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CN113017935A - Anti-fatigue fracture bionic intervertebral disc - Google Patents

Anti-fatigue fracture bionic intervertebral disc Download PDF

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Publication number
CN113017935A
CN113017935A CN202110249680.0A CN202110249680A CN113017935A CN 113017935 A CN113017935 A CN 113017935A CN 202110249680 A CN202110249680 A CN 202110249680A CN 113017935 A CN113017935 A CN 113017935A
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end plate
intervertebral disc
core
fatigue fracture
elastic modulus
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Inventor
任雷
宋广生
钱志辉
王坤阳
梁威
王振国
庄智强
任露泉
王金武
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Jilin University
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Jilin University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/442Intervertebral or spinal discs, e.g. resilient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/30004Material related properties of the prosthesis or of a coating on the prosthesis the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis
    • A61F2002/30014Material related properties of the prosthesis or of a coating on the prosthesis the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis differing in elasticity, stiffness or compressibility
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30518Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2002/3093Special external or bone-contacting surface, e.g. coating for improving bone ingrowth for promoting ingrowth of bone tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389The prosthesis being coated or covered with a particular material
    • A61F2310/00395Coating or prosthesis-covering structure made of metals or of alloys
    • A61F2310/00407Coating made of titanium or of Ti-based alloys
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389The prosthesis being coated or covered with a particular material
    • A61F2310/00592Coating or prosthesis-covering structure made of ceramics or of ceramic-like compounds
    • A61F2310/00796Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Materials For Medical Uses (AREA)

Abstract

本发明公开了一种抗疲劳断裂仿生椎间盘,由上终板、下终板和位于上终板和下终板之间的核心构成,上终板上部和下终板下部分别设置有尖刺用于实现与椎骨的固定。核心两端分别固定于上终板下部和下终板上部。核心包括髓核和纤维环,髓核为热塑性聚氨酯弹性体橡胶材料,纤维环为功能梯度材料,由两种或多种不同模量热塑性聚氨酯弹性体橡胶材料聚合构成,具有类似人体生物椎间盘的梯度特征,能有效避免人工椎间盘产品在长期往复运动过程中疲劳断裂。同时通过核心的变形,上终板和下终板能够产生相对运动,模拟实现人体椎间盘的生理运动特征。

Figure 202110249680

The invention discloses an anti-fatigue fracture bionic intervertebral disc, which is composed of an upper end plate, a lower end plate and a core located between the upper end plate and the lower end plate. to achieve fixation with the vertebrae. The two ends of the core are respectively fixed on the lower part of the upper end plate and the upper part of the lower end plate. The core includes a nucleus pulposus and an annulus fibrosus, the nucleus pulposus is a thermoplastic polyurethane elastomer rubber material, and the fibrous annulus is a functionally graded material, which is composed of two or more thermoplastic polyurethane elastomer rubber materials with different moduli. It has a gradient similar to that of a human biological intervertebral disc. It can effectively avoid fatigue fracture of artificial intervertebral disc products during long-term reciprocating motion. At the same time, through the deformation of the core, the upper endplate and the lower endplate can produce relative motion, simulating the physiological motion characteristics of the human intervertebral disc.

