CN205019153U - Three -dimensional adjustable supplementary nail guide system that puts of formula pedicle of vertebral arch that organizes - Google Patents
Three -dimensional adjustable supplementary nail guide system that puts of formula pedicle of vertebral arch that organizes Download PDFInfo
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- CN205019153U CN205019153U CN201520544786.3U CN201520544786U CN205019153U CN 205019153 U CN205019153 U CN 205019153U CN 201520544786 U CN201520544786 U CN 201520544786U CN 205019153 U CN205019153 U CN 205019153U
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- pedicle
- vertebral arch
- transverse section
- angle
- nail
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Abstract
Three -dimensional adjustable supplementary nail guide system that puts of formula pedicle of vertebral arch that organizes belongs to the medical instrument field. The utility model discloses solve and put into pedicle of vertebral arch screw in -process in spinal surgery operation and rely on the problem that empirical estimation and bare -handed operation can not accurately be led. The utility model discloses a slide rail, sour jujube be fixation clamp, drilling angle demodulator, abduction expansion bracket and pedicle of vertebral arch nail stand pipe suddenly. Sour jujube suddenly fixation clamp is joined in marriage with sliding rail set with sagittal face drilling angle demodulator, and the pedicle of vertebral arch nail stand pipe of two settings on cross section drilling angle demodulator passes through the abduction expansion bracket and link to each other and distribute in sagittal face drilling regulator both sides, is equipped with angular adjustment locking device on the drilling angle demodulator, is equipped with length on the abduction expansion bracket and fastens locking device. The utility model discloses adjustable, can organize. The nail of putting that makes the pedicle of vertebral arch becomes the quantification measurement by the empirical estimation, and it is high to put nail security and precision, simple structure, and maneuverability is strong.
Description
[technical field]
This utility model relates to medical machinery, particularly relates to the auxiliary device in spinal operation, and particularly one provides three-dimensional (sagittal plane, coronalplane, transverse section) adjustable group of formula pedicle of vertebral arch to assist and puts nail guidance system.
[background technology]
Via Posterior Spinal Approach pedicle of vertebral arch technology is the basic fundamental of modern spinal surgery.Based on the anatomical features of pedicle of vertebral arch, insert pedicle screw and must be arranged on the uniquely correct passage of three dimensions, namely pass this narrow and small bone passage of pedicle of vertebral arch along pedicle of vertebral arch major axis, therefore insert difficulty, the more difficult grasp of technology.If put pedicle screw in nail process to pass pedicle of vertebral arch, fixation failure will be caused, injured blood vessel and nerve.Cause perform the operation safety and controllability low.
At present, in known spinal surgery, existing hand operation is carried out pedicle of vertebral arch and is put the still extensive use of nail technology: 1. with bone anatomic landmark determination pedicle screw entry point; 2. determine the placing direction of pedicle nail on three dimensions with patient's subjective judgment, range estimation; 3. nail direction is put in the hold maintenance with patient's hands; 4.C arm perspective is lower confirms pedicle screw position, repeatedly has an X-rayed confirmation, affects procedure.It is high that this puts nail technique and skill, grasps difficulty.There is the learning curve that longer.Various uncertainty adds the risk that screw passes.
Technological means newer at present, put auxiliary the putting in nail technology and art when the technology such as spinal nerves function monitoring assist spinal surgeons to perform the operation of nail technology, 3D modeling as area of computer aided and put nail, advantage will be had more in theory, but perspective increases the radiation damage easily causing patient and doctor, and the said equipment costly, difficulty or ease are popularized, and cost performance is not high.Even if adopt above-mentioned technology, pedicle screw penetrates bone wall, and to enter canalis spinalis still inevitable.
[utility model content]
The purpose of this utility model is that providing a kind of pedicle of vertebral arch to assist puts nail guidance system, this system will improve the present situation that spinal surgery puts estimation and hand operation by rule of thumb in nail process, solves the technical problem that in prior art, angle of pedicle screw can not accurately lead.There is provided a kind of clearly to quantize and maintain the device in Pedicle Screw direction in three dimensions.The convenience of further raising operation technique, safety and controllability.
