CN112370140A - Width-adjustable locking occipital bone plate - Google Patents

Width-adjustable locking occipital bone plate Download PDF

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Publication number
CN112370140A
CN112370140A CN202011124261.6A CN202011124261A CN112370140A CN 112370140 A CN112370140 A CN 112370140A CN 202011124261 A CN202011124261 A CN 202011124261A CN 112370140 A CN112370140 A CN 112370140A
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China
Prior art keywords
occipital
screw
occipital plate
connecting seat
ring
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Granted
Application number
CN202011124261.6A
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Chinese (zh)
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CN112370140B (en
Inventor
彭文
玉培良
顾浩铧
陈柔合
刘亚密
邓展文
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Guangdong Shitaibao Medical Technology Co ltd
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Guangdong Shitaibao Medical Technology Co ltd
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Priority to CN202011124261.6A priority Critical patent/CN112370140B/en
Publication of CN112370140A publication Critical patent/CN112370140A/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
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8023Variable length plates adjustable in both directions
    • 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
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8033Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers
    • 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
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8061Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones

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  • 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)
  • Neurology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a locking occipital plate with adjustable width, which comprises an arch bridge-shaped occipital plate, a connecting seat, occipital screws, a C-shaped ring and a clamping ring, wherein adjusting holes are formed in two side wings of the arch bridge-shaped occipital plate, the connecting seat is connected with the adjusting holes in a sliding mode, the clamping ring is clamped outside the connecting seat, a plurality of fixing holes are formed in the middle of the arch bridge-shaped occipital plate, the occipital screws penetrate through the fixing holes, the C-shaped ring is arranged in the fixing holes and sleeved on the heads of the occipital screws, and the C-shaped ring can. The invention solves the problems that the existing occipital plate needs to be provided with a plurality of specifications for operation, and the production cost and the operation cost are increased; the problems that the connecting rod is large in bending degree in the operation process, fatigue stress of the connecting rod is concentrated due to repeated bending adjustment, and the connecting rod is easy to break and lose efficacy after the operation are solved; the problem of the not hard up screw of occipital plate postoperative appearance is solved, the risk of secondary operation is reduced for the patient can obtain better postoperative experience.

