CN108938151A - A kind of elasticity intervertebral disk prosthesis - Google Patents

A kind of elasticity intervertebral disk prosthesis Download PDF

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Publication number
CN108938151A
CN108938151A CN201810901575.9A CN201810901575A CN108938151A CN 108938151 A CN108938151 A CN 108938151A CN 201810901575 A CN201810901575 A CN 201810901575A CN 108938151 A CN108938151 A CN 108938151A
Authority
CN
China
Prior art keywords
elastomer
intervertebral disk
metal
fixed
group
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201810901575.9A
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Chinese (zh)
Inventor
杨栋
王慧
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
LONGGANG DISTRICT PEOPLE'S HOSPITAL OF SHENZHEN
Original Assignee
LONGGANG DISTRICT PEOPLE'S HOSPITAL OF SHENZHEN
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by LONGGANG DISTRICT PEOPLE'S HOSPITAL OF SHENZHEN filed Critical LONGGANG DISTRICT PEOPLE'S HOSPITAL OF SHENZHEN
Priority to CN201810901575.9A priority Critical patent/CN108938151A/en
Publication of CN108938151A publication Critical patent/CN108938151A/en
Pending legal-status Critical Current

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Classifications

    • 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

Abstract

The present invention relates to a kind of elastic intervertebral disk prosthesis, the elasticity intervertebral disk prosthesis includes the top plate, elastomer and bottom plate being sequentially coaxially arranged from top to bottom, it is characterized in that, being symmetrically distributed with two groups of metal drag-lines in the centre bore of the elastomer with linear state, each group of metal drag-line is at least three;Diameter matched top board and lower platen are respectively equipped in circular groove set by the elastomer both ends, wherein the via hole equal with one group of metal drag-line quantity is respectively symmetrically distributed in the axis on the top board and lower platen around the elastomer;Two groups of metal drag-lines, one group of following is fixed on lower platen, top passes through corresponding via hole on the top board and is fixed on the top plate, and another group of top is fixed on top board, and following passes through corresponding via hole on lower platen and is fixed on the bottom plate.This intervertebral disk prosthesis all has buffer function under compression, stretching even rotation and curved load, and stability is good, bionical excellent result.