The auxiliary nail guidance system of putting of this pedicle of vertebral arch of the present utility model is made up of 1 slide rail, 2 spinous process fixation clamps, 1 sagittal plane bore angle actuator, 2 transverse section bore angle actuators, 2 abduction expansion brackets and 2 pedicle screw guide pipes.Described pedicle of vertebral arch is auxiliary puts each ingredient of nail system and states as follows:
A. described slide rail: be made up of a rectangular frame, there is through horizontal guide groove centre, move axially for sagittal plane bore angle actuator, this slide rail can be opposing parallel with spinal column physiological bending after regulating, and be positioned at spinal column posterior midline, this slide rail can by demand assembly 2 spinous process fixation clamps and 1 sagittal plain bore angle actuator (order adjustable), and these slide rail two ends have obstructing instrument to prevent from.
B. described spinous process fixation clamp: this spinous process fixation clamp has tooth for fixing spinous process, it there is a square-section through hole, the axis of rectangle cross-shaped holes is parallel with slide rail, and rectangle cross-shaped holes can assembly meticulous with slide rail, this spinous process fixation clamp is provided with most advanced and sophisticated sensing and location graticule, makes it point to spinous process axis.
C. described sagittal plane bore angle actuator: by angular adjustment apparatus (draw-in groove, base, turning cylinder, angle index scale, detachably hold bar) and fastening locking device (wheeled clamp nut, spacing brake(-holder) block, the anti-cock of angle, anticreep snap ring, extruding tightening nut, T-shaped spanner) form, this regulator base bottom is provided with draw-in groove, can move axially along slide rail with slide rail assembly, base there is angle index scale, for control sagittal plane boring direction (in theory this direction should perpendicular to boring sections spinal column physiological bending), when sagittal plane bore angle and move axially along slide rail position selected after make angle and axial location locking by fastening locking device.This actuator has and detachablely holds bar, be convenient in operation to hold, location and regulating.
D. described abduction expansion bracket: transverse section bore angle actuator is connected by abduction expansion bracket and is distributed in sagittal plain boring actuator both sides.This external spread frame has mutually sheathed sleeve pipe, trocar sheath is provided with fastening locking device (T-shaped extruding clamp nut, spacing fastening brake(-holder) block), inner sleeve is provided with graduated scale, between sleeve pipe, collapsing length locks by screwing fastening locking device after regulating and putting in place, for controlling transverse section bore angle actuator and spinous process spacing, to adapt to the vertebral body of Different Individual.
E. described transverse section bore angle actuator: connect base by, an interior circular tube shaped pedicle screw guide pipes and an outer spherosome are formed, described connection base there is angle index scale, outer spherosome is had to be turning cylinder in base, a radial hole is provided with in outer spherosome, described interior circular tube shaped pedicle screw guide pipes is arranged in described radial hole, the radial fenestra in a side is provided with in the sidewall of outer spherosome and connection base, the T-shaped fastening locking device of assembly, after selected for transverse section bore angle, (this angle is leaning angle in locking, for transverse section pierces direction and sagittal plane angle).
F. described pedicle screw guide pipes: pedicle screw guide pipes can swing (expand and reduce leaning angle) in transverse section before the locking of transverse section angle demodulator, this guide pipe can slide up and down relative to base and lock with T-shaped fastening locking device, guide pipe is made to be close to entry point, supporting vertebral arch pedicle opening (open circuit) device, pedicle of vertebral arch probe, pedicle of vertebral arch screw tap operate by this hollow conduit, visual operation window is left in lower end, for observing.Pedicle screw guide pipes body has location graticule, for location, two ends are provided with circumferential clasp, prevent from.
Operation principle of the present utility model is: two spinous process fixation clamps, sagittal plane bore angle actuators are connected with slide rail.Sagittal plane bore angle actuator can control sagittal plane boring direction and move axially position along slide rail.Two transverse section bore angle actuators are separately positioned on the both sides of sagittal plane bore angle actuator by extension type external spread frame.Extension type external spread frame for controlling transverse section bore angle actuator and spinous process spacing, to adapt to the vertebral body of Different Individual.Interior circular tube shaped pedicle screw guide pipes in the bore angle actuator of transverse section can swing, in order to control inclined angle size the inherent transverse section of spherosome outside.There is ring-type anticreep snap ring at interior circular tube shaped pedicle screw guide pipes two ends, can restricted conduit move up and down within the specific limits relative to transverse section bore angle regulator base.There is visual operation window interior circular tube shaped pedicle screw guide pipes body lower end, is convenient to observe into during nail.Bore angle actuator there is angle index scale, and join fastening locking device, can be locked fastening after angle is selected.Thus determine the axial angle of pedicle screw pilot hole and maintain this direction, supporting vertebral arch pedicle opening (open circuit) device, pedicle of vertebral arch probe, pedicle of vertebral arch screw tap operate by this hollow conduit, finally insert pedicle screw.
