CN107468380A - A kind of the noninvasive of non-contact electromagnetic driving extends deficient artificial prosthesis - Google Patents

A kind of the noninvasive of non-contact electromagnetic driving extends deficient artificial prosthesis Download PDF

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Publication number
CN107468380A
CN107468380A CN201710449905.0A CN201710449905A CN107468380A CN 107468380 A CN107468380 A CN 107468380A CN 201710449905 A CN201710449905 A CN 201710449905A CN 107468380 A CN107468380 A CN 107468380A
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CN
China
Prior art keywords
artificial prosthesis
reduction box
permanent magnet
prosthesis according
extend
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Pending
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CN201710449905.0A
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Chinese (zh)
Inventor
姬涛
魏巍
郭卫
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Individual
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Individual
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Priority to CN201710449905.0A priority Critical patent/CN107468380A/en
Publication of CN107468380A publication Critical patent/CN107468380A/en
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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
    • 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
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30537Special structural features of bone or joint prostheses not otherwise provided for adjustable
    • A61F2002/3055Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting length
    • 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
    • A61F2002/30667Features concerning an interaction with the environment or a particular use of the prosthesis
    • A61F2002/30668Means for transferring electromagnetic energy to implants
    • 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
    • A61F2002/30667Features concerning an interaction with the environment or a particular use of the prosthesis
    • A61F2002/30706Features concerning an interaction with the environment or a particular use of the prosthesis specially designed for children, e.g. having means for adjusting to their growth
    • 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
    • A61F2210/00Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/009Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof magnetic

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (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)

Abstract

The invention belongs to medical instruments field, specifically, it is related to a kind of the noninvasive of non-contact electromagnetic driving and extends deficient artificial prosthesis, the artificial prosthesis extends mechanism with electromagnetic drive, described electromagnetic drive, which extends mechanism, mainly by permanent magnet (1), reduction box (2), linear leading screw (3) and can extend several parts such as its part (4) and form, and described electromagnetic drive extension mechanism can be forward extended out to extend in the case where outside driving magnetic field acts on by that can extend its part (4).