Description

A kind of elasticity intervertebral disk prosthesis
Technical field
The present invention relates to can be transplanted to intracorporal prosthese, and in particular to the artificial prosthesis for spinal disc.
Background technique
Backbone is made of vertebrae and interverbebral disc, is a kind of quite soft movable structure of energy again.The activity of backbone is depended on In the complete of interverbebral disc, the harmony being related between vertebrae articular process.Interverbebral disc has the characteristics that viscoplasticity, and human body fortune can be absorbed It is dynamic, alleviate shock loading and brings damage to the human body.Backbone regression or wound are likely to result in the funeral of vertebra osteoarticular function It loses, therefore generallys use spinal disc displacement clinically to carry out repairing and treating.
The application for a patent for invention of Publication No. CN 1925815A discloses a kind of " modular intervertebral disk prosthesis ", the vertebra Between disc prosthesis one central part clamped by upper and lower two pieces of agproximation plates constitute, wherein the central part includes bellows, the bellows Both ends are equipped with soleplate, and inside is equipped with butterfly spring group and helical spring, and the helical spring is located at the center of butterfly spring group In hole, both ends are acted on the soleplate;The spring characteristic curve f of the central part has in the first subregion in 450N/mm Spring rate between 550N/mm, and there is the spring rate between 1400N/mm and 1600N/mm in the second subregion. According to the description of the patent application specification, central part of the spring rate between 450N/mm and 550N/mm is suitable for 40- The load of the patient of 65kg weight, the central part between 1400N/mm and 1600N/mm are suitable for the negative of the patient of 60-100kg weight It carries.Description prompt, doctor will select the spring rate of the central part according to the patient weight load carried.But The widely dispersed of patient body weight, it is only tens kilograms light, and weight then has one two hundred kilograms, and the intervertebral of different location The load great disparity that disk is undertaken is very big, as long as such as cervical intervertebral disk carrier head weight, and lumber ertebral disc will carry on entire The weight of body.Therefore the scheme of above-mentioned patent application, will select to design the central part spring rate according to specific case Big difficulty is foreseeable.If the spring rate of the central part is excessive, it is clear that buffer function is not had, if in described The spring rate of heart part is too small, and stability can cause the clinical responses such as dizziness with regard to poor.In addition, the scheme of above-mentioned patent application is also There are buffer function, let alone what stability are not just had when tension (such as when pitching by bus) at all, because Butterfly spring group described in when stretching does not work.
Summary of the invention
Technical problem to be solved by the invention is to provide a kind of elastic intervertebral disk prosthesis, which is being pressed Contracting stretches and all has buffer function under even rotation and curved load, and stability is good, bionical excellent result.
The technical solution that the present invention solves above-mentioned technical problem is:
A kind of elasticity intervertebral disk prosthesis, which includes the top plate being sequentially coaxially arranged from top to bottom, bullet Property body and bottom plate, which is characterized in that
The edge of the cover top surface and lower surface of base plate the same side is respectively symmetrically set there are two lug, each lug On be respectively equipped with sphere hole;
The elastomer includes metal compression coil spring, and vulcanization is enclosed with medical height on the metal compression coil spring Molecular material forms cylindrical tube, and with respect to the helicla flute for the V-shaped for being equipped with accumbency on the vulcanization wrapping layer of inside and outside wall;Described Helicla flute is located between two adjacent wires of the metal compression coil spring, and helical angle and the metal compression coil bullet The helical angle of spring is consistent;
The middle part of the elastomer both ends of the surface removes the vulcanization wrapping layer and is respectively formed a circular groove, and the circle is recessed The end face of the metal compression coil spring is exposed in the bottom surface of slot, and diameter is greater than the internal diameter of the metal compression coil spring, Less than the outer diameter of the metal compression coil spring;Two groups of gold are symmetrically distributed with linear state in the centre bore of the elastomer Belong to drag-line, each group of metal drag-line is at least three;Be respectively equipped in circular groove set by the elastomer both ends diameter with The top board to match and lower platen, wherein the axis on the top board and lower platen around the elastomer respectively symmetrically divides It is furnished with the via hole equal with one group of metal drag-line quantity;Two groups of metal drag-lines, one group of following are fixed on lower platen, Top passes through corresponding via hole on the top board and is fixed on the top plate, and another group of top is fixed on top board, under Head passes through corresponding via hole on lower platen and is fixed on the bottom plate;
Two groups of metal drag-lines are tensioned, keep the distance between the top plate and bottom plate default equal to the elastomer to be compressed to The length of initial stiffness.
