KR100582768B1 - Insert complement for vertebra - Google Patents

Insert complement for vertebra Download PDF

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Publication number
KR100582768B1
KR100582768B1 KR20030051170A KR20030051170A KR100582768B1 KR 100582768 B1 KR100582768 B1 KR 100582768B1 KR 20030051170 A KR20030051170 A KR 20030051170A KR 20030051170 A KR20030051170 A KR 20030051170A KR 100582768 B1 KR100582768 B1 KR 100582768B1
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South Korea
Prior art keywords
prosthesis
buckling
visible
chamber
inserted
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KR20030051170A
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Korean (ko)
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KR20050012077A (en
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최병관
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최병관
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7062Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
    • A61B17/7065Devices with changeable shape, e.g. collapsible or having retractable arms to aid implantation; Tools therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00557Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable

Abstract

본 발명은 인체의 척추를 구성하는 가시돌기 사이에 삽입하여 고령에서와 같이 퇴행성 변화가 생기게 되면 과다한 운동이 일어나서 요통을 유발하거나 관절염, 신경이 눌려서 생기는 신경통 등을 예방할 수 있도록 한 보철물을 제공하되, 경피적(내시경 같이 관을 통한 시술)으로 시술이 가능한 척추 가시돌기 삽입용 보철물을 제공하여 흉터의 크기를 줄이고 근육 손상방지, 가시돌기 사이에 정상적으로 존재하는 인대를 보존할 수 있도록 한 척추 가시돌기 삽입용 보철물을 제공코자 하는 것이다. The present invention, but provides a prosthesis which allows to prevent such was inserted between the spiny projection constituting the spine of the human body when the degenerative changes causing excessive movement to get up causing low back pain or arthritis, neuralgia, nerve is pressed produced as in old age, percutaneous (procedure through the tube, such as an endoscope), a treatment is for a possible spinal visible projections provide inserted prosthesis to reduce the size of the scar muscle damage prevention, normally present between the visible projections spine visible protrusion is inserted to preserve the ligaments Cozaar is to provide a prosthesis.
이를 위하여 본 발명은 척추 가시돌기 사이에 삽입하여 허리를 뒤로 젖힐 때 운동 폭을 제한할 수 있는 척추 가시돌기 삽입용 보철물(1)을 제공하되, 상기 보철물(1)은 상하 가시돌기(3) 상간에 개재되는 간격유지부(4)와, 상기 간격유지부(4)의 좌우 양단에서 보철물(1)이 이탈하지 않도록 하는 다양한 구조의 버클링(5)으로 구성되고, 상기 간격유지부(4)와 버클링(5)에는 보강재(6)가 선택적으로 형성된 것을 특징으로 한다. To this end, but the present invention is to provide a prosthesis (1) for inserting the spine visible projections to limit the movement range when jeothil waist back was inserted between the vertebrae visible projection, the prosthesis (1) has upper and lower visible projection 3 phase and the holding portion (4) distance interposed, is composed of a buckle ring (5) of different structure to prevent breaking of the prosthesis (1) in both left and right ends of the cavity-holding unit 4, the cavity-holding unit (4) and a buckle ring (5) is characterized in that the reinforcement (6) selectively formed.
척추 가시돌기 삽입용 보철물, 간격유지부, 버클링, 튜브체, 챔버 Spinal prosthesis visible projections, maintaining gaps for insertion, buckling, the tube body, the chamber

Description

척추 가시돌기 삽입용 보철물{Insert complement for vertebra} Spinal prosthesis visible projections {Insert complement for vertebra} for insertion

도 1은 본 발명의 일실시예를 보인 보철물 장착 상태의 정면도 1 is a front view of the prosthesis fitted state showing an embodiment of the present invention

도 2는 본 발명의 일실시예를 보인 보철물 장착 상태의 단면도 2 is a cross-sectional view of the prosthesis fitted state showing an embodiment of the present invention

도 3은 본 발명의 보철물의 기능 및 작용원리를 설명키 위한 개략도 Figure 3 is a schematic diagram for the function and operation principle of the present invention, the prosthesis described key

도 3a는 본 발명의 보철물 중 간격유지부의 다른 실시예를 보인 단면도 Figure 3a is a sectional view showing another embodiment of the cavity-holding portion of the prosthesis of the present invention

도 4a,4b,4c는 본 발명에서 제공하는 보철물의 다양한 형상 변경예를 보인 단면도 Figure 4a, 4b, 4c are cross-sectional views showing various shapes alternative embodiment of the prosthesis provided by the present invention

도 5a,5b,5c는 본 발명에서 제공하는 보철물에 형성되는 보강재의 다양한 변 Figure 5a, 5b, 5c have different sides of the reinforcing material formed in the prosthesis provided by the present invention

경 실시예를 보인 단면도 Cross-sectional view showing a light Example

도 6a,6b는 본 발명에서 제공하는 보철물에 있어서 좌우단부에 형성되는 버 Figure 6a, 6b is a member formed in the left and right ends in the prosthesis provided by the present invention

클링을 튜브체로 구성할 경우를 예시한 단면도 A cross-sectional view illustrating a case configuring the body tube Kling

도 7은 본 발명에서 제공하는 보철물에 있어서 좌우 단부에 형성되는 버클링 7 is a buckling formed on left and right ends in the prosthesis provided by the present invention

을 튜브체로 구성하여 캡슐을 적용하는 경우를 예시한 단면도 One an example a case in which the body tube configured to apply the capsule cross-section

도 8은 본 발명에서 제공하는 보철물에 있어서 좌우 단부에 형성되는 버클링 8 is buckling to be formed to the right and left ends in the prosthesis provided by the present invention