Description

A kind of the noninvasive of non-contact electromagnetic driving extends deficient artificial prosthesis
Technical field
The invention belongs to medical instruments field, specifically, being related to a kind of the noninvasive of non-contact electromagnetic driving extends defect Type artificial prosthesis.
Background technology
Chinese annual primary osteosarcoma case is about 10,000 many cases.Osteosarcoma accounts for the 10% of primary bone tumour, accounts for primary evil Property tumour 20%, be the people of 1-3 people/1,000,000 per annual morbidity, wherein 75% patient age 10-30 year, is to have a strong impact on Between twenty and fifty physically and mentally healthy malignant tumour.
The concept of limb-sparing surgery gradually developed in past 25 years, ripe.Limb-sparing surgery mainly includes involvement osteoma section Complete resection and Cranial defect reconstruction, the bone tumour diagnosis and treatment center of US and European uses in past two, 30 years Various reconstruction techniques, limbs after bone tumour resection are rebuild, with recent years to different method for reconstructing follow-up knots The advantages of fruit analysis finds, artificial metal prosthese, which is rebuild, achieves preferable medium-long term Follow-up results, and artificial prosthesis is rebuild includes: Interior fixation is durable, and well, preferable short-term and long-term function prognosis, postoperative ankle mobility are good for the stabilization of immediate postoperative.
For teenager, the growth of distal femur and proximal tibia epiphyseal plate (bone growth position) accounts for whole lower limb rise hair Educate the 70% of length.The excision of distal part of femur epiphyseal plate can make suffering limb lose about 1.6cm length every year.Consider for this reason, Patients with Bone Tumor progress knee joint excision (often less than 10 years old) for age very little will necessarily cause serious leg length discrepancy. For children's Patients with Bone Tumor, with life span extension, leg length discrepancy and limping caused by knurl section amputation prosthese is rebuild Increasingly increase etc. complication.Children because bone also has very big growth ability, with children's grow up by any metal prostheses Finally it is required for overhauling.
Current 10% bone primary tumo(u)r patient is faced with the problem of leg length discrepancy after limb-sparing surgery.After children's Limb preservation Leg length discrepancy is increasingly becoming the hot issue in the field.Prosthese, which can be extended, can preferably solve this problem, but due to working as Extension is required to by operation the preceding widely used prosthese that extends every time, is cut certain length otch and is appeared extension screw, profit Extend prosthese with mechanical actuation device, and extending length is limited (nervus vasculairs can not be resistant to drawing) every time, Repeated Operation increase Infect probability and tissue scarring.Therefore, the invasive prosthese that extends that current physician uses greatly increases for child patient The probability of operation number and postoperative complications.This frequently surgical procedure will continue 10 years even it is longer, patient is caused Pain and financial burden it is all quite big.
Traditional Artificial Intervention prosthese is as shown in figure 1, joint both ends pass through bone cement or press-fitting (biology by broach structure It is fixed) mode is individually fixed in the femur and shin bone pulp cavity of patient, it can bear the life of human body normal physiological after Using prosthesis Load, and meet scope of activities needed for knee joint daily routines.
The present invention devise it is a kind of it is brand-new extend artificial prosthesis, the prosthese need not enter when extending to infant affected part Row second operation, but drive the extension fixture inside prosthese to realize " noninvasive " extension by external alternating magnetic field, it is complete to infant It is complete not cause the pain that secondary or Repeated Operation is brought, and can be increased according to infant leg growing state in the unit interval (such as In 1 year) extend number, accordingly reduce each extending length so that infant is more easily adapted to conform to the both legs length after extending every time And equilibrium problem.It is proposed by the present invention extend artificial prosthesis can preferably solve child patient limb tumor excision after limbs not The problem of isometric, there is extensive dissemination and actual application value for similar infant.
The content of the invention
Present invention firstly relates to a kind of artificial prosthesis for extending mechanism with electromagnetic drive, described electromagnetic drive extends machine Structure mainly by permanent magnet (1), reduction box (2), linear leading screw (3) and can extend several parts such as its part (4) and form, described Electromagnetic drive, which extends mechanism, to be forward extended out under the effect of outside driving magnetic field by that can extend its part (4) to extend.
Described permanent magnet is arranged in the cavity of one end of prosthese, is fixedly attached to the input of reduction box, Neng Gou Rotated in the presence of external drive magnetic field in the cavity of described artificial joint prosthesis;
Described reduction box input rotates under the drive of permanent magnet, is exported by deceleration transmission in reduction box output end Compared with the slow-speed of revolution and larger output torque;
