CN113413218B - Intervertebral positioning device - Google Patents

Intervertebral positioning device Download PDF

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Publication number
CN113413218B
CN113413218B CN202110860328.0A CN202110860328A CN113413218B CN 113413218 B CN113413218 B CN 113413218B CN 202110860328 A CN202110860328 A CN 202110860328A CN 113413218 B CN113413218 B CN 113413218B
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plate
positioning
intervertebral
impact
body surface
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CN113413218A (en
Inventor
裴博
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Foshan Jianxiang Hospital Co Ltd
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Foshan Jianxiang Hospital Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/11Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3904Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
    • A61B2090/3916Bone tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937Visible markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966Radiopaque markers visible in an X-ray image

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

The application relates to an intervertebral positioning device, which belongs to the field of intervertebral surgical devices and comprises a positioning plate and an impact assembly, wherein the positioning plate is arranged below a body surface, the impact assembly is used for impacting a part, corresponding to the positioning plate, above the body surface, and one surface of the positioning plate is provided with a pressing part used for pressing marks on two adjacent vertebral plates respectively; this application has the intervertebral space to the operation and carries out the effect of accurate positioning.

Description

Intervertebral positioning device
Technical Field
The present application relates to the field of intervertebral surgical devices, and more particularly, to an intervertebral positioning device.
Background
The intervertebral operation is a common operation in lumbar vertebra operation, and is characterized in that intervertebral space between two adjacent vertebral plates is repaired, and instruments such as a scalpel and the like are usually inserted into the intervertebral space. Because of the high number of lumbar laminae and intervertebral spaces, positioning is generally required first to find the intervertebral space to be operated on.
The common positioning method is that before an operation, the patient body surface is marked for positioning, then the intervertebral foramen endoscope stretches into the lower part of the body surface to observe the operation position, but because the intervertebral space width between each vertebral plate is narrow, the position reached by the intervertebral foramen endoscope is not the required operation position probably because of the angle deviation when the intervertebral foramen endoscope stretches, thereby leading to the situation that the actual operation intervertebral space does not correspond to the operation intervertebral space, and increasing the difficulty that the instrument accurately reaches the intervertebral space needing the operation.
Disclosure of Invention
In order to accurately locate the operative intervertebral space, the present application provides an intervertebral positioning device.
The application provides an intervertebral positioner adopts following technical scheme:
the utility model provides an intervertebral positioner, includes locating plate and impact assembly, the body surface below is located to the locating plate, the impact assembly is used for assaulting the body surface top and corresponds the position of locating plate, the one side of locating plate is equipped with the impression piece that is used for respectively pressing out the trace at two adjacent vertebral plates.
Through adopting above-mentioned technical scheme, put into patient's body surface below with the locating plate, and the locating plate is located the intervertebral space top that needs the operation, when the locating plate is strikeed in vitro to the impact subassembly, can press the vestige on the vertebral plate of intervertebral space both sides, then take out the locating plate, when the operation, behind the intervertebral foramen mirror stretched into body surface below, can follow the intervertebral foramen mirror and observe the vestige, thereby confirm the intervertebral space that needs the operation according to the vertebral plate at vestige place, operate again, and then carry out the accurate positioning to the intervertebral space of operation.
Optionally, the pressing component includes a first positioning nail and a second positioning nail respectively acting on two adjacent vertebral plates, and the first positioning nail and the second positioning nail each include an extension part connected to the positioning plate and a tip part connected to the extension part and having a taper shape.
Through adopting above-mentioned technical scheme, the shape of first location nail and second location nail is favorable to pressing out the trace on the vertebral plate, improves the effect and the efficiency of location.