을 튜브체로 구성하여 격벽을 적용하는 경우를 예시한 단면도 One an example a case in which the body tube configured to apply the partition wall cross-sectional view

도 9는 본 발명에서 제공하는 보철물에 있어서 좌우 단부에 형성되는 버클링 Buckle 9 is formed on the left and right ends in the prosthesis provided by the present invention, ring

을 외부 주입식 튜브체로 구성한 경우를 예시한 단면도 A cross-sectional view illustrating a case body configured outside injection tube

도 10a,10b는 본 발명에서 제공하는 보철물에 있어서 좌우 단부에 형성되는 Figure 10a, 10b are formed on left and right ends in the prosthesis provided by the present invention

버클링을 코일스프링을 사용하는 경우를 예시한 단면도 Cross-sectional view illustrating a case in which a buckling using the coil spring

도 11a,11b는 본 발명에서 제공하는 보철물에 있어서 좌우 단부에 형성되는 Figure 11a, 11b are formed on left and right ends in the prosthesis provided by the present invention

버클링을 방사형의 탄성체로 구성한 경우를 예시한 정면도 및 측면도 Front view illustrating a case configured to buckling of an elastic body in a radial view and a side view

도 11c는 본 발명에서 제공하는 방사형의 탄성체의 버클링을 시술하는 과정 Figure 11c is a process of treatment for buckling of the radially elastic member provided in the present invention

을 보인 단면도 Sectional view showing the

도 12a,12b는 본 발명에서 제공하는 보철물에 있어서 좌우 단부에 형성되는 Figure 12a, 12b are formed on left and right ends in the prosthesis provided by the present invention

버클링을 스파이럴 스프링형의 탄성체로 구성한 경우를 예시한 정면 Front view illustrating a case configured to buckling of an elastic body of the spiral spring type

도 및 측면도 View and a side view

도 13a,13b는 본 발명에서 제공하는 보철물에 있어서 좌우 단부에 형성되는 Figure 13a, 13b are formed on left and right ends in the prosthesis provided by the present invention

버클링을 끼움걸림식으로 조립하여 전개시킬 수 있도록 한 경우를 보 If the beam a to the buckling can be developed by assembling a fitting engagement formula

인 분해상태 정면도 및 조립상태 확대 단면도 An exploded front view and an enlarged cross-sectional view the assembled state

도 14a,14b는 본 발명에서 제공하는 보철물에 있어서 좌우 단부에 형성되는 Figure 14a, 14b are formed on left and right ends in the prosthesis provided by the present invention

버클링을 나사식으로 조립하여 전개시킬 수 있도록 한 경우를 보인 Assembling the buckling in a case where threaded seen to be able to deploy

분해상태 단면도 및 조립상태 정면도 Exploded and assembled cross-sectional view front view

도 15a,15b는 본 발명에서 제공하는 보철물에 있어서 좌우 단부에 형성되는 Figure 15a, 15b are formed on left and right ends in the prosthesis provided by the present invention

버클링을 타원형으로 형성한 경우를 보인 고정 전과 고정 후의 측면 Fixed side before and after fixing showing a case in which a buckling elliptically

Degree

도 16a 내지 16f는 본 발명의 다양한 버클링 구조를 가진 보철물을 척추의 Figures 16a to 16f are of a spinal prosthesis having a variety of buckling structure of the present invention

가시돌기 사이에 시술하는 과정을 보인 단면도 Cross-sectional view showing the step of the procedure between the visible projections

■ 도면의 주요부분에 사용된 부호의 설명 ■ ■ Description of the code used in the main part of the figure ■

1: 보철물 2: 척추 1: prosthesis 2: Spine

3: 가시돌기 4: 간격유지부 3: Visible projections 4: cavity-holding portion

4a: 챔버 5: 버클링 4a: the chamber 5: buckling

5a: 결합공 6: 보강재 5a: a coupling hole 6: Reinforcement

7: 튜브체 8: 챔버 7: cylinder sheet 8: chamber

9: 연통공 10: 캡슐 9: communication hole 10: Capsules

11: 격벽 12: 유입관 11: partition wall 12: inlet pipe

13: 원웨이밸브 14: 코일스프링 13: one-way valve 14: Coil spring

15: 탄성체 16: 시술관 15: elastic member 16: treatment tube

17: 결합공 18: 숫나사 17: engaging hole 18: male thread

19: 연결간 19a: 걸림턱 19: connection between 19a: engaging shoulder

20: 너트 21: 바늘 20: Nut 21: needles

22: 철사 23: 절개확장기 22: wire 23: the expander section

본 발명의 척추 가시돌기 삽입용 보철물에 관한 것으로서, 더욱 상세히는 인체의 척추를 구성하는 가시돌기 사이에 삽입하여 고령에서와 같이 퇴행성 변화가 생기게 되면 과다한 운동이 일어나서 요통을 유발하거나 관절염, 신경이 눌려서 생기는 신경통 등을 예방할 수 있도록 한 보철물을 제공하되, 경피적으로(여는 수술이 아닌 내시경처럼 좁은 관을 이용해서 하는) 삽입 시술이 가능한 척추 가시돌기 삽입용 보철물을 제공하여 시술 후 흉터의 크기를 줄이고 근육 손상방지, 가시돌기 사이에 정상적으로 존재하는 인대를 보존할 수 있도록 한 척추 가시돌기 삽입용 보철물을 제공코자 하는 것이다. Relates to a prosthesis for spinal visible protrusion is inserted according to the present invention, more particularly when was inserted between the spiny projection constituting the spine of the human body causing degenerative changes, such as the elderly, excessive exercise gets up causing low back pain or arthritis, nerve is pressed but provides a prosthesis which allows to prevent the generated neuralgia, etc., percutaneously provide insertion procedure is possible spine visible protrusion is inserted prosthesis (opening for using a narrow tube, as a non-surgical endoscope) to reduce the size after the treatment scar muscle It is one which wishes to provide a spinal prosthesis visible protrusion is inserted to preserve the ligaments that normally present between the anti-damage, visible protrusions.