The output end of described reduction box is connected to linear leading screw one end, the relatively slow-speed of revolution that will be obtained by permanent magnet rotating It is applied to larger output torque on the linear leading screw, is rotated with linear leading screw and promote screw slider forward;
Described screw slider, which is fixed on, to be connected on the inwall for extending its part of outside epiphysis, can be pushed away forward Dynamic extensible prosthese movement, increases prosthese defect segment length, extends the distance between both sides broach;
Described screw slider is connected with the screw thread that connects through that can extend its part;
The described outer wall for extending its part can extend in the sleeve of mechanism described in being nested in, and be promoted by screw slider Extending radially forward, while axial restraint does not rotate.
Described permanent magnet uses cylindrical structure in structure design, is radially magnetized, and material uses neodymium iron boron Magnetic material.
Described external drive magnetic field is an alternating magnetic field rotated at a high speed, passes through the permanent magnetism in electromagnetic field drive prosthese Body concomitant rotation.
Described reduction box is gear multistage planet reduction box;Input to output end rotation ratio be 15000:1, lead to Cross external drive field drives screw slider and move forward 1-2mm about 3.5 minutes of needs.
Described artificial prosthesis is applied to the whole body long bones such as proximal humerus, near end of thighbone, distal femur, proximal tibia Position.
Driving principle more than and extend mechanism and design, can effectively solve existing orthopaedics and can extend prosthese to extend When the problem of needing repeat surgery, infant can reach identical prolongation effect by " noninvasive " extension pattern, no matter it is economical, The various aspects such as convenience, security have obvious innovation compared to conventional method, are with a wide range of applications.
Brief description of the drawings
Fig. 1, Traditional Man implantation prosthese pictorial diagram.
Fig. 2, of the present invention be arranged between femur and shin bone can extend prosthese comprising kneed field drives Structure chart.
Fig. 3, of the present invention be arranged between femur and shin bone can extend prosthese comprising kneed field drives Section of structure, wherein (1) is permanent magnet, (2) are reduction box, (3) are linear leading screw, (4) are that can extend its part.
Embodiment
Kneed artificial prosthesis is included between embodiment 1, femur and shin bone
Fig. 2, which show to be arranged between femur and shin bone, includes kneed artificial prosthesis design drawing and schematic diagram.
One end of described artificial prosthesis is artificial knee joint, and described artificial prosthesis both ends pass through bone by broach structure Cement or press-fitting (biological fixation) mode are individually fixed in the femur and shin bone pulp cavity of patient, and human body can be born after Using prosthesis The load of normal physiological life, and meet scope of activities needed for knee joint daily routines.
Described artificial prosthesis electromagnetic drive can extend mechanism by permanent magnet (1), reduction box (2), linear leading screw (3) and be A few part compositions such as its part (4) can be extended, permanent magnet is fixedly attached to the input of reduction box, and the output end of reduction box connects Linear leading screw one end is connected to, under magnetic fields, permanent magnet rotates at a high speed in patient's body, is obtained by reduction box deceleration transmission Larger output torque and compared with the slow-speed of revolution, with linear leading screw rotation forces screw slider, screw slider is directly anchored to be connected to Outside femur or shin bone extend on its part, can extend its part movement as leading screw rotary slider promotes forward, The described axial restraint for extending its part is motionless, radially can extend mechanism from the electromagnetic drive with the promotion of sliding block Sleeve in extend, add prosthese defect segment length, that is, add the distance between both sides broach, play extension rebuild limb The purpose of body length.
Permanent magnet uses neodymium-iron-boron magnetic material;The main purpose of reduction box design needs to obtain big output torque, can The external drive magnetic field for extending prosthese is an alternating magnetic field rotated at a high speed, and internal permanent magnet is driven therewith by electromagnetic field Rotate.Due to the limitation of application environment, permanent magnet own vol very little, magnetic field is placed in beyond human leg, non-contact human.It is logical The rotation of external magnetic field is crossed, design, which often drives sliding block to move forward 1-2mm, needs about 3.5 minutes or so time.Such drive It is acceptable for leg extends to move speed and extension time, because to certainly when patient is also required to slowly adapt to extend Uncomfortable caused by body, collateral damage will not be caused to patient body by slowly extending.
Finally it should be noted that above example only helps skilled in the art to understand the essence of the present invention, do not have to Do limiting the scope of the present invention.

