CN103622733A - Asymmetric type vertebral body expander - Google Patents

Asymmetric type vertebral body expander Download PDF

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Publication number
CN103622733A
CN103622733A CN201310565156.XA CN201310565156A CN103622733A CN 103622733 A CN103622733 A CN 103622733A CN 201310565156 A CN201310565156 A CN 201310565156A CN 103622733 A CN103622733 A CN 103622733A
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CN
China
Prior art keywords
fagging
core bar
supporting plate
rear end
hinged
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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.)
Granted
Application number
CN201310565156.XA
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Chinese (zh)
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CN103622733B (en
Inventor
殷国勇
张宁
任永信
吴剑
金桃
顾鑫磊
余利鹏
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.)
SUZHOU XINRONG BEST MEDICAL INSTRUMENT CO Ltd
Jiangsu Province Hospital
Original Assignee
SUZHOU XINRONG BEST MEDICAL INSTRUMENT CO Ltd
Jiangsu Province Hospital
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Application filed by SUZHOU XINRONG BEST MEDICAL INSTRUMENT CO Ltd, Jiangsu Province Hospital filed Critical SUZHOU XINRONG BEST MEDICAL INSTRUMENT CO Ltd
Priority to CN201310565156.XA priority Critical patent/CN103622733B/en
Publication of CN103622733A publication Critical patent/CN103622733A/en
Application granted granted Critical
Publication of CN103622733B publication Critical patent/CN103622733B/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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/885Tools for expanding or compacting bones or discs or cavities therein
    • A61B17/8852Tools for expanding or compacting bones or discs or cavities therein capable of being assembled or enlarged, or changing shape, inside the bone or disc
    • A61B17/8858Tools for expanding or compacting bones or discs or cavities therein capable of being assembled or enlarged, or changing shape, inside the bone or disc laterally or radially expansible
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • 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
    • A61B2017/564Methods for bone or joint treatment

Abstract

The invention discloses an asymmetric type vertebral body expander which is large in expanding force and stable. The asymmetric type vertebral body expander comprises a core rod, wherein an upper portion supporting plate assembly and a lower portion supporting plate assembly are arranged at the front end of the core rod, and the core rod is sleeved with a core rod sleeve. The upper portion supporting plate assembly comprises an upper portion front supporting plate, an upper portion middle supporting plate and an upper portion rear supporting plate, wherein the upper portion front supporting plate, the upper portion middle supporting plate and the upper portion portion rear supporting plate are sequentially connected through an upper portion front hinge shaft and an upper portion rear hinge shaft. The lower portion supporting plate assembly comprises a lower portion front supporting plate, a lower portion middle supporting plate and a lower portion rear supporting plate, wherein the lower portion front supporting plate, the lower portion middle supporting plate and the lower portion rear supporting plate are sequentially connected through a lower portion front hinge shaft and a lower portion rear hinge shaft, the upper portion front supporting plate, the lower portion front supporting plate and the core rod are hinged to the front hinge shaft, the upper portion rear supporting plate and the lower portion rear supporting plate are hinged to the core rod sleeve, one end of an upper portion supporting rod is hinged to the upper portion rear hinge shaft, the other end of the upper portion supporting rod is hinged to the core rod, one end of a lower portion supporting rod is hinged to the lower portion rear hinge shaft, the other end of the lower portion supporting rod is hinged to the core rod, the expanding height of the upper portion supporting rod is different from the expanding height of the lower portion supporting rod, the rear end of the core rod is connected with a connecting assembly in a handle portion shell, and a handle connecting rod matched with the handle portion shell in a threaded mode is connected to the connecting assembly.