Figure 202110249680

Description

Anti-fatigue fracture bionic intervertebral disc
Technical Field
The invention relates to a fatigue fracture resistant bionic intervertebral disc, and belongs to the technical field of medical instruments.
Background
The intervertebral disc is an important part of the spine of a human body, and with the increase of the age, the gradual aging or damage of the intervertebral disc of the human body can cause single-segment or multi-segment intervertebral disc degenerative diseases, so that continuous pain is caused, the intervertebral disc becomes one of main skeletal muscular system diseases in the world, the life quality of a patient is seriously influenced, and a heavy economic burden is brought to the family of the patient. Currently, disc replacement is an effective method for treating degenerative disc disease, and has the functions of maintaining intervertebral height, preserving segment motion capability and reducing adjacent joint degeneration.
The traditional artificial intervertebral disc product mainly comprises an upper end plate, a lower end plate and a core, wherein the core and the upper end plate are connected in a ball-and-socket joint mode, and the motion characteristics of human intervertebral discs can be simulated by utilizing the characteristics of the joints. Compared with the human biological intervertebral disc, the human biological intervertebral disc has the motion characteristic of 6 degrees of freedom, and the traditional artificial intervertebral disc product only has partial motion characteristic.
Meanwhile, the upper end plate, the core and the lower end plate of the traditional artificial intervertebral disc are mostly rigid members, and the contact mode of the core and the upper end plate and the contact mode of the core and the lower end plate are mainly rigid contact, so that the stress concentration of the contact surface is easily caused in the reciprocating motion process, and the phenomenon of fatigue fracture is caused, so that the service life of the traditional artificial intervertebral disc is short, and the problems of adverse accidents or secondary operations and the like are caused. Therefore, the demand for designing a bionic intervertebral disc with high fatigue strength is urgent, and the effective prolonging of the service life and the period of the bionic intervertebral disc in vivo is one of the key problems which need to be solved urgently in the development of the traditional artificial intervertebral disc.
Disclosure of Invention
In order to solve the problems of the traditional artificial intervertebral disc products, the invention aims to provide a bionic intervertebral disc capable of resisting fatigue fracture; meanwhile, the human intervertebral disc has the 6-freedom-degree motion characteristic of the human intervertebral disc.
In order to achieve the purpose, the invention takes the human biological intervertebral disc as a blue book and is inspired according to the gradient characteristic of the human biological intervertebral disc.
The biological intervertebral disc of the human body is in the long-term natural selection and evolution process, the tissue structure, material characteristics and performance of the biological intervertebral disc are continuously optimized and improved, the biological intervertebral disc is composed of nucleus pulposus and fibrous ring, the main component of the nucleus pulposus is proteoglycan gel substance with more water content, the biological intervertebral disc is rich in elasticity and has lower rigidity, the main component of the fibrous ring is collagen, the inner layer has lower rigidity according to the hardness classification of the material, and compared with the outer layer of the inner layer, the biological intervertebral disc has higher rigidity. The biological intervertebral disc has gradient characteristics through a special tissue structure and material properties of soft and hard layering, and shows high excellent fatigue fracture resistance in the complex reciprocating motion process of a human body. The biological intervertebral disc realizes the optimized distribution of local mechanical properties by utilizing the gradient characteristics, effectively avoids stress concentration, thereby improving the fatigue fracture resistance and providing a good idea for the design of the bionic intervertebral disc.
Based on the gradient characteristics of the human biological intervertebral disc, the invention adopts the following technical scheme:
a bionic intervertebral disc resisting fatigue fracture is composed of an upper end plate, a lower end plate and a core, wherein one end of the core is fixed to the lower portion of the upper end plate, and the other end of the core is fixed to the upper portion of the lower end plate.
The core comprises a nucleus pulposus and an annulus fibrosus, the nucleus pulposus being composed of a polymeric material; the fiber ring is a functional gradient material and is formed by polymerizing two or more polymer materials with different moduli.
The elastic modulus of the outer surface of the fiber ring is the largest, the elastic modulus of the inner surface of the fiber ring is the smallest, and the elastic modulus of the fiber ring gradually decreases from the outer surface to the inner surface and changes in a continuous gradient manner.
