CN114699224A - Implanting instrument for lumbar vertebra fusion operation and interbody fusion cage thereof - Google Patents

Implanting instrument for lumbar vertebra fusion operation and interbody fusion cage thereof Download PDF

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Publication number
CN114699224A
CN114699224A CN202210073313.4A CN202210073313A CN114699224A CN 114699224 A CN114699224 A CN 114699224A CN 202210073313 A CN202210073313 A CN 202210073313A CN 114699224 A CN114699224 A CN 114699224A
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fusion cage
implanting
locking
rod
instrument
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朱辉
刘莹
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Second Affiliated Hospital Of Henan University Of Science And Technology Luoyang Fourth People's Hospital
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Second Affiliated Hospital Of Henan University Of Science And Technology Luoyang Fourth People's Hospital
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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
    • 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
    • A61F2/4465Joints 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 having a circular or kidney shaped cross-section substantially perpendicular to the axis of the spine
    • 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
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4611Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Transplantation (AREA)
  • Neurology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

An implanting instrument for lumbar fusion operation and an interbody fusion cage thereof are used for clamping the interbody fusion cage and implanting the interbody fusion cage between two adjacent vertebrae, and comprise an implanting rod and an angle adjusting component. The interbody fusion cage is applied to the above-mentioned implanting apparatus, by implanting apparatus centre gripping in order to place between two adjacent vertebrae, it has the fusion cage body, has two relative settings put into end and link, and the link has a draw-in groove that can make the cassette of implanting apparatus stretch into, and the inner wall of draw-in groove and the outer wall of cassette all are provided with the coarse layer that is used for increasing frictional force. The angle adjustment in the three-dimensional direction can be realized between the interbody fusion cage and the implanting instrument, so that rich angle relation can be formed between the implanting rod and the interbody fusion cage, the implanting rod can apply force to the interbody fusion cage from the optimal force application direction, and the implantation of the interbody fusion cage is facilitated.

