CN108969158A - A kind of intervertebral motion retaining device and its guiding implantation instrument and method for implantation - Google Patents
A kind of intervertebral motion retaining device and its guiding implantation instrument and method for implantation Download PDFInfo
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- CN108969158A CN108969158A CN201810843992.2A CN201810843992A CN108969158A CN 108969158 A CN108969158 A CN 108969158A CN 201810843992 A CN201810843992 A CN 201810843992A CN 108969158 A CN108969158 A CN 108969158A
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- knob
- retaining device
- holding rod
- clamping
- intervertebral motion
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special 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
- A61F2/4611—Special 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30518—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special 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
- A61F2002/4615—Special 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 spacers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special 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
- A61F2002/4625—Special 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 with relative movement between parts of the instrument during use
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2002/4631—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor the prosthesis being specially adapted for being cemented
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Transplantation (AREA)
- Heart & Thoracic Surgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Neurology (AREA)
- Physical Education & Sports Medicine (AREA)
- Prostheses (AREA)
Abstract
The present invention relates to medicine technology fields, in particular to a kind of intervertebral motion retaining device and its guiding implantation instrument and method for implantation, intervertebral motion retaining device is by upper bone plate, liner, nucleus pulposus and lower bone plate group at, liner is nested in bone plate, nucleus pulposus is nested in lower bone plate, the spherical surface that liner and nucleus pulposus form clearance fit type rubs secondary, embedded holding tank is equipped on the intervertebral motion retaining device at left and right sides of bone plate rear end, embedded holding tank is made of opening zone and indent pinch zones, opening zone is connected together with pinch zones, on the holding tank and upper bone plate, there are certain thickness between lower surface, the lower bone plate is symmetrically arranged with same embedded holding tank in corresponding position.Clamping process settles at one go, rapid and simple, can be avoided centering and correction for direction during product clamping, can effectively reduce operating difficulty, reduces operation time.
Description
Technical field
The present invention relates to medicine technology field, in particular to a kind of intervertebral motion retaining device and its guiding implantation instrument
And method for implantation.
Background technique
Intervertebral motion retaining device had at present Bryan, Prestige product line, ProDisc C, Mobi-C,
A few money products such as PCM, SRCURE-C obtain FDA approval, are widely used all over the world, it is dedicated that these products are equipped with its uniqueness
Implantation instrument product, but there is also certain rooms for improvement for part Special implanter tool product.The country is currently without a vertebra
Between movement retaining device obtain CFDA approval, domestic intervertebral motion retaining device majority is in patent stage, and these patents
Few targeted design Special implanter tools in product.
The Special implanter tool of some common intervertebral motion retaining devices, front end clamping head part be usually and intervertebral
The clamping slot structure set on bone plate above and below movement retaining device is fully mated consistent, which can realize implantation instrument very well
To effective clamping function of product, but the design that fits like a glove of shape and structure also causes product needs when clamping very high
Clamp precision, i.e. implantation instrument needs accurately centering and correction that could complete to clamp to product, this process usually need
Wanting operator that clamping is repeated several times can be only achieved satisfied clamping effect.
It is a highly to adapt to corpus vertebrae dissection shape, operation section in view of this situation of the current technical field
Duan Shuhou movement can safe and effective and intervertebral with long service life close to healthy segmentation movement situation to greatest extent, for sufferer
Movement retaining device and its it is corresponding it is easy to operate, possess that clamping miscellaneous function, clamping process are rapid and simple and product clamps
Steadily firm Special implanter tool has the urgent market demand to effect.
Summary of the invention
That the object of the present invention is to provide a kind of structure height is bionical, friction with secondary polishing machine excellent, motion range in reality
Intervertebral motion retaining device in centrum motion range, with innovative structure application.It is a further object of the present invention to provide one
The dedicated clamping guiding implantation instrument of the money intervertebral motion retaining device, it is ensured that firm grip is reliable, and implantation process is steady, and
And guiding clamping implantation, application is operated convenient for doctor;Another object of the present invention be to provide the intervertebral motion retaining device with
The method for implantation of its Special clamping guiding implantation instrument combined application.Present invention seek to address that traditional intervertebral motion retaining device
It needs to continuously attempt in intervertebral motion retaining device clamping process existing for implantation instrument and method for implantation to be directed at or need volume
The drawbacks of outer device auxiliary alignment intervertebral motion retaining device.
The technical solution of the present invention is as follows: provide a kind of intervertebral motion retaining device, by upper bone plate, liner, nucleus pulposus and under
Bone plate group is at liner is nested in bone plate, and nucleus pulposus is nested in lower bone plate, and liner and nucleus pulposus form clearance fit type
Spherical surface rub secondary, embedded holding tank is equipped on the intervertebral motion retaining device at left and right sides of bone plate rear end, it is embedded
Holding tank is made of opening zone and indent pinch zones, and opening zone is connected together with pinch zones, the holding tank and upper bone plate
There are certain thickness between upper and lower surfaces, it is ensured that it is each that implantation instrument can be entirely limited intervertebral motion retaining device after clamping
The movement in a direction;The lower bone plate is symmetrically arranged with same embedded holding tank in corresponding position.
