CN105193482B - Fibula truncated position prevents bone fusion connecting device - Google Patents
Fibula truncated position prevents bone fusion connecting device Download PDFInfo
- Publication number
- CN105193482B CN105193482B CN201510541037.XA CN201510541037A CN105193482B CN 105193482 B CN105193482 B CN 105193482B CN 201510541037 A CN201510541037 A CN 201510541037A CN 105193482 B CN105193482 B CN 105193482B
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- Prior art keywords
- fibula
- truncated
- elastic portion
- convergence part
- connecting device
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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
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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
- A61B2017/564—Methods for bone or joint treatment
-
- 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
- A61B2017/681—Alignment, compression, or distraction mechanisms
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
A kind of fibula truncated position prevents bone fusion connecting device from including:First convergence part, it is located at lateral of tibia and the truncated end of fibula first through blocking to be connected;And second convergence part, to be connected the second truncated end of the fibula;And an elastic portion, it is connected between first and second convergence part, makes the elastic portion can be because of the active force between first and second convergence part, and elastic deformation;The both ends of fibula truncated position are engaged on by the present invention in this way, the fibula that effectively can prevent from being truncated merges once again in rigidity, to remove the support force of patient's lateral of tibia, tibial plateau is uniformly settled.
Description
Technical field
Bone fusion connecting device is prevented the invention relates to a kind of fibula truncated position, it is espespecially a kind of to be applied to linking warp
The fibula both ends blocked, and can once again be merged, reduced to shin bone in rigidity with the fibula for effectively preventing from being truncated with outer force deformation
The bracing force in outside, and pin down by the connecting device for blocking fibula.
Background technology
Pathologic changes of knee joint, most of is caused by wound, degeneration or osteoporosis etc. reason;At present for treatment
Pathologic changes of knee joint, most of is using the method for changing joint prosthesis, releases patient's focus, but due to changing joint prosthesis hand
Art, it is necessary to cut off the most bone of patient, sufferer must cut larger wound so that such operation has larger wind
The shortcomings that danger and slower recovery.
Recent medical circles, for the inner side pathologic changes of knee joint caused by osteoporosis, propose " knee joint differential settlement " reason
By the theory is pointed out, after osteoporosis or the degeneration of human tibia, can produce sedimentation phenomenon, but outer due to human tibia
Side, supported by fibula, therefore differential settlement can occur for tibial plateau, the gravity for being born human body, can be towards tibial medial
Skew, thus lesion on the inside of caused knee joint, cause patient's gonalgia, discomfort.According to the theory, for such lesion
Settling mode, it is that will bestow to block operation positioned at the fibula of lateral of tibia, that is, removes the support of lateral of tibia, make tibial plateau can
To obtain uniform sedimentation, and make tibial medial release of pressure, sufferer thus can obtain that solution is slow, removes therefore knee produced by class focus
Joint pain and sense of discomfort.
In the right above method, after the fibula of patient blocks, the fibula after blocking can be given by having no appropriate interface components
To limit, be connected;Connected according to the known rigid plate for being widely used in orthopaedics, by the fibula for making to be truncated again once again in rigidity fusion
Together, the meaning for blocking fibula is lost;Edge this, patient is in the recuperation after blocking fibula, and fibula is in the leg of patient
It is interior, drawn and swung, displacement by muscle, or appoint fibula arbitrarily to be grown in the bone tissue of truncated end, it is not restricted;Also because such as
This, patient simultaneously can not obtain stabilization, good expection restoration result, increase the risk of operative failure on foot.
In addition, clinically, there are some patientss after for many years, due to the fibula place of being truncated more convergence, and do not have
Effectively separated, because settlement action makes the truncated end of fibula two of separation originally, contact again, cause fibula in truncated position
Fusion is produced, support force is produced to lateral of tibia again, makes shin bone that differential settlement occur again, and makes patient's tibial medial ache
Focus recurs, and causes Endodontic failure.
In view of this inventor, is plus gives research, that discloses fibula truncated position shown in the present invention prevents bone fusion
Connecting device.
The content of the invention
What the purpose of the present invention aimed to provide a kind of fibula truncated position prevents bone fusion connecting device, is to include:One first
Convergence part, to be connected the first truncated end of the fibula truncated position;One second convergence part, to be connected the of the fibula truncated position
Two truncated ends;And an elastic portion, it is connected between first and second convergence part, makes the elastic portion be acted on by first and second convergence part
Power and elastic deformation;Can not be in this way firm to be connected the fibula in the fibula both ends being truncated, making to be truncated by the present invention
Property engagement or fusion, with the characteristic of outer force deformation the fibula that is connected can be made no longer to be produced to the outside of shin bone by the elastic portion
Raw powerful support force, and remove the support of patient's lateral of tibia, it is ensured that tibial plateau is equably settled, to eliminate patient
Tibial medial, which suffers oppression, produces the focus ached, and can solve the problems, such as that fibula truncated end is arbitrarily swung.