In order to accurately preset the initial stiffness of the elastomer, an improvement project of the invention is the top The quantity upper and lower perforative counterbore equal with one group of metal drag-line radical is respectively equipped on plate and bottom plate;Two groups of metals are drawn Rope, one group of top are equipped with nipple and are fixed by nuts on the top plate respectively in corresponding counterbore, another group Following is equipped with nipple and is fixed by nuts on the bottom plate respectively in corresponding counterbore.
In order to make prosthese and adjacent vertebra preferably realizes bone fusion, in the cover top surface and lower surface of base plate Be distributed with several rise it is prominent.
In above scheme, the nonbiodegradable medical macromolecular materials can be the poly- ammonia of polyurethane, polycarbonate Ester or polyether-polyurethane, preferably polyurethane.
In above scheme, the preferred medical titanium cable of the metal drag-line.
Elasticity intervertebral disk prosthesis of the present invention has the advantages that:
(1) dexterously to be selected the technical problem for designing the elastomer rigidity simple according to specific case the prior art The length for presetting the metal drag-line is turned to, so that position carries out phase to the weight and interverbebral disc according to patient in human vertebrae To accurately presetting, the adaptation range of the intervertebral disk prosthesis of same specification has been expanded significantly.
(2) two-way when resilience of the dynamic loading of human motion greater than initial stiffness set by elastic intervertebral disk prosthesis Flexible deformation, therefore elastic intervertebral disk prosthesis all has very under compression and tension load (such as when pitching by bus) effect Good stability.
(3) it is only connected and fixed, be may be not present other by two groups of metal drag-lines between top plate and bottom plate and elastomer Rigid fixation structure, while the complex spring is made of nonbiodegradable medical macromolecular materials, therefore entire elasticity Intervertebral disk prosthesis not only can be axially stretched or compress, but also can reverse or be bent microly, and bionical effect has obtained obviously Improve.
(4) top plate and bottom plate are both provided with two earholes, can by the top plate of prosthese and bottom plate and adjacent vertebra stitching, It prevents prosthese from shifting after surgery and causes secondary injury.
Detailed description of the invention
Fig. 1~7 are the structural schematic diagram of elastic one specific embodiment of intervertebral disk prosthesis of the present invention, wherein Fig. 1 is Main view (semi-cutaway), Fig. 2 are top view (right side lug uses partial cutaway), and Fig. 3 is that (right side lug is using part for bottom view Cut open), Fig. 4 is the A-A cross-sectional view (medical titanium cable is omitted) of Fig. 1, and Fig. 5 is B-B cross-sectional view (medical titanium cable is omitted) in Fig. 1, Fig. 6 is the I partial enlarged view in Fig. 1, and Fig. 7 is the II partial enlarged view in Fig. 1.
Fig. 8 is the usage state diagram of elasticity intervertebral disk prosthesis shown in Fig. 1~7.
Fig. 9 is the comparison diagram that intervertebral disk prosthesis shown in Fig. 1~7 is pressurized with tension state, wherein left figure is pressured state, Right figure is tension state.
Specific embodiment
Example 1
Referring to Fig. 1~7, the elastic intervertebral disk prosthesis in this example includes the top plate that same axis 4 is set gradually from top to bottom 1, elastomer 3 and bottom plate 2.
Referring to Fig. 1 and Fig. 2, the upper surface of top plate 1 is the curved surface similar with human vertebrae planform to arch upward upwards, should Several prominent 11 are distributed on curved surface, edge is symmetrically arranged with two lugs 12, is respectively equipped with sphere hole 12- on each lug 12 1;It with axis 4 is rotation center on the top plate 1, R is that symmetrical there are four the counterbores for running through plate body for radius of turn circumference 16;A ring-shaped groove 15 is equipped with around axis 4 on the lower surface of the top plate 1.
Referring to Fig. 1~3, bottom plate 2 in addition to the distributing position of four counterbores 16 is different, other structures feature with 1 mirror of top plate As symmetrical.The distributing positions of four counterbores 16 of bottom plate 2 and 1 four 16 distributing positions of counterbore of top plate are staggered 45° angle around axis 4.
Referring to Fig. 1 and Fig. 4~5, the elastomer 3 includes a metal compression coil spring 3-1, the metal compression coil bullet Vulcanization is enclosed with nonbiodegradable polyurethane 3-2 and forms cylindrical tube on spring 3-1, and opposite on the vulcanization wrapping layer of inside and outside wall The helicla flute of V-shaped equipped with accumbency, the helicla flute be located at the two metal compression coil spring 3-1 adjacent wires it Between, and helical angle is consistent with the helical angle of the metal compression coil spring 3-1;It is gone in the middle part of 3 both ends of the surface of elastomer vulcanisation The polyurethane 3-2 of package is respectively formed a circular groove 5, and metal compression coil spring 3-1's exposed in the bottom surface of the circular groove 5 End face, and diameter greater than metal compression coil spring 3-1 internal diameter and be less than metal compression coil spring 3-1 outer diameter.
