CN110478016A - It is fixed in a kind of centrum to form device with spring-piece type cone cavity - Google Patents

It is fixed in a kind of centrum to form device with spring-piece type cone cavity Download PDF

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Publication number
CN110478016A
CN110478016A CN201910693593.7A CN201910693593A CN110478016A CN 110478016 A CN110478016 A CN 110478016A CN 201910693593 A CN201910693593 A CN 201910693593A CN 110478016 A CN110478016 A CN 110478016A
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CN
China
Prior art keywords
outer tube
branch pipe
pedicle screw
tube branch
pipe
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Granted
Application number
CN201910693593.7A
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Chinese (zh)
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CN110478016B (en
Inventor
王志荣
肖龙
缪伟
施建东
杨惠林
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Hospital Of Traditional Chinese Hospital Zhangjagang City
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Hospital Of Traditional Chinese Hospital Zhangjagang City
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Priority to CN201910693593.7A priority Critical patent/CN110478016B/en
Publication of CN110478016A publication Critical patent/CN110478016A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal 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
    • A61B17/7061Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant for stabilising vertebrae or discs by improving the condition of their tissues, e.g. using implanted medication or fluid exchange
    • 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
    • A61B17/7062Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
    • 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
    • A61B17/7071Implants for expanding or repairing the vertebral arch or wedged between laminae or pedicles; Tools therefor
    • 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
    • A61B17/7097Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants
    • 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
    • A61B17/7097Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants
    • A61B17/7098Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants wherein the implant is permeable or has openings, e.g. fenestrated screw
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8802Equipment for handling bone cement or other fluid fillers
    • A61B17/8805Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8802Equipment for handling bone cement or other fluid fillers
    • A61B17/8805Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it
    • A61B17/8816Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it characterised by the conduit, e.g. tube, along which fluid flows into the body or by conduit connections
    • 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

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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)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Fluid Mechanics (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

Device is formed with spring-piece type cone cavity the invention discloses fixed in a kind of centrum, it include: pedicle screw, the axial centre of pedicle screw is provided with centre bore, it is circumferentially arranged in the front end side wall of pedicle screw to have several bone cement diffusion holes being connected with centre bore, an outer tube general pipeline is movably set in centre bore, several outer tube branch pipes are equipped in the front end of outer tube general pipeline, every outer tube branch pipe is inserted into corresponding bone cement diffusion hole, the pipe end of every outer tube branch pipe is flexible elastic pipe end, the elastic pipe end of every outer tube branch pipe is circumferentially divided into several elastic tube valves, activity is inserted with pull rod in outer tube general pipeline, several struts are equipped in the front end of pull rod, every strut of pull rod respectively be inserted into corresponding outer tube branch pipe and mutually fix with the outer end of all elastic pipe valve of corresponding outer tube branch pipe pipe end by activity.The invention has the advantages that can guarantee that bone cement is uniformly distributed in pedicle screw surrounding, the fixed effect to pedicle screw is improved.

