TW201112996A - Artificial hip joint replacement system - Google Patents

Artificial hip joint replacement system Download PDF

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Publication number
TW201112996A
TW201112996A TW98135001A TW98135001A TW201112996A TW 201112996 A TW201112996 A TW 201112996A TW 98135001 A TW98135001 A TW 98135001A TW 98135001 A TW98135001 A TW 98135001A TW 201112996 A TW201112996 A TW 201112996A
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Taiwan
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replacement system
artificial hip
joint replacement
covering member
hollow
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TW98135001A
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Chinese (zh)
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TWI397396B (en
Inventor
Chih-I Lin
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A Spine Holding Group Corp
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Publication of TWI397396B publication Critical patent/TWI397396B/en

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Abstract

The present invention relates to an artificial hip joint replacement system including: a hollow fixation device whose near-end is a joint end and far-end is a perfusion end; a covering element connected to the perfusion end of hollow fixation device; a hip joint replacement body that is used to be covered on the fumur refitted in advance and is connected to hollow fixation device; an acetabular cup connected to the joint end of hollow fixation device; and a medical filling material that can be inserted and/or prefused into the covering element via the perfusion end of hollow fixation device to be dough-like after completing the perfusion.

Description

201112996 六、發明說明: 【發明所屬之技術領域】 本發明係有關一種人工髖關節置換系統,尤指一種可 灌注醫療填充物料之人工髖關節置換系統。 【先前技術】 本發明人等核准之台灣專利案號2451 18及1539〇7於 人=競關節之固定方式’係以繩索固定或以螺釘固定之外 固疋方式’其連結方式較為複雜,手術步驟較為繁複。本 發明係利用中空固定梦 '"置及包覆部件,並灌入醫療填充物 料,將人工髖關節由 緊密的盥手^ ^加以固定,使人工體關節能更為 冢莕的與手術部位緊密結合。 發明内容】 本發明之一目的 本發 人工髖關節置換系統。 本發明之又一目的 髖關節置換系統。 本發明之再〜目的 髖關節置換系統。 本發明之還一目的 本發明♦β 、,提供一種人工髖關節置換系統201112996 VI. Description of the Invention: [Technical Field] The present invention relates to an artificial hip joint replacement system, and more particularly to an artificial hip joint replacement system capable of infusing medical filling materials. [Prior Art] The Taiwan Patent No. 2451 18 and 1539〇7 approved by the inventors of the present invention are fixed in the way of fixing the joints of the human body by the use of a rope or a screw-fixing method. The steps are more complicated. The invention utilizes a hollow fixed dream' to cover and cover the component, and fills the medical filling material, and fixes the artificial hip joint by a tight hand to make the artificial joint more sturdy and the surgical site. Closely integrated. SUMMARY OF THE INVENTION One object of the present invention is an artificial hip joint replacement system. Yet another object of the invention is a hip replacement system. A further object of the present invention is a hip replacement system. Still another object of the present invention is to provide an artificial hip joint replacement system