Disclosed fibula truncated position prevents bone fusion connecting device, wherein first and second convergence part, can make
From metal material, polymeric material or ceramic material, its one end is made to be embedded in respectively in the elastic portion;Above-mentioned first and second convergence part,
Fixing hole can be respectively equipped with, allows first and second convergence part respectively by screw locking on the fibula.
Disclosed fibula truncated position prevents bone fusion connecting device, and wherein first convergence part, its one end are embedding
In the elastic portion;And second convergence part, it is to slide to be placed in a cunning cave of the elastic portion, and make the elastic portion radially wear
There is one group of cave, make this group of cave radially connect the cunning cave, in this way can be by instrument, to stretch into this group of cave, and be pushed outwardly
Sliding the second convergence part being placed in the cunning cave.
Disclosed fibula truncated position prevents bone fusion connecting device, wherein first convergence part, provided with first
Cave is covered, to be socketed the first truncated end of the fibula in interior, and second convergence part, provided with second set of cave, to be socketed the calf
Second truncated end of bone is in interior, and to pin down the fibula displacement being truncated, and the truncated position freshman bone tissue for limiting fibula is arbitrarily raw
It is long.
Disclosed fibula truncated position prevents bone fusion connecting device, wherein first and second convergence part and the bullet
Property portion, can be integrally formed, and the elastic portion can be in solid shape or hollow tube shape by such as silica gel elastomeric material.
Disclosed fibula truncated position prevents bone fusion connecting device, and it can be in hollow form that wherein the elastic portion, which is,
It is placed into a solid elastomeric post or inserts silica gel in the elastic portion.Or in the elastic portion in hollow tube shape, it is equipped with
One stuffing hole, hole is inserted by this, to inject such as silica gel elastic filler in the elastic portion.
Disclosed fibula truncated position prevents bone fusion connecting device, wherein the elastic portion, is that can be set in this
Between first and second convergence part;Or it is to be integrally formed to make first convergence part and the elastic portion, and second convergence part be sliding sleeve in
First convergence part and elastic portion outer rim.
Disclosed fibula truncated position prevents bone fusion connecting device, wherein in the first and second convergence part outer rim,
Multiple tracks bead ring is equipped with, to avoid first and second convergence part from being split, as the present invention during fibula is socketed
Reinforced structure, the foundation that can also use length to be cut as different sufferers in addition.
Disclosed fibula truncated position prevents bone fusion connecting device, and wherein the elastic portion is provided with compression groove, makes
It the both ends of the elastic portion, can relatively be compressed axially, the present invention can be satisfactorily implanted between the both ends of the fibula truncated position.
Disclosed fibula truncated position prevents bone fusion connecting device, and wherein first convergence part can be in tapering nail
Shape or isometrical column, to be inserted in the ossis of the truncated end of fibula first;Second convergence part also can be in tapering nail
Shape or isometrical column, to be inserted in the ossis of the truncated end of fibula second.
The desirable entity of the present invention, can be by the following description and accompanying drawings formula, and is able to apparent.
Brief description of the drawings
Fig. 1 is first embodiment of the invention stereogram;
Fig. 2 is embodiment illustrated in fig. 1 application state schematic diagram;
Fig. 3 is second embodiment of the invention stereogram;
Fig. 4 is relative compression embodiment illustrated in fig. 3 schematic diagram;
Fig. 5 is embodiment illustrated in fig. 3 application state figure;
Fig. 6 is third embodiment of the invention schematic diagram;
Fig. 7 is fourth embodiment of the invention schematic diagram;
Fig. 8 is to stretch out the second convergence part schematic diagram from Fig. 7;
Fig. 9 is fifth embodiment of the invention stereogram;
Figure 10 is embodiment illustrated in fig. 9 application state schematic diagram;
Figure 11 is sixth embodiment of the invention stereogram;
Figure 12 is from embodiment illustrated in fig. 11 application state figure;
Figure 13 is seventh embodiment of the invention schematic diagram:
Figure 14 is eighth embodiment of the invention schematic diagram;
Figure 15 is ninth embodiment of the invention schematic diagram;
Figure 16 is tenth embodiment of the invention schematic diagram;
Figure 17 is eleventh embodiment of the invention schematic diagram;
Figure 18 is twelveth embodiment of the invention stereogram;And
Figure 19 is embodiment illustrated in fig. 18 application state schematic diagram.