Description

Asymmetric vertebral bone dilator
Technical field
The present invention relates to medical instruments field, the vertebral bone dilator using while relating in particular to the treatment of vertebral body orthomorphia.
Background technology
The vertebral body disease causing because of wound or pathology reason, as: vertebral fracture, intervertebral disc of thoracic vertebra regression, thoracic vertebra pseudarthrosis, thoracic vertebra spondylolishesis etc., need to carry out orthopedic operative treatment conventionally.During surgical operation, need to adopt centrum eurynter by the pyramidal support of lesion, and then be implanted into bone cement the vertebral body strutting.And the vertebral bone dilator using is at present a kind of sacculus bone dilator, its operation principle is: by pressurization, make after inflation pathology pyramidal support.But there is following shortcoming in the balloon vertebral bone dilator using at present: one, due to the characteristic of sacculus compressed air, during pressurization expansion, sacculus compressed air can be to the little position expansion of resistance, this just causes the position that resistance is large to strut insufficient height, thereby causes orthopedic effect undesirable; Two, Intrapyramidal sharp GUSUIPIAN easily punctures sacculus, and the price of sacculus is more expensive, and this has just increased patient's medical burden.
Summary of the invention
The technical issues that need to address of the present invention are: provide a kind of and strut great efforts, can effectively guarantee pyramidal support height, also can carry out the asymmetric asymmetric vertebral bone dilator strutting to pathology vertebral body.
For addressing the above problem, the technical solution used in the present invention is: asymmetric vertebral bone dilator, comprise: core bar, core bar is outside equipped with core bar sleeve pipe, the front end of core bar stretches out from core bar sleeve pipe, core bar front end upper, lower both sides are respectively arranged with top fagging assembly and bottom fagging assembly, top fagging assembly comprises: mutual fagging before the top of amalgamation successively, fagging in the middle of top, top rear stay plate, before the middle fagging in top and top, between fagging and top rear stay plate, by jointed shaft behind jointed shaft before top and top, be hinged respectively, bottom fagging assembly comprises: mutual fagging before the bottom of amalgamation successively, fagging in the middle of bottom, bottom rear stay plate, before the middle fagging in bottom and bottom, between fagging and bottom rear stay plate, by jointed shaft behind jointed shaft before bottom and bottom, be hinged respectively, the front end of fagging before top, before bottom, the front end of fagging and the front end of core bar are all hinged on front jointed shaft, the rear end of top rear stay plate and bottom rear stay plate is hinged and connected to respectively on core bar sleeve pipe, in the middle of top, between the middle fagging in fagging and bottom and core bar, be respectively arranged with top strut and bottom strut, one end of top strut is hinged and connected to behind top on jointed shaft, the other end of top strut is hinged and connected on core bar, one end of bottom strut is hinged and connected to behind bottom on jointed shaft, the other end of bottom strut is hinged and connected on core bar, before described top, in the middle of the top of the size for connection of fagging, top rear stay plate and top strut after guaranteeing to strut, fagging is parallel with core bar, before bottom, in the middle of the bottom of the size for connection of fagging, bottom rear stay plate and bottom strut after guaranteeing to open wide, fagging is parallel with core bar, and in the middle of the top after strutting fagging with different to the distance of core bar from the middle fagging in bottom, the rear end of core bar sleeve pipe is fixedly connected on shank housing, the rear end of core bar stretches in shank housing and is connected with the front end of coupling assembling in shank housing, the rear end of coupling assembling is connected with handle connecting rod, between handle connecting rod and shank housing, threaded engagement is connected, turning handle connecting rod can promote coupling assembling and core bar moves forward or backward, make in the middle of top fagging in the middle of fagging and bottom be separated from each other or mutually draw close, thereby make top fagging assembly and bottom fagging assembly is upper and lower struts or closure mutually.
Further, aforesaid asymmetric vertebral bone dilator, wherein, the structure of coupling assembling, and the concrete syndeton of coupling assembling and handle connecting rod and core bar comprises: interior shaft coupling piece and core bar joint pin, the rear end of interior shaft coupling piece is provided with the rear end installation cavity of collar after oral area band, the front end of interior shaft coupling piece is provided with the front end installation cavity of the front collar of oral area band, the head of handle connecting rod is provided with projection, on the handle connecting rod of projection rear side, be provided with draw-in groove, the projection of handle connecting rod stretches in the rear end installation cavity of interior shaft coupling piece, and in the draw-in groove of the rear collar block on interior shaft coupling piece on handle connecting rod, thereby handle connecting rod connecting rod can be rotated in the installation cavity of rear end and be not separated with rear end installation cavity, the rear end of core bar is fixedly connected on the front end of core bar joint pin, on the rear end step of core bar joint pin, be fixedly installed the spring collar with spring card slot, inwardly pressing spring collar can make to stretch in the front end installation cavity of interior shaft coupling piece together with the rear end of core bar joint pin and the rear end of spring collar, spring collar after unclamping outwards recovers distortion and makes the tight block of front collar on front end installation cavity in spring card slot, thereby the rear end of core bar joint pin is connected with interior shaft coupling piece.
Further, aforesaid asymmetric vertebral bone dilator, wherein, is provided with the fin ring with spacing draw-in groove on the outer wall of interior shaft coupling piece, spacing draw-in groove active card on fin ring is contained on spacing slide rail, and described spacing slide rail is arranged on the inwall of shank housing along the moving direction of core bar.
Beneficial effect of the present invention: simple in structure, production cost is low, strut great efforts and strut stable; In addition,, because strutting of upper and lower fagging assembly is highly different, so just can make vertebral bone dilator be applicable to the strutting of pathology vertebral body of more complex regions.
Accompanying drawing explanation
Fig. 1 is top fagging assembly in asymmetric vertebral bone dilator of the present invention and bottom fagging assembly status architecture schematic diagram when mutually closed.