The modulus of elasticity of the inner surface of the annulus is equal to the modulus of elasticity of the outer surface of the nucleus pulposus.
The overall configuration of the upper end plate, the core and the lower end plate is D-shaped.
The upper end plate and the lower end plate are both provided with spikes.
The upper end plate, the lower end plate and the spikes are all made of polymer materials. The polymer material can be selected from ultra-high molecular weight polyethylene or polyether-ether-ketone or thermoplastic polyurethane elastomer rubber.
The upper part of the upper end plate, the lower part of the lower end plate and the outer surface of the sharp thorn are provided with a titanium coating, a hydroxyapatite coating or a calcium carbonate coating, and the coating material can also be other bioactive materials.
Compared with the traditional artificial intervertebral disc product, the invention has the following beneficial effects:
1. through core deformation, the upper end plate and the lower end plate generate relative motion, 6-degree-of-freedom motion characteristics of flexion, extension, lateral bending, rotation, translation and the like of the human intervertebral disc can be simulated, and the problem that the traditional artificial intervertebral disc only has partial motion characteristics is solved.
2. The core has the gradient characteristic similar to that of human body biological intervertebral, the elastic modulus is in continuous gradient change, compared with the traditional artificial intervertebral disc product, the gradient has better fatigue fracture resistance, and the stress concentration can be effectively avoided in the long-term reciprocating motion process and under the same condition, so that the service life of the product is prolonged. Meanwhile, the overall configuration of the upper end plate, the core and the lower end plate is similar to a D shape and is close to the shape of a human biological intervertebral disc, the stress area is increased, stress concentration is avoided, and the anti-fatigue strength of the product can be improved.
3. The spikes help to maintain the stability of the product and the titanium coating helps to be biocompatible with the vertebrae.
Drawings
FIG. 1 is a schematic view of the structure of the present invention.
FIG. 2 is a schematic diagram of the core structure of the present invention.
Fig. 3 is a schematic diagram of a core variation of the present invention.
In the figure: 10-upper end plate; 20-a core; 21-nucleus pulposus; 22-fiber ring; 30-lower end plate; 40-spike.
Detailed Description
As shown in fig. 1, the bionic intervertebral disc resisting fatigue fracture comprises an upper end plate 10, a core 20 and a lower end plate 30, wherein one end of the core 20 is fixed at the lower part of the upper end plate 10, and the other end of the core 20 is fixed at the upper part of the lower end plate 30.
As shown in fig. 2, the core 20 is composed of a nucleus pulposus 21 and an annulus fibrosus 22, and the nucleus pulposus 21 is a thermoplastic polyurethane elastomer rubber material; the fiber ring 22 is a functional gradient material and is formed by polymerizing two or more thermoplastic polyurethane elastomer rubber materials with different moduli, the elastic modulus of the outer surface of the fiber ring 22 is the largest, the elastic modulus of the inner surface of the fiber ring 22 is the smallest, the elastic modulus of the fiber ring 22 gradually decreases from the outer surface to the inner surface and is in continuous gradient change, the elastic modulus of the inner surface of the fiber ring 22 is equal to the elastic modulus of the outer surface of the nucleus pulposus 21, under the action of alternating load, a low elastic modulus area of the core 20 can generate relatively large deformation, the deformation of a high elastic modulus area is small, and in the long-term reciprocating motion process and under the same condition, the load can be absorbed and dispersed to the periphery by using flexibility, so that the.
The upper end plate 10, the core 20 and the lower end plate 30 are D-shaped in overall configuration, the shape of the upper end plate, the core 20 and the lower end plate is close to the shape of a human biological intervertebral disc, the stress area is increased, stress concentration is avoided, and the fatigue resistance of the product is improved.
As shown in figure 3, the upper end plate 10 and the lower end plate 30 can generate relative motion by deforming the core 20, so that the motion characteristics of 6 degrees of freedom such as flexion, extension, lateral bending, rotation, translation and the like of the human intervertebral disc are simulated, and the problem that only part of the motion characteristics of the traditional artificial intervertebral disc are reserved is solved.
The upper end plate 10 and the lower end plate 30 are provided with spikes 40, which is beneficial to maintaining the stability of the product.
The upper end plate 10, the lower end plate 30 and the spikes 40 are made of polymer materials. The polymer material can be selected from ultra-high molecular weight polyethylene or polyether-ether-ketone or thermoplastic polyurethane elastomer rubber.
The upper part of the upper end plate 10, the lower part of the lower end plate 30 and the outer surface of the spine 40 are coated with titanium coating or hydroxyapatite coating or calcium carbonate coating to promote the regeneration and fusion of vertebrae.