目的,在提供一種具有中空固定裝置 在提供一種具有迫緊裝置的人 在提供一帛具有包覆部件的人 右I提供一種可塞入或迸 充物枓的人工髖關節置換系統。 飞灌入醫療 本發明之再—目 ,在提供一種可經由中 Τ空固定裝 201112996 塞入或灌入醫療填充物料的人工髖關節置換系統β 本發明之又一目的,在提供一種可經由中空固定裝置 將醫療填充物料塞入或灌入包覆部件的人工髖關節置換系 統0 本發明之還一目的,在提供一種將醫療填充物料注入 包覆部件後’該包覆部件可膨脹之人工髖關節置換系統。 本發明之再一目的,在提供一種將醫療填充物料注入 包覆部件後’該醫療填充物料可固化卡合於骨路之人工競 關節置換系.統。 本發明之又一目的,在提供一種包覆部件可有限度控 制醫療填充物料的灌注範圍之人工髖關節置換系統。 本發明之還一目的,在提供一種完成灌注醫療填充物 料後’包覆部件及醫療填充物料形成團狀結構之人工體關 節置換系統" 本發明之又一目的,在提供一種包覆部件及醫療填充 物料形成之團狀結構可卡合於骨骼之人工髖關節置換系 統。 本發明之人工髖關節置換系統,其包括: 一中空固定裝置,其近端為連結端,其遠端為灌注端; 一包覆部件’其與該中空固定裝置之灌注端結合; 一髖關節置換體,用以覆蓋在預先整修過之股骨上, 並與中空固定裝置連結; 一髖臼帽’其與該中空固定裝置之連結端連結;及 一醫療填充物料,其係經由該中空固定裝置的灌注 201112996 端塞入及/或灌入醫療填充物料於該包覆部件中使該 醫療填充物料於灌注完成後成團狀。 上述該中空固定裝置,可使該人工體關節置換系統可 於灌/主醫療填充物料後,將手術部位的骨絡固定於該膨服 且口化的包覆部件,且進一步利用該中空固定裝置與迫緊 裝置的連結,以增加該人卫競關節置換系統的穩定度。 上述該中空固定裝置,其與髖關節置換體之結合方式 可為任意習知之結合方式’如—體成形(請參見圖⑷、黏 ® 合、鎖合、卡合或螺合。 上述該中空固定裝置,其連結端與灌注端之間的才 身’可為具有各種類型之紋路’如:環狀紋、直條紋$ 點紋或網狀紋(請參見圖10b、10c、1〇d、1〇e),用以增乂 該中空固定裝置與骨之間的摩擦力,使該中空固定裝置) 易於術後產生滑動。 上述該中空固定裝置之灌注端,其可為任意習知形式 之灌注端,如具有複數條細縫的灌注端或複數個孔洞的灌 注端(請參見圖Ub、llc),以具有複數條細縫的灌注端為 較佳。 上述該包覆部件,其可固定於該中空固定裝置的 身 '灌/主端或連結端’以固定於桿身為較佳。 上述該中空固定裝置與包覆部件之結合方式可為任 習知結合方式,以該中空固定裝置的桿身具有—環狀 槽,該環狀凹槽係用以將該包覆部件固定於中空固定裝 的桿身,其中將包覆部件固定於該環狀凹槽的結合方^ 201112996 為任意習知之結合方式,如錨釘、扣環、鎖合、黏合或綑 綁(請參見圖1钧、141)、14(:、1牝)。以錨釘或扣環為較佳。 上述該包覆部件,其可為完全包覆或部份包覆該中空 固定裝置之灌注端。 上述該包覆部件,其可為任意習知之包覆部件,如彈 性包覆部件、網狀包覆部件、多孔包覆部件或金屬包覆部 件(請參見圖 13a、13b、13c、 上述該包覆部件,其可為任意形狀之包覆部件,如圓 柱狀、圓錐狀、球形、類球形或類立方體。 上述該包覆部件,其可進一步包括一阻擋部件該阻 撞部件用以使一導引裝置穿過中空固定裝置之灌注端後, 該導引裝置可頂住阻擋部件,讓包覆部件放入骨骼時,可 放置至灌注位置,而不致使包覆部件在放入骨骼時,呈現 被擠壓或產生皺摺的狀態。 上述該競關節置換體,其可為任意習知之髖關節置換 體,如台灣專利2451 18及153907所述之髖關節置換體。 上述該髖關節置換體,其與迫緊裝置之連結可為任意 習知之連接方式,如鎖合、卡合或螺合。 上述該髖臼帽’其可為任意習知之髖臼帽,如台灣專 利245118及153907所述之骸臼帽。 上述該醫療填充物料,其於灌注完成後成團狀,其中 該團狀可為任意習知之團狀,如圓柱狀、圓錐狀、球形、 類球形或類立方體,以圓柱狀為較佳。 上述該醫療填充物料,其可為任意習知醫療填充物 201112996 料’諸如移植用碎骨(bone graft),骨科用取代物(bone substitutes)、骨水泥(bone cement) '及/或其混合物 (mixture)、組合物(composition)、複合物(composite)等,參 見 TW-097141700、TW-I227 146、US-20070088436。一般而 言’上述醫療填充物料’可採用單純填入之醫療填充物料, 諸如移植用碎骨,例如自體骨(autograft)或異體骨 (allograft) ’但以其固化卡合效果顯然相對較差;因此,上 述醫療填充物料’以採用至少含可固結之漿料的醫療填充 _ 物料為較佳,諸如漿料式的醫療填充物料,或塞入上述移 植用碎骨後’再灌入可固結之漿料,使該漿料實質上充滿 整個團狀結構’甚至使團狀結構再稍微膨脹,以強化固化 卡合效果;一般而言,以直接採用漿料式的醫療填充物料 為更佳。此處所謂漿料式的醫療填充物料,係指可在使用 時或使用前調配成漿料’於灌入團狀結構後適當時間内固 結之醫療填充物料,諸如上述之骨科用取代物(b〇ne 鲁 substitutes)、骨水泥(bone cement) '及/或其混合物 (mixture)、組合物(compositi〇n)、複合物(c〇mp〇site)等。上 述醫療填充物料’以具有骨傳導作用(〇ste〇_c〇n(juctive)、 及/或骨引導作用(osteo-inductive)者為較佳,諸如習知的 HA類骨填充物;以具有骨引導作用者為較佳,諸如SrHA 類醫療填充物料,參見TW-097141700。熟知此項技藝人士 均知上述醫療填充物料’除習知醫療填充物料外,可代以 任何就習知醫療填充物料重新組合或修正之醫療填充物 料,甚至任意具有等效之新開發醫療填充物料。 201112996 上述該中空固定装置,其可為一段式或多段式組合, 右為一段式,該中空固定裝置為整體中空,若為多段式, 遠端灌注端為中空,其餘各端可為中空或實心,各段間可 以任意習知之結合方式結合,如鎖合、卡合或螺合。 上述該人工髖關節置換系統,其可進一步包括多個中 空固定裝置及包覆部件(請參見圖7a ),並同樣灌注醫療填 充物料,以加強固定該人工髖關節置換系統的穩定性。 上述該人工髖關節置換系統,其可進一步包括一輔助 固定裝置,以加強固定該人工髖關節置換系統的穩定性, 其可為固定索、骨板、連結桿、骨釘、螺釘、桿件或骨鉤。 上述該人工髖關節置換系統,其與輔助固定裝置之結 合方式可為任意習知之結合方式’如鎖合、卡合或螺合。 【實施方式】 圖la為本發明人工髖關節置換系統中空固定裝置及髖 關節置換體為一體成型的較佳具體例示意圖。其中標號1〇〇 為中空固定裝置,200為包覆部件,5〇〇為髖關節置換體, 6〇〇為髖臼帽,800為髖關節,81〇為孔洞。中空固定裝置 100與髖關節置換體5〇〇為一體成型,手術時將中空固定 裝100及包覆部# 200放入事先於體關_ 8Q()打好的孔洞 8 1 〇 中。 n圖lb為圖1a完成灌注的較佳具體例示意圖。其中標 號100為中空固定裝置,200為包覆部件,3〇〇為醫療填充 物料,為體關節置換體,600為體白帽,8〇〇為媒關節。 201112996 其中醫療填充物料300經由中空固定裝置1〇〇之灌注端灌 入包覆部件200,且醫療填充物料_將包覆部件2〇〇灌 滿,形成一團狀。 圖2為本發明人工髖關節置換系統中空固定裝置及髖 關節置換體為螺合的較佳具體例示意圖。其中標號為 連結端’ m為灌注端’ 200為包覆部件,5〇〇為髖關節置 ,體,600為競臼帽’咖為髖關節。中空固定裝置與體關 節置換體500為兩段式,以螺合方式結合,手術時將中空 •固定裝1〇0及包覆部件放入事先於_節_打好的 孔洞8 1 0中。 圖3為本發明人工髖關節置換系統與一迫緊裝置結合 的較佳具體例示意圖。其中標號1〇〇為中空固定裝置,2〇〇 為包覆部件’300為醫療填充物料,為體關節置換體, 6:〇為髖白帽,7〇〇為迫緊裝置,_為髖關節。人工髖關 節置換系統於灌注醫療填充物料後,利用一迫緊裝置7〇〇, • 將形成團狀之包覆部件,向手術部位的骨骼迫緊。 圖4為本發明人工髖關節置換系統與螺釘結合的較佳 具體例示意圖。其中標冑100為中空固定裝置,200為包 覆部件,500為髖關節置換體,6〇〇為髖臼帽,71〇為第一 螺釘,720為第二螺釘,730為墊片,800為髖關節,81〇 為孔洞。人工髖關節置換系統於灌注醫療填充物料後,利 用第一螺釘710、第二螺釘720及墊片730,將形成團狀之 包覆部件’向手術部位的骨骼迫緊。 圖5為本發明人工髖關節置換系統與螺釘及固定索結 201112996 合的較佳具體例示意圖。其中標號1〇〇為中空固定裝置, 2〇0為包覆部件,_為親關節置換體,600為鑛臼帽,71〇 為第-螺釘,720為第二螺釘,73〇為墊片,74〇為固定索, 800為競關節,810為孔洞。人工體關節置換系統於灌注醫 療填充物料後,利用第一螺釘71〇、第二螺# 72〇、塾片 730及固定索740,將形成團狀之包覆部件,向手術部位的 骨骼迫緊。 圖6為本發明人工髖關節置換系統與螺釘結合的另一 較佳具體例示意圖。其中《 100為中空固定裝置,200 為包覆部件’ 5GQ為髖關節置換體,_為髖㈡帽,71〇為 第一螺釘,711為第一螺帽,720為第二螺釘,721為第二 螺帽,750為第三螺釘’ 8〇〇為髖關節,81〇為孔洞。人工 髖關節置換系統於灌注醫療填充物料冑,利用第一螺釘 710、第二螺釘720、第一螺帽711、第二螺巾冒721及第三 丁 750將形成團狀之包覆部件,向手術部位的骨路 緊。 圖7a為本發明人工髖關節置換系統與第二中空固定裝 置結合的較佳具體例示意圖。其中標號100為中空固定裝 置,200為包覆部件,300為醫療填充物料,400為第二中 空固定裝置,500為髖關節置換體,800為髖關節,9〇〇為 固疋板。人工髖關節置換系統利用第二中空固定裝置4〇〇 及包覆部件’加以灌注醫療填充物料300,以加強該人乂 髖關節置換系統之内固定,並進-步以固定板900及螺釘 加強該人工體關節置換系統之外固定。 201112996 圖7b為圖7a另一視角之示意圖。 圖8a為本發明人工體關節置換系統一個較佳具體例的 結合不意圖。其中標號⑽為中空固定裝i,110為連結 端’120^纽端,m為桿身,該桿身表面具有網紋,^ 為包覆部件’ 210為固定環,22〇為阻擋部件。其中中空固 定,置100為一體成型,固定;裒220用以將包覆部件2〇〇 固疋於中空固定裝置100的桿身13〇。SUMMARY OF THE INVENTION It is an object to provide an artificial hip joint replacement system having a hollow fixation device for providing a person with a compression device to provide a shackle or sputum sputum. BACKGROUND OF THE INVENTION Still another object of the present invention is to provide an artificial hip joint replacement system that can be inserted or filled with medical filling material through a hollowed-out fixture 201112996. An artificial hip joint replacement system for inserting or filling a medical filling material into a covering member. It is still another object of the present invention to provide an artificial hip that expands the covering member after injecting the medical filling material into the covering member. Joint replacement system. Still another object of the present invention is to provide an artificial competitive joint replacement system in which the medical filling material can be cured and engaged with the bone path after the medical filling material is injected into the covering member. It is yet another object of the present invention to provide an artificial hip joint replacement system in which the covering member can control the perfusion range of the medical filling material to a limited extent. Still another object of the present invention is to provide a prosthetic joint replacement system for forming a wrap structure of a coated member and a medical filling material after completion of perfusion of a medical filling material. Further, another object of the present invention is to provide a covering member and The mass-forming structure formed by the medical filling material can be engaged with the artificial hip joint replacement system of the bone. The artificial hip joint replacement system of the present invention comprises: a hollow fixing device, the proximal end of which is a connecting end, the distal end of which is a perfusion end; a covering member 'which is combined with the perfusion end of the hollow fixing device; a hip joint a replacement body for covering the pre-finished femur and coupled to the hollow fixture; an acetabular cap connected to the joint end of the hollow fixture; and a medical filler material through which the hollow fixture is attached The perfusion 201112996 is inserted into and/or filled with medical filling material in the covering member to cause the medical filling material to agglomerate after completion of the infusion. In the above hollow fixing device, the artificial body joint replacement system can fix the bone network of the surgical site to the expanded and mouthed covering member after the filling/main medical filling material, and further utilize the hollow fixing device The connection with the pressing device to increase the stability of the person's joint replacement system. The hollow fixing device may be combined with the hip joint replacement body by any conventional combination method, such as body forming (see figure (4), adhesive bonding, locking, snapping or screwing. The above hollow fixing The device, the body between the joint end and the perfusion end can be of various types of textures such as: ring pattern, straight stripe pattern or dot pattern (see Figures 10b, 10c, 1〇d, 1) 〇 e) for enhancing the friction between the hollow fixture and the bone, so that the hollow fixture is easy to slide after surgery. The perfusion end of the hollow fixing device may be a perfusion end of any conventional form, such as a perfusion end having a plurality of slits or a perfusion end of a plurality of holes (see FIG. Ub, llc) to have a plurality of thin The perfusion end of the slit is preferred. Preferably, the covering member is fixed to the body of the hollow fixing device, the main body or the connecting end, for fixing to the shaft. The combination of the hollow fixing device and the covering member may be any conventional combination, wherein the shaft of the hollow fixing device has an annular groove for fixing the covering member to the hollow fixing device. The shaft of the shaft in which the covering member is fixed to the annular groove ^ 201112996 is any combination of conventional means such as anchor, buckle, lock, glue or bundle (see Figure 1钧, 141). , 14 (:, 1 牝). Anchors or buckles are preferred. The covering member may be a perfusion end that completely covers or partially covers the hollow fixing device. The covering member may be any conventional covering member such as an elastic covering member, a mesh covering member, a porous covering member or a metal covering member (please refer to FIGS. 13a, 13b, 13c, the above package) a covering member, which may be a covering member of any shape, such as a cylindrical shape, a conical shape, a spherical shape, a spherical shape, or a cube-like shape. The above-mentioned covering member may further include a blocking member for making a guiding member After the guiding device passes through the perfusion end of the hollow fixing device, the guiding device can withstand the blocking member, and when the covering member is placed in the bone, can be placed to the filling