Fig. 2 is top fagging assembly in asymmetric vertebral bone dilator of the present invention and bottom fagging assembly status architecture schematic diagram when mutually closed.
The specific embodiment
Below in conjunction with accompanying drawing and optimum embodiment, the present invention is described in further detail.
As Fig. 1, shown in Fig. 2, asymmetric vertebral bone dilator, comprise: core bar 18, on core bar 18, be provided with core bar sleeve pipe 8, the front end of core bar 18 stretches out from core bar sleeve pipe 8, core bar 18 front ends upper, lower both sides are respectively arranged with top fagging assembly 19 and bottom fagging assembly 20, top fagging assembly 19 comprises: fagging 10 before the top that amalgamation arranges mutually successively, fagging 9 in the middle of top, top rear stay plate 15, before the middle fagging 9 in top and top, between fagging 10 and top rear stay plate 15, by jointed shaft 22 behind jointed shaft before top 21 and top, be hinged respectively, bottom fagging assembly comprises: fagging 11 before the bottom that amalgamation arranges mutually successively, fagging 12 in the middle of bottom, bottom rear stay plate 16, before the middle fagging 12 in bottom and bottom, between fagging 11 and bottom rear stay plate 16, by jointed shaft 24 behind jointed shaft before bottom 23 and bottom, be hinged respectively, the front end of fagging 10 before top, before bottom, the front end of the front end of fagging 11 and core bar 18 is all hinged on front jointed shaft 25, the rear end of top rear stay plate 15 and bottom rear stay plate 16 is hinged and connected to respectively on core bar sleeve pipe 8, in the middle of top, between the middle fagging 12 in fagging 9 and bottom and core bar 18, be respectively arranged with top strut 14 and bottom strut 13, one end of top strut 14 is hinged and connected to behind top on jointed shaft 22, the other end of top strut 14 is hinged and connected on core bar 18, one end of bottom strut 13 is hinged and connected to behind bottom on jointed shaft 24, the other end of bottom strut 13 is hinged and connected on core bar 18, before described top, in the middle of the top of the size for connection of fagging 10, top rear stay plate 15 and top strut 14 after guaranteeing to strut, fagging 9 is parallel with core bar 8, before bottom, the bottom strut 13 of the size for connection of fagging 11, bottom rear stay plate 16 and bottom strut 13 after guaranteeing to strut is parallel with core bar 8, and the top strut 14 after strutting in the present embodiment to the distance of core bar 18 is less than bottom strut 13 to the distance of core bar 18, the rear end of core bar sleeve pipe 18 is fixedly connected on shank housing 3, the rear end of core bar 18 stretches in shank housing 3 and is connected with the front end of coupling assembling in shank housing 3, the rear end of coupling assembling is connected with handle connecting rod 1, between handle connecting rod 1 and shank housing 3, threaded engagement is connected, turning handle connecting rod 1 can promote coupling assembling and core bar 18 moves forward or backward, make in the middle of top fagging 12 in the middle of fagging 9 and bottom be separated from each other or mutually draw close, thereby make that top fagging assembly 19 and bottom fagging assembly 20 are upper and lower to be strutted or mutually closed.In the present embodiment, the structure of coupling assembling, with and comprise with the concrete syndeton of handle connecting rod 1 and core bar 18: interior shaft coupling piece 4 and core bar joint pin 6, the rear end of interior shaft coupling piece 4 is provided with the rear end installation cavity 42 of collar 41 after oral area band, the front end of interior shaft coupling piece 4 is provided with the front end installation cavity 44 of the front collar 43 of oral area band, the head of handle connecting rod 1 is provided with projection 101, on the handle connecting rod 1 of projection 101 rear sides, be provided with draw-in groove 102, the projection 101 of handle connecting rod 1 stretches in the rear end installation cavity 42 of interior shaft coupling piece 4, and in the draw-in groove 102 of rear collar 41 blocks on interior shaft coupling piece 4 on handle connecting rod 1, thereby handle connecting rod connecting rod 1 can be separated in the interior rotation of rear end installation cavity 42 with rear end installation cavity 42, the rear end of core bar 18 is fixedly connected on the front end of core bar joint pin 6, on the rear end step of core bar joint pin 6, interlock is provided with the spring collar 61 with spring card slot 611, inwardly pressing spring collar 61 can make to stretch in the front end installation cavity 44 of interior shaft coupling piece 4 together with the rear end of core bar joint pin 6 and the rear end of Spring Card certificate 61, spring collar after unclamping 61 outwards recovers distortion and makes the tight block of front collar 43 on front end installation cavity 44 in spring card slot 611, thereby the rear end of core bar joint pin 6 is connected with interior shaft coupling piece 4.In order to prevent that interior shaft coupling piece 4 is in the interior rotation of shank housing 3, on the outer wall of interior shaft coupling piece 4, be provided with the fin ring 46 of spacing draw-in groove, spacing draw-in groove active card on fin ring 46 is contained on spacing slide rail 31, and described spacing slide rail 31 is arranged on the inwall of shank housing 1 along the moving direction of core bar 18.
Operation principle is as follows: during original state, top fagging assembly 19 and bottom fagging assembly 20 are in mutual closure state, now one hold shank housing 3, proficiency turning handle connecting rod 1, core bar 18 is moved backward with respect to shank housing 3, thereby fagging 11 before fagging before top 10 and bottom is made progress respectively, lower both sides strut, thereby drive top strut 14 and top rear stay plate 15 upwards to strut gradually, drive bottom strut 13 and bottom rear stay plate 16 to strut downwards simultaneously, in the middle of top, in the middle of fagging 9 and bottom, fagging 12 is just softened respectively like this, in actual mechanical process, can be according to different needs, by turning handle connecting rod 1, they are adjusted to and differently strut height, make them be asymmetric softened state.Above-mentioned expanding structure is stable and strut great efforts, pathology vertebral body effectively can be strutted to correcting height, and because strutting of top strut 14 is highly less than strutting highly of bottom strut 13, therefore, the strutting of highly highly not symmetrical with strutting of lower fagging assembly 20 and top fagging assembly 19 that strut of top fagging assembly 19 is highly less than strutting highly of bottom fagging assembly 20, strutting so asymmetrically mode can more effectively strut pathology vertebral body, and is applicable to how complicated pathology vertebral body position.Reverse rotation handle connecting rod 1 can make top fagging assembly 19 and bottom fagging assembly 20 recover mutual closure state.