Fig. 1 references into Figure 19 are:
11st, the first convergence part 110, fixing hole 111, first set cave
112nd, embedding ditch or embedding hole 12, the second convergence part 120, fixing hole
121st, second set of cave 122, embedding ditch or embedding hole 13, elastic portion
13a and 13b, compression groove 130, sliding cave 131, stuffing hole
132nd, elastic solid post 133, group cave 14, filler
15th, bead ring C, syringe F, fibula
F1, the first truncated end F11, ossis F2, the second truncated end
F21, ossis S, instrument T, shin bone
Embodiment
Refer to shown in Fig. 1~19, bone fusion connecting device bag is prevented the invention relates to a kind of fibula truncated position
Include:One first convergence part 11, to be connected the first truncated end F1 person of fibula F truncated positions;One second convergence part 12, to hold in the mouth
Meet the second truncated end F2 person of fibula F truncated positions;And an elastic portion 13, it is connected between first and second convergence part 11,12,
And by first and second convergence part 11,12 active force and elastic deformation;In this way can be so that the present invention to be connected in being truncated fibula F
First and second truncated end F1, F2, with the characteristic of outer force deformation the fibula F being connected can be made not to be in by elastic portion 13 of the present invention
Rigid bone, eliminate to the support force on the outside of shin bone T, ensure that tibial plateau is equably settled, make patient's tibial medial by
Compressing produces the focus ached and is eliminated;The present invention can effectively pin down and isolate the both ends for being truncated fibula F, can solve
The problem of fibula F truncated ends arbitrarily swing or are merged again because of contact once again, and show its novelty.
As shown in Figure 1, 2, disclosed fibula truncated position prevents bone fusion connecting device, wherein this first and second
Convergence part 11,12, its one end is made to be embedded in the elastic portion 13;Above-mentioned first and second convergence part 11,12, can be respectively equipped with fixation
Hole 110,120, allow first and second convergence part 11,12 respectively by screw locking on fibula F.
As seen in figures 3-5, disclosed fibula truncated position prevents bone fusion connecting device, wherein first rank
It can be in tapering spike or isometrical column that socket part 11, which is, to be inserted in the fibula the first truncated ends of F F1 ossis F11
In;It can be in tapering spike or isometrical column that second convergence part 12, which is, to be inserted in the fibula the second truncated ends of F F2's
In ossis F21.
Above-mentioned elastic portion 13, spiral compression groove 13a as shown in Figure 3 can be provided with;It is or elastic as shown in Figure 6
The compression groove 13b that portion 13 is provided with most wears grooves or depression is formed, makes the elastic portion 13 to be relatively compressed axially from both ends,
And shorten the spacing positioned at first and second convergence part 11,12;When application, it can be held on the present invention's by instrument S1, S2
Both ends [or such as Fig. 4, make the instrument S1, S2 penetrate default embedded in the place of elastic portion 13 in first and second convergence part 11,12
In hole], when relative and after close instrument S1, S2, can the elastic compression elastic portion 13 compression groove 13a or 13b, make this hair
It is bright to be satisfactorily implanted between rear fibula F first and second truncated end F1, F2 is blocked, and insert first and second convergence part 11,12
In ossis F11, F21 for entering fibula F, as shown in Figure 5.
As shown in Figure 7,8, disclosed fibula truncated position prevents bone fusion connecting device, wherein first linking
Portion 11, its one end are embedded in the elastic portion 13;Second convergence part 12, it is that the sliding elastic portion 13 1 that is placed in is slided in cave 130, and makes
The elastic portion 13 is radially equipped with one group of cave 133, makes this group of cave 133 radially connect the cunning cave 130, in this way can be by a work
Tool, after being stretched into from this group of cave 133, is pushed outwardly the second convergence part 12 in the cunning cave 130, inserts it into corresponding fibula F
Ossis F21 in.
As shown in Fig. 9,10, wherein first convergence part 11 provided with first set cave 111, is located at lateral of tibia to be socketed
And through blocking fibula F the first truncated end F1 in interior;Second convergence part 12, provided with second set of cave 121, to be socketed through blocking
Fibula F the second truncated end F2 is in interior;Because fibula F first and second truncated end F1, F2 is first and second convergence part 11,12
It is socketed, therefore it is possible to prevente effectively from fibula F truncated positions arbitrarily grow or contacted during recovery, fusion phenomenon occurs.
