CN111670016A - 主动压缩装置，组装方法和使用方法 - Google Patents

主动压缩装置，组装方法和使用方法 Download PDF

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Publication number
CN111670016A
CN111670016A CN201880088395.1A CN201880088395A CN111670016A CN 111670016 A CN111670016 A CN 111670016A CN 201880088395 A CN201880088395 A CN 201880088395A CN 111670016 A CN111670016 A CN 111670016A
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CN
China
Prior art keywords
bone
present
length
screw
feature
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201880088395.1A
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English (en)
Chinese (zh)
Inventor
A·彼得森
D·S·萨维奇
P·J·欣德里希斯
A·K·帕默
M·P·布伦策尔
W·F·奥格尔维
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Activortho Inc
Original Assignee
Activortho Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US15/831,212 external-priority patent/US11234746B2/en
Priority claimed from US15/945,683 external-priority patent/US11224467B2/en
Application filed by Activortho Inc filed Critical Activortho Inc
Publication of CN111670016A publication Critical patent/CN111670016A/zh
Pending legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72—Intramedullary pins, nails or other devices
    • A61B17/7216—Intramedullary pins, nails or other devices for bone lengthening or compression
    • A61B17/7225—Intramedullary pins, nails or other devices for bone lengthening or compression for bone compression
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/844—Fasteners therefor or fasteners being internal fixation devices with expandable anchors or anchors having movable parts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/8605—Heads, i.e. proximal ends projecting from bone
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/8605—Heads, i.e. proximal ends projecting from bone
    • A61B17/861—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver
    • A61B17/8615—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver at the central region of the screw head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/8625—Shanks, i.e. parts contacting bone tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/8625—Shanks, i.e. parts contacting bone tissue
    • A61B17/863—Shanks, i.e. parts contacting bone tissue with thread interrupted or changing its form along shank, other than constant taper
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/866—Material or manufacture
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/8685—Pins or screws or threaded wires; nuts therefor comprising multiple separate parts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/869—Pins or screws or threaded wires; nuts therefor characterised by an open form, e.g. wire helix
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/8695—Washers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8875—Screwdrivers, spanners or wrenches
    • A61B17/8877—Screwdrivers, spanners or wrenches characterised by the cross-section of the driver bit
    • A61B17/888—Screwdrivers, spanners or wrenches characterised by the cross-section of the driver bit the driver bit acting on the central region of the screw head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8875—Screwdrivers, spanners or wrenches
    • A61B17/8886—Screwdrivers, spanners or wrenches holding the screw head
    • A61B17/8888—Screwdrivers, spanners or wrenches holding the screw head at its central region
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/686—Plugs, i.e. elements forming interface between bone hole and implant or fastener, e.g. screw
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/864—Pins or screws or threaded wires; nuts therefor hollow, e.g. with socket or cannulated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8875—Screwdrivers, spanners or wrenches
    • A61B17/8894—Screwdrivers, spanners or wrenches holding the implant into or through which the screw is to be inserted
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B2017/681—Alignment, compression, or distraction mechanisms

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Neurology (AREA)
  • Surgical Instruments (AREA)
CN201880088395.1A 2017-12-04 2018-12-04 主动压缩装置，组装方法和使用方法 Pending CN111670016A (zh)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US15/831,212 2017-12-04
US15/831,212 US11234746B2 (en) 2016-02-26 2017-12-04 Active compression apparatus, methods of assembly and methods of use
US15/945,683 US11224467B2 (en) 2016-02-26 2018-04-04 Active compression apparatus, methods of assembly and methods of use
US15/945,683 2018-04-04
PCT/US2018/063915 WO2019113115A1 (en) 2017-12-04 2018-12-04 Active compression apparatus, methods of assembly and methods of use

Publications (1)

Publication Number Publication Date
CN111670016A true CN111670016A (zh) 2020-09-15

Family

ID=66751767

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201880088395.1A Pending CN111670016A (zh) 2017-12-04 2018-12-04 主动压缩装置，组装方法和使用方法

Country Status (7)

Country Link
EP (1) EP3720376A4 (ja)
JP (1) JP2021505337A (ja)
CN (1) CN111670016A (ja)
AU (1) AU2018380015A1 (ja)
CA (1) CA3098391A1 (ja)
IL (1) IL275015A (ja)
WO (1) WO2019113115A1 (ja)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4070748B1 (en) * 2021-04-09 2024-07-10 Globus Medical, Inc Spinal screw
CN113485248B (zh) * 2021-07-19 2022-08-30 宁波兆盈医疗器械有限公司 一种变螺距螺钉的运算加工方法
US12064156B2 (en) 2023-01-09 2024-08-20 John F. Krumme Dynamic compression fixation devices
US12023080B1 (en) 2023-08-26 2024-07-02 University Of Utah Research Foundation Cannulated continuous compression screw

Citations (15)