position without causing the covering member to be placed when the bone is placed The joint replacement body may be any conventional hip joint replacement body, such as the hip joint replacement body described in Taiwan Patent Nos. 2451 18 and 153907. The hip joint replacement body, The connection to the pressing device can be any conventional connection, such as locking, snapping or screwing. The acetabular cap can be any conventional acetabular cap, such as Taiwan Patent No. 245118 and 153907. The medical filling material is agglomerated after completion of the infusion, wherein the mass may be any conventional group, such as a cylindrical shape, a cone shape, a spherical shape, a spheroidal shape or a cubic type, in a cylindrical shape. Preferably, the medical filling material can be any conventional medical filler 201112996 material such as bone graft, bone substitutes, bone cement 'and/ Or a mixture thereof, a composition, a composite, etc., see TW-097141700, TW-I227 146, US-20070088436. Generally, the above-mentioned medical filling material can be simply filled in medical treatment. Filling materials, such as bone grafts for transplantation, such as autograft or allograft, but the curing effect is obviously relatively poor; therefore, the above medical filling material is used to contain at least a condensable pulp Medical filling of the material _ the material is preferably, such as a slurry type medical filling material, or after being inserted into the above-mentioned bone for transplantation, 'refilling the condensable slurry to substantially fill the slurry The entire lumps structure 'even the squash structure is slightly expanded to enhance the curing engagement effect; in general, it is better to use the slurry type medical filling material directly. Here, the slurry type medical filling material is used. Means the medical filling material that can be consolidated into the slurry at the appropriate time after use or before use, such as the above-mentioned orthopedic substitutes (b〇ne 鲁substitutes), bone cement ( Bone cement) 'and / or a mixture thereof, a composition (compositi〇n), a complex (c〇mp〇site), and the like. The above-mentioned medical filling material 'is preferably having a bone conduction effect (juctive), and/or osteo-inductive, such as a conventional HA-based bone filler; Bone guiding agents are preferred, such as SrHA-like medical filling materials, see TW-097141700. It is well known to those skilled in the art that the medical filling material described above can be substituted for any conventional medical filling material in addition to the conventional medical filling material. Recombination or correction of medical filling materials, even any equivalent new developed medical filling materials. 201112996 The above hollow fixing device can be a one-stage or multi-stage combination, the right is a one-piece type, the hollow fixing device is hollow If the multi-segment type is used, the distal perfusion end is hollow, and the other ends may be hollow or solid, and the segments may be combined by any conventional combination, such as locking, snapping or screwing. The artificial hip joint replacement system described above , which may further include a plurality of hollow fixtures and covering members (see FIG. 7a), and also inject medical filling material to strengthen the artificial hip joint The stability of the replacement system. The artificial hip joint replacement system described above may further include an auxiliary fixing device for enhancing the stability of the artificial hip joint replacement system, which may be a fixing cable, a bone plate, a connecting rod, a bone nail , the screw, the rod or the bone hook. The artificial hip joint replacement system described above may be combined with the auxiliary fixing device in any conventional manner such as locking, snapping or screwing. [Embodiment] FIG. A schematic diagram of a preferred embodiment of the hollow fixation device and the hip joint replacement body of the artificial hip joint replacement system of the present invention is a hollow fixing device, 200 is a covering member, and 5 is a hip joint replacement body. 6〇〇 is the acetabular cap, 800 is the hip joint, and 81〇 is the hole. The hollow fixation device 100 is integrally formed with the hip joint replacement body 5, and the hollow fixation device 100 and the covering portion #200 are placed in advance. In the body hole _ 8Q () hole 8 1 。. n Figure lb is a schematic diagram of a preferred example of the completion of the filling of Figure 1a, wherein the reference numeral 100 is a hollow fixture, 200 is a covering part, 3 〇 For the medical filling material, the body joint replacement body, 600 is a body white cap, and 8 is a medium joint. 201112996 wherein the medical filling material 300 is poured into the covering member 200 via the perfusion end of the hollow fixing device 1 , and the medical filling is performed. The material_fills the covering member 2〇〇 to form a lump. Fig. 2 is a schematic view showing a preferred embodiment of the hollow fixing device and the hip joint replacement body of the artificial hip joint replacement system of the present invention. 'm is the perfusion end' 200 is the covering part, 5〇〇 is the hip joint, the body is 600, the competition cap is 'the coffee is the hip joint. The hollow fixing device and the body joint replacement body 500 are two-stage type, screwed In combination with the method, the hollow and fixed device 1〇0 and the covering member are placed in the hole 8 1 0 before the _ section. Fig. 3 is a schematic view showing a preferred embodiment of the artificial hip joint replacement system of the present invention in combination with a pressing device. 1标号 is a hollow fixing device, 2〇〇 is a covering part '300 is a medical filling material, is a body joint replacement body, 6: 〇 is a hip white cap, 7 〇〇 is a pressing device, _ is a hip joint . The artificial hip joint replacement system uses a pressing device 7〇〇 after perfusion of the medical filling material. • A wrap-like covering member is formed to tighten the bone to the surgical site. Fig. 4 is a schematic view showing a preferred example of the combination of the artificial hip joint replacement system and the screw of the present invention. The standard 100 is a hollow fixing device, 200 is a covering part, 500 is a hip joint replacement body, 6 is an acetabular cap, 71 is a first screw, 720 is a second screw, 730 is a gasket, and 800 is Hip joints, 81 〇 are holes. The artificial hip joint replacement system uses the first screw 710, the second screw 720, and the spacer 730 to infuse the medically filled material to tighten the bone-forming covering member' to the bone of the surgical site. Fig. 5 is a schematic view showing a preferred embodiment of the artificial hip joint replacement system and the screw and the fixed cable knot 201112996 of the present invention. The label 1〇〇 is a hollow fixing device, 2〇0 is a covering part, _ is a pro-joint replacement body, 600 is a mine cap, 71〇 is a first screw, 720 is a second screw, and 73〇 is a gasket. 74〇 is a fixed cable, 800 is a joint joint, and 810 is a hole. After the artificial body joint replacement system is filled with the medical filling material, the first screw 71 〇, the second snail # 72 〇, the cymbal 730 and the fixing cable 740 are used to form a group-shaped covering member, and the bone of the surgical site is tightened. . Fig. 6 is a schematic view showing another preferred embodiment of the artificial hip joint replacement system of the present invention in combination with a screw. Among them, "100 is a hollow fixing device, 200 is a covering part" 5GQ is a hip joint replacement body, _ is a hip (two) cap, 71 is a first screw, 711 is a first nut, 720 is a second screw, and 721 is a first Two nuts, 750 for the third screw '8 〇〇 for the hip joint, 81 〇 for the hole. The artificial hip joint replacement system is configured to form a wrap-like covering member by injecting the medical filling material by using the first screw 710, the second screw 720, the first nut 711, the second screw 721, and the third 750. The bones of the surgical site are tight. Fig. 7a is a schematic view showing a preferred embodiment of the artificial hip joint replacement system of the present invention combined with the second hollow fixing device. The reference numeral 100 is a hollow fixing device, 200 is a covering member, 300 is a medical filling material, 400 is a second hollow fixing device, 500 is a hip joint replacement body, 800 is a hip joint, and 9 is a solid slab. The artificial hip joint replacement system uses the second hollow fixture 4〇〇 and the covering member 'to infuse the medical filling material 300 to strengthen the internal fixation of the hip joint replacement system, and further strengthens the plate 900 and the screw with the fixing plate 900 and the screw The artificial body joint replacement system is fixed outside. 201112996 Figure 7b is a schematic diagram of another perspective of Figure 7a. Fig. 8a is a schematic illustration of a preferred embodiment of the artificial body joint replacement system of the present invention. The reference numeral (10) is a hollow fixing device i, 110 is a connecting end '120^ New end, m is a shaft, the surface of the shaft has a texture, and the covering member '210 is a fixing ring, and 22 is a blocking member. Wherein, the hollow body is fixed, and 100 is integrally formed and fixed; the crucible 220 is used to fix the covering member 2 to the shaft 13 of the hollow fixing device 100.