As shown in Figure 10,11, disclosed fibula truncated position prevents bone fusion connecting device, wherein this first,
Two convergence parts 11,12 and the elastic portion 13, can be integrally formed by such as silica gel elastomeric material, and form a hollow tube, order
The first end of the hollow tube, axially recessed first set cave 111 is defined as first convergence part 11, and the hollow tube
The second end, axially recessed second set of cave 121 be defined as second convergence part 12, and in first and second convergence part 11,
Between 12, define to form the elastic portion 13.
As shown in Figure 11,12, disclosed fibula truncated position prevents bone fusion connecting device, and be can be in hollow
In the elastic portion 13 of tubulose, a solid elastomeric post 132 is inserted, the solid elastomeric post 132 can be made from silica gel or other elastic materials
Matter.
Disclosed fibula truncated position prevents bone fusion connecting device, and wherein the elastic portion 13 can be hollow tube
Shape, and insert the fillers such as silica gel 14.As shown in figure 13, it is in hollow form that wherein the elastic portion 13, which is, and is equipped with a stuffing hole
131, can be by syringe C after first and second convergence part 11,12 is socketed on fibula first and second truncated ends F1, F2 of F being truncated
Follow the stuffing hole 131 and inject such as silica gel filler 14 in the elastic portion 13.
As shown in figure 14, disclosed fibula truncated position prevents bone fusion connecting device, wherein first and second rank
Socket part 11,12 and the elastic portion 13, can be integrally formed by silica gel elastomeric material, make its first end axially recessed first set
Cave 111, first convergence part 11 is defined as, and axially recessed second set of cave 121 is defined as second linking at its second end
Portion 12, and between first and second convergence part 11,12, define to form the elastic portion 13, and the elastic portion 13 is in solid shape person.
As shown in figure 15, disclosed fibula truncated position prevents bone fusion connecting device, wherein first and second rank
Socket part 11,12 and the elastic portion 13, can be integrally formed by elastomeric material, in first and second convergence part 11,12 outer rims, be equipped with
Multiple tracks bead ring 15, to avoid first and second convergence part 11,12 from splitting, also may be used in addition during fibula F is socketed
The foundation that length cut is used as different sufferers.
As shown in figure 16, disclosed fibula truncated position prevents bone fusion connecting device, wherein first linking
Portion 11 is to be integrally formed with the elastic portion 13, and second convergence part 12 be can sliding sleeve in first convergence part 11 and elastic portion 13
Outside.Or shown in Figure 17, still all right to make the elastic portion 13 be set between first and second convergence part 11,12.By above-mentioned each inter-module
Adjustment can be mutually slided, the installation length that the present invention can be made to be applied to required for different patients.
As shown in Figure 18,19, disclosed fibula truncated position prevents bone fusion connecting device, wherein this first,
Two convergence parts 11,12, the metal material such as titanium alloy freely can be made, and the elastic portion 13 makes silica gel elastomeric material freely, order should
Rabbet first and second convergence part 11,12 respectively in the both ends of elastic portion 13.Above-mentioned first and second convergence part 11,12, is respectively equipped with embedding
Ditch or embedding hole 112,122, when making the shaping elastic portion 13, the elastic portion 13 can be embedded in the embedding ditch or embedding hole 112,122, with
It is fixedly combined first and second convergence part 11,12 and elastic portion 13.
Disclosed fibula truncated position prevents bone fusion connecting device, and fibula F is truncated due to that can be engaged on
Both ends, in non-rigid linking, make the present invention can with external force elastic deformation, therefore can effectively eliminate the support force on the outside of shin bone T,
Avoid fibula F from being truncated the bone tissue at end arbitrarily to grow, can also limit and be truncated any displacement of fibula, and can stop and be truncated
Fibula once again because of contact fusion again together, cure chance to promote patient, and show the novelty and progressive of the present invention.
Disclosed structure, shape, application, this hair can be modified under the spirit and scope of the present invention in not disobeying
It is bright not to be limited to above-mentioned embodiment certainly.
Claims (11)
1. a kind of fibula truncated position prevents bone fusion connecting device, it is characterised in that including:
One first convergence part, to be connected the first truncated end of the fibula truncated position;
One second convergence part, to be connected the second truncated end of the fibula truncated position;And
One elastic portion, it is connected between first and second convergence part, makes the elastic portion elastic by the active force of first and second convergence part
Deformation;
Wherein the first convergence part, provided with first set cave, to be socketed the first truncated end of the fibula in interior;Second convergence part,
Provided with second set of cave, to be socketed the second truncated end of the fibula in interior.