Optionally, at least two first positioning pins and at least two second positioning pins are arranged.
Through adopting above-mentioned technical scheme, form two at least indentures on the same vertebral plate, the vertebral plate in intervertebral space that the operating personnel of being convenient for observed to operate more to can come the direction in better judgement intervertebral space according to the position of four at least indentures.
Optionally, the distance between the first positioning nails and the second positioning nails is 1.5-2 cm, and the distance between the adjacent first positioning nails and the distance between the adjacent second positioning nails is 0.5-1 cm.
Through adopting above-mentioned technical scheme, the distance between the adaptation vertebral plate that above-mentioned interval can be better to and the distance between two indentures on the control same vertebral plate, be convenient for observe more.
Optionally, the impact assembly comprises an impact rod, an impact seat connected with the impact rod and an impact hammer for knocking the impact rod
Through adopting above-mentioned technical scheme, transmit the locating plate with the impact force through strikeing the seat, realize the indentation.
Optionally, one surface of the positioning plate, which deviates from the pressing component, is an extrados surface with a middle part protruding towards the direction close to the body surface.
Through adopting above-mentioned technical scheme, extrados can increase with the area of contact of body surface below, the stability of locating plate when improving the impact.
Optionally, the impact seat deviates from the one side of impact rod is the intrados that the middle part is sunken towards keeping away from the body surface direction, intrados butt corresponds in the body surface the position of locating plate, the both ends of intrados are equipped with towards being close to the bellied stability of body surface direction arc.
Through adopting above-mentioned technical scheme, the intrados can with extrados cooperation, better will strike the power transmission of seat and give the locating plate to effectual extrusion vestige on the vertebral plate, the stability that the stationary part can be to improving the locating plate both ends, and then keep the stability of locating plate in the body surface below.
Optionally, one side of the locating plate close to the vertebral plate is provided with a limiting plate, the limiting plate is used for abutting against the vertebral plate, an elastic part is connected between the limiting plate and the locating plate, the extending part and the tip part are both penetrated through the limiting plate, the side of the locating plate is provided with a coaming, and the limiting plate abuts against the coaming.
Through adopting above-mentioned technical scheme, the length of limiting plate can be worn out to the tip to the limiting plate is worn out to the cooperation of limiting plate and elastic component to the depth of limiting tip formation indentation on the vertebral plate avoids the tip to punch through the vertebral plate and causes the condition of injury to internal nerve, and the elasticity of elastic component helps the tip to break away from the vertebral plate after the vertebral plate is impressed.
Optionally, the side of locating plate is equipped with the bounding wall, the spout has been seted up to the bounding wall, limiting plate sliding connection in the spout, the spout is close to the lateral wall of locating plate extremely the distance that the limiting plate deviates from the one side of vertebral plate is 1~2 mm.
Through adopting above-mentioned technical scheme, the bounding wall can be restricted the range of movement by the limiting plate to the indentation depth of restriction tip portion is 1~2mm, protects neural plate and the neural below of vertebral plate.
Optionally, the material of the impression member is titanium alloy, and the material of the positioning plate is rigid polyurethane.
Through adopting above-mentioned technical scheme, put into body surface below with the locating plate after, can carry out X-ray transmission earlier, the impression piece can develop and the locating plate can not develop to can judge whether the locating plate aims at the intervertebral space that needs the operation according to the transmission result.
In summary, the present application includes at least one of the following beneficial technical effects:
1. this application adopts the cooperation of locating plate and impact subassembly, before the operation, put into patient's body surface below with the locating plate, and the locating plate is located the intervertebral space top that needs the operation, when the impact subassembly strikes the locating plate in vitro, can press out the vestige on the vertebral plate of intervertebral space both sides, then take out the locating plate, when the operation, intervertebral foramen mirror stretches into behind the body surface below, can follow the intervertebral foramen mirror and observe the vestige, thereby confirm the intervertebral space that needs the operation according to the vertebral plate at vestige place, operate again, and then carry out the accurate positioning to the intervertebral space of operation.