This utility model compared with the prior art, its effect is actively significantly, this utility model is provided with slide rail, spinous process fixation clamp, bore angle actuator, abduction expansion bracket and pedicle screw guide pipes auxiliary the putting in nail guidance system of pedicle of vertebral arch, this system can precisely determine inserting needle position and needle angle, and nail direction is put in maintenance.Put nail safety and precision high, installation cost is low, and structure is simple, workable, and clinical demand amount is large, is easy to penetration and promotion, has huge economic benefit and market prospect.
[accompanying drawing explanation]
Below in conjunction with drawings and Examples, this utility model is further illustrated.
The three-dimensional adjustable group of formula pedicle of vertebral arch of Fig. 1 this utility model assists the southwestern isometric view putting nail guidance system;
The three-dimensional adjustable group of formula pedicle of vertebral arch of Fig. 2 this utility model assists the top view putting nail guidance system;
The three-dimensional adjustable group of formula pedicle of vertebral arch of Fig. 3 this utility model assists the upward view putting nail guidance system;
The three-dimensional adjustable group of formula pedicle of vertebral arch of Fig. 4 this utility model assists the left view putting nail guidance system;
The three-dimensional adjustable group of formula pedicle of vertebral arch of Fig. 5 this utility model assists the front view putting nail guidance system;
The three-dimensional adjustable group of formula pedicle of vertebral arch of Fig. 6 this utility model assists the slide rail putting nail guidance system;
The three-dimensional adjustable group of formula pedicle of vertebral arch of Fig. 7 this utility model assists the spinous process fixation clamp putting nail guidance system;
The three-dimensional adjustable group of formula pedicle of vertebral arch of Fig. 8 this utility model assists the transverse section bore angle actuator putting nail guidance system;
The three-dimensional adjustable group of formula pedicle of vertebral arch of Fig. 9 this utility model assists T-shaped fastening locking device I type putting nail guidance system;
The three-dimensional adjustable group of formula pedicle of vertebral arch of Figure 10 this utility model assists T-shaped fastening locking device II type putting nail guidance system;
The three-dimensional adjustable group of formula pedicle of vertebral arch of Figure 11 this utility model assists the abduction expansion bracket putting nail guidance system;
The three-dimensional adjustable group of formula pedicle of vertebral arch of Figure 12 this utility model assists the sagittal plane angle demodulator putting nail guidance system;
In Figure 13 spinal surgery, Pedicle Screw know-why and theoretical A scheme;
In Figure 14 spinal surgery, Pedicle Screw know-why and theoretical B scheme;
In Figure 15 spinal surgery, Pedicle Screw know-why and theoretical C scheme;
The three-dimensional adjustable group of formula pedicle of vertebral arch of Figure 16 this utility model assists the embodiment schematic diagram (axle position view) putting nail guidance system;
The three-dimensional adjustable group of formula pedicle of vertebral arch of Figure 17 this utility model assists the embodiment schematic diagram (position, side view) putting nail guidance system.