통상 인체의 척추는 각 분절이 허리를 굽히고 펼 때 운동이 일어나게 된다. The spine of the human body is usually happen when the movement of each segment pliers bend at the waist.

이러한 운동은 건강한 척추에서는 제한된 범위 내에서 일어나지만, 고령에서와 같이 퇴행성 변화가 생기게 되면 과다한 운동이 일어나서 요통을 유발하거나 관절염, 신경이 눌려서 생기는 신경통 등이 일어날 수 있다. This exercise is the only healthy spine occur within a limited range, can occur when the degenerative changes, such as the elderly causing excessive movement rose up causing back pain or arthritis, neuralgia nerve is squeezed it occurs.

이러한 증상을 예방하기 위하여 척추 가시돌기에 장착하여 운동을 제한하는 보철물은 기존에도 알려진 바 있으나, Prosthesis that restricts motion attached to the spine spiny protrusions to prevent these symptoms are known, but also the existing bar,

이는 환부를 모두 열어 보철물을 삽입토록 함으로써, 수술 후 흉터가 크게 남고, 수술 중 근육손상 등이 발생하는 경우가 있어 이를 해결할 수 있는 보철물의 개발이 절실했던 것이다. This ever opened by both the wound inserting the prosthesis, surgical scars remain significantly later, there are cases where the muscle damage occurs during surgery is that the development of prostheses that can solve it urgently.

이에 본 발명에서는 상기한 바와 같이 기존에 사용하는 보철물이 환부를 모두 열어 수술함으로써 발생하는 제반 문제점을 일소할 수 있는 척추 가시돌기 삽입용 보철물을 제공코자 하는 것으로써, Therefore, this invention wishes to write that provides traditional prosthetic spinal prosthesis visible protrusion is inserted in the various problems arising from the operation to open all of the switching can be used to sweep as described above,

본 발명은 특히 환부를 다 열지 않고 부분적인 절개로 관을 넣어서 시술할 수 있는 척추 가시돌기 삽입용 보철물을 제공하여 흉터의 크기를 줄이고 근육의 손상을 방지하며 가시돌기 사이에 정상적으로 존재하는 인대를 보존할 수 있는 척추 가시돌기 삽입용 보철물을 제공함에 발명의 기술적 과제를 두고 본 발명을 완성한 것이다. The invention particularly provides a spine visible protrusion is inserted prosthesis to the procedure by inserting a tube in partial section, without opening the lesions to reduce the size of the scar prevent damage to the muscle and preserve the ligaments that normally present between the visible projections to complete the present invention with the technical problem of the invention to provide a prosthesis for inserting spinal projection visible to.

본 발명에서 제공하는 다양한 구성을 갖는 보철물(1)은 환자의 척추 가시돌기(3) 상간에 시술할 경우는 도 16a 내지 도 16f에서 보는 바와 같이 순차적인 시술과정을 시술하게 되는 것이다. Prosthesis 1 having a variety of configurations provided by the present invention if the treatment of the spine visible phase projection 3 of the patient will be to treatment with sequential treatment process, as shown in Figure 16a to Figure 16f.

즉, 환자를 엎드리게 한 후 긴 바늘(21)을 시술할 가시돌기(3) 사이에 밀어 넣고, 바늘(21)안으로 긴 철사(22)를 넣어서 유지시킨 후, 바늘(21)을 분리한다. That is, after the patient eopdeurige Slide between the visible projection 3 to the procedure a long needle 21, needle 21 was maintained by placing a long wire (22) inside, and separate the needle 21. 상기 철사(22)를 따라 절개확장기(dilator; 23)를 넣어서 시술할 공간을 확보한다. To make room for inserting the treatment; (dilator 23) cut expander along the wire (22).

절개확장기(23)를 빼고 동일한 정도의 두께를 가진 시술관(16)을 밀어 넣고 철사(22)를 분리한다. Remove the expander section (23), slide the treatment pipe 16 with a thickness on the same order to separate the wire 22. 그리고 본 발명의 다양한 보철물(1)을 가시돌기(3) 상에 밀어 넣어서 버클링(5)으로 이탈이 되지 않도록 고정하면 되는 것이다. And will be pushed when inserting the various prostheses (1) of the present invention on a spiny projection 3 fixed so as not to release the buckling 5.

위와 같은 시술방법을 통하여 척추 가시돌기에 삽입 시술되는 본 발명의 다양한 보철물(1)에 대하여 이하에 보다 상세히 설명키로 한다. Through the above treatment methods and key described in more detail below with respect to a variety of prosthesis 1 of the present invention to be inserted in the spine procedures visible protrusions.

도 1은 본 발명에서 제공하는 척추 가시돌기 삽입용 보철물(1)의 일실시예가 적용된 척추부위의 정면도이며, 도 2는 이의 측단면도 등으로서, 이들 도면과 함께 본 발명을 상세히 설명하면 다음과 같다. Figure 1 will be described as including one embodiment is an example front view of the spine has been applied, Figure 2 is its side cross-sectional view of spine visible protrusion is inserted prosthesis (1) provided by the present invention, in detail the invention with the drawings as follows .