2. Set up intrados and extrados, better will strike the power transmission of seat and give the locating plate to improve the stability of locating plate.
Drawings
Fig. 1 is a cross-sectional structural view of embodiment 1 of the present application.
Fig. 2 is a plan view of another angle in embodiment 1 of the present application.
Fig. 3 is a cross-sectional structural view of embodiment 2 of the present application.
Fig. 4 is a cross-sectional structural view of embodiment 3 of the present application.
Description of reference numerals: 1. positioning a plate; 11. a first positioning pin; 12. a second positioning pin; 13. an extension portion; 14. a tip portion; 2. an impact base; 21. an impact bar; 3. an outer arc surface; 31. an intrados surface; 32. a stabilizer; 4. a limiting plate; 41. a spring; 42. enclosing plates; 43. a chute; 44. perforating; 5. body surface; 51. a vertebral plate; 52. the intervertebral space.
Detailed Description
The present application is described in further detail below with reference to figures 1-4.
Example 1
The embodiment 1 of the application discloses an intervertebral positioning device. As shown in fig. 1, an intervertebral positioning device comprises a positioning plate 1 and an impact assembly, wherein both ends of the same surface of the positioning plate 1 are provided with a pressing member, and the impact assembly is used for impacting the positioning plate 1 to enable the pressing member to press marks on a vertebral plate 51.
Before an operation, firstly, an incision is cut on the body surface 5 of a patient, the incision position is close to the expected operation position, then the positioning plate 1 is placed below the body surface 5 of the patient from the incision, the positioning plate 1 is positioned above the intervertebral space 52, and then X-ray transmission is carried out; specifically, the positioning plate 1 is made of a hard polyurethane material, is high in transmission degree of X-rays and is not developed under the X-rays, the impression parts are made of a titanium alloy material, the transmission degree of the X-rays is low, and the impression parts are developed under the X-rays, so that the positions of the impression parts can be seen after the X-rays are transmitted, whether the intervertebral space 52 needing the operation is located between the impression parts is judged, and the primary positioning is completed.
The locating plate 1 is a rectangular plate body, the length of the locating plate 1 can be 2-2.5 cm, the width of the locating plate 1 can be 1-1.5 cm, in the embodiment, the length of the locating plate 1 is 2cm, and the width of the locating plate 1 is 1 cm.
As shown in fig. 1 and 2, the indentation member includes a first positioning pin 11 and a second positioning pin 12, the first positioning pin 11 and the second positioning pin 12 are respectively located at two ends of the positioning plate 1 along the length direction, the distance between the first positioning pin 11 and the second positioning pin 12 is 1.5-2 cm, and in this embodiment, the distance is 1.5 cm; the number of the first positioning nails 11 and the number of the second positioning nails 12 are two, the two first positioning nails 11 and the two second positioning nails 12 are distributed at intervals along the width direction of the positioning plate 1, the distance between the two first positioning nails 11 and the distance between the two second positioning nails 12 are 0.5-1 cm, and in the embodiment, the distance is 0.5 cm; when positioning, the first positioning nail 11 and the second positioning nail 12 respectively abut against the adjacent vertebral bodies on two sides of the intervertebral space 52.
The first positioning nail 11 and the second positioning nail 12 respectively comprise an extending part 13 and a tip part 14, the extending part 13 is vertically fixed on the positioning plate 1, the tip part 14 and the extending part 13 are integrally formed, the tip part 14 is conical, the tip part 14 is positioned at one end of the extending part 13 far away from the positioning plate 1, and the arrangement of the extending part 13 can improve the structural stability of the tip part 14; in the present embodiment, the height of the tip portion 14 is 2 mm.
As shown in fig. 1, the impact assembly includes an impact rod 21, an impact seat 2 and an impact hammer (not shown in the figure), the impact seat 2 is fixedly connected to one end of the impact rod 21, after the initial positioning, that is, the positioning plate 1 is placed above the vertebral plate 51 of the patient, the impact seat 2 is abutted to the part of the positioning plate 1 corresponding to the upper part of the body surface 5, then the impact hammer is used to strike the end of the impact rod 21 far from the impact seat 2, so as to transmit the force to the positioning plate 1, and the first positioning nail 11 and the second positioning nail 12 press out traces on the vertebral plate 51, and finally the positioning plate 1 is taken out, thereby completing the precise positioning of the intervertebral space 52.