Description

Implanting instrument for lumbar vertebra fusion operation and interbody fusion cage thereof
Technical Field
The invention relates to the technical field of medical instruments, in particular to an implantation instrument for lumbar fusion surgery and an interbody fusion cage thereof.
Background
The Lumbar Degenerative Disease (LDD) is a common disease and frequently encountered disease in orthopedics, and the LDD mainly comprises unstable lumbar vertebra, lumbar spondylolisthesis, lumbar spinal stenosis, lumbar disc herniation and the like, and seriously influences the life and work of a patient. The lumbar interbody fusion is a common and effective method for treating LDD, and the lumbar interbody fusion device is used as an important component of the lumbar interbody fusion, mainly has the functions of restoring intervertebral space height and physiological curvature, realizing immediate postoperative stability, reducing fracture of pedicle screws, promoting interbody fusion, and reducing the amount of autologous bone to a certain extent, thereby reducing a series of complications caused by fracture.
Since the lumbar interbody fusion, various surgical approaches have been developed in response to the treatment needs for various kinds of degenerative lumbar diseases, and lumbar interbody fusion cages have been developed. With the deepening of the minimally invasive concept, the lumbar interbody fusion is developing towards the minimally invasive, and the minimally invasive lumbar interbody fusion comprises minimally invasive transforaminal approach lumbar interbody fusion, percutaneous endoscopic lumbar interbody fusion, lateral approach lumbar interbody fusion, oblique lateral approach lumbar interbody fusion and the like. Compared with other operation modes, the intervertebral foramen access has the advantages of minimum influence on surrounding tissues of an affected part, short healing time after operation and the like, but the operation visual field is small, the requirement on the instrument control capability of a doctor is extremely high, when an implantation instrument and an intervertebral fusion cage go deep into a human body, the operation can not be directly performed by visual operation only through touch and experience, and after the doctor places the intervertebral fusion cage at a correct position through precise operation, when the existing implantation instrument is separated from the fusion cage, the fusion cage is easily driven to deviate from the correct position, so that the operation time needs to be repositioned to be delayed.
In order to solve the above-mentioned technical problems, the patent document CN106073950A discloses an implanting apparatus for spinal fusion surgery, which utilizes the relative motion between rigid components to reduce the uncertainty of the operation process caused by the unpredictable factors such as elastic fatigue or motion delay of elastic components or flexible components. The stop bolt abuts against the guide profiles of the first clamping piece and the second clamping piece, so that the first clamping groove and the second clamping groove of the jaw part can be smoothly separated from the clamping end of the interbody fusion cage, and the problems that the existing implantation instrument is easy to shake and shift when the fusion cage is released are solved. Further, as disclosed in patent publication No. CN108697513A, an intervertebral cage inserting apparatus is disclosed, which can stably maintain the posture of an intervertebral cage during insertion and finely adjust the posture of the intervertebral cage when the intervertebral cage is rotated. Above-mentioned technical scheme all can realize intervertebral fusion ware's implantation, and fuse ware and implant between the apparatus the separation convenient, but its in-process of implanting, the relative movement between implantation apparatus and the fusion ware is all limited the value in two-dimensional space, can't realize more complicated displacement relation (three-dimensional), and then leads to can't carrying out more delicate implantation operation.
Disclosure of Invention
The invention aims to solve the technical problems and provides an implantation instrument for lumbar fusion surgery and an interbody fusion cage thereof.
In order to solve the technical problems, the invention adopts the technical scheme that:
an implantation instrument for holding and implanting an intervertebral cage between two adjacent vertebrae, comprising:
an implant stem having a manipulation end and a connection end; and
the angle adjusting component comprises a clamping seat and a rolling ball, the clamping seat is used for being in butt joint with the interbody fusion cage and is provided with a limiting groove for the rolling ball to be embedded in, the rolling ball can rotate in the limiting groove and cannot be separated from the limiting groove, and the rolling ball is provided with a through hole formed along the axis;
the implantation rod comprises an outer rod and a core rod penetrating through the inner part of the outer rod, the core rod can move along the axis direction of the outer rod, and the outer rod is placed in a through hole of the rolling ball and fixedly connected with the rolling ball.
As a further optimization of an implantation instrument of the invention:
the limiting groove surface of the clamping seat and the head end of the core rod of the implant rod are both provided with rough layers for increasing friction force, and the rolling ball is a ball body with a smooth surface.