圖8b為本發明人工髖關節置換系統一個完成灌注的 較佳具體例示意圖。其中標號100 4中空固定裝置,110 為連結端,U0為灌注端,130為桿身,扇為包覆部件, 210為固定環’ 220為阻擋部件,3〇〇為醫療填充物料。其 中醫療填充物料300經由中空固定裝^ 1〇〇之灌注端12〇 灌入包覆部件2GG ’且醫療填充物料將包覆部件_ 灌滿,形成一團狀。 圖9為本發明人工髓關節置換系統一個較佳具體例的 分解示意圖。其中標號1〇〇為中空固定裝i,ιι〇為連結 端,120為灌注端,13〇為桿身,131為環狀凹槽,2〇〇為 包覆部件,210為固定環,22()為阻樓部件,221為前阻擔 元件’ 222為後阻擋元件。其中該固定環21〇用以將心 #件200固定於中空固定裝置1〇〇的環狀凹槽ι3ι。 圖10a、10b ' i〇c、i〇d ' 10e為本發明人工髖關節置 換系統5種中空固定裝置桿身紋路的示意圖.。圖l〇a顯示: 中空固定裝置為—體成型’桿身13〇並無紋路。圖⑽顯 不.中空固定裝置為一體成型,桿纟13〇具有環狀紋路。 11 201112996 i l〇c顯示:中空固定裝置為一體成型,桿纟ι3〇具有直Fig. 8b is a schematic view showing a preferred embodiment of the artificial hip joint replacement system of the present invention. The reference numeral 100 4 is a hollow fixing device, 110 is a connecting end, U0 is a pouring end, 130 is a shaft, the fan is a covering member, 210 is a fixing ring '220 is a blocking member, and 3 is a medical filling material. The medical filling material 300 is poured into the covering member 2GG' via the perfusion end 12 of the hollow fixing device, and the medical filling material fills the covering member_ to form a mass. Fig. 9 is an exploded perspective view showing a preferred embodiment of the artificial spinal joint replacement system of the present invention. The reference numeral 1 is a hollow fixed device i, ιι〇 is a connecting end, 120 is a perfusion end, 13 is a shaft, 131 is an annular groove, 2 is a covering member, 210 is a fixing ring, 22 ( As a barrier building member, 221 is a front blocking member '222 is a rear blocking member. The fixing ring 21 is used to fix the core member 200 to the annular groove ι3 of the hollow fixing device 1〇〇. 10a, 10b 'i〇c, i〇d ' 10e are schematic diagrams of five kinds of hollow fixing device shaft lines of the artificial hip joint replacement system of the present invention. Figure l〇a shows: The hollow fixture is a body-formed body 13 with no lines. Figure (10) shows that the hollow fixture is integrally formed, and the rod 13 has a ring pattern. 11 201112996 i l〇c display: hollow fixture is integrated, rod 纟ι3〇 has straight

