JP2010042253A - 脊柱の椎骨に取付け可能な少なくとも2つの骨固定装置を接続するための可撓性安定化装置、その製造方法、およびその製造のための工具 - Google Patents
脊柱の椎骨に取付け可能な少なくとも2つの骨固定装置を接続するための可撓性安定化装置、その製造方法、およびその製造のための工具 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7002—Longitudinal elements, e.g. rods
- A61B17/7004—Longitudinal elements, e.g. rods with a cross-section which varies along its length
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7002—Longitudinal elements, e.g. rods
- A61B17/701—Longitudinal elements with a non-circular, e.g. rectangular, cross-section
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7002—Longitudinal elements, e.g. rods
- A61B17/7019—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
- A61B17/7031—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other made wholly or partly of flexible material
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B26—HAND CUTTING TOOLS; CUTTING; SEVERING
- B26F—PERFORATING; PUNCHING; CUTTING-OUT; STAMPING-OUT; SEVERING BY MEANS OTHER THAN CUTTING
- B26F1/00—Perforating; Punching; Cutting-out; Stamping-out; Apparatus therefor
- B26F1/02—Perforating by punching, e.g. with relatively-reciprocating punch and bed
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B26—HAND CUTTING TOOLS; CUTTING; SEVERING
- B26F—PERFORATING; PUNCHING; CUTTING-OUT; STAMPING-OUT; SEVERING BY MEANS OTHER THAN CUTTING
- B26F1/00—Perforating; Punching; Cutting-out; Stamping-out; Apparatus therefor
- B26F1/02—Perforating by punching, e.g. with relatively-reciprocating punch and bed
- B26F1/12—Perforating by punching, e.g. with relatively-reciprocating punch and bed to notch margins of work
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B26—HAND CUTTING TOOLS; CUTTING; SEVERING
- B26F—PERFORATING; PUNCHING; CUTTING-OUT; STAMPING-OUT; SEVERING BY MEANS OTHER THAN CUTTING
- B26F1/00—Perforating; Punching; Cutting-out; Stamping-out; Apparatus therefor
- B26F1/02—Perforating by punching, e.g. with relatively-reciprocating punch and bed
- B26F1/14—Punching tools; Punching dies
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B26—HAND CUTTING TOOLS; CUTTING; SEVERING
- B26D—CUTTING; DETAILS COMMON TO MACHINES FOR PERFORATING, PUNCHING, CUTTING-OUT, STAMPING-OUT OR SEVERING
- B26D7/00—Details of apparatus for cutting, cutting-out, stamping-out, punching, perforating, or severing by means other than cutting
- B26D7/01—Means for holding or positioning work
- B26D2007/013—Means for holding or positioning work the work being tubes, rods or logs
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B26—HAND CUTTING TOOLS; CUTTING; SEVERING
- B26D—CUTTING; DETAILS COMMON TO MACHINES FOR PERFORATING, PUNCHING, CUTTING-OUT, STAMPING-OUT OR SEVERING
- B26D3/00—Cutting work characterised by the nature of the cut made; Apparatus therefor
- B26D3/003—Cutting work characterised by the nature of the cut made; Apparatus therefor specially adapted for cutting rubber
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B26—HAND CUTTING TOOLS; CUTTING; SEVERING
- B26D—CUTTING; DETAILS COMMON TO MACHINES FOR PERFORATING, PUNCHING, CUTTING-OUT, STAMPING-OUT OR SEVERING
- B26D7/00—Details of apparatus for cutting, cutting-out, stamping-out, punching, perforating, or severing by means other than cutting
- B26D7/01—Means for holding or positioning work
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B26—HAND CUTTING TOOLS; CUTTING; SEVERING
- B26F—PERFORATING; PUNCHING; CUTTING-OUT; STAMPING-OUT; SEVERING BY MEANS OTHER THAN CUTTING
