CN106725781A - A kind of vertebra bone anchor and its application method - Google Patents

A kind of vertebra bone anchor and its application method Download PDF

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Publication number
CN106725781A
CN106725781A CN201611061642.8A CN201611061642A CN106725781A CN 106725781 A CN106725781 A CN 106725781A CN 201611061642 A CN201611061642 A CN 201611061642A CN 106725781 A CN106725781 A CN 106725781A
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fixed
eyelid retractor
upper frame
vertebra
cable
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CN201611061642.8A
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CN106725781B (en
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不公告发明人
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Jiangsu Ideal Medical Science & Technology Co ltd
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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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • 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
    • A61B17/60Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66Alignment, compression or distraction mechanisms
    • 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7053Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant with parts attached to bones or to each other by flexible wires, straps, sutures or cables
    • 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7074Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • 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
    • 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B2017/7073Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant with intervertebral connecting element crossing an imaginary spinal median surface

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Neurology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

The present invention relates to a kind of vertebra bone anchor and its application method, including pitman and at least two fixed knots, fixed knot includes external vertebra upper frame and eyelid retractor, eyelid retractor is a developed surface for arc, some and developed surface longitudinal axis orthogonal hollow slots are provided with the developed surface of cambered surface, fix bar is provided with hollow slots, at least one fixed block is each provided with the both sides of fix bar, fixed cable is provided between fixed block;A column is provided with the middle part of eyelid retractor, external vertebra upper frame is provided with column, external vertebra upper frame includes a curved support face coaxial with the developed surface of eyelid retractor;The support frame for spinal fixation is surrounded between fixed cable and curved support face between fixed knot;The mounting hole of one and curved support face diameter parallel is provided with the column of eyelid retractor, eyelid retractor is linked together by the pitman in mounting hole.