본 발명의 보철물(1)은 시술자의 환부를 모두 절개하지 않고 일부만 절개하여 시술토록 한 보철물(1)을 제공함에 특징이 있는 것으로서, 이를 위하여 본 발명은 척추(2)의 가시돌기(3) 사이에 삽입되어 허리를 뒤로 젖히는 운동이 일어날 때 운동 폭을 제한하게 된다. As with the prosthesis (1) of the present invention it is characterized in providing a prosthesis (1) ever treatment to only a portion cut without cutting all the affected part of the operator, the invention to this, between the visible projection 3 of the spine (2) It is inserted into thus limiting the motion range when the place is jeothineun back waist movement.

즉, 가시돌기(3) 사이에 삽입되어 상하 가시돌기(3)의 거리가 좁아지는 것을 막아줄 수 있도록 탄성재(고무재, 실리콘 등) 내지는 강성이 있는 소재(합성수지재 등)로 이루어지는 간격유지부(4)와, 상기 간격유지부(4)가 가시돌기(3) 상에 개재되었을 시에 빠지지 않도록 양단에는 버클링(5)이 형성된 보철물(1)로 이루어진다. That is, the visible projection 3 spacers made of a material (synthetic resin, etc.) with rigidity naejineun elastic material (rubber material, silicon or the like) to give prevent the distance is narrowing of the inserted above and below the visible projection 3 between comprises a portion (4) and the cavity-holding unit (4) is visible projection 3 prosthesis (1) at both ends not fall when there is formed a buckle ring 5 is disposed on.

상기 간격유지부(4)는 도 3a에서 보는 바와 같이 완충력을 증대시키기 위하여 챔버(4a)를 형성하여 기체나 액체 등을 내입할 수도 있다. The interval holding unit 4 may intergranular the gas or liquid such as to form a chamber (4a) in order to increase the buffer capacity, as shown in Figure 3a.

그리고 상기한 버클링(5)의 형상은 도 3과 같이 가시돌기(3) 사이를 유연성을 가지고 있어서 약간의 힘에 의해 밀려들어간 후 다시 빠지지 않도록 걸리게 한 것이 특징이며, 버클링(5)의 모양은 도 4a 내지 도 4c에서 보는 바와 같이 산형이나 구형 등 다양한 형상으로 변경 실시할 수 있음은 물론이다. And the shape of the visible projection 3 in between a flexible and is characterized by a take not fall again to enter pushed by a slight force, buckling 5, as to the shape of the above-described buckling 5 is 3 It is can be carried out changed in various shapes, such as mountain-shaped or spherical, as shown in Figures 4a to 4c. FIG.

그리고 보철물(1)의 재료가 탄력이 큰 고무재 등으로 만들어 질 경우는 시술 을 위한 조작 시 물렁물렁해서 조절을 할 수 없는 문제가 생길 수 있으므로 버클링(5) 구조를 강화하거나 탄력을 증가시키기 위해서 도 5a 내지 도 5c와 같이 탄성이 상이한 보강재(6)를 간격유지부(4)와 버클링(5) 내부에 횡으로 형성하거나, 버클링(5)의 단부에만 형성하는 것도 가능하고, 그리고 간격유지부(4)와 버클링(5) 단부에 동시에 형성할 수도 있는 것이다. And when made as a material, the large rubber material elasticity, etc. of the prosthesis (1) to it softens during operation softens for treatment as this may result in a problem that can not be controlled enhance buckling 5 structure or to increase the elasticity to Figure 5a-interval the different reinforcement (6) elastically as 5c holding portion 4 and the buckling 5, or formed in a lateral therein, can be formed only on the ends of the buckling (5), and the spacing is in section 4 and to form a buckle ring (5) ends at the same time.

한편, 상기 버클링(5)은 도 6a, 6b에서와 같이 시술과 동시에 팽창하여 좀 더 확실한 고정효과를 얻을 수 있도록 할 수도 있다. On the other hand, the buckling 5 may be so as to obtain a more secure fixing effect to Figure 6a, at the same time as swelling treatment, as shown in 6b.

즉, 보철물(1)을 구성하는 버클링(5)의 보강재(6) 외부에 신축 가능한 튜브체(7)를 형성하여, 상기 튜브체(7)가 형성하는 내부 챔버(8)에 끓는점이 인체 보다 낮은 액체, 예를 들면 에틸에테르(ethyl ether)를 내입한다. That is, to form a prosthesis (1) buckling 5 of the reinforcement (6) extendable tube body 7 to the outside to configure, boiling in the inner chamber (8) formed with the tube body 7 Human a lower liquid, for example, intergranular ethyl ether (ethyl ether).

상기 에틸에테르는 끓는점이 34°로 시술 전에는 냉장고에 보관하였다가 시술을 할 시에 꺼내서 인체에 삽입하게 되면 시술이 끝나면서 체온에 의해 데워진 에틸에테르는 기체로 바뀌게 되고, 기체로 부풀어 오른 양끝 버클링(5)은 보다 견고하게 보철물(1)의 이탈을 방지할 수 있는 것이다. The ethyl ether is boiling when before treatment to 34 ° taken out at the time were stored in a refrigerator to a procedure to insert the human body ending the procedure ether warmed by the body temperature is changed by gas, swollen at both ends buckling by gas ( 5) is capable of preventing the separation of the more robust the prosthesis (1).

