JP3338944B2 - Spinal deformity correction device - Google Patents

Spinal deformity correction device

Info

Publication number
JP3338944B2
JP3338944B2 JP24072595A JP24072595A JP3338944B2 JP 3338944 B2 JP3338944 B2 JP 3338944B2 JP 24072595 A JP24072595 A JP 24072595A JP 24072595 A JP24072595 A JP 24072595A JP 3338944 B2 JP3338944 B2 JP 3338944B2
Authority
JP
Japan
Prior art keywords
case body
movable rod
motor
screw
hook
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.)
Expired - Lifetime
Application number
JP24072595A
Other languages
Japanese (ja)
Other versions
JPH0956736A (en
Inventor
秀繁 守屋
昌平 南
晶士 高相
千秋 田中
Original Assignee
有限会社田中医科器械製作所
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 有限会社田中医科器械製作所 filed Critical 有限会社田中医科器械製作所
Priority to JP24072595A priority Critical patent/JP3338944B2/en
Publication of JPH0956736A publication Critical patent/JPH0956736A/en
Application granted granted Critical
Publication of JP3338944B2 publication Critical patent/JP3338944B2/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • 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
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002Longitudinal elements, e.g. rods
    • 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
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • 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
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002Longitudinal elements, e.g. rods
    • A61B17/7004Longitudinal elements, e.g. rods with a cross-section which varies along its length
    • 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
    • A61B17/7056Hooks with specially-designed bone-contacting part
    • 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
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8004Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones

Description

【発明の詳細な説明】DETAILED DESCRIPTION OF THE INVENTION

【0001】[0001]

【発明の属する技術分野】この発明は、先天性又は後天
性の脊柱変形の矯正手術に使用するための矯正装置に関
するものである。
BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a correction device for use in correcting a congenital or acquired spinal deformity.

【0002】[0002]

【従来の技術】思春期に多く見られる側湾症、後湾症、
カリエス変形、辷り症、脊椎損傷などの先天性または後
天性の脊柱変形(spinaldeformitie
s)の矯正手術には、古くからハリントン器具(Har
rington instrument)と呼ばれるフ
ック部材と、これを係止するロッド部材からなる矯正装
が、また、かゝるハリントン器具の改良したものとし
て、本出願人の出願に係わる特公平6−20466号の
脊柱変形の矯正装置などがある。
2. Description of the Related Art Scoliosis, kyphosis, which are common in adolescence,
Congenital or acquired spinal deformities such as caries deformities, spondylolisthesis, and spinal injury
s) Orthodontic surgery has long used Harrington instruments (Har
a hook member called a Rington instrument), the correction device comprising a rod member for locking this is, or, as an improvement of such Harrington instrument, the Kokoku No. 6-20466 in accordance with the present applicant filed There are devices for correcting spinal deformities.

【0003】前記のハリントン器具および特公平6−2
0466号の脊柱変形の矯正装置などは、ロッド部材に
設けた2個のフック部材を脊柱の横突起や椎弓に引っ掛
け、2個のフック部材間にロッド部材を張設し、変形し
た脊柱を直線状に伸長させて矯正し、この矯正状態を固
定することによって達成されるものである。
The above-mentioned Harrington device and Japanese Patent Publication No. 6-2
The device for correcting spinal deformity of No. 0466 hooks two hook members provided on a rod member on a lateral process or a vertebral arch of a spine, stretches a rod member between the two hook members, and fixes the deformed spine. This is achieved by straightening and straightening and fixing the straightened state.

【0004】[0004]

【発明が解決しようとする課題】これら公知の脊柱変形
の矯正装置は、骨の成長が一段落して安定状態にある成
人患者にはおおむね有効な矯正を行うことができるが、
少児など骨の成長期にある脊柱変形症の患者に対して
は、必ずしも有利なものではない。すなわち、成長期に
ある患者に対して脊柱を矯正し、この状態を永く固定し
た状態におくと脊柱の成長の妨げるのみならず、手術後
の成長に伴い、返って回旋変形の進行が増加する傾向が
あるので、手術後の脊柱の成長に合わせ、6ケ月から1
年毎に矯正装置を構成するロッド部材の長さを変更する
ための手術を必要とするが、この手術を重ねて実施する
ことは、労力、時間および経済面などから容易なもので
はなく、患者の苦痛も問題となる。
Although these known devices for correcting spinal deformities can generally perform an effective correction for an adult patient whose bone growth has subsided and is in a stable state ,
For patients of spinal deformity disease in the growth phase of the bone, such as young Shoko, not necessarily advantageous. In other words, if the spine is corrected for a growing patient and this condition is kept fixed for a long time, not only will the growth of the spine be hindered, but also the progress of rotation deformation will increase with the growth after surgery because there is a tendency, in accordance with the growth of the hands of post-operative spinal column, from 1 to 6 months
Requires a surgery to change the length of the rod members constituting the correction device at every year, be carried out repeatedly surgery This effort, not easy from such time and economic, Patient distress is also an issue.

【0005】この発明はかゝる現状に鑑み、手術によっ
て体内に装着した矯正装置のロッド部材を、脊柱の成長
と変形の矯正度合いとを睨み合わせながら、体外から遠
隔操作によって伸長させることのできる脊柱変形の矯正
装置を提供せんとするものである。
In view of the above situation, the present invention allows a rod member of a correction device, which is mounted inside the body by surgery, to be extended by remote control from outside the body while watching the degree of growth and deformation correction of the spinal column. It is intended to provide a device for correcting spinal deformity.

【0006】[0006]

【課題を解決するための手段】この目的を達成するため
に、この発明のうちで請求項1に記載の発明は、脊柱に
掛止するためのフックを有するフック部材をスライド自
在に備えた固定ロッドを一端部に設けてなる円筒状のケ
ース本体内に 正逆回転が可能な減速機付きモータを固
定すると共に、前記減速機付きモータと連動して回転す
る円筒状の回転部材を装着し、この回転部材内に、先端
部に脊柱に掛止するためのフックを備えたフック部材を
スライド自在に設けてなる可動ロッドの基端部を、前記
ケース本体の開口部を閉止するシール部材を貫通させて
挿入し、前記減速機付きモータの作動によってケース本
体内において回転部材を回転させ、この回転部材の回転
と同期して、前記可動ロッドをケース本体の筒軸方向に
沿って実質的に移動させて可動ロッドの長さを自在に調
節可能とし、前記減速機付きモータを、導線を介して連
動するラジオコントロールレシーバをラジオコントロー
ラで制御することによって作動させることを特徴とする
脊柱変形の矯正装置である。
In order to achieve this object, according to the first aspect of the present invention, there is provided a fixing member having a hook member having a hook for hooking on a spine, which is slidably provided. a cylindrical case body formed by providing at one end of the rod, with forward and reverse rotation is fixed a reduction gear with a motor capable, fitted with a cylindrical rotating member that rotates in conjunction with the speed reducer with the motor In the rotating member, a base member of a movable rod, which is provided with a hook member slidably provided at a distal end thereof for hooking on a spine, is provided with a sealing member for closing an opening of the case body. The rotating rod is rotated in the case body by the operation of the motor with the speed reducer, and the movable rod is substantially moved along the cylinder axis direction of the case body in synchronization with the rotation of the rotating member. Transfer It is allowed to freely adjustable the length of the movable rod, connecting the motor with the reduction gear, via a line
Radio control receiver
A device for correcting spinal deformity, wherein the device is operated by controlling the spine.

【0007】また、この発明のうちで請求項に記載の
発明は、円筒状のシース部材内に、脊柱に掛止するため
のフックを備えたフック部材をスライド自在に設けた固
定ロッドを一端部に設けてなる円筒状のケース本体の開
口部側を内装し、このケース本体内に減速機付きモータ
と、該減速機付きモータと連動して回転する円筒状の回
転部材を設け、この回転部材内に、先端部に脊柱に掛止
するためのフックを備えたフック部材をスライド自在に
設けてなる可動ロッドの基端部を、前記ケース本体の開
口部およびシース部材の一方の開口部を閉止するシール
部材を貫通させて挿入し、前記減速機付きモータの作動
によって前記回転部材を回転させ、この回転部材の回転
と同期して、前記ケース本体および可動ロッドをシース
部材の筒軸方向に沿って実質的に移動させ、前記固定ロ
ッドと可動ロッド間の長さを自在に調節可能とし、前記
減速機付きモータを、導線を介して連動するラジオコン
トロールレシーバをラジオコントローラで制御すること
によって作動させることを特徴とする脊柱変形の矯正装
置である。
According to a fourth aspect of the present invention, a fixing rod having a hook member having a hook for hooking on a spine is slidably provided in a cylindrical sheath member. The inside of the opening side of the cylindrical case body provided in the part is provided, and a motor with a speed reducer and a cylindrical rotating member that rotates in conjunction with the motor with the speed reducer are provided in the case body. Within the member, the base end of the movable rod, which is provided with a hook member slidably provided with a hook for hooking to the spine at the distal end, the opening of the case body and one opening of the sheath member. The sealing member to be closed is penetrated and inserted, and the rotating member is rotated by the operation of the motor with the speed reducer.In synchronization with the rotation of the rotating member, the case body and the movable rod are moved in the cylinder axis direction of the sheath member. Substantially moved me, and freely adjustable length between the fixing rod and movable rod, the
A radio controller that links a motor with a speed reducer
Controlling the troll receiver with a radio controller
A device for correcting spinal deformity, wherein the device is operated by:

【0008】[0008]

【発明の実施の形態】この発明は、脊柱変形を矯正する
に際し、脊柱に固定する矯正装置を構成するロッドの長
さを脊柱の成長度合いに応じて自在に伸長させることの
できる矯正装置であって、請求項1に記載の矯正装置
は、フック部材を設けた一方のロッドに対して同じくフ
ック部材を設けた他方のロッドを伸縮させるようにし
た、いわゆる単式の矯正装置である。
BEST MODE FOR CARRYING OUT THE INVENTION The present invention relates to a correction device capable of freely extending the length of a rod constituting a correction device fixed to a spine in accordance with a growth degree of a spine in correcting a spinal deformity. Te, correction device according to claim 1, the same other rod provided with a hook member to one of the rods provided with a hook member so as to expand and contract, a correction device of a so-called single direction.

【0009】また、請求項4に記載の矯正装置は、フッ
ク部材を設けた一方のロッドと、同じくフック部材を設
けた他方のロッドとを共に伸縮させる、いわゆる複式の
矯正装置である。
The straightening device according to the fourth aspect is a so-called multiple straightening device for extending and contracting one of the rods provided with the hook members and the other rod also provided with the hook members.

【0010】請求項1記載の発明において、回転部材
は内周面にねじが形成され、該ねじに前記可動ロッドの
基端部の外周面に形成したねじが係合し、前記減速機付
きモータの回転に連動して回転する回転部材と同期し
て、可動ロッドが前記ケース本体の筒軸方向に沿って実
質的に移動するものである。
[0010] In the invention of claim 1, the rotating member is threaded is formed in the inner circumferential surface, a screw formed on the outer peripheral surface of the proximal end portion of the movable rod to the screw is engaged, with the speed reducer The movable rod moves substantially along the cylinder axis of the case body in synchronization with a rotating member that rotates in conjunction with the rotation of the motor.

【0011】また、可動ロッドは、丸棒の上面の一部を
切削して平坦面を形成し、この平坦面が、ケース本体の
開口部を閉止するシール部材に設けた係合片と係合する
ことによって、可動ロッドが回転することなく、実質的
にケース本体の筒軸方向に沿って移動するよう構成した
ものである。
Further, the movable rod forms a flat surface by cutting a part of the upper surface of the round bar, and the flat surface engages with an engagement piece provided on a seal member for closing an opening of the case body. By doing so, the movable rod is configured to move substantially along the cylinder axis direction of the case main body without rotating.

【0012】これに用いる減速機付きモータは、正逆回
転が可能なもので、この減速機付きモータと導線を介し
て連動するラジオコントロールレシーバを、ラジオコン
トローラで制御することによって作動させるものであ
る。
The motor with a speed reducer used in the motor is capable of rotating forward and backward, and operates a radio control receiver that is linked to the motor with the speed reducer via a lead by controlling the radio controller. .

【0013】一方、請求項4に記載の発明において、ケ
ース本体は、その内周面にねじが形成され、このねじと
前記回転部材の外周面に設けられたねじが係合し、かつ
回転部材の内周面に形成されたねじが、前記可動ロッド
の基端部の外周面に形成したねじと係合し、前記減速機
付きモータの回転に連動して回転する回転部材と同期し
て、ケース本体および可動ロッドが、前記シース部材の
筒軸方向に沿って実質的に移動するものである。
[0013] On the other hand, in the invention according to claim 4 , the case main body has a screw formed on an inner peripheral surface thereof, the screw is engaged with a screw provided on an outer peripheral surface of the rotating member, and the rotating member is provided with a screw. The screw formed on the inner peripheral surface of the movable rod engages with the screw formed on the outer peripheral surface of the base end of the movable rod, and synchronizes with the rotating member that rotates in conjunction with the rotation of the motor with the speed reducer, The case body and the movable rod substantially move along the cylinder axis direction of the sheath member.

【0014】また、可動ロッドは、丸棒の上面の一部を
切削して平坦面を形成し、この平坦面が、ケース本体の
開口部を閉止するシール部材に設けた係合片と係合する
ことによって、可動ロッドが回転することなく、実質的
にシース部材の筒軸方向に沿って移動するよう構成した
ものである。
Further, the movable rod forms a flat surface by cutting a part of the upper surface of the round bar, and the flat surface engages with an engaging piece provided on a seal member for closing an opening of the case body. By doing so, the movable rod is configured to move substantially along the cylinder axis direction of the sheath member without rotating.

【0015】用いる減速機付きモータは、前記請求項1
の装置と同様に正逆回転が可能なもので、この減速機付
きモータと導線を介して連動するラジオコントロールレ
シーバを、ラジオコントローラで制御することによって
作動させるものである。
[0015] The motor with a reduction gear to be used is the above-mentioned claim 1.
In the same manner as in the apparatus described above, the apparatus can rotate forward and backward, and operates a radio control receiver that operates in conjunction with the motor with a reduction gear via a conductor by controlling the radio controller.

【0016】さらに、ケース本体は、その上面部の一部
に筒軸方向に沿ってスリットが形成されると共に、ケー
ス本体内に減速機付きモータの駆動軸を貫通保持するリ
ング部材を設け、このリング部材と、ケース本体を覆う
前記シース部材とをビスによって一体化させるに際し、
前記ビスの軸部を前記スリット内に位置させ、ケース部
材の回動を阻止し、シース部材の筒軸方向に沿ってのみ
移動するよう構成したものである。
Further, the case body has a slit formed in a part of the upper surface thereof along the cylinder axis direction, and a ring member for penetrating and holding a drive shaft of a motor with a speed reducer is provided in the case body. In integrating the ring member and the sheath member covering the case body with screws,
The shaft portion of the screw is positioned in the slit to prevent rotation of the case member and to move only along the cylinder axis direction of the sheath member.

【0017】また、この発明の矯正装置を構成する各部
材は、いずれもステンレススチールあるいはチタン合
金、モリブデン−ニッケルクローム鋼のような大きな強
度と人体に対して無害で、かつ錆びない金属素材によっ
て形成され、外面部分は、極力平滑に丸みを帯びた状態
として、人体に対する損傷を与えないようにすることが
望ましい。また、減速機付モータは、直流モータに所定
の減速比のギアヘッドを組み込んで、ロッドの伸縮駆動
に要求される出力を十分に満たし、かつ、所定の回転数
を与えることができる操作が容易な高性能な超小型のも
のである。
Each of the members constituting the straightening device of the present invention is made of a metal material having high strength and harmless to the human body, such as stainless steel, a titanium alloy, and molybdenum-nickel chrome steel. It is desirable that the outer surface portion be as smooth and rounded as possible so as not to damage the human body. In addition, the motor with a speed reducer incorporates a gear head having a predetermined reduction ratio in a DC motor, and satisfactorily satisfies the output required for the expansion and contraction drive of the rod, and can easily perform an operation capable of providing a predetermined rotation speed. It is a high-performance ultra-compact device.

【0018】[0018]

【作用】この発明の脊柱変形の矯正装置は、いずれも矯
正せんとする脊柱間に設けられる矯正装置のロッドの長
さを、脊柱の成長度合いに応じて減速機付きモータと導
線を介して連動するラジオコントロールレシーバを、ラ
ジオコントローラで制御 することによって、人体の外部
から自在に調節することができるので、手術の回数を大
幅に減少させることができる。なお、この矯正装置は脊
柱変形の矯正を目的とするものであるが、たとえば、下
肢骨や大腿骨、さらには腕などの骨折治療や骨延長の治
療用としても使用ことができるものである。
According to the spinal deformity correcting apparatus of the present invention, the length of the rod of the correcting apparatus provided between the vertebrae to be corrected is connected to a motor with a speed reducer according to the degree of growth of the vertebral column.
The radio control receiver linked via the
By controlling with a geocontroller, it is possible to freely adjust from outside the human body, so that the number of operations can be greatly reduced. Although this correction device is intended to correct spinal deformity, it can also be used, for example, for treatment of fractures of the lower limb bones, femur bones, and arms, and for treatment of bone lengthening.

【0019】[0019]

【実施例】以下、この発明の脊柱変形の矯正装置の実施
例を添付の図面に基づいて具体的に説明する。図1〜図
3は、請求項1に記載された脊柱変形の矯正装置の一実
施例を示すものであって、この脊柱変形の矯正装置1
は、丸棒状の固定ロッド2を先端側に一体的に設けた円
筒状のケース本体3と、該ケース本体3内に設けられる
減速機付きモータ4と、前記ケース本体3内に設けら
れ、前記減速機付きモータ4によって回転する円筒状の
回転部材5と、前記回転部材5の回転と同期してケース
本体3内に出没する丸棒状の可動ロッド6とから構成さ
れるものである。
BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a perspective view of an apparatus for correcting spinal deformity according to an embodiment of the present invention. 1 to 3, there is shown an embodiment of a correction device spinal column deformation according to claim 1, correction device 1 of the spinal deformity
A cylindrical case main body 3 integrally provided with a round rod-shaped fixed rod 2 at the distal end side; a motor 4 with a speed reducer provided in the case main body 3; It comprises a cylindrical rotating member 5 rotated by a motor 4 with a reduction gear, and a round rod-shaped movable rod 6 which appears and disappears in the case body 3 in synchronization with the rotation of the rotating member 5.

【0020】前記ケース本体3は、先端側が閉塞された
円筒体3aの閉塞面3bに、円筒体3aの軸線と同軸上
となるよう固定ロッド2を一体的に設けると共に、他端
側の開口部をシール部材10によって密封するよう形成
したものである。
The case body 3 has a fixed rod 2 integrally provided on a closed surface 3b of a cylindrical body 3a having a closed front end so as to be coaxial with the axis of the cylindrical body 3a, and an opening at the other end. Is formed so as to be sealed by the seal member 10.

【0021】このケース本体3の内部は、中心部に透孔
7を有し、ビス8ケース本体3内に固定される円盤状
のリング部材9によって区画され、閉塞された先端側
に、正転および逆転可能な減速機付きモータ4を設け、
開口部側に回転部材5を回転自在に設けるものである。
The inside of the case main body 3 has a through hole 7 in the center, is partitioned by a disk-shaped ring member 9 fixed in the case main body 3 with screws 8 , and the closed front end has a positive side. A motor 4 with a speed reducer capable of reversing and reversing is provided,
The rotating member 5 is provided rotatably on the opening side.

【0022】なお、前記固定ロッド2には、脊柱変形の
矯正装置1を脊椎の所要の部位に固定するための一方の
フック部材11がスライド自在に設けられる。
The fixing rod 2 is slidably provided with one hook member 11 for fixing the spinal deformity correcting device 1 to a required portion of the spine.

【0023】このフック部材11はブロック体12の一
側面にフック13を有すると共に、フック部材11を固
定ロッド2にスライド自在に取付けるための取付孔を有
するもので、固定ロッド2へのフック部材11の固定
は、前記取付孔の内周面と、固定ロッド2の外周面との
間に形成される隙間に、円筒状の楔部材14a,14b
を圧入することによって行うものである。
The hook member 11 has a hook 13 on one side surface of the block body 12 and has an attachment hole for slidably attaching the hook member 11 to the fixed rod 2. Is fixed to a gap formed between the inner peripheral surface of the mounting hole and the outer peripheral surface of the fixing rod 2 by cylindrical wedge members 14a and 14b.
By press-fitting.

【0024】また、ケース本体3内に設けられる減速機
付きモータ4は、ケース本体3内を区画するリング部材
9に、ビス止めすることによって回動不可に装着するも
のである。
The motor 4 with a speed reducer provided in the case main body 3 is mounted on a ring member 9 that partitions the inside of the case main body 3 so as not to rotate by screwing.

【0025】ケース本体3内に回動自在に設けられる回
転部材5は、円筒体の先端部内に、減速機付きモータ4
の駆動軸4aを一体的に取付けると共に、内周面に全長
にわたってねじ5aを形成したものである。
A rotating member 5 rotatably provided in the case body 3 is provided with a motor 4
And a screw 5a is formed on the inner peripheral surface over the entire length.

【0026】前記減速機付きモータ4は、導線18によ
って体外または体内に設けられるラジオコントロールレ
シーバ19に接続され、ラジオコントローラ20のスイ
ッチの操作によって正転又は逆転し、可動ロッド6をケ
ース本体3に対して伸縮させるもので、この伸縮によっ
て、固定ロッド2に係止したフック部材11と、可動ロ
ッド6に係止したフック部材15の間隔を自在に調整す
ることができるものである。
The motor 4 with a speed reducer is connected to a radio control receiver 19 provided outside or inside the body by a conducting wire 18, and rotates forward or backward by operating a switch of a radio controller 20 to move the movable rod 6 to the case body 3. The distance between the hook member 11 locked to the fixed rod 2 and the hook member 15 locked to the movable rod 6 can be freely adjusted by the expansion and contraction.

【0027】前記回転部材5と同期して回転する可動ロ
ッド6は、先端部の外周面に、回転部材5の内周面に形
成されたねじ5aと係合するねじ6aが形成されたもの
で、その基端部は、前記シール部材10の中心部に設け
られた透孔を貫通してケース本体3外に突出しているも
で、減速機付きモータ4の回転によって回転部材5が
回転すると、回転部材5の内周面に設けたねじ5aと可
動ロッド6のねじ6aが係合しているため、可動ロッド
6がケース本体3に対して筒軸方向に伸縮するものであ
る。
[0027] The movable rod 6 to rotate in synchronization with the rotation member 5, the outer peripheral surface of the distal end portion, in which a screw 6a of the screw 5a engages which is formed on the inner peripheral surface of the rotary member 5 is formed the proximal end is the one that passes through the hole provided at the center portion of the sealing member 10 protrudes out of the case main body 3, when the rotary member 5 is rotated by the rotation of the deceleration motor with 4 Since the screw 5a provided on the inner peripheral surface of the rotating member 5 and the screw 6a of the movable rod 6 are engaged, the movable rod 6 expands and contracts with respect to the case body 3 in the cylinder axis direction.

【0028】この可動ロッド6のケース本体3より突出
した基端部側には、前記固定ロッド2と同様に、フック
16を一側に有すると共に、可動ロッド6に遊嵌する貫
通孔を形成したブロック体からなるフック部材15がス
ライド自在に設けられ、このフック部材15は可動ロッ
ド6に対して楔部材17a,17bによって所定の位置
に固定されるものである。
On the base end side of the movable rod 6 protruding from the case body 3, similarly to the fixed rod 2, a hook 16 is formed on one side, and a through hole for loosely fitting the movable rod 6 is formed. A hook member 15 made of a block body is slidably provided. The hook member 15 is fixed to a predetermined position with respect to the movable rod 6 by wedge members 17a and 17b.

【0029】これら固定ロッド2,ケース本体3,回転
部材5,可動ロッド6およびシール部材10などは、い
ずれも腐食することがないようにステンレス鋼やモリブ
デン−ニッケルクローム鋼などの大きな強度と人体に対
して無害な素材で構成し、外面部分を極力平滑にして人
体に対する損傷を避けるようにしたものを使用するもの
である。
The fixed rod 2, the case main body 3, the rotating member 5, the movable rod 6, the seal member 10 and the like have a large strength such as stainless steel or molybdenum-nickel chrome steel and a human body so as not to be corroded. It is made of a material that is harmless to the outside, and has a smooth outer surface to avoid damage to the human body.

【0030】この実施例において、固定ロッド2は径が
約6mm、長さは約70mm、ケース本体3の外径は約
18mm、内径が約13mm、長さが約215mm、回
転部材5の外径が約13mm、内径が約6.5mm、長
さが約119mm、また、可動ロット6の外径は約6.
5mm、長さが約200mmである。
In this embodiment, the fixed rod 2 has a diameter of about 6 mm, a length of about 70 mm, an outer diameter of the case body 3 of about 18 mm, an inner diameter of about 13 mm, a length of about 215 mm, and an outer diameter of the rotating member 5. Is about 13 mm, the inner diameter is about 6.5 mm, the length is about 119 mm, and the outer diameter of the movable lot 6 is about 6.
5 mm, length about 200 mm.

【0031】なお、減速機付きモータ4の回転によって
回転部材5が回転し、この回転部材5の回転に同期して
回転して伸長又は伸縮する場合、可動ロッド6が回動す
ることを防止するため、可動ロッド6の所定の範囲の上
面部を切削して平坦面6bを形成し、かつシール部材1
0に形成された透孔内の上部に、下方に突出する係合片
10aを設け、この係合片10aと前記平坦面6bが接
することによって、可動ロッド6の回動を防止してい
る。
When the rotating member 5 is rotated by the rotation of the motor 4 with a speed reducer, and when the rotating member 5 expands or contracts by rotating in synchronization with the rotation of the rotating member 5, the movable rod 6 is prevented from rotating. Therefore, the upper surface of a predetermined range of the movable rod 6 is cut to form a flat surface 6b, and the sealing member 1
An engagement piece 10a protruding downward is provided in an upper portion of the through-hole formed in the opening 0, and the engagement of the engagement piece 10a and the flat surface 6b prevents rotation of the movable rod 6.

【0032】上記の構成からなる脊柱変形の矯正装置1
は、以下のとおり作動する。ラジオコントローラ20を
操作して減速機付きモータ4を回転させると、その駆動
軸4aと一体の回転部材5が回動する。この回転部材5
の内周面には全長にわたってねじ5aが形成され、この
ねじ5aと可動ロッド6の先端部の外周面に設けたねじ
6aが係合しているため、回転部材5が回転すると同時
に可動ロッド6がケース本体3に対して相対的に移動し
て図3に示すように、可動ロッド6を実質的に右方に伸
長させる。
The apparatus for correcting spinal deformity 1 having the above-mentioned structure.
Operates as follows. When the radio controller 20 is operated to rotate the motor 4 with a speed reducer, the rotating member 5 integrated with the drive shaft 4a is rotated. This rotating member 5
A screw 5a is formed on the inner peripheral surface of the movable rod 6 over its entire length, and the screw 5a is engaged with a screw 6a provided on the outer peripheral surface of the distal end of the movable rod 6, so that the rotating member 5 rotates and the movable rod 6 Moves relative to the case body 3 to extend the movable rod 6 substantially rightward as shown in FIG.

【0033】その際、減速機付きモータ4は、ビス18
によってそれ自体回動することを阻止している。また、
可動ロッド6は、軸方向の一部に設けた平坦面6bと、
シール部材10に設けた係合片10aとの係合によって
回動を阻止され、実質的に回転部材5の回動のみによっ
て可動ロッド6を最大で約70mm伸長させることがで
き、減速機付きモータ4の逆転によって縮小させること
ができる。したがって、常法によって、前記フック部材
11と15のフック13と16とを、切開した脊柱の変
形を矯正すべき位置の横突起や椎間関節などに係止した
のち、減速機付きモータ4を正逆回転させることによっ
て、きわめて容易に脊柱変形の矯正固定を行うことがで
きるものである。
At this time, the motor 4 with the speed reducer is
This prevents itself from rotating. Also,
The movable rod 6 has a flat surface 6b provided in a part in the axial direction,
The rotation is prevented by the engagement with the engagement piece 10a provided on the seal member 10, and the movable rod 6 can be extended up to about 70 mm at the maximum only by the rotation of the rotation member 5 substantially. 4 can be reduced by reversing. Therefore, after engaging the hooks 13 and 16 of the hook members 11 and 15 with the transverse process or the facet joint at the position where the incised vertebral column should be corrected, the motor 4 with the reducer By performing forward and reverse rotation, the spinal deformity can be corrected and fixed very easily.

【0034】図4〜図7は、請求項4に記載の脊柱変形
の矯正装置の一実施例を示したもので、この脊柱変形の
矯正装置31は、図4に示すように丸棒状の固定ロッド
32を先端側に一体的に設けた円筒状のケース本体33
と、該ケース本体33内に設けられる減速機付きモータ
34と、前記ケース本体33内に設けられ、前記減速機
付きモータ34によって回転する円筒状の回転部材35
と、前記回転部材35の回転と同期してケース本体33
内に出没する丸棒状の可動ロッド36、および前記ケー
ス本体33の外周部の大部分を覆う円筒状のシース部材
37とから構成されるものである。
[0034] FIGS. 4-7, shows one embodiment of a correction device spinal deformity of claim 4, the correction device 31 of the spinal deformity is fixed round bar as shown in FIG. 4 A cylindrical case body 33 integrally provided with a rod 32 at the distal end side
A motor 34 with a speed reducer provided in the case body 33; and a cylindrical rotating member 35 provided in the case body 33 and rotated by the motor 34 with the speed reducer.
And the case body 33 in synchronization with the rotation of the rotating member 35.
The case comprises a round rod-shaped movable rod 36 which comes and goes inside, and a cylindrical sheath member 37 which covers most of the outer peripheral portion of the case main body 33.

【0035】前記ケース本体33は、先端側が閉塞され
た円筒体33aの閉塞面33bに、円筒体33aの軸線
と同軸上となるよう丸棒状の固定ロッド32を一体的に
設けると共に、上面の一部(実施例においてはほぼ中央
部)に軸線方向に沿ってスリット33cを形成したもの
である。
In the case body 33, a round rod-shaped fixing rod 32 is integrally provided on a closed surface 33b of a cylindrical body 33a having a closed front end so as to be coaxial with the axis of the cylindrical body 33a. A slit 33c is formed in the portion (almost the center in the embodiment) along the axial direction.

【0036】このケース本体33の内部は、中心部に透
孔38aを有する円盤状のリング部材38によって区画
され、閉塞された先端側に、正転および逆転可能な減速
機付きモータ34を設けると共に、開口部側に、円筒状
の回転部材35を回転自在に設けたもので、前記減速機
付きモータ34を装着する部分以外の内周面にはねじ3
3dが設けられている。
The interior of the case main body 33 is defined by a disk-shaped ring member 38 having a through hole 38a at the center, and a motor 34 with a speed reducer capable of normal rotation and reverse rotation is provided at the closed front end. A cylindrical rotating member 35 is rotatably provided on the opening side, and a screw 3 is provided on an inner peripheral surface other than a portion where the motor 34 with a speed reducer is mounted.
3d is provided.

【0037】なお、前記固定ロッド32には、脊柱変形
の矯正装置31を、脊椎の所要の部位に固定するための
一方のフック部材41が、スライド自在に設けられる。
The fixing rod 32 is slidably provided with one hook member 41 for fixing the spinal deformity correcting device 31 to a required portion of the spine.

【0038】このフック部材41は、ブロック体42の
一側面にフック43を有すると共に、フック部材41
を、固定ロッド32にスライド自在に取付けるための取
付孔を有するもので、固定ロッド32へのフック部材4
1の固定は、前記取付孔の内周面と固定ロッド32の外
周面との間に形成される隙間に、円筒状の楔部材44
a,44bを圧入することによって行うものである。
The hook member 41 has a hook 43 on one side surface of a block body 42 and a hook member 41.
Has a mounting hole for slidably mounting the fixing member 32 on the fixing rod 32.
1 is fixed to a gap formed between the inner peripheral surface of the mounting hole and the outer peripheral surface of the fixing rod 32 by a cylindrical wedge member 44.
a and 44b are press-fitted.

【0039】また、ケース本体33内に設けられる減速
機付きモータ34は、ケース本体33内を、区画するリ
ング部材38にビス止めすることによって回動不可に装
着するもので、リング部材38は、後記するシース部材
37にビス39を介して固定されている。
The motor 34 with a speed reducer provided in the case body 33 is mounted non-rotatably by screwing the inside of the case body 33 to a ring member 38 for partitioning. It is fixed to a sheath member 37 described later via a screw 39.

【0040】ケース本体33内に回動自在に設けられる
回転部材35は、円筒体の先端部内に減速機付きモータ
34の駆動軸34aを一体的に取付けると共に、その内
周面に全長にわたってねじ35aが形成されると共に、
外周面の大部分には、前記ケース本体33の内周面に形
成されたねじ33dと係合するねじ35bが形成された
ものである。
A rotatable member 35 rotatably provided in the case body 33 has a drive shaft 34a of a motor 34 with a speed reducer integrally mounted within the distal end portion of the cylindrical body, and a screw 35a extending over the entire inner peripheral surface thereof. Is formed,
Most of the outer peripheral surface is formed with a screw 35b which engages with a screw 33d formed on the inner peripheral surface of the case main body 33.

【0041】前記減速機付きモータ34は、導線48に
よって体外に設けられるラジオコントロールレシーバ4
9に接続され、ラジオコントローラ50のスイッチの操
作によって正転又は逆転し、可動ロッド36をケース本
体33に対して伸縮させるもので、この伸縮によって、
固定ロッド32に係止したフック部材41と、可動ロッ
ド36に係止したフック部材45の間隔を自在に調整す
ることができるものである。
The motor 34 with a reduction gear is connected to a radio control receiver 4 provided outside the body by a conducting wire 48.
9, which rotates forward or backward by operating a switch of the radio controller 50 to extend and contract the movable rod 36 with respect to the case main body 33.
The distance between the hook member 41 locked on the fixed rod 32 and the hook member 45 locked on the movable rod 36 can be freely adjusted.

【0042】前記の回転部材35の回転と同期して回転
する可動ロッド36は、先端部の外周面に、回転部材3
5の内周面に形成されたねじ35aと係合するねじ36
aが形成されたもので、その基端部は、ケース本体33
の開口部を閉止するシール部材51の中心部に設けられ
た透孔を貫通して、ケース本体33外に突出しているも
で、減速機付きモータ34の回転に同期して回転部材
35が回転すると、回転部材35の内周面に設けたねじ
35aと可動ロッド36のねじ36aが係合しているた
め、可動ロッド36がケース本体33に対して筒軸方向
に伸縮するものである。
The movable rod 36, which rotates in synchronization with the rotation of the rotating member 35, has a rotating member 3
A screw 36 engaging with a screw 35a formed on the inner peripheral surface of the screw 5
a, the base end of which is
Through the holes provided in the central portion of the seal member 51 to close the opening of those protruding out of the case body 33, the rotating member 35 in synchronism with the rotation of the deceleration motor with 34 When rotated, the screw 35a provided on the inner peripheral surface of the rotating member 35 and the screw 36a of the movable rod 36 are engaged, so that the movable rod 36 expands and contracts with respect to the case main body 33 in the cylinder axis direction.

【0043】その際、回転部材35の外周面に設けられ
たねじ35bと、ケース本体33の内周面に設けられた
ねじ33dも係合しているため、ケース本体35自体も
当然筒軸方向に沿って伸縮するものである。
At this time, since the screw 35b provided on the outer peripheral surface of the rotating member 35 and the screw 33d provided on the inner peripheral surface of the case body 33 are also engaged, the case body 35 itself is naturally It expands and contracts along.

【0044】この可動ロッド36のケース本体33より
突出した基端部側には、前記固定ロッド32と同様に、
フック46を一側に有すると共に、可動ロッド36に遊
嵌する貫通孔を形成したブロック体からなるフック部材
45が、スライド自在に設けられ、このフック部材45
は可動ロッド36に対して、楔部材47a,47bによ
って所定の位置に固定されるものである。
At the base end side of the movable rod 36 protruding from the case body 33, like the fixed rod 32,
A hook member 45 having a hook 46 on one side and formed of a block body having a through-hole loosely fitted to the movable rod 36 is slidably provided.
Is fixed at a predetermined position with respect to the movable rod 36 by wedge members 47a and 47b.

【0045】円筒体からなる前記シース部材37は、前
記ケース本体33の大部分を覆うように取付けられるも
ので、その基端部は前記シール部材51によって、先端
部はシール部材52によって機密に保持され、また、こ
のシース部材37はビス39を介してケース本体33内
のリング部材38と一体化しているもので、ビス39の
軸部の一部はケース本体33の上面部に設けたスリット
33c内に位置しているので、ケース本体33がシース
部材37に対して筒軸方向に移動する際に、このスリッ
ト33c内に位置するビス39が、ケース本体33の回
動を阻止して筒軸方向のみへの移動に制限している。
The sheath member 37 made of a cylindrical body is attached so as to cover most of the case main body 33. The base end of the sheath member 37 is kept secret by the seal member 51 and the tip end is kept secret by the seal member 52. is, was or, the sheath member 37 is one that is integral with the ring member 38 of the case body 33 through a screw 39, a portion of the shank of the screw 39 provided on the upper surface portion of the case body 33 since located in the slit 33c, when to case body 33 is moved in the cylinder axis direction with respect to the sheath member 37, screws 39 located within the slit 33c is a rotation of the case body 33 prevents In this way, the movement is restricted to only the cylinder axis direction.

【0046】これら固定ロッド32,ケース本体33,
回転部材35,可動ロッド36,シース部材37および
シール部材51,52などは、いずれも腐食することが
ないと共に、大きな強度と人体に対して無害なステンレ
ス鋼で構成し、バリなどがないように外面部分を極力平
滑にして人体に対する損傷を避けるようにしたものを使
用するものである。
The fixed rod 32, the case body 33,
The rotating member 35, the movable rod 36, the sheath member 37, and the sealing members 51 and 52 do not corrode and are made of stainless steel having high strength and harmless to the human body. The outer surface is made as smooth as possible to avoid damage to the human body.

【0047】この実施例において、固定ロッド32は径
が約6mm、長さは約70mm、ケース本体33の外径
は約18mm、内径が約13mm、長さが約170m
m、回転部材35の外径が約13mm、内径が約8m
m、長さが約86.5mm、可動ロット36の外径は最
大の基端部で約8mm、軸部で約7mm、長さが約13
0mm、シース部材の外径は約20mm、長さが約13
4mmである。
In this embodiment, the fixed rod 32 has a diameter of about 6 mm, a length of about 70 mm, an outer diameter of the case body 33 of about 18 mm, an inner diameter of about 13 mm, and a length of about 170 m.
m, the outer diameter of the rotating member 35 is about 13 mm, and the inner diameter is about 8 m
m, the length is about 86.5 mm, the outer diameter of the movable lot 36 is about 8 mm at the maximum base end, about 7 mm at the shaft, and about 13 mm in length.
0 mm, outer diameter of sheath member is about 20 mm, length is about 13
4 mm.

【0048】なお、減速機付きモータ34の回転によっ
て回転部材35が回転し、この回転部材35に同期して
回転して可動ロッド36が伸長又は伸縮する場合、この
可動ロッド36が回動することを防止するため、特に図
7から明らかなように、可動ロッド36の所定範囲の上
面部を切削して平坦面36bを形成し、かつシール部材
51に形成された透孔51a内の上部に、下方に突出す
る係合片51bを設け、この係合片51bと前記平坦面
36bが接することによって、可動ロッド36の回動を
防止している。
When the rotating member 35 is rotated by the rotation of the motor 34 with a reduction gear, and the movable rod 36 is extended or contracted by rotating in synchronization with the rotating member 35, the movable rod 36 rotates. 7, the upper surface of the movable rod 36 is cut in a predetermined range to form a flat surface 36b, and the upper portion in the through hole 51a formed in the seal member 51 is formed as shown in FIG. An engagement piece 51b projecting downward is provided, and the engagement of the engagement piece 51b and the flat surface 36b prevents rotation of the movable rod 36.

【0049】上記の構成からなる脊柱変形の矯正装置3
1は、以下のとおり作動する。ラジオコントローラ50
を操作して減速機付きモータ34を回転させると、その
駆動軸34aと一体の回転部材35が回動する。この回
転部材35の内周面には、全長にわたってねじ35aが
形成され、このねじ35aと、可動ロッド36の先端部
の外周面に設けたねじ36aが係合しているため、回転
部材35が回転すると同時に、可動ロッド36がケース
本体33に対して相対的に移動し、図6に示すように、
可動ロッド36を実質的に右方に伸長させる。
The apparatus 3 for correcting spinal deformity having the above configuration
1 operates as follows. Radio controller 50
Is operated to rotate the motor with speed reducer 34, the rotating member 35 integral with the drive shaft 34a is rotated. A screw 35a is formed on the inner peripheral surface of the rotating member 35 over the entire length, and the screw 35a is engaged with the screw 36a provided on the outer peripheral surface of the distal end portion of the movable rod 36. At the same time as the rotation, the movable rod 36 moves relatively to the case body 33, and as shown in FIG.
The movable rod 36 extends substantially to the right.

【0050】同時に、回転部材35は外周面にねじ35
bが設けられ、このねじ35bがケース本体33の内周
面に形成されたねじ33dと係合しているため、ケース
本体33を実質的に左方に伸長させるものである。
At the same time, the rotating member 35 has a screw 35
b is provided, and since the screw 35b is engaged with the screw 33d formed on the inner peripheral surface of the case main body 33, the case main body 33 is extended substantially to the left.

【0051】その際、可動ロッド36は、軸方向の一部
に設けた平坦面36bと、シール部材51に設けた係合
片51aとの係合によって回動を阻止される。また、ケ
ース本体33は、内装したリング部材38とシース部材
37とがビス39を介して連結すると共に、前記ビス3
9の一部がケース本体33に設けたスリット33c内に
位置しているため、ケース本体33を筒軸方向に沿って
のみ移動させることができるものである。
At this time, the rotation of the movable rod 36 is prevented by the engagement between the flat surface 36b provided on a part of the axial direction and the engagement piece 51a provided on the seal member 51. In addition, the case body 33 is configured such that the ring member 38 and the sheath member 37 housed therein are connected via screws 39, and the screws 3
Since a part of 9 is located in the slit 33c provided in the case main body 33, the case main body 33 can be moved only along the cylinder axis direction.

【0052】この回転部材35の動作によって、可動ロ
ッド36を最大で約35mm、ケース本体33を約35
mm、合計約70mmの範囲内において伸長させること
ができ、また、減速機付きモータ34の逆転によって縮
小させることができ、したがって、常法によって前記フ
ック部材41と45のフック43と46を切開した脊柱
の変形を矯正すべき位置の横突起や椎間関節などに係止
したのち、減速機付きモータ34を正逆回転させること
によって、きわめて容易に脊柱変形の矯正固定を行うこ
とができるものである。
By the operation of the rotating member 35, the movable rod 36 is moved up to about 35 mm, and the case body 33 is moved up to about 35 mm.
mm, can be extended within the scope of the total of about 70 mm, also Ki de be reduced by reversing the reduction gear with a motor 34, Therefore, a conventional method by the hook 43 of the hook member 41 and 45 46 It is very easy to correct and fix spinal deformity by locking the transverse spine or facet joint, etc., at the position where the spinal deformity in which the incision is to be corrected is to be corrected, by rotating the motor 34 with a speed reducer forward and reverse. You can do it.

【0053】[0053]

【発明の効果】この発明の脊柱変形の矯正装置は、変形
した部位の矯正のための脊柱間に設けられる矯正装置の
ロッドの長さを脊柱の成長度合いに応じて減速機付きモ
ータと導線を介して連動するラジオコントロールレシー
バをラジオコントローラで制御することによって、人体
の外部から自在にかつ確実に調節することができるの
で、手術の回数を大幅に減少させることができる。した
がって、乳幼児や思春期などの成長期にある患者に対
し、その成長に合わせて非観血的な伸長操作を随時確実
に実施することができ、手術の繰り返しを要することが
なく、手術に伴う患者の苦痛を大きく軽減することがで
きる。
The apparatus for correcting spinal deformity according to the present invention provides a motor with a speed reducer in accordance with the degree of growth of the spine, by adjusting the length of the rod of the correcting apparatus provided between the spine for correcting the deformed part.
Radio control receiver that works with the data and conductors
By controlling the radio with the radio controller, the human body
Can be adjusted freely and reliably from outside
Thus, the number of operations can be significantly reduced. Thus, for patients in the growth phase, such as infants and adolescents, its growth noninvasive can be any time reliably implement blood specific stretching operation to suit, without requiring repeated surgery associated with surgery The pain of the patient can be greatly reduced.

【図面の簡単な説明】[Brief description of the drawings]

【図1】この発明の脊柱変形の矯正装置の一実施例を示
す斜視図である。
FIG. 1 is a perspective view showing one embodiment of a device for correcting spinal deformity of the present invention.

【図2】図1に示す矯正装置の要部を示した部分縦断面
図である。
FIG. 2 is a partial longitudinal sectional view showing a main part of the straightening device shown in FIG.

【図3】図1に示す矯正装置の作動状態を示す部分縦断
面図である。
FIG. 3 is a partial longitudinal sectional view showing an operation state of the straightening device shown in FIG.

【図4】この発明の脊柱変形の矯正装置の他の実施例を
示す斜視図である。
FIG. 4 is a perspective view showing another embodiment of the spinal deformity correcting apparatus of the present invention.

【図5】図4の矯正装置の要部を示した部分縦断面図で
ある。
FIG. 5 is a partial longitudinal sectional view showing a main part of the straightening device of FIG. 4;

【図6】図4に示す矯正装置の作動状態を示す部分縦断
面図である。
FIG. 6 is a partial longitudinal sectional view showing an operation state of the straightening device shown in FIG.

【図7】図4における可動ロッドとシース部材およびシ
ール部材との関係を示す一部切欠断面図である。
FIG. 7 is a partially cutaway sectional view showing a relationship between a movable rod, a sheath member, and a seal member in FIG. 4;

【符号の説明】[Explanation of symbols]

1,31 脊柱変形の矯正装置 2,32 固定ロッド 3,33 ケース本体 4,44 減速機付きモータ 5,35 回転部材 6,36 可動ロッド 9,38 リング部材 10,51,52 シール部材 11,15,41,45 フック部材 18,48 導線 19,49 ラジオコントロールレシーバ 20,50 ラジオコントローラ 1,31 Spinal deformity correction device 2,32 Fixed rod 3,33 Case body 4,44 Motor with reduction gear 5,35 Rotary member 6,36 Movable rod 9,38 Ring member 10,51,52 Seal member 11,15 , 41, 45 Hook 18, 48 Conductor 19, 49 Radio control receiver 20, 50 Radio controller

───────────────────────────────────────────────────── フロントページの続き (56)参考文献 特開 平2−261441(JP,A) 特開 平3−131251(JP,A) 特開 平3−265473(JP,A) 特開 昭57−203436(JP,A) 特開 平3−118744(JP,A) 特開 平8−308166(JP,A) 特開 平8−308168(JP,A) 実開 昭60−177303(JP,U) 実開 昭56−39002(JP,U) 実開 平2−74017(JP,U) 特表 平6−511165(JP,A) (58)調査した分野(Int.Cl.7,DB名) A61B 17/56 A61F 5/01 ──────────────────────────────────────────────────続 き Continuation of the front page (56) References JP-A-2-261441 (JP, A) JP-A-3-131251 (JP, A) JP-A-3-265473 (JP, A) JP-A 57- 203436 (JP, A) JP-A-3-118744 (JP, A) JP-A-8-308166 (JP, A) JP-A-8-308168 (JP, A) Japanese Utility Model Laid-Open No. 60-177303 (JP, U) Japanese Utility Model Application Showa 56-39002 (JP, U) Japanese Utility Model Application Hei 2-74017 (JP, U) Special Table Hei 6-511165 (JP, A) (58) Fields investigated (Int. Cl. 7 , DB name) A61B 17/56 A61F 5/01

Claims (7)

(57)【特許請求の範囲】(57) [Claims] 【請求項1】脊柱に掛止するためのフックを有するフッ
ク部材をスライド自在に備えた固定ロッドを一端部に設
てなる円筒状のケース本体内に 正逆回転が可能な 減速機付きモータを固定すると共に、 前記減速機付きモータと連動して回転する円筒状の回転
部材を装着し、 この回転部材内に、先端部に脊柱に掛止するためのフッ
クを備えたフック部材をスライド自在に設けてなる可動
ロッドの基端部を、前記ケース本体の開口部を閉止する
シール部材を貫通させて挿入し、 前記減速機付きモータの作動によってケース本体内にお
いて回転部材を回転させ、 この回転部材の回転と同期して、前記可動ロッドをケー
ス本体の筒軸方向に沿って実質的に移動させて可動ロッ
ドの長さを自在に調節可能とし、前記減速機付きモータを、導線を介して連動するラジオ
コントロールレシーバをラジオコントローラで制御する
ことによって作動させる ことを特徴とする脊柱変形の矯
正装置。
1. A hook member having a hook for hooking to slidably provided a cylindrical case body formed by providing the fixed rod at one end to the spine, with forward and reverse rotation is possible reducer motor And a cylindrical rotating member that rotates in conjunction with the motor with a speed reducer is mounted, and a hook member having a hook for hooking to a spine at a distal end portion is slidable in the rotating member. the base end portion of the movable rod formed by providing, inserted by penetrating the seal member to close the opening of the case body to rotate the rotating member in the case body by the operation of the motor with the reduction gear, the rotation in synchronization with the rotation of members, said movable rod is moved substantially along the cylindrical axis of the case body and freely adjustable to the length of the movable rod, the motor with the reduction gear, via a line Radio that works with
Control the receiver with a radio controller
A device for correcting spinal deformity, characterized in that the device is activated by the following .
【請求項2】前記回転部材は、 内周面にねじが形成され、該ねじに前記可動ロッドの基
端部の外周面に形成したねじが係合し、 前記減速機付きモータの回転に連動して回転する回転部
材と同期して可動ロッドが前記ケース本体の筒軸方向
に沿って実質的に移動するものであることを特徴とする
請求項1記載の脊柱変形の矯正装置。
2. The rotating member has a screw formed on an inner peripheral surface thereof, and a screw formed on an outer peripheral surface of a base end of the movable rod is engaged with the screw, and is interlocked with the rotation of the motor with a speed reducer. 2. The spinal deformity correcting apparatus according to claim 1 , wherein the movable rod substantially moves along the cylinder axis direction of the case body in synchronization with the rotating member that rotates.
【請求項3】前記可動ロッドは、 丸棒の上面の一部を切削して平坦面を形成し、 この平坦面がケース本体の開口部を閉止するシール部
材に設けた係合片と係合することによって可動ロッド
が回転することなく実質的にケース本体の筒軸方向に
沿って移動するよう構成したことを特徴とする請求項1
又は2記載の脊柱変形の矯正装置。
3. The movable rod has a flat surface formed by cutting a part of an upper surface of a round bar, and the flat surface is engaged with an engagement piece provided on a seal member for closing an opening of a case body. by coupling, according to claim 1 in which the movable rod without rotating, characterized by being configured to move substantially along the cylindrical axis of the case body
Or the device for correcting spinal deformity according to 2.
【請求項4】円筒状のシース部材内に、脊柱に掛止する
ためのフックを備えたフック部材をスライド自在に設け
た固定ロッドを一端部に設けてなる円筒状のケース本体
の開口部側を内装し、 このケース本体内に減速機付きモータと、 該減速機付きモータと連動して回転する円筒状の回転部
材を設け、 この回転部材内に、先端部に脊柱に掛止するためのフッ
クを備えたフック部材をスライド自在に設けてなる可動
ロッドの基端部を、前記ケース本体の開口部およびシー
ス部材の一方の開口部を閉止するシール部材を貫通させ
て挿入し、 前記減速機付きモータの作動によって前記回転部材を回
転させ、 この回転部材の回転と同期して、前記ケース本体および
可動ロッドをシース部材の筒軸方向に沿って実質的に移
動させ、前記固定ロッドと可動ロッド間の長さを自在に
調節可能とし、前記減速機付きモータを、導線を介して連動するラジオ
コントロールレシーバをラジオコントローラで制御する
ことによって作動させる ことを特徴とする脊柱変形の矯
正装置。
4. A cylindrical sheath member, the opening side of the cylindrical case body formed by providing a fixation rod having a hook member slidably provided with a hook for hooking the spinal column to one end A motor with a speed reducer and a cylindrical rotary member that rotates in conjunction with the motor with the speed reducer are provided in the case body. Inserting a base end of a movable rod, which is provided with a hook member slidably provided with a hook, through a seal member for closing an opening of the case body and one opening of a sheath member, The rotating member is rotated by the operation of the motor with the attached member, and in synchronization with the rotation of the rotating member, the case body and the movable rod are substantially moved along the cylinder axis direction of the sheath member. A freely adjustable lengths between the rods, the motor with the reduction gear, interlocked via conductor Radio
Control the receiver with a radio controller
A device for correcting spinal deformity, characterized in that the device is activated by the following .
【請求項5】前記ケース本体は、 その内周面にねじが形成され、このねじと前記回転部材
の外周面に設けられたねじが係合し、 かつ回転部材の内周面に形成されたねじが、前記可動ロ
ッドの基端部の外周面に形成したねじと係合し、 前記減速機付きモータの回転に連動して回転する回転部
材と同期してケース本体および可動ロッドが、前記シー
ス部材の筒軸方向に沿って実質的に移動するものである
ことを特徴とする請求項記載の脊柱変形の矯正装置。
5. The case body has a screw formed on an inner peripheral surface thereof, the screw being engaged with a screw provided on an outer peripheral surface of the rotating member, and being formed on an inner peripheral surface of the rotating member. A screw is engaged with a screw formed on an outer peripheral surface of a base end portion of the movable rod, and the case body and the movable rod are synchronized with a rotating member that rotates in synchronization with rotation of the motor with a speed reducer. 5. The apparatus for correcting spinal deformity according to claim 4, wherein the apparatus moves substantially along the cylinder axis direction of the member.
【請求項6】前記可動ロッドは、 丸棒の上面の一部を切削して平坦面を形成し、この平坦
面がケース本体の開口部を閉止するシール部材に設けた
係合片と係合することによって、可動ロッドが回転する
ことなく実質的にシース部材の筒軸方向に沿って移動す
るよう構成したことを特徴とする請求項4又は5記載の
脊柱変形の矯正装置。
6. The movable rod forms a flat surface by cutting a part of an upper surface of a round bar, and the flat surface engages with an engagement piece provided on a seal member for closing an opening of a case body. 6. The spinal deformity correction device according to claim 4 , wherein the movable rod is configured to move substantially along the cylinder axis of the sheath member without rotating.
【請求項7】前記ケース本体は、 その上面部の一部に筒軸方向に沿ってスリットが形成さ
れると共に、 ケース本体内に減速機付きモータの駆動軸を貫通保持す
るリング部材を設け、 このリング部材と、ケース本体を覆う前記シース部材と
をビスによって一体化させるに際し、前記ビスの軸部を
前記スリット内に位置させ、ケース部材の回動を阻止
し、シース部材の筒軸方向に沿ってのみ移動するよう構
成したことを特徴とする請求項記載の脊柱変形の矯正
装置。
7. The case body has a slit formed in a part of an upper surface thereof along a cylinder axis direction, and a ring member for penetrating and holding a drive shaft of a motor with a speed reducer is provided in the case body. When the ring member and the sheath member covering the case body are integrated by a screw, the shaft portion of the screw is positioned in the slit, and the rotation of the case member is prevented. The device for correcting spinal deformity according to claim 4, wherein the device is configured to move only along the spine.
JP24072595A 1995-08-25 1995-08-25 Spinal deformity correction device Expired - Lifetime JP3338944B2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP24072595A JP3338944B2 (en) 1995-08-25 1995-08-25 Spinal deformity correction device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP24072595A JP3338944B2 (en) 1995-08-25 1995-08-25 Spinal deformity correction device

Publications (2)

Publication Number Publication Date
JPH0956736A JPH0956736A (en) 1997-03-04
JP3338944B2 true JP3338944B2 (en) 2002-10-28

Family

ID=17063781

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Country Link
JP (1) JP3338944B2 (en)

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JP2022519380A (en) 2019-02-07 2022-03-23 ニューベイシブ スペシャライズド オーソペディックス,インコーポレイテッド Ultrasonic communication in medical devices
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JP2024509771A (en) 2021-02-23 2024-03-05 ニューベイシブ スペシャライズド オーソペディックス,インコーポレイテッド Adjustable implants, systems, and methods
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