Description of reference numerals:
1. slide rail obstructing instrument; 2. slide rail; 3. horizontal guide groove; 4. slide rail obstructing instrument installing port; 5. spinous process fixation clamp buckle; 6. spinous process fixation clamp slide rail set orchestration; 7. spinous process fixation clamp square-section through hole; 8. spinous process fixation clamp spinous process location graticule; 9. spinous process fixation clamp spinous process points to; 10. spinous process fixation clamp turning cylinder; 11. spinous process fixed teeth; 12. spinous process fixation clamps; 13. detachably hold bar; 14. hold bar base; 15. transverse section bore angle actuators; 16. pedicle screw guide pipes; 17. pedicle screw guide pipes body location graticules; 18. transverse section bore angle actuators and abduction expansion bracket junction; 19. circumferential clasps; 20. pedicle screw guide pipes visual operation windows; 21. transverse section boring regulator base; 22. outer spherosomes; 23. turning cylinders; The fastening locking device of 24.T type; The spacing brake(-holder) block of the fastening locking device of 25.T type; 26. anticreep snap rings; The anti-cock of 27. angle; 28. extruding tightening nut; 29.T type spanner; 30. transverse section bore angle actuator angle index scales; 31. transverse section bore angle actuator top views; 32.T type extruding clamp device; 33. sagittal plane bore angle actuators; 34. abduction expansion brackets; 35. abduction expansion bracket inner sleeves; 36. abduction expansion bracket inner sleeve graduated scales; 37. abduction expansion bracket trocar sheaths; 38. abduction expansion brackets and bore angle actuator junction, transverse section; 39. abduction expansion brackets and sagittal plane bore angle actuator junction; 40. hold bar dismounting mouth screw rod; 41. wheeled clamp nuts; 42. wheeled clamp nut couplings; The spacing brake(-holder) block of 43. sagittal plane bore angle actuator; 44. sagittal plane bore angle actuator location graticules; 45. sagittal plane angle demodulator angle index scales; 46. sagittal plane angle demodulator bases; 47. sagittal plane angle demodulator draw-in grooves; The detachable draw-in groove collet of 48. sagittal plane angle demodulator; 49. vertebral bodys; 50. entry point regions; 51. transverse process; 52. leaning angles; 53. spinal column physiological bendings; 54. sagittal planies and spinal column physiological bending vertical line angle; 55. spinous process; 56. pediculus arcus vertebrae opening devices, pedicle of vertebral arch probe; The upper and lower slippage of 57. pedicle screw guide pipes respect thereto; 58. guidance systems put nail imaginary line; 59. pedicle nail screw taps; 60. angle demodulators move axially; 61. pedicle screws; 62. sick vertebras
[detailed description of the invention]
Below in conjunction with accompanying drawing, this utility model is described in further detail.
As shown in Fig. 1-Figure 17.The auxiliary nail guidance system of putting of this this pedicle of vertebral arch is made up of a slide rail 2, two spinous process fixed mounts 12, sagittal plane bore angle actuator 33, two transverse section bore angle actuators 15, two abduction expansion brackets 34 and two pedicle screw guide pipes 16.Described slide rail 2 is made up of a rectangular frame, and there is through horizontal guide groove 3 centre.60 are moved axially for sagittal plane bore angle actuator 33, this slide rail 2 can be opposing parallel with spinal column physiological bending 53 after regulating, and be positioned at spinal column posterior midline, this slide rail 2 can by demand assembly two spinous process fixation clamps 12 and a sagittal plain bore angle actuator 33 (order adjustable), and these slide rail 2 two ends have obstructing instrument 1 to prevent from.Described spinous process fixation clamp 12 has tooth 11 for fixing spinous process 55, it there is a square-section through hole 7, the axis of rectangle cross-shaped holes 7 is parallel with slide rail 2, and rectangle cross-shaped holes 7 can assembly meticulous with slide rail 2, this spinous process fixation clamp 12 is provided with most advanced and sophisticated sensing 9 and location graticule 8, makes it point to spinous process 55 axis.Described sagittal plane bore angle actuator 33 is by angle regulator (draw-in groove 47, base 46, turning cylinder 23, angle index scale 45, detachably hold bar 13) and fastening locking device (wheeled clamp nut 41, spacing brake(-holder) block 25, the anti-cock 27 of angle, anticreep snap ring 26, extruding tightening nut 28, T-shaped spanner 29) form, this regulator base 46 bottom is provided with draw-in groove 46, 60 can be moved axially along slide rail 2 with slide rail 2 assembly, base 46 there is angle index scale 45, for control sagittal plane boring direction (in theory this direction should perpendicular to boring