After the location, stretch into body surface 5 below with the intervertebral foramen mirror from the incision, observe the vestige on the vertebral plate 51, on finding two vertebral plates 51 totally four indentation after alright confirm intervertebral space 52's position to be convenient for find the position of accurate intervertebral space 52 that needs the operation, and only need use X-ray transmission development when tentatively fixing a position, follow-up need not the reuse transmission development and fix a position, reduce the radiation that patient and operating personnel will bear, protection patient and operating personnel.
Example 2
As shown in fig. 3, the embodiment is different from embodiment 1 only in the shape of the positioning plate 1 and the shape of the impact base 2, specifically, one surface of the positioning plate 1 departing from the first positioning pin 11 and the second positioning pin 12 is set as an extrados surface 3, and the middle part of the extrados surface 3 in the length direction is arc-shaped and convex towards the direction close to the body surface 5, so that the contact area between the positioning plate 1 and the body surface 5 is increased, the sliding of the positioning plate 1 relative to the body surface 5 is limited, and the stability of the positioning plate 1 in positioning the indentation is improved.
Impact seat 2 and deviate from the one side of impact bar 21 and establish to intrados 31, intrados 31 is sunken towards keeping away from 5 directions arc of body surface along length direction's middle part, 31 butt of intrados corresponds the position of locating plate 1 in body surface 5, and the radian of intrados 31 equals with extrados 3's radian, thereby at locating plate 1 and 5 butts of body surface, when impacting seat 2 and 5 butts of body surface, strike bar 21, can be with the more even dispersion of power on locating plate 1, thereby help the extrusion size, the trace that the degree of depth is close.
The two ends of the inner arc surface 31 are provided with stabilizing parts 32, the stabilizing parts 32 are arc-shaped and convex towards the direction close to the body surface 5, and the radian of the positioning plate 1 is matched, so that the stability of the two ends of the positioning plate 1 is improved, and the sliding of the positioning plate 1 on the body surface 5 is further limited when the positioning plate is pressed.
Example 3
As shown in fig. 4, the difference between this embodiment and embodiment 2 lies in that the positioning plate 1 has a different structure, specifically, a limiting plate 4 is disposed on one side of the positioning plate 1 close to the vertebral plate 51, an elastic member, specifically, a spring 41 is connected between the limiting plate 4 and the positioning plate 1, and four springs 41 are disposed on the elastic member; all fixed perpendicularly of the four sides of locating plate 1 has bounding wall 42, and the one side that locating plate 1 was kept away from to bounding wall 42 has seted up spout 43, and four bounding walls 42's spout 43 communicates each other, and limiting plate 4 is along being close to or keeping away from the direction sliding connection in spout 43 of locating plate 1.
The limiting plate 4 is provided with a through hole 44, the extending part 13 and the tip part 14 are all arranged through the through hole 44, when the limiting plate 4 is positioned, the limiting plate 4 is firstly abutted against the vertebral plate 51, after the positioning plate 1 is impacted and is pressed down, the positioning plate 1 drives the tip part 14 to be pressed down to press the vertebral plate 51, due to the elastic force action of the spring 41, the depth of the tip part 14 pressed into the vertebral plate 51 can be limited, the vertebral plate 51 of a patient is protected, in addition, after the tip part 14 is pressed into the vertebral plate 51, the elastic force of the spring 41 is beneficial to the tip part 14 to be separated from the vertebral plate 51, and the problem that the positioning plate 1 is blocked and is difficult to take out is solved.
When locating plate 1 does not receive the impact, the distance that spout 43 is close to the lateral wall of locating plate 1 to the one side that limiting plate 4 deviates from vertebral plate 51 is 1~2mm, in this embodiment, this distance specifically is 2mm, and the toper tip of most advanced portion 14 is located the one side that limiting plate 4 is close to vertebral plate 51 this moment, when locating plate 1 receives the impact, locating plate 1 pushes down towards limiting plate 4 direction, until spout 43 is close to the lateral wall and the 4 butts of limiting plate of locating plate 1, restriction locating plate 1 and most advanced portion 14 continue to push in vertebral plate 51, and the stability of restriction is bigger, make most advanced portion 14 can only stretch out 2mm, in the extrusion trace, better protection vertebral plate 51.
The above embodiments are preferred embodiments of the present application, and the protection scope of the present application is not limited by the above embodiments, so: all equivalent changes made according to the structure, shape and principle of the present application shall be covered by the protection scope of the present application.

