TW200824641A - Steel cable spinal fixing device - Google Patents

Steel cable spinal fixing device Download PDF

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Publication number
TW200824641A
TW200824641A TW95146934A TW95146934A TW200824641A TW 200824641 A TW200824641 A TW 200824641A TW 95146934 A TW95146934 A TW 95146934A TW 95146934 A TW95146934 A TW 95146934A TW 200824641 A TW200824641 A TW 200824641A
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Taiwan
Prior art keywords
flexible cable
flexible
hole
screw
groove
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Application number
TW95146934A
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Chinese (zh)
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TWI306396B (en
Inventor
an-shi Ye
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an-shi Ye
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Priority to TW95146934A priority Critical patent/TW200824641A/en
Publication of TW200824641A publication Critical patent/TW200824641A/en
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Publication of TWI306396B publication Critical patent/TWI306396B/zh

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Abstract

The invention relates to a bendable cable spinal fixing device, which includes a bendable cable, a plurality of clippers covering a portion of the bendable cable, a plurality of fixed bone peg defining a fixed hole for a screw and a channel connecting to the fixed hole, wherein the clipper-covered cable portion is put into the channel, and a plurality of screws configured to screw into the fixed hole to fix the clipper-covered cable portion into the channel of the fixed bone peg. The clipper-covered cable portion is not bendable, however, the clipper-uncovered cable portion is bendable. Each of the plurality of the fixed bong peg is connected by the bendable portion of the bendable cable.

Description

200824641 九、發明說明: 【發明所屬之技術領域】 本發明係有關於一種撓性纜脊椎固定裝 一德a 士、 号寸別是指 /、有可被複數個夾件覆蓋成不具撓性段,或未笋雲段 之原有撓性之撓性纜,應用於複數個脊椎骨節連結固定 上,可提供撓性連結之撓性纜脊椎固定裝置。 【先前技術】200824641 IX. Description of the invention: [Technical field to which the invention pertains] The present invention relates to a flexible cable spinal fixation device, a size, a number, or a plurality of clips, which are covered by a plurality of clips , or the original flexible flexible cable of the bamboo shoots, is applied to a plurality of flexible joints of the spine joints, and provides a flexible joint flexible cable spine fixing device. [Prior Art]

傳統的脊椎損傷若以骨釘與連桿固定,均是以一鈦人 王或不銹鋼之固定連桿,結合複數支植入脊椎骨節中之脊 椎骨釘相連結’而以硬對硬之方式強行連結固定需要被 定之受損脊椎骨節。 /如此硬對硬之方式強行固定,除無法提供適當的應 力消除外,亦無法對受損脊椎骨節產生微動刺激,以加速 增生骨質幫助受損部位穩定,讓病患長期處於一種只能臥 床或以背架支撐的狀態,#法盡冑適當的恢復脊椎部分原 有功能。 ’、 【發明内容】 因此,該等問題的簡單解決方法,是以一撓性纜提供 適當的撓性’複數個夾件提供固定功能,相結合以區隔出 八 又或不了撓性段,並以植固於脊椎骨節中之脊椎骨 釘,產生具有固定及撓性效果之撓性纜脊椎固定裝置。 於疋本务明之一目的,在提供一種撓性纜脊椎固定裝 置。 本务明的又一目的在於提供一種所述夾件可包覆,及 5 200824641 固定於該撓性纜上,該撓性纜被包覆段具有不可撓性,及 未包覆段具有撓性,所述骨釘各植固於一脊椎骨^中及 各以一螺固件將該夾件與該撓性纜組合螺抵固定於該骨釘 的撓性纜脊椎固定裝置。If the traditional spinal injury is fixed by the nail and the connecting rod, it is a fixed link of a titanium or stainless steel, combined with a plurality of spinal bones in the spine joint, and forcedly connected in a hard-to-hard manner. Fixation needs to be fixed to the damaged vertebrae. / So hard and hard to fix, in addition to failing to provide proper stress relief, it is also unable to produce fretting stimulation to the damaged vertebrae, to accelerate the proliferation of bone to help stabilize the damaged part, so that patients can stay in bed for a long time or In the state of back support, the # method is used to properly restore the original function of the spine. Therefore, a simple solution to these problems is to provide a suitable flexibility by a flexible cable. A plurality of clips provide a fixed function, which combines to separate eight or no flexible segments. A flexible cable spinal fixation device having a fixed and flexible effect is produced by a spinal nail implanted in the vertebrae. A purpose of this is to provide a flexible cable spinal fixation device. A further object of the present invention is to provide a clip that can be covered, and 5 200824641 fixed to the flexible cable, the flexible cable is inflexible by the covering section, and the uncoated section is flexible The bone nails are each implanted in a vertebra and each of the screws and the flexible cable assembly is screwed to the flexible cable spinal fixation device of the bone nail by a screw.

