JPH04297270A - Patterning apparatus for shape return mold, master form of orthopedic implant material, and orthopedic implant material of shape return mold - Google Patents

Patterning apparatus for shape return mold, master form of orthopedic implant material, and orthopedic implant material of shape return mold

Info

Publication number
JPH04297270A
JPH04297270A JP3004541A JP454191A JPH04297270A JP H04297270 A JPH04297270 A JP H04297270A JP 3004541 A JP3004541 A JP 3004541A JP 454191 A JP454191 A JP 454191A JP H04297270 A JPH04297270 A JP H04297270A
Authority
JP
Japan
Prior art keywords
orthopedic
shape
implant material
orthopedic implant
diameter
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.)
Granted
Application number
JP3004541A
Other languages
Japanese (ja)
Other versions
JPH0669483B2 (en
Inventor
Korehisa Takahashi
高橋 是久
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
MURANAKA IRYOKI KK
Original Assignee
MURANAKA IRYOKI KK
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 MURANAKA IRYOKI KK filed Critical MURANAKA IRYOKI KK
Priority to JP3004541A priority Critical patent/JPH0669483B2/en
Publication of JPH04297270A publication Critical patent/JPH04297270A/en
Publication of JPH0669483B2 publication Critical patent/JPH0669483B2/en
Anticipated expiration legal-status Critical
Expired - Fee Related 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
    • A61B17/7055Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant connected to sacrum, pelvis or skull
    • 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
    • A61B17/7053Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant with parts attached to bones or to each other by flexible wires, straps, sutures or cables
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00867Material properties shape memory effect

Abstract

PURPOSE:To achieve a patterning of an orthopedic implant material quickly and accurately by providing a graduated straight bar having a specified range of diameter and length using a shape memory alloy such as a Ti-Ni based one to facilitate the bending of a master from or the like. CONSTITUTION:A patterning apparatus of a shape return mold as master form of orthopedic implant material is mounted at a part requiring a shaping such as vertebrae, rear head bone, cervical vertebrae or lumbus vertebrae and used as a master form in the patterning of the orthopedic implant material to apply a proper correction stress to the part. In this case, a Ti-Ni based, Cu based or polyisoprene based shape memory alloy is sued to softly make a graduated straight bar or a graduated rectangular or oval bar-shaped body with diameter of 2-6mm and a length of 3-40cm. For example, the straight bar 1 employs a shape memory alloy of about 50at% Ti and about 50at% Ni. The diameter and length of the bar are set at 4mm and 20cm, respectively, and a graduation 2 is provided on the outer circumference thereof. This facilitates the bending or the like of the master form, thereby achieving a quick and accurate patterning.

Description

【発明の詳細な説明】[Detailed description of the invention]

【0001】0001

【産業上の利用分野】本発明は整形を必要とする脊椎、
後頭骨、頸椎、腰椎等に装着固定して矯正応力を与える
整形埋没材の原型である形状復帰型の型取器具及び形状
復帰型の整形埋没材に関する。
[Industrial Application Field] The present invention is directed to spinal vertebrae that require plastic surgery;
The present invention relates to a shape-returning type molding device and a shape-returning type orthopedic investment material, which are the prototypes of the orthopedic investment material that is attached and fixed to the occipital bone, cervical vertebrae, lumbar vertebrae, etc. and applies corrective stress.

【0002】0002

【従来の技術】従来より脊椎、後頭骨、頸椎、腰椎その
他の部位で整形を必要とする骨に装着固定される整形埋
没材の例としては、ステンレス製の棒状体で先端を屈曲
したもの、2cm程の幅で3〜40cmの長さの矩形又
は長円形の棒状体に屈曲整形したもの等が知られている
。これらの整形埋没材は、例えば図4に示すように、後
頭部、頸椎の整形部位に適合するよう棒状体の各部を複
数のベンディング用器具やメジャー等を用いて微妙に屈
曲したり、ひねったりし、細いステンレスワイヤーやボ
ルトナット等を用いて骨上に装着固定し、これら棒状体
の弾性力を利用して矯正応力を与えるようにしている。
[Prior Art] Conventionally, examples of orthopedic investment materials that are attached and fixed to bones that require reshaping in the spine, occipital bone, cervical vertebrae, lumbar vertebrae, and other parts include stainless steel rods with bent ends; A rectangular or oval rod-shaped body having a width of about 2 cm and a length of 3 to 40 cm is known. For example, as shown in Figure 4, these orthopedic investment materials are made by subtly bending or twisting each part of the rod-shaped body using multiple bending instruments or tape measures to fit the orthopedic area of the occiput or cervical vertebrae. It is attached and fixed onto the bone using thin stainless steel wires, bolts and nuts, and the elastic force of these rods is used to apply correction stress.