Description

A kind of vertebra bone anchor and its application method
Technical field
It is fixed outside the bone of rib fixation with being related to a kind of use cable to carry out the present invention relates to a kind of vertebra bone anchor Device.
Background technology
During the orthopaedics therapies such as fracture, postoperative to penetrate epidermis frequently by various supports, bone is fixed to be made Recovery, after recovery, then by trauma operation, support is removed, whole process needs to carry out Repeated Operation, to human body The wound that muscle and skin portion bring is than larger, and the convalescence after Miles operation is also long, while traditional support is to osseous part band The compressing for coming and wound are all than larger;
To this currently on the market, there is provided wound degree and reduction operation number of times when much can to a certain extent reduce operation, together When can accelerate again healing orthopedic fixer, such as invention of Patent No. ZL201120537796.6, where it is proposed one kind For the steel wire of bone portion parcel, this steel wire is reduced to bone by setting absorbable material protective case in Steel Wire Surface Damage, reduce the probability of bone ischemic necrosis, but itself still realizes the fixation of osseous part by way of repeatedly winding, in bone After bone recovers, remove on the brought skin of steel wire operation and muscle bed still very greatly, it is necessary to the long time is recovered;
For another example with a kind of entitled patents of invention of kneecap external fixing rack of ZL201420132756.7, wherein it is also proposed a kind of micro- Fixed mount outside the bone of wound, this structure compares similar to the fixed structure of steel nail for commonly using now, its master Syllabus is to realize that multi-faceted osseous part is fixed, while the wound that thin steel nail brings to human body is also smaller, can be avoided secondary Injury and infection that operation brings to human body are taken out, but in its technical scheme, steel nail plays main supporting role, in order to ensure Its certain support performance(That is bending strength)So steel nail cannot do in itself it is thin as acupuncture needle, so its steel nail is to people Body surface skin and flesh wound degree reduce or than relatively limited, and steel nail is in itself because its volume reason and special life Physical performance reason, if being made using titanium alloy etc materials, difficulty of processing and cost are all higher, if given birth to using some If the preferable polymer of physical performance makes, its intensity cannot ensure again, while the main eyelid retractor of the invention is an annular gold Category plate, during installation, the limbs portion that can treat operation brings and blocks, and installing can be relatively difficult, cannot also realize the standard in the case where X-ray shines Really install;
So in sum, bone external stability utensil of the prior art still has the deficiency of many, such as:Band is installed The wound come, secondary taking-up operation wound, cost cannot be reduced, installation difficulty is big.
The content of the invention
The technical problem to be solved in the present invention is:Overcome prior art medium-height trestle that big, fixed operation complexity of wound etc. is installed Technical problem, there is provided a kind of smaller to setter wound, it is possible to reduce even without the Orthopedic fixing support of second operation.
The technical solution adopted for the present invention to solve the technical problems is:
A kind of vertebra bone anchor, including pitman and at least two fixed knots, the fixed knot include external vertebra upper frame and Eyelid retractor, the eyelid retractor is a developed surface for arc, and some and developed surface longitudinal axis is provided with the developed surface of cambered surface The vertical hollow slots of line, fix bar is provided with the hollow slots, and at least one fixed block is each provided with the both sides of fix bar, Fixed cable is provided between the fixed block;
A column is provided with the middle part of the eyelid retractor, external vertebra upper frame, the external vertebra are provided with the column Upper frame includes a curved support face coaxial with the developed surface of eyelid retractor;
The support frame for spinal fixation is surrounded between fixed cable and curved support face between the fixed knot;
The mounting hole of one and curved support face diameter parallel is provided with the column of the eyelid retractor, the eyelid retractor passes through Pitman in mounting hole links together.
Used as further innovation of the invention, the external vertebra upper frame is made of elastomeric material.
Used as further innovation of the invention, the fixed block includes a fixing hole for being used to fix fixed cable, institute State and lock-screw A is provided with the side wall of fixing hole.
Used as further innovation of the invention, the fixed block includes a sliding eye for being used to be socketed with fix bar, institute State and lock-screw B is provided with the side wall of sliding eye.
Used as further innovation of the invention, the fixed cable includes elastic threads, and the material of the elastic threads has life Thing compatibility.
Used as further innovation of the invention, the elastic threads is made of aliphatic polyester.
Used as further innovation of the invention, the elastic threads middle part is provided with reinforced metal cable, the reinforced metal The material of cable has biocompatibility.
Used as further innovation of the invention, the reinforced metal cable is made of titanium alloy.
Used as further innovation of the invention, the pitman is made of aluminium alloy.
The beneficial effects of the invention are as follows:
1st, the present invention using fixed cable and curved support face cooperation, by the smaller elastic threads of diameter curved support face with Under the support of arc developed surface, one or several skeletal support frameworks are surrounded, so as to realize to the fixation of vertebrae and rectify Just, because the low elasticity in curved support face, the fixation of bone can not only be ensured, while being also possible to prevent elastic threads to bone table The excessive compressing in face, causes osteonecrosis;
The present invention can freely add and subtract the quantity of fixed knot as the case may be simultaneously, with high convenience;
Installation operation of the invention is also fairly simple.
2nd, elastic threads of the invention is fixed using clamped-in style, and this structure can improve the convenience of installation, while tensing Line can also be installed with a pretightning force higher.
3rd, fixed to slide between fixed block of the invention and support frame, can more easily adjusted between fixed block Position so that convenient adjust the fixed position of elastic threads according to specific bone condition, wide usage has been significantly greatly increased.
4th, the elastic threads that the aliphatic polyester material with biocompatibility is made, because its low biocompatible, extensive After multiple, the internal of human body can be stayed in, the secondary wound degree for removing operation can be reduced, if destructiveness is not in itself for bone If big, secondary dismounting can not be carried out and performed the operation.
5th, of the invention tension be also added into the reinforcing cable that a titanium alloy is made in cable and excessively led with preventing from tensing The situation of the tension thread breakage of cause, directly can extract the reinforcing cable of titanium alloy out after recovery, be partially left at it is internal not yet Can there are too big rejection problems.
6th, pitman of the invention is made of the stronger aluminium alloy of plasticity, can be according to the specific spine shape of patient It is adjusted correspondingly, improves appropriate of the invention.
