200924696 九、發明說明： 【發明所屬之技術領域】 本發明係一種涉及於骨科醫疼搞田 晉療相的器具，尤指傷骨醫療 或以微創手術植入所適用的固定器。 〃200924696 IX. INSTRUCTIONS: [Technical field to which the invention pertains] The present invention relates to an apparatus for orthopedics in the field of orthopedics, especially for the treatment of wound healing or for minimally invasive surgery. 〃
【先前技铜J 按’目前人體骨頭若有受傷或損折，通常必須經由接骨、 Ο定位’而後固定支㈣受傷骨頭，使傷骨能自動疵合。 目前現有對於骨折_傷骨治療，均會依其受傷類型給予 不同的醫療，其中有些骨折情況比較單純者，諸如僅僅是骨頭 處產生裂痕，或僅有小區域傷骨部位呈完全骨折狀，則目前慣 見的醫療方式均仍須以釘鋼板之方式連結固定傷骨部位，但這 種不複雜的骨折若以定鋼板接合、固定骨頭的方式，醫療過程 太長’同時患者在癒合期間可能會產生不舒適的感覺，因此此 方式並不盡理想。 ❹ 另外目刖由於運動風氣的盛行，因此也常常會發生脫臼 的清况，舉例而言：最常發生的肩峰鎖骨關節脫臼 (romioclavicular dislocation fracture)，其會常伴隨發 生遠端鎖骨骨折（Distal clavicular fracture)發生，是常見 的創傷。 由於肩峰鎖骨關節位於肩關節上方，提供上肢骨骼與軀幹 月絡的唯一聯結’肩峰鎖骨的韌帶則提供前後的穩定性，另有 °彖突鎖勒帶提供懸吊的強度，在肩峰鎖骨關節傷骨與遠端鎖骨 5 200924696 骨折的情況’因為喙突鎖骨韌帶的斷裂造成整個肩胛骨因重力 而往下垂落’而鎖骨則因頸部肌肉的收縮而往上翹起，造成受 傷部位的組織分離而無法癒合。 而目前並無簡單理想的固定方法來治療，而目前常用的固 定器係以螺釘連結斷裂的韌帶之後，於螺釘之上以人工方式綁 上鐵絲，但是這種方法綁束速度慢且費時，鐵絲也容易因尖銳 ❿有干# ’固疋效果會有鬆動，造成癒合不完全以及傷口太大 的問題。 【發明内容】 a本發明者鐘於前述的問題，進而用心研究開發，因此本發 明主要目的係在提供一種傷骨固定器，其主要係傷骨固定器是 單的扣合連結手段搭配可調式束帶，而能簡單快速地完成 固定性良好的傷骨固定效用。 為了可達到别述主要目的，本發明所運用的技術手段係在 0於提供一種傷骨固定器，其係包含： ，、 固冑件’其具一軸部’車由部設一軸向貫通、近沈頭孔的 孔’該軸部外側為外螺紋，該中孔内側形成―具倒鉤狀的卡 …入固定件之扣件，其具有一身部、一兹頭，其中 該、孔，該_的末端面呈開又狀，相對扣合 可調整式束帶，其具—帶體，以及—連伸於帶體—端之 連沾於=該帶體穿過該扣件之穿孔，供該帶體依適合位置而 、，》於該束頭，定位該固定件之位置。 6 200924696 本發明料㈣技料段也提供另—種㈣ :一：以固定傷骨作用的固定件，其於-端連結-二2 帶，其中： J調式束 該可調整式束帶，其具一帶體，以及 束頭’據此使該帶體依適合位置而連結於該束頭端之 件之位置。 疋位該固定[Previously, the technology of copper J.] If there is any injury or damage to the human bone, it is usually necessary to fix the bone through the bone and the iliac crest and then fix the branch (4) to cause the injured bone to automatically splicing. At present, for the treatment of fractures and bone injuries, different medical treatments will be given depending on the type of injury. Some of the fractures are relatively simple, such as only cracks at the bones, or only small areas of the bones are completely fractured. At present, the medical methods that are commonly used still need to be connected to the injured bone by nail plate. However, if the uncomplicated fracture is fixed by a fixed plate and the bone is fixed, the medical process is too long, and the patient may be during healing. It creates an uncomfortable feeling, so this method is not ideal. ❹ In addition, due to the prevalence of exercise, it is often the case that dislocation occurs. For example, the most common occurrence of the roxyclavicular dislocation fracture, which is often accompanied by distal clavicle fractures (Distal Clavicular fracture occurs and is a common trauma. Because the acromicular clavicular joint is located above the shoulder joint, it provides the only connection between the upper limb bone and the trunk of the trunk. The ligament of the shoulder clavicle provides stability before and after, and the condyle lock band provides the strength of the suspension. Clavicular joint injury and distal clavicle 5 200924696 Fracture condition 'Because the fracture of the condyle clavicle ligament causes the entire scapula to hang down due to gravity' and the clavicle is lifted up by the contraction of the neck