Claims (8)

1. An intervertebral positioning device, comprising: the vertebral plate impact device comprises a positioning plate (1) and an impact assembly, wherein the positioning plate (1) is arranged below a body surface (5), the impact assembly is used for impacting the part, corresponding to the positioning plate (1), above the body surface (5), and one surface of the positioning plate (1) is provided with a pressing part used for pressing marks on two adjacent vertebral plates (51) respectively; the pressing component comprises a first positioning nail (11) and a second positioning nail (12) which respectively act on two adjacent vertebral plates (51), and the first positioning nail (11) and the second positioning nail (12) respectively comprise an extension part (13) connected to the positioning plate (1) and a conical tip part (14) connected to the extension part (13); the first positioning nail (11) and the second positioning nail (12) are provided with at least two nails;
before the operation, put into patient body surface (5) below with locating plate (1), and locating plate (1) is located the intervertebral space top that needs the operation, when assaulting subassembly external impact locating plate (1), can press the vestige on the vertebral plate of intervertebral space both sides, then take out locating plate (1), during the operation, observe the vestige, confirm the intervertebral space that needs the operation according to the vertebral plate at vestige place, operate again.
2. An intervertebral positioning device as recited in claim 1 wherein: first location nail (11) with the interval of second location nail (12) is 1.5~2cm, and is adjacent between first location nail (11) and adjacent interval between second location nail (12) is 0.5~1 cm.
3. An intervertebral positioning device as recited in claim 1 wherein: the impact assembly comprises an impact rod (21), an impact seat (2) connected with the impact rod (21) and an impact hammer for knocking the impact rod (21).
4. An intervertebral positioning device as claimed in claim 3, in which: one side of the positioning plate (1) departing from the indentation piece is an extrados surface (3) with a middle part protruding towards the direction close to the body surface (5).
5. An intervertebral positioning device as claimed in claim 4, in which: impact seat (2) and deviate from the one side of strikeing pole (21) is middle part towards keeping away from sunken intrados (31) of body surface (5) direction, intrados (31) butt corresponds in body surface (5) the position of locating plate (1), the both ends of intrados (31) are equipped with towards being close to bellied stationary part (32) of body surface (5) direction arc.
6. An intervertebral positioning device as recited in claim 1 wherein: one side that locating plate (1) is close to vertebral plate (51) is equipped with limiting plate (4), limiting plate (4) be used for with vertebral plate (51) butt, limiting plate (4) with be connected with the elastic component between locating plate (1), extension (13) with pointed end (14) all wear to locate limiting plate (4), locating plate (1) side is equipped with bounding wall (42), limiting plate (4) butt in bounding wall (42).
7. An intervertebral positioning device as claimed in claim 6, in which: spout (43) have been seted up in bounding wall (42), limiting plate (4) sliding connection in spout (43), spout (43) are close to the lateral wall of locating plate (1) extremely the distance of limiting plate (4) one side that deviates from vertebral plate (51) is 1~2 mm.
8. An intervertebral positioning device as recited in claim 1 wherein: the material of the impression component is titanium alloy, and the material of the positioning plate (1) is hard polyurethane.
CN202110860328.0A 2021-07-29 2021-07-29 Intervertebral positioning device Active CN113413218B (en)

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CN113413218B true CN113413218B (en) 2022-03-25

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN204814194U (en) * 2015-07-30 2015-12-02 盛孝永 Positioner under intervertebral foramen mirror
CN205849528U (en) * 2016-06-20 2017-01-04 南华大学附属南华医院 A kind of intervertebral bone graft pressure device
CN107184253A (en) * 2017-06-23 2017-09-22 合肥市第二人民医院 Foramen intervertebrale lens location of operation method based on X-ray machine
CN112690944A (en) * 2020-12-30 2021-04-23 遂宁市中心医院 Sclera jacking positioner
CN112807055A (en) * 2021-02-04 2021-05-18 上海交通大学医学院附属第九人民医院 Osteotomy verification mark nail and matched integrated driving-in and taking-out device thereof

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060243287A1 (en) * 2005-05-02 2006-11-02 Reuter Merrill W A Surgical Method for Implanting Anchored Intervertebral Disc Space Devic

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN204814194U (en) * 2015-07-30 2015-12-02 盛孝永 Positioner under intervertebral foramen mirror
CN205849528U (en) * 2016-06-20 2017-01-04 南华大学附属南华医院 A kind of intervertebral bone graft pressure device
CN107184253A (en) * 2017-06-23 2017-09-22 合肥市第二人民医院 Foramen intervertebrale lens location of operation method based on X-ray machine
CN112690944A (en) * 2020-12-30 2021-04-23 遂宁市中心医院 Sclera jacking positioner
CN112807055A (en) * 2021-02-04 2021-05-18 上海交通大学医学院附属第九人民医院 Osteotomy verification mark nail and matched integrated driving-in and taking-out device thereof

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