CN108542557A - Bone-cement type Invasive lumbar fusion device and its operating method - Google Patents

Bone-cement type Invasive lumbar fusion device and its operating method Download PDF

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Publication number
CN108542557A
CN108542557A CN201810473145.1A CN201810473145A CN108542557A CN 108542557 A CN108542557 A CN 108542557A CN 201810473145 A CN201810473145 A CN 201810473145A CN 108542557 A CN108542557 A CN 108542557A
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bone
fusion device
cement type
hole
cement
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唐朝阳
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Priority to CN201810473145.1A priority Critical patent/CN108542557A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/4455Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4601Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for introducing bone substitute, for implanting bone graft implants or for compacting them in the bone cavity
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4611Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses

Abstract

The present invention discloses a kind of bone-cement type inter vertebral fusing device and its operating method, belong to the Invasive lumbar fusion device field of spinal operation, including bone-cement type fusion device, injection rod, installation screw rod, injection through-hole is equipped in injection rod, one end is open, the other end is equipped with locating convex block, and the endoporus with injection through-hole coaxial line is provided on locating convex block;Screw rod one end is installed and is equipped with end cap, the other end is thread head, and installation screw rod passes through the injection through-hole of injection rod, thread head to be threadedly coupled with bone-cement type fusion device;Set cavity in the bone-cement type fusion device, working face is equipped with multiple jag spikes, and long through-hole is provided on jag spike, is provided with short through-hole on working face, bone-cement type fusion device is equipped with threaded hole, is additionally provided with positioning shrinkage pool.The design can by bone cement by long and short through-hole to neighbouring section centrum perfusion, Invasive lumbar fusion device and neighbouring section moment are fused into an entirety, stablized.