條紋路。圖10d顯示:令空固定裝置為一體成型,桿身13C 具有斑點紋路。圖10e顯示:中空固定裝置為一體成型, 桿身130具有網狀紋路。 圖11a、Ub、ilc為本發明人工髖關節置換系統之中 玉固疋裝置的3種灌注端較佳具體例示意圖。其中標號12(] 為灌注端。圖1 la顯示:灌注端12〇並無孔洞或細縫。圖 1 lb顯不.灌注端12〇有複數條細縫,以利醫療填充物料從Striped road. Fig. 10d shows that the hollow fixing device is integrally formed, and the shaft 13C has a speckle pattern. Figure 10e shows that the hollow fixture is integrally formed and the shaft 130 has a mesh pattern. Fig. 11a, Ub, and ilc are schematic diagrams showing three preferred examples of the perfusion end of the jade-fixing device in the artificial hip joint replacement system of the present invention. The label 12(] is the perfusion end. Figure 1 la shows that there is no hole or slit in the perfusion end 12〇. Figure 1 lb shows no. The perfusion end 12 has a plurality of slits to facilitate medical filling material.

灌注端120灌入包覆部件。圖He顯示:灌注端120有複 數個孔/同’以利醫療填充物料從灌注端! 2〇灌入包覆部件。 圖12a、12b為本發明人工髖關節置換系統2種中空固 定裝置的結合方式的較佳具體例示意圓。其中標號ιι〇為 連結部件,⑴為連結部件11G的結合端,⑶為灌注部件, 121為灌注部件120的結合端。圖…顯示:連結部件11〇 與灌注部# U0以螺合的方式結合。圖m顯示:連結部The perfusion end 120 is poured into the cladding member. Figure He shows that the perfusion end 120 has a plurality of holes/same to facilitate medical filling of the material from the perfusion end! 2〇 Fill the coated parts. Figs. 12a and 12b are schematic diagrams showing a preferred embodiment of a combination of two kinds of hollow fixing devices of the artificial hip joint replacement system of the present invention. Wherein the reference numeral ιι is a joint member, (1) is a joint end of the joint member 11G, (3) is a potting member, and 121 is a joint end of the potting member 120. Fig. shows that the coupling member 11〇 is coupled to the pouring portion #U0 in a screwing manner. Figure m shows: the link

