201032769 六、發明說明： 【發明所屬之技術領域】 ^發明係關於一種骨科用外固定裝置，係透過一調整 之f轉行程及變化固定方向，讓—骨釘透過該調整件之 及㈣部上所設有ϋ持件及第二夾持件，變 、、=疋方式植入人體骨骼適當位置以固定骨折處，藉以解 決習用技術需更換一長針座及一短針座所造成操作不便等 _ 缺點。 〇 【先前技術】 按，目前人類的骨骼當發生意外時，易有可能造成骨 折，而傳統對於骨折的骨骼進行固定醫療方式，大部分多 利用石膏模型方式敷合於骨折處，待石膏模型硬化後以固 疋又傷處，或是利用夾板夾合骨折處後，再以端帶進行纏 2烟綁固$，但以此些方式對骨折Α進行完全包覆及固 疋’既厚重又不透氣，骨折處易產生悶熱，且行動上亦不 參 方便。 又’有些特殊症狀的骨折，需經特別醫療進行固定處 理’而前述的固定方式則不適用於此些特殊症狀的骨折， 因此必需利用一輔助裝置對此些特殊症狀的骨折進行固 定’使此些特殊症狀的骨折復原狀況可更加快速。 惟’目前習用骨用外固定架1，請參閱第一圖所示，為 中華民國專利公開第200843690號，其係由一長針座10、一 短針座11及一連結組12所構成，藉由該連結組12内一球頭 螺軸120的球頭端1201活動套合容置於一固定帽121與該短 201032769 針座11 一端面沿長軸向所凹設一圓凹孔110相結合之容置空 間内可依據需求調整習用骨用外固定架1的固定方向，讓 複數骨釘穿人該長針座1() 短針座U分別所設置之第一 固疋孔1GG及第二固定孔⑴，以提供骨釘固定特殊症狀骨 折的骨路’讓受傷的骨減加速復原，但習用骨用外固定 架1具有下列缺點： ^ 、習用骨用外固定架1需依據骨折處傷口狀況調整其 口定方向’而固定方式只提供水平固定或垂直蚊，若為 使月折處的裂痕癒合更良好或使骨折處固定更牢固，其骨 釘所能調整的角度、位置則有所限制 ，進而造成骨釘無法 β周整順利植人人體骨崎佳位置，以固定骨折處 ，讓骨骼 的傷痕在癒合上可更好。 鲁 一右月折處需進行三維固定方式或其它固定方式， 月用骨用外固定架1，以更換可提供三維固定方式 典、它固定方式的長針座10或短針座1卜並再組裝回習用 二夕:固疋架1 ’而需拆解和組裝更換不同的長針座 針座11的動作，對醫療人員來說相當不便。 ^此可見’習时科固定架1的長針細或短針座I】 無法直接提供三_定方式201032769 VI. Description of the invention: [Technical field to which the invention pertains] The invention relates to an external fixation device for orthopedics, which transmits the curved nail through an adjusted f-turn and changes the fixed direction, and allows the nail to pass through the (four) portion of the adjustment member. The holding member and the second clamping member are provided, and the squatting method is implanted into a proper position of the human skeleton to fix the fracture portion, so as to solve the inconvenience caused by the replacement of a long needle seat and a short needle seat by the conventional technology. . 〇[Prior Art] According to the current human skeleton, it is easy to cause fractures when there is an accident. Traditionally, the fixed bones of the fractured bones are mostly fixed by the plaster model, and the plaster model is hardened. After the fracture and the injury, or the use of the splint to clamp the fracture, and then the end of the belt to wrap 2 cigarettes to tie the $, but in this way, the fractures are completely covered and solidified 'both thick and not Breathable, the fracture is prone to sultry heat, and the action is not convenient. Also, 'some special symptom fractures need special medical treatment for fixation' and the above-mentioned fixation method is not suitable for the fracture of these special symptoms, so it is necessary to use an auxiliary device to fix the fractures of these special symptoms. Fracture recovery with special symptoms can be faster. However, the current conventional external fixation frame for bones 1, please refer to the first figure, which is a Republic of China Patent Publication No. 200843690, which is composed of a long needle seat 10, a short needle seat 11 and a joint group 12, The ball end 1201 of the ball screw 120 of the connecting group 12 is movably fitted to a fixed cap 121 and the short end of the short hole 201011. In the space, the fixing direction of the external bone fixing frame 1 can be adjusted according to the requirements, and the plurality of bone nails are worn by the first fixing hole 1GG and the second fixing hole (1) respectively provided by the long needle seat 1 () short needle seat U, In order to provide bone fixation for the fixation of special symptom fractures, the injured bone is accelerated and restored, but the conventional