2. fibula truncated position prevents bone fusion connecting device according to claim 1, it is characterised in that:First and second rank
Socket part, its one end is made to be embedded in respectively in the elastic portion.
3. a kind of fibula truncated position prevents bone fusion connecting device, it is characterised in that including:
One first convergence part, to be connected the first truncated end of the fibula truncated position;
One second convergence part, to be connected the second truncated end of the fibula truncated position;And
One elastic portion, it is connected between first and second convergence part, makes the elastic portion elastic by the active force of first and second convergence part
Deformation;
Wherein first convergence part, its one end are embedded in the elastic portion;Second convergence part, it is the sliding cunning for being placed in the elastic portion
In cave, and make the elastic portion radially be equipped with one group of cave, make this group of cave radially connect the cunning cave.
4. fibula truncated position prevents bone fusion connecting device according to claim 1, it is characterised in that:First and second rank
Socket part and the elastic portion, are integrally formed, the elastic portion is in solid shape or hollow tube shape by elastomeric material.
5. fibula truncated position prevents bone fusion connecting device according to claim 1, it is characterised in that:The elastic portion is to be in
Hollow tube shape, and it is equipped with a stuffing hole.
6. fibula truncated position prevents bone fusion connecting device according to claim 1, it is characterised in that:The elastic portion is to wear
It is placed between first and second convergence part.
7. fibula truncated position prevents bone fusion connecting device according to claim 1, it is characterised in that:First convergence part
It is to be integrally formed with the elastic portion, and second convergence part is sliding sleeve in first convergence part and elastic portion outer rim.
8. bone fusion connecting device is prevented according to the fibula truncated position of claim 1 or 5, it is characterised in that:The elastic portion
It is in hollow form to be, is placed into a solid elastomeric post or inserts silica gel in the elastic portion.
9. fibula truncated position prevents bone fusion connecting device according to claim 4, it is characterised in that:First and second rank
Socket part outer rim, it is equipped with multiple tracks bead ring.
10. bone fusion connecting device is prevented according to the fibula truncated position of claim 2 or 4, it is characterised in that:The elastic portion
With compression groove, make the both ends of the elastic portion can relatively be compressed axially.
11. fibula truncated position prevents bone fusion connecting device according to claim 3, it is characterised in that:First linking
Portion is in tapering spike or isometrical column, to be inserted in the ossis of the truncated end of fibula first;Second convergence part
In tapering spike or isometrical column, to be inserted in the ossis of the truncated end of fibula second.
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CN201510541037.XA CN105193482B (en) | 2015-08-28 | 2015-08-28 | Fibula truncated position prevents bone fusion connecting device |
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CN201510541037.XA CN105193482B (en) | 2015-08-28 | 2015-08-28 | Fibula truncated position prevents bone fusion connecting device |
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CN105193482B true CN105193482B (en) | 2017-11-28 |
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Families Citing this family (3)
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CN105496531B (en) * | 2016-02-04 | 2017-11-28 | 宝楠生技股份有限公司 | Fibula is fixed on the fixing device of shin bone again after blocking |
CN108652725A (en) * | 2018-05-23 | 2018-10-16 | 江苏艾为康医疗器械科技有限公司 | Elastic pinning for cross locking marrow nail |
CN111434321A (en) * | 2019-01-11 | 2020-07-21 | 宝楠生技股份有限公司 | Fusion-preventing member for fibula amputation |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN1276194A (en) * | 1999-06-07 | 2000-12-13 | 贺西京 | Artificial fibula |
CN102106750A (en) * | 2011-02-17 | 2011-06-29 | 上海微创骨科医疗科技有限公司 | Spinal column dynamic connection rod |
CN202714905U (en) * | 2012-06-08 | 2013-02-06 | 张英泽 | Bionic elastic fixing device |
Family Cites Families (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20050085814A1 (en) * | 2003-10-21 | 2005-04-21 | Sherman Michael C. | Dynamizable orthopedic implants and their use in treating bone defects |
US9795426B2 (en) * | 2013-03-07 | 2017-10-24 | DePuy Synthes Products, Inc. | Implants |
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2015
- 2015-08-28 CN CN201510541037.XA patent/CN105193482B/en not_active Expired - Fee Related
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN1276194A (en) * | 1999-06-07 | 2000-12-13 | 贺西京 | Artificial fibula |
CN102106750A (en) * | 2011-02-17 | 2011-06-29 | 上海微创骨科医疗科技有限公司 | Spinal column dynamic connection rod |
CN202714905U (en) * | 2012-06-08 | 2013-02-06 | 张英泽 | Bionic elastic fixing device |
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Granted publication date: 20171128 Termination date: 20190828 |