本發明的再一目的在於提供一種所述夾件可為一半球 體,或半球體兩側有延伸段,或兩兩單邊相結合成一有鏠 夹件,或雙邊結合成-體甲空夾件,該撓性纜可為一多股 紅螝,可直接穿入該夾件間槽溝的撓性纜脊椎固定裝置。 本發明的還-目的在於提供一種該固定座骨針為一固 定座與一球頭骨釘可活動相套合的撓性纜脊椎固定裝置。 本發明的仍一目的在於提供一種該固定座骨釘為設有 :斜向相通的穿孔與槽孔,該撓性€與該夾件結合置入或 牙入㈣孔中’及該螺固件由另—斜向穿孔螺人抵緊固定 的撓性纜脊椎固定裝置。 故本發明的一種撓性纜脊椎固定裝置,包含有: 一撓性纟覽; 夕個夾件,具有-底平面及設有-槽溝,兩個夾件的 一對槽溝兩兩相對用於包覆該撓性纜的一段; 夕支固疋座骨釘,包含一骨釘端及一固定座端,該骨 、丁端用於植入脊椎骨節中,該固定座端設有一螺固孔, 及-與該螺固孔相通的槽,其中以兩夾件包覆的撓性纜段 適於被置入該槽中;及 夕個螺固件,用於螺入於該螺固孔中,將所述以兩爽 件包覆的撓性纜段抵緊固定於該固定座骨釘的槽中; 200824641 其特徵在於··所述以兩失件句露 匕覆的該撓性纜段具有不 '“&未包覆段的該撓性纜具有原有撓性,所述多支 固定座骨釘間以具有該撓性纜的撓性段相連結。 上述的撓性、4覽脊椎固定裝署 本、,u ^ “置’其中所述夾件為長3釐 赤以上,25釐米以下的夾件,諸 該底平面的槽溝沿其長邊設 置。 上述的撓性纜脊椎固定裝置 、 衣罝,其中所述夹件為一半球 體’及以該底平面槽溝兩兩相對 、、 々日對包覆於該撓性纜上,相對 成一球體置於該螺固孔中。優 , V迭的,所述半球體夾件進一 步可兩兩以該底平面相對,及一 調相連結,另一侧具有一 隙缝的一球體夾件。 〃 上述的撓性纜脊椎固定裝置, 一、 衣直,其中所述夾件為具有一 半球體段及兩侧延伸段的長刑 们長型夾件,該底平面槽溝沿其長 邊設置,及以該槽溝兩兩相對包覆於該撓性蜆上,該半球 體段相對形成-球體,及置於該螺固孔中。 上述的撓性繞脊椎固定p $ 另惟U疋衣置,其中所述夹件為兩兩長 邊一側相連結的有縫夾件, 人什所述槽溝相對形成一穿孔,該 撓性纜可活動穿過該穿孔, 及該夾件受夾合變形時,該縫 間隙縮減’使該夹件變形與料性纜連結固定。 上述的撓性繞脊椎固定裳置,其中所述夹件為兩兩相 對結合為一體夾件,所ijfi描、塞Λ 这t溝相對形成一穿孔,該撓性纜 可活動穿過該穿孔,該夾侔A +人 和t 人件又夾合時,該穿孔周圍的夾件 壁面變形接觸該繞性纔,係 . 便該夾件與該撓性纜連結固定。 上述的撓性纜脊椎固定萝 ^ ^ ^ ^ 卜 心衣置,其中所速爽件進一步設 200824641 有與該槽溝相交的一穿孔,該螺固件底面凸設有一凸點, 所述夾件兩兩相對包覆於該撓性纜上時,該凸點可穿過該 穿孔接觸該捷性纜。 上述的撓性纜脊椎固定裝置,其中該撓性纜進〜步為 一多股絞纜。 上述的撓性纜脊椎固定裝置,其中該固定座骨釘進一 步為一固定座與一骨釘可活動相套合,該固定座設有一螺 •固牙孔,该骨釘具有一螺釘端及一球頭端,該螺釘端穿過 該螺固穿孔,該球頭端則抵頂於該固定座中,該螺固件可 活動螺入於該螺固穿孔中,抵緊固定該固定座、骨釘與所 述以兩夾件包覆的撓性縵段。 上述的撓性纜脊椎固定裝置,其中該固定座骨釘的固 定座端的槽為設於該螺固孔兩側的U型槽,所述以兩夾件 包覆的撓性纜段由該U型槽及該螺固孔置入該固定座端。 上述的撓性纜脊椎固定裝置,其中該固定座骨釘的螺 Φ·固孔為-斜向穿孔,及該固定座骨針的固定座端的槽為一 與該螺固孔斜向相通的套合槽孔,所述以兩夾件包覆的撓 性纜段由該套合槽孔置入該固定座端,該螺固件則經該斜 向穿孔螺緊固定該固定座骨釘與所述以@失件包覆的換性 纜段。 凡 上述的撓性纜脊椎固定裝置,其中該固定座骨釘的固 定座端的槽為一穿合孔,所述以兩夾件包覆的繞性缓段由 該穿合孔穿入該固定座端,該螺固件則螺緊固定該固定座 骨釘與所述以兩夾件包覆的撓性纜段。 8 200824641 本發明中所定義之相對位 如上、下、側面%,孫 .才曰手持該撓性纜脊椎固定裝 " .,.L 整體組合,參考使用者頭部 方向為上,反之足部方向為 m # 而相對於該上、下二端之 周邊,則為侧面。 【實施方式】 為進-步說明本發明,兹以較佳具體例配合圖式說明 實施方式如下: 圖1中,本發明一撓性繞脊椎固定裝置H)’包含有— 繞性纜20,多個夾件31、32,_固定座骨釘4Q,及1 固件50。 該撓性!覽20 $—多股細缓所總合絞成的換性絞纜。所 述夾件31、32沿其長邊’各在其_底平面31〇、32〇上, 凹設有一槽溝31卜321,並可相對橫向加設多條波紋起伏, 以增加固定性,所述夾件31、32的槽溝311、321可以兩 兩相對以該底平面310、320包覆於該撓性纜2〇上。 該固定座骨釘40,包含一骨釘端41及一固定座端42, 該骨釘端41可以工具挾持辅助植入一脊椎骨節中,而节固 定座端42則設有一螺固孔421,及孔兩側穿設有一 u型槽 422,當該撓性纜20套設所述夾件3 1、32後,即可由該螺 固孔421上端,置入該11盤槽422中。該螺固件5〇則於底 面凸設有一凸點51,當所述夾件31、32進一步與其内面 的溝槽311、321相交設有一穿孔312、322時,該螺固件 50則可因螺入於該螺固孔421中,而以該凸點5 1穿過該 穿孔312或322,而直接接觸抵緊固定該固定座骨钉4〇與 200824641 該撓性纜20及夾件31、32的組合。 又所述夹件3 1、32進一步可為其長邊A為長3釐米以 上,25釐米以下的長型夾件。 圖2中’所述複數個撓性纜脊椎固定裝置1 〇,分別植 入一脊椎骨節61、62中時,所述夹件31、32有包覆的該 撓性k 2G段,則為具有不可撓性,及未包覆段的該捷性纔 2〇具有原有撓性,而所述固定座骨釘4〇間,則具有該撓 性纜2 0的撓性段相連結。 I 圖3a中’所述夾件31、32進一步可兩兩以該底平面 3 10、320相對,其長邊一側相連結成一體的有缝夾件, 所述槽溝311、321則相對形成一穿孔331,而該撓性纜2〇 可活動穿過該穿孔33 1,及當該夾件33受夾合變形時,該 隙缝332間隙縮減,使該夾件33變形與該撓性纜2〇連結 固定。 圖3b中,所述夾件31、32亦可進一步兩兩相對結合 φ 為一體夾件34,所述槽溝311、321相對形成一穿孔341, 該挽性繞2〇可活動穿過該穿孔341,該夾件34受一工呈 70爽合%,該牙孔341周圍的夾件壁面342會因變形而接 觸該撓性繞20,使該夾件34與該撓性纟覽2〇連結固定。 圖3c及圖3e中,所述夾件31、32進一步可為一半球 體夾件35、36,亦各具有一底平面35〇、36〇,及凹設有一 槽溝35卜361,所述半球體夾件35、36的底平面槽溝352、 3 62可以兩兩相對包覆於該撓性纜20上,相對成一球體置 於該螺固孔421中。 10 200824641 進一步可兩兩以該底平面 另一側具有一隙缝3 62的 另所述半球體夾件35、36, 3 5 0、3 6 0相對,及一側相連結, 一球體夾件。A further object of the present invention is to provide that the clip member can be a half sphere, or an extension portion on both sides of the hemisphere, or a combination of two or two sides to form a jaw clip, or a bilateral joint into a body clip. The flexible cable can be a multi-strand red scorpion that can be directly inserted into the flexible cable spinal fixation device of the inter-clamp groove. Still another object of the present invention is to provide a flexible cable spinal fixation device in which the fixed fixation needle is a fixed seat and a spherical