CN111184565A - Anterior cervical self-locking fusion device - Google Patents

Anterior cervical self-locking fusion device Download PDF

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Publication number
CN111184565A
CN111184565A CN202010156318.4A CN202010156318A CN111184565A CN 111184565 A CN111184565 A CN 111184565A CN 202010156318 A CN202010156318 A CN 202010156318A CN 111184565 A CN111184565 A CN 111184565A
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Prior art keywords
fusion
tenon
tenon body
locking
anterior cervical
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CN202010156318.4A
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CN111184565B (en
Inventor
范海涛
杨海涛
朱亚坤
曹乐
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Fuyang Hospital Affiliated To Anhui Medical University
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Fuyang Hospital Affiliated To Anhui Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7071Implants for expanding or repairing the vertebral arch or wedged between laminae or pedicles; Tools therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7094Solid vertebral fillers; devices for inserting such fillers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7097Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such 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
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/4455Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B2017/7073Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant with intervertebral connecting element crossing an imaginary spinal median surface

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Neurology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Prostheses (AREA)

Abstract

The invention discloses a cervical vertebra anterior self-locking fusion device, which comprises a fusion body of an arc structure, wherein two ends of the fusion body are sealed by end covers, the interior of the fusion body is of a hollow structure, the end covers at the two ends of the fusion body are respectively provided with a left tenon body and a right tenon body, the left tenon body and the right tenon body respectively form an angle of 45 degrees with the bending direction of the fusion body, the left tenon body and the right tenon body are mutually vertical, and the left tenon body and the right tenon body are respectively provided with two locking screw holes; the tenons at the two ends are locked and fixed, and are combined with mortise and tenon self-locking, so that the device has stronger early fixing strength compared with a steel plate fusion device, and the contact surface of the surface coating is favorable for healing and preventing sinking.

