CN109925103A - A kind of one balance locking fusion device - Google Patents
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- 230000004927 fusion Effects 0.000 title abstract description 16
- 230000001360 synchronised effect Effects 0.000 claims abstract description 19
- 238000010146 3D printing Methods 0.000 claims description 3
- 229910001069 Ti alloy Inorganic materials 0.000 claims description 3
- 230000002980 postoperative effect Effects 0.000 abstract description 4
- 210000000988 bone and bone Anatomy 0.000 description 8
- 238000000034 method Methods 0.000 description 6
- 238000006073 displacement reaction Methods 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 239000002861 polymer material Substances 0.000 description 3
- 229910000831 Steel Inorganic materials 0.000 description 2
- 239000006260 foam Substances 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 208000015122 neurodegenerative disease Diseases 0.000 description 2
- 239000010959 steel Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 208000008035 Back Pain Diseases 0.000 description 1
- 208000008930 Low Back Pain Diseases 0.000 description 1
- 206010028391 Musculoskeletal Pain Diseases 0.000 description 1
- 206010028836 Neck pain Diseases 0.000 description 1
- 208000002193 Pain Diseases 0.000 description 1
- 206010033425 Pain in extremity Diseases 0.000 description 1
- 208000004550 Postoperative Pain Diseases 0.000 description 1
- 208000007613 Shoulder Pain Diseases 0.000 description 1
- 230000032683 aging Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000037182 bone density Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 230000035882 stress Effects 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
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Abstract
Description
技术领域technical field
本发明涉及一种医疗器械,特别涉及一种一体平衡锁定融合器。The present invention relates to a medical instrument, in particular to an integrated balance locking cage.
背景技术Background technique
随着人口老龄化的加剧,以颈肩痛及腰腿痛为主要症状的脊柱退行性疾病正严重地影响人们的工作和生活。在椎体间进行椎体融合术是目前治疗脊柱退行性疾病的主要方法之一,自从Kuslich等于1988年首次将椎间融合器用于腰椎椎间融合术以来,各种材质的椎间融合器相机问世,并逐步应用于临床。With the aging of the population, spinal degenerative diseases with neck and shoulder pain and low back and leg pain as the main symptoms are seriously affecting people's work and life. Vertebral fusion between vertebral bodies is one of the main methods for the treatment of spinal degenerative diseases. Since Kuslich et al. first used interbody fusion for lumbar interbody fusion in 1988, various materials of interbody cage cameras Come out, and gradually applied to clinical.
目前有多种颈椎融合器配合椎间前路钢板应用于临床。此类融合器无法进行自固定,需要在融合器外面加钢板进行固定,不方便手术,而且融合器和钢板之间若发生位移,将影响病人的健康。另外一类虽然是带有固定装置的椎间融合器,但是由于各个固定螺钉各自紧固,导致紧固深度、角度都不相同,不能起到最好的固定效果。At present, a variety of cervical spine cages are used in clinical practice with anterior intervertebral plate. This type of cage cannot be self-fixed, and needs to be fixed with a steel plate outside the cage, which is inconvenient for surgery, and if there is displacement between the cage and the steel plate, it will affect the health of the patient. The other type is an intervertebral cage with a fixation device, but since each fixation screw is tightened separately, the tightening depth and angle are different, and the best fixation effect cannot be achieved.
因此需要一种新的椎间融合器,方便植入、利于融合、便于固定的基础上,能够将若干个固定螺钉一体平衡旋进,可以达到将手术的椎间融合器位置不产生位移,并且术后的稳定性更好,为患者减轻术中及术后痛苦。Therefore, there is a need for a new intervertebral cage, which is convenient for implantation, fusion, and fixation. Several fixing screws can be screwed into one body in a balanced manner, so that the position of the intervertebral cage in the operation will not be displaced, and Post-operative stability is better, reducing intraoperative and postoperative pain for patients.