- B26F1/00—Perforating; Punching; Cutting-out; Stamping-out; Apparatus therefor
- B26F1/0084—Perforating; Punching; Cutting-out; Stamping-out; Apparatus therefor specially adapted for perforating rubber
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T29/00—Metal working
- Y10T29/49—Method of mechanical manufacture
- Y10T29/49995—Shaping one-piece blank by removing material
- Y10T29/49996—Successive distinct removal operations
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T83/00—Cutting
- Y10T83/04—Processes
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T83/00—Cutting
- Y10T83/04—Processes
- Y10T83/0524—Plural cutting steps
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T83/00—Cutting
- Y10T83/04—Processes
- Y10T83/0524—Plural cutting steps
- Y10T83/0529—Blanking and cutting
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T83/00—Cutting
- Y10T83/04—Processes
- Y10T83/0524—Plural cutting steps
- Y10T83/0577—Repetitive blanking
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T83/00—Cutting
- Y10T83/04—Processes
- Y10T83/06—Blanking
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T83/00—Cutting
- Y10T83/748—With work immobilizer
- Y10T83/7587—Gapped work-constrainer
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T83/00—Cutting
- Y10T83/929—Tool or tool with support
- Y10T83/9411—Cutting couple type
- Y10T83/9423—Punching tool
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Abstract
【解決手段】 脊柱の椎骨に取付けられる少なくとも2つの骨固定装置を接続するための可撓性安定化装置は、エラストマー材料から作られた可撓性ロッドを含み、このロッドの表面は、エラストマー材料の一部を分離することによって生成された少なくとも1つの第1の窪みを設けられている。
【選択図】図4
Description
次に、上述の工具を用いて図1−図3に示すロッド10を製造する方法を図8−図11を参照して説明する。
に手動でかけられていた負荷を取除くと、窪み12を含むロッド10が残る。さらに別の窪み12または12′を施すために、次にロッドを新たに位置決めする、すなわち、ずらすおよび/または回転させることができる。
Claims (16)
- 脊柱の椎骨に取付け可能な少なくとも2つの骨固定装置(20)を接続するための可撓性安定化装置であって、
エラストマー材料から作られた可撓性ロッド(10)を備え、
前記ロッドの表面には、前記エラストマー材料の一部を分離することによって生成された少なくとも1つの第1の窪み(12)が設けられている、可撓性安定化装置。 - 前記第1の窪み(12)は、その底面に平坦部(16)を含む溝として設けられている、請求項1に記載の可撓性安定化装置。
- 前記表面に第2の窪み(12,12′)が形成されており、
前記第2の窪みは、その底面に平坦部(16,16′)を含む溝として設けられている、請求項2に記載の可撓性安定化装置。 - 第1の溝と第2の溝とは、前記ロッドの同じ区間内の対向する側面に設けられている、請求項3に記載の可撓性安定化装置。
- 第1の溝と第2の溝とは、
前記窪み以外の部分における前記ロッドの表面を基準とした、前記平坦部の深さと、
前記ロッドの長手方向軸に沿った、前記平坦部の長さと、
前記長手方向軸に対する、前記平坦部の面法線の配向とのうち少なくとも1つに関して互いにずれている、請求項3に記載の可撓性安定化装置。 - 前記窪みは、前記ロッドを通って延在する貫通孔として設けられている、請求項1に記載の可撓性安定化装置。
- 前記表面に第2の窪みが形成されており、
前記第2の窪みは、前記ロッドを通って延在する貫通孔として設けられている、請求項1から6のいずれかに記載の可撓性安定化装置。 - 第1の貫通孔と第2の貫通孔とは、
前記貫通孔の直径と、
前記ロッドの長手方向軸に対する、ボアの長手方向軸の配向とのうち少なくとも1つに関して互いにずれている、請求項7に記載の可撓性安定化装置。 - 前記ロッドは、
前記骨固定装置の各々のためにそれぞれ設けられたクランプ区間(14)を含み、前記ロッドの断面は、前記クランプ区間(14)の各々において同じで一定であり、
前記クランプ区間のうち2つの間にそれぞれ配置された少なくとも2つの中間区間をさらに含み、第1の前記中間区間は、前記少なくとも1つの第1の窪みを含み、第2の前記中間区間は、第2の窪みを含み、前記第2の窪みは、前記第1の窪みとは異なる特性を少なくとも1つ有する、請求項4、5、7、または8のいずれかに記載の可撓性安定化装置。 - 前記ロッドは、ポリシロキサン、ポリウレタン、ポリ(スチレン−ブロック−イソブチレン−ブロック−スチレン)(SIBS)、またはポリカーボネートウレタン(PCU)から作られている、請求項1から9のいずれかに記載の可撓性安定化装置。
- 請求項1から10のいずれかに記載の可撓性安定化装置を製造するために、エラストマ
ー材料を含むロッド状要素(22,10a)から材料を分離するための工具(300;301)であって、
ソケットダイ(30;130,133)を備え、前記ソケットダイは、
前記ロッド状要素(22,10a)を収容するための第1のボア(32;132)と、
第1の打抜きプレス(40;140)を収容するための少なくとも1つの第2のボア(34;134)とを有し、
前記第1の打抜きプレスは、前記少なくとも1つの第2のボア内に嵌合し、前記第2のボアに対して移動可能であり、
前記第1のボアと前記少なくとも1つの第2のボアとは互いに交差して、前記移動可能な第1の打抜きプレス(40;140)により前記ロッド状要素から材料を打抜いて、窪み(12)を形成することを可能にする、工具。 - 第2の打抜きプレス(40′;140′)と、前記第2の打抜きプレスを収容するための第3のボア(34;134′)とをさらに備え、前記第2の打抜きプレスは、前記第3のボア内で移動可能であり、前記第2のボアおよび前記第3のボアはどちらも、平行に配置され、前記第1のボアの対向する側面上の位置で前記第1のボアと部分的に交差する、請求項11に記載の工具(300;301)。