external fixation frame 1 has the following disadvantages: ^, the external fixation frame for bone 1 needs to be adjusted according to the wound condition of the fracture. The fixed direction only provides horizontal fixed or vertical mosquitoes. If the cracks are healed better or the fractures are fixed more firmly, the angle and position of the nails can be adjusted, which results in The nail can not be smoothly completed Kawasaki human body bone good position to fix the fracture, the bone scars can make better on healing. Luyi right month folds need to be fixed in three dimensions or other fixed way. The monthly bone fixation bracket 1 is used to replace the long needle seat 10 or the short needle seat 1 which can provide three-dimensional fixed mode, and it is fixed and assembled. It is quite inconvenient for medical personnel to use the second eve: the solid truss 1 ' needs to be disassembled and assembled to replace the different long needle seat 11 . ^This shows that the long needle thin or short needle seat I of the chronological fixing frame 1 cannot directly provide the three-point method.
St式及其它固定方式固定骨折處時，醫:人=; 透過拆解及喊錢μ叫触 ==它r式，骨釘在骨折處的調= 其他固定何可直接提供三維固定方式、 月、丁口疋的角度、位置可進入最佳位置的骨 201032769 科用外固定裝置’則為本發明此次申請專利欲解決之課蟪， 藉以滿足現實之所需。 【發明内容】 有寥於上述習用骨用外固定架仍有諸多缺失；因此， 發明人雜：《§長久努力研究與實驗，終於開發料出本發 明之一種「骨科用外固定裝置」。 本發明之-目的提供一種骨科用外固定裝置，係將〜St-type and other fixed ways to fix the fracture, doctor: person =; through dismantling and shouting money μ touch == it r-type, bone nail at the fracture of the adjustment = other fixed can directly provide three-dimensional fixed way, month The angle and position of Dingkouyu can enter the best position of the bone 201032769. The external fixation device for the application is the lesson to be solved by this patent application, to meet the needs of reality. SUMMARY OF THE INVENTION There are still many defects in the above-mentioned conventional external fixation frames for bones. Therefore, the inventors have mixed in: "The long-term efforts and experiments have finally developed a "orthopaedic external fixation device" of the present invention. The present invention provides an external fixation device for orthopedics, which is to
失具組夾設，桿體及—調整件，藉由該夾具組在該桿發上 變化不同肖度’讓該輕件提供適#固定方向，藉以達 操作簡便之目的。 —本發明之另一目的提供-種骨科用外固定裝置，係將 夾具組夾設-桿體及—輕件，藉由棚整件槌設於該 夾具組上’且具有—旋轉行程，及可變化水平方或垂直方 向’藉以賴無需較換該調整狀目的。 —本發明之又-目的提供一種骨科用外固定裝置，係將 夹具、且夾⑶；^體及—調整件，藉由該調整件之裝置部 ^柱體社構造，提供—骨料關定料赌人體骨絡 適當位置’藉以達到提供翻敗方式之目的。 【實施方式】 為便於貝審查委員能對本發明之技術手段及運作過程 圖式，詳細說明 有更進一步之認識與瞭解，兹舉實施例配合， 如下。 請分別參閱第二 -(A) (B)圖所示，係分別為本發明骨 、三（B)、四（A)及四 科用外固定裝置2之分解示 201032769 意圖及組合示意圖，由各圖可知，該骨科用外固定裝置2係由 一才干體21、至至少一夹具組22及至少一調整件23所構成。 該夾具組22係分為一上夾具件221及一下夾具件222， 其中央部位設有一第一凹槽223，用以夾設該桿體21，且該 夾具組22之一端設有一第一鎖固孔224，另一端分別設有一 第二鎖固孔225及一第二凹槽226，該第二鎖固孔225係貫穿 該第二凹槽226，且該第二凹槽226在對應該第二鎖固孔225 之一面設有一第一樞接部227 ;當該上夹具件221及下炎具 件222組合後該第二凹槽226係呈一 U型凹槽。 該調整件23係樞設於該夾具組22，具有一旋轉行程， 而該調整件23係由一裝置部231及一柱體部232所構成，其 中該裝置部231上設有至少一第一滑動槽2311，且於該第一 滑動槽2311設有至少一第一挾持件2312 ;該柱體部232與該 裝置部231呈一直交設置，其前端部位之四邊周圍分別設有 一第三鎖固孔2321，且於該第三鎖固孔2321之外圍分別設 有一第二樞接部2322，並藉由該等第三鎖固孔2321及該等 第二樞接部2322，可供該至少一調整件23樞設於該夾具組 22第二凹槽226之第一樞接部227處，並於該柱體部232之中 段部位之四邊周圍分別設有一第二滑動槽2323，該第二滑 動槽2323可分別設有至少一第二夾持件2324 ’且於該柱體 部232前端部位之軸向面設有一通孔2325，該通孔2325與該 第二滑動槽2323互通；其中該第一樞接部227與該第二樞接 部2322相對應接觸樞接，以增加磨擦力。 在本發明中，該骨科用外固定裝置2又包括至少一位移 201032769 件25，可套設於該桿體21上，使該夾具組22夾設於該位移件 25以變化不同角度，且該位移件25具有一位移行程。 