skull nail is movable. Still another object of the present invention is to provide a fixing base nail having a perforation and a slot which are obliquely communicated, and the flexibility is combined with the clip to be placed or inserted into the hole (4) and the screw is provided by another - The oblique perforated snails abut against the fixed flexible cable spinal fixation device. Therefore, a flexible cable spinal fixation device of the present invention comprises: a flexible view; a clip on the eve, having a bottom plane and a groove, and a pair of slots of the two clips are used in pairs a segment of the flexible cable; the iliac crest bone nail includes a bone nail end and a fixed seat end, the bone and the butyl end are used for implanting into the spinal joint, and the fixing seat end is provided with a screw hole And a slot communicating with the screw hole, wherein the flexible cable segment covered by the two clips is adapted to be inserted into the slot; and a screw is inserted into the screw hole, The flexible cable segment covered with the two-slip member is abutted and fixed in the groove of the fixing seat nail; 200824641 is characterized in that the flexible cable segment which is covered by two missing pieces has no The flexible cable of the '& uncoated segment has the original flexibility, and the plurality of fixed seat nails are connected by a flexible section having the flexible cable. The above flexible, 4-view spine fixing device Department, u ^ "set" the clip is a clip of 3 centimetres or more and 25 centimeters or less, and the grooves of the bottom plane are disposed along the long sides thereof. The above-mentioned flexible cable spinal fixation device, the clothes cassette, wherein the clip member is a half sphere ' and the bottom plane groove is opposite to each other, and the next day is coated on the flexible cable, and is placed in a spherical body. The screw is in the hole. Preferably, the hemispherical clips are further contiguous with the bottom plane, and a phase-to-phase connection, and a spherical clip on the other side having a slit. 〃 The above-mentioned flexible cable spinal fixation device, a garment is straight, wherein the clamp member is a long-length clip with a half sphere segment and two side extensions, the bottom plane groove is disposed along the long side thereof, and The groove is coated on the flexible crucible oppositely, and the hemispherical section is oppositely formed into a sphere and placed in the screw hole. The above-mentioned flexible orbital fixation p $ is another U-shirt, wherein the clip is a slit clip that is connected to one side of the long sides, and the groove is oppositely formed with a perforation. The cable is movable through the perforation, and when the clip is deformed by the clamping, the slit gap is reduced to cause the clip to be deformed and fixed to the material cable. The above-mentioned flexible is fixed around the spine, wherein the clip is a pair of oppositely coupled one-piece clips, and the t-grooves form a perforation, and the flexible cable can move through the perforations. When the clip A+ person and the t-piece are further clamped, the wall of the clip around the perforation is deformed to contact the winding, so that the clip is fixedly coupled to the flexible cable. The above-mentioned flexible cable spine is fixed with a ^^^^ heart-shaped garment, wherein the quick-drying member further has a perforation intersecting the groove, and a convex portion is protruded from the bottom