- 前記第1および第2の打抜きプレス(40,40′;140,140′)は、共同の打抜き移動を提供するよう互いに接続されている、請求項12に記載の工具(300;301)。
- 第1の内側打抜きプレス、または第1および第2の内側打抜きプレスの移動をそれぞれ操作するトグル継手機構をさらに備える、請求項11から13のいずれかに記載の工具。
- 請求項1から10のいずれかに記載のロッドの製造方法であって、
エラストマー材料から作られた可撓性ロッド状要素(22;10a)を提供するステップと、
前記ロッド状要素を提供するステップの後に、前記可撓性ロッド状要素の表面に少なくとも1つの窪みを生成するよう、前記可撓性ロッド状要素から前記エラストマー材料の一部を分離するステップとを備える、方法。 - 前記材料を分離するステップは、前記ロッド状要素から材料を打抜くステップを含む、請求項15に記載の方法。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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US8827608P | 2008-08-12 | 2008-08-12 | |
EP20080014378 EP2153785B1 (en) | 2008-08-12 | 2008-08-12 | Flexible stabilization device including a rod and tool for manufacturing the rod |
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JP2010042253A true JP2010042253A (ja) | 2010-02-25 |
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JP2009184164A Ceased JP2010042253A (ja) | 2008-08-12 | 2009-08-07 | 脊柱の椎骨に取付け可能な少なくとも2つの骨固定装置を接続するための可撓性安定化装置、その製造方法、およびその製造のための工具 |
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US (2) | US20100042154A1 (ja) |
EP (2) | EP2153785B1 (ja) |
JP (1) | JP2010042253A (ja) |
KR (1) | KR20100020426A (ja) |
CN (1) | CN101647724A (ja) |
ES (2) | ES2527594T3 (ja) |
TW (1) | TW201006431A (ja) |
Cited By (1)
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JP2013536025A (ja) * | 2010-08-26 | 2013-09-19 | スパインセーブ アクチェンゲゼルシャフト | 脊椎の動的安定化用の脊椎インプラント・セット |
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IT1392200B1 (it) * | 2008-12-17 | 2012-02-22 | N B R New Biotechnology Res | Stabilizzatore vertebrale modulare. |
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AU2011276535B2 (en) * | 2010-06-28 | 2015-03-12 | K2M, Inc. | Spinal stabilization system |
DE102010060112A1 (de) * | 2010-09-20 | 2012-03-22 | Aesculap Ag | Wirbelsäulenstabilisierungssystem, Verbindungselement für ein Wirbelsäulenstabilisierungssystem und Verfahren zum Herstellen eines solchen Verbindungselements |
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EP2869773B1 (en) * | 2012-07-05 | 2018-12-19 | Spinesave AG | Elastic rod having different degrees of stiffness for the surgical treatment of the spine |
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US10631907B2 (en) | 2014-12-04 | 2020-04-28 | Mazor Robotics Ltd. | Shaper for vertebral fixation rods |
US20160262800A1 (en) | 2015-02-13 | 2016-09-15 | Nuvasive, Inc. | Systems and methods for planning, performing, and assessing spinal correction during surgery |
CN104970873A (zh) * | 2015-07-07 | 2015-10-14 | 创辉医疗器械江苏有限公司 | 可变刚度连接棒 |
JP2019514450A (ja) | 2016-03-02 | 2019-06-06 | ニューヴェイジヴ,インコーポレイテッド | 脊椎矯正外科計画のためのシステムおよび方法 |
EP3474758B1 (en) | 2016-06-23 | 2023-09-13 | Mazor Robotics Ltd. | Minimally invasive intervertebral rod insertion |
US20210290272A1 (en) * | 2020-01-13 | 2021-09-23 | Xiangyang Ma | Customized posterior atlantoaxial reduction fixatorwith screws and rods |
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Also Published As
Publication number | Publication date |
---|---|
EP2153785A1 (en) | 2010-02-17 |
ES2401811T3 (es) | 2013-04-24 |
KR20100020426A (ko) | 2010-02-22 |
US20130072980A1 (en) | 2013-03-21 |
CN101647724A (zh) | 2010-02-17 |
US20100042154A1 (en) | 2010-02-18 |
ES2527594T3 (es) | 2015-01-27 |
EP2468201B1 (en) | 2014-10-08 |
EP2153785B1 (en) | 2012-12-26 |
EP2468201A1 (en) | 2012-06-27 |
TW201006431A (en) | 2010-02-16 |
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