【0003】0003

【発明が解決しようとする課題】しかるに、これら整形
埋没材は骨に装着固定され、長時間身体内にとどめなけ
ればならず、また、殺菌温度にも耐える材質であること
が要求され、ステンレス鋼、銀、ニッケル、チタン等の
比較的高価な金属類が用いられると共に一度特定の整形
部位に適合させるために屈曲や変形を加えたものは、再
度他の部位に使用しようとしても、微妙な変形を元に戻
すことが極めて困難とされてきた。又、整形部位の形に
適合するための変形や屈曲も手術の途中でこれを行うに
は長時間を要したり、ベンディング用器具による屈曲が
短時間では適切にできず、患者に身体的、精神的苦痛を
与える等の問題点もあった。
[Problems to be Solved by the Invention] However, these orthopedic investment materials must be fixed to the bone and remain in the body for a long time, and they are also required to be made of a material that can withstand sterilization temperatures. , relatively expensive metals such as silver, nickel, and titanium are used, and once they have been bent or deformed to fit a specific surgical site, even if they are used again for another site, there will be slight deformation. has been considered extremely difficult to restore. In addition, it takes a long time to perform deformation and bending to fit the shape of the surgical site during the surgery, and bending with bending instruments cannot be done properly in a short period of time, causing physical and physical damage to the patient. There were also problems such as causing mental pain.

【0004】本発明の第1の目的は、上記のような問題
点を解消して、整形を必要とする部位に適合した整形埋
没材を型取る際の原型として、短時間で正確な型取りが
でき、これに合わせて実際に整形部位に取付ける整形埋
没材を容易に造ることができるようにするものであり、
この原型は何度でも使用可能な形状復帰型の型取器具と
して提供しようとするものである。又、第2の目的は整
形部位に適合して矯正応力を十分に発揮できる材質で構
成され、再利用も可能とした形状復帰型の整形埋没材を
提供しようとするものである。
[0004] The first object of the present invention is to solve the above-mentioned problems and to provide accurate molding in a short time as a prototype for making a mold of an orthopedic investment material that is suitable for a part that requires reshaping. This makes it possible to easily create orthopedic investment materials that are actually attached to the orthopedic site.
This prototype is intended to be provided as a shape-returnable molding tool that can be used any number of times. The second objective is to provide a shape-recoverable orthopedic investment material that is made of a material that is compatible with the orthopedic site and can sufficiently exert orthodontic stress, and that can be reused.

【0005】[0005]

【課題を解決するための手段】本発明の第一の目的を達
成するため、脊椎、後頭骨、頸椎、腰椎その他整形を必
要とする部位に装着固定され、その部位に適正な矯正応
力を与える整形埋没材を型取る際に用いる原型として、
Ti−Ni系、Cu系、ポリイソプレン系の形状記憶合
金により、柔軟性のある直径2〜6mm、長さ3〜40
cmの目盛付直線棒、矩形又は長円形棒状体を設けた整
形埋没材の原型である形状復帰型の型取器具とし、第2
の目的を達成するため、脊椎、後頭骨、頸椎、腰椎その
他整形を必要とする部位に適合するよう変形、弯曲等の
塑性変化を加えて、その部位に矯正応力を与える整形埋
没材として、Ti−Ni系、Cu系、ポリイソプレン系
の形状記憶合金により、直径2〜6mm、長さ3〜40
cmの直線棒、矩形又は長円形棒状体を用いた形状復帰
型の整形埋没材とした。
[Means for Solving the Problems] In order to achieve the first object of the present invention, the device is fixed to the spine, occipital bone, cervical vertebrae, lumbar vertebrae, and other areas that require plastic surgery, and applies appropriate correction stress to the area. As a prototype to be used when molding the orthopedic investment material,
Made of shape memory alloys such as Ti-Ni, Cu, and polyisoprene, it has a flexible diameter of 2 to 6 mm and a length of 3 to 40 mm.
It is a shape-returning molding device that is the original model of the orthopedic investment material, which is equipped with a rectangular or oval rod-like body with a straight rod with cm scale, and a second
In order to achieve this purpose, Ti is used as an orthopedic investment material that applies plastic changes such as deformation and curvature to fit the spine, occipital bone, cervical vertebrae, lumbar vertebrae, and other areas that require orthopedic treatment, and applies corrective stress to the area. - Made of Ni-based, Cu-based, and polyisoprene-based shape memory alloys, the diameter is 2 to 6 mm and the length is 3 to 40 mm.
A shape-recoverable orthopedic investment material using a straight rod, rectangular or oval rod with a diameter of 1 cm was used.