Referring to Fig. 1 and Fig. 4~5, matching upper of diameter is respectively equipped on circular groove 5 set by 3 both ends of elastomer Pressing plate 7 and lower platen 8, the top board 7 and lower platen 8 are all medical metal plate, and are rotation center with axis 4 on plate body, and R is Symmetrically staggeredly set there are four via hole 13 and four screw holes 14 on the circumference of radius of turn, wherein via hole 13 and adjacent screw hole 14 it Between central angle be 45 °.The thickness of the top board 7 and lower platen 8 is less than the depth of the circular groove 5, and circular groove 5 surpasses The outer edge 19 of (top board 7, lower platen 8) extends into the ring-shaped groove 15 out.
Referring to Fig. 1 and Fig. 6~7, two groups of medical titanium cables 6 are symmetrically distributed with linear state in the centre bore of elastomer 3, often One group of titanium cable 6 is made of four medical titanium cables 6;The both ends of each medical titanium cable 6 are equipped with nipple 10, the nipple 10 are processed into using following methods: the titanium silk at 6 both ends of medical titanium cable being heated to the simultaneously jumping-up that is consolidated, is ground after cooling At cylinder, nipple 10 is then processed.
Referring to Fig. 1~5, the outer edge 19 of 3 both ends circular groove 5 of elastomer is respectively embedded into top plate 1 and the corresponding ring of bottom plate 2 It is adhesively fixed in shape groove 15 and by sulfuration process;In elastomer 3, four via holes 13 on top board 7 are respectively and on top plate 1 The coaxial arrangement of four counterbores 16, four via holes 13 on lower platen 8 are coaxially disposed with four counterbores 16 on bottom plate 2 respectively; In two groups of titanium cable groups, the following nipple 10 of one group of medical titanium cable 6 is fixed on the screw hole 14 of lower platen 8, and upper head thread connects First 10 pass through and are fixed in the counterbore 16 of top plate 1 after corresponding via hole 13 on top board 7 by nut 9, another group of medical titanium cable 6 Top nipple 10 is fixed on the screw hole 14 of top board 7, and following nipple 10 passes through corresponding via hole 13 on lower platen 8 It is fixed in the counterbore 16 of bottom plate 2 by nut 9 afterwards.
Referring to Fig. 1~7, the overall structure and its assembly method of elasticity intervertebral disk prosthesis 18 described in this example are as described below:
(1) by four 6 one, medical titanium cable nipples 10 are spirally connected and solid welding is set on top board 7 screw hole 14 In, in the screw hole 14 that 6 one, four medical titanium cables remaining nipples 10 are spirally connected and solid welding is set on lower platen 8;
(2) top board 7 and lower platen 8 are respectively embedded into the circular groove 5 at 3 both ends of elastomer, and make to be fixed on pressure Four medical titanium cables 6 on plate 7 pass through corresponding via hole 13 on lower platen 8 respectively, four medical titaniums being fixed on lower platen 8 Cable 6 passes through corresponding via hole 13 on top board 7 respectively, then in the one traction work of end face welding of each 6 other end of medical titanium cable The wire of skill;
(3) by top plate 1 and the both ends staggered relatively in elastomer 3 of bottom plate 2, and the outer edge 19 of circular groove 5 is divided Qian Ru not be in the ring-shaped groove 15 on top plate 1 and bottom plate 2, and two lugs 12 on top plate 1 are located at two lugs 12 on bottom plate 2 Then by counterbore 16 that the wire of each traction technique is pierced by respectively on top plate 1 and bottom plate 2 and medical titanium is straightened in the same side Cable 6;
(4) top plate 1 and bottom plate 2 are put on a fixture together with elastomer 3 between the two and are forced into medical titanium cable 6 On nipple 10 stretch out top plate 1 and bottom plate 2, then remove the wire of the traction technique, and connect in each screw thread A nut 9 is arranged on first 10;Then,
(5) gradually loosen the fixture, when on top plate 1 lower surface and the distance between bottom plate 2 be equal to the elasticity When body 3 is compressed to the length of default initial stiffness, tightens nut 9 and point is welded, then use the method for heat cure by elastomer 3 The outer edge 19 at both ends is fixed together with ring-shaped groove 15 on top plate 1 and bottom plate 2 respectively.
Referring to Fig. 1 and Fig. 8, the method for implantation of intervertebral disk prosthesis 18 of the present invention is as described below: the elasticity that will be assembled Intervertebral disk prosthesis 18 is placed between adjacent two vertebra 17, and two lugs 12 is made on top plate 1 to be located at ridge with two lugs 12 on bottom plate 2 Then intervertebral disk prosthesis 18 is fixed on adjacent vertebra through the sphere hole 12-1 on lug 12 with Medical screw by the front side of vertebra 17 On bone 17.
Referring to Fig. 9 and Fig. 1 and 8 is combined, the elastomer 3 under the quiet effect of patient's weight, in elastic intervertebral disk prosthesis 18 It is indeformable, once under the influence of certain factor (such as when pitching by bus), the human body on elastic 18 top of intervertebral disk prosthesis When up and down motion, elastic intervertebral disk prosthesis 18 is just alternately tension or in compression.When elastic intervertebral disk prosthesis 18 is pressurized, pressure passes through Top plate 1 and bottom plate 2 are transmitted on top board 7 and lower platen 8, and elastomer 3 generates flexible deformation by compression;When elastic interverbebral disc When 18 tension of prosthese, which drives top plate 1 and bottom plate 2 to move backward, and generated displacement passes respectively through two groups of medical titanium cables 6 It is delivered on lower platen 8 and top board 7, top board 7 and lower platen 8 is forced to relatively move and the generation flexible deformation of compresses elastomeric 3.