As a further optimization of an implantation instrument of the invention:
the surface of the limiting groove of the clamping seat is provided with a rubber layer, the head end of the core rod of the implant rod is provided with a puncture head capable of penetrating into the rubber layer, and the rolling ball is a ball body with a smooth surface.
As a further optimization of an implantation instrument of the invention:
the core rod consists of a linkage part and a driving part, the driving part is in threaded fit connection with the outer rod, the linkage part and the driving part can rotate relatively, and only axial displacement can be carried out between the linkage part and the outer rod.
An intervertebral fusion device applied to the implantation instrument and clamped by the implantation instrument to be placed between two adjacent vertebrae, comprising:
the fusion cage body is provided with two oppositely arranged built-in ends and a connecting end;
the connecting end is provided with a clamping groove which can enable the clamping seat of the implantation instrument to extend into;
the inner wall of the clamping groove and the outer wall of the clamping seat are both provided with rough layers for increasing friction force.
As a further optimization of an implantation instrument of the invention:
the implantation instrument is also provided with a locking control component for changing the connection state between the clamping seat and the intervertebral fusion device, and the locking control component is provided with:
the locking plug can be matched with the locking socket on the interbody fusion cage to realize the locking between the clamping seat and the interbody fusion cage body; and
the dragging line is connected with the locking plug and can separate the locking plug from the locking socket.
An intervertebral fusion device is applied to the clamping of the insertion instrument and is placed between two adjacent vertebrae, and comprises:
the fusion cage body is provided with two oppositely arranged built-in ends and a connecting end;
the connecting end is provided with a clamping groove which can enable the clamping seat of the implantation instrument to extend into;
the fusion cage body is provided with a locking socket into which a locking plug can be inserted.
As a further optimization of an implantation instrument of the invention:
the implantation instrument is also provided with a locking control component for changing the connection state between the clamping seat and the interbody fusion cage, and the locking control component is provided with:
the locking screw can be matched with a locking screw hole on the interbody fusion cage to realize the locking between the clamping seat and the interbody fusion cage body; and
the transmission flexible shaft is connected with the locking screw and can enable the locking screw to be screwed in or out of the locking screw hole.
An intervertebral fusion device is applied to the clamping of the insertion instrument and is placed between two adjacent vertebrae, and comprises:
the fusion cage body is provided with two oppositely arranged built-in ends and a connecting end;
the connecting end is provided with a clamping groove which can enable the clamping seat of the implantation instrument to extend into;
and a locking screw hole for screwing the locking screw in is formed at the bottom of the clamping groove.
The angle adjustment in the three-dimensional direction can be realized between the interbody fusion cage and the implanting instrument, so that rich angle relation can be formed between the implanting rod and the interbody fusion cage, the implanting rod can apply force to the interbody fusion cage from the optimal force application direction, and the implantation of the interbody fusion cage is facilitated.
Drawings
FIG. 1 is a schematic view of an intervertebral cage according to the invention (view one);
FIG. 2 is a schematic view of the intervertebral cage of the present invention (view two);
FIG. 3 is a schematic view of the intervertebral cage of the present invention in connection with an implantation instrument;
FIG. 4 is a schematic structural view of the implantation instrument (pre-adjustment state) in <4-1 example >;
FIG. 5 is a schematic structural view of the implantation instrument (adjusted state) in <4-1 example >;
fig. 6 is a structural view of an implantation instrument (locked state) in <4-1 example >;
fig. 7 is a schematic structural view of an implantation instrument (pre-adjustment state) in <4-2 example >;
fig. 8 is a schematic structural view of an implantation instrument (adjusted state) in <4-2 example >;
fig. 9 is a structural view of an implantation instrument (locked state) in <4-2 example >;
fig. 10 is a schematic view illustrating a connection relationship between the cartridge of the implant instrument and the interbody cage in <4-3 example >;
fig. 11 is a schematic structural view of the lock control assembly in the <4-4 example >;
fig. 12 is a schematic structural view of the lock control assembly in <4-5 example >; (ii) a
FIG. 13 is a schematic view of the connection of the outer rod and the core rod of the insertion instrument according to the present invention;
the labels in the figure are:
1 an implantation instrument is used for implanting the implant,
101 the implantation of a rod is carried out,
1011 outer pole of the pole body,
1012 of the core rod, a first end of the core rod,
1012A of the movable part,
1012B of the driving part and a driving part,
the head of the 1013 puncture outfit,
102 an angle-adjusting assembly for adjusting the angle of the rotary shaft,
1021 a cassette seat,
1022 a rolling ball, which is,
1023 a limiting groove which is arranged on the upper surface of the base,
1024 a through-hole is formed in the base plate,
2, the intervertebral fusion device is used for the treatment of intervertebral fusion,
201 a fusion cage body, wherein the fusion cage body,
202 a card slot, and a card slot,
203A of the socket is locked by the locking device,
203B are locked with the screw holes,
3a rough layer is formed on the surface of the substrate,
4 a rubber layer is arranged on the outer surface of the rubber layer,
5, locking the control component, and locking the control component,
501A to lock the plug, and then,
the wires are pulled through the loop of the wire 502A,
501B to lock the screw, the screw driver is provided with a locking screw,
502B drive a flexible shaft.
Detailed Description
The technical solution in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention.
< first embodiment >
Referring to the drawings, an intervertebral cage applied to an implanting instrument to be held by the implanting instrument to be placed between adjacent two vertebrae has a cage body 201, and the cage body 201 forms an appearance of the intervertebral cage 1 to have a certain thickness for being inserted between the vertebrae, i.e., a thickness similar to that of an undamaged intervertebral disc. The cage body 201 may have various shapes, such as pea type, crescent type, cashew type, etc., and the cage body 201 has two opposite insertion ends and connection ends, and the insertion ends have sharp streamline contour with acute angle, so as to easily peel off or pass through the fibers of the surrounding tissues of the intervertebral disc and effectively reduce the resistance caused by the residual intervertebral disc tissues.
The upper and lower surfaces of the cage body 201 have rugged contact surfaces for the purpose of increasing the friction between the two vertebrae and the cage body to prevent the intervertebral cage from shifting or separating due to external force after operation.
The fusion cage body 201 is provided with a through hole for accommodating bone powder and allowing tissues such as patient's bone cells, nerves and blood vessels to pass through or attach therebetween to increase healing efficiency, wherein when the volume removal ratio of the through hole is too large, the overall strength of the intervertebral fusion cage 2 is affected, and the structural disintegration may be caused in severe cases. When the removal rate is too small, the healing degree of autologous cells of the patient is affected. Thus, the volume removed by the through-hole is about 1/3-2/3 of the volume of the cage body 201.
The overall contour of the fusion cage body 201 is provided with a circumferential chamfer to avoid the sharp outline from accidentally injuring the surrounding tissues such as nerves, blood vessels and the like in the operation area during the implantation operation.
The connecting end is provided with a clamping groove 202 which can enable the clamping seat 1021 of the implantation instrument to extend into, and the inner wall of the clamping groove 202 is provided with a rough layer 3 for increasing the friction force. The connecting end is used for realizing butt joint with an implanting instrument, and controllable detachable connection needs to be formed between the connecting end and the implanting instrument, namely, the relation between the connecting end and the implanting instrument can be adjusted manually, so that the two components are fastened together or separated from each other. In this embodiment, the above technical purpose is achieved by the arrangement of the rough layer 3, when the card holder 1021 (described in the following embodiment) of the implanting apparatus is placed in the card slot 202 of the connecting end, due to the existence of the rough layer 3, the card holder 1021 of the implanting apparatus cannot be easily separated from the card slot 202 of the connecting end, and when a certain degree of external force is applied, the card holder 1021 can be moved out of the card slot 202, so as to separate the two components.
< second embodiment >
An intervertebral cage having the same overall structure as that of the < first embodiment >, except that the inner wall of the neck 202 is not provided with the rough layer 3 for increasing the frictional force, but is replaced with the following structure: the cage body 201 is provided with a locking socket 203A into which a locking plug 501A can be inserted. In this embodiment, the fusion cage body 201 is connected to and disconnected from the implantation instrument 1 by the locking plug 501A and the locking socket 203A being fitted to each other.
Specifically, the locking socket 203A may be disposed around the slot 202 on a surface of the implant device 1 that is in butt joint with the card holder 1021, and when the card holder 1021 is inserted into the slot 202, the locking plug 501A on the implant device 1 is pushed to be inserted into the locking socket 203A, so as to fasten the fusion device body 201 and the implant device 1. When the locking plug 501A and the locking socket 203A need to be separated from each other, the structure of the pulling operation is described in the following embodiments.
It is anticipated that the number and the arrangement position of the locking socket 203A and the locking plug 501A may be adjusted according to the requirements of industrial design, and are not limited to the above-described position setting.
< third embodiment >
An intervertebral cage having the same overall structure as that of the < first embodiment >, except that the inner wall of the neck 202 is not provided with the rough layer 3 for increasing the frictional force, but is replaced with the following structure: the bottom of the slot 202 is provided with a locking screw hole 203B into which a locking screw 501B can be screwed. In this embodiment, the fusion cage body 201 is connected to and separated from the implanting apparatus 1 by the mutual cooperation of the locking screw 501B and the locking screw hole 203B.
Specifically, locking screw hole 203B can set up the lateral wall at draw-in groove 202, locking screw 501B is buried underground in the mounting hole of cassette 1021 lateral wall, the mounting hole has screw thread section and non-screw section, locking screw 501B's head end is established soon in the screw thread section, the non-screw section is arranged in to the tail end, under the initial condition, locking screw 501B hides in the mounting hole completely, when rotating locking screw 501B, the head end of rotating locking screw 501B shifts out the mounting hole and in the locking screw hole 203B of draw-in groove 202, can realize fusing ware body 201 and implant the fastening between the apparatus 1. When the two are required to be separated, the locking screw 501B is reversely rotated to be withdrawn from the locking screw hole 203B and retracted into the mounting hole, and the design of the rotation control structure of the locking screw 501B is shown in the following embodiment.
It is anticipated that the number and the arrangement position of the locking screws 501B and the locking screw holes 203B may be adjusted according to the requirements of industrial design, and are not limited to the above-described position setting.
< fourth embodiment >
Referring to the figures: an implanting instrument for holding and implanting an intervertebral cage between two adjacent vertebrae has an implanting rod 101 and an angle adjusting assembly 102.
The implantation rod 101 has a manipulation end and a connection end, the manipulation end is a distal end during implantation operation, and is used outside the body of a patient during implantation so as to perform various manipulations on the implantation instrument. The connecting end is the end that interfaces with the interbody cage to deliver the interbody cage to the target location.
The angle adjusting assembly 102 comprises a clamping seat 1021 and a rolling ball 1022, wherein the clamping seat 1021 is used for being in butt joint with the intervertebral fusion cage and is provided with a limiting groove 1023 for the rolling ball 1022 to be embedded, the rolling ball 1022 can rotate in the limiting groove 1023 and cannot be separated from the limiting groove 1023, and the rolling ball 1022 is provided with a through hole 1024 formed along an axis. The shape of the limiting groove 1023 is the shape formed by the intersection part of the ball 1022 exceeding 1/2 and the clamping seat 1021. It should be noted that, in order to adjust the angle of the angle adjustment assembly 102 more, the opening of the limiting groove 1023 should be as large as possible, while the ball 1022 is prevented from falling out of the limiting groove 1023.
The implantation rod 101 comprises an outer rod 1011 and a core rod 1012 penetrating the inner part of the outer rod 1011, the core rod 1012 can move along the axial direction of the outer rod 1011, and the outer rod 1011 is arranged in a through hole 1024 of a rolling ball 1022 and is fixedly connected with the rolling ball 1022. Because outer pole 1011 and spin 1022 are fixed connection relation, consequently, can drive spin 1022 at spacing groove 1023 internal rotation through outer pole 1011, outer pole 1011 has constituted the whole shape of implanting the apparatus, through spin 1022 in the free rotation of certain extent promptly, has realized implanting the three-dimensional direction of apparatus and interbody fusion cage and has adjusted.
The core rod 1012 is composed of a linkage portion 1012A and a driving portion 1012B, the driving portion 1012B is connected with the outer rod 1011 by screw thread fit, the linkage portion 1012A and the driving portion 1012B can rotate relatively, and only axial displacement can be performed between the linkage portion 1012A and the outer rod 1011. Specifically, a spherical groove is formed in the lower end surface of the driving portion 1012B, a connection ball is formed in the upper end of the linkage portion 1012A, the connection ball is inserted into the spherical groove and can rotate in the spherical groove, a guide fin and a guide groove are formed between the linkage portion 1012A and the outer rod 1011 to prevent the linkage portion 1012A from rotating, and the linkage portion 1012A is restricted from being axially displaced only in the outer rod 1011 by the cooperation of the guide fin and the guide groove. When the driving portion 1012B is rotated, the driving portion 1012B can move inward due to the thread fit, and further the linking portion 1012A is driven to move inward, so as to achieve the purpose of implementing the stem 1012 at the control end, and due to the existence of the thread, when the stem 1012 reaches a certain position, a certain locking effect can be achieved.
When the angle between the implantation rod 101 and the intervertebral cage 2 reaches a desired angle, it is necessary to lock the current state and then perform a subsequent implantation operation. There are many forms of construction which can achieve locking of the state, and it is anticipated that at least two specific forms may be employed:
<4-1 example >: the surface of the limiting groove 1023 of the clamping seat 1021 and the head end of the core rod 1012 of the implanting rod 101 are both provided with a rough layer 3 for increasing friction force, and the rolling ball 1022 is a ball body with a smooth surface.
After the angle is adjusted to the optimum angle, the core rod 1012 is moved inwards by the operation end, the head end of the core rod 1012 and the limiting groove 1023 form a squeezing state, and the contact surfaces of the core rod 1012 and the limiting groove 1023 are rough layers 3 with large friction force, so that the position fixation between the core rod 1012 and the clamping seat 1021 can be realized, namely the state between the implantation rod 101 and the intervertebral fusion device 2 is locked.
<4-2 example >: the surface of the limiting groove 1023 of the clamping seat 1021 is provided with a rubber layer 4, the head end of the core rod 1012 of the implantation rod 101 is provided with a puncture head 1013 capable of puncturing the rubber layer 4, and the rolling ball 1022 is a ball body with a smooth surface.
When the angle is adjusted to the optimum angle, the core rod 1012 is moved inwards by the operation end, the puncture head 1013 at the head end of the core rod 1012 penetrates into the rubber layer 4, thereby realizing the position fixation between the core rod 1012 and the clamping seat 1021, namely, locking the state between the implantation rod 101 and the intervertebral fusion device 2.
After the implantation of the interbody fusion cage is completed, the implantation instrument needs to be separated from the interbody fusion cage so as to be moved out of the human body, and the interbody fusion cage is detained in the spine of the patient. There are many forms of construction which can achieve locking of the state, and it is anticipated that at least three specific forms can be used:
<4-3 examples >: the inner wall of the clamping groove 202 of the intervertebral fusion device 2 is provided with a rough layer 3 for increasing the friction force, and the outer wall of the clamping seat 1021 is also provided with a rough layer 3 for increasing the friction force. When the clamping seat 1021 of the implantation instrument is placed in the clamping groove 202 of the connecting end, due to the existence of the rough layer 3, the clamping seat 1021 of the implantation instrument cannot be easily separated from the clamping groove 202 of the connecting end, and when a certain degree of external force is applied, the clamping seat 1021 can be moved out of the clamping groove 202, so that the two parts are separated.
<4-4 examples >: the implanting apparatus also has a locking control assembly 5 for changing the connection state between the holder 1021 and the interbody fusion cage, the locking control assembly 5 has: locking plug 501A and drag wire 502A.
The locking plug 501A can be matched with the locking socket 203A on the interbody fusion cage to realize the locking between the clamping seat 1021 and the interbody fusion cage body 201. The draw wire 502A is connected to the locking plug 501A to enable the locking plug 501A to be disengaged from the locking socket 203A. The tail end of the drag wire 502A is disposed at the control end of the implantation rod 101, and the drag wire 502A can be pulled at the control end, and besides, the wiring and guiding of the drag wire 502A should be selected according to the requirements of industrial design, and will not be described in detail herein.
<4-5 examples >: the implanting instrument also has a locking control component 5 for changing the connection state between the clamping seat 1021 and the intervertebral fusion device, and the locking control component 5 has: a locking screw 501B and a flexible transmission shaft 502B.
The locking screw 501B can be matched with the locking screw hole 203B on the interbody fusion cage to lock the cassette 1021 and the interbody fusion cage body 201. The flexible shaft is a shaft which has small rigidity and elasticity and can be freely bent and driven. The coupling mechanism is used for coupling two shafts which are not in the same axis and are not in the same direction or have relative motion so as to transmit rotary motion and torque, and the rotary motion and the torque can be flexibly transmitted to any position. The driving flexible shaft 502B is connected with the locking screw 501B, so that the locking screw 501B can be screwed into or out of the locking screw hole 203B. The tail end of the transmission flexible shaft 502B is arranged at the control end of the implantation rod 101, and the transmission flexible shaft 502B can be subjected to torque input at the control end. The wiring and guiding of the flexible transmission shaft 502B are selected according to the requirements of industrial design, and are not described in detail herein.
The foregoing description of specific embodiments of the present invention has been presented. It is to be understood that the present invention is not limited to the specific embodiments described above, and that various changes and modifications may be made by one skilled in the art within the scope of the appended claims without departing from the spirit of the invention.

Claims (9)

1. An implanting instrument for a lumbar fusion procedure for holding and implanting an interbody cage between two adjacent vertebrae, comprising:
an implant rod (101) having a manipulation end and a connection end; and
the angle adjusting assembly (102) comprises a clamping seat (1021) and a rolling ball (1022), wherein the clamping seat (1021) is used for being in butt joint with the interbody fusion cage and is provided with a limiting groove (1023) for the rolling ball (1022) to be embedded in, the rolling ball (1022) can rotate in the limiting groove (1023) and cannot be separated from the limiting groove (1023), and the rolling ball (1022) is provided with a through hole (1024) formed along the axis;
the implantation rod (101) comprises an outer rod (1011) and a core rod (1012) penetrating through the inside of the outer rod (1011), the core rod (1012) can move along the axial direction of the outer rod (1011), and the outer rod (1011) is placed into a through hole (1024) of a rolling ball (1022) and is fixedly connected with the rolling ball (1022).
2. The implanting instrument for lumbar fusion surgery of claim 1,
the surface of a limiting groove (1023) of the clamping seat (1021) and the head end of a core rod (1012) of the implanting rod (101) are both provided with rough layers (3) used for increasing friction force, and the rolling ball (1022) is a sphere with a smooth surface.
3. The implanting instrument for lumbar fusion surgery of claim 1,
the surface of a limiting groove (1023) of the clamping seat (1021) is provided with a rubber layer (4), the head end of a core rod (1012) of the implanting rod (101) is provided with a puncture head (1013) capable of puncturing the rubber layer (4), and the rolling ball (1022) is a sphere with a smooth surface.
4. The implanting instrument for lumbar fusion surgery of claim 1,
the core rod (1012) is composed of a linkage part (1012A) and a driving part (1012B), the driving part (1012B) is connected with the outer rod (1011) in a threaded fit manner, the linkage part (1012A) and the driving part (1012B) can rotate relatively, and the linkage part (1012A) and the outer rod (1011) can only perform axial displacement.
5. The implanting apparatus for the lumbar fusion procedure as set forth in claim 1, wherein the implanting apparatus further has a locking control unit (5) for changing a coupling state between the cartridge (1021) and the intersomatic cage, the locking control unit (5) having:
the locking plug (501A) can be matched with a locking socket (203A) on the interbody fusion cage to realize the locking between the clamping seat (1021) and the interbody fusion cage body (201); and
and a draw wire (502A) connected to the locking plug (501A) and capable of disengaging the locking plug (501A) from the locking socket (203A).
6. The implanting apparatus for the lumbar fusion procedure as set forth in claim 1, wherein the implanting apparatus further has a locking control unit (5) for changing a coupling state between the cartridge (1021) and the interbody cage, the locking control unit (5) having:
the locking screw (501B) can be matched with a locking screw hole (203B) on the interbody fusion cage to realize the locking between the clamping seat (1021) and the interbody fusion cage body (201); and
and the transmission flexible shaft (502B) is connected with the locking screw (501B) and can enable the locking screw (501B) to be screwed into or out of the locking screw hole (203B).
7. An intervertebral cage for use with an implantation instrument according to any one of claims 1 to 4, held by the implantation instrument for placement between two adjacent vertebrae, comprising:
the fusion cage comprises a fusion cage body (201) and a fusion cage body, wherein the fusion cage body is provided with two oppositely arranged built-in ends and connecting ends;
the connecting end is provided with a clamping groove (202) which can enable a clamping seat (1021) of an implantation instrument to extend into;
the inner wall of the clamping groove (202) and the outer wall of the clamping seat (1021) are provided with rough layers (3) for increasing friction force.
8. An intervertebral cage applied to the implantation instrument of claim 5, held by the insertion instrument to be placed between two adjacent vertebrae, characterized in that it has:
the fusion cage comprises a fusion cage body (201) and a fusion cage body, wherein the fusion cage body is provided with two oppositely arranged built-in ends and connecting ends;
the connecting end is provided with a clamping groove (202) which can enable a clamping seat (1021) of an implanting apparatus to extend into;
the fusion cage body (201) is provided with a locking socket (203A) into which a locking plug (501A) can be inserted.
9. An intervertebral cage applied to the implantation instrument of claim 2, held by the insertion instrument to be placed between two adjacent vertebrae, characterized in that it has:
the fusion cage comprises a fusion cage body (201) which is provided with two oppositely arranged built-in ends and connecting ends;
the connecting end is provided with a clamping groove (202) which can enable a clamping seat (1021) of an implantation instrument to extend into;
the bottom of the clamping groove (202) is provided with a locking screw hole (203B) which can enable a locking screw (501B) to be screwed in.
CN202210073313.4A 2022-01-21 2022-01-21 Implanting instrument for lumbar vertebra fusion operation and interbody fusion cage thereof Withdrawn CN114699224A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202210073313.4A CN114699224A (en) 2022-01-21 2022-01-21 Implanting instrument for lumbar vertebra fusion operation and interbody fusion cage thereof

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202210073313.4A CN114699224A (en) 2022-01-21 2022-01-21 Implanting instrument for lumbar vertebra fusion operation and interbody fusion cage thereof

Publications (1)

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CN114699224A true CN114699224A (en) 2022-07-05

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CN202210073313.4A Withdrawn CN114699224A (en) 2022-01-21 2022-01-21 Implanting instrument for lumbar vertebra fusion operation and interbody fusion cage thereof

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CN (1) CN114699224A (en)

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