Description

Width-adjustable locking occipital bone plate
Technical Field
The invention relates to the technical field of medical instruments, in particular to a locking occipital plate with adjustable width.
Background
The spine diseases related to spine fracture, tumor, infection and degenerative diseases appear in human beings for a long time, along with the continuous development and exploration of modern medicine, the treatment of the spine diseases which afflict the human beings has been improved well, and products and technologies for surgical treatment in the aspect are quite perfect and mature. For example, the occipital plate is mainly applied to the bone surgery of occipital-cervical fusion, and is mainly matched with implants such as occipital screws, titanium rods, cervical pedicle screws and the like for the operative fixation of traumatic cervical vertebra fracture.
The existing occipital neck fusion system mainly comprises an integrated occipital plate and a split occipital plate, the integrated occipital plate adopts a cervical plate and occipital plate integrated structure, the occipital plate and the cervical plate are connected into a whole through a middle bridging plate and a bridging screw, the occipital plate is used for fixing the occipital bone, and the cervical plate is used for fixing a cervical screw rod system. The split type occipital plate adopts the combination of the occipital plate and the connecting rods of the cervical vertebra fixing screw rod system, namely, the occipital plate is fixed on the occipital bone by using occipital screws, and the occipital plate is fixed with the structure of the two connecting rods of the cervical vertebra fixing screw rod system. The integral occipital bone plate has a larger structure and a more complex structure, and the operation process is relatively difficult. The split type occipital plate structure is relatively small, and the operation is more simple. But at present no matter integral type occipital plate is split type occipital plate still, when the connective bar of the nail stick system of cooperation cervical vertebra is fixed, it is great all to have the crooked radian of connective bar, the knee degree of difficulty is big, relapse the curved tired problem of connective bar meeting cause of knee, need be equipped with the occipital bone board of a plurality of specifications and operate, increase manufacturing cost and operating cost, and the fixed occipital bone of occipital bone board all adopts occipital bone screw perpendicular to occipital bone board screw in occipital bone to lock, postoperative occipital bone screw appears easily because stress concentration and not hard up problem.
Disclosure of Invention
The present invention is directed to a locking occipital plate having an adjustable width that solves one or more of the problems set forth in the prior art and provides at least one of the advantages or features.
The technical scheme adopted for solving the technical problems is as follows:
the utility model provides a width adjustable locking occipital plate, includes arch bridge shape occipital plate, connecting seat, occipital bone screw, C shape ring and snap ring, the both sides wing of arch bridge shape occipital plate is opened and is equipped with the regulation hole, but connecting seat and regulation hole sliding connection, the snap ring card is in the outside of connecting seat, a plurality of fixed orifices has been seted up at the middle part of arch bridge shape occipital plate, occipital bone screw runs through the fixed orifices, C shape ring sets up and establishes the head at occipital bone screw in the fixed orifices and cover, C shape ring can be at the downthehole activity of fixed orifices.
The both sides wing through arched bridge shape occipital plate is opened and is equipped with the regulation hole, connecting seat and regulation hole sliding connection, the snap ring card is in the outside of connecting seat, the connecting seat can be according to the width needs of connective bar in the operation remove on the regulation hole of arched bridge shape occipital plate's two flanks, avoid the connecting seat to drop through the snap ring cooperation simultaneously, thereby carry out the distance adjustment, can solve the problem that the connective bar need bend adjustment radian repeatedly in-process of performing the operation and cause connective bar bending fatigue, need not to be equipped with the occipital plate of a plurality of specifications, therefore, the cost is reduced, make things convenient for operation doctor's operation, reduce the connecting seat at radial atress, make connecting seat and connective bar locking. A plurality of fixed orifices has been seted up through the middle part of arched bridge shape occipital plate, occipital screw runs through the fixed orifices, C shape ring setting is established in the fixed orifices and the cover is established at the head of occipital screw, C shape ring can be at the downthehole rotation of fixed orifices, thereby occipital screw can pass through C shape ring at the fixed orifices activity of arched bridge shape occipital plate and can angle of adjustment, the angle of control screw in occipital bone, it is the angle cross fixation to let occipital screw, make occipital screw obtain great power of controlling in the inside cortex bone of occipital bone, improve occipital plate's resistance to extraction performance, reduce the risk that the secondary operation appears in the postoperative, accelerate occipital neck fusion operation's recovered speed, so that reduce the adverse effect that the postoperative led to the fact the patient.