发明内容SUMMARY OF THE INVENTION
有鉴于此,本发明的目的在于提供一种植入方便、稳定固定、能一体平衡固定的一体平衡锁定融合器,能够根据不同患者椎间高度,选择固定螺钉的旋进角度,能更好的促进植骨融合以及植入稳定性,为患者减轻痛苦。In view of this, the purpose of the present invention is to provide an integrated balance locking cage that is convenient for implantation, stable fixation, and can be balanced and fixed in one piece, which can select the precession angle of the fixation screw according to the intervertebral height of different patients, and can better promote Bone graft fusion and implant stability reduce pain for patients.
本一体平衡锁定融合器包括定位块1、固定条2和同步旋进装置3,所述定位块1的上表面与下表面均设有突起4便于与患者椎间较好的融合,所述突起4为齿状突起,并且设置有填充孔5,可填充骨沫便于术后融合,所述定位块1内设置有若干个固定孔6,所述固定条2设置在所述固定孔6中,所述定位块1内设置中空腔7,所述中空腔7与所述固定孔6部分相通,所述同步旋进装置3设置在中空腔7中,所述同步旋进装置7与所述固定条2螺纹相接,转动所述同步旋进装置3即可将所述固定条2螺纹旋进,所述同步旋进装置3位于所述定位块1的后端设置与人工手柄相匹配的旋进连接部8,便于医生手术操作。The integrated balance locking cage includes a positioning block 1, a fixing bar 2 and a synchronous precession device 3. The upper surface and the lower surface of the positioning block 1 are provided with protrusions 4 to facilitate better fusion with the patient's vertebrae. 4 is a dentate protrusion, and is provided with a filling hole 5, which can be filled with bone foam to facilitate postoperative fusion, a number of fixing holes 6 are arranged in the positioning block 1, and the fixing strip 2 is arranged in the fixing holes 6, The positioning block 1 is provided with a hollow cavity 7, which is partially communicated with the fixing hole 6. The synchronous precession device 3 is arranged in the hollow cavity 7, and the synchronous precession device 7 is connected to the fixed hole 6. The bars 2 are threadedly connected, and the fixing bars 2 can be screwed in by rotating the synchronous screw-in device 3. The synchronous screw-in device 3 is located at the rear end of the positioning block 1 and is provided with a screw that matches the manual handle. into the connecting part 8, which is convenient for the surgeon to operate.
进一步,所述一体平衡锁定融合器为后进式融合器,所述定位块1前端高度低于后端,并且轴对称,便于将所述一体平衡锁定融合器插入到患者的椎间,并且轴对称。Further, the integrated balance locking cage is a backward-moving cage, the front end of the positioning block 1 is lower in height than the rear end, and is axially symmetrical, so that it is convenient to insert the integrated balance locking cage into the intervertebral body of the patient, and the axis is symmetrical. .
进一步,所述同步旋进装置3为同轴丝杆,且其半径从外至内递增,所述固定条2为尖头螺钉,所述尖头螺钉与所述同轴丝杆相接,同轴丝杆转动带动尖头螺钉同步旋进。Further, the synchronous precessing device 3 is a coaxial screw, and its radius increases from outside to inside, and the fixing bar 2 is a pointed screw, and the pointed screw is connected to the coaxial screw, and the same The rotation of the shaft screw drives the pointed screw to advance synchronously.
进一步,所述旋进连接部8为三角孔、四角孔、五角孔或六角孔,便于医生采用合适的转动手柄。Further, the screw-in connection portion 8 is a triangular hole, a quadrangular hole, a pentagonal hole or a hexagonal hole, which is convenient for the doctor to use a suitable rotating handle.
进一步,视患者椎体的骨密度或者截面积而定,所述固定孔6可以选择为两个或三个。Further, depending on the bone density or the cross-sectional area of the patient's vertebral body, the number of the fixing holes 6 can be selected to be two or three.