sections spinal column physiological bending 53), when sagittal plane bore angle and move axially along slide rail position selected after make angle and axial location locking by fastening locking device 24.This sagittal plane bore angle actuator 33 there is detachable guide rod 13, is convenient in operation hold, locate and regulate.Transverse section bore angle actuator 15 is connected by abduction expansion bracket 34 and is distributed in sagittal plane boring actuator 33 both sides.This abduction expansion bracket 34 has mutually sheathed sleeve pipe, trocar sheath 37 is provided with fastening locking device (T-shaped extruding clamp nut 32, spacing fastening brake(-holder) block 25), inner sleeve 35 is provided with graduated scale 36, between sleeve pipe, collapsing length locks by screwing T-shaped extruding clamp device 32 after regulating and putting in place, for controlling transverse section bore angle actuator 15 and spinous process 55 spacing, to adapt to the vertebral body 49 of Different Individual.Described transverse section bore angle actuator 15 connects base 21 by one, an interior circular tube shaped pedicle screw guide pipes 16 and an outer spherosome 22 are formed, described connection base 21 there is angle index scale 30, outer spherosome 22 is had to be turning cylinder 23 in base 21, a radial hole is provided with in outer spherosome 22, described interior circular tube shaped pedicle screw guide pipes 16 is arranged in described radial hole, the radial fenestra in a side is provided with in the sidewall of outer spherosome 22 and connection base 21, the T-shaped fastening locking device 23 of assembly, after selected for transverse section bore angle, (this angle is leaning angle 52 in locking, for transverse section pierces direction and sagittal plane angle).Described pedicle screw guide pipes 16 can swing 52 (expand and reduce leaning angle) in transverse section before transverse section angle demodulator 15 locks, this guide pipe can slide up and down 57 relative to base 21 and lock with T-shaped fastening locking device 24, guide pipe 16 is made to be close to entry point 50, supporting vertebral arch pedicle opening (open circuit) device 56, pedicle of vertebral arch probe, pedicle of vertebral arch screw tap 59 operate by this hollow conduit, visual operation window 20 is left in lower end, for observing.Pedicle screw guide pipes body 16 has location graticule 17, for location, two ends are provided with circumferential clasp 19, prevent from.
Below in conjunction with specific embodiment, this utility model is described in further detail.
This System Utilization Procedure as Suo Shi Fig. 1-Figure 17: preoperative physiology and the anatomical structure understanding patient's vertebra according to imaging examination (CT MRI/X-Ray), the upper best needle angle of accurate measurement three aspects (sagittal plane, coronalplane, transverse section), draws distance between entry point 50 and spinous process axis and pedicle of vertebral arch and spinal column physiological bending vertical line angle 54, leaning angle 52 number of degrees.Before pedicle screw, by assistant, transverse section and sagittal plane angle demodulator are adjusted and this angle of fastening locking according to taking measurement of an angle.In operation, patient gets ventricumbent position, spinal column Posterior midline approach, peels off paraspinal muscle to facet joint outer rim along spinous process 55 to both sides.To cut and to expose sufficient incision, spinous process fixation clamp 12 is held on spinous process 55 by patient, observes the sign 9 on spinous process fixed mount 12 and location graticule 8, makes it point to spinous process axially, regulate slide rail to make itself and spinal column physiological camber 53 opposing parallel, and be positioned at posterior midline.The position of axial slip 60 angle demodulator 33 on horizontal position, and abduction expansion bracket 34 is adjusted.Make guide frame to " herringbone meets " district 50 (or Weinstein anchor point etc.), this point is entry point.Screw fastening locking device 24.Finally in pedicle screw guide pipes 16, carry out opening, open circuit, tapping.Thoroughly remove guider, insert pedicle screw 61.
This utility model does not describe part in detail, is the known technology of this area staff.
These are only preferred embodiment of the present utility model, by above-mentioned description, relevant staff in the scope not departing from this utility model technological thought, can carry out various change and amendment completely.The technical scope of this utility model is not limited to the content in description, does not limit protection domain of the present utility model with this.Not violating any replacement and improvement that the basis of this utility model design is done, all belong to protection domain of the present utility model.