在本發明中’該第一夾持件2312及該第二夾持件2324 之一端分別設有一用以止擋該第一夾持件2312及該第二夾 持件2324脫離該第一滑動槽2311及該第二滑動槽2323之限 位端23121、23241，且於該限位端23121、23241設有一限 位孔23122、23242 ;該限位孔23122、23242係可供至少一 骨釘26 (如第五圖所示）插入其中以植入人體之骨骼中。 在本發明中，該第一夾持件2312及該第二夾持件2324 之另一端分別設有一螺、紋部23123、23243，且對應於該螺 紋部23123、23243設有一螺帽23124、23244。 在本發明中，該第一滑動槽2311及該第二滑動槽2322 與該螺帽23124、23234間更包括一鎖固用之墊圈23125、 23245 。 在本發明中，該骨科用外固定裝置2更包括複數鎖固件 24，該等鎖固件24用以鎖固該第一鎖固孔224及該第二鎖固 孔225，以將該夾具組22鎖固於該桿體21上。 請參閱第五至七圖所示，係分別為本發明骨科用外固 定裝置2之實施例示意圖’由各圖可知’組裝上述構件成為 該骨科用外固定裝置2 ’該夾具組22藉由該等鎖固件24鎖固 於該第一鎖固孔224 (如第二圖所示）、該第二鎖固孔225 及穿越該第三鎖固孔2321 ’使該夾具組22夾設該桿體21上 及將該調整件23夾住，讓該夾具組22之第一凹槽223對應接 觸於該桿體21之外部環型面，使該夾具組22可依據該外部 201032769 環型面之構造活動調整不同角度。 再者，該骨科用外固定裝置2亦可在該桿體21套設一0 型圓環之位移件25 (如第二圖所示），讓該夾具組22夾設 該位移件25上’由該夾具組22之第一凹槽223對應接觸於該 桿體21之外部球型面，使該夾具組22可依據該外部球型面 活動調整不同角度。 該調整件23可依據骨折傷患位置進行調整變化，醫護 人員視骨折處的狀況，調整變化該調整件23的方向，使該 調整件23與該桿體21可呈水平方向（如第三A圖所示）或垂 直方向（如第四A圖所示）之後，將一骨釘26 (如第五圖至 第七圖所示）由該第一夾持件2312 (如第二圖所示）及該 第二夾持件2324之限位孔23122、23242植入人體骨骼，以 固定該骨折處’且該第一夾持件2312及該第二夾持件2324 則可視骨折傷處進行方向調整，使該骨釘26能變化植入方 式（例如水平固定方式、垂直固定方式及三維固定方式 等）固定於適當位置，讓骨折處能癒合更完好。 該等鎖固件24鎖固於該第二鎖固孔225及該第三鎖固孔 2321 (如第二圖所示），使該夾具組22之第二凹槽226夾設 該調整件23之前端部位，讓該第一樞接部227與該第二樞接 部2322相互樞接，藉以具有一旋轉行程（如第三3圖及第四 B圖所示）’以旋轉不同方向，使該調整件234可視骨折處 調整欲固定方向，讓該骨釘26植入人體骨骼之適當位置， 以提供穩固之固定方式固定骨折處。 再者’醫護人員可視骨折處的傷患情況，在該桿體21 201032769 上增加另-組該夾具組22、該調整件23或—組該爽具組 22、該調整件23及該位移件25，藉簡定多重骨折處。 藉此可知，本發明之設計在為使該骨科用外固定裝置2 即可使用同-該調整件23，變化不同固定方向，讓該骨釘 26藉由_整件23之構件變化不咖定方式，植入人體骨 路^適當位置’以穩關定骨折處，達到無需更換不同之 調整件23、操作簡便及之穩固料目的， 技術之缺點。The dislocation group is clamped, the rod body and the adjusting member are changed in the rod by the clamp group, so that the light member is provided with a suitable direction for the purpose of easy operation. - Another object of the present invention is to provide an external fixation device for orthopedics, wherein the clamp group is sandwiched between a rod body and a light member, and the shed member is disposed on the clamp group and has a rotation stroke, and The horizontal or vertical direction can be changed, so there is no need to change the adjustment. - A further object of the present invention is to provide an external fixation device for orthopedics, which comprises a clamp, a clamp (3), a body and an adjustment member, which are provided by the device structure of the adjustment member. It is expected that the proper position of the human body will be used to achieve the purpose of providing a way of defeat. [Embodiment] In order to facilitate the detailed review and understanding of the technical means and operational process diagrams of the present invention, the embodiments are provided as follows. Please refer to the second-(A)(B) diagram for the intent and combination of the decomposition of the external fixation device 2 for the bone, three (B), four (A) and four sections of the present invention, respectively. As can be seen from the figures, the orthopedic external fixation device 2 is composed of a trunk 21, at least one clamp group 22, and at least one adjustment member 23. The clamp group 22 is divided into an upper clamp member 221 and a lower clamp member 222. A central portion is provided with a first recess 223 for clamping the rod body 21, and one end of the clamp group 22 is provided with a first lock. The second hole 225 is formed in the second hole 226, and the second groove 226 is corresponding to the second groove 226. One of the two locking holes 225 is provided with a first pivoting portion 227; the