Description

Bone-cement type Invasive lumbar fusion device and its operating method
Technical field
The present invention relates to a kind of Invasive lumbar fusion device and its operating method for spinal operation, especially a kind of bone-cement types Invasive lumbar fusion device operating method.
Background technology
Conventional Invasive lumbar fusion device is mainly used for spinal operation such as:The unstable operation of backbone needs fixed fusion, cervical vertebra, waist Disc herniation lumbar discectomy, lumber spondylolisthesis operation etc..Conventional cage is by autologous bone or autologous bone and allogeneic Bone is mixed into panelling behind interim gap, replants into intervertenral space.It allows after being implanted into bone and neighbouring centrum bone fusion and obtains backbone Stabilization.What must be implanted among it is bone tissue.Preliminarily stabilised could be obtained after must waiting until knitting, the time needed is big General to need 3-6 months, knitting plasticity well generally requires 2 years.Patient needs the time of bed braking very long.Conventional vertebra Between fusion device have polyether-ether-ketone (Polyetheretherketone, PEEK) material and titanium alloy, also porous tantalum intervertebral Fusion device.But it is required for implantation autologous bone and homogeneous allogenic bone, needs Bone Ingrowth after being implanted into intervertenral space, if implantation bone amount is not Enough, fixation is insecure, and the factors such as infection cause implantation nonunion, do not grow into.Invasive lumbar fusion device just will appear loosening, further It causes interior fixation to bear larger stress for a long time and fatigue fracture, in turn results in the failure of operation.It needs, from new revision procedure, to give Patient causes great pain.And Invasive lumbar fusion device is implanted into for the gerontal patient of older osteoporosis, because sclerotin is dredged Pine can not panelling, and it is easy invagination and loosens, and the modus operandi of direct bone grafting is used to need time for lying in bed longer, about needs 3-6 months time.
Invention content
The object of the present invention is to provide the bone cements for stablizing support that lumbar vertebrae can at once and be permanently obtained after a kind of merging Type Invasive lumbar fusion device and its operating method, it is simple in structure, it is easy for installation.
The present invention proposes a kind of bone-cement type Invasive lumbar fusion device, including bone-cement type fusion device, injection rod, installation screw rod, Injection through-hole is equipped in injection rod, one end is open, and the other end is equipped with locating convex block, is provided on locating convex block same with injection through-hole Axis and the endoporus of connection;Screw rod one end is installed and is equipped with end cap, the other end is thread head, and installation screw rod passes through the injection of injection rod Through-hole, thread head are threadedly coupled with bone-cement type fusion device;Cavity is set in the bone-cement type fusion device, is set on working face Have the jag spike of multiple protrusions, long through-hole be provided on jag spike, is provided with short through-hole on working face, long through-hole, short through-hole with cavity phase Logical, bone-cement type fusion device is equipped with and installs the matched threaded hole of screw flight head, is additionally provided with and locating convex block matches The positioning shrinkage pool of conjunction.
Preferably, the bone-cement type fusion device has upper and lower two working face, and be connected handle on injection rod.
Two nose bars that locating convex block includes block, is extended on block, two nose bars are located at endoporus both sides, and the bone-cement type melts Positioning shrinkage pool in clutch is two points of shrinkage pools being adapted with two nose bar shapes.
Locating convex block front is equipped with two fin columns, is set to two fin column symmetries endoporus both sides, the bone-cement type fusion Positioning shrinkage pool on device is the location notch hole being adapted with locating convex block front shape.
The bone-cement type fusion device is flat bulk, and thickness can be according between the fixed two adjacent segments centrum of need Spacing sets or selects, and bone-cement type fusion device is oval block, half round block, moon block teeth, droplet-shaped block or other irregular shapes The segment centrum of block, shape and required positioning reserves installation space and is adapted.
The multiple size is different, thickness is different or variform bone-cement type fusion device is combined into bone-cement type fusion Device module set, in case being selected according to the installation space of intervertebral when using.
It further includes dismountable syringe, when bone-cement type fusion device has been installed to intervertebral setting position, injection rod Original position is kept, installation screw rod is reversely back-outed and recesses injection rod, injection rod keeps original position, and syringe and injection rod are sealed Connection.
The nail tip of the jag spike is tilted to injection rod direction.
The present invention also proposes a kind of operating method of above-mentioned bone-cement type Invasive lumbar fusion device, which is characterized in that including following Step:
A, first determine that vertebra needs the segment of fixed fusion, disc tissue excision is clean, and shave soleplate and residual Tissue, from bone-cement type fusion device module set in selection bone-cement type fusion device carry out die trial, determine choose suitable thickness, Highly, the bone-cement type Invasive lumbar fusion device of shape;