As a further improvement of the technical scheme, the top of the connecting seat is provided with an internal thread hole and a screw plug, the bottom of the internal thread hole is provided with a U-shaped groove, and two side faces of the top of the connecting seat are symmetrically provided with U-shaped notches. The connective bar can be installed on the U-shaped groove through the U-shaped breach, makes things convenient for the later stage to fix the connective bar.
As a further improvement of the above technical scheme, the inner wall of adjusting hole is equipped with the ladder groove, the bottom of connecting seat is equipped with the draw-in groove, the draw-in groove is connected with the ladder groove, the snap ring joint just is located on the draw-in groove the surface of the flank of arched bridge shape occipital plate. Through the cooperation of ladder groove, draw-in groove and snap ring for the connecting seat can only remove along the regulation hole, avoids the connecting seat to deviate from the regulation hole.
As a further improvement of the technical scheme, the plug screw is provided with an external thread and is a negative-angle thread, and the plug screw is in threaded connection with the internal thread hole. Adopt negative angle thread design, the interior screw thread hole of cooperation connecting seat carries out better locking to the connective bar for the connective bar is more firm with being connected of connecting seat, reduces the postoperative plug screw and appears becoming flexible and lead to occipital lamella and the unstable risk of connective bar locking.
As a further improvement of the technical scheme, the head of the occipital screw is provided with an external taper thread, the C-shaped ring is provided with an internal taper thread, and the C-shaped ring is in threaded connection with the head of the occipital screw. The inner conical thread of the C-shaped ring is matched with the outer conical thread of the head of the occipital screw to be in threaded connection, and the occipital screw is firmly locked in the C-shaped ring, so that the occipital screw can move in the fixing hole of the arch bridge-shaped occipital plate through the C-shaped ring to control the angle of screwing in the occipital bone.
As a further improvement of the technical scheme, the middle part of the occipital screw is provided with external threads and negative-angle threads. The negative angle thread design is favorable for the gripping force of the occipital screw screwed into the occipital bone to the cortical bone, prevents the occipital screw from loosening and achieves better postoperative recovery effect.
As a further improvement of the technical scheme, the tail part of the occipital screw is provided with a cutting edge. The design of the cutting edge enables the occipital screw to be screwed into the bone more easily.
Drawings
The invention is further described below with reference to the accompanying drawings and examples.
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic view of the structure of the connecting base of the present invention engaged with the snap ring;
FIG. 3 is a cross-sectional view taken along A-A of FIG. 1;
fig. 4 is a cross-sectional view of an occipital screw of the present invention mated with a C-ring.
In the figure, 100-arch bridge-shaped occipital plate, 110-adjusting hole, 111-step groove, 120-fixing hole, 200-connecting seat, 210-internal thread hole, 220-screw plug, 230-U-shaped groove, 240-U-shaped notch, 250-clamping groove, 300-occipital screw, 310-cutting edge, 400-C-shaped ring and 500-clamping ring.
Detailed Description
Reference will now be made in detail to the present preferred embodiments of the present invention, examples of which are illustrated in the accompanying drawings, wherein like reference numerals refer to like elements throughout.
In the description of the present invention, it should be understood that the orientation or positional relationship referred to in the description of the orientation, such as the upper, lower, front, rear, left, right, etc., is based on the orientation or positional relationship shown in the drawings, and is only for convenience of description and simplification of description, and does not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and thus, should not be construed as limiting the present invention.
In the description of the present invention, if words such as "a plurality" are described, the meaning is one or more, the meaning of a plurality is two or more, more than, less than, more than, etc. are understood as excluding the present number, and more than, less than, etc. are understood as including the present number.
In the description of the present invention, unless otherwise explicitly limited, terms such as arrangement, installation, connection and the like should be understood in a broad sense, and those skilled in the art can reasonably determine the specific meanings of the above terms in the present invention in combination with the specific contents of the technical solutions.
Referring to fig. 1 to 4, in an embodiment of the present invention, a locking occipital plate with an adjustable width includes an arch bridge-shaped occipital plate 100, a connecting seat 200, occipital screws 300, a C-shaped ring 400 and a snap ring 500, wherein adjusting holes 110 are formed in two side wings of the arch bridge-shaped occipital plate 100, the connecting seat 200 is slidably connected with the adjusting holes 110, the snap ring 500 is clamped outside the connecting seat 200, a plurality of fixing holes 120 are formed in the middle of the arch bridge-shaped occipital plate 100, the occipital screws 300 penetrate through the fixing holes 120, the C-shaped ring 400 is disposed in the fixing holes 120 and sleeved on the heads of the occipital screws 300, and the C-shaped ring 400 is movable in the fixing holes 120. The occipital plate is designed to be arch bridge-shaped, a certain inclination angle is formed between the two side wings and the middle part of the occipital plate, so that the connecting seat 200 can be adjusted at any time in an operation according to the width of the two tail ends of the well-shaped connecting rod, the width of the occipital plate is reduced, and the opening of the operation and the occupied area of the occipital plate are reduced.