Claims (3)

1. asymmetric vertebral bone dilator, comprise: core bar, core bar is outside equipped with core bar sleeve pipe, it is characterized in that: the front end of core bar stretches out from core bar sleeve pipe, core bar front end upper, lower both sides are respectively arranged with top fagging assembly and bottom fagging assembly, top fagging assembly comprises: mutual fagging before the top of amalgamation successively, fagging in the middle of top, top rear stay plate, before the middle fagging in top and top, between fagging and top rear stay plate, by jointed shaft behind jointed shaft before top and top, be hinged respectively, bottom fagging assembly comprises: mutual fagging before the bottom of amalgamation successively, fagging in the middle of bottom, bottom rear stay plate, before the middle fagging in bottom and bottom, between fagging and bottom rear stay plate, by jointed shaft behind jointed shaft before bottom and bottom, be hinged respectively, the front end of fagging before top, before bottom, the front end of fagging and the front end of core bar are all hinged on front jointed shaft, the rear end of top rear stay plate and bottom rear stay plate is hinged and connected to respectively on core bar sleeve pipe, in the middle of top, between the middle fagging in fagging and bottom and core bar, be respectively arranged with top strut and bottom strut, one end of top strut is hinged and connected to behind top on jointed shaft, the other end of top strut is hinged and connected on core bar, one end of bottom strut is hinged and connected to behind bottom on jointed shaft, the other end of bottom strut is hinged and connected on core bar, before described top, in the middle of the top of the size for connection of fagging, top rear stay plate and top strut after guaranteeing to strut, fagging is parallel with core bar, before bottom, in the middle of the bottom of the size for connection of fagging, bottom rear stay plate and bottom strut after guaranteeing to open wide, fagging is parallel with core bar, and in the middle of the top after strutting fagging with different to the distance of core bar from the middle fagging in bottom, the rear end of core bar sleeve pipe is fixedly connected on shank housing, the rear end of core bar stretches in shank housing and is connected with the front end of coupling assembling in shank housing, the rear end of coupling assembling is connected with handle connecting rod, between handle connecting rod and shank housing, threaded engagement is connected, turning handle connecting rod can promote coupling assembling and core bar moves forward or backward, make in the middle of top fagging in the middle of fagging and bottom be separated from each other or mutually draw close, thereby make top fagging assembly and bottom fagging assembly is upper and lower struts or closure mutually.
2. asymmetric vertebral bone dilator according to claim 1, it is characterized in that: the structure of coupling assembling, and the concrete syndeton of coupling assembling and handle connecting rod and core bar comprises: interior shaft coupling piece and core bar joint pin, the rear end of interior shaft coupling piece is provided with the rear end installation cavity of collar after oral area band, the front end of interior shaft coupling piece is provided with the front end installation cavity of the front collar of oral area band, the head of handle connecting rod is provided with projection, on the handle connecting rod of projection rear side, be provided with draw-in groove, the projection of handle connecting rod stretches in the rear end installation cavity of interior shaft coupling piece, and in the draw-in groove of the rear collar block on interior shaft coupling piece on handle connecting rod, thereby handle connecting rod connecting rod can be rotated in the installation cavity of rear end and be not separated with rear end installation cavity, the rear end of core bar is fixedly connected on the front end of core bar joint pin, on the rear end step of core bar joint pin, be fixedly installed the spring collar with spring card slot, inwardly pressing spring collar can make to stretch in the front end installation cavity of interior shaft coupling piece together with the rear end of core bar joint pin and the rear end of spring collar, spring collar after unclamping outwards recovers distortion and makes the tight block of front collar on front end installation cavity in spring card slot, thereby the rear end of core bar joint pin is connected with interior shaft coupling piece.
3. asymmetric vertebral bone dilator according to claim 2, it is characterized in that: on the outer wall of interior shaft coupling piece, be provided with the fin ring with spacing draw-in groove, spacing draw-in groove active card on fin ring is contained on spacing slide rail, and described spacing slide rail is arranged on the inwall of shank housing along the moving direction of core bar.
CN201310565156.XA 2013-11-14 2013-11-14 Asymmetric type vertebral body expander Active CN103622733B (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105534626A (en) * 2016-03-08 2016-05-04 别永江 Spiral vessel dilator and special implanting operation tool thereof
CN105616046A (en) * 2016-03-08 2016-06-01 王爱香 Vascular dilator implanting tool with locking mechanism
CN110495943A (en) * 2019-09-19 2019-11-26 遵义医学院附属医院 A kind of minimal invasion reduction of the fracture device
TWI711424B (en) * 2019-11-06 2020-12-01 台灣微創醫療器材股份有限公司 Operating tool for spinal implant
CN112641503A (en) * 2020-12-25 2021-04-13 山西白求恩医院(山西医学科学院) Tumor radio frequency ablation device