件no具有螺旋構造,連結部# 11〇與灌注部m 合的方式結合。 圖13a、13b' 13c、l3d為本發明人 4 ^ φ A 八工髖關卽置換系統 件的較佳具體例示意圖。其中標號2〇〇為包覆 部件。圖13a顯示:包覆部件200為網 包覆錚件。圖13b 顯不·包覆部件200為PET材質包覆邹侔。 ** 圓1 3 c顯示: 包覆部件200為金屬包覆部件。圖13d " 為彈性包復部件。 包覆部件綱 圖⑷、Mb、14c、14d為本發明人工體關節置換系統 12 201112996 圖 圖 圖 圖 4種包覆部件與中空固定裝置結合的較佳具體例示意圖 其中標號130為桿身’ 200為包覆部件,21〇為固定環。 14a顯示:❹130與包覆部件2〇〇以錯釘方式結合。 ⑷顯示:桿#130與包覆部件2〇〇以螺合方式結合。 14c顯示:桿# 130與包覆部件·以迫緊方式結合。 ⑷顯示:桿身13〇與包覆部件期以綑綁方式結合。 圖15a、15b、l5c為本發明人工髖關節置換系統。The piece no has a spiral structure, and the joint portion #11〇 is combined with the infusion portion m. Fig. 13a, 13b' 13c, 13d are schematic diagrams showing a preferred embodiment of the inventor's 4 ^ φ A occupant hip replacement system. The reference numeral 2 is a covering member. Fig. 13a shows that the covering member 200 is a mesh covering member. Fig. 13b shows that the covering member 200 is covered with PET material. ** Round 1 3 c shows: The covering member 200 is a metal coated member. Figure 13d " is an elastic component. The cover member diagrams (4), Mb, 14c, and 14d are the body joint replacement system of the present invention. 12 201112996 FIG. 4 is a schematic diagram showing a preferred embodiment of the combination of the four kinds of covering members and the hollow fixing device. To cover the part, 21 turns is a fixed ring. 14a shows that the crucible 130 is combined with the covering member 2〇〇 in a stud manner. (4) Display: The rod #130 and the covering member 2 are joined by screwing. 14c shows that the rod #130 is combined with the covering member in a tight manner. (4) Display: The shaft 13〇 is combined with the covering component period in a binding manner. 15a, 15b, and 15c are artificial hip joint replacement systems of the present invention.