Another technical solution of the invention are as follows: a kind of guiding implantation instrument of intervertebral motion retaining device is provided, by pressing from both sides
Bar, holding rod, elastic telescopic ring, knob composition are held, the elastic telescopic ring is fixed in knob front end, the holding rod tail portion
Tapered joint head is fixed in the rotating drum of knob end by elastic telescopic ring, free to rotate between the two, the clamping
Bar links together after running through holding rod inner cavity with knob internal whorl, and the knob drives supporting rod when rotating relative to holding rod
It retreats or advances along holding rod internal cavities, while clamping boom end clamping limb and being compressed to close under holding rod outer wall squeezing action
Or elasticity is opened, and then realizes clamping and release of the implantation instrument to intervertebral motion retaining device.
Preferably, elastic telescopic ring external cylindrical surface surface is equipped with external screw thread, and knob rotating drum front end is equipped with the interior of equal length
Screw thread, elastic telescopic ring, which is connected through a screw thread, to be fixed in knob rotating drum.
Preferably, holding rod end cone connector by spiral be fixed on the elastic telescopic ring of knob rotating drum front end into
Enter into knob rotating drum, the contraction of elastic telescopic ring blocks taper connection head-tail and prevents its axial movement, into rotating drum
The tapered joint head in portion can be freely rotated in rotating drum, to realize being freely rotated between holding rod and knob.
Preferably, the fit system of the supporting rod and the holding rod and the knob, supporting rod is from holding rod front end
Insertion continues into holding rod internal cavities, until tailing screw flight section after non-cylindrical confinement section is matched with holding rod constraint chamber
It is contacted with knob thread connecting hole, is connected through a screw thread and links together with knob, while be applied in holding rod, realize clamping
The cooperation of bar and holding rod and knob.
Preferably, the knob is equipped with internal screw thread by front end portion and rear end smooth part diameter is identical as internal screw thread path
Rotating drum, spinning chamber tail portion go deep into the easy to be stubborn of the internal screw thread connecting hole of certain distance inside knob and knob outer projection
Spline segment composition.
Preferably, inside the elastic telescopic ring by point diameter with holding rod tail end tapered joint head outer diameter is consistent matches
Close chamber and pre-large post-small and big diameter dimension identical with the mating cavity diameter dimension tapered guide chamber composition of diameter dimension, outside
By being equipped with the external screw thread linkage section matched with knob front end internal screw thread and rear portion on the outside of the column part of front end by cross gap
It is divided into the pre-large post-small tetrameric tapered telescopic section composition of diameter value.
Preferably, the holding rod is made of internal structure and external structure, and internal structure includes that holding rod front end is certain
The transverse shape adjacent with the opening chamber and opening chamber of contraction for clamping head opening of length is in the maximum shape of non-circular shape
Size be less than open chamber outer diameter rotary motion constraint chamber and constraint cavity rear end outer diameter be less than or equal to it is non-circular about
The intracavitary tangential circle diameter size of beam and the channel lumens for running through holding rod;External structure includes holding rod tail diameter size and holding rod
The consistent tapered joint head of front end main body portion diameter size, the diameter adjacent with connector be less than holding rod main diameter and away from
The shape of fixed engaging groove, biomimetic features design with a certain distance from holding section is in ring shape for four finger grips
Holding section and front end holding rod main paragraph.
Preferably, the supporting rod is longitudinal sectional equipped with V-type by the rear to match with intervertebral motion device rear end elliptical profile
The clamping limb of slot, clamping limb front end center position are equipped with the clamping bootstrap block axially to protract along supporting rod, clamping limb front end is equipped with
The Elastic Cylindrical deformation receiving opening of gripper hook up and down, V-type slitting slot end that the clamped bootstrap block of interior encircling type separates,
Rotary motion confinement section identical with holding rod rotational restraint chamber transverse shape with the adjacent transverse shape of receiving opening and
Supporting rod tail portion is formed with the thread segment that knob be threadedly coupled cooperation, the supporting rod front end clamping bootstrap block and up and down folder
There are certain intervals between tenaculum, and clamp bootstrap block longitudinal length and be longer than gripper hook longitudinal length.
