CN111821000A - Spine minimally invasive guider - Google Patents

Spine minimally invasive guider Download PDF

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Publication number
CN111821000A
CN111821000A CN202010770007.7A CN202010770007A CN111821000A CN 111821000 A CN111821000 A CN 111821000A CN 202010770007 A CN202010770007 A CN 202010770007A CN 111821000 A CN111821000 A CN 111821000A
Authority
CN
China
Prior art keywords
guide
minimally invasive
support
longitudinal sliding
transverse sliding
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN202010770007.7A
Other languages
Chinese (zh)
Inventor
赵永辉
蔡兴博
***
梁金龙
王腾
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
920th Hospital of the Joint Logistics Support Force of PLA
Original Assignee
920th Hospital of the Joint Logistics Support Force of PLA
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 920th Hospital of the Joint Logistics Support Force of PLA filed Critical 920th Hospital of the Joint Logistics Support Force of PLA
Priority to CN202010770007.7A priority Critical patent/CN111821000A/en
Publication of CN111821000A publication Critical patent/CN111821000A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3472Trocars; Puncturing needles for bones, e.g. intraosseus injections
    • 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
    • A61B17/90Guides therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • A61B2017/3405Needle locating or guiding means using mechanical guide means
    • A61B2017/3407Needle locating or guiding means using mechanical guide means including a base for support on the body

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Orthopedic Medicine & 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)
  • Pathology (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

A minimally invasive spine guider comprises a base, a longitudinal sliding rod, a longitudinal sliding block, a transverse sliding rod, a transverse sliding block, a support, a guide disc and a guide pipe; the base is a rectangular frame, longitudinal sliding rods are arranged on two long sides of the base respectively, longitudinal sliding blocks are arranged on the longitudinal sliding rods, the two longitudinal sliding blocks are connected through transverse sliding rods, and the transverse sliding rods can slide on the longitudinal sliding rods through the longitudinal sliding blocks; the transverse sliding rod is provided with a transverse sliding block, the transverse sliding block is provided with a support, and the support can transversely slide on the transverse sliding rod; the support is provided with a guide disc, the guide disc is connected with the support through a pin shaft, and the guide disc can rotate on the support, so that the minimally invasive puncture direction can be longitudinally adjusted; the guide tube is connected with the guide disc through a guide tube support, the guide tube support is hinged with the guide disc, and the guide tube can rotate on the guide disc, so that the minimally invasive puncture direction can be transversely adjusted.