surface of the screw, and the clip member has two clips. When the two are oppositely wrapped on the flexible cable, the bump can contact the agile cable through the through hole. The flexible cable spinal fixation device described above, wherein the flexible cable is stepped into a plurality of stranded cables. In the above-mentioned flexible cable spinal fixation device, the fixing seat nail further comprises a fixing seat and a bone nail movable, the fixing seat is provided with a screw fixing hole, the bone nail has a screw end and a ball a screw end through which the screw end is inserted, and the ball end end is abutted in the fixing seat, and the screw is movably screwed into the screw hole, and the fixing seat and the nail are fixedly fixed. The flexible segment is covered by two clips. In the above-mentioned flexible cable spinal fixation device, the groove of the fixing seat end of the fixing seat nail is a U-shaped groove provided on both sides of the screwing hole, and the flexible cable section covered by the two clips is made of the U-shaped The slot and the screw hole are inserted into the fixing seat end. In the above-mentioned flexible cable spinal fixation device, the screw Φ·solid hole of the fixing seat nail is an oblique perforation, and the groove of the fixing seat end of the fixing seat pin is a matching groove which is obliquely communicated with the screw hole. a flexible cable segment covered by the two clamping members is inserted into the fixing seat end by the sleeve slot, and the screw is screwed to the fixing seat nail through the oblique through hole and the Covered flexible cable segment. In the above-mentioned flexible cable spinal fixation device, the groove of the fixing seat end of the fixing seat nail is a fitting hole, and the winding slow section covered by the two clamping members penetrates the fixing seat end from the wearing hole. The screw is screwed tightly to the fixed seat nail and the flexible cable section covered by the two clips. 8 200824641 The relative position defined in the present invention is as above, below, and side%. Sun. The hand-held flexible cable spine fixing device ".,.L overall combination, refer to the user's head direction is up, and vice versa The direction is m # and is the side with respect to the periphery of the upper and lower ends. [Embodiment] The present invention will be described in detail with reference to the accompanying drawings, in which: FIG. 1 is a flexible winding spinal device H)' comprising a winding cable 20, A plurality of clips 31, 32, _ fixed seat nails 4Q, and 1 firmware 50. The flexibility! View 20 $—multiple strands of twisted twisted twisted twisted cable. The clips 31, 32 are respectively provided with a groove 31 321 along the long side of the bottom surface 31 〇, 32 ,, and a plurality of corrugations are added in the lateral direction to increase the fixation. The grooves 311, 321 of the clips 31, 32 may be coated on the flexible cable 2 with the bottom planes 310, 320 opposite to each other. The fixing base nail 40 includes a bone nail end 41 and a fixing seat end 42. The nail nail end 41 can be implanted into the spine joint by a tool, and the joint fixing end 42 is provided with a screw hole 421, and A U-shaped groove 422 is formed on both sides of the hole. After the flexible cable 20 is sleeved with the clips 31 and 32, the upper end of the screw hole 421 can be inserted into the 11-disk slot 422. The screw 5 is convexly provided with a bump 51 on the bottom surface. When the clips 