进一步,所述固定条2与所述定位块1的中间轴呈一定倾角设置,角度为30°至45°,可根据患者的椎间高度选择,相应所述同步旋进装置3的截面的上下表面与所述定位块1的中间轴的角度跟所述固定条2与所述定位块1的中间轴的倾角相同,只有这样配置才能在转动所述同步旋进装置3使所述固定条2保持预定的角度旋进。Further, the fixing bar 2 and the middle axis of the positioning block 1 are arranged at a certain inclination angle, and the angle is 30° to 45°, which can be selected according to the intervertebral height of the patient, corresponding to the upper and lower sections of the synchronous precession device 3 . The angle between the surface and the middle axis of the positioning block 1 is the same as the inclination angle between the fixing bar 2 and the middle axis of the positioning block 1. Only in this way can the synchronous precession device 3 be rotated to make the fixing bar 2 Precess at a predetermined angle.
进一步,所述定位块1由钛合金3D打印一体成型,上下表面采用可吸收聚合物材料制成。Further, the positioning block 1 is integrally formed by 3D printing of titanium alloy, and the upper and lower surfaces are made of absorbable polymer material.
本发明的有益效果在于:The beneficial effects of the present invention are:
1、本发明的一体平衡锁定融合器前端高度低于后端,并且轴对称,便于将所述一体平衡锁定融合器插入到患者的椎间。1. The height of the front end of the integrated balance locking cage of the present invention is lower than the rear end, and the axis is symmetrical, which facilitates the insertion of the integrated balance locking cage into the intervertebral body of the patient.
2、本发明的一体平衡锁定融合器为钛合金3D打印一体成型。2. The integrated balance locking cage of the present invention is integrally formed by titanium alloy 3D printing.
3、本发明的一体平衡锁定融合器上下表面采用可吸收聚合物材料制成,随着椎体的融合,可吸收聚合物材料逐渐降解被吸收,减少对植骨的应力遮挡,能更好的促进植骨融合;此外在上下表面上还设置了植骨窗口,可以通过加入自身骨更好的增加椎体与本体的融合。3. The upper and lower surfaces of the integrated balance locking cage of the present invention are made of absorbable polymer materials. With the fusion of the vertebral bodies, the absorbable polymer materials are gradually degraded and absorbed, which reduces the stress shielding of the bone graft and can better Promote bone graft fusion; in addition, bone graft windows are also set on the upper and lower surfaces, which can better increase the fusion between the vertebral body and the body by adding its own bone.
4、本发明的一体平衡锁定融合器可以根据患者椎间情况选择固定条的数量以及固定条的旋进角度,并且固定条是平衡同步旋进,固定位置同步稳定,不论是术中还是术后位移都非常小。4. The integrated balance locking cage of the present invention can select the number of fixing bars and the precession angle of the fixing bars according to the intervertebral condition of the patient, and the fixing bars are balanced and synchronously precessed, and the fixing position is synchronously stable, no matter during or after surgery. The displacements are very small.
附图说明Description of drawings
为了更清楚地说明本发明实施例中的技术方案,下面将对实施例描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to illustrate the technical solutions in the embodiments of the present invention more clearly, the following briefly introduces the accompanying drawings used in the description of the embodiments. Obviously, the accompanying drawings in the following description are only some embodiments of the present invention. For those of ordinary skill in the art, other drawings can also be obtained from these drawings without creative effort.
图1为一体平衡锁定融合器结构图;Figure 1 is a structural diagram of an integrated balance locking cage;
图2为一体平衡锁定融合器前端截面图。Figure 2 is a cross-sectional view of the front end of the integrated balanced locking cage.
具体实施方式Detailed ways
为了使本技术领域的人员更好地理解本发明方案,下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。In order to make those skilled in the art better understand the solutions of the present invention, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only These are some embodiments of the present invention, but not all embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.