B, installation screw rod is passed through into injection rod, its thread head is melted device with bone cement to be threadedly coupled, and bone cement fusion is held Bone-cement type Invasive lumbar fusion device is embedded in the intervertenral space handled well by device handle with bone hammer;
C, keep steady injection rod handle, and bone-cement type fusion device and injection rod is made to keep original position, and installation screw rod is reversely revolved It twists, so that installation screw rod is exited the threaded hole of bone-cement type fusion device, then installation screw rod is detached from the injection through-hole of injection rod;
D, the syringe for having loaded bone cement is tightly connected with injection rod, is noted bone cement by the propulsive force of syringe Enter the injection through-hole of injection rod, bone cement is successively by injection through-hole, bone-cement type fusion device, long and short through-hole to neighbouring section Bone-cement type fusion device and neighbouring section centrum moment are fused into an entirety by centrum perfusion;
E, etc. after 5-10 minutes, injection rod is detached bone-cement type fusion device by bone cement solidification.
The beneficial effects of the invention are as follows:The working face of bone-cement type fusion device is equipped with the jag spike of multiple protrusions, and jag spike rises To the friction increased between bone-cement type fusion device and upper-lower segment centrum, jag spike is pierced into the bone tissue between upper-lower segment centrum It is interior, it plays and fixes the fusion device, prevent bone-cement type fusion device from exiting.Long and short through-hole, jag spike are provided on jag spike, on working face On trepanning be both channel of the bone cement to centrum perfusion, so that bone cement is filled between neighbouring section centrum, by intervertebral fusion Device and neighbouring section moment are fused into an entirety, and the trepanning on fusion device working face can make bone cement penetrate into neighbouring centrum Bone face and fusion device surface make fusion device obtain and the fixation of centrum contact surface, can be obtained at once and forever after bone cement solidification Long stabilization.The stereochemical structure that this jag spike is high, working face is low forms a pedestal body, so that bone cement is depended on, bone cement It is more firm after solidification;Locating convex block is connected on injection rod, and bone-cement type fusion device is equipped with matched with locating convex block Shrinkage pool is positioned, can be when installation screw rod reversely to be back-outed, injection rod props up bone-cement type fusion device by locating convex block and sustains Reaction force when installation screw rod is reversely back-outed, so as not to the section up and down for making the upper and lower working face of bone-cement type fusion device contact Soft tissue between section centrum is by reaction force.After installation screw rod is reversely back-outed, bone-cement type fusion device and injection rod keep former Bone cement is injected bone-cement type fusion device cavity by position by bone cement injector, is saved to neighbouring by long through-hole, short through-hole Invasive lumbar fusion device and neighbouring section moment are fused into an entirety, neighbouring section are realized after bone cement solidification by section centrum perfusion Between connection and stablize support, then injection rod is exited.The nail tip of jag spike is tilted to injection rod direction, and being played such as hangnail prevents The effect exited.Locating convex block phase and bone-cement type fusion device positioning shrinkage pool on injection rod are in more loose tolerance fit, positioning Convex block can smoothly enter or exit positioning shrinkage pool.
In short, bone cement can be directly injected into bone-cement type fusion device cavity by the present invention, and made by long and short through-hole Bone cement is fused into an entirety to neighbouring section centrum perfusion, by Invasive lumbar fusion device and neighbouring section moment, can obtain i.e. Quarter and permanent stabilization, can make patient's early ambulation, 3-7 days vital signs stables of patient and wound situation can be made steady It surely can out-of-bed activity.When special gerontal patient's osteoporosis is not suitable for merging routine fusion device, the bone-cement type can be placed in Fusion device can at once and permanently obtain the stabilization of lumbar vertebrae, and the complication for caused by avoiding long-term bed has apparent, huge Advantage.The present apparatus is simple in structure, and production cost is low, while the design can reduce the application of internal fixation nail bar system, even Internal fixation system can not be had to, it is possible to reduce the medical expense of patient.There is good social and economic benefit.
Description of the drawings
Fig. 1 is the structural schematic diagram of the embodiment of the present invention one;
Fig. 2 is the bone-cement type fusion device and locating convex block modular construction schematic diagram of the embodiment of the present invention one;
Fig. 3 is the structural schematic diagram of the embodiment of the present invention two;
Fig. 4 is the bone-cement type fusion device and locating convex block modular construction schematic diagram of the embodiment of the present invention two;
Fig. 5 is the bone-cement type fusion device and locating convex block modular construction schematic diagram of the embodiment of the present invention three;