Another technical solution of the invention are as follows: a kind of implantation of the guiding implantation instrument of intervertebral motion retaining device is provided
Method, comprising the following steps:
Step 1: installation elastic telescopic ring, knob remain stationary, and elastic telescopic ring tapered telescopic section is put into knob rotation
Chamber rotates elastic telescopic ring, until threaded connection section is completely into inside knob, formation is firmly threadedly engaged;
Step 2: instrument portions are freely rotated in installation, keep knob motionless, holding rod end cone connector enters elasticity
Tapered guide chamber is gradually strutted after expansion ring mating cavity, flexible deformation occurs for guidance cavity, and tapered telescopic section is gradually opened, until cone
Shape connector tail plane passes through guidance cavity completely and enters rotating drum, and guidance cavity restores to the original state, and the engaging of tapered telescopic section is in one's hands
It holds in the fixed engaging groove of bar, that is, completes the installation of holding rod, can be freely rotated between holding rod and knob at this time;
Step 3: installing axial motion transmission part supporting rod, and supporting rod tailing screw flight section opens chamber along holding rod front
Into holding rod, non-circular cross section rotational restraint section and the rotational restraint chamber phase inside holding rod that insertion process ensures supporting rod
Supporting rod is inserted into always by cooperation along holding rod channel lumens, until supporting rod thread segment is contacted with knob thread connecting hole, this
Shi Xuanzhuan knob, supporting rod travel further into inside knob under screw-driven effect, i.e. completion supporting rod and rotating part
Cooperation, completes the assembly of implantation instrument, rotates knob at this time, supporting rod can be in the case where being threadedly coupled driving effect along clamper
Tool axial direction moves forward or back;
Step 4: clamping and is implanted into intervertebral motion retaining device, first rotation knob, and driving supporting rod is advanced axially relative,
Clamping limb is in open configuration, then, implantation instrument clamping bootstrap block is deep into intervertebral motion retaining device or more bone plate
In gap, to determine and gripper hook is guided to clamp, gripper hook is deep into intervertebral motion along clamping guidance Block direction and retains dress
The opening zone end of upper and lower bone plate is set, at this point, the gap between clamping bootstrap block and upper and lower gripper hook is just fastened on up and down
On bone plate, further ensure that accuracy, the reliability of clamping, then reversely rotate knob, at the same entire implantation instrument slightly to
Intervertebral motion retaining device direction is mobile, until closure clamps clamping limb inside under the squeezing action of holding rod, clamping is hooked into
Enter pinch zones, firmly clamped at this point, intervertebral motion retaining device is implanted instrument, holds implantation instrument and protect entire intervertebral motion
It stays device to be implanted to operation presumptive area, that is, completes the clamping and implantation of intervertebral motion retaining device;
Step 5: unclamping intervertebral motion retaining device, withdraw from implantation instrument, rotate knob, at the same hold implantation instrument to
Direction far from intervertebral motion retaining device is moved slightly, until clamping limb opens, gripper hook returns to opening zone, can extract plant out
Enter instrument, is properly completed the implantation of intervertebral motion retaining device.
The invention has the benefit that
1. intervertebral motion retaining device the utility model has the advantages that
(1) present invention using height biomimetic features design, based on to 2000 health Chinese backbone MRI images measurement,
Analysis, research, it is ensured that upper and lower bone plate sagittal facial contour, footmark facial contour can more preferably match with corpus vertebrae bone shape,
And lower bone plate is even more unique outer rim beveling plane for being equipped with protection uncovertebral joint or circular arc, retains dress compared to traditional intervertebral motion
It sets, the contact area of corresponding intrument and vertebral bone of the present invention is bigger, can effectively facilitate Bone Ingrowth healing, and can effectively reduce hand
Centrum amount of bone resection in art retains vertebral bone to greatest extent, simplifies surgical procedure, reduces operating difficulty.
(2) bone plate holding tank is entirely located inside bone plate i.e. using embedded design, instrument the present invention up and down
Gripper hook enters after holding tank clamping, the outer thickness constraints plus bone plate above and below intervertebral motion retaining device, it is ensured that intervertebral
Movement retaining device is not in the movement in direction up and down, can effectively avoid traditional intervertebral motion retaining device and clamps not strongly
Gu there are the major defects such as the loosening of intervertebral motion retaining device, displacement, abjection in implantation process.
(3) bone plate clamping slot structure is located on the inside of bone plate rear end face the present invention up and down, relative to other intervertebral motions
Retain the design that holding tank is placed on intervertebral motion retaining device left and right sides by intervertebral motion retaining device, the present invention is clamping
And unclamp intervertebral motion retaining device when implantation instrument all directions without departing from the size of intervertebral motion retaining device
Range, can effectively reduce window space of performing the operation needed for surgical procedure, and doctor can be effectively reduced in lesser operation window
The operative incision of surgical procedure difficulty, generation is smaller, can effectively reduce operation healing time.
2. the guiding implantation instrument of intervertebral motion retaining device the utility model has the advantages that
(1) present invention initially enters intervertebral motion reservation using clamping guiding design, supporting rod front end clamping bootstrap block
Device among synthetism sheet separation, enters correctly into holding tank region for gripper hook and provides accurate direction guidance, it is ensured that clamping up and down
Process settles at one go, rapid and simple, effectively avoids needing in traditional implantation instrument intervertebral motion retaining device clamping process constantly
The drawbacks of attempting alignment or needing extra means auxiliary alignment.
(2) the rotary motion confinement section of supporting rod of the present invention can effectively prevent implantation instrument knob rotate when supporting rod with
It rotates therewith, and then realizes the axial movement by knob translating rotation for supporting rod, use it compared to traditional instrument
His supplementary structure structure such as pin shaft etc. prevents supporting rod from rotating, rotary motion confinement section of the present invention and supporting rod other structures one
Change design on supporting rod, easy to process, effect is reliable, avoids structural failure wind caused by implantation instrument structure excessively complexity
The excessive drawback in danger.