Description

Spine minimally invasive guider
Technical Field
The invention relates to the technical field of spinal minimally invasive auxiliary puncture, in particular to a spinal minimally invasive guider.
Background
The minimally invasive spine surgery technology means that large incisions are avoided under certain medical risks, tiny incisions or puncture channels are adopted, special instruments and devices are used, under the monitoring of an image instrument or the guidance of a navigation technology, various miniature manual or electric instruments and equipment are used for reaching the lesion from a normal anatomical structure, the whole operation process is completed under a visual condition, and the aims of being smaller than the traditional or standard spine operation incision, small in tissue trauma, less in bleeding, high in operation accuracy, positive in effect and fast in postoperative function recovery are achieved.
Neck-shoulder pain, lumbocrural pain are common symptoms in clinic, most of the pain is caused by spine diseases, and some serious patients need surgery treatment. Since the spine is an important physiological structure of the human body, minimally invasive or non-invasive treatment has become an ideal situation for spinal surgeons to pursue. Spine minimally invasive surgery is rapidly developed in the aspect of treating spine diseases, but due to the complex spinal anatomical structure and certain specificity of individuals, the surgery operation has great difficulty in accurately reaching a lesion area, so the spine minimally invasive surgery has certain risks and limitations. Therefore, if a spine minimally invasive surgery positioning device capable of accurately guiding surgery operation to a lesion area can be designed, the blindness of the surgery operation is inevitably reduced, the surgery risk is effectively reduced, the medical quality and efficiency are improved, and then the number of days of hospitalization of a patient is shortened and the medical cost is reduced.
The spine minimally invasive guider in the prior art is inconvenient to use and inaccurate in puncture, the bottom surface of the spine minimally invasive guider is planar, the bottom surface is in contact with a human body, the whole plane is in contact with the human body, the human body is not planar, the conditions of high middle and low edge are formed, and thus the spine minimally invasive guider forms a structure similar to a seesaw on the human body, is unstable, is easy to shake and cannot puncture accurately, so that the existing significance is lost, the puncture angle is unreliable, and the desired effect cannot be achieved; the spine minimally invasive guider in the prior art needs to be replaced once for each puncture, so that the puncture is inconvenient, and in addition, a plurality of guide wires need to be punctured, and the spine minimally invasive guider occupies the positions of other guide wires, so that the puncture of the guide wires is prevented, and the use is inconvenient.
Disclosure of Invention
In order to solve the problems, the invention provides a minimally invasive spinal guider; this backbone wicresoft director stability is good, can not rock, waits a plurality of positions of location puncture, makes things convenient for the puncture to follow the seal wire more, convenient to use.
In order to achieve the technical purpose and achieve the technical effects, the invention is realized by the following technical scheme:
a minimally invasive spine guider comprises a base, a longitudinal sliding rod, a longitudinal sliding block, a transverse sliding rod, a transverse sliding block, a support, a guide disc and a guide pipe; the base is a rectangular frame, longitudinal sliding rods are arranged on two long sides of the base respectively, longitudinal sliding blocks are arranged on the longitudinal sliding rods, the two longitudinal sliding blocks are connected through transverse sliding rods, and the transverse sliding rods can slide on the longitudinal sliding rods through the longitudinal sliding blocks; the transverse sliding rod is provided with a transverse sliding block, the transverse sliding block is provided with a support, and the support can transversely slide on the transverse sliding rod; the support is provided with a guide disc, the guide disc is connected with the support through a pin shaft, and the guide disc can rotate on the support, so that the minimally invasive puncture direction can be longitudinally adjusted; the guide tube is connected with the guide disc through a guide tube support, the guide tube support is hinged with the guide disc, and the guide tube can rotate on the guide disc, so that the minimally invasive puncture direction can be transversely adjusted.
Furthermore, arc-shaped grooves are formed in the middles of the bottom surfaces of the four sides of the frame of the base, four corner protrusions of the frame are formed, four corners of the frame are pressed on a human body, the arc-shaped grooves can prevent the base from forming a seesaw, and stability is good.