Reference numeral:Bone-cement type fusion device 1, injection rod 2, installation screw rod 3, injection through-hole 4, end cap 5, thread head 6, work Make face 7, jag spike 8, long through-hole 9, short through-hole 10, threaded hole 11, handle 12, block, two nose bars 14, be divided to shrinkage pool 15, two fin columns 16, location notch hole 17.
The embodiments will be further described with reference to the accompanying drawings for the realization, the function and the advantages of the object of the present invention.
Specific implementation mode
Embodiment one
Referring to Fig.1,2, the present embodiment includes bone-cement type fusion device 1, injection rod 2, installation screw rod 3, is equipped in injection rod Through-hole 4 is injected, one end is open, and the other end is equipped with locating convex block, is provided on locating convex block and injects through-hole coaxial line and be connected to Endoporus;3 one end of screw rod is installed and is equipped with end cap 5, the other end is thread head 6, and installation screw rod 3 passes through the injection through-hole of injection rod 2 4, thread head is threadedly coupled with bone-cement type fusion device 1;Cavity is set in the bone-cement type fusion device 1, there is upper and lower two work Face 7, working face 7 are equipped with the jag spike 8 of multiple protrusions, and long through-hole 9 is provided on jag spike 8, is provided with short through-hole 10 on working face, long to lead to Hole 9, short through-hole 10 are communicated with cavity, and bone-cement type fusion device 1 is equipped with and the installation matched screw thread of screw flight head Hole 11 is additionally provided with and the matched positioning shrinkage pool of locating convex block.Be connected handle 12 on injection rod.Locating convex block includes block 13, two nose bars 14 extended on block, two nose bars 14 are located at endoporus both sides, the positioning shrinkage pool on the bone-cement type fusion device 1 It is the two points of shrinkage pools 15 being adapted with two nose bar shapes.The bone-cement type fusion device 1 is flat bulk, and thickness can basis It needs the spacing setting between fixed two adjacent segments centrum or selects, bone-cement type fusion device 1 is oval block, half round block, the moon The segment centrum of block teeth, droplet-shaped block or other irregular shape blocks, shape and required positioning reserves installation space and is adapted. It further includes dismountable syringe, and when bone-cement type fusion device 1 has been installed to intervertebral setting position, injection through-hole 4 is kept Original position reversely back-outs installation screw rod 3, recesses injection rod 2, injection rod 2 keeps original position, and syringe and injection rod 2 is close Envelope connection.
The present embodiment also provides a kind of operating method of above-mentioned bone-cement type Invasive lumbar fusion device, includes the following steps:
A, it first determines that vertebra needs the segment of fixed fusion, then disc tissue excision is clean, is used in combination soleplate to shave residual The tissue stayed minces, and selection bone-cement type fusion device carries out die trial from bone-cement type fusion device module set, and determination chooses suitable When thickness, the bone-cement type Invasive lumbar fusion device of height, shape, soleplate here refers to the bottom soleplate of cartilage;
B, installation screw rod is passed through into injection rod, its thread head is melted device with bone cement to be threadedly coupled, and bone cement fusion is held Bone-cement type Invasive lumbar fusion device is embedded in the intervertenral space handled well by device handle with bone hammer;
C, keep steady injection rod handle, and bone-cement type fusion device and injection rod is made to keep original position, and installation screw rod is reversely revolved It twists, so that installation screw rod is exited the threaded hole of bone-cement type fusion device, then installation screw rod is detached from the injection through-hole of injection rod;
D, the syringe for having loaded bone cement is tightly connected with injection rod, is noted bone cement by the propulsive force of syringe Enter the injection through-hole of injection rod, bone cement is successively by injection through-hole, bone-cement type fusion device, long and short through-hole to neighbouring section Bone-cement type fusion device and neighbouring section centrum moment are fused into an entirety by centrum perfusion;
E, etc. after 5-10 minutes, injection rod is detached bone-cement type fusion device by bone cement solidification.
Embodiment two
With reference to Fig. 3,4, the present embodiment and embodiment one are essentially identical, the difference is that, locating convex block and positioning shrinkage pool Structure is different.Locating convex block front is equipped with two fin columns 16, and two fin columns 16 are symmetrically set to endoporus both sides, the bone-cement type Positioning shrinkage pool on fusion device 1 is the location notch hole 17 being adapted with locating convex block front shape.
Embodiment three
With reference to Fig. 5, the present embodiment and embodiment two are essentially identical, the difference is that, the nail tip of jag spike 8 is to injection rod side To inclination, play the role of preventing from exiting.
The foregoing is merely the preferred embodiment of the present invention, are not intended to limit the scope of the invention, every utilization Equivalent structure transformation made by description of the invention and accompanying drawing content is applied directly or indirectly in relevant technical field, It is included within the scope of the present invention.