31 and 32 are further provided with a through hole 312, 322 at the inner surface of the groove 311, 321 , the screw 50 can be screwed into the screw. In the screw hole 421, the bump 51 is passed through the through hole 312 or 322, and the direct contact with the fixing seat nail 4〇 and the 200824641 combination of the flexible cable 20 and the clips 31, 32 is directly contacted. . Further, the clips 3 1 and 32 may further be long clips having a long side A of 3 cm or more and 25 cm or less. 2, the plurality of flexible cable spinal fixation devices 1 〇, when implanted in a vertebra joint 61, 62, respectively, the clips 31, 32 are covered with the flexible k 2G segment, The inflexibility, and the uncoated section, have the original flexibility, and the flexible segments of the flexible cable 20 are connected to each other. In Fig. 3a, the clips 31 and 32 are further opposite to each other by the bottom planes 3 10 and 320, and the long sides thereof are integrally joined with a slit clip, and the grooves 311 and 321 are oppositely formed. a through hole 331, and the flexible cable 2 is movable through the through hole 33 1, and when the clip 33 is deformed by the clamping, the gap 332 is reduced in clearance, and the clip 33 is deformed and the flexible cable 2 is deformed. 〇 The link is fixed. In Fig. 3b, the clips 31, 32 can be further combined with each other to form an integral clip 34, and the grooves 311, 321 are oppositely formed with a through hole 341 through which the pull-up can be moved. 341, the clip member 34 is 70% closed by a work, and the clip wall surface 342 around the tooth hole 341 contacts the flexible wrap 20 due to deformation, so that the clip member 34 is connected with the flexible view 2 fixed. 3c and 3e, the clips 31, 32 may further be half-sphere clips 35, 36, each having a bottom plane 35〇, 36〇, and a recess 35 361, the hemisphere The bottom plane grooves 352, 3 62 of the body clips 35, 36 can be oppositely wrapped on the flexible cable 20, and a ball is placed in the screw hole 421. 10 200824641 Further, the other hemispherical clips 35, 36, 3 5 0, 3 6 0 having a slit 3 62 on the other side of the bottom plane may be opposite to each other, and one side is joined, and a spherical clip is attached.

圖3d中,所述夾件31、32亦可進一步為一長型半球 體失件37、38,中間為具有—半球體段371、381,及兩側 的延伸段372、382,所述長型半球體夾件37、38的一底 二平面373、383上,沿其長邊凹設置一槽溝374、384,及 該槽溝374、384可以兩兩相對包覆於該撓性纜2〇上,該 半球體段371、381相對形成一球體,及置於該螺固孔4二 中。 圖4中,該固定座骨釘4〇,進一步可為_固定座U 與一骨釘44可活動相套合的分離設計,該固定座43設有 一螺固穿孔431,該骨釘44則為具有一螺釘端441及一球 頭端442。組合時,該螺釘端441可穿過該螺固穿孔々η, 及該球頭端442則會抵頂於該固定座43中,後續則以該螺 固件50可活動螺入於該螺固穿孔431中,抵緊固定該固定 座43、骨釘44與該撓性纜2〇及夹件3丨、32的組合。 圖5中,該另一固定座骨釘4〇的固定座端螺固孔, 進一步可改設為一斜向穿孔451,及另設有—與該螺固孔 451斜向相通的套合槽孔452,該撓性纜2〇與該夾件η、 32結合後’可由該套合槽孔452置人該固定座端45,該另 -螺固件52’則經該斜向螺固穿孔451螺緊固定該固定座 骨釘40與該撓性纜20及夾件31、32的組合。 圖6中,又該固定座骨釘4〇的一種固定座端46,其 11 200824641 與該螺固孔461相通,另設有一穿合孔462,該撓性纜2〇 與該夾件31、32結合,及由該穿合孔462穿入該固定座端 46該螺固件5 2則螺緊固定該固定座骨釘4 〇與該繞性纔 2 0及夾件3 1、3 2的組合。 【圖式簡單說明】 圖1為本發明一撓性纜脊椎固定裝置之較佳具體例示 意圖。(圖1為代表圖) • 圖2為該撓性纜脊椎固定裝置植入於脊椎骨節中之應 用示意圖。 圖3a至圖3e為該撓性纜脊椎固定裝置之夾件進一步 結合及較佳具體例示意圖。 圖4為該撓性纜脊椎固定裝置之固定座骨釘另—種較 佳具體例示意圖。 圖5及圖6為該撓性纜脊椎固定裝置之固定座骨釘又 一種較佳具體例示意圖。 