muscle, causing the injured part The tissue is separated and cannot heal. At present, there is no simple and ideal fixation method for treatment. However, the commonly used fixer is to manually attach the wire to the screw after the broken ligament is screwed, but the method is slow and time-consuming, and the wire is fast. It is also easy to be sharp and dry. # 'The solid effect will be loose, resulting in incomplete healing and too much wound. SUMMARY OF THE INVENTION The present inventors have studied and developed the above problems. Therefore, the main object of the present invention is to provide a bone-retaining fixture, which is mainly a single buckle fastening means with adjustable type. The strap can be used to quickly and easily complete the fixation effect of the bone. In order to achieve the main purpose of the present invention, the technical means used in the present invention is to provide a bone-retaining fixture, which comprises: , a solid-clamping member having a shaft portion and an axial through portion of the vehicle portion. The hole near the counterbore is externally threaded on the outer side of the shaft, and the inside of the middle hole forms a "barbed-like card" into the fastener of the fixing member, which has a body and a head, wherein the hole The end surface of the _ is open and shaped, and the oppositely adjustable adjustable strap is provided with a belt body, and the joint extending to the belt body end is adhered to the perforation of the belt body through the fastener. The belt body is positioned at the position of the fixing member according to the position. 6 200924696 The material of the invention (4) is also provided with another type (4): one: a fixing member for fixing the bone injury, the end-to-end joint - the two-two belt, wherein: the J-shaped bundle of the adjustable belt, With a belt body, and the beam head 'according to this, the belt body is attached to the position of the head end of the beam head according to the proper position. Clamp this fixed
本發明所運用的技術手段再提供另一種傷骨固定器 SI :二二’其具一軸部’軸部設一軸向貫通、近沈頭孔的 =孔該軸部外側為外敎，該中孔内侧形成—具倒釣狀的卡 =一用以扣人固定件之扣件，其具有—身部、—兹頭，其中 該身部橫向穿設-穿孔，該蒜頭的末端面呈開叉狀，相對扣人 該卡槽而設置一嵌緣。 σ ^本發明所運用的技術手段可再提供另一種傷骨固定器其 係包含： ' 一固定件，其具有一軸部，該軸部設一軸向貫通、近沈頭 孔的中孔，該軸部外侧為外螺紋，該中孔内側形成一具倒鉤狀 的卡槽； 一用以扣入固定件之扣件，其為中空狀，具有一身部、一 菇頭，其中該身部橫向穿設一穿孔，該菇頭的末端面呈開又狀， 相對扣合該卡槽而設置一嵌緣； 可調整式束帶，其具一帶體，以及一連伸於帶體一端之 束頭，用以該帶體穿過該扣件之穿孔，供該帶體依適合位置而 7 200924696 連結於該束頭，定位該固定件之位置。 簡n目此依據本發明的技術手段，本發明可以獲得的功效 簡要說明如下所列： 卜本發明使固Μ可分離為固定件與扣件，讓扣件得另 外連結諸㈣轉可㈣式束帶之後，令岐件與扣件對準扣 合’由可調整式束帶依照傷骨位置[比如是肩峰鎖骨之處]，來 調整其帶體穿結於束狀位置，㈣確保較件使傷骨斷裂處The technical means used in the present invention further provides another type of bone-retaining fixture SI: two-two's having a shaft portion, the shaft portion is provided with an axial through hole, a near-recessed hole, and the outer side of the shaft portion is an outer cymbal. Forming inside the hole - a card with a fishing shape = a fastener for fastening the fixing member, having a body portion, a head portion, wherein the body portion is transversely pierced - a perforation, and the end surface of the garlic head is split The shape is opposite to the buckle