Description

Anterior cervical self-locking fusion device
Technical Field
The invention relates to the technical field of medical instruments, and particularly belongs to an anterior cervical self-locking fusion device.
Background
Cervical spondylosis is common disease in recent years, cervical vertebra anterior decompression fusion internal fixation is a cervical spondylosis treatment and classic operation method, cervical marrow and nerves in a cervical vertebra can be thoroughly decompressed, normal height of intervertebral space and normal physiological curvature of cervical vertebra can be recovered as far as possible, and stability of an operation segment is guaranteed by combining bone grafting fusion. The Cervical vertebra Anterior disc extirpation vertebral canal decompression bone grafting Fusion internal fixation (ACDF) and Cervical vertebra Anterior vertebral body sub-total resection vertebral canal decompression bone grafting Fusion internal fixation (ACCF) bone grafting materials develop from initial autogenous bone to PEEK material titanium cage, and the like, can not be fixed by combining a steel plate, often generates titanium cage sinking and internal fixation failure, and inevitably causes postoperative dysphagia and foreign body sensation due to the occupation of the titanium plate on the rear wall of the esophagus; in order to reduce the occurrence of the complications and improve the operation effect, the ZERO-section fusion cage (ZERO-P) and the self-stabilization type intervertebral fusion system have the advantages of simple operation, small operation wound, short operation time, small bleeding amount in the operation, quick postoperative recovery and the like, accord with the development concept of minimally invasive, but are extremely difficult to operate at the upper cervical vertebra or the lower cervical vertebra, can not effectively recover the good standing line of the cervical vertebra, and the application price of the multi-section multi-fusion cage is extremely expensive, so that the clinical use of the multi-section multi-fusion cage is limited. Therefore, a properly designed anterior cervical fixation device is needed to effectively address this problem.
Disclosure of Invention
The invention aims to provide a self-locking fusion device for anterior cervical vertebrae, which overcomes the defects of the prior art.
In order to solve the problems, the technical scheme adopted by the invention is as follows:
the anterior cervical self-locking fusion device comprises a fusion body of an arc structure with two ends sealed by end covers, wherein the interior of the fusion body is of a hollow structure, the end covers at the two ends of the fusion body are respectively provided with a left tenon body and a right tenon body, the left tenon body and the right tenon body are respectively at an angle of 45 degrees with the bending direction of the fusion body, the left tenon body and the right tenon body are mutually vertical, and the left tenon body and the right tenon body are respectively provided with two locking screw holes.
Furthermore, the fusion body is of a cylindrical structure, the fusion body, the end cover, the left tenon body and the right tenon body are of an integral structure, and the left tenon body and the right tenon body are respectively vertical to the end cover.
Furthermore, the top end of the bending part of the fusion body is provided with two positioning screw holes, and the fusion body and the end cover are provided with a plurality of hollow holes.
Furthermore, the fusion body is provided with an opening.
Further, the opening is positioned on the side of the fusion body.
Furthermore, the surfaces of the fusion body, the end cover, the left tenon body and the right tenon body are coated with bionic coatings.
Furthermore, the bionic coating is a hydroxyapatite coating.
Furthermore, the fusion body, the left tenon body and the right tenon body are made of titanium alloy.
Further, the width of the left tenon body and the right tenon body is the same as the outer diameter of the fusion body.
Compared with the prior art, the invention has the following implementation effects:
1. the self-locking fusion device is characterized in that two locking screw holes are respectively arranged on the left tenon body and the right tenon body according to the self radian of a force line of the cervical vertebra, and the left tenon body and the right tenon body are mutually vertical, so that shearing under the action of stress is effectively reduced, and fusion failure at two ends is avoided; the left tenon body and the right tenon body at two ends are locked and fixed, and are combined with tenon-and-mortise self-locking, so that the early fixing strength is stronger than that of a steel plate fusion device, and the contact surface of the surface coating is favorable for healing and preventing sinking.
2. The bionic coating is coated on the surfaces of the fusion body, the left tenon body and the right tenon body, healing is facilitated, a bone grows into the fusion body earlier in the later period, the fusion is quicker, the strength is higher, the fusion body is better embedded into a vertebral body, zero incisura is really achieved, swallowing difficulty is reduced, and foreign body sensation is relieved.
3. Even if a multi-segment vertebral body is adopted, the single body can be integrally implanted, the operation is simple and convenient, the wound is small, and the advantages are more obvious when segments are more; the locking pins balance the lamina design and are simpler to operate than ZERO-P, even for the superior or inferior vertebral bodies.
Drawings
Fig. 1 is a perspective view of the present invention.
Fig. 2 is a front view of the present invention.
Fig. 3 is a top view of the present invention.
Fig. 4 is a bottom view of the present invention.
Fig. 5 is a left side view of the present invention.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
In the description of the present invention, it should be noted that the terms "upper", "lower", "front", "rear", "left", "right", "vertical", "inner", "outer", etc., indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description and simplicity of description, but do not indicate or imply that the device or element being referred to must have a particular orientation to be constructed and operated in a particular orientation, and thus, should not be construed as limiting the present invention.
In the description of the present invention, it should be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral connection; can be mechanically or electrically connected; may be directly connected or indirectly connected through an intermediate. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.
As shown in figures 1-5, the self-locking fusion device for anterior cervical vertebrae comprises a fusion body 1 with an arc structure, two ends of which are sealed by end covers, wherein the fusion body 1 is in a cylindrical structure, the inner side of the arc structure of the fusion body 1 is a circular arc with the radius of 20cm, the length of the fusion body 1 is 20-50mm, the thickness of the fusion body 1 is 2mm, the interior of the fusion body 1 is in a hollow structure, the end covers at two ends of the fusion body 1 are respectively provided with a left tenon body 2 and a right tenon body 3 which are vertical to the end covers, the width of the left tenon body 2 and the width of the right tenon body 3 are the same as the outer diameter of the fusion body 1, the end covers, the left tenon body 2 and the right tenon body 3 are made of titanium alloy, the left tenon body 2 and the right tenon body 3 are respectively at an angle of 45 degrees with the bending direction of the fusion body 1, the left tenon body 2 and the right tenon body 3 are mutually vertical, the left tenon body 2 and the right tenon body 3 are respectively provided, be equipped with two locking screw holes 4 on the left side tenon body 2 and the right side tenon body 3 respectively, left side tenon body 2 and right side tenon body 3 mutually perpendicular, the installation back, left side tenon body 2 and right side tenon body 3 can bear the stress on the equidirectional, reduce shearing under the stress action effectively and avoid both ends to fuse the failure, and the left side tenon body in both ends and the right side tenon body locking are fixed, combine the mortise auto-lock, fuse the ware than the steel sheet and have stronger early fixed strength.
Integration 1, end cover, left tenon body 2 and right tenon body 3 structure as an organic whole, the top of the flexion of integration 1 is equipped with two location screw 11, is equipped with a plurality of fretwork hole 13 on integration 1 and the end cover, and the trompil 12 size of fretwork hole 13 is 1mm2The maximum opening 12 can reach 4mm2The utility model discloses a device, distance between adjacent fretwork hole 13 is 2mm, and be equipped with trompil 12 on the fusion body 1 side, the width of trompil 12 is 3mm, length is 5mm, also can enlarge trompil 12, enlarge the width to 5mm, fusion body 1 inside filling broken bone after having trompil 12, and fretwork hole 13 can make the sclerotin grow into the inside of the device, and fuse with the bone in the fusion body 1, make the fusion grow faster, and intensity is bigger, make the device imbed the centrum better, really accomplish zero notch, the difficulty in swallowing has been reduced, and alleviate the foreign matter and feel.
In addition, in order to improve the fusion growth with the human body as soon as possible after the device is implanted, the surfaces of the fusion body 1, the left tenon body 2 and the right tenon body 3 are coated with the hydroxyapatite with the bionic coating, and the thickness is 50 microns, so that the healing and the sinking prevention effects are facilitated.
In addition, the device of the invention can be implanted integrally by a single body even if a multi-segment vertebral body is adopted, the operation is simple and convenient, the wound is small, the contact area is large, the fusion part is less, the fusion rate is higher, the sinking rate is greatly reduced, and the advantages are more obvious when segments are more; the installation of the locking screw in the positioning screw hole 11 can balance the design of the vertebral plate, and the operation is simpler than that of ZERO-P even if the vertebral body is arranged above or below.
In the actual use and production process, the device mainly comprises 3 specifications which are divided into three types of 12mm, 14mm and 16mm according to the outer diameter of the fusion body 1, wherein the left tenon body 2 and the right tenon body 3 of the 3 specifications are 4mm or 5mm in length and 2mm or 3mm in thickness.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (8)