【0006】[0006]

【作用】第1の発明では、整形を必要とする部位に適合
した整形埋没材の原型として、Ti−Ni系、Cu系、
ポリイソプレン系の形状記憶合金により、柔軟性のある
目盛付直線棒、矩形又は長円形棒状体の型取器具を設け
たので、屈曲やひねりを加えて整形部位に密接した原型
として敏速に型取りすることができ、目盛が目安となっ
て整形埋没材の適切な選択及び加工が容易となった。こ
の型取器具は使用後、オートクレーブ等で120度程度
に加熱殺菌することにより、元の直線棒、矩形又は長円
形の棒状体に戻るので、何度でも原型として使用するこ
とができ、又、一度塑性変形をした微妙な屈曲部が残存
することがなくなった。又、手術中に長時間をかけて整
形埋没材を型取る際、複雑な屈曲を術部に接近した位置
で直接型取りをすることなく、原型が柔軟性を有するの
で、指先や器具によって型取りをしておけば、別の場所
で目盛を利用して簡単に原型通りの整形埋没材を得られ
るようになった。整形部位の形体と要求される矯正応力
に適するよう棒状体の直径を選んで形状記憶合金で型取
りすれば、それと同等の直径を有する整形埋没材を型通
りに塑性変形することは極めて容易である。
[Operation] In the first invention, Ti-Ni type, Cu type,
Made of polyisoprene-based shape memory alloy, the molding tool is equipped with a flexible linear rod with scale, rectangular or oval rod shape, so it can be quickly molded as a prototype close to the surgical site by bending or twisting. The scale serves as a guide, making it easy to appropriately select and process the shaped investment material. After use, this mold-making tool can be heated and sterilized at about 120 degrees in an autoclave or the like to return to its original straight, rectangular, or oval rod shape, so it can be used as a prototype any number of times. The delicate bends that were once plastically deformed no longer remain. In addition, when taking a mold of the orthopedic investment material over a long period of time during surgery, the mold is flexible and can be easily molded with fingertips or instruments without having to take a mold of the complex bending directly close to the surgical site. Once you have removed it, you can use the scale at another location to easily obtain a shaped investment material that matches the original shape. If the diameter of the rod-shaped body is selected to suit the shape of the orthopedic area and the required orthodontic stress, and the shape-memory alloy is molded, it is extremely easy to plastically deform an orthopedic investment material with the same diameter as the rod-shaped body according to the mold. be.

【0007】第2の発明では、原型としての型取器具を
用いることなく、整形埋没材自体を形状記憶合金で造る
ようにしたので、整形部位に適合した矯正応力を有する
直径を選び、適宜の長さの棒状体を用いることができ、
Cu系の形状記憶合金を用いれば、より柔軟性があって
変形屈曲等の塑性変形が容易であり、又、ポリイソプレ
ン系の合成樹脂を用いれば、より軽量で整形部位の組織
にも適合し易く患者の負担軽減ともなる。
[0007] In the second invention, the orthopedic investment material itself is made of a shape memory alloy without using a molding tool as a prototype, so a diameter having a corrective stress suitable for the orthopedic area is selected and an appropriate A length of rod can be used,
If a Cu-based shape memory alloy is used, it is more flexible and can easily be plastically deformed such as deformation/bending, and if a polyisoprene-based synthetic resin is used, it is lighter and adapts to the structure of the orthopedic site. It also reduces the burden on the patient.

【0008】[0008]

【実施例】以下、本発明の実施例につき図面に従って説
明する。図1において、1は直線棒として、Ti約50
at%−Ni約50at%の形状記憶合金を用いたもの
で、直径4mm、長さ20cmで、外周には目盛2を設
けている。
DESCRIPTION OF THE PREFERRED EMBODIMENTS Examples of the present invention will be described below with reference to the drawings. In Fig. 1, 1 is a straight bar with about 50 Ti
It uses a shape memory alloy of about 50 at% at%-Ni, has a diameter of 4 mm, a length of 20 cm, and has a scale 2 on the outer periphery.