second recess 226 is a U-shaped groove when the upper clamping member 221 and the lower insulating member 222 are combined. The adjusting member 23 is pivotally disposed on the clamp unit 22 and has a rotation stroke. The adjusting member 23 is formed by a device portion 231 and a column portion 232. The device portion 231 is provided with at least one first portion. The sliding groove 2311 is provided with at least one first holding member 2312 in the first sliding groove 2311; the cylindrical portion 232 is disposed at an intersection with the device portion 231, and a third locking portion is disposed around each of the four sides of the front end portion a second pivoting portion 2322 is disposed on the outer periphery of the third locking hole 2321, and the third locking portion 2321 and the second pivoting portion 2322 are available for the at least one The adjusting member 23 is pivotally disposed at the first pivoting portion 227 of the second recess 226 of the clamp unit 22, and a second sliding slot 2323 is respectively disposed around the four sides of the middle portion of the cylindrical portion 232. The slot 2323 is respectively provided with at least one second clamping member 2324', and a through hole 2325 is formed in an axial direction of the front end portion of the cylindrical portion 232, and the through hole 2325 is interconnected with the second sliding slot 2323; A pivoting portion 227 is in contact with the second pivoting portion 2322 to increase the frictional force. In the present invention, the orthopedic external fixation device 2 further includes at least one displacement 201032769 piece 25, which can be sleeved on the rod body 21, so that the clamp group 22 is sandwiched between the displacement members 25 to change different angles, and The displacement member 25 has a displacement stroke. In the present invention, one end of the first clamping member 2312 and the second clamping member 2324 are respectively provided to stop the first clamping member 2312 and the second clamping member 2324 from the first sliding slot. 2311 and the limiting end 23121, 23241 of the second sliding slot 2323, and a limiting hole 23122, 23242 is provided at the limiting end 23121, 23241; the limiting hole 23122, 23242 is for at least one bone nail 26 ( Inserted as shown in Figure 5 to be implanted in the bones of the human body. In the present invention, the other ends of the first clamping member 2312 and the second clamping member 2324 are respectively provided with a screw portion, a 2323, 23243, and a screw cap 23124, 23244 corresponding to the thread portion 23123, 23243. . In the present invention, the first sliding groove 2311 and the second sliding groove 2322 and the nut 23124, 23234 further include a locking washer 23125, 23245. In the present invention, the orthopaedic external fixation device 2 further includes a plurality of locking members 24 for locking the first locking hole 224 and the second locking hole 225 to fix the clamping group 22 It is locked to the rod body 21. Please refer to the fifth to seventh embodiments, which are respectively schematic views of an embodiment of the external fixation device for orthopedics of the present invention. 