(3) holding rod configuration design of the present invention is designed using biomimetic features, and shape is in four continuous ring shapes, is performed the operation
Four fingers, which can all be held, in journey is fixed on implantation instrument, and traditional implantation instrument is avoided not have grip portions or gripping
Part it is tiny it is smooth be not easy to operation doctor use and effectively firmly the disadvantages of.
(4) present invention is equipped with elastic telescopic ring and realizes relative motion between holding rod and knob, independent elastic telescopic ring
Structure, especially tapered telescopic section easy to process, is connected through a screw thread and is securely fixed in knob, be easily installed, and fixed
Effect is reliable.
3. the method for implantation of the guiding implantation instrument of intervertebral motion retaining device the utility model has the advantages that
(1) implantation instrument installation of the present invention is simple to operation, and guiding designs so that implantation instrument and intervertebral motion retain
Device docking operation is simple and direct efficiently, and unique holding tank and gripper hook design can effectively ensure that implantation instrument clamps intervertebral
It is solid and reliable in transfer process after movement retaining device, it is not in any opposite between intervertebral motion retaining device component
It is mobile.
(2) since implantation instrument is integrated apparatus in implantation process, intervertebral motion retaining device is implanted to the present invention
The latter step in position is withdrawn from, and is not needed additional auxiliary instrument or is withdrawn from by different level, and surgical procedure is simplified, and saves operating time.
(3) initially to during the entire process of completing implantation, implantation instrument clamping head is always positioned at intervertebral fortune for present invention implantation
Dynamic retaining device is up and down in extreme azimuth, without departing from intervertebral motion retaining device size range outside so that surgical procedure
In open up and be possibly realized with the comparable operation window of intervertebral motion retaining device size, effectively avoid traditional intervertebral motion from retaining dress
It sets larger window of performing the operation in implantation process, increase operating difficulty, extend the drawbacks such as operating time, surgical wound healing time length.
Detailed description of the invention
Fig. 1 is the schematic perspective view of intervertebral motion retaining device and its guiding implantation instrument assembly of the present invention
Fig. 2 is the upper bone plate structural schematic diagram of intervertebral motion retaining device of the present invention;
Fig. 3 is the lower bone plate structural schematic diagram of intervertebral motion retaining device of the present invention;
Fig. 4 is the cross-sectional view of the guiding implantation instrument component knob of intervertebral motion retaining device of the present invention;
The structural schematic diagram of the guiding implantation instrument component elastic telescopic ring of Fig. 5 intervertebral motion retaining device of the present invention;
Fig. 6 is the cross-sectional view of the guiding implantation instrument component holding rod of intervertebral motion retaining device of the present invention;
Fig. 7 is the structural schematic diagram of the guiding implantation instrument component supporting rod of intervertebral motion retaining device of the present invention;
Fig. 8 is the clamping header structure amplification of the guiding implantation instrument component supporting rod of intervertebral motion retaining device of the present invention
Structural schematic diagram.
Primary clustering symbol description:
Specific embodiment
The present invention is further detailed in conjunction with the accompanying drawings below:
Please refer to shown in Fig. 1,4,8, the intervertebral motion retaining device I by upper bone plate 1, liner 2, nucleus pulposus 3 and under connect
Bone plate 4 forms, and liner 2 is nested in bone plate 1, and nucleus pulposus 3 is nested in lower bone plate 4, and liner 2 and nucleus pulposus 3 form gap
The spherical surface of formula rubs secondary;The clamping guiding implantation instrument II is by supporting rod 5, holding rod 6, elastic telescopic ring 8, knob
7 compositions, the elastic telescopic ring 8 are fixed in 7 front end of knob, and the 6 end cone connector 65 of holding rod is stretched by elasticity
Contracting ring 8 is fixed in the rotating drum 71 of 7 end of knob, free to rotate between the two, and the supporting rod 5 is in holding rod 6
It links together after chamber with 7 internal whorl of knob, the knob 7 drives supporting rod 5 along holding rod 6 when rotating relative to holding rod 6
Internal cavities retreat or advance, while 5 end clamping limb 51 of supporting rod compresses to close under 6 outer wall squeezing action of holding rod or bullet
Property open, and then realize clamping and release of the implantation instrument II to intervertebral motion retaining device I;In intervertebral motion retaining device I
In implantation process, II front end of implantation instrument clamping guide structure is introduced into about I synthetism sheet separation of intervertebral motion retaining device
Between, accurate direction guidance is provided for the clip position of intervertebral motion retaining device, it is ensured that clamping process settles at one go, quickly letter
Victory can be avoided centering and correction for direction in intervertebral motion retaining device clamping process, can effectively reduce operating difficulty, reduce
Operation time.
It please refers to Fig. 2, shown in 3, is equipped at left and right sides of 1 rear end of bone plate on the intervertebral motion retaining device I embedded
Tank systems 15 are clamped, embedded clamping tank systems 15 are made of opening zone 151 and indent pinch zones 152, opening zone 151 and clamping
Area 152 is connected together, and there are certain thickness between upper 1 upper and lower surfaces of bone plate, i.e., by upper 1 rear end side of bone plate
In insertion in bone plate 1, it is ensured that implantation instrument II can be entirely limited the shifting of I all directions of intervertebral motion retaining device after clamping
Dynamic, clamping is stronger, is implanted into relatively reliable;The lower bone plate 4 is equipped with same embedded symmetric clamp in corresponding position
Tank systems 45.