이러한 튜브체(7) 내부에 챔버(8)를 갖는 버클링(5)은 또 다른 실시예로 도 7에서 보는 바와 같이 좌우 버클링(5)에 형성된 챔버(8)를 간격유지부(4)상으로 형성된 연통공(9)을 형성하여 상호 연통구성하고, 일측 챔버(8) 내부에 압력을 가하면 팽창하여 터질 수 있는 캡슐(10)을 투입한다. This tube body 7 held buckling (5) having a chamber (8) inside the separation chamber (8) formed on the right and left buckle ring 5, as shown in 7 as a still further embodiment part 4 configuration mutual communication by forming the communication hole 9 is formed in the, and put into a capsule (10) that can burst the expansion pressure on the inner side chamber 8.

그리고 챔버(8)와 캡슐(10)에는 각각 화학반응하여 기체를 발생시킬 수 있는 내용물(재료A+재료B=반응물C+반응물D)을 각각 투입, 밀봉토록 하여 시술 후 캡슐(10)에 압력을 가하여 터트리면 각각 다른 내용물이 혼합되면서 화학반응하여 기체를 발생시켜 튜브체(7)를 팽창시킬 수 있도록 한 것이다. And chamber 8 and the capsule 10, was added to each and then with ever chemical reaction by introducing each of the contents (material A + material B = reaction C + reagent D) capable of generating a gas, the sealing treatment pressure in the capsule (10) teoteurimyeon to one so as to inflate the tube body 7, respectively as the other contents are mixed to the chemical reaction generates a gas. 상기 챔버(8)내의 캡슐(10)은 연통공(9)으로 좌우 챔버(8)를 연통시키지 않고 독립적인 좌우 챔버(8)로 형성하여 각각의 챔버(8)에 캡슐(10)을 별도 투입할 수도 있는 것이다. The capsule 10 in the chamber 8 is put separate the capsule 10 in each chamber 8, to form a communication hole 9 by without communicating the left and right chambers (8) independent of the right and left chamber 8 which also it will be.

또한 이러한 캡슐(10)을 사용치 않고 도 8에서 보는 바와 같이 일측의 챔버(8)를 격벽(11)으로 구분 형성하여 가시돌기(3) 사이에 삽입시술 후 압력을 가하면 상기 격벽(11)이 파열되면서 각 챔버(8)상에 수납된 내용물이 상호 혼합되면서 화학반응하면서 기체를 발생시켜 튜브체(7)를 팽창시킬 수 있도록 하는 것도 가능하다. In addition, the partition 11 separated form the chamber 8 at one side by the partition wall (11) When the insertion procedure after a pressure between the visible projection 3 as shown in Figure 8 without using such a capsule (10) as the burst as received in the respective chambers 8, while the contents mixed by mutual chemical reaction generates a gas it is also possible to so as to inflate the tube body 7.

상기 격벽(11)의 위치는 투입되는 내용물에 따라 위치는 가변설치할 수 있으며, 이러한 격벽(11) 역시 각각의 챔버(8)에 별도로 형성할 수 있는 것임은 물론이다. Position of the partition 11 is located, depending on which input contents can be installed adjustable, it will in this partition 11 also can be formed separately in each chamber 8, as a matter of course.

그리고 본 발명은 도 9와 같이 좌우 챔버(8)로 내용물(기체, 액체 또는 레진 등)을 주입시킬 수 있도록 유입관(12)을 형성하고, 상기 유입관(12)의 유입단부에는 원웨이밸브(13)를 설치하여 내용물이 유입만 되고, 유입된 내용물은 빠져나오지 않도록 구성할 수도 있는 것이다. And the present invention is 9 set includes left and right chamber 8 as shown in (a gas, a liquid or a resin and so on) to form an inlet pipe 12 so as to inject, and has the inlet end of the inlet pipe 12, the one-way valve 13 by installing the contents are only the inlet, the inlet contents will, which may be configured to get out.

또한 도 10a에서 보는 바와 같이 챔버(8) 내부에 코일스프링(14)을 내장시켜 관에서 방출된 직후 코일스프링(14)의 복원탄성에 의하여 챔버(8)가 확장되면서 버클링(5)을 형성토록 하거나, 도 10b와 같이 챔버(8)없이 간격유지구(4)의 좌우 양단에 코일스프링(14)의 일단을 고정시켜 상기 코일스프링(14)에 의한 버클링(5)이 구성될 수 있도록 하는 것도 가능하다. Also form a buckle ring 5, as expansion chamber (8) by the restoring elasticity of the immediately after the coil spring 14 is released from the tube to embed the coil spring 14 in the chamber 8, as shown in Figure 10a ever, or, as shown in FIG. 10b is secured one end of the coil spring 14 to the left and right ends of the spacing holder (4) without chamber 8 so that a buckling (5) by the coil spring 14 can be arranged it is possible that.

그리고 상기 챔버(8) 내부에는 삼투압이 높게 유지되는 내용물을 투입하여 시술 후 주위로부터 수분을 흡수에서 튜브체(7)가 팽창되도록 하는 방법도 적용할 수 있는 것이다. And which method is such that the tube body 7 expands in absorbing moisture from the environment after treatment with the osmotic pressure inside the chamber (8) In the contents to be highly maintained also possible.

도 11a,11b,11c는 본 발명의 또 다른 실시예를 보인 것으로서, 이는 보철물(1)의 버클링(5)을 방사상으로 분할 형성되는 수개의 탄성체(15)로 구성하여 시술관(16) 내부에서 빠져나가면 탄성체(15)의 버클링(5)이 자체 탄성에 의해 전개되면서 가시돌기(3) 사이에서 이탈되지 않도록 하는 경우를 나타낸 것이다. As Fig. 11a, 11b, 11c is shown a further embodiment of the invention, which is internal to consist of several elastic body (15) is radially split to form a treatment pipe 16 a buckle ring (5) of the prosthesis (1) buckling 5 of the exits from the elastic member 15 is expanded by its elasticity while shows the case of not being separated between the visible projection 3.