Claims (10)

1. a kind of artificial prosthesis for extending mechanism with electromagnetic drive, described electromagnetic drive extends mechanism mainly by permanent magnet (1), reduction box (2), linear leading screw (3) and several parts such as its part (4) composition can be extended, described electromagnetic drive extends machine Structure can be forward extended out to extend under the effect of outside driving magnetic field by that can extend its part (4).
2. artificial prosthesis according to claim 1, it is characterised in that described permanent magnet is arranged on the sky of one end of prosthese In chamber, the input of reduction box is fixedly attached to, can be in the presence of outside driving magnetic field in described artificial joint prosthesis Cavity in rotate.
3. artificial prosthesis according to claim 1 or 2, it is characterised in that described reduction box input is in permanent magnet Lower rotation is driven, is exported by deceleration transmission in reduction box output end compared with the slow-speed of revolution and larger output torque.
4. artificial prosthesis according to claim 1 or 2, it is characterised in that described linear leading screw is connected to the deceleration The output end of case, the relatively slow-speed of revolution and larger output torque that the reduction box obtains the permanent magnet rotating are applied to the line On sex pilus thick stick, rotated with linear leading screw and promote screw slider forward.
5. artificial prosthesis according to claim 4, it is characterised in that described screw slider, which is fixed on, is connected to outside bone On the inwall for extending its part at end, it is preferred that the leading screw outer wall and the described inwall for extending its part lead to Cross and be screwed.
6. artificial prosthesis according to claim 1 or 2, it is characterised in that the described outer wall for extending its part is embedding It can extend described in being enclosed in the sleeve of mechanism, be promoted and extended radially forward by screw slider, while axial restraint does not rotate.
7. artificial prosthesis according to claim 2, it is characterised in that described permanent magnet is cylindrical structure, radially Magnetized, material is neodymium-iron-boron magnetic material.
8. artificial prosthesis according to claim 1, it is characterised in that described external drive magnetic field is one and rotated at a high speed Alternating magnetic field.
9. artificial prosthesis according to claim 1, it is characterised in that described reduction box slows down for gear multistage planet Case, the rotation ratio of input to output end is 15000:1.
10. including the medicine equipment of any described artificial prosthesis of claim 1-9, described medicine equipment is used for Orthopeadic Surgery.
CN201710449905.0A 2017-06-14 2017-06-14 A kind of the noninvasive of non-contact electromagnetic driving extends deficient artificial prosthesis Pending CN107468380A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107518961A (en) * 2017-08-18 2017-12-29 上海微创医疗器械(集团)有限公司 Prosthesis and prosthesis system
CN112674912A (en) * 2020-12-30 2021-04-20 北京爱康宜诚医疗器材有限公司 Long bone lengthening prosthesis
CN113101016A (en) * 2021-05-13 2021-07-13 北京爱康宜诚医疗器材有限公司 Prosthesis connecting element and prosthesis assembly

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1433286A (en) * 2000-04-13 2003-07-30 伦敦大学学院 Surygical distraction device
US20040193266A1 (en) * 2003-03-31 2004-09-30 Meyer Rudolf Xaver Expansible prosthesis and magnetic apparatus
CN201551418U (en) * 2009-12-10 2010-08-18 北京大学人民医院 Epiphysis bone coloboma type man-made prosthesis
CN102144943A (en) * 2011-04-27 2011-08-10 清华大学 Non-invasive telescopic false body
CN104323876A (en) * 2014-11-05 2015-02-04 丁华 Permanent magnet type adjustable long bone prosthesis as well as adjusting device and method thereof
CN211067218U (en) * 2017-06-14 2020-07-24 姬涛 Non-contact electromagnetic-driven noninvasive and extensible defect type artificial prosthesis

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1433286A (en) * 2000-04-13 2003-07-30 伦敦大学学院 Surygical distraction device
US20040193266A1 (en) * 2003-03-31 2004-09-30 Meyer Rudolf Xaver Expansible prosthesis and magnetic apparatus
CN201551418U (en) * 2009-12-10 2010-08-18 北京大学人民医院 Epiphysis bone coloboma type man-made prosthesis
CN102144943A (en) * 2011-04-27 2011-08-10 清华大学 Non-invasive telescopic false body
CN104323876A (en) * 2014-11-05 2015-02-04 丁华 Permanent magnet type adjustable long bone prosthesis as well as adjusting device and method thereof
CN211067218U (en) * 2017-06-14 2020-07-24 姬涛 Non-contact electromagnetic-driven noninvasive and extensible defect type artificial prosthesis

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107518961A (en) * 2017-08-18 2017-12-29 上海微创医疗器械(集团)有限公司 Prosthesis and prosthesis system
CN112674912A (en) * 2020-12-30 2021-04-20 北京爱康宜诚医疗器材有限公司 Long bone lengthening prosthesis
CN112674912B (en) * 2020-12-30 2022-04-12 北京爱康宜诚医疗器材有限公司 Long bone lengthening prosthesis
CN113101016A (en) * 2021-05-13 2021-07-13 北京爱康宜诚医疗器材有限公司 Prosthesis connecting element and prosthesis assembly
CN113101016B (en) * 2021-05-13 2022-08-16 北京爱康宜诚医疗器材有限公司 Prosthesis connecting element and prosthesis assembly

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Application publication date: 20171215