Please refer to Fig. 4, shown in 5, the mode of the elastic telescopic ring 8 and the fixation of the knob 7, outside elastic telescopic ring 8
Cylindrical face surface is equipped with external screw thread 83, and 71 front end of knob rotating drum is equipped with the internal screw thread of equal length, and elastic telescopic ring 8 passes through screw thread
It is fastened in knob rotating drum 71.
It please refers to shown in Fig. 4,5,6, the way of realization being freely rotated between the holding rod 6 and the knob 7, holding rod
6 end cone connectors 65 enter knob rotating drum by the elastic telescopic ring 8 that spiral is fixed on 71 front end of knob rotating drum
In 71, the contraction of elastic telescopic ring 8 blocks 65 tail portion of tapered joint head and prevents its axial movement, the taper into inside rotating drum 71
Connector 65 can be freely rotated in rotating drum 71, to realize being freely rotated between holding rod 6 and knob 7.
It please refers to shown in Fig. 4,6,7, the fit system of the supporting rod 5 and the holding rod 6 and the knob 7, clamping
Bar 5 is inserted into from 6 front end of holding rod, after non-cylindrical confinement section 54 is matched with holding rod constraint chamber 63, is continued into holding rod 6
Portion's cavity is connected through a screw thread and links together with knob, together until tailing screw flight section 55 is contacted with knob thread connecting hole 72
When be applied in holding rod, realize supporting rod and holding rod and knob cooperation.
It please refers to shown in Fig. 4, the knob 7 is by front end portion equipped with internal screw thread and rear end smooth part diameter and internal screw thread
The identical rotating drum 71 of path, 71 tail portion of spinning chamber go deep into internal screw thread connecting hole 72 and the rotation of 7 inside certain distance of knob
The easy spline segment 73 of twisting of 7 outer projection of button forms.
It please refers to shown in Fig. 5, by point diameter and 6 tail end tapered joint head 65 of holding rod inside the elastic telescopic ring 8
The consistent mating cavity 81 of outer diameter and the pre-large post-small big diameter dimension of diameter dimension taper identical with mating cavity diameter dimension are drawn
Guide cavity 82 forms, external by being equipped with the external screw thread linkage section 83 matched with 7 front end internal screw thread of knob on the outside of the column part of front end
It is divided into the pre-large post-small tetrameric tapered telescopic section 84 of diameter value to form by cross gap with rear portion.
It please refers to shown in Fig. 6, the holding rod 6 is made of internal structure and external structure, and internal structure includes holding rod 6
Opening for clamping head for front end certain length opens chamber 62, the transverse shape adjacent with chamber 62 is opened in non-circular with what is shunk
The maximum outer dimension of shape is less than the rotary motion constraint chamber 63 and constraint 63 rear end outer diameter ruler of chamber for opening 62 outer diameter of chamber
It is very little to constrain 63 inscribed circle diameter size of chamber and through the channel lumens 64 of holding rod 6 less than or equal to non-circular;External structure includes holding
Hold 6 tail diameter size of bar and the consistent tapered joint head 65 of 6 front end main body portion diameter size of holding rod and 65 phase of connector
Adjacent diameter is less than 61 diameter of holding rod main body and fixed engaging groove 66, biomimetic features apart from 67 certain distance of holding section are set
The shape of meter is in ring shape for the holding section 67 of four finger grips and the holding rod main paragraph 61 of front end.
Please refer to Fig. 7, shown in 8, the supporting rod 5 is set by the rear to match with intervertebral motion device rear end elliptical profile
Have the clamping limb 51 of V-type slitting slot, 51 front end center position of clamping limb be equipped with the clamping bootstrap block 56 axially to protract along supporting rod,
51 front end of clamping limb is equipped with gripper hook up and down 52, the V-type slitting slot end that the clamped bootstrap block 56 of interior encircling type separates
Elastic Cylindrical deforms receiving opening 53 and 63 cross section shape of the adjacent transverse shape of receiving opening 53 and holding rod rotational restraint chamber
The identical rotary motion confinement section 54 of shape and 5 tail portion of supporting rod are formed with the thread segment 55 that knob 7 be threadedly coupled cooperation,
There are certain intervals between the supporting rod front end clamping bootstrap block 56 and upper and lower gripper hook 52, and it is longitudinal long to clamp bootstrap block 56
Degree is longer than 52 longitudinal length of gripper hook.