도 12a,12b는 상기 버클링(5)을 구성하는 탄성체(15)를 스파이럴 스프링 타입으로 형성한 다른 실시예를 보인 것이며, 역시 시술관(16) 내부에서 빠져나가면 탄성체(15)로 이루어진 버클링(5)이 자체 탄성에 의해 전개되면서 가시돌기(3) 사이에서 이탈되지 않도록 하는 경우를 나타낸 것이다. Figure 12a, 12b will showing the embodiment the buckle ring 5 forming the elastic body 15 is a spiral spring type constituting another example, also exits the inner treatment pipe 16 buckling made of an elastic body (15) while (5) is deployed by its self-elasticity shows the case of not being separated between the visible projection 3.

그리고 도 13a,13b는 보철물(1)을 구성하는 간격유지구(4)상에 결합공(17)을 관통되게 형성하며, 시술관(16)내에서 굽혀져 있는 버클링(5) 구조를 마치 우산 펴듯이 수술 중 밀어서 전개시키도록 한 것인 바, 이는 일측에 수개의 걸림턱(19a)을 갖는 연결간(19) 타단부에 버클링(5)을 형성하고, 상기 걸림턱(19a)이 형성된 연결간(19)을 간격유지구(4)상에 형성된 결합공(17)상으로 결합시킨 후 개별 형성된 버클링(5) 중앙에 형성된 결합공(5a)을 끼우면 결합공(5a) 단부가 걸림턱(19a)에 강제걸림되면서 버클링(5)이 전개되도록 한 것이다. And Figure 13a, 13b is a buckling 5 structure bent in the form presented through the fitting hole 17 on the cavity-holding opening (4) constituting the prosthesis (1), and the procedure pipe 16 as if the umbrella to one so as to straighten, as developed by sliding of the operation bar, which is the connection between the (19) having a number of pawls (19a) on one side of the other end forms a buckle ring (5), said engaging shoulder (19a) is after the coupling connections between 19 is formed in the coupling hole 17 formed on the cavity-holding opening (4) engaging hole (5a) inserted, the engaging hole (5a) formed in the center each formed buckling 5 end as the force engaging the locking step (19a) is such that a buckling (5) is deployed.

도 14a,14b는 보철물(1)을 구성하는 간격유지구(4)상에 결합공(17)을 관통되 게 형성하여 일측에 숫나사(18)를 가진 연결간(19) 타단부에 버클링(5)을 형성하고, 상기 숫나사(18)가 형성된 연결간(19)을 결합공(17)상으로 결합시킨 후 개별 형성된 버클링(5) 중앙에 형성된 결합공(5a)을 끼운 후 너트(20)로 나사결합토록하여, 너트(20)가 숫나사(18)에 나사조임될 때 버클링(5)이 전개되도록 한 것이다. Figure 14a, 14b is the cavity-holding port 4 buckling for the connection between 19 the other end with a male thread (18) on one side is formed to be passing through the coupling hole (17) on a constituting the prosthesis (1) ( 5) the formation, by inserting the engaging hole (5a) formed in the center the male thread (individual formed buckling 5 after 18) is coupled to connections between 19 is formed in the coupling hole (17) the nut (20 ) to be one so that to ever screwed nut 20, the buckling (5) is deployed when screwing the male thread (18).

도 15a,15b는 보철물(1)의 버클링(5)을 럭비공과 같이 타원형으로 형성하여 가시돌기(3) 상간에 투입한 후 약 90°회전시키면 버클링(5)이 이탈되지 않도록 구성한 경우를 나타낸 것이다. Figure 15a, 15b is the case then added to buckling (5) of the prosthesis (1) to phase the visible projection 3 is formed into an oval like a rugby ball and when about 90 ° rotation is configured to prevent buckling (5) being separated shows.

이상에서 상세히 살펴 본 바와 같이 본 발명에서 제공하는 척추 가시돌기 삽입용 보철물(1)은 척추의 가시돌기 사이에 시술하여 척추가 과도하게 젖혀지는 것을 막아주는 것으로서, SUMMARY spine visible protrusion is inserted prosthesis (1) provided by the present invention as described in detail at present at least is for preventing from being turned over to the spine by transient treatment of the spine between the visible projections,

본 발명은 특히 보철물(1)을 시술 할 시에 환부를 다 열지 않고 경피적으로 시술을 할 수 있어 시술 후 흉터의 크기를 최소화할 수 있고, 근육의 손상방지 및 가시돌기 사이에 정상적으로 존재하는 인대를 보존할 수 있는 등 그 기대되는 효과가 다대한 발명이다. The present invention is a ligament which normally present between the particular prosthesis (1) it is possible to minimize the size of the scar after the procedure can be a procedure percutaneously without opening it to the affected area at the time of providing medical care to prevent damage to the muscle and visible projections that the expected effects can be preserved for a multi invention.