of the card slot and a margin is provided. σ ^ The technical means used in the present invention may further provide another type of bone anchoring device comprising: 'a fixing member having a shaft portion, the shaft portion being provided with a central hole extending axially and near the counterbore hole, The outer side of the shaft portion is externally threaded, and a barb-shaped card slot is formed on the inner side of the middle hole; a fastener for fastening the fixing member, which is hollow, has a body and a mushroom head, wherein the body is laterally a perforation is formed, the end surface of the mushroom head is open and shaped, and a clamping edge is arranged to be engaged with the card slot; the adjustable strap has a belt body and a bundle head extending at one end of the belt body. The belt is used to pass through the through hole of the fastener, and the belt body is connected to the beam head according to a suitable position, and the position of the fixing member is positioned. According to the technical means of the present invention, a brief description of the functions obtainable by the present invention is as follows: The present invention enables the solid body to be separated into a fixing member and a fastener, and the fastener member can be additionally connected to the (four) to the (four) type. After the strap, align the clip with the fastener. 'Adjust the strap according to the position of the injured bone (such as the shoulder clavicle) to adjust the strap to the bundle position. (4) Make sure Piece of fracture
鱗持固U位於良好的接合關係，由於帶體—經穿結於束頭 之後便告衫，無虞外力㈣干㈣鬆脫，因此得加強完全癒 合效果。 、如前項所述，ϋ定件亦可連結可調整式束帶，同樣也 能透過可調整式㈣之能㈣定位置，作—迅速簡便之調整。 3、 固定件與扣件彼此為扣合，連結迅速簡單又可靠。 4、 本創作可以適用於目前的微創手術，以具有傷口小， 可視狀況不需要取出來而可免於二次手術。 ❹ 【實施方式】 本發明係一種傷骨固定器，如第—圖所示，其係包含一固 定件（10)、一用以扣接固定件（1〇)之扣件（2〇)、一結合於扣件 (20)的可調整式束帶（30)，藉以固定件（1〇)藉扣件（2〇)連結可 調整式束帶（30) ’而由可調整式束帶（3〇)讓固定器簡易快速地 達成固定作用。 請再參看第一至三圖所示，說明各元件的具體較佳形態。 8 200924696 其中固定件⑽具-轴部⑴），軸部⑴）設一轴向貫通、近沈 碩孔的中孔⑽，中孔⑽在一端形成内徑稍大於中孔（⑵的 跨槽（122)，軸部⑴）外側係形成外螺紋（13)，轴部⑴）在不同 於跨槽（122)之-端係為設置自攻刃形式的自攻頭（⑷，中孔 (12)内側壁近中段處，係如第四圖所示，形成_環具倒釣狀的 卡槽（121); 而該扣件（20)係在一端開始依序形成肩部（21)、身部 (22)、兹頭（24)。其中肩部（21)外徑恰容許置於跨槽（122)上， 兩側各凹設一缺口（211)，肩部（21)中央軸向穿設一通孔 (212)，呈柱狀之身部（22)則橫向穿設一穿孔，菇頭（24) 的頂緣外徑大於身部（22)外徑，而於該頂緣徑向面上形成嵌緣 (241)，菇頭（24)如第四圖所示，用以扣件（2〇)進入固定件（1〇) 後，得以鉤住於卡槽（121)，確實定位扣件（2〇)與固定件（1〇) 連結一體的關係，並且菇頭（24)由底側凹設一道與通孔（212) 直線連通而與穿孔（23)垂直連通之内孔（25)，用以菇頭（24)外 徑具備彈性伸縮的形變能力； p 該可調整式束帶（30)係具一長形塑性的帶體（31)以及一 連伸於帶體（31)—端具橫向穿空之制孔（331)的束頭（33>帶體 (31)上連續佈設棘齒（311)，用以帶體（31)可以穿入制孔（331) 内側，而讓棘齒（311)與制孔（331)内側的倒鉤齒嚙合而互相卡 制’因此帶體（31)得穿過扣件（20)之穿孔（23)，供可調整式束 帶（30)之帶體（31)穿過束頭（33)之制孔（331)得以懸吊固定件 (10)。另外該束帶（30)也可以一體成型於扣件（20)上，如此一 來’當扣件（20)進入該固定件（1〇)後，即可直接收束、調整束 9 200924696 帶（30)的長度依照傷骨癒合位置來調整固定件（1〇)懸吊之處。 實施如第一、三、五圖所示，透過微創手術，先在骨頭鑽一孔 洞位置以放置固定件（1〇)，再將固定件（1〇)透過自攻頭（14)自 攻旋固於諸如肩峰鎖骨（52)形成韌帶（51)處的喙突骨[未標號] 的骨頭以確定植入位置，其間利用自攻頭（14)可使固定件（1〇) 旋固於骨頭的過程較能快速且容易，並能較穩固地固定在骨頭 位置； 其次，配合長銷導彳丨通過扣件（2〇)通孔（212)、内孔（25) 〇 連同可調式束帶（30)，，使對準固定件（1〇)中孔（12)，而可調 整式束帶（30)之帶體（31)兩邊分別圍繞鎖骨（5〇)，束頭（33)位 於鎖骨（50)之上，以如第一、三、六圖所示，將扣件（2〇)之菇 頭（24)朝中孔（12)方向扣入，續參看第三、四圖所示，菇頭（24) 因剖設之内孔（241)而使外徑經中孔（12)内侧之壓縮，以致彈性 縮小菇頭（24)外徑，順利讓菇頭（24)進入中孔（12)，令嵌緣（241) 鉤住於卡槽（121) ’達到扣件（20)與固定件（1〇)連結一體，因為 帶體（31)隨同扣件（20)進入固定件（1〇)後，利用缺口（211)供帶 ® 體（31)外露出肩部（2 1 )外側的體積予以容置，避免突露，使肩 部（21)塞入跨槽（122)而呈平整，俾保持良好的定位性，而可調 整式束帶（30)則稍施力’以提起肩峰鎖骨（52)，讓兩邊斷裂的 韌帶（51)(501)因此呈適當接觸，令帶體（31)朝束頭（33)之制孔 (331)穿入，讓棘齒（311)與制孔（331)内側的倒鉤齒而互相卡制 即完成’傷骨之固定工作’方便癒合。