It please refers to shown in Fig. 1-8, the intervertebral motion retaining device I and its implantation side for clamping guiding implantation instrument II
Method, comprising the following steps: (1) install elastic telescopic ring 8, knob 7 remains stationary, elastic telescopic ring tapered telescopic section 84 is put into
Knob rotating drum 71 rotates elastic telescopic ring 8, until threaded connection section 83 forms firm spiral shell completely into arriving inside knob 7
Line cooperation;(2) instrument portions are freely rotated in installation, keep knob 7 motionless, and holding rod end cone connector 65 is stretched into elasticity
Tapered guide chamber 82 is gradually strutted after contracting ring mating cavity 81, flexible deformation occurs for guidance cavity 82, and tapered telescopic section 84 is gradually opened,
Until 65 tail plane of tapered joint head passes through guidance cavity 82 completely and enters rotating drum 71, guidance cavity 82 restores to the original state, taper
Telescopic segment 84 is fastened in the fixed engaging groove 66 of holding rod, that is, completes the installation of holding rod 6, at this time holding rod 6 and knob 7
Between can be freely rotated;(3) axial motion transmission part supporting rod 5 is installed, supporting rod tailing screw flight section 55 is before holding rod
Portion opens chamber 62 and enters holding rod 6, and insertion process ensures inside non-circular cross section rotational restraint section 54 and the holding rod of supporting rod
Rotational restraint chamber 63 match, supporting rod 5 is inserted into along holding rod channel lumens 64 always, until supporting rod thread segment 55 with
Knob thread connecting hole 72 contacts, and rotates knob 7 at this time, and supporting rod 5 travels further into knob 7 under screw-driven effect
Portion completes the cooperation of supporting rod 5 and rotating part, completes the assembly of implantation instrument, rotate knob 7,5 energy of supporting rod at this time
It is moved forward or back in the case where being threadedly coupled driving effect along instrument axial direction;(4) it clamps and is implanted into intervertebral motion reservation
Device, first rotation knob 7, driving supporting rod 5 are advanced axially relative, and clamping limb 51 is in open configuration, then, by implantation instrument
Clamping bootstrap block 56 be deep into intervertebral motion retaining device up and down bone plate 1, in 4 gaps, to determine and gripper hook 52 guided to press from both sides
Hold, along clamping 56 direction of bootstrap block by gripper hook 52 be deep into intervertebral motion retaining device or more bone plate opening zone 151,
451 ends, at this point, the gap between clamping bootstrap block 56 and up and down gripper hook 52 is just fastened on bone plate 1,4 up and down, into
One step ensures the accuracy of clamping, reliability, then reversely rotates knob, while entire implantation instrument II is protected to intervertebral motion slightly
Stay I direction of device mobile, until closure clamps clamping limb 51 inside under the squeezing action of holding rod 6, gripper hook 52 enters folder
Tight area 152,452, firmly clamps at this point, intervertebral motion retaining device I is implanted instrument II, holds implantation instrument II for entire vertebra
Between movement retaining device I be implanted to operation presumptive area, that is, complete the clamping and implantation of intervertebral motion retaining device I;(5) it unclamps
Intervertebral motion retaining device I withdraws from implantation instrument II, rotates knob 7, while holding implantation instrument II and protecting to far from intervertebral motion
It stays the direction of device to move slightly, until clamping limb 51 opens, gripper hook 52 returns to opening zone 151,451, implantation can be extracted out
Instrument II is properly completed the implantation of intervertebral motion retaining device I.
The foregoing is merely presently preferred embodiments of the present invention, all equivalent changes done according to scope of the invention as claimed with
Modification, should all belong to the covering scope of the claims in the present invention.
Claims (10)
1. a kind of intervertebral motion retaining device, which is characterized in that by upper bone plate, liner, nucleus pulposus and lower bone plate group at liner
It is nested in bone plate, nucleus pulposus is nested in lower bone plate, and the spherical surface friction of liner and nucleus pulposus formation clearance fit type is secondary, institute
State on intervertebral motion retaining device and to be equipped with embedded holding tank at left and right sides of bone plate rear end, embedded holding tank by opening zone and
Indent pinch zones composition, opening zone is connected together with pinch zones, stays between the holding tank and upper bone plate upper and lower surfaces
There is certain thickness, it is ensured that implantation instrument can be entirely limited the movement of intervertebral motion retaining device all directions after clamping;It is described
Lower bone plate is symmetrically arranged with same embedded holding tank in corresponding position.
2. a kind of guiding implantation instrument of intervertebral motion retaining device, which is characterized in that stretched by supporting rod, holding rod, elasticity
Contracting ring, knob composition, the elastic telescopic ring are fixed in knob front end, and the holding rod end cone connector passes through elasticity
Expansion ring is fixed in the rotating drum of knob end, free to rotate between the two, after the supporting rod runs through holding rod inner cavity
It links together with knob internal whorl, the knob drives supporting rod after holding rod internal cavities when rotating relative to holding rod
Move back or advance, at the same clamp boom end clamping limb compressed to close under holding rod outer wall squeezing action or elasticity open, Jin Ershi
Existing clamping and release of the implantation instrument to intervertebral motion retaining device.
3. the guiding implantation instrument of intervertebral motion retaining device according to claim 2, which is characterized in that elastic telescopic
Ring external cylindrical surface surface is equipped with external screw thread, and knob rotating drum front end is equipped with the internal screw thread of equal length, and elastic telescopic ring passes through screw thread
It is fastened in knob rotating drum.