Description

It is fixed in a kind of centrum to form device with spring-piece type cone cavity
Technical field
The present invention relates to column reconstructions to treat auxiliary instrument technical field, and in particular to fixed spring-piece type in a kind of centrum Cone cavity forms device.
Background technique
Currently, in the dislocation of various unstable fractures, the retrogression of interverbebral disc, spondylolishesis and the ridge for the treatment of Thoracolumbar disk After column in convex surgical procedure, need that the centrums one or more up and down of affected part are fixed.Pedicle of vertebral arch is generally used at present The fixed upper hypocentrum of the mode that screw is matched with pitman, it may be assumed that first hammered into respectively in the two sides pedicle of vertebral arch of one centrum of affected part A piece pedicle screw, and then " ﹀ " the shape distribution at an acute angle of two pedicle screws, another centrum of same treatment again will Two ipsilateral pedicle screws of two centrums are connected to a fixed with a pitman respectively, and multiple centrums are similarly handled;It is logical Crossing will be fixed in centrum progress, to reach reset and stable fracture, early stage carries out the purpose of functional training.But when needs are beaten When the centrum of pedicle screw suffers from osteoporosis, pedicle screw can be loosened, cut out or be exited after squeezing into centrum, lead to centrum Fixation failure causes the failure of operative treatment.
Summary of the invention
The object of the present invention is to provide fixed elastic slices in a kind of a kind of centrum that can improve pedicle screw fixed effect Formula cone cavity forms device.
To achieve the above object, present invention employs following technical solutions: fixed empty with spring-piece type cone in a kind of centrum Chamber forms device, comprising: pedicle screw is provided with centre bore in the axial centre of pedicle screw, in pedicle screw It is circumferentially arranged in front end side wall to have several bone cement diffusion holes being connected with centre bore, one is movably set in centre bore Root outer tube general pipeline is provided with several coupled logical outer tube branch pipes in the front end of outer tube general pipeline, and outer tube branch pipe and bone cement expand It dissipates hole to correspond, every outer tube branch pipe is inserted into corresponding bone cement diffusion hole, and the pipe end of every outer tube branch pipe is with elasticity Elastic pipe end, the elastic pipe end of every outer tube branch pipe is circumferentially divided into several elastic tube valves, movable in outer tube general pipeline It is inserted with pull rod, the front end of pull rod is provided with several struts, the strut of pull rod and the outer tube branch pipe of outer tube general pipeline are corresponded, drawn The corresponding outer tube branch pipe of every strut difference activity insertion of bar is simultaneously outer with all elastic pipe valve of corresponding outer tube branch pipe pipe end End is mutually fixed, and when the pipe end of each outer tube branch pipe is released corresponding bone cement diffusion hole by outer tube general pipeline, pull rod is made to drive each strut It corresponds in outer tube branch pipe and moves relatively, each strut will drive in the outer end of all elastic pipe valve of corresponding outer tube branch pipe and move, and make to correspond to The all elastic pipe valve of outer tube branch pipe is bent outwardly expansion simultaneously, to expand in the centrum outside pedicle screw several out Around pedicle screw distribution for the centrum cavity of bone cement to be perfused.
Further, fixed in a kind of centrum above-mentioned to form device with spring-piece type cone cavity, in which: outer tube general pipeline with Each outer tube branch pipe is integrally formed, and pull rod and each strut are integrally formed.
Further, fixed in a kind of centrum above-mentioned to form device with spring-piece type cone cavity, in which: bone cement diffusion The aperture in hole is in be gradually reduced setting from the inside to the outside.
It through the implementation of the above technical solution, the beneficial effects of the present invention are: can be outside the pedicle screw for hammering into cone Portion forms several centrum cavitys around pedicle screw distribution, when bone cement passes through the centre bore and bone cement of pedicle screw After diffusion hole injects each centrum cavity, bone cement can be uniformly distributed in outside pedicle screw and carry out to pedicle screw effective It is fixed, to improve the fixed effect of pedicle screw, and then improve surgical result.
Detailed description of the invention
Fig. 1 is the fixed structural schematic diagram that device is formed with spring-piece type cone cavity in a kind of centrum of the present invention.
Fig. 2 is the structural schematic diagram of pedicle screw shown in Fig. 1.
Fig. 3 is the structural schematic diagram of outer tube general pipeline shown in Fig. 1, outer tube branch pipe, pull rod and strut.
Fig. 4 is the use state diagram of Fig. 1.
Fig. 5 is to pump the use state diagram after outer tube general pipeline, outer tube branch pipe, pull rod and strut in Fig. 4.
Specific embodiment
Invention is further described in detail in the following with reference to the drawings and specific embodiments.