【0009】図2は矩形棒状体3を構成したもので、C
u−Zn−Alの形状記憶合金を用い、直径6mm、長
さ21cmで、外周に目盛4を設けている。図3は矩形
棒状体5を構成したもので、6は目盛を示し、形状記憶
合金としては、ポリイソプレン系として、トランスポリ
イソプレン(TPI)を用いた。直径4mm、長さ25
cmである。
FIG. 2 shows a configuration of a rectangular rod-shaped body 3, with C
It is made of u-Zn-Al shape memory alloy, has a diameter of 6 mm, a length of 21 cm, and has a scale 4 on its outer periphery. FIG. 3 shows a rectangular rod-shaped body 5, in which 6 indicates a scale, and transpolyisoprene (TPI) is used as a polyisoprene-based shape memory alloy. Diameter 4mm, length 25
cm.

【0010】上記各実施例は、整形部位7(図4参照)
に当接して、Cu系形状記憶合金の場合は非常に柔軟性
があり、且つ塑性力にも富むので、指先やベンディング
用器具によって容易に屈曲したり、術部に合わせてひね
ったりすることにより、整形埋没材の原型が得られる。 この原型に合わせて整形埋没材8を正確に造り、整形部
位7に細いワイヤー9等を用いて装着固定するものであ
る。
[0010] In each of the above embodiments, the orthopedic region 7 (see FIG. 4)
In the case of a Cu-based shape memory alloy, it is extremely flexible and has high plasticity, so it can be easily bent with a fingertip or a bending instrument, or twisted to fit the surgical site. , a prototype of the orthopedic investment material can be obtained. A surgical investment material 8 is precisely made according to this prototype, and is attached and fixed to the surgical site 7 using a thin wire 9 or the like.

【0011】[0011]

【発明の効果】本発明の第1発明では、整形埋没材を造
るための原型を、Ti−Ni系、Cu系又はポリイソプ
レン系の形状記憶合金で型取るようにしたので、術部又
は形成部位に適した直径を有し、直線棒又は矩形棒状体
のものを選び、整形部位に合わせて屈曲したり、ひねっ
たりすることが容易であり、目盛を利用することができ
るので、敏速且つ正確に型取りをすることができる。こ
の原型に沿って実際に整形部位に装着固定する整形埋没
材は上記原型の直径と長さ及び屈曲部に応じて同一のも
のを構成することにより、適切な矯正応力を有する整形
埋没材を提供することができるようになった。前記原型
は使用後、オートクレーブ等により120度程度に加熱
殺菌することにより、原状の形体に復帰し、再度又は何
度でも使用可能であり、高価な金属の有効利用ができ、
患者に対しても短時間で適切な整形埋没材の提供が可能
とされ、手術や矯正に伴う苦痛が大きく緩和される等の
効果を有する。
Effects of the Invention In the first aspect of the present invention, the prototype for making the orthopedic investment material is made of a shape memory alloy such as Ti-Ni, Cu, or polyisoprene. Choose a straight rod or a rectangular rod with a diameter appropriate for the area to be treated, and it can be easily bent or twisted to suit the area to be treated, and a scale can be used, making it quick and accurate. A mold can be made. The orthopedic investment material that is actually attached and fixed to the orthopedic site along this prototype is configured to be the same according to the diameter, length, and bent portion of the above-mentioned prototype, thereby providing a orthopedic investment material that has appropriate corrective stress. Now you can. After use, the prototype can be heated and sterilized at about 120 degrees using an autoclave or the like to restore its original shape and can be used again or any number of times, making it possible to effectively utilize expensive metals.
It is also possible to provide an appropriate orthopedic investment material to the patient in a short time, and has the effect of greatly alleviating the pain associated with surgery and correction.

【0012】第2発明では、整形部位における矯正応力
に適した曲げ応力やひねり応力をもった整形埋没材を直
径の選択及び形状記憶合金の種類の選択によって適切に
行うことができ、使用後オートクレーブ等の加熱によっ
て原型に復帰することができ、高価な金属の再利用化や
従来の金属では得られなかった合成樹脂等の軽量化もで
き、患者の負担軽減に大きく貢献できるようになった。
[0012] In the second invention, it is possible to properly shape the investment material with bending stress and twisting stress suitable for the straightening stress at the orthopedic site by selecting the diameter and the type of shape memory alloy, and it is possible to properly shape the investment material by selecting the diameter and the type of shape memory alloy. The device can be returned to its original shape by heating, making it possible to reuse expensive metals and make lightweight synthetic resins that could not be obtained with conventional metals, greatly contributing to reducing the burden on patients.