^屬包覆部件與中空較裝置結合的較佳具體例示意圖 '、中標號130為桿身,200為包覆部件,210為固定環 :::顯示:包覆部件20。為金屬包覆部件,桿身Η。與包彳 #件200以錨釘方式結合。 金屬勺m ⑼顯不.包覆部件200 j 金屬包覆部件,桿身130與包覆部件200 圖Has-.A 呀0方式結合 5C顯不.包覆部件200為金屬 包覆部件綱以返緊方式結合。 心 【圖式簡單說明】 Ί^\ 朽 關節置換體為-體成型的較佳具體例Ti 固定裝置及髖 圖1b為圖13完成灌注的較佳具體例 A圖2為本發明人工髖關節置換系統中 關卽置換體為螺合的較佳具體例示意圖。 示意圖。 空固定裝置及髖 的較佳具體例示意圖 統與-迫緊装置結合 圖 4為本發明人工髖關節置換系 統與螺釘結合的較佳 13 201112996 具體例示意圖。 圖5為本發明人工髖關節置換系統與螺釘及固定索砝 合的較佳具體例示意圖β σ 圖6為本發明人工親關節置換系統與螺釘結合的另一 較佳具體例示意圖。 圖為本發明人工髖關節置換系統與第二中空固定裝 置結合的較佳具體例示意圖。 圖7b為® l5a另一視角之示意圖。 圖8a為本#明人工競關節置換系統一個較佳具體例的 結合示意圖 圖8b為圖8a完成灌注的較佳具體例示意圖。 圖為本發明人工髖關節置換系統一個較佳具體例的 分解示意圖。 圖l〇a l〇b、i〇c' 10d、1〇e為本發明人工骸關節置 換系統5種中空固定裝置桿身紋路的示意圖。 咖圖Ua、lib、iic為本發明人工髖關節置換系統之中 空固定裝置的3種灌注端較佳具體例示意圖。 圖12a、12b為本發明人工髖關節置換系統2種中空固 疋裝置的結合方式的較佳具體例示意圖。 圖13a、13b、13c、13d為本發明人工髖關節置換系統 4種包覆部件的較佳具體例示意圖。 圖14a、14b、14c ' 14d為本發明人工髖關節置換系統 4種包覆部件與中空固定裝置結合的較佳具體例示意圖。 圖15a、15b、15c為本發明人工髖關節置換系統3種 201112996 金屬包覆部件與中空固定裝置結合的較佳具體例示意圖。^ is a schematic diagram of a preferred embodiment of the combination of the covering member and the hollow device. The reference numeral 130 is the shaft, 200 is the covering member, 210 is the fixing ring ::: display: the covering member 20. Covered with metal, the shaft is smashed. The package #200 is combined with an anchor. Metal spoon m (9) is not visible. Covering member 200 j Metal-clad part, shaft 130 and covering part 200 Figure Has-.A ah 0 way combined with 5C. Covering part 200 is a metal-clad part Tight way to combine. [Simplified illustration of the figure] 较佳^\ The preferred embodiment of the anatomical joint replacement body is Ti-shaped fixation device and hip Figure 1b is a preferred example of the completion of perfusion of Figure 13. Figure 2 is an artificial hip joint replacement of the present invention. A schematic diagram of a preferred embodiment of the system in which the displacement body is screwed. schematic diagram. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT AND HEAT BACKGROUND OF THE INVENTION Figure 4 is a schematic view of a preferred embodiment of the artificial hip joint replacement system and the screw of the present invention. Fig. 5 is a schematic view showing a preferred embodiment of the artificial hip joint replacement system of the present invention in combination with a screw and a fixation cable. Fig. 6 is a schematic view showing another preferred embodiment of the artificial joint replacement system of the present invention in combination with a screw. The figure is a schematic diagram of a preferred embodiment of the artificial hip joint replacement system of the present invention combined with the second hollow fixation device. Figure 7b is a schematic diagram of another perspective of the ® l5a. Fig. 8a is a schematic view showing a preferred embodiment of the artificial joint replacement system of Fig. 8a. Fig. 8b is a schematic view showing a preferred embodiment of the completion of the perfusion of Fig. 8a. The figure is an exploded view of a preferred embodiment of the artificial hip joint replacement system of the present invention. Fig. l〇a l〇b, i〇c' 10d, 1〇e are schematic diagrams of the five kinds of hollow fixing device shaft lines of the artificial ankle joint replacement system of the present invention. Ua, lib, and iic are schematic diagrams of three specific types of perfusion ends of the hollow fixation device of the artificial hip joint replacement system of the present invention. 12a and 12b are schematic views showing a preferred embodiment of a combination of two kinds of hollow solid-state devices of the artificial hip joint replacement system of the present invention. 13a, 13b, 13c, and 13d are schematic views showing a preferred embodiment of four kinds of covering members of the artificial hip joint replacement system of the present invention. 14a, 14b, 14c' 14d are schematic diagrams showing a preferred embodiment of the four kinds of covering members of the artificial hip joint replacement system of the present invention combined with the hollow fixing device. 15a, 15b, and 15c are schematic diagrams showing a preferred embodiment of the three types of artificial hip joint replacement system of the present invention, which are combined with a hollow fixing device.

【主要元件符號說明】 101 固定裝置 110 連結端 111 結合端 120 灌注端 121 結合端 130 桿身 131 環狀凹槽 201 包覆部件 210 固定環 220 阻擋部件 221 前阻擋元件 222 後阻擋元件 230 第二包覆部件 301 醫療填充物料 400 第二中空固定裝置 500 髖關節置換體 600 髖臼帽 700 迫緊裝置 710 第一螺釘 711 第一螺帽 720 第二螺釘 721 第二螺帽 730 墊片 740 固定索 750 第三螺釘 800 髖關節 810 孔洞 900 固定板 15[Main component symbol description] 101 Fixing device 110 Connecting end 111 Bonding end 120 Pouring end 121 Bonding end 130 Shaft body 131 Annular groove 201 Covering member 210 Fixing ring 220 Blocking member 221 Front blocking member 222 Rear blocking member 230 Second Covering member 301 medical filling material 400 second hollow fixing device 500 hip joint replacement body 600 acetabular cap 700 pressing device 710 first screw 711 first nut 720 second screw 721 second nut 730 spacer 740 fixing cable 750 third screw 800 hip joint 810 hole 900 fixing plate 15

Claims (1)