本发明的说明书和权利要求书及上述附图中的术语“第一”、“第二”等是用于区别不同对象,而不是用于描述特定顺序。此外,术语“包括”和“具有”以及它们任何变形,意图在于覆盖不排他的包含。例如包含了一系列步骤或单元的过程、方法、装置、产品或设备没有限定于已列出的步骤或单元,而是可选地还包括没有列出的步骤或单元,或可选地还包括对于这些过程、方法、产品或设备固有的其他步骤或单元。The terms "first", "second" and the like in the description and claims of the present invention and the above drawings are used to distinguish different objects, rather than to describe a specific order. Furthermore, the terms "comprising" and "having" and any variations thereof are intended to cover non-exclusive inclusion. For example, a process, method, apparatus, product or device comprising a series of steps or units is not limited to the listed steps or units, but optionally also includes unlisted steps or units, or optionally also includes For other steps or units inherent to these processes, methods, products or devices.
在本文中提及“实施例”意味着,结合实施例描述的特定特征、结构或特性可以包含在本发明的至少一个实施例中。在说明书中的各个位置出现该短语并不一定均是指相同的实施例,也不是与其它实施例互斥的独立的或备选的实施例。本领域技术人员显式地和隐式地理解的是,本文所描述的实施例可以与其它实施例相结合。Reference herein to an "embodiment" means that a particular feature, structure, or characteristic described in connection with the embodiment can be included in at least one embodiment of the present invention. The appearances of the phrase in various places in the specification are not necessarily all referring to the same embodiment, nor a separate or alternative embodiment that is mutually exclusive of other embodiments. It is explicitly and implicitly understood by those skilled in the art that the embodiments described herein may be combined with other embodiments.
下面结合具体实施例,对本发明的内容做进一步的详细说明:Below in conjunction with specific embodiment, the content of the present invention is described in further detail:
实施例一:为了达到本发明的目的,如图1所示,本发明的一种一体平衡锁定融合器由定位块1、尖头螺钉2和同轴丝杆3组成,所述定位块1的上表面与下表面均设有突起4便于与患者椎间较好的融合,所述突起4为齿状突起,并且设置有填充孔5(图中未视出),可填充骨沫便于术后融合,所述定位块1内设置有若干个固定孔6,所述尖头螺钉2设置在所述固定孔6中,所述定位块1内设置中空腔7,所述中空腔7与所述固定孔6部分相通,所述同轴丝杆3设置在中空腔7中,所述同步旋进装置7与所述尖头螺钉2螺纹相接,转动所述同轴丝杆3即可将所述尖头螺钉2螺纹旋进,所述尖头螺钉2与所述定位块1中轴角度为30°。Embodiment 1: In order to achieve the purpose of the present invention, as shown in FIG. 1, an integrated balance locking cage of the present invention is composed of a positioning block 1, a pointed screw 2 and a coaxial screw 3. Both the upper surface and the lower surface are provided with protrusions 4 to facilitate better fusion with the patient's vertebrae, the protrusions 4 are dentate protrusions, and are provided with filling holes 5 (not shown in the figure), which can be filled with bone foam to facilitate postoperative Fusion, the positioning block 1 is provided with a number of fixing holes 6, the pointed screws 2 are arranged in the fixing holes 6, the positioning block 1 is provided with a hollow cavity 7, and the hollow cavity 7 is connected to the The fixing holes 6 are partially connected, the coaxial screw rod 3 is arranged in the hollow cavity 7, the synchronous screwing device 7 is threadedly connected with the pointed screw 2, and the coaxial screw rod 3 can be rotated to The pointed screw 2 is screwed in, and the angle between the pointed screw 2 and the central axis of the positioning block 1 is 30°.