Φ 【主要元件符號說明】 10 撓性纜脊椎固定裝置 20 撓性、纜 31 夾件 3 2 夾件 33 有縫夾件 34 一體失件 35 半球體夾件 36 半球體失件 37 長型半球體夾件 38 長型半球體夾件 310 底平面 320 底平面 311 槽溝 312 穿孔 321 槽溝 322 穿孔 12 200824641In FIG. 3d, the clips 31, 32 may further be an elongated hemispherical loss member 37, 38 having a hemispherical section 371, 381 and an extension 372, 382 on both sides. A bottom two planes 373, 383 of the hemispherical clips 37, 38 are recessed along the long sides thereof to define a groove 374, 384, and the grooves 374, 384 can be oppositely coated on the flexible cable 2 The hemispherical segments 371, 381 are oppositely formed into a sphere and placed in the screw holes 4. In FIG. 4, the fixing seat nail 4〇 can further be a separate design in which the fixing seat U and the bone nail 44 are movable. The fixing seat 43 is provided with a screwed through hole 431, and the bone nail 44 has A screw end 441 and a ball end 442. When assembled, the screw end 441 can pass through the screw-through hole 々n, and the ball-end end 442 can be abutted in the fixing seat 43, and then the screw 50 can be movably screwed into the screw hole. In 431, the fixing seat 43 and the nail 44 are fixed to the combination of the flexible cable 2 and the clips 3, 32. In FIG. 5, the fixing seat end screw hole of the other fixing seat nail 4〇 can be further changed into an oblique hole 451, and another sleeve hole which is obliquely communicated with the screw hole 451 452. After the flexible cable 2 is combined with the clips η, 32, the fixing seat end 45 can be placed by the sleeve slot 452, and the other screw member 52' is screwed through the oblique screw hole 451. The combination of the fixing base nail 40 and the flexible cable 20 and the clamp members 31, 32 is tightly fixed. In Fig. 6, a fixing seat end 46 of the fixing base nail 4 is further connected to the screw hole 461, and a coupling hole 462 is provided. The flexible cable 2 and the clamping member 31, 32 The screwing member 5 is inserted into the fixing seat end 46 to screw the fixing member nail 4 to the combination of the winding member 20 and the clip members 3 1 and 3 2 . BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a view showing a preferred specific example of a flexible cable spinal fixation device of the present invention. (Fig. 1 is a representative view) • Fig. 2 is a schematic view showing the application of the flexible cable spinal fixation device in a spinal joint. Fig. 3a to Fig. 3e are schematic views showing a further combination of the clips of the flexible cable spinal fixation device and a preferred embodiment. Fig. 4 is a schematic view showing a preferred embodiment of the fixed seat nail of the flexible cable spinal fixation device. Fig. 5 and Fig. 6 are schematic diagrams showing another preferred embodiment of the fixed seat nail of the flexible cable spinal fixation device. Φ [Main component symbol description] 10 Flexible cable spine fixing device 20 Flexibility, cable 31 Clamping member 3 2 Clamping member 33 Clamping clamp member 34 One-piece missing member 35 Hemispherical clip member 36 Hemispherical missing member 37 Long hemisphere Clamp 38 Long hemispherical clip 310 Bottom plane 320 Bottom plane 311 Groove 312 Perforation 321 Groove 322 Perforation 12 200824641

331 穿孔 332 隙缝 341 穿孔 342 壁面 350 底平面 360 底平面 351 槽溝 361 槽溝 362 隙缝 371 半球體段 372 延伸段 373 底平面 374 槽溝 381 半球體段 382 延伸段 383 底平面 384 槽溝 40 固定座骨釘 41 骨釘端 42 固定座端 43 固定座 44 骨釘 45 固定座端 46 固定座端 421 螺固孔 422 U型槽 431 螺固穿孔 441 螺釘端 442 球頭端 451 斜向穿孔 452 套合槽孔 461 螺固孔 462 穿合孔 50 螺固件 51 凸點 52 另一螺固件 61 脊椎骨節 62 脊椎骨節 70 工具 A 夾件長邊 13331 Perforation 332 Slot 341 Perforation 342 Wall 350 Bottom plane 360 Bottom plane 351 Groove 361 Groove 362 Slot 371 Hemisphere segment 372 Extension 373 Bottom plane 374 Groove 381 Hemisphere segment 382 Extension 383 Bottom plane 384 Groove 40 Fixed Seat nail 41 bone nail end 42 fixing seat end 43 fixing seat 44 bone nail 45 fixing seat end 46 fixing seat end 421 screwing hole 422 U-shaped groove 431 screwing perforation 441 screw end 442 ball end 451 oblique perforation 452 Slot 461 Spiral hole 462 Threading hole 50 Screw 51 Bump 52 Another screw 61 Spine joint 62 Spine joint 70 Tool A Clamp long side 13

