and prolong reaching, and can be with being intended to transfer long required size within one day.
6, synthetism is effective, does not perform the operation, and does not influence blood circulation, so wound healing is fast, and the fixing back of reduction patient can make appropriate exercise immediately.
Below in conjunction with accompanying drawing embodiments of the invention are described in further detail.
Fig. 1 is a structural representation of the present invention.
Fig. 2 a is a hand fastening type spicule clamping device structure cross-sectional schematic of the present invention.
Fig. 2 b is a hand fastening type spicule clamping device structure schematic top plan view of the present invention.
Fig. 3 a is the spicule adjustment rack structure cross-sectional schematic of band multi-directional ball of the present invention.
Fig. 3 b is the spicule adjustment rack structure schematic top plan view of band multi-directional ball of the present invention.
Fig. 4 is a strain-type force sensor schematic circuit of the present invention.
Fig. 5 a is a hand fastening type shift unit structure cross-sectional schematic of the present invention.
Fig. 5 b is a hand fastening type shift unit structure schematic top plan view of the present invention.
Fig. 6 a is a cantilevered adapter structure cross-sectional schematic of the present invention.
Fig. 6 b is a cantilevered adapter structure schematic top plan view of the present invention.
Fig. 7 a is a motor operation modular construction cross-sectional schematic of the present invention.
Fig. 7 b is a motor operation modular construction schematic top plan view of the present invention.
Fig. 8 a is an adjustable magnetotherapy apparatus structure cross-sectional schematic of the present invention.
Fig. 8 b is an adjustable magnetotherapy apparatus structure schematic top plan view of the present invention.
Fig. 9 is a regular grade remote controller layout of the present invention.
Shown in Fig. 1-9, the reduction holder is the medium ring 6 by 3 combinations of compound gear 12 worm screws, right ring 9 is formed, can draw, press the reduction ring of work, the swivel becket of 2 rotatable actions is encircled on a left side of being made up of worm gear 4 and worm screw 3, four pillars 8 with the band graduated scale combine by retaining screw 14 and transmitting gear 15, form one four column type squirrel-cage framework.Left side ring 2, medium ring 6, right ring 9 all can be divided into upper and lower two halves.So that can when clinical use, install easily.Be added with the solid posture supernumerary bone needle lock 10 of screwed hole in three ring outsides, fixed in order to the spicule that needs are added.In left side ring 2, right ring 9 outsides, fix dismountable spicule adjustment rack 18 that has multi-directional ball respectively.As shown in Figure 3, it is by the worm screw 18-1 that is meshed, worm gear 18-2 and the screw rod 18-3 that is meshed with the latter, when screw rod 18-3 obtains the driving force rotation, the spicule movable stand 18-4 that is meshed with screw rod 18-3 is done move up and down the built-in multi-directional ball 18-5 of drive, the spicule that penetrates in it is moved to regulate the spicule angle.Strain-type force sensor 18-6 is installed above movable stand 18-4, force signal is passed to as shown in Figure 4 amplification frequency conversion and display device, the active force when showing its reduction at any time, the stress value of the whole bone of reaction.
