201219005 六、發明說明： 【發明所屬之技術領域】201219005 VI. Description of the invention: [Technical field to which the invention pertains]
通常骨釘伽X手術植人骨财_，⑽助受損的骨路保接Usually bone nail gamma X surgery implanted bones _, (10) to help the damaged bone road to protect
參買疏鬆症之骨路’植設骨釘時經常會產生固結穩固性不良的門 題，這結果不僅會發生骨釘鬆動或脫落之虞，甚且將因而傷 煬害到 ，一直是骨科醫師 其係於骨釘的釘體 脊椎骨和其周邊細胞組織，如何解決此一問題， 的困擾；為此乃有空心骨釘被研發出來使用，# 内設置管道，並將管道通口設置在骨釘柱體周緣，可由該管道注 入骨水泥(cement)或營養劑等適當的治療輔助_彳，以增強植釘部 位的骨質結構或協助增長出财稱職的療效；然而於療程中 若發現其療效不足時，則需拔_空心骨釘，並觸補植在適當 部位，但由於前述治療輔助_有些為可翻並硬化之物質，經 吊會殘留㈣空^骨釘周側的管道通口處而與骨㈣合，導致無 法藉兩側螺紋赠出方式加婦除，醫畴花#時間以各種方式 ^移除’如此不僅增加病患的痛苦，祕增醫療成本。另外，目 月J的月釘U術均須切開骨胳上方的皮