As shown in figure 1, figure 2, figure 3, figure 4 and figure 5, fixed in a kind of centrum to form dress with spring-piece type cone cavity It sets, comprising: pedicle screw 1, the axial centre of pedicle screw 1 are provided with centre bore 2, in the front end side of pedicle screw 1 It is circumferentially arranged on wall to have several bone cement diffusion holes 3 being connected with centre bore 2, one is movably set in centre bore 2 Outer tube general pipeline 4 is provided with several coupled logical outer tube branch pipes 5, outer tube branch pipe 5 and bone cement in the front end of outer tube general pipeline 4 Diffusion hole 3 corresponds, and every outer tube branch pipe 5 is inserted into corresponding bone cement diffusion hole 3, and the pipe end of every outer tube branch pipe 5 is tool Flexible elasticity pipe end, the elastic pipe end of every outer tube branch pipe 5 is circumferentially divided into several elastic tube valves 51, total in outer tube Activity is inserted with pull rod 6 in pipe 4, and the front end of pull rod 6 is provided with several struts 7, the strut 7 of pull rod 6 and the outer tube of outer tube general pipeline 4 Branch pipe 5 corresponds, the every strut 7 of pull rod 6 respectively activity be inserted into corresponding outer tube branch pipe 5 and with corresponding outer tube branch pipe pipe end The outer end of all elastic pipe valve 51 mutually fix, when the pipe end of each outer tube branch pipe 4 is released corresponding bone cement diffusion by outer tube general pipeline 4 When hole 3, makes pull rod 6 that each strut 7 be driven to be corresponded in outer tube branch pipe 4 relatively and move, each strut 7 will drive the institute of corresponding outer tube branch pipe 5 It is moved in the outer end of flexible pipe valve 51, make all elastic pipe valve 51 of corresponding outer tube branch pipe 5 while being bent outwardly expansion, thus It is empty that several centrums for bone cement to be perfused being distributed around pedicle screw 1 out are expanded in centrum 8 outside pedicle screw 1 Chamber 9;In the present embodiment, outer tube general pipeline 4 and each outer tube branch pipe 5 are integrally formed, and pull rod 6 and each strut 7 are integrally formed, and in this way may be used To improve safety in utilization;In the present embodiment, the aperture of bone cement diffusion hole 3 in setting is gradually reduced from the inside to the outside, in this way During by bone cement diffusion hole 3, bone cement meeting flow velocity will increase bone cement, so that bone cement be made to inject more quickly Each centrum cavity, improves procedure efficiency;
When carrying out cone internal fixation operation, pedicle screw 1 is first hammered into centrum 8, two pedicles of vertebral arch along into nail direction completely Screw " ﹀ " shape distribution at an acute angle;Then the pipe end of each outer tube branch pipe 4 is released by corresponding bone cement diffusion by outer tube general pipeline 4 Hole 3 then passes through pull rod 6 and each strut 7 is driven to correspond to shifting in outer tube branch pipe 4 relatively, and meeting synchronous drive is corresponding when moving in each strut 7 It is moved in the outer end of all elastic pipe valve 51 of outer tube branch pipe 5, makes all elastic pipe valve 51 while bent outward of corresponding outer tube branch pipe 5 Song expansion several out is used to be perfused to expand in centrum 8 pedicle screw 1 outside around what pedicle screw 1 was distributed The centrum cavity 9 of bone cement;
Then one circle of the rotation of pedicle screw 1 is driven into all of each outer tube branch pipe 5 for having expanded prominent pedicle screw 1 again Elastic tube valve 51 is around one circle of the rotation of pedicle screw 1, by all elastic pipe valve 51 of each outer tube branch pipe 5 in pedicle screw 1 The annular centrum cavity that several circles surround pedicle screw is scanned out in external centrum 8;
Then it drives each strut 7 to correspond to relatively outside outer tube branch pipe 4 by pull rod 6 again to move, it can synchronous drive pair when being moved outside each strut 7 It answers and is moved outside the outer end of all elastic pipe valve 51 of outer tube branch pipe 5, make all elastic pipe valve 51 of corresponding outer tube branch pipe 5 while replying Collapse straight state to can retract bone cement diffusion hole 3, then again by outer tube general pipeline 4, outer tube branch pipe 5, pull rod 6 and strut 7 simultaneously It extracts pedicle screw 1 out, surrounds the annular vertebra of pedicle screw in the centrum 8 outside pedicle screw 1 with several circles at this time Body cavity;
Then bone cement is injected into pedicle screw 1 from the centre bore 2 of pedicle screw 1, to bone cement from pedicle screw 1 Centre bore 2 is after each bone cement diffusion hole 3 flows into corresponding annular centrum cavity, in bone cement gradually solidification process, Constantly rotation pedicle screw 1, until the bone cement in annular centrum cavity is formed and the external screw thread of corresponding pedicle screw 1 The internal screw thread matched;After bone cement is fully cured, the fixation to pedicle screw is realized;Since bone cement forms and vertebra The internal screw thread that the external screw thread of pedicle screw matches, so after treatment is finished, pedicle screw 1 can more easily exit vertebra Body reduces and injures to patient centrum, further improves surgical result.
The invention has the advantages that can be formed outside the pedicle screw for hammering into cone several around pedicle screw distribution Centrum cavity, after bone cement injects each centrum cavity by the centre bore of pedicle screw and bone cement diffusion hole, bone water Mud can be uniformly distributed in outside pedicle screw and effectively fix to pedicle screw, to improve pedicle screw Fixed effect, and then improve surgical result.