As Fig. 4 is the strain-type force sensor schematic circuit.It connects constant-current source, humidity compensate, amplifying circuit, voltage frequency changer circuit and digital display circuit in order successively by sensing head and forms, and force signal also is that from front to back transmission sequentially is until to the digital display circuit.Wherein IC 1 and capacitor C 1, C2 provide regulated power supply; IC 2 and diode DI, resistance R 1 are formed constant-current source for first constant source and course of sensing, connect resistance R 14 and Zener diode D3 etc. with diode D2 and form temperature-compensation circuit, to improve its degree of stability; Composition amplifiers such as IC 3, IC4 and resistance R 4, R8, R6, R9, W1, W2 amplify the induced signal of sensing head; Voltage signal after the amplification is formed frequency changer circuit in advance with frequency conversion by IC 5, IC6, resistance R 11, R7, R12, R13, capacitor C 3 etc., sends into display after the frequency conversion, with the form of digital display current reinforcing value is shown.
Clamping hand fastening type spicule clamping device 5 on four column type squirrel-cage frameworks, be to finish tightening up of additional spicule by as shown in Figure 2 hold-down screw 5-1, screw 5-1 and 5-4 are arranged on main body 5-2, hands button 5-3 becomes shaft type to connect with main body 5-2, but Convenient button is in any position of four pillars during use, and is dead admittedly by screw 5-4.
On four column type squirrel-cage frameworks, hand fastening type shift unit 11 is installed also, it is the binding clasp 11-2 by as shown in Figure 5, hands button 11-4 and screw 11-3 constitute, on be equipped with shipper rod 11-1 and displaced block 11-5, after power passes to shipper rod 11-1, can make displaced block 11-5 do the turnover motion, finish shift function.
When fracture site when the joint, when 11 yuan of methods of shift unit are finished shift motion, cantilevered adapter 16 can be installed on four pillars, it is the clamping body 16-1 by as shown in Figure 6, hands button 16-3 and screw 16-2 form tightening device, and combining with cantilever 16-5 by little axle 16-4 constitutes adapter integral body.
On the reduction holder, be separately installed with 11 cover motor operation assemblies 17, every grip assembly all has motor 17-1 engagement reduction box 17-2 as shown in Figure 7, becomes suitable speed through deceleration and encircles worm screw 3 or flexible axle 17-4 by output gear 17-3 and join and operate each function action respectively with each.Each overlaps the motion of motor 17-1 respectively by accepting the rotating instruction that bench board or microsystem provide, and motor is done the rotating running.
Be the layout of regular grade remote controller 20 as shown in Figure 9, by mains transformer BT, hand over circuit such as straight translation circuit, master cock at different levels and state indication to form.
Convert the 220V civil power to low-voltage DC by BT mains transformer and rectifier bridge, provide the dc source of voltage stabilizing 15V through regulator block 7815, C1, C2 voltage regulation filtering.Stop for respectively one in each motor by K switch 1-K11, A1-A11 again or the forward and backward commutation voltage is handled motor 17-1 (D1, the D2 of each electric machine assembly 17 ... D11) operating condition is to reach necessary requirement.
For example: motor D 1 is that left side ring 2 is placed motor, behind power connection, export a voltage of voltage regulation from capacitor C 2, when K switch 1 is closed and A1 during in last position, motor D 1 is just being changeed, and switch A1 motor D 1 counter-rotating when upper/lower positions, when K switch 1 disconnects switch D1 then stall finish the spinfunction operation of left side ring 2.
After reduction is fixing, motor operation assembly 17, hand fastening type shift unit 11, cantilevered adapter 16 grades are all pulled down from holder.For accelerating to install adjustable magnetotherapy apparatus 19 additional on healing four pillars, it is the adjustment screw rod 19-2 that is meshed with it by as shown in Figure 8 fixed mount 19-1, and the magnetic piece that is connected with screw rod 19-2 folder 19-3 and the formation of the magnetic piece 19-4 in magnetic piece presss from both sides 19-3.