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CN201356638Y (en) * 2009-03-11 2009-12-09 吴乃庆 Centrum eurynter
CN201847760U (en) * 2010-11-11 2011-06-01 李云峰 Vertebral column centrum expanding device
US8425558B2 (en) * 2008-06-06 2013-04-23 Providence Medical Technology, Inc. Vertebral joint implants and delivery tools
CN203598026U (en) * 2013-11-14 2014-05-21 江苏省人民医院 Asymmetric vertebral body expander

Patent Citations (5)

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Publication number Priority date Publication date Assignee Title
CN1748654A (en) * 2005-09-19 2006-03-22 吴乃庆 Bone dilator
US8425558B2 (en) * 2008-06-06 2013-04-23 Providence Medical Technology, Inc. Vertebral joint implants and delivery tools
CN201356638Y (en) * 2009-03-11 2009-12-09 吴乃庆 Centrum eurynter
CN201847760U (en) * 2010-11-11 2011-06-01 李云峰 Vertebral column centrum expanding device
CN203598026U (en) * 2013-11-14 2014-05-21 江苏省人民医院 Asymmetric vertebral body expander

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105534626A (en) * 2016-03-08 2016-05-04 别永江 Spiral vessel dilator and special implanting operation tool thereof
CN105616046A (en) * 2016-03-08 2016-06-01 王爱香 Vascular dilator implanting tool with locking mechanism
CN105534626B (en) * 2016-03-08 2017-11-21 别永江 Spiral vessel dilator and its special implant surgery instrument
CN110495943A (en) * 2019-09-19 2019-11-26 遵义医学院附属医院 A kind of minimal invasion reduction of the fracture device
TWI711424B (en) * 2019-11-06 2020-12-01 台灣微創醫療器材股份有限公司 Operating tool for spinal implant
CN112773495A (en) * 2019-11-06 2021-05-11 台湾微创医疗器材股份有限公司 Operating tool of vertebral body opening implant and operating method thereof
US11399964B2 (en) 2019-11-06 2022-08-02 Wiltrom Co., Ltd. Operating instrument and method for spinal implant
CN112641503A (en) * 2020-12-25 2021-04-13 山西白求恩医院(山西医学科学院) Tumor radio frequency ablation device

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