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Publication number Priority date Publication date Assignee Title
CN1571653A (zh) * 2001-08-15 2005-01-26 艾斯特勒科技公司 植入物、包括植入物的装置以及将所述植入物插入骨组织的方法
US20050177167A1 (en) * 2001-06-21 2005-08-11 Karl-Heinz Hildinger & Helmut Muckter Implantable screw for stabilization of a joint or a bone fracture
US20050277940A1 (en) * 2004-06-15 2005-12-15 Neff James R Dynamic compression device and driving tool
WO2009152270A1 (en) * 2008-06-10 2009-12-17 Sonoma Orthopedic Products, Inc. Fracture fixation device, tools and methods
WO2010099239A2 (en) * 2009-02-24 2010-09-02 Flex Technology, Inc. Flexible screw
CN101969867A (zh) * 2008-01-14 2011-02-09 M·P·布伦策尔 用于骨折修补的装置和方法
US20130012942A1 (en) * 2005-05-18 2013-01-10 Sonoma Orthopedic Products, Inc. Segmented intramedullary fracture fixation devices and methods
WO2013018062A1 (en) * 2011-08-02 2013-02-07 Nlt Spine Ltd. Bone screw with deflectable portion
US20130238036A1 (en) * 2010-11-30 2013-09-12 Genossis Llc Bone Compression and Fixation Devices
CN103445850A (zh) * 2011-12-20 2013-12-18 德普伊米特克有限责任公司 无结不稳定性锚钉
US20150012048A1 (en) * 2013-07-03 2015-01-08 Acumed Llc Steerable fastener for bone
WO2015060966A1 (en) * 2013-10-25 2015-04-30 Medtronic Vascular Inc. Tissue compression device with pressure indicator
WO2015095353A1 (en) * 2013-12-17 2015-06-25 H. Lee Moffit Cancer Center And Research Institute, Inc. Transdiscal screw
US9482260B1 (en) * 2009-02-24 2016-11-01 William R Krause Flexible fastening device for industrial use
US20170014170A1 (en) * 2015-07-13 2017-01-19 IntraFuse, LLC Flexible bone screw

Family Cites Families (7)

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Publication number Priority date Publication date Assignee Title
US6656184B1 (en) * 2002-01-09 2003-12-02 Biomet, Inc. Bone screw with helical spring
WO2007117571A2 (en) 2006-04-06 2007-10-18 Lotus Medical, Llc Active compression to facilitate healing of bones
SE532372C2 (sv) * 2007-03-21 2009-12-29 Lars Haakan Wernersson Fjädrande infästande arrangemang
US9241806B2 (en) * 2011-09-26 2016-01-26 Globus Medical, Inc. Flexible anchoring and fusion devices and methods of using the same
US9808867B2 (en) * 2015-08-31 2017-11-07 Flex Technology, Inc. Flexible shaft for holding a tool of rotary driven motion
US11224467B2 (en) * 2016-02-26 2022-01-18 Activortho, Inc. Active compression apparatus, methods of assembly and methods of use
WO2017147537A1 (en) * 2016-02-26 2017-08-31 Activortho, Inc. Active compression apparatus, methods of assembly and methods of use

Patent Citations (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050177167A1 (en) * 2001-06-21 2005-08-11 Karl-Heinz Hildinger & Helmut Muckter Implantable screw for stabilization of a joint or a bone fracture
CN1571653A (zh) * 2001-08-15 2005-01-26 艾斯特勒科技公司 植入物、包括植入物的装置以及将所述植入物插入骨组织的方法
US20050277940A1 (en) * 2004-06-15 2005-12-15 Neff James R Dynamic compression device and driving tool
US20130012942A1 (en) * 2005-05-18 2013-01-10 Sonoma Orthopedic Products, Inc. Segmented intramedullary fracture fixation devices and methods
CN101969867A (zh) * 2008-01-14 2011-02-09 M·P·布伦策尔 用于骨折修补的装置和方法
WO2009152270A1 (en) * 2008-06-10 2009-12-17 Sonoma Orthopedic Products, Inc. Fracture fixation device, tools and methods
US9482260B1 (en) * 2009-02-24 2016-11-01 William R Krause Flexible fastening device for industrial use
WO2010099239A2 (en) * 2009-02-24 2010-09-02 Flex Technology, Inc. Flexible screw
US20110144703A1 (en) * 2009-02-24 2011-06-16 Krause William R Flexible Screw
US20130238036A1 (en) * 2010-11-30 2013-09-12 Genossis Llc Bone Compression and Fixation Devices
WO2013018062A1 (en) * 2011-08-02 2013-02-07 Nlt Spine Ltd. Bone screw with deflectable portion
CN103445850A (zh) * 2011-12-20 2013-12-18 德普伊米特克有限责任公司 无结不稳定性锚钉
US20150012048A1 (en) * 2013-07-03 2015-01-08 Acumed Llc Steerable fastener for bone
WO2015060966A1 (en) * 2013-10-25 2015-04-30 Medtronic Vascular Inc. Tissue compression device with pressure indicator
WO2015095353A1 (en) * 2013-12-17 2015-06-25 H. Lee Moffit Cancer Center And Research Institute, Inc. Transdiscal screw
US20170014170A1 (en) * 2015-07-13 2017-01-19 IntraFuse, LLC Flexible bone screw

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Publication number Publication date
IL275015A (en) 2020-07-30
AU2018380015A1 (en) 2020-07-09
JP2021505337A (ja) 2021-02-18
CA3098391A1 (en) 2019-06-13
EP3720376A4 (en) 2021-08-04
WO2019113115A1 (en) 2019-06-13
EP3720376A1 (en) 2020-10-14

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