Claims (1)

200824641 十、申請專利範圍: 1. 一種撓性纜脊椎固定裝置,包含有: 一撓性纜; 多個夾件,具有一底平面及設有一槽溝,兩個爽件的 一對槽溝兩兩相對用於包覆該撓性纜的一段; 多支固疋座骨釘,包含一骨釘端及一固定座端,該骨 釘端用於植入一脊椎骨節中,該固定座端設有一螺固孔, 及一與該螺固孔相通的槽,其中以兩夾件包覆的撓性纜段 • 適於被置入該槽中;及 多個螺固件,用於螺入於該螺固孔中,將所述以兩爽 件包覆的撓性纜段抵緊固定於該固定座骨釘的槽中; 其特欲在於·所述以兩夾件包覆的該撓性纟覽段具有不 可換性,及未包覆段的該撓性纜具有原有撓性,所述多支 固定座骨釘間以具有該撓性纜的撓性段相連結。 2·如申請專利範圍第1項所述的撓性纜脊椎固定裝 _ 置’其中所述失件為長.3釐米以上,25釐米以下的夾件, 該底平面的槽溝沿其長邊設置。 3 ·如申请專利範圍第1項所述的撓性纜脊椎固定裝 置,其中所述夾件為一半球體,及以該底半面槽溝兩兩相 對包覆於該撓性纜上,相對成一球體置於該螺固孔中。 4 ·如申请專利範圍第3項所述的撓性纜脊椎固定裝 置’其中所述半球體失件進一步可兩兩以該底平面相對, 及一側相連結,另一側具有一隙缝的一球體夾件。 5 ·如申清專利範圍第1項所述的撓性纟覽脊椎固定裂 14 200824641 置,其中所述夾件為具有一半球體段及兩側延伸段的長型 夾件’該底平面槽溝沿其長邊設置,及以該槽溝兩兩相對 包覆於該撓性纟見上,該半球體段相對形成一球體,及置於 該螺固孔中。 6·如申請專利範圍第i項所述的撓性纜脊椎固定裝 置,其中所述夾件為兩兩長邊一侧相連結的有缝夾件,所 述槽溝相對形成一穿孔,該撓性纜可活動穿過該穿孔,及 φ 該夾件受夾合變形時,該缝間隙縮減,使該夾件變形與該 撓性纜連結固定。 7 ·如申响專利範圍第1項所述的撓性纟覽脊椎固定裝 置,其中所述夾件為兩兩相對結合為一體夾件,所述槽溝 相對形成一穿孔,該撓性纜可活動穿過該穿孔,該失件受 夾合時,該穿孔周圍的夾件壁面變形接觸該撓性纜,使該 夾件與該撓性纜連結固定。 8. 如申請專利範圍第丨項所述的撓性纜脊椎固定裝 • 置,其中所述夾件進一步設有與該槽溝相交的一穿孔,該 螺固件底面凸設有一凸點,所述夾件兩兩相對包覆於該撓 性纜上時,該凸點可穿過該穿孔接觸該撓性纜。 9. 如申請專利範圍第丨項所述的撓性纜脊椎固定裝 置’其中該撓性纟覽為一多股絞鏡。 10. 如申請專利範圍第i項所述的撓性纜脊椎固定裝 置,其中該固定座骨釘為一固定座與—骨釘可活動相套 合,該固定座設有一螺固穿孔,該骨釘具有—螺釘端及一 球頭端,該螺釘端穿過該螺固穿孔,該球頭端則該 15 200824641 固定座中’該螺固件可活動螺入於該螺固穿孔中,抵緊固 定該固定座、骨釘與所述以兩夾件包覆的撓性纟覽段。 11 ·如申请專利範圍第1項所述的撓性纜脊椎固定裝 置,其中該固疋座骨釘的固定座端的槽為設於該螺固孔兩 側的U型槽,所述以兩夾件包覆的撓性纜段由該u型槽及 該螺固孔置入該固定座端。 12·如申明專利範圍第1項所述的撓性纜脊椎固定裝 •置*中該固疋座骨封的螺固孔為一斜向穿孔,及該固定 座月釘的固定座端的槽為一與該螺固孔斜向相通的套合槽 孔所述以兩失件包覆的挽性纔段由該套合槽孔置入該固 疋座端It螺固件則經該斜向穿孔螺緊固定該固定座骨訂 與所述以兩夾件包覆的撓性鏡段。 ’ 月專利範圍第1項所述的撓性纟覽脊椎固定裝 、A中°亥固定座骨釘的固定座端的槽為一穿合孔,所述 、/件匕後的撓性纜段由該穿合孔穿入該固定座端,該 螺緊11定該固定座骨釘與所述以兩夾件包覆的換 性纜段。 16200824641 X. Patent application scope: 1. A flexible cable spine fixing device, comprising: a flexible cable; a plurality of clamping members, having a bottom plane and a pair of grooves provided with a groove and two cooling members a pair of oppositely used for covering the flexible cable; the plurality of solid shank bone nails comprise a bone nail end and a fixed seat end, wherein the nail end is used for implanting into a vertebra joint, and the fixed seat end is provided with a a screw hole, and a slot communicating with the screw hole, wherein the flexible cable segment covered by the two clips is adapted to be inserted into the slot; and a plurality of screws for screwing into the screw In the solid hole, the flexible cable segment covered by the two-slip member is abutted and fixed in the groove of the fixing seat nail; the special purpose is that the flexible segment covered by the two clips The flexible cable having non-replaceability and unwrapped sections has original flexibility, and the plurality of fixed seat nails are connected by a flexible section having the flexible cable. 2. The flexible cable spine fixing device according to claim 1, wherein the missing member is a clip having a length of more than 3 cm and a length of 25 cm or less, and the groove of the bottom plane is disposed along a long side thereof. . The flexible cable spinal fixation device of claim 1, wherein the clamping member is a half sphere, and the bottom half groove is oppositely coated on the flexible cable to form a sphere. Placed in the screw hole. 4. The flexible cable spinal fixation device of claim 3, wherein the hemispherical loss member is further contiguous with the bottom plane, and one side is joined, and the other side has a slot. Ball clamps. 