'As shown in the drawings, the above components are assembled to become the external fixation device for orthopedics 2' The lock fastener 24 is locked to the first locking hole 224 (as shown in the second figure), the second locking hole 225 and the third locking hole 2321 ′ to the clamp group 22 to sandwich the rod body 21, and the adjusting member 23 is clamped, so that the first groove 223 of the clamp group 22 is correspondingly contacted with the outer annular surface of the rod body 21, so that the clamp group 22 can be constructed according to the outer surface of the outer 201032769 ring profile. The activity adjusts to different angles. Furthermore, the orthopedic external fixation device 2 can also be provided with a 0-ring displacement member 25 (as shown in the second figure) on the rod body 21, so that the clamp group 22 is placed on the displacement member 25' The first groove 223 of the clamp group 22 corresponds to the outer spherical surface of the rod body 21, so that the clamp group 22 can adjust different angles according to the outer spherical surface. The adjustment member 23 can be adjusted according to the position of the fracture injury, and the medical staff adjusts the direction of the adjustment member 23 according to the condition of the fracture, so that the adjustment member 23 and the rod body 21 can be horizontally oriented (such as the third A). After the figure) or the vertical direction (as shown in FIG. 4A), a bone nail 26 (as shown in FIGS. 5 to 7) is used by the first clamping member 2312 (as shown in the second figure). And the limiting holes 23122, 23242 of the second clamping member 2324 are implanted into the human bone to fix the fracture portion' and the first clamping member 2312 and the second clamping member 2324 can be oriented according to the fracture The adjustment enables the bone nail 26 to be fixed in a suitable manner (for example, a horizontal fixation method, a vertical fixation method, a three-dimensional fixation method, etc.), so that the fracture portion can heal better. The second locking hole 225 is locked to the second locking hole 225 and the third locking hole 2321 (as shown in the second figure), so that the second groove 226 of the clamping set 22 is sandwiched by the adjusting member 23 a front end portion, the first pivoting portion 227 and the second pivoting portion 2322 are pivotally connected to each other, thereby having a rotation stroke (as shown in FIG. 3 and FIG. 4B) to rotate the different directions. The adjusting member 234 can adjust the direction of the fracture to be fixed, and the bone nail 26 is implanted into the proper position of the human skeleton to provide a firm fixation to fix the fracture. Furthermore, the medical staff can visually identify the injury at the fracture site, and add another set of the clamp group 22, the adjustment member 23 or the group of the coolness group 22, the adjustment member 23 and the displacement member to the rod body 21 201032769. 25, by the simple multiple fractures. It can be seen that the design of the present invention allows the orthopedic external fixation device 2 to use the same adjustment member 23, and the different fixing directions are changed, so that the bone nail 26 is not changed by the member of the whole member 23. The method is implanted into the human bone road ^ proper position to stabilize the fracture, to achieve the disadvantages of no need to replace different adjustment parts 23, simple operation and stable material.