Furthermore, the section of the longitudinal sliding rod is an inverted isosceles trapezoid, an inverted isosceles trapezoid groove matched with the longitudinal sliding rod is formed in the longitudinal sliding rod, and the longitudinal sliding rod moves on the longitudinal sliding rod.
Furthermore, a longitudinal sliding block locking bolt is arranged on the longitudinal sliding block and can lock the longitudinal sliding block to prevent sliding.
Furthermore, the cross section of the transverse sliding rod is an inverted isosceles trapezoid, an inverted isosceles trapezoid groove matched with the transverse sliding rod is formed in the transverse sliding rod, and the transverse sliding rod moves on the transverse sliding rod.
Furthermore, a transverse sliding block locking bolt is arranged on the transverse sliding block and can lock the transverse sliding block to prevent sliding.
Furthermore, the support comprises two lug plates, the guide disc is inserted in the middle of the lug plates and connected with the lug plates through a pin shaft, the pin shaft is connected with a guide disc locking handle, and the guide disc is locked and fixed by rotating the guide disc locking handle.
Furthermore, the side surface of the support is provided with longitudinal angle scales, so that the longitudinal angle of the puncture guide wire can be read.
Furthermore, a guide pipe locking handle is arranged on the side face of the guide disc, and the guide pipe can be locked and fixed through the guide pipe locking handle.
Furthermore, the front of the guide disc is provided with transverse angle scales, so that the transverse angle of the puncture guide wire can be read.
Furthermore, the guide tube is a circular catheter with a necking lower end, and the guide wire is convenient to puncture.
The invention has the beneficial effects that: a spine minimally invasive guider has the following advantages:
1. the base of the minimally invasive spine guider is provided with a rectangular frame, the bottom surface of the frame is provided with a groove, four vertex angles of the base are formed to be convex, the middle of the base can be separated from a human body through the contact of the four vertex angles and the human body, a seesaw cannot be formed to shake, the stability is excellent, and the puncture angle is very reliable.
2. The device is provided with the transverse sliding rod, the transverse sliding block, the longitudinal sliding rod and the longitudinal sliding block, so that transverse sliding and longitudinal sliding are adjusted, the position of the base is not adjusted, a plurality of puncture positions can be adjusted, and the puncture is convenient.
3. The guide plate is hinged with the support through a pin shaft, so that longitudinal direction adjustment of the guide plate is realized, the guide pipe is arranged on the guide plate, the guide pipe can rotate on the guide plate to realize transverse direction adjustment, and therefore the guide pipe can adjust the angle in the transverse direction and the angle in the longitudinal direction, and the puncture angle is conveniently adjusted.
Of course, it is not necessary for any product in which the invention is practiced to achieve all of the above-described advantages at the same time.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings used in the description of the embodiments will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art that other drawings can be obtained according to the drawings without creative efforts.
FIG. 1 is a schematic diagram of an axial structure of a minimally invasive spinal guide;
FIG. 2 is a front view of a minimally invasive spinal guide;
FIG. 3 is a schematic top view of a minimally invasive spinal guide;
FIG. 4 is a left side view of a minimally invasive spinal guide;
FIG. 5 is a schematic diagram of a right view of a minimally invasive spinal guide;
FIG. 6 is an enlarged schematic view of the guide seat, guide tube and support seat;
fig. 7 is a schematic diagram of an axial structure of the base.
In the drawings, the components represented by the respective reference numerals are listed below:
1-base, 2-longitudinal slide bar, 3-longitudinal slide block, 301-longitudinal slide block locking bolt, 4-transverse slide bar, 5-transverse slide block, 501-transverse slide block locking bolt, 6-support, 601-guide disc locking handle, 602-longitudinal angle scale, 7-guide disc, 701-transverse angle scale, 702-guide tube locking handle, 8-guide tube and 801-guide tube support.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Examples
Referring to fig. 1-7, a minimally invasive spine guider comprises a base 1, a longitudinal slide bar 2, a longitudinal slide block 3, a transverse slide bar 4, a transverse slide block 5, a support 6, a guide disc 7 and a guide tube 8; the base 1 is a rectangular frame, longitudinal sliding rods 2 are respectively arranged on two long sides of the base 1, longitudinal sliding blocks 3 are arranged on the longitudinal sliding rods 2, the two longitudinal sliding blocks 3 are connected through transverse sliding rods 4, and the transverse sliding rods 4 can slide on the longitudinal sliding rods 2 through the longitudinal sliding blocks 3; the transverse sliding rod 4 is provided with a transverse sliding block 5, the transverse sliding block 5 is provided with a support 6, and the support 6 can transversely slide on the transverse sliding rod 4; the support 6 is provided with a guide disc 7, the guide disc 7 is connected with the support 6 through a pin shaft, and the guide disc 7 can rotate on the support 5, so that the minimally invasive puncture direction can be longitudinally adjusted; the guide tube 8 is connected with the guide disc 7 through a guide tube support 801, the guide tube support 801 is hinged with the guide disc 7, and the guide tube 8 can rotate on the guide disc 7, so that the minimally invasive puncture direction can be transversely adjusted.