Claims (6)
1. a three-dimensional adjustable group of formula pedicle of vertebral arch is auxiliary puts nail guidance system, it is characterized in that: this system comprises slide rail, spinous process fixation clamp, sagittal plane/transverse section bore angle actuator, abduction expansion bracket and pedicle screw guide pipes, spinous process fixation clamp and bore angle actuator and slide rail assembly, two pedicle screw guide pipes be arranged on the bore angle actuator of transverse section are connected by abduction expansion bracket and are distributed in sagittal plane boring actuator both sides, sagittal plane/transverse section bore angle actuator is provided with angle adjustment locking device, abduction expansion bracket is provided with graduated scale and the fastening locking device of length, for controlling transverse section bore angle actuator and spinous process spacing.
2. pedicle of vertebral arch as claimed in claim 1 is auxiliary puts nail guidance system, it is characterized in that: slide rail, spinous process fixed mount folder, the detachable assembly of bore angle actuator, slide rail both sides are furnished with restriction anti-drop device.
3. pedicle of vertebral arch as claimed in claim 1 is auxiliary puts nail guidance system, it is characterized in that: bore angle actuator (sagittal plane/transverse section) is provided with angle adjustment and fastening locking device, angular adjustment apparatus there are graduated scale and graticule, sagittal plane bore angle actuator are provided with and detachably hold bar.
4. pedicle of vertebral arch as claimed in claim 1 is auxiliary puts nail guidance system, it is characterized in that: transverse section bore angle actuator is furnished with pedicle screw guide pipes, this guide pipe both can swing in transverse section, can slide up and down again relative to base, and configured visual operation window.
5. pedicle of vertebral arch as claimed in claim 1 is auxiliary puts nail guidance system, it is characterized in that: external spread frame is scalable, it has graduated scale, and join extruding clamp device.
6. pedicle of vertebral arch as claimed in claim 1 is auxiliary puts nail guidance system, it is characterized in that: fastening locking device is furnished with the anti-cock of angle, extruding tightening nut, T-shaped spanner and spacing brake(-holder) block, this angle of fastening locking after putting in place for angle adjustment.
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CN201520544786.3U CN205019153U (en) | 2015-07-19 | 2015-07-19 | Three -dimensional adjustable supplementary nail guide system that puts of formula pedicle of vertebral arch that organizes |
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CN201520544786.3U CN205019153U (en) | 2015-07-19 | 2015-07-19 | Three -dimensional adjustable supplementary nail guide system that puts of formula pedicle of vertebral arch that organizes |
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
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CN105963026A (en) * | 2016-04-13 | 2016-09-28 | 吴迎春 | Proximal femoral reaming position indicator |
ES2651736R1 (en) * | 2016-07-28 | 2018-03-19 | Rafael AGUIRRE GARCIA | GUIDE FOR SURGICAL INTERVENTION |
CN108478273A (en) * | 2018-05-10 | 2018-09-04 | 陈聚伍 | Pedicle nail location adjusting device |
CN109700521A (en) * | 2019-01-29 | 2019-05-03 | 苏州点合医疗科技有限公司 | One kind creating vertebral canal plastic operation device to wearing to decline |
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2015
- 2015-07-19 CN CN201520544786.3U patent/CN205019153U/en not_active Expired - Fee Related
Cited By (7)
Publication number | Priority date | Publication date | Assignee | Title |
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CN105963026A (en) * | 2016-04-13 | 2016-09-28 | 吴迎春 | Proximal femoral reaming position indicator |
CN105963026B (en) * | 2016-04-13 | 2018-10-09 | 吴迎春 | A kind of near end of thighbone expansion marrow position indicator |
ES2651736R1 (en) * | 2016-07-28 | 2018-03-19 | Rafael AGUIRRE GARCIA | GUIDE FOR SURGICAL INTERVENTION |
CN108478273A (en) * | 2018-05-10 | 2018-09-04 | 陈聚伍 | Pedicle nail location adjusting device |
CN108478273B (en) * | 2018-05-10 | 2023-08-04 | 陈聚伍 | Pedicle screw positioning and adjusting device |
CN109700521A (en) * | 2019-01-29 | 2019-05-03 | 苏州点合医疗科技有限公司 | One kind creating vertebral canal plastic operation device to wearing to decline |
CN109700521B (en) * | 2019-01-29 | 2023-11-24 | 苏州点合医疗科技有限公司 | Opposite-penetrating minimally invasive vertebral canal forming device |
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