4. the guiding implantation instrument of intervertebral motion retaining device according to claim 2, which is characterized in that holding rod tail
Portion's tapered joint head is entered in knob rotating drum by the elastic telescopic ring that spiral is fixed on knob rotating drum front end, and elasticity is stretched
The contraction of contracting ring blocks taper connection head-tail and prevents its axial movement, into the tapered joint head inside rotating drum in rotating drum
It can be freely rotated, to realize being freely rotated between holding rod and knob.
5. the guiding implantation instrument of intervertebral motion retaining device according to claim 2, which is characterized in that the clamping
The fit system of bar and the holding rod and the knob, supporting rod are inserted into from holding rod front end, non-cylindrical confinement section and gripping
After bar constraint chamber matches, holding rod internal cavities are continued into, until tailing screw flight section is contacted with knob thread connecting hole, are led to
It crosses threaded connection to link together with knob, while being applied in holding rod, realize the cooperation of supporting rod and holding rod and knob.
6. the guiding implantation instrument of intervertebral motion retaining device according to claim 2, which is characterized in that the knob
Internal screw thread and rear end smooth part diameter rotating drum identical with internal screw thread path, spinning chamber tail portion depth are equipped with by front end portion
Enter the internal screw thread connecting hole of certain distance and the easy of knob outer projection inside knob and twists spline segment composition.
7. the guiding implantation instrument of intervertebral motion retaining device according to claim 2, which is characterized in that the elasticity
It is pre-large post-small by point diameter and the consistent mating cavity of holding rod tail end tapered joint head outer diameter and diameter dimension inside expansion ring
And big diameter dimension tapered guide chamber composition identical with mating cavity diameter dimension, it is external by being equipped on the outside of the column part of front end
The external screw thread linkage section matched with knob front end internal screw thread and rear portion are divided into diameter value pre-large post-small four by cross gap
Partial tapered telescopic section composition.
8. the guiding implantation instrument of intervertebral motion retaining device according to claim 2, which is characterized in that the gripping
Bar is made of internal structure and external structure, and internal structure includes opening and shrinking for clamping head for holding rod front end certain length
Open chamber, open chamber outer diameter with opening the adjacent transverse shape of chamber and be less than in the maximum outer dimension of non-circular shape
Rotary motion constraint chamber and constraint cavity rear end outer diameter are less than or equal to the intracavitary tangential circle diameter size of non-circular constraint and run through
The channel lumens of holding rod;External structure includes that holding rod tail diameter size is consistent with holding rod front end main body portion diameter size
Tapered joint head, the diameter adjacent with connector be less than holding rod main diameter and the fixing card apart from holding section certain distance
Close groove, biomimetic features design shape in ring shape for the holding section of four finger grips and the holding rod of front end
Main paragraph.
9. the guiding implantation instrument of intervertebral motion retaining device according to claim 2, which is characterized in that the clamping
Bar is rectified before being equipped with the clamping limb of V-type slitting slot, clamping limb by the rear to match with intervertebral motion device rear end elliptical profile
Middle position is equipped with clamping bootstrap block, the clamping limb front end clamped bootstrap block equipped with interior encircling type point axially to protract along supporting rod
The Elastic Cylindrical deformation receiving opening and the adjacent transverse shape of receiving opening of the gripper hook up and down, V-type slitting slot end that cut open
Rotary motion confinement section identical with holding rod rotational restraint chamber transverse shape and supporting rod tail portion and knob carry out screw thread
The thread segment composition of connection cooperation, there are certain intervals between the supporting rod front end clamping bootstrap block and upper and lower gripper hook, and
Clamping bootstrap block longitudinal length is longer than gripper hook longitudinal length.
10. a kind of method for implantation of the guiding implantation instrument of intervertebral motion retaining device, which is characterized in that including following step
It is rapid:
Step 1: installation elastic telescopic ring, knob remain stationary, and elastic telescopic ring tapered telescopic section is put into knob rotating drum,
Elastic telescopic ring is rotated, until threaded connection section is completely into inside knob, formation is firmly threadedly engaged;
Step 2: instrument portions are freely rotated in installation, keep knob motionless, holding rod end cone connector enters elastic telescopic
Tapered guide chamber is gradually strutted after ring mating cavity, flexible deformation occurs for guidance cavity, and tapered telescopic section is gradually opened, until taper connects
Connector tail plane passes through guidance cavity completely and enters rotating drum, and guidance cavity restores to the original state, and tapered telescopic section is fastened on holding rod
Fixed engaging groove in, that is, complete the installation of holding rod, can be freely rotated between holding rod and knob at this time;
Step 3: installing axial motion transmission part supporting rod, and supporting rod tailing screw flight section is opened chamber along holding rod front and entered
Holding rod, insertion process ensure that the non-circular cross section rotational restraint section of supporting rod and the rotational restraint chamber inside holding rod match
It closes, is always inserted into supporting rod along holding rod channel lumens, until supporting rod thread segment is contacted with knob thread connecting hole, at this time
Knob is rotated, supporting rod travels further into inside knob under screw-driven effect, i.e., completion supporting rod and rotating part are matched
It closes, completes the assembly of implantation instrument, rotate knob at this time, supporting rod can be in the case where being threadedly coupled driving effect along instrument
Axial direction moves forward or back;
Step 4: clamping and is implanted into intervertebral motion retaining device, first rotation knob, and driving supporting rod is advanced axially relative, clamps
Arm is in open configuration, then, implantation instrument clamping bootstrap block is deep into intervertebral motion retaining device or more synthetism sheet separation
In, to determine and gripper hook is guided to clamp, gripper hook is deep on intervertebral motion retaining device along clamping guidance Block direction
The opening zone end of lower bone plate, at this point, the gap between clamping bootstrap block and upper and lower gripper hook is just fastened on synthetism up and down
On plate, accuracy, the reliability of clamping are further ensured that, then reversely rotate knob, while entire implantation instrument is slightly to intervertebral
It is mobile to move retaining device direction, until closure clamps clamping limb inside under the squeezing action of holding rod, gripper hook enters folder
Tight area firmly clamps at this point, intervertebral motion retaining device is implanted instrument, holds implantation instrument for entire intervertebral motion and retains dress
It sets and is implanted to operation presumptive area, that is, complete the clamping and implantation of intervertebral motion retaining device
Step 5: unclamping intervertebral motion retaining device, withdraw from implantation instrument, rotate knob, while holding implantation instrument to separate
The direction of intervertebral motion retaining device is moved slightly, until clamping limb opens, gripper hook returns to opening zone, can extract implanting device out
Tool is properly completed the implantation of intervertebral motion retaining device.