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

【図1】  本発明の一実施例を示す直線棒の型取器具
の斜視図
[Fig. 1] A perspective view of a straight rod molding device showing an embodiment of the present invention.

【図2】  他実施例を示す矩形棒状体の斜視図[Figure 2] Perspective view of a rectangular rod-shaped body showing another embodiment

【図3
】  さらに他実施例を示す矩形棒状体の斜視図
[Figure 3
] A perspective view of a rectangular rod-shaped body showing still another embodiment

【図4
】  整形部位に整形埋没材を装着固定した例を示す斜
視図
[Figure 4
] A perspective view showing an example of an orthopedic investment material being attached and fixed to the orthopedic site.

【符号の説明】[Explanation of symbols]

1  直線棒      3、5  矩形棒状体   
   2、4、6  目盛
1 Straight rod 3, 5 Rectangular rod
2, 4, 6 scale

Claims (2)

【特許請求の範囲】[Claims] 【請求項1】  脊椎、後頭骨、頸椎、腰椎その他整形
を必要とする部位に装着固定され、その部位に適正な矯
正応力を与える整形埋没材を型取る際に用いる原型とし
て、Ti−Ni系、Cu系、ポリイソプレン系の形状記
憶合金により、柔軟性のある直径2〜6mm、長さ3〜
40cmの目盛付直線棒、矩形又は長円形棒状体を設け
たことを特徴とする整形埋没材の原型である形状復帰型
の型取器具。
Claim 1: A Ti-Ni based mold is used as a mold for molding an orthopedic investment material that is attached and fixed to the spine, occipital bone, cervical vertebrae, lumbar vertebrae, and other areas that require orthopedic surgery, and provides appropriate correction stress to the area. , Cu-based, polyisoprene-based shape memory alloy, flexible diameter 2 ~ 6 mm, length 3 ~
A shape-returning mold-making device that is a prototype of a shaping investment material, characterized by having a 40 cm graduated linear bar, rectangular or oval bar-shaped body.
【請求項2】  脊椎、後頭骨、頸椎、腰椎その他整形
を必要とする部位に適合するよう変形、弯曲等の塑性変
化を加えて、その部位に矯正応力を与える整形埋没材と
して、Ti−Ni系、Cu系、ポリイソプレン系の形状
記憶合金により、直径2〜6mm、長さ3〜40cmの
直線棒、矩形又は長円形棒状体を用いたことを特徴とす
る形状復帰型の整形埋没材。
2. A Ti-Ni orthopedic investment material that applies plastic changes such as deformation and curvature to adapt to the spine, occipital bone, cervical vertebrae, lumbar vertebrae, and other regions that require orthopedic treatment, and applies corrective stress to the region. A shape-returnable orthopedic investment material characterized by using a straight, rectangular or oval rod-like body with a diameter of 2 to 6 mm and a length of 3 to 40 cm, which is made of a shape memory alloy such as a Cu type, a Cu type, or a polyisoprene type.
JP3004541A 1991-01-18 1991-01-18 A shape-recovering molding tool that is the prototype of orthopedic investment material Expired - Fee Related JPH0669483B2 (en)

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JP3004541A JPH0669483B2 (en) 1991-01-18 1991-01-18 A shape-recovering molding tool that is the prototype of orthopedic investment material

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11576727B2 (en) 2016-03-02 2023-02-14 Nuvasive, Inc. Systems and methods for spinal correction surgical planning

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS60111651A (en) * 1983-10-28 1985-06-18 ウイリアム・プーズ Spinel distortion correcting apparatus
JPH04244149A (en) * 1990-08-07 1992-09-01 Stichting Voor De Technische Wetenschappen Method for correction of spinal scoliosis and set, rod and fixing element therefor

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS60111651A (en) * 1983-10-28 1985-06-18 ウイリアム・プーズ Spinel distortion correcting apparatus
JPH04244149A (en) * 1990-08-07 1992-09-01 Stichting Voor De Technische Wetenschappen Method for correction of spinal scoliosis and set, rod and fixing element therefor

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11576727B2 (en) 2016-03-02 2023-02-14 Nuvasive, Inc. Systems and methods for spinal correction surgical planning
US11903655B2 (en) 2016-03-02 2024-02-20 Nuvasive Inc. Systems and methods for spinal correction surgical planning

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