Claims (16)

  1. 척추 가시돌기 사이에 삽입하여 허리를 뒤로 젖힐 때 운동 폭을 제한할 수 있는 척추 가시돌기 삽입용 보철물(1)을 구성함에 있어서; As visible in the spine was inserted between the protrusions constituting the spine visible projection prosthesis (1) for insertion to limit the motion range when jeothil the back waist;
    상기 보철물(1)은 상하 가시돌기(3) 상간에 개재되는 간격유지부(4)와, 상기 간격유지부(4)의 좌우 양단에서 보철물(1)이 이탈하지 않도록 하는 버클링(5)으로 구성되고, With the prosthesis (1) has upper and lower visible projection 3 and the holding part (4) distance interposed between phases, buckling (5) to prevent breaking of the prosthesis (1) in both left and right ends of the cavity-holding unit (4) is configured,
    상기 간격유지부(4)와 버클링(5)에는 보강재(6)가 선택적으로 형성된 것을 특징으로 하는 척추 가시돌기 삽입용 보철물. The cavity-holding portion 4 and the buckling 5 is provided with reinforcements (6) is inserted into the spine visible projection prosthesis, characterized in that selectively formed.
  2. 제 1 항에 있어서; According to claim 1;
    상기 버클링(5)은 보강재(6) 외부에 신축 가능한 튜브체(7)로 챔버(8)를 구성한 것을 특징으로 하는 척추 가시돌기 삽입용 보철물. The buckling 5 has reinforcement (6) spine visible protrusion is inserted prosthesis, characterized in that configuring the chamber 8 in the extendable tube body 7 to the outside.
  3. 제 1 항에 있어서; According to claim 1;
    상기 버클링(5)은 보강재(6) 외부에 신축 가능한 튜브체(7)로 챔버(8)를 구성하고, 상기 좌우의 챔버(8)는 간격유지부(4)상으로 형성된 연통공(9)으로 상호 연통시키며, 일측 챔버(8)에는 압력을 가할 시 팽창하여 터질 수 있는 캡슐(10)을 투입한 것을 특징으로 하는 척추 가시돌기 삽입용 보철물. The buckling 5 has reinforcement 6, the communication hole (9 constituting the extendable tube body chamber 8 to 7 to the outside, and the chamber 8 of the left and right is formed in the cavity-holding unit (4) ) in a mutually communicating sikimyeo, side chamber 8 is the spine visible protrusion is inserted prosthesis, characterized in that the input of the capsule 10 that may burst upon swelling to apply pressure.
  4. 제 1 항에 있어서; According to claim 1;
    상기 버클링(5)은 보강재(6) 외부에 신축 가능한 튜브체(7)로 챔버(8)를 구성하고, 상기 좌우의 챔버(8)에는 각각 압력을 가할 시 팽창하여 터질 수 있는 캡슐(10)을 투입한 것을 특징으로 하는 척추 가시돌기 삽입용 보철물. The buckling (5), the capsule (10 which can go off by expansion when applied to each pressure chamber (8) constituting the chamber (8) in the extendable tube body 7 to the external reinforcement (6), wherein the left and right ) vertebral prosthesis visible protrusion is inserted, characterized in that the input.
  5. 제 1 항에 있어서; According to claim 1;
    상기 버클링(5)은 보강재(6) 외부에 신축 가능한 튜브체(7)로 챔버(8)를 구성하고, 상기 좌우의 챔버(8)는 간격유지부(4)상으로 형성된 연통공(9)으로 상호 연통시키며, 일측 챔버(8)에는 격벽(11)을 형성하여 챔버(8)를 구분토록 한 것을 특징으로 하는 척추 가시돌기 삽입용 보철물. The buckling 5 has reinforcement 6, the communication hole (9 constituting the extendable tube body chamber 8 to 7 to the outside, and the chamber 8 of the left and right is formed in the cavity-holding unit (4) ) to each other sikimyeo communicating, side chamber 8 is the spine visible protrusion is inserted prosthesis, it characterized in that the ever separated chamber (8) to form a partition wall (11).
  6. 제 1 항에 있어서; According to claim 1;
    상기 버클링(5)은 보강재(6) 외부에 신축 가능한 튜브체(7)로 챔버(8)를 구성하고, 상기 좌우의 챔버(8)에는 격벽(11)을 형성하여 챔버(8)를 구분토록 한 것을 특징으로 하는 척추 가시돌기 삽입용 보철물. The buckling 5 has reinforcement (6) separate the extendable tube body 7 constituting the chamber (8) to, and a chamber (8) partition 11 chamber 8 to form the right and left outside spine visible protrusion is inserted prosthesis, characterized in that ever.
  7. 제 1 항에 있어서; According to claim 1;
    상기 버클링(5)은 보강재(6) 외부에 신축 가능한 튜브체(7)로 챔버(8)를 구성하고, 상기 좌우의 챔버(8)에는 유입관(12)을 형성하고, 상기 유입관(12)의 유입단부에는 원웨이밸브(13)를 설치한 것을 특징으로 하는 척추 가시돌기 삽입용 보철물. The buckling 5 has reinforcement (6) extendable tube body 7 constituting the chamber (8) to, and form an inlet pipe 12 is provided with a chamber 8 of the right and left, and the inlet pipe to the outside ( 12) inlet end, the original spine visible protrusion is inserted prosthesis, it characterized in that a-way valve 13 in the.
  8. 제 1 항에 있어서; According to claim 1;
    상기 버클링(5)은 보강재(6) 외부에 신축 가능한 튜브체(7)로 챔버(8)를 구성하고, 상기 좌우의 챔버(8)에는 코일스프링(14)을 내장한 것을 특징으로 하는 척추 가시돌기 삽입용 보철물. The buckling 5 is vertebrae, characterized in that configuring the chamber 8 in the extendable tube body 7 to the external reinforcement (6) and, in the built-in coil spring (14) chamber 8 of the left and right visible projections prosthesis insertion.