Arc-shaped grooves are formed in the middles of the four bottom faces of the frame of the base 1, four corner protrusions of the frame are formed, four corners of the frame are pressed on a human body, the arc-shaped grooves can prevent the base from forming a seesaw, and stability is good.
The section of the longitudinal sliding rod 2 is an inverted isosceles trapezoid, an inverted isosceles trapezoid groove matched with the longitudinal sliding rod 2 is formed in the longitudinal sliding block 3, and the longitudinal sliding block 3 moves on the longitudinal sliding rod 2. The longitudinal sliding block 3 is provided with a longitudinal sliding block locking bolt 301, and the longitudinal sliding block locking bolt 301 can lock the longitudinal sliding block 3 without sliding. The cross section of the transverse sliding rod 4 is in the shape of an inverted isosceles trapezoid, an inverted isosceles trapezoid groove matched with the transverse sliding rod 4 is formed in the transverse sliding block 5, and the transverse sliding block 5 moves on the transverse sliding rod 4. The transverse sliding block 5 is provided with a transverse sliding block locking bolt 501, and the transverse sliding block locking bolt 501 can lock the transverse sliding block 5 without sliding.
The support 6 comprises two lug plates, the guide disc 7 is inserted in the middle of the lug plates and connected with the lug plates through a pin shaft, the pin shaft is connected with a guide disc locking handle 601, and the guide disc 7 is locked and fixed by rotating the guide disc locking handle 702. The side surface of the support 6 is provided with a longitudinal angle scale 602 which can read the longitudinal angle of the puncture guide wire. The side of the guide disc 7 is provided with a guide tube locking handle 702, and the guide tube 8 is locked and fixed through the guide tube locking handle 702. The front of the guide disc 7 is provided with a transverse angle scale 701 which can read the transverse angle of the puncture guide wire.
Example one
When the device is specifically implemented, the base 1 is pressed on a human body, four corners of the base 1 are raised, and the base 1 cannot form teeterboard-shaped shaking and is stable and reliable; adjusting the longitudinal angle of the guide disc 7 to a required longitudinal angle, reading the angle through a longitudinal angle scale 602, and locking and fixing the guide disc 7 to be immobile through a guide disc locking handle 601; then adjusting the angle of the guide tube 8 to a required transverse angle, reading the angle through a transverse angle scale 701, and locking and fixing the guide tube 8 through a guide tube locking handle 702; then, by sliding the transverse sliding block 5 and the longitudinal sliding block 3, when the guide tube 8 points to the puncture point, the transverse sliding block 5 is locked by the transverse sliding block locking bolt 501 and cannot move transversely, and the longitudinal sliding block is locked by the longitudinal sliding block locking bolt 301 and cannot move longitudinally, so that the adjustment of the spinal minimally invasive guider is completed; the puncture needle penetrates through the guide tube 8, the direction and the position are fixed, the puncture is convenient, the puncture needle can accurately puncture to a required position, the puncture is simple, the puncture frequency is reduced, and the pain of a patient is relieved.
Example two
A spine minimally invasive guider is applied to spine minimally invasive surgery, is used for a surgical minimally invasive surgery puncture guide wire and an orthopedic surgery puncture Kirschner wire, adjusts a puncture position and a puncture direction by the same method, adjusts the puncture position by a sliding block and adjusts the puncture angle by a guide disc 7, is convenient to puncture, and is reliable in adjustment of the puncture direction.
In the description herein, references to the description of "one embodiment," "an example," "a specific example" or the like are intended to mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example.
The preferred embodiments of the invention disclosed above are intended to be illustrative only. The preferred embodiments are not intended to be exhaustive or to limit the invention to the precise embodiments disclosed. Obviously, many modifications and variations are possible in light of the above teaching. The invention is limited only by the claims and their full scope and equivalents.