In some embodiments, the top of the connecting base 200 is provided with an internal threaded hole 210 and a threaded plug 220, the bottom of the internal threaded hole 210 is provided with a U-shaped groove 230, and two lateral surfaces of the top of the connecting base 200 are symmetrically provided with U-shaped notches 240.
In some embodiments, the inner wall of the adjusting hole 110 is provided with a stepped groove 111, the bottom of the connecting base 200 is provided with a clamping groove 250, the clamping groove 250 is connected with the stepped groove 111, and the clamping ring 500 is clamped on the clamping groove 250 and is located on the surface of the side wing of the arched bridge-shaped occipital plate 100. One section of the snap ring 500 is provided with a small opening, so that the snap ring 500 has certain elasticity, a tool can be used for expanding the snap ring 500 to a certain diameter, after the clamping groove 250 at the bottom of the connecting seat 200 is butted with the stepped groove 111 of the adjusting hole 110, the snap ring 500 is expanded to be sleeved on the clamping groove 250 at the bottom from the top of the connecting seat 200, the tool is loosened, the snap ring 500 is tightly sleeved on the clamping groove 250 due to the elastic action and is positioned on the surface of the side wing of the arch bridge-shaped occipital plate 100, so that the connecting seat 200 can only move along the adjusting hole 110, and the connecting seat 200 is prevented from being separated from the adjusting hole 110, and the adjusting device.
In some embodiments, the plug screw 220 is externally threaded and is a negative angle thread, and the plug screw 220 is threadedly connected with the internally threaded hole 210.
In some embodiments, the head of the occipital screw 300 is provided with external tapered threads and the C-ring 400 is provided with internal tapered threads, the C-ring 400 being threadedly coupled to the head of the occipital screw 300. The C-shaped ring 400 has certain elasticity, the C-shaped ring 400 is placed in the fixing hole 120 of the occipital plate after being compressed by a tool, the C-shaped ring 400 is restored to be clamped in the fixing hole 120 under the elastic action when the tool is loosened, and the C-shaped ring 400 can move in the fixing hole 120 and cannot be separated from the fixing hole 120 because the outer wall of the C-shaped ring 400 is arc-shaped. The occipital screw 300 is screwed into the C-shaped ring 400, the angle can be adjusted, the screwing angle into the occipital bone is controlled, the occipital screw 300 is fixed in an angle crossing manner, so that the occipital screw 300 obtains a large holding force in the cortical bone of the occipital bone, and the anti-pulling performance of the occipital plate is improved.
In some embodiments, the middle of the occipital screw 300 is externally threaded and is a negative angle thread.
In some embodiments, the occipital screw 300 has a cutting edge 310 at its tail.
When the locking occipital plate with adjustable width is used for operation, an arch bridge-shaped occipital plate 100, a connecting seat 200, a clamping ring 500, a C-shaped ring 400 and occipital screws 300 with proper specifications are selected according to the actual condition of a patient before the operation; then completing the operation operations of opening, path detection, image detection of the position of a nail channel, tapping, nailing, mold testing, stick loading, locking and the like of the cervical vertebra nail rod system according to the operation flow of the conventional spine cervical vertebra posterior nail rod system; selecting a proper nail feeding point according to the positions of the two well-shaped connecting rods and the positions of the fixing holes 120 of the occipital plate, wherein in order to avoid damaging the intracranial venous sinuses, screws cannot be placed on the occipital protuberance or above the occipital protuberance, and the cerebellum is prevented from being damaged when drilling and screwing in; after the nail feeding point is selected, a proper pore canal angle is selected for tapping, the pore canals corresponding to the fixing holes 120 of the occipital plate are completed by a similar method, and the angles of the pore canals are staggered; detecting whether the pore canal influences the intracranial tissues or not by the image; screwing the occipital screw 300 into the C-shaped ring 400 clamped in the fixing hole 120, and placing the occipital screw into the tapped hole; adjusting the position of the connecting socket 200 to completely place the connecting rod in the U-shaped groove 230 of the connecting socket 200; screwing the screw plug 220 into the internal thread hole 210 of the connection holder 200 using a tool, locking the connection rod; and finally, completing the operation according to the normal operation flow.
While the preferred embodiments of the present invention have been illustrated and described, it will be understood by those skilled in the art that the present invention is not limited to the details of the embodiments shown and described, but is capable of numerous equivalents and substitutions without departing from the spirit of the invention as set forth in the claims appended hereto.