Brief description of the drawings
The present invention is further described with reference to the accompanying drawings and examples.
Fig. 1 is mounting structure sketch of the present invention;
Fig. 2 is generalized section of the invention;
Fig. 3 is the schematic diagram of use state of the present invention 1;
Fig. 4 is the schematic diagram of use state of the present invention 2;
Fig. 5 is the transverse cross-sectional view of fixed block;
In figure:1st, fixed block;2nd, fix bar;3rd, fixed cable;4th, vertebrae;5th, bone B;6th, bone C;7th, pitman;8th, body Outer vertebra upper frame;9th, eyelid retractor;1-1, fixing hole.
Specific embodiment
In conjunction with the accompanying drawings, the present invention is further explained in detail.These accompanying drawings are simplified schematic diagram, only with Illustration illustrates basic structure of the invention, therefore it only shows the composition relevant with the present invention.
Embodiment 1
It is specific as shown in Figure 1, Figure 2, shown in Fig. 3 and Fig. 5, this product mainly includes fixed knot and the connection for connecting each fixed knot Rod 7, pitman 7 is made of aluminium alloy, is manufactured according to the specific vertebra profile of patient,
The fixed knot include external vertebra upper frame, internal vertebrae face fixator and eyelid retractor 9, the eyelid retractor be one with Human vertebra both sides back contact, the arc developed surface that support force is provided for fixed cable, are provided with the developed surface of cambered surface Some hollow slots with developed surface longitudinal axis orthogonal, are provided with fix bar 2 in the hollow slots, each in the both sides of fix bar 2 A fixed block 1 is provided with, fixed cable 3 is provided between the fixed block 1;
The middle part of the eyelid retractor 9 is provided with a column, is provided with the column in human epidermal external support ridge The external vertebra upper frame 8 of vertebra, the external vertebra upper frame includes a curved support face coaxial with the developed surface of eyelid retractor;
Each fixed knot is fixed on pitman 7, and inside of human body is penetrated into by fixed cable 3, from top by 4 sets of vertebrae Firmly, while by external vertebra upper frame 8, the support to the positive and negative both sides of vertebral segments is realized, then by the fixation on pitman 7 Section permutation, realizes the fixation of vertebrae;
Wherein fixed block includes that one is used for 1 set of sliding eye being connected in fix bar 2 of fixed block, sets on the inwall of sliding eye Lock-screw B is equipped with, while being additionally provided with one on fixed block for the fixing hole 1-1 through fixed cable 3, same is consolidating Determine to be provided with a lock-screw A for fixing fixed cable 3 on the side wall of hole 1-1;
Wherein fixed cable includes the elastic threads that the aliphatic polyester material with biocompatibility is made, and is set in the middle part of elastic threads It is equipped with and is similarly the reinforced metal line that the titanium alloy of biocompatible materials is made;
The elastic threads that aliphatic polyester material with biocompatibility is made, because its low biocompatible, after recovery, can To stay in the internal of human body, the secondary wound degree for removing operation can be reduced, if if bone, destructiveness is little in itself, Secondary dismounting can not be carried out to perform the operation;
The reinforcing cable that titanium alloy is made, after recovery can be direct to prevent from tensing the excessively caused situation for tensing thread breakage The reinforcing cable of titanium alloy is extracted out, it is also not in vivo too big rejection problems to be partially left at;
During installation, as shown in Figure 3.Fixed cable 3 is fixed to vertebrae inside by operation first, then by fixed block 1 is installed in the fix bar 2 of each fixed knot, and whole fixed knot array then is pressed against into human body back, and fixed cable 3 is consolidated Determine onto fixed block 1, be strained and fixed cable 3, you can realize the support and fixation to human spine.
Embodiment 2
As shown in figure 4, the present invention is under emergency rating, it is also possible to for the fixation of arm and leg;
It is main specific as shown in Figure 1, Figure 2, shown in Fig. 3 and Fig. 5, this product mainly includes fixed knot and for connecting each fixed knot Pitman 7, pitman 7 is made of aluminium alloy, is manufactured according to the specific vertebra profile of patient,
The fixed knot include external vertebra upper frame, internal vertebrae face fixator and eyelid retractor 9, the eyelid retractor be one with Human vertebra both sides back contact, the arc developed surface that support force is provided for fixed cable, are provided with the developed surface of cambered surface Some hollow slots with developed surface longitudinal axis orthogonal, are provided with fix bar 2 in the hollow slots, each in the both sides of fix bar 2 A fixed block 1 is provided with, fixed cable 3 is provided between the fixed block 1;
The middle part of the eyelid retractor 9 is provided with a column, is provided with the column in human epidermal external support ridge The external vertebra upper frame 8 of vertebra, the external vertebra upper frame includes a curved support face coaxial with the developed surface of eyelid retractor;
Each fixed knot is fixed on pitman 7, and inside of human body is penetrated into by fixed cable 3, from top by 4 sets of vertebrae Firmly, while by external vertebra upper frame 8, the support to the positive and negative both sides of vertebral segments is realized, then by the fixation on pitman 7 Section permutation, realizes the fixation of vertebrae;
Wherein fixed block includes that one is used for 1 set of sliding eye being connected in fix bar 2 of fixed block, sets on the inwall of sliding eye Lock-screw B is equipped with, while being additionally provided with one on fixed block for the fixing hole 1-1 through fixed cable 3, same is consolidating Determine to be provided with a lock-screw A for fixing fixed cable 3 on the side wall of hole 1-1;
Wherein fixed cable includes the elastic threads that the aliphatic polyester material with biocompatibility is made, and is set in the middle part of elastic threads It is equipped with and is similarly the reinforced metal line that the titanium alloy of biocompatible materials is made;
The elastic threads that aliphatic polyester material with biocompatibility is made, because its low biocompatible, after recovery, can To stay in the internal of human body, the secondary wound degree for removing operation can be reduced, if if bone, destructiveness is little in itself, Secondary dismounting can not be carried out to perform the operation;
The reinforcing cable that titanium alloy is made, after recovery can be direct to prevent from tensing the excessively caused situation for tensing thread breakage The reinforcing cable of titanium alloy is extracted out, it is also not in vivo too big rejection problems to be partially left at;
During installation, as shown in figure 4, fixed cable 3 is carried out to the bone B5 and bone C6 in human arm by operation first It is fixed, then fixed block 1 is installed in the fix bar 2 of each fixed knot, then it is pressed against people using with 3 row fixed knot arrays 3 positions of body arm outer wall, angle is 120 degree between it, and fixed cable 3 is fixed on fixed block 1, and be strained and fixed cable 3, realize the fixation to arm bone.
With above-mentioned according to desirable embodiment of the invention as enlightenment, by above-mentioned description, relevant staff is complete Various changes and amendments can be carried out without departing from the scope of the technological thought of the present invention' entirely.The technology of this invention Property scope is not limited to the content on specification, it is necessary to its technical scope is determined according to right.