Priority Applications (2)
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CN201810843992.2A CN108969158B (en) | 2018-07-27 | 2018-07-27 | Intervertebral motion retaining device, guiding type implanting instrument and implanting method thereof |
CN202010359214.3A CN111467093A (en) | 2018-07-27 | 2018-07-27 | Intervertebral motion retaining device, guiding type implanting instrument and implanting method thereof |
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CN201810843992.2A CN108969158B (en) | 2018-07-27 | 2018-07-27 | Intervertebral motion retaining device, guiding type implanting instrument and implanting method thereof |
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CN202010359214.3A Division CN111467093A (en) | 2018-07-27 | 2018-07-27 | Intervertebral motion retaining device, guiding type implanting instrument and implanting method thereof |
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CN108969158B CN108969158B (en) | 2021-07-09 |
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CN201810843992.2A Active CN108969158B (en) | 2018-07-27 | 2018-07-27 | Intervertebral motion retaining device, guiding type implanting instrument and implanting method thereof |
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US20090112217A1 (en) * | 2007-10-31 | 2009-04-30 | Douglas Hester | Implant insertion device |
DE202010011993U1 (en) * | 2010-08-30 | 2010-10-28 | Spontech Spine Intelligence Ag | Instrumentation for inserting an implant into an intervertebral disc space |
US20160151170A1 (en) * | 2001-07-16 | 2016-06-02 | Spinecore, Inc. | Intervertebral spacer device having recessed notch pairs for manipulation using a surgical tool |
WO2016207797A1 (en) * | 2015-06-25 | 2016-12-29 | Changzhou Kanghui Medical Innovation Co., Ltd | Assembly comprising a delivery system and an interbody cage |
US20180200077A1 (en) * | 2017-01-18 | 2018-07-19 | Neuropro Technologies, INC | Bone fusion system, device and method including delivery apparatus |
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FR2805733B1 (en) * | 2000-03-03 | 2002-06-07 | Scient X | DISC PROSTHESIS FOR CERVICAL VERTEBRUS |
US7320689B2 (en) * | 2003-07-15 | 2008-01-22 | Cervitech, Inc. | Multi-part cervical endoprosthesis with insertion instrument |
DE602006021239D1 (en) * | 2006-08-22 | 2011-05-19 | Synthes Gmbh | DEVICE FOR RIBBED TOTAL HEADSET |
FR2908978B1 (en) * | 2006-11-28 | 2012-08-03 | Spineart Sa | PROSTHESES HOLDER AND THEIR APPLICATIONS. |
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2018
- 2018-07-27 CN CN202010359214.3A patent/CN111467093A/en active Pending
- 2018-07-27 CN CN201810843992.2A patent/CN108969158B/en active Active
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Publication number | Priority date | Publication date | Assignee | Title |
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US20160151170A1 (en) * | 2001-07-16 | 2016-06-02 | Spinecore, Inc. | Intervertebral spacer device having recessed notch pairs for manipulation using a surgical tool |
US20090112217A1 (en) * | 2007-10-31 | 2009-04-30 | Douglas Hester | Implant insertion device |
DE202010011993U1 (en) * | 2010-08-30 | 2010-10-28 | Spontech Spine Intelligence Ag | Instrumentation for inserting an implant into an intervertebral disc space |
WO2016207797A1 (en) * | 2015-06-25 | 2016-12-29 | Changzhou Kanghui Medical Innovation Co., Ltd | Assembly comprising a delivery system and an interbody cage |
US20180200077A1 (en) * | 2017-01-18 | 2018-07-19 | Neuropro Technologies, INC | Bone fusion system, device and method including delivery apparatus |
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CN111467093A (en) | 2020-07-31 |
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