亡=細說明係針對本發明之—可行實施例之具體說 ==實施舰非用⑽制本發明之專概 案之專利範圍中。纽實施或變更，均應包含於本 【圖式簡單說明】 骨用外固定架之分解立體示意圖； 圖；弟三A圖係本發料科料固定裝置之組合立=意 圖；第三關係本發明骨科科蚊裝置之-旋轉行程示意 意圖第-圖係本發明骨科科固定裝置之另—組合立趙示 意圖第四B圖係本發明骨科用外固定裝置之另_旋轉行程示 第五圖係本發明骨科用外固定裝置之第一實施例示意 201032769 圖； 第六圖係本發明骨科用外固定裝置之第二實施例示意 圖；以及 第七圖係本發明骨科用外固定裝置之第三實施例示意 圖。The term "details" is specific to the present invention - the specific embodiment of the feasible embodiment == implementation of the ship is not used (10) in the patent scope of the present invention. New implementation or change, should be included in this [simplified description of the drawings] exploded three-dimensional schematic diagram of the bone external fixation; Figure; brother three A diagram is the combination of the hair material fixation device = intention; third relationship the present invention Orthopaedic mosquito device - rotation stroke schematic intention - first diagram of the invention of the orthopedics fixation device of the other combination of the vertical Zhao diagram fourth B diagram of the invention of the orthopedic external fixation device of the other _ rotation stroke shows the fifth diagram The first embodiment of the invention relates to an external fixation device for orthopedics, and the second embodiment is a schematic diagram of a second embodiment of the external fixation device for orthopedics of the present invention; and the seventh embodiment is a third embodiment of the external fixation device for orthopedics of the present invention. schematic diagram.
11 20103276911 201032769
【主要元件符號說明】 1 習用骨用外固定架 10 長針座 100 第一固定孔 11 短針座 110 圓凹孔 111 第二固定孔 12 連結組 120 球投螺軸 1201 球頭端 121 固定帽 2 骨科用外固定裝置 21 桿體 22 夾具組 221 上夾具件 222 下夾具件 223 第一凹槽 224 第一鎖固孔 225 第二鎖固孔 226 第二凹槽 227 第一樞接部 23 調整件 231 裝置部 2311 第一滑動槽 2312 第一夾持件 23121 限位端 23122 限位孔 23123 螺紋部 23124 螺帽 23125 墊圈 232 柱體部 2321 第三鎖固孔 2322 弟二框接部 2323 第二滑動槽 2324 第二失持件 12 201032769 限位孔 螺帽 23241 限位端 23242 ' 23243 螺紋部 23244 23245墊圈 2325 通孔 24 鎖固件 25 位移件 26 骨釘 〇[Main component symbol description] 1 Conventional bone external fixation frame 10 Long needle holder 100 First fixing hole 11 Short needle holder 110 Circular concave hole 111 Second fixing hole 12 Connection group 120 Ball screw shaft 1201 Ball end 121 Fixed cap 2 Orthopedics External fixing device 21 rod body 22 clamp group 221 upper clamp member 222 lower clamp member 223 first recess 224 first locking hole 225 second locking hole 226 second recess 227 first pivot portion 23 adjustment member 231 Device portion 2311 First sliding slot 2312 First clamping member 23121 Limiting end 23122 Limiting hole 23123 Threading portion 23124 Nut 23125 Washer 232 Cylindrical portion 2321 Third locking hole 2322 Second frame connecting portion 2323 Second sliding slot 2324 second missing piece 12 201032769 limit hole nut 23241 limit end 23242 ' 23243 threaded part 23244 23245 washer 2325 through hole 24 lock 25 displacement member 26 bone nail 〇
1313