  9. 제 1 항에 있어서; According to claim 1;
    상기 버클링(5)은 간격유지구(4) 양단부에 코일스프링(14)의 일단을 고정한 것을 특징으로 하는 척추 가시돌기 삽입용 보철물. The buckling 5 is the cavity-holding port 4 spine visible protrusion is inserted prosthesis, characterized in that fixed to one end of the coil spring 14 to both ends.
  10. 제 1 항에 있어서; According to claim 1;
    상기 버클링(5)은 보강재(6) 외부에 신축 가능한 튜브체(7)로 챔버(8)를 구성하고, 상기 좌우의 챔버(8)에는 삼투압이 높게 유지되는 내용물을 투입하여 시술 후 주위로부터 수분을 흡수에서 튜브체(7)가 팽창되도록 한 것을 특징으로 하는 척추 가시돌기 삽입용 보철물. The buckling (5) from the environment after charged into the contents consisting of a chamber 8 in the extendable tube body 7 to the external reinforcement (6), and the high osmotic pressure maintained, the chamber 8 of the left and right treatment from absorbing moisture cylinder sheet spine visible protrusion is inserted prosthesis, characterized in that to (7) is expanded.
  11. 제 1 항에 있어서; According to claim 1;
    상기 버클링(5)은 방사상으로 분할 형성되는 수개의 탄성체(15)로 구성하여 시술관(16) 내부에서 빠져나가면 탄성체(15)의 버클링(5)이 자체 탄성에 의해 전개되면서 가시돌기(3) 사이에서 이탈되지 않도록 한 것을 특징으로 하는 척추 가시돌기 삽입용 보철물. Visible projections as the buckling (5) is constituted by several elastic body (15) is radially split to form a treatment pipe 16 exits the internal buckling 5 of the elastic body 15 is deployed by its self-elasticity ( 3) vertebral prosthesis for insertion spiny projection, characterized in that to avoid leaving between.
  12. 제 1 항에 있어서; According to claim 1;
    상기 버클링(5)은 스파이럴 스프링 타입으로 형성되는 탄성체(15)로 구성하여 시술관(16) 내부에서 빠져나가면 탄성체(15)의 버클링(5)이 자체 탄성에 의해 전개되면서 가시돌기(3) 사이에서 이탈되지 않도록 한 것을 특징으로 하는 척추 가시돌기 삽입용 보철물. As the buckling 5 is buckling 5 of the treatment tube (16) exits the inner elastic member 15 is composed of an elastic body 15 formed in a spiral spring type is deployed by its self-elasticity visible projections (3 ) vertebral prosthesis visible protrusion is inserted, characterized in that to avoid leaving between.
  13. 제 1 항에 있어서; According to claim 1;
    상기 간격유지구(4)상에 결합공(17)을 관통되게 형성하여 일측에는 수개의 걸림턱(19a)을 가진 연결간(19) 타단부에 버클링(5)을 형성하고, Forming a buckling (5) to the cavity-holding opening (4) connected between the (19) with a number of pawls (19a) on one side has to be formed through the coupling hole 17, the other end,
    상기 걸림턱(19a)이 형성된 연결간(19)을 결합공(17)상으로 결합시킨 후 개별 형성된 버클링(5) 중앙에 형성된 결합공(5a)이 끼움걸림되면서 버클링(5)을 전개 시킬 수 있도록 한 것을 특징으로 하는 척추 가시돌기 삽입용 보철물. As the engaging said engaging shoulder (19a) engaging hole (5a) formed in the center each formed buckling 5 was coupled connections between 19 is formed with a fitting hole 17 is fitted deploy the buckling 5 spinal prosthesis visible protrusion is inserted, characterized in that to be able to.
  14. 제 1 항에 있어서; According to claim 1;
    상기 간격유지구(4)상에 결합공(17)을 관통되게 형성하여 일측에 숫나사(18)를 가진 연결간(19) 타단부에 버클링(5)을 형성하고, And forming said distance holder coupled to the 4-holes 17 buckling (5) for the connection between 19 the other end with a male thread (18) on one side and formed to pass through,
    상기 숫나사(18)가 형성된 연결간(19)을 결합공(17)상으로 결합시킨 후 개별 형성된 버클링(5) 중앙에 형성된 결합공(5a)을 끼운 후 너트(20)로 나사결합하여 버클링(5)을 전개 시킬 수 있도록 한 것을 특징으로 하는 척추 가시돌기 삽입용 보철물. The male thread 18 is formed in the connection between 19 the coupling hole 17 was coupled to the individual formed buckling 5 central engaging hole (5a) by screwing a nut 20 by inserting a buckle formed at the ring spine visible protrusion is inserted, it characterized in that the prosthesis (5) to be deployed.
  15. 제 1 항에 있어서; According to claim 1;
    상기 버클링(5)은 타원형으로 형성하여 가시돌기(3) 상간에 간격유지구(4)를 결합시키고, 이를 회전시키면 버클링(5)이 이탈되지 않도록 구성한 것을 특징으로 하는 척추 가시돌기 삽입용 보철물. The buckle ring 5 is formed into an oval visible projection 3 for bonding the holding tool (4) spacing between phases and, by rotating them inserted spine visible projection, characterized in that configured so that buckling 5 is being separated prosthesis.
  16. 제 1 항에 있어서; According to claim 1;
    상기 간격유지부(4)에는 완충력 증대를 위해 챔버(4a)를 형성한 것을 특징으로 하는 척추 가시돌기 삽입용 보철물. The interval holding unit 4 is provided with protrusions inserted into the spine visible prosthesis, it characterized in that the forming chamber (4a) to increase the buffering capacity.
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