Claims (7)

1. The utility model provides a locking occipital plate, its characterized in that, includes arch bridge shape occipital plate, connecting seat, occipital bone screw, C shape ring and snap ring, the both sides wing of arch bridge shape occipital plate is opened and is equipped with the regulation hole, connecting seat and regulation hole sliding connection, the snap ring card is in the outside of connecting seat, a plurality of fixed orifices has been seted up at the middle part of arch bridge shape occipital plate, the occipital bone screw runs through the fixed orifices, C shape ring sets up and establishes in the fixed orifices and establish the head at occipital bone screw, C shape ring can be at the downthehole activity of fixed orifices.
2. The locking occipital plate of claim 1, wherein the top of the connecting seat is provided with an internal threaded hole and a screw plug, the bottom of the internal threaded hole is provided with a U-shaped groove, and two side surfaces of the top of the connecting seat are symmetrically provided with U-shaped notches.
3. The locking occipital plate of claim 2, wherein the inner wall of the adjusting hole is provided with a stepped groove, the bottom of the connecting seat is provided with a clamping groove, the clamping groove is connected with the stepped groove, and the clamping ring is clamped on the clamping groove and positioned on the surface of the side wing of the arch bridge-shaped occipital plate.
4. The locking occipital plate of claim 2, wherein the plug screw is externally threaded and is a negative angle thread, the plug screw threadedly engaging the internally threaded hole.
5. The locking occipital plate of claim 1, wherein the head of the occipital screw is provided with external tapered threads and the C-ring is provided with internal tapered threads, the C-ring being threadedly coupled to the head of the occipital screw.
6. The locking occipital plate of claim 1, wherein the middle portion of the occipital screw is externally threaded and is a negative angle thread.
7. The locking occipital plate of claim 1, wherein the tail portion of the occipital screw is provided with a cutting edge.
CN202011124261.6A 2020-10-20 2020-10-20 Width-adjustable locking occipital plate Active CN112370140B (en)

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Application Number Priority Date Filing Date Title
CN202011124261.6A CN112370140B (en) 2020-10-20 2020-10-20 Width-adjustable locking occipital plate

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CN112370140B CN112370140B (en) 2022-05-24

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Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201216642Y (en) * 2008-04-22 2009-04-08 胡桓宇 Elastic withdraw-proof cervical vertebra nail-plate system
CN101669838A (en) * 2009-09-18 2010-03-17 郭谦 Occipital screw rod connector
CN101912296A (en) * 2010-09-06 2010-12-15 中国人民解放军第三军医大学第一附属医院 Multidirectional locking and fixing device for screw
US20160192967A1 (en) * 2013-02-14 2016-07-07 Blackstone Medical, Inc. Rod attachment assembly for occipital plate
CN107260281A (en) * 2017-07-10 2017-10-20 四川大学华西医院 A way internal fixation instrument of neck posterior for basis cranii is sunken to reset
CN108261234A (en) * 2018-03-06 2018-07-10 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 A kind of adjustable occipital bone steel plate
CN110893130A (en) * 2019-11-28 2020-03-20 向珊珊 Intervertebral fusion cage
CN111568520A (en) * 2020-06-16 2020-08-25 苏州微创脊柱创伤医疗科技有限公司 Occipital plate system
CN111759438A (en) * 2020-08-10 2020-10-13 北京市富乐科技开发有限公司 Posterior resetting internal fixing system

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201216642Y (en) * 2008-04-22 2009-04-08 胡桓宇 Elastic withdraw-proof cervical vertebra nail-plate system
CN101669838A (en) * 2009-09-18 2010-03-17 郭谦 Occipital screw rod connector
CN101912296A (en) * 2010-09-06 2010-12-15 中国人民解放军第三军医大学第一附属医院 Multidirectional locking and fixing device for screw
US20160192967A1 (en) * 2013-02-14 2016-07-07 Blackstone Medical, Inc. Rod attachment assembly for occipital plate
CN107260281A (en) * 2017-07-10 2017-10-20 四川大学华西医院 A way internal fixation instrument of neck posterior for basis cranii is sunken to reset
CN108261234A (en) * 2018-03-06 2018-07-10 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 A kind of adjustable occipital bone steel plate
CN110893130A (en) * 2019-11-28 2020-03-20 向珊珊 Intervertebral fusion cage
CN111568520A (en) * 2020-06-16 2020-08-25 苏州微创脊柱创伤医疗科技有限公司 Occipital plate system
CN111759438A (en) * 2020-08-10 2020-10-13 北京市富乐科技开发有限公司 Posterior resetting internal fixing system

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