Claims (7)

1, a kind of automatic tubular-bone extending and reduction fixing system, it comprises reduction holder, motor operation assembly, remote controller, the reduction holder comprises worm screw, worm gear, motor gear, pillar and gear annulus; It is characterized in that: the reduction holder:
A, be three ring column support type structures, left side ring has worm gear, the worm structure of anglec of rotation groove for rotatable employing;
B, in, the compound gear of mounting strap external gear and outer worm-gear toothing in the right ring, respectively with fit over ring on transmitting gear and worm screw be meshed;
C, forms the screw thread width of cloth by transmitting gear and four pillars that adopt the external screw rod pattern, right ring is mobile thereon in making;
Hand fastening type spicule clamping device is installed on d, the pillar;
E, the additional spicule fixation clamp of the solid posture of screwed hole is arranged three ring sides; At the left side ring and the right ring outside spicule adjustment rack of multi-directional ball structure is installed, there is strain-type force sensor at the multi-directional ball place; The hand fastening type shift unit is installed on the pillar;
F, within 5 centimeters the time, on four pillars, be added with the cantilever-type adapter near the joint when fracture site;
G, at left, center, right rings, the spicule frame is equipped with the motor operation assembly on displacement and other parts, adopts two kinds of combination forms of straight cutting or flexible axle respectively.
2, fixed system according to claim 1, it is characterized in that: described electric machine assembly, the control of employing remote controller, remote controller can adopt two kinds of patterns, be the regular grade button remote control control chamber of electric power source distribution device composition and the senior button remote control control chamber of forming by microsystem, six orientation of operation X, Y, Z axle move and around the rotation of the positive reverse of Z axle, comprehensively finish the elongation of folding bone, to line, to bit motion.
3, fixed system according to claim 1 is characterized in that: the reduction holder is formed the reduction ring that can draw, press work by the right ring of medium ring of compound gear, worm screw combination: the left side ring of being made up of worm gear and worm screw is rotatable swivel becket; Four pillars with the band graduated scale combine by retaining screw and transmitting gear, form one four column type squirrel-cage framework, left side ring, medium ring, right ring is divided into two halves up and down, in three ring outsides the solid posture supernumerary bone needle lock of screwed hole is arranged, fixedly have dismountable spicule adjustment rack respectively at the left side ring and the right ring outside, be to give screw rod and screw rod by the worm screw that is meshed, worm gear transferring power, be meshed with the spicule movable stand, multi-directional ball is in movable stand, and strain-type force sensor is installed in the movable stand top.
4, fixed system according to claim 1 is characterized in that: clamping hand fastening type spicule clamping device on the four column type squirrel-cage frameworks of described reduction holder, on its main body screw is arranged, and hands button, hands button become shaft type to connect with main body; On four column type squirrel-cage frameworks the hand fastening type shift unit being installed is by binding clasp, and hands button and screw are formed, on be equipped with shipper rod, displaced block; Installable cantilevered adapter is by the clamping body on four pillars, and hands button and screw are formed tightening device, and combining with cantilever by little axle constitutes adapter integral body.
5, fixed system according to claim 1, it is characterized in that: described motor operation assembly is totally 11 covers, every grip assembly all has the reduction box of motor through engagement, joined by output gear and each ring worm screw or flexible axle, each overlaps motor rotates motor by accepting the rotating instruction that bench board or microcomputer provide respectively.
6, fixed system according to claim 1, it is characterized in that: can install adjustable magnetotherapy apparatus additional on four pillars of described reduction holder, be the adjustment screw rod that is meshed with it by fixed mount, and the magnetic piece that is connected with screw rod folder and the magnetic piece formation in the magnetic piece folder.
7, fixed system according to claim 1, it is characterized in that: the strain-type force sensor on the movable stand of described reduction holder is by sensing head, presses successively: constant-current source, temperature-compensating amplifying circuit, voltage frequency changer circuit and digital display circuit connect to form; Wherein supplying with the constant current source of sensing head is made up of IC 2, resistance R 1, diode D1, resistance R 2; And diode D3, resistance R 14 and diode D2 form temperature-compensation circuit; IC 3, IC 4 and resistance R 4, resistance R 8, resistance R 6, resistance R 9, resistance R 10, potentiometer W2 form amplifier; And IC 5, IC 6 are formed frequency changer circuits with resistance R 11, resistance R 7, resistance R 12, resistance R 13 and capacitor C 3 respectively.
CN 95104293 1995-05-03 1995-05-03 Automatic tubular-bone extending and reduction fixing system Expired - Fee Related CN1081020C (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
CN 95104293 CN1081020C (en) 1995-05-03 1995-05-03 Automatic tubular-bone extending and reduction fixing system
PCT/CN1996/000006 WO1996034585A1 (en) 1995-05-03 1996-01-23 Fracture repositioning and fixing system
AU45336/96A AU4533696A (en) 1995-05-03 1996-01-23 Fracture repositioning and fixing system

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN 95104293 CN1081020C (en) 1995-05-03 1995-05-03 Automatic tubular-bone extending and reduction fixing system

Publications (2)

Publication Number Publication Date
CN1115630A CN1115630A (en) 1996-01-31
CN1081020C true CN1081020C (en) 2002-03-20