1. The anterior cervical self-locking fusion device is characterized by comprising a fusion body of an arc-shaped structure with two ends sealed by end covers, wherein the interior of the fusion body is of a hollow structure, the end covers at the two ends of the fusion body are respectively provided with a left tenon body and a right tenon body, the left tenon body and the right tenon body are respectively at an angle of 45 degrees with the bending direction of the fusion body, the left tenon body and the right tenon body are mutually vertical, and the left tenon body and the right tenon body are respectively provided with two locking screw holes.
2. The anterior cervical self-locking fusion device of claim 1, wherein: the integrated body is of a cylindrical structure, the integrated body, the end cover, the left tenon body and the right tenon body are of an integrated structure, and the left tenon body and the right tenon body are respectively vertical to the end cover.
3. The anterior cervical self-locking fusion device according to claim 1 or 2, characterized in that: the top end of the bending part of the fusion body is provided with two positioning screw holes, and the fusion body and the end cover are provided with a plurality of hollow holes.
4. The anterior cervical self-locking fusion device of claim 3, wherein: the fusion body is provided with an opening.
5. The anterior cervical self-locking fusion device of claim 4, wherein: the opening is positioned on the side surface of the fusion body.
6. The anterior cervical self-locking fusion device of claim 1, wherein: the surfaces of the fusion body, the left tenon body and the right tenon body are coated with bionic coatings.
7. The anterior cervical self-locking fusion device of claim 6, wherein: the bionic coating is a hydroxyapatite coating.
8. The anterior cervical self-locking fusion device of claim 1, wherein: the fusion body, the left tenon body and the right tenon body are made of titanium alloy.
CN202010156318.4A 2020-03-09 2020-03-09 Anterior cervical self-locking fusion device Active CN111184565B (en)

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CN202010156318.4A CN111184565B (en) 2020-03-09 2020-03-09 Anterior cervical self-locking fusion device

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CN111184565A true CN111184565A (en) 2020-05-22
CN111184565B CN111184565B (en) 2024-07-02

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Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN203749650U (en) * 2014-02-28 2014-08-06 西安交通大学 Dislocation prevention type non-fusion artificial cervical vertebra and intervertebral disc system
CN104068949A (en) * 2014-07-18 2014-10-01 山东威高骨科材料有限公司 Cervical vertebra anterior zero incisura intervertebral fusion device
CN205286618U (en) * 2015-12-30 2016-06-08 上海浦卫医疗器械厂有限公司 Cervical vertebra interbody fusion cage
CN205569049U (en) * 2016-03-21 2016-09-14 钟兵 A internal fixation device for anterior cervical spine fuses
CN107157627A (en) * 2017-05-17 2017-09-15 暨南大学 Mortise and tenon type Thoracolumbar disk intervertebral fixer
KR20170120054A (en) * 2017-10-16 2017-10-30 동국대학교 경주캠퍼스 산학협력단 Cervical intervertebral cage with increased bone-contact and improved stability
CN109288571A (en) * 2018-11-09 2019-02-01 中国人民解放军第二军医大学第二附属医院 A kind of cervical vertebra natural height fixed plate
CN212186660U (en) * 2020-03-09 2020-12-22 安徽医科大学附属阜阳医院 Anterior cervical self-locking fusion device

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN203749650U (en) * 2014-02-28 2014-08-06 西安交通大学 Dislocation prevention type non-fusion artificial cervical vertebra and intervertebral disc system
CN104068949A (en) * 2014-07-18 2014-10-01 山东威高骨科材料有限公司 Cervical vertebra anterior zero incisura intervertebral fusion device
CN205286618U (en) * 2015-12-30 2016-06-08 上海浦卫医疗器械厂有限公司 Cervical vertebra interbody fusion cage
CN205569049U (en) * 2016-03-21 2016-09-14 钟兵 A internal fixation device for anterior cervical spine fuses
CN107157627A (en) * 2017-05-17 2017-09-15 暨南大学 Mortise and tenon type Thoracolumbar disk intervertebral fixer
KR20170120054A (en) * 2017-10-16 2017-10-30 동국대학교 경주캠퍼스 산학협력단 Cervical intervertebral cage with increased bone-contact and improved stability
CN109288571A (en) * 2018-11-09 2019-02-01 中国人民解放军第二军医大学第二附属医院 A kind of cervical vertebra natural height fixed plate
CN212186660U (en) * 2020-03-09 2020-12-22 安徽医科大学附属阜阳医院 Anterior cervical self-locking fusion device

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