5) The flexible viewing spine fixed fissure 14 200824641 according to claim 1, wherein the clip is a long clip having a half sphere segment and two side extensions 'the bottom plane groove edge The long side is disposed, and the groove is oppositely coated on the flexible ridge. The hemispherical section forms a sphere and is placed in the screw hole. 6. The flexible cable spine fixing device according to claim i, wherein the clip member is a slit clip member connected to one side of the long side, and the groove is oppositely formed with a perforation. The cable can move through the perforation, and when the clip is deformed by the clamping, the gap is reduced, and the clip is deformed and fixed to the flexible cable. The flexible viewing spinal fixation device of claim 1, wherein the clamping member is a pair of oppositely coupled one-piece clips, and the groove is oppositely formed with a perforation, and the flexible cable can be The movement passes through the perforation, and when the missing member is clamped, the wall of the clip around the perforation is deformed to contact the flexible cable, so that the clip is fixedly coupled to the flexible cable. 8. The flexible cable spinal fixation device of claim 2, wherein the clip is further provided with a through hole intersecting the groove, and a convex point is protruded from a bottom surface of the screw. When the clips are oppositely wrapped on the flexible cable, the bump can contact the flexible cable through the through hole. 9. The flexible cable spinal fixation device of claim </RTI> wherein the flexible view is a multi-strand. 10. The flexible cable spinal fixation device of claim i, wherein the fixation seat nail is a fixed seat and the bone nail is movable, and the fixed seat is provided with a screwed perforation. Having a screw end and a ball end, the screw end passes through the screw through hole, and the ball end end is in the 15 200824641 fixing seat, the screw is movably screwed into the screw hole, and the screw is fixed A fixing seat, a bone nail and the flexible viewing section covered by the two clips. The flexible cable spinal fixation device according to claim 1, wherein the groove of the fixing seat end of the fixation nail is a U-shaped groove provided on both sides of the screw hole, the two clips The covered flexible cable segment is inserted into the fixing seat end by the u-shaped groove and the screw fixing hole. 12. The flexible cable spine fixing device according to claim 1, wherein the screw hole of the solid seat is an oblique hole, and the groove of the fixing seat of the fixing seat is one. The sleeve slot which is obliquely communicated with the screw hole is formed by the sleeve hole into the sleeve end, and the socket is fixed by the oblique hole The fixed seat bone is fixed to the flexible mirror segment covered by the two clips. The slot of the flexible vertebral fixed device and the fixed seat end of the A zhonghai fixed seat nail according to the first aspect of the patent range is a wear hole, and the flexible cable segment of the The threading hole penetrates into the fixing seat end, and the screwing 11 defines the fixing seat nail and the reversing cable section covered by the two clamping members. 16
TW95146934A 2006-12-14 2006-12-14 Steel cable spinal fixing device TW200824641A (en)

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CN104665913B (en) 2013-11-26 2017-06-06 财团法人工业技术研究院 Bionic fixing device and pulling-out device thereof
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