Claims (10)

1. A minimally invasive spine guider is characterized by comprising a base, a longitudinal sliding rod, a longitudinal sliding block, a transverse sliding rod, a transverse sliding block, a support, a guide disc and a guide pipe; the base is a rectangular frame, longitudinal sliding rods are arranged on two long sides of the base respectively, longitudinal sliding blocks are arranged on the longitudinal sliding rods, the two longitudinal sliding blocks are connected through transverse sliding rods, and the transverse sliding rods can slide on the longitudinal sliding rods through the longitudinal sliding blocks; the transverse sliding rod is provided with a transverse sliding block, the transverse sliding block is provided with a support, and the support can transversely slide on the transverse sliding rod; the guide disc is arranged on the support and connected with the support through a pin shaft, and the guide disc can rotate on the support; the guide pipe is connected with the guide disc through a guide pipe support, the guide pipe support is hinged with the guide disc, and the guide pipe can rotate on the guide disc.
2. The minimally invasive spine guider according to claim 1, wherein arc-shaped grooves are formed in the middles of the four bottom surfaces of the frame of the base to form four corner bulges of the frame.
3. The minimally invasive spinal guider according to claim 1, wherein the section of the longitudinal sliding rod is an inverted isosceles trapezoid, an inverted isosceles trapezoid groove matched with the longitudinal sliding rod is formed in the longitudinal sliding rod, and the longitudinal sliding rod moves on the longitudinal sliding rod; and a longitudinal sliding block locking bolt is arranged on the longitudinal sliding block and can lock the longitudinal sliding block to not slide.
4. The minimally invasive spinal guider according to claim 1, wherein the cross section of the transverse sliding rod is an inverted isosceles trapezoid, an inverted isosceles trapezoid groove matched with the transverse sliding rod is formed in the transverse sliding rod, and the transverse sliding rod moves on the transverse sliding rod; and a transverse sliding block locking bolt is arranged on the transverse sliding block and can lock the transverse sliding block to not slide.
5. The minimally invasive spine guider according to claim 1, wherein the support is composed of two ear plates, the guide disc is inserted between the ear plates and connected with the ear plates through a pin shaft, a guide disc locking handle is connected to the pin shaft, and the guide disc is locked and fixed by rotating the guide disc locking handle.
6. The minimally invasive spinal guide according to claim 1, wherein the lateral surface of the support is provided with a longitudinal angle scale.
7. The minimally invasive spinal guide according to claim 1, wherein a guide tube locking handle is arranged on the side surface of the guide disc, and the guide tube can be locked and fixed through the guide tube locking handle.
8. The minimally invasive spinal guide according to claim 1, wherein a transverse angle scale is arranged in front of the guide disc.
9. The minimally invasive spinal guide according to claim 1, wherein the guide tube is a circular tube with a reduced lower end.
10. The minimally invasive spinal guide according to claims 1-9, which is applied to minimally invasive spinal surgery, minimally invasive surgical puncture guide wires, and orthopedic puncture kirschner wires.
CN202010770007.7A 2020-07-29 2020-07-29 Spine minimally invasive guider Pending CN111821000A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202010770007.7A CN111821000A (en) 2020-07-29 2020-07-29 Spine minimally invasive guider

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202010770007.7A CN111821000A (en) 2020-07-29 2020-07-29 Spine minimally invasive guider

Publications (1)

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CN111821000A true CN111821000A (en) 2020-10-27

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023201120A1 (en) * 2022-04-15 2023-10-19 Axonics, Inc. System and method for placement of neurostimulation leads

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN204318891U (en) * 2014-10-24 2015-05-13 陈晓东 Pedicle inserts guider
CN206777403U (en) * 2017-01-06 2017-12-22 首都医科大学宣武医院 Vertebral column minimally invasive localised puncture system
CN111134798A (en) * 2020-02-12 2020-05-12 山东航维骨科医疗器械股份有限公司 Spine minimally invasive guider
CN111248982A (en) * 2020-02-29 2020-06-09 河南邦特威机电设备有限公司 Guide assembly for realizing accurate positioning of internal medicine treatment puncture needle
CN212547122U (en) * 2020-07-29 2021-02-19 中国人民解放军联勤保障部队第九二〇医院 Spine minimally invasive surgery positioner

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN204318891U (en) * 2014-10-24 2015-05-13 陈晓东 Pedicle inserts guider
CN206777403U (en) * 2017-01-06 2017-12-22 首都医科大学宣武医院 Vertebral column minimally invasive localised puncture system
CN111134798A (en) * 2020-02-12 2020-05-12 山东航维骨科医疗器械股份有限公司 Spine minimally invasive guider
CN111248982A (en) * 2020-02-29 2020-06-09 河南邦特威机电设备有限公司 Guide assembly for realizing accurate positioning of internal medicine treatment puncture needle
CN212547122U (en) * 2020-07-29 2021-02-19 中国人民解放军联勤保障部队第九二〇医院 Spine minimally invasive surgery positioner

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023201120A1 (en) * 2022-04-15 2023-10-19 Axonics, Inc. System and method for placement of neurostimulation leads

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Application publication date: 20201027

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