Claims (9)

1. a kind of bone-cement type inter vertebral fusing device, which is characterized in that including bone-cement type fusion device, injection rod, screw rod is installed,
Injection through-hole is equipped in injection rod, one end is open, and the other end is equipped with locating convex block, is provided on locating convex block logical with injection Hole coaxial line and the endoporus of connection;
Screw rod one end is installed and is equipped with end cap, the other end is thread head, and installation screw rod passes through the injection through-hole of injection rod, thread head It is threadedly coupled with bone-cement type fusion device;
Set cavity in the bone-cement type fusion device, working face is equipped with the jag spike of multiple protrusions, be provided on jag spike long through-hole, Short through-hole is provided on working face, long through-hole, short through-hole are communicated with cavity, and bone-cement type fusion device is equipped with and installation screw rod The matched threaded hole of thread head is additionally provided with and the matched positioning shrinkage pool of locating convex block.
2. bone-cement type inter vertebral fusing device according to claim 1, which is characterized in that the bone-cement type fusion device has Upper and lower two working face, be connected on injection rod handle.
3. bone-cement type inter vertebral fusing device according to claim 1, which is characterized in that locating convex block includes block, block Two nose bars extended on body, two nose bars are located at endoporus both sides, and the positioning shrinkage pool on the bone-cement type fusion device is and two nose bars Two points of adaptable shrinkage pools of shape.
4. bone-cement type inter vertebral fusing device according to claim 1, which is characterized in that it is convex that locating convex block front is equipped with two Prism is set to endoporus both sides to two fin column symmetries, the positioning shrinkage pool on the bone-cement type fusion device be with before locating convex block The adaptable location notch hole of portion's shape.
5. bone-cement type inter vertebral fusing device according to claim 1, which is characterized in that the bone-cement type fusion device is Flat bulk, thickness can set or select according to the spacing needed between fixed two adjacent segments centrum, bone-cement type fusion Device is oval block, half round block, moon block teeth, droplet-shaped block or other irregular shape blocks, the segment vertebra of shape and required positioning Body is reserved installation space and is adapted.
6. bone-cement type inter vertebral fusing device according to claim 5, which is characterized in that the multiple size is different, thick Degree difference or variform bone-cement type fusion device are combined into bone-cement type fusion device module set, in case according to intervertebral when using Installation space select.
7. bone-cement type inter vertebral fusing device according to claim 1, which is characterized in that it further includes removably injecting Device, when bone-cement type fusion device has been installed to intervertebral setting position, injection rod keeps original position, and installation screw rod is reversely back-outed Injection rod is recessed, injection rod keeps original position, and syringe and injection rod are tightly connected.
8. bone-cement type inter vertebral fusing device according to claim 1, which is characterized in that the nail tip of the jag spike is to injection Bar direction tilts.
9. a kind of operating method of bone-cement type inter vertebral fusing device described in claim 1, which is characterized in that including following step Suddenly:
A, first determine that vertebra needs the segment of fixed fusion, disc tissue is extractd it is clean, and by soleplate and remaining tissue It shaves, selection bone-cement type fusion device carries out die trial from bone-cement type fusion device module set, and determination chooses suitable thickness, height The bone-cement type Invasive lumbar fusion device of degree, shape;
B, installation screw rod is passed through into injection rod, its thread head is melted device with bone cement to be threadedly coupled, and bone cement fusion device hand is held Bone-cement type Invasive lumbar fusion device is embedded in the intervertenral space handled well by handle with bone hammer;
C, keep steady injection rod handle, and bone-cement type fusion device and injection rod is made to keep original position, and installation screw rod is reversely screwed, is made Installation screw rod exits the threaded hole of bone-cement type fusion device, then installation screw rod is detached from the injection through-hole of injection rod;
D, the syringe for having loaded bone cement is tightly connected with injection rod, bone cement is injected by the propulsive force of syringe and is noted Penetrate the injection through-hole of bar, bone cement is successively by injection through-hole, bone-cement type fusion device, long and short through-hole to neighbouring section centrum Perfusion, an entirety is fused by bone-cement type fusion device and neighbouring section centrum moment;
E, etc. after 5-10 minutes, injection rod is detached bone-cement type fusion device by bone cement solidification.
CN201810473145.1A 2018-05-17 2018-05-17 Bone-cement type Invasive lumbar fusion device and its operating method Pending CN108542557A (en)

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Application Number Priority Date Filing Date Title
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CN109549698A (en) * 2018-11-28 2019-04-02 李雷 A kind of orthopaedics bone grafting device
CN109730816A (en) * 2019-03-19 2019-05-10 卿培东 A kind of Invasive lumbar fusion device
CN113262084A (en) * 2021-04-02 2021-08-17 宁波华科润生物科技有限公司 Self-stabilizing zero-notch lumbar interbody fusion system

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Publication number Priority date Publication date Assignee Title
CN109549698A (en) * 2018-11-28 2019-04-02 李雷 A kind of orthopaedics bone grafting device
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CN109730816A (en) * 2019-03-19 2019-05-10 卿培东 A kind of Invasive lumbar fusion device
CN113262084A (en) * 2021-04-02 2021-08-17 宁波华科润生物科技有限公司 Self-stabilizing zero-notch lumbar interbody fusion system

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