如图2所示所述同轴丝杆3位于所述定位块1的后端设置与人工手柄相匹配的五角孔8,便于医生手术操作。当医生需要植入本发明的一体平衡锁定融合器至患者椎间时,将所述定位块1插入患者椎间,定位后将手柄对准五角孔8,转动所述同轴丝杆3带动尖头螺钉2同步旋进至患者椎间骨头内部,定位效果好,相对于单个锁定后再对其他螺钉进行锁定而言,固定所述定位块1过程中产生的位移更好,手术效果更佳。As shown in FIG. 2 , the coaxial screw 3 is located at the rear end of the positioning block 1 and is provided with a pentagonal hole 8 matching the manual handle, which is convenient for the surgeon to operate. When the doctor needs to implant the integrated balance locking cage of the present invention into the intervertebral space of the patient, insert the positioning block 1 into the intervertebral space of the patient, align the handle with the pentagonal hole 8 after positioning, and rotate the coaxial screw rod 3 to drive the tip The head screw 2 is synchronously screwed into the intervertebral bone of the patient, and the positioning effect is good. Compared with locking other screws after a single locking, the displacement generated during the fixing of the positioning block 1 is better, and the operation effect is better.
本实施例只展示了所述尖头螺钉2与所述定位块1中轴角度为30°、尖头螺钉2为4个、所述旋进连接部8为五角孔的个别实施例,其中尖头螺钉2与所述定位块1中轴角度为可选为30°至45°,尖头螺钉2个数可以为2-4个,所述旋进连接部8可以为三角孔、四角孔、五角孔或六角孔,不一一展示,可在实施例一种替代。This embodiment only shows some individual embodiments in which the central axis angle between the pointed screw 2 and the positioning block 1 is 30°, the number of pointed screws 2 is 4, and the screw-in connection part 8 is a pentagonal hole, wherein the pointed screw 2 is a pentagonal hole. The angle between the central axis of the head screw 2 and the positioning block 1 can be selected from 30° to 45°, the number of the 2 pointed screws can be 2-4, and the screw-in connection part 8 can be a triangular hole, a quadrangular hole, Pentagonal holes or hexagonal holes, which are not shown one by one, can be substituted in the embodiment.
Claims (8)
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| US20120277867A1 (en) * | 2007-06-06 | 2012-11-01 | SpineSmith Partners | Interbody fusion device and associated methods |
| US20150105824A1 (en) * | 2005-04-12 | 2015-04-16 | Nathan C. Moskowitz | Bi-directional fixating transvertebral body screws, zero-profile horizontal intervertebral miniplates, total intervertebral body fusion devices, and posterior motion-calibrating interarticulating joint stapling device for spinal fusion |
| US20180177606A1 (en) * | 2013-08-22 | 2018-06-28 | Globus Medical, Inc. | Interbody fusion devices with self-affixing mechanisms |
| US20180228622A1 (en) * | 2004-11-03 | 2018-08-16 | Neuropro Technologies, Inc. | Bone fusion device |
| CN108652793A (en) * | 2018-05-29 | 2018-10-16 | 迪恩医疗科技有限公司 | Band hook-type Invasive lumbar fusion device |
| CN210330831U (en) * | 2019-04-27 | 2020-04-17 | 中山大学孙逸仙纪念医院 | Integrative balanced locking fuses ware |
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- 2019-04-27 CN CN201910346899.5A patent/CN109925103A/en active Pending
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|---|---|---|---|---|
| US20180228622A1 (en) * | 2004-11-03 | 2018-08-16 | Neuropro Technologies, Inc. | Bone fusion device |
| US20150105824A1 (en) * | 2005-04-12 | 2015-04-16 | Nathan C. Moskowitz | Bi-directional fixating transvertebral body screws, zero-profile horizontal intervertebral miniplates, total intervertebral body fusion devices, and posterior motion-calibrating interarticulating joint stapling device for spinal fusion |
| US20120277867A1 (en) * | 2007-06-06 | 2012-11-01 | SpineSmith Partners | Interbody fusion device and associated methods |
| US20180177606A1 (en) * | 2013-08-22 | 2018-06-28 | Globus Medical, Inc. | Interbody fusion devices with self-affixing mechanisms |
| CN108652793A (en) * | 2018-05-29 | 2018-10-16 | 迪恩医疗科技有限公司 | Band hook-type Invasive lumbar fusion device |
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