由於本創作利用可調式 束帶（30)的固定方式’不同於以往以骨釘骨板要錢洞的固定方 法，需要在骨頭上鑽洞才能固定諸如肩峰關節等脫臼連接部 200924696 位，所以可調整式束帶（30)得自由地依照固定癒合位置來調整 固定件（10)懸吊之處，所以操作方便省時，不需再作侵入性的 鑽洞方式，而能較容易地掌握癒合完全之效果。 上述實施例僅為例示性說明本發明之技術及其功效，而非 用於限制本發明。任何熟於此項技術人士均可在不違背本發明 之技術原理及精神的情況下，對上述實施例進行修改及變化， 因此本發明之權利保護範圍應如後所述之申請專利範圍所列。 ❹The scale-holding U is in a good joint relationship. Since the belt body is slid through the bundle head, the outer force (4) is dry (four) loose, so that the complete healing effect is enhanced. As mentioned in the preceding paragraph, the fixture can also be connected to the adjustable strap, and it can also be adjusted quickly and easily through the adjustable (4) energy (4) position. 3. The fixing member and the fastening member are fastened to each other, and the connection is quick and simple and reliable. 4. This creation can be applied to the current minimally invasive surgery to have a small wound, and the visual condition does not need to be taken out to avoid the second operation. ❹ [Embodiment] The present invention is a bone-retaining fixture, as shown in the first figure, which comprises a fixing member (10), a fastening member (2〇) for fastening the fixing member (1〇), An adjustable strap (30) coupled to the fastener (20), whereby the adjustable strap (2) is attached to the adjustable strap (30) by the fastener (2) and the adjustable strap ( 3〇) Let the fixture achieve a fixed effect quickly and easily. Please refer to the first to third figures to illustrate the specific preferred form of each component. 8 200924696 The fixing member (10) has a shaft portion (1), and the shaft portion (1) is provided with an axially through, nearly sinking hole (10). The middle hole (10) has an inner diameter slightly larger than the middle hole at one end ((2) 122), the outer portion of the shaft portion (1) is formed with an external thread (13), and the shaft portion (1) is a self-tapping head in the form of a self-tapping blade at the end different from the end of the groove (122) ((4), the middle hole (12) The inner side wall is near the middle section, as shown in the fourth figure, forming a card slot (121) with an inverted fishing shape; and the fastener (20) is formed at one end to form a shoulder (21) and a body portion in sequence. (22), head (24), wherein the outer diameter of the shoulder (21) is allowed to be placed on the slot (122), a notch (211) is recessed on each side, and the central portion of the shoulder (21) is axially inserted. a through hole (212), the columnar body portion (22) is transversely pierced with a perforation, and the top edge of the mushroom head (24) has an outer diameter larger than the outer diameter of the body portion (22), and the radial edge of the top edge Forming the inlay edge (241), the mushroom head (24) is as shown in the fourth figure, and the fastener (2〇) is inserted into the fixing member (1〇), and is hooked to the card slot (121) to secure the positioning fastener. (2〇) The relationship with the fastener (1〇) and the mushroom The head (24) is recessed from the bottom side with an inner hole (25) communicating with the through hole (212) in a straight line and communicating with the through hole (23) for the elastic deformation of the outer diameter of the mushroom head (24); p The adjustable strap (30) is provided with an elongated plastic strip (31) and a bundle head (33> with a hole (331) extending transversely to the strip body (31). (31) The ratchet teeth (311) are continuously disposed on the upper side, and the strip body (31) can be inserted into the inner side of the hole (331), and the ratchet teeth (311) are engaged with the barb teeth on the inner side of the hole (331) to mutually The card body '31 is thus passed through the perforation (23) of the fastener (20) for the band (31) of the adjustable band (30) to pass through the hole of the beam head (33) (331) The suspension member (10) can be suspended. Alternatively, the strap (30) can be integrally formed on the fastener (20), so that when the fastener (20) enters the fixing member (1), Can receive the beam directly, adjust the bundle 9 200924696 The length of the belt (30) adjusts the position of the fixing piece (1〇) according to the healing position of the injured bone. The implementation is as shown in the first, third and fifth figures, through minimally invasive surgery, First drill a hole in the bone To place the fixing member (1〇), and then fix the fixing member (1〇) through the self-tapping head (14) to self-tapping the condylar bone at the ligament (51) such as the shoulder clavicle (52) [unlabeled] The bone is used to determine the implantation position, and the self-tapping head (14) can be used to fix the fixing member (1〇) to the bone, which is quick and easy, and can be fixed firmly at the bone position; The pin guide passes through the fastener (2〇) through hole (212), the inner hole (25) 〇 together with the adjustable strap (30), so as to align the hole (12) of the fixing member (1〇), but The belt (31) of the adjustable strap (30) is respectively surrounded by the clavicle (5〇), and the bundle head (33) is located above the collarbone (50) to fix the fastener as shown in the first, third and sixth figures. (2〇) The mushroom head (24) is snapped in the direction of the middle hole (12). Continued to see the third and fourth figures, the mushroom head (24) has the outer diameter through the inner hole (241). The inner side of the hole (12) is compressed so that the outer diameter of the mushroom head (24) is elastically reduced, and the mushroom head (24) is smoothly inserted into the middle hole (12), so that the insert edge (241) is hooked on the card slot (121) to reach the buckle. One piece (20) is integrated with the fixing piece (1〇) Since the belt body (31) enters the fixing member (1〇) along with the fastener (20), the gap (211) is used to accommodate the outer side of the shoulder body (2 1 ) with the outer surface of the belt body (31), thereby avoiding the protrusion. Dew, the shoulder (21) is flattened into the