Claims (2)

1. a kind of vertebra bone anchor, it is characterized in that:Including pitman and at least two fixed knots, the fixed knot includes external Vertebra upper frame, eyelid retractor, the eyelid retractor are a developed surface for arc, are provided with the developed surface of cambered surface some and launched The hollow slots of face longitudinal axis orthogonal, fix bar is provided with the hollow slots, and at least one is each provided with the both sides of fix bar Individual fixed block, fixed cable is provided between the fixed block;
A column is provided with the middle part of the eyelid retractor, external vertebra upper frame, the external vertebra are provided with the column Upper frame includes a curved support face coaxial with the developed surface of eyelid retractor;
The support frame for spinal fixation is surrounded between fixed cable and curved support face between the fixed knot;
The mounting hole of one and curved support face diameter parallel is provided with the column of the eyelid retractor, the eyelid retractor passes through Pitman in mounting hole links together;
The external vertebra upper frame is made of elastomeric material;
The fixed block includes a fixing hole for being used to fix fixed cable, and locking screw is provided with the side wall of the fixing hole Nail A.
2. a kind of application method of vertebra bone anchor, it is characterized in that:Vertebra bone anchor includes:Pitman and at least two is consolidated Fixed section, the fixed knot includes external vertebra upper frame, eyelid retractor, and the eyelid retractor is a developed surface for arc, in cambered surface Some and developed surface longitudinal axis orthogonal hollow slots are provided with developed surface, fix bar is provided with the hollow slots, solid The both sides of fixed pole are each provided with least one fixed block, and fixed cable is provided between the fixed block;
A column is provided with the middle part of the eyelid retractor, external vertebra upper frame, the external vertebra are provided with the column Upper frame includes a curved support face coaxial with the developed surface of eyelid retractor;
The support frame for spinal fixation is surrounded between fixed cable and curved support face between the fixed knot;
The mounting hole of one and curved support face diameter parallel is provided with the column of the eyelid retractor, the eyelid retractor passes through Pitman in mounting hole links together;
Described application method, including:Fixed cable is fixed to vertebrae inside by operation first, then will be fixed Block is installed in the fix bar of each fixed knot, and whole fixed knot array then is pressed against into human body back, and fixed cable is consolidated Determine onto fixed block, be strained and fixed cable, you can realize the support and fixation to human spine.
CN201611061642.8A 2014-10-24 2014-10-24 A kind of vertebra bone anchor and its application method Active CN106725781B (en)

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CN201410572550.0A CN104323843B (en) 2014-10-24 2014-10-24 Vertebra fixator
CN201611061642.8A CN106725781B (en) 2014-10-24 2014-10-24 A kind of vertebra bone anchor and its application method

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CN201611061622.0A Active CN106510819B (en) 2014-10-24 2014-10-24 The application method of Orthopedic fixing support
CN201410572550.0A Expired - Fee Related CN104323843B (en) 2014-10-24 2014-10-24 Vertebra fixator
CN201611061624.XA Active CN106725779B (en) 2014-10-24 2014-10-24 Vertebra bone anchor
CN201611061642.8A Active CN106725781B (en) 2014-10-24 2014-10-24 A kind of vertebra bone anchor and its application method
CN201611061625.4A Pending CN106510821A (en) 2014-10-24 2014-10-24 Orthopedic fixing support and use method thereof
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FR3012030B1 (en) 2013-10-18 2015-12-25 Medicrea International METHOD FOR REALIZING THE IDEAL CURVATURE OF A ROD OF A VERTEBRAL OSTEOSYNTHESIS EQUIPMENT FOR STRENGTHENING THE VERTEBRAL COLUMN OF A PATIENT
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CN106510820B (en) 2019-06-18
CN106510819A (en) 2017-03-22
CN104323843B (en) 2017-01-18
CN106510821A (en) 2017-03-22
CN106725779A (en) 2017-05-31
CN106510820A (en) 2017-03-22
CN106725779B (en) 2019-03-05
CN106510819B (en) 2019-06-21
CN106725781B (en) 2019-02-01
CN104323843A (en) 2015-02-04

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