Claims (5)

1. a kind of elasticity intervertebral disk prosthesis, which includes the top plate being sequentially coaxially arranged from top to bottom, elasticity Body and bottom plate, which is characterized in that
The edge of the cover top surface and lower surface of base plate the same side is respectively symmetrically set there are two lug, on each lug point It She You not sphere hole;
The elastomer includes metal compression coil spring, and vulcanization is enclosed with medical high polymer on the metal compression coil spring Material forms cylindrical tube, and with respect to the helicla flute for the V-shaped for being equipped with accumbency on the vulcanization wrapping layer of inside and outside wall;The spiral Slot position is between two adjacent wires of the metal compression coil spring, and helical angle and the metal compression coil spring Helical angle is consistent;
The middle part of the elastomer both ends of the surface removes the vulcanization wrapping layer and is respectively formed a circular groove, the circular groove The end face of the metal compression coil spring is exposed in bottom surface, and diameter is greater than the internal diameter of the metal compression coil spring, is less than The outer diameter of the metal compression coil spring;Two groups of metals are symmetrically distributed in the centre bore of the elastomer with linear state to draw Rope, each group of metal drag-line are at least three;Diameter phase therewith is respectively equipped in circular groove set by the elastomer both ends Matched top board and lower platen, wherein the axis on the top board and lower platen around the elastomer is respectively symmetrically distributed with The via hole equal with one group of metal drag-line quantity;Two groups of metal drag-lines, one group of following are fixed on lower platen, top Corresponding via hole is fixed on the top plate on the top board, and another group of top is fixed on top board, and following is worn Corresponding via hole on lower platen is crossed to be fixed on the bottom plate;
Two groups of metal drag-lines are tensioned, keep the distance between the top plate and bottom plate default initial equal to the elastomer to be compressed to The length of rigidity.
2. a kind of elastic intervertebral disk prosthesis according to claim 1, which is characterized in that on the top plate and bottom plate respectively Equipped with the quantity upper and lower perforative counterbore equal with one group of metal drag-line radical;Two groups of metal drag-lines, one group of top It is equipped with nipple and is fixed by nuts on the top plate respectively in corresponding counterbore, another group of following is equipped with screw thread Connector is simultaneously fixed by nuts on the bottom plate in corresponding counterbore respectively.
3. a kind of elastic intervertebral disk prosthesis according to claim 1 or 2, which is characterized in that the cover top surface and Several are respectively equipped in lower surface of base plate to dash forward.
4. a kind of elastic intervertebral disk prosthesis according to claim 1 or 2, which is characterized in that the medical high polymer material Material is polyurethane.
5. a kind of elastic intervertebral disk prosthesis according to claim 1 or 2, which is characterized in that the metal drag-line is doctor With titanium cable.
CN201810901575.9A 2018-08-09 2018-08-09 A kind of elasticity intervertebral disk prosthesis Pending CN108938151A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201810901575.9A CN108938151A (en) 2018-08-09 2018-08-09 A kind of elasticity intervertebral disk prosthesis

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201810901575.9A CN108938151A (en) 2018-08-09 2018-08-09 A kind of elasticity intervertebral disk prosthesis

Publications (1)

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CN108938151A true CN108938151A (en) 2018-12-07

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Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030009223A1 (en) * 2001-07-05 2003-01-09 Gerald Fehling Intervertebral disc prosthesis
US20030045940A1 (en) * 2001-08-24 2003-03-06 Robert Eberlein Artificial intervertebral disc
CN1925816A (en) * 2004-04-02 2007-03-07 斯恩蒂斯有限公司 Intervertebral disk prosthesis or man-made vertebra
US20090076613A1 (en) * 2007-07-26 2009-03-19 Lutz Biedermann Intervertebral disc prosthesis
US20120116513A1 (en) * 2010-11-04 2012-05-10 Carpenter Clyde T Anatomic total disc replacement
CN105534623A (en) * 2016-01-12 2016-05-04 四川大学华西医院 Bionic artificial intervertebral disk
CN106382319A (en) * 2016-10-17 2017-02-08 安徽信泽科技有限公司 Disk spring damper with presettable early rigidity
CN106499762A (en) * 2016-10-17 2017-03-15 安徽信泽科技有限公司 A kind of coiled spring damper of predeterminable early stage rigidity
CN209316159U (en) * 2018-08-09 2019-08-30 深圳市龙岗区人民医院 A kind of elasticity intervertebral disk prosthesis

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030009223A1 (en) * 2001-07-05 2003-01-09 Gerald Fehling Intervertebral disc prosthesis
US20030045940A1 (en) * 2001-08-24 2003-03-06 Robert Eberlein Artificial intervertebral disc
CN1925816A (en) * 2004-04-02 2007-03-07 斯恩蒂斯有限公司 Intervertebral disk prosthesis or man-made vertebra
US20090076613A1 (en) * 2007-07-26 2009-03-19 Lutz Biedermann Intervertebral disc prosthesis
US20120116513A1 (en) * 2010-11-04 2012-05-10 Carpenter Clyde T Anatomic total disc replacement
CN105534623A (en) * 2016-01-12 2016-05-04 四川大学华西医院 Bionic artificial intervertebral disk
CN106382319A (en) * 2016-10-17 2017-02-08 安徽信泽科技有限公司 Disk spring damper with presettable early rigidity
CN106499762A (en) * 2016-10-17 2017-03-15 安徽信泽科技有限公司 A kind of coiled spring damper of predeterminable early stage rigidity
CN209316159U (en) * 2018-08-09 2019-08-30 深圳市龙岗区人民医院 A kind of elasticity intervertebral disk prosthesis

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