201112996 ' 七、申請專利範圍: 1. 一種人工髖關節置換系統,其包括: 一中空固定裝置,其近端為連結端,其遠端為灌注端; 一包覆部件,其與該中空固定裝置之灌注端結合; 一體關節置換體,用以覆蓋在預先整修過之股骨上,並 與中空固裝置連結; 一髖臼帽,其與該中空固定裝置之連結端連結;及 一醫療填充物料,其係經由該中空固定裝置的灌注端, 籲塞入及/或灌入醫療填充物料於該包覆部件中,使該醫療 填充物料於灌注完成後成團狀。 2.如申請專利範圍第丨項所述之人工髖關節置換系統其 中該中空固定裝置之桿身為環狀紋、直條紋斑點紋或 網狀紋。 · 》 3. 如申明專利範圍第丨項所述之人工髖關節置換系統,其 中該中空固定裝置之灌注端為具有複數條細縫的灌注端 或複數個孔洞的灌注端。 4. 如申請專利範圍第丨項所述之人工髖關節置換系統,其 中該中空固定裝置之桿身具有一環狀凹槽。 、 5. 如申請專利範園第4項所述之人工髖關節置換系統,其 中該包覆部件固定於環狀凹槽之方法為錨釘鎖合、黏 16 201112996 合或烟綁。 6.如申請專利範圍第1項所述之人卫體關節置換系統,其 中該匕覆口[5件為完全包覆或部份包覆該中空固定裝置之 灌注端。 & 7·如申明專利範圍第1項所述之人工髖關節置換系統,其 中該包覆部件為彈性包覆部件、網狀包覆部件、多孔包 覆部件或金屬包覆部件。 8.如申請專利範圍第1項所述之人工競關節置換系統其 中該包覆部件之形狀為圓柱狀、圓錐狀、球形、類球形 或類立方體。 9.如申凊專利範圍第i項所述之人工競關節置換系統其 中該醫療填充物料於灌注完成後所形成之團狀為圓枉 狀、圓錐狀、球形、類球形或類立方體。 10·如申清專利範圍第i項所述之人工髖關節置換系統其 中該醫療填充物料為骨科用取代物、骨水泥、及/或其混 合物、組合物或複合物。 11.如申清專利範圍第1〇項所述之人工髖關節置換系統, 其中該醫療填充物料為srHA類之醫療填充物料。 17 201112996 12. 如申請專利範圍第1項所述之人工髖關節置換系統,其 中該中空固定裝置為多段式組合。 13. 如申請專利範圍第1項所述之人工髖關節置換系統,其 中該人工髖關節置換系統進一步包括多個中空固定裝置 及包覆部件。 14. 如申請專利範圍第1項所述之人工髖關節置換系統,其 中該人工髖關節置換系統進一步包括一輔助固定裝置。 15. 如申請專利範圍第14項所述之人工髖關節置換系統, 其中該輔助固定裝置為固定索、骨板、連結桿、骨釘、 螺釘、桿件或骨鉤。 16. 如申請專利範圍第1項所述之人工髖關節置換系統,其 中該包覆部件進一步包括一阻擋部件。 18201112996 ' VII. Patent application scope: 1. An artificial hip joint replacement system, comprising: a hollow fixing device, the proximal end of which is a connecting end, the distal end of which is a perfusion end; a covering component, and the hollow fixing device a perfusion end joint; an integral joint replacement body for covering the pre-finished femur and being coupled to the hollow solid device; an acetabular cap coupled to the joint end of the hollow fixture; and a medical filling material, Through the perfusion end of the hollow fixing device, the medical filling material is inserted into and/or poured into the covering member, so that the medical filling material is agglomerated after the completion of the pouring. 2. The artificial hip joint replacement system of claim 2, wherein the shaft of the hollow fixture is a ring pattern, a straight stripe pattern or a reticular pattern. 3. The artificial hip joint replacement system according to the invention of claim 2, wherein the perfusion end of the hollow fixture is a perfusion end having a plurality of slits or a perfusion end of the plurality of holes. 4. The artificial hip replacement system of claim 2, wherein the shaft of the hollow fixture has an annular groove. 5. The artificial hip joint replacement system described in claim 4, wherein the method of fixing the covering member to the annular groove is anchor locking, adhesion, or cigarette binding. 6. The human body body joint replacement system according to claim 1, wherein the sputum covering portion is a perfusion end that completely covers or partially covers the hollow fixture. The artificial hip joint replacement system according to claim 1, wherein the covering member is an elastic covering member, a mesh covering member, a porous covering member or a metal covering member. 8. The artificial joint replacement system according to claim 1, wherein the covering member has a cylindrical shape, a conical shape, a spherical shape, a spherical shape or a cubic shape. 9. The artificial joint replacement system of claim i, wherein the medical filling material is formed into a round, conical, spherical, spheroidal or cubic-like shape after completion of infusion. 10. The artificial hip replacement system of claim 1, wherein the medical filler material is an orthopedic substitute, bone cement, and/or a mixture, composition or composite thereof. 11. The artificial hip joint replacement system according to claim 1, wherein the medical filling material is a medical filling material of the srHA type. The artificial hip joint replacement system of claim 1, wherein the hollow fixture is a multi-stage combination. 13. The artificial hip replacement system of claim 1, wherein the artificial hip replacement system further comprises a plurality of hollow fixation devices and a covering member. 14. The artificial hip replacement system of claim 1, wherein the artificial hip replacement system further comprises an auxiliary fixation device. 15. The artificial hip replacement system of claim 14, wherein the auxiliary fixation device is a fixation cable, a bone plate, a connecting rod, a bone nail, a screw, a rod or a bone hook. 16. The artificial hip replacement system of claim 1, wherein the covering member further comprises a blocking member. 18
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Cited By (4)

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US8313531B2 (en) 2010-03-08 2012-11-20 Hip Innovation Technology Llc Interlocking reverse hip prosthesis and method
EP2724680A1 (en) 2012-10-23 2014-04-30 Spirit Spine Holdings Corporation, Inc. Device for bone fixation
EP2921142A1 (en) 2014-03-21 2015-09-23 Spirit Spine Holdings Corporation, Inc. Device for bone fixation
CN110368141A (en) * 2019-08-05 2019-10-25 北京爱康宜诚医疗器材有限公司 Femoral implant

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US6499488B1 (en) * 1999-10-28 2002-12-31 Winchester Development Associates Surgical sensor
US6533790B1 (en) * 2000-07-27 2003-03-18 Yuehuei H An Self-guided pedical screw
CN100374093C (en) * 2003-03-13 2008-03-12 钱本文 Artificial hip joint device without handle
TW200511970A (en) * 2003-09-29 2005-04-01 Kwan-Ku Lin A spine wrapping and filling apparatus
TWM346406U (en) * 2008-07-31 2008-12-11 Spine Asia Co Ltd A Hollow through-hole bone screw device

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8313531B2 (en) 2010-03-08 2012-11-20 Hip Innovation Technology Llc Interlocking reverse hip prosthesis and method
US8845743B2 (en) 2010-03-08 2014-09-30 Hip Innovation Technology, LLC Interlocking reverse shoulder prosthesis method
US8992627B2 (en) 2010-03-08 2015-03-31 Hip Innovation Technology Llc Interlocking reverese hip and revision prosthesis and method
US9119724B2 (en) 2010-03-08 2015-09-01 Hip Innovation Technology Llc Interlocking reverse hip revision prosthesis
EP2724680A1 (en) 2012-10-23 2014-04-30 Spirit Spine Holdings Corporation, Inc. Device for bone fixation
EP2921142A1 (en) 2014-03-21 2015-09-23 Spirit Spine Holdings Corporation, Inc. Device for bone fixation
CN110368141A (en) * 2019-08-05 2019-10-25 北京爱康宜诚医疗器材有限公司 Femoral implant

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