Claims (3)

1.一种抗疲劳断裂仿生椎间盘,其特征在于:包括上终板(10)、核心(20)和下终板(30),核心(20)一端固定于上终板(10)下部,核心(20)另一端固定于下终板(30)上部;1. An anti-fatigue fracture bionic intervertebral disc is characterized in that: comprising an upper end plate (10), a core (20) and a lower end plate (30), one end of the core (20) is fixed at the lower part of the upper end plate (10), the core (20) the other end is fixed on the upper part of the lower end plate (30); 核心(20)由髓核(21)和纤维环(22)构成,髓核(21)为热塑性聚氨酯弹性体橡胶材料;纤维环(22)为功能梯度材料,由两种或多种不同模量热塑性聚氨酯弹性体橡胶材料聚合构成,纤维环(22)外表面弹性模量最大,内表面弹性模量最小,纤维环(22)弹性模量由外表面到内表面逐次递减,呈连续梯度变化,纤维环(22)内表面弹性模量等于髓核(21)外表面弹性模量;The core (20) is composed of a nucleus pulposus (21) and an annulus fibrosus (22), the nucleus pulposus (21) is a thermoplastic polyurethane elastomer rubber material; the annulus fibrosus (22) is a functionally graded material composed of two or more different moduli The thermoplastic polyurethane elastomer rubber material is polymerized and formed, the outer surface elastic modulus of the fiber ring (22) is the largest, and the inner surface elastic modulus is the smallest. The elastic modulus of the fiber ring (22) gradually decreases from the outer surface to the inner surface, showing a continuous gradient. The elastic modulus of the inner surface of the annulus fibrosus (22) is equal to the elastic modulus of the outer surface of the nucleus pulposus (21); 所述上终板(10)、核心(20)和下终板(30)整体构型为“D”型;The overall configuration of the upper endplate (10), the core (20) and the lower endplate (30) is a "D" shape; 所述上终板(10)上部和下终板(30)下部均设置有尖刺(40);The upper part of the upper end plate (10) and the lower part of the lower end plate (30) are provided with spikes (40); 所述上终板(10),下终板(30)和尖刺(40)的材质为聚合物材料。The materials of the upper endplate (10), the lower endplate (30) and the spikes (40) are polymer materials. 2.根据权利要求1所述的一种抗疲劳断裂仿生椎间盘,其特征在于:所述的聚合物材料为超高分子量聚乙烯或聚醚醚酮或热塑性聚氨酯弹性体橡胶。2 . The anti-fatigue fracture bionic intervertebral disc according to claim 1 , wherein the polymer material is ultra-high molecular weight polyethylene or polyether ether ketone or thermoplastic polyurethane elastomer rubber. 3 . 3.根据权利要求1所述的一种抗疲劳断裂仿生椎间盘,其特征在于:所述上终板(10)上部、下终板(30)下部和尖刺(40)外表面均镀有钛涂层或羟基磷灰石涂层或碳酸钙涂层。3. The anti-fatigue fracture bionic intervertebral disc according to claim 1, characterized in that: the upper part of the upper end plate (10), the lower part of the lower end plate (30) and the outer surface of the spike (40) are all plated with titanium Coating or hydroxyapatite coating or calcium carbonate coating.
CN202110249680.0A 2021-03-08 2021-03-08 Anti-fatigue fracture bionic intervertebral disc Pending CN113017935A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115969584A (en) * 2023-01-03 2023-04-18 吉林大学 A biomimetic intervertebral disc with mechanical anisotropy

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050197702A1 (en) * 2002-08-15 2005-09-08 Coppes Justin K. Intervertebral disc implant
FR2928080A1 (en) * 2008-02-28 2009-09-04 Warsaw Orthopedic Inc Intervertebral disk i.e. hernia disk, augmentation implant for vertebral column, has implant body comprising elasticity module gradient such that elasticity module progressively varies from core zone towards wall zone of body
CN104208748A (en) * 2014-07-24 2014-12-17 苏州大学 Biodegradable polyurethane having gradient elasticity modulus and tissue engineering fibrous scaffold prepared through same
CN106726022A (en) * 2017-02-22 2017-05-31 无锡宝莱福医疗器械有限公司 A kind of artificial intervertebral disk and its forming method without interface friction
CN106901876A (en) * 2017-02-22 2017-06-30 无锡宝莱福医疗器械有限公司 A kind of biomimetic type artificial intervertebral disk and its forming method

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050197702A1 (en) * 2002-08-15 2005-09-08 Coppes Justin K. Intervertebral disc implant
FR2928080A1 (en) * 2008-02-28 2009-09-04 Warsaw Orthopedic Inc Intervertebral disk i.e. hernia disk, augmentation implant for vertebral column, has implant body comprising elasticity module gradient such that elasticity module progressively varies from core zone towards wall zone of body
CN104208748A (en) * 2014-07-24 2014-12-17 苏州大学 Biodegradable polyurethane having gradient elasticity modulus and tissue engineering fibrous scaffold prepared through same
CN106726022A (en) * 2017-02-22 2017-05-31 无锡宝莱福医疗器械有限公司 A kind of artificial intervertebral disk and its forming method without interface friction
CN106901876A (en) * 2017-02-22 2017-06-30 无锡宝莱福医疗器械有限公司 A kind of biomimetic type artificial intervertebral disk and its forming method

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115969584A (en) * 2023-01-03 2023-04-18 吉林大学 A biomimetic intervertebral disc with mechanical anisotropy

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