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Application Number Title Priority Date Filing Date
CN 95104293 Expired - Fee Related CN1081020C (en) 1995-05-03 1995-05-03 Automatic tubular-bone extending and reduction fixing system

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CN (1) CN1081020C (en)
AU (1) AU4533696A (en)
WO (1) WO1996034585A1 (en)

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US6017341A (en) * 1997-06-20 2000-01-25 Novo Nordisk A/S Apparatus for fixation of the bones in a healing bone fracture
KR100399004B1 (en) * 2000-01-31 2003-09-22 메딕스얼라인 주식회사 Frame fixator and operation system thereof
CN100358479C (en) * 2002-12-23 2008-01-02 韩富 External bone holding clamp for reduction of fracture controlled by computer
WO2003086211A1 (en) * 2002-04-12 2003-10-23 Fu Han External restitution and fixation device for osteoplasty
RU2357699C2 (en) * 2005-12-29 2009-06-10 ООО "Ортофикс" Compression-destractive apparatus
FR2907660A1 (en) * 2006-10-25 2008-05-02 Small Bone Innovations Interna U-shaped foot plate elements assembly, has bosses at level of connecting zones of branches at rounded part, and holes arranged in zones and bosses, where holes receive connecting rods that connect ring and ring parts
RU2476181C1 (en) * 2011-10-21 2013-02-27 Государственное автономное учреждение здравоохранения "Республиканская клиническая больница Министерства здравоохранения Республики Татарстан" Apparatus for treating people with combined injuries of shin and foot
CN102715973A (en) * 2012-06-27 2012-10-10 哈尔滨首创骨科微创医疗设备有限公司 External fixation frame for closed reconstruction of fracture
CN104161578A (en) * 2014-08-20 2014-11-26 王峤 Long bone fracture and semi-ring unilateral needle penetrating reduction external fixing frame
CN105496525A (en) * 2016-03-02 2016-04-20 黑龙江省富泽顺生物科技有限公司 Long bone fracture reduction and fixation system
EP3471635A4 (en) 2016-06-19 2020-03-18 Orthospin Ltd. User interface for strut device
US11259894B2 (en) * 2016-09-19 2022-03-01 Neocis, Inc. Tracking and guidance arrangement for a surgical robot system and related method
CN107126291A (en) * 2017-06-07 2017-09-05 上海市东方医院 Rat-tail interverbebral disc dynamic pressurized device
CN107174322A (en) * 2017-07-01 2017-09-19 天津市新中医疗器械有限公司 A kind of worm and gear skull ring rod combines exterior fixing rack
CN107802333B (en) * 2017-11-21 2023-08-18 杭州三坛医疗科技有限公司 Bone reposition device
CN108158640A (en) * 2018-01-17 2018-06-15 湖北理工学院 Self-adjustable outer fixed bone elongation pad
CN109077786B (en) * 2018-08-03 2020-10-30 天津大学 Full-symmetry three-branch-chain parallel external fixing support
CN109567914B (en) * 2018-11-16 2021-03-02 四川大学华西医院 Scalable defective bone restoration external fixation device
IT201900003283A1 (en) * 2019-03-06 2020-09-06 Orthofix Srl Device for the angular correction of a pediatric lower limb
CN109965961B (en) * 2019-04-14 2023-11-28 浙江工业大学 Skeletal orthopedic external fixation frame with detachable motor
CN110013295A (en) * 2019-05-15 2019-07-16 柴益民 A kind of exterior fixing rack promoting bone uptake
CN111714193A (en) * 2020-05-28 2020-09-29 广州新诚生物科技有限公司 Orthopedic external fixation support
CN113208794B (en) * 2021-04-20 2022-10-25 哈尔滨工业大学 Lower limb fracture reduction parallel robot
CN113081209A (en) * 2021-04-26 2021-07-09 刘保全 Orthopedic robot

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CN2183162Y (en) * 1993-12-28 1994-11-23 汤福刚 Fixer for treatment of bone

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CN1115630A (en) 1996-01-31
AU4533696A (en) 1996-11-21
WO1996034585A1 (en) 1996-11-07

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