slot (122), and the cymbal maintains good positioning, while the adjustable strap (30) is slightly biased to lift the shoulder clavicle (52). The ligaments (51) (501) that are broken on both sides are thus in proper contact, so that the belt body (31) penetrates into the hole (331) of the head (33), and the ratchet (311) and the inside of the hole (331) are made. Barbed teeth and each other are stuck to complete the 'fixed work of the injured bone' for easy healing. Because the creation uses the adjustable strap (30) fixing method, which is different from the previous method of fixing the bone hole with the bone nail plate, it is necessary to drill a hole in the bone to fix the dislocation joint such as the shoulder joint, 200924696, so The adjustable strap (30) can freely adjust the hanging position of the fixing member (10) according to the fixed healing position, so the operation is convenient and time-saving, and no invasive drilling method is needed, and the grasping method can be easily grasped. Healing complete effect. The above-described embodiments are merely illustrative of the technology of the present invention and its effects, and are not intended to limit the present invention. Any person skilled in the art can modify and change the above embodiments without departing from the technical spirit and spirit of the present invention. Therefore, the scope of protection of the present invention should be as listed in the patent application scope mentioned later. . ❹
11 200924696 【圖式簡單說明】 第一圖係本發明較佳實施例之立體元件分解圖 第二圖係本發明較佳實施例之立體圖。 第三圖係本發明較佳實施例之組合剖視圖。 第四圖係本發明較佳實施例之部份放大剖視圖 第五圖係本發明較佳實施例之平面示意圖，用 件適用於肩峰鎖骨處的固定作用。 第六圖係本發明較佳實施例之平面示意圖，用 〇 件適用於肩峰鎖骨處並已調整好傷骨固定位置。 【主要元件符號說明】 (10)固定件 （11)軸部 (12)中孔 （13)外螺紋 (121)卡槽 （122)跨槽 (14)自攻頭 (20)扣件 （21)肩部 (22)身部 （23)穿孔BRIEF DESCRIPTION OF THE DRAWINGS The first drawing is an exploded view of a preferred embodiment of the present invention. The second drawing is a perspective view of a preferred embodiment of the present invention. The third drawing is a combined cross-sectional view of a preferred embodiment of the present invention. 4 is a partially enlarged cross-sectional view of a preferred embodiment of the present invention. The fifth drawing is a plan view of a preferred embodiment of the present invention, and the member is suitable for the fixation of the shoulder clavicle. Figure 6 is a plan view of a preferred embodiment of the present invention, which is applied to the shoulder clavicle and has been adjusted to the fixed position of the injured bone. [Main component symbol description] (10) Fixing member (11) Shaft portion (12) Middle hole (13) External thread (121) Card slot (122) Span (14) Self-tapping (20) Fastener (21) Shoulder (22) body (23) perforated
以顯示各元 以顯示各元 (24) 菇頭 （241)嵌緣 (25) 内孔 （211)缺口 (212)通孔 (30) 可調整式束帶 (31) 帶體 （311)棘齒 (33)束頭 （331)制孔 (50) 鎖骨 (51) (501)韌帶 （52)肩峰鎖骨 12To display each element to display each element (24) Mushroom head (241) Insert edge (25) Inner hole (211) Notch (212) Through hole (30) Adjustable band (31) Belt body (311) Ratchet (33) Bundle (331) hole (50) Clavicle (51) (501) Ligament (52) Shoulder clavicle 12