Claims (3)

1. fixed in a kind of centrum form device with spring-piece type cone cavity, comprising: pedicle screw, it is characterised in that: in vertebra The axial centre of pedicle screw is provided with centre bore, circumferentially arranged in the front end side wall of pedicle screw to have several and center The bone cement diffusion hole that hole is connected is movably set with an outer tube general pipeline in centre bore, is arranged in the front end of outer tube general pipeline There are several coupled logical outer tube branch pipes, outer tube branch pipe and bone cement diffusion hole correspond, every outer tube branch pipe insertion pair The bone cement diffusion hole answered, the pipe end of every outer tube branch pipe are flexible elastic pipe end, the elastic tube of every outer tube branch pipe End is circumferentially divided into several elastic tube valves, and activity is inserted with pull rod in outer tube general pipeline, is provided in the front end of pull rod several Strut, the strut of pull rod and the outer tube branch pipe of outer tube general pipeline correspond, and activity insertion is corresponding respectively for every strut of pull rod Outer tube branch pipe is simultaneously mutually fixed with the outer end of all elastic pipe valve of corresponding outer tube branch pipe pipe end, when outer tube general pipeline is by each outer tube branch pipe Pipe end when releasing corresponding bone cement diffusion hole, make pull rod that each strut be driven correspond in outer tube branch pipe relatively and move, each strut meeting band It is moved in the outer end of all elastic pipe valve of dynamic corresponding outer tube branch pipe, makes all elastic pipe valve while bent outward of corresponding outer tube branch pipe Song expansion, thus expanded in the centrum outside pedicle screw out it is several around pedicle screw distribution for bone water to be perfused The centrum cavity of mud.
2. fixed in a kind of centrum according to claim 1 form device with spring-piece type cone cavity, it is characterised in that: outer Guan general pipeline and each outer tube branch pipe are integrally formed, and pull rod and each strut are integrally formed.
3. fixed in a kind of centrum according to claim 1 or 2 form device with spring-piece type cone cavity, feature exists In: the aperture of bone cement diffusion hole is in be gradually reduced setting from the inside to the outside.
CN201910693593.7A 2019-07-30 2019-07-30 Spring piece type cone cavity forming device for fixing vertebral body Active CN110478016B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910693593.7A CN110478016B (en) 2019-07-30 2019-07-30 Spring piece type cone cavity forming device for fixing vertebral body

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910693593.7A CN110478016B (en) 2019-07-30 2019-07-30 Spring piece type cone cavity forming device for fixing vertebral body

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CN110478016A true CN110478016A (en) 2019-11-22
CN110478016B CN110478016B (en) 2023-12-08

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Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070299450A1 (en) * 2004-12-31 2007-12-27 Ji-Hoon Her Pedicle Screw and Device for Injecting Bone Cement into Bone
US20090105771A1 (en) * 2006-05-18 2009-04-23 Wei Lei Multi-Axial Expandable Pedicle Screw and an Expansion Method Thereof
CN202365901U (en) * 2011-12-05 2012-08-08 中国人民解放军军事医学科学院附属医院 Hollow expansile pedicle screw capable of carrying particles
CN207768496U (en) * 2017-06-20 2018-08-28 上海凯利泰医疗科技股份有限公司 Hollow Pediculus arcus vertebrae screw for conveying bone cement and bone cement delivery device
CN109044515A (en) * 2018-07-27 2018-12-21 张嘉 A kind of repair of fractured bones system
CN109549692A (en) * 2019-01-21 2019-04-02 王昶 A kind of spinal vertebral bilateral vertebral pedicle puncture navigator fix bone cement injector
CN208756131U (en) * 2017-10-16 2019-04-19 江苏大学附属医院 A kind of bone cement pedicle screw
CN211131332U (en) * 2019-07-30 2020-07-31 张家港市中医医院 Spring sheet type cone cavity forming device for internal fixation of vertebral body

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070299450A1 (en) * 2004-12-31 2007-12-27 Ji-Hoon Her Pedicle Screw and Device for Injecting Bone Cement into Bone
US20090105771A1 (en) * 2006-05-18 2009-04-23 Wei Lei Multi-Axial Expandable Pedicle Screw and an Expansion Method Thereof
CN202365901U (en) * 2011-12-05 2012-08-08 中国人民解放军军事医学科学院附属医院 Hollow expansile pedicle screw capable of carrying particles
CN207768496U (en) * 2017-06-20 2018-08-28 上海凯利泰医疗科技股份有限公司 Hollow Pediculus arcus vertebrae screw for conveying bone cement and bone cement delivery device
CN208756131U (en) * 2017-10-16 2019-04-19 江苏大学附属医院 A kind of bone cement pedicle screw
CN109044515A (en) * 2018-07-27 2018-12-21 张嘉 A kind of repair of fractured bones system
CN109549692A (en) * 2019-01-21 2019-04-02 王昶 A kind of spinal vertebral bilateral vertebral pedicle puncture navigator fix bone cement injector
CN211131332U (en) * 2019-07-30 2020-07-31 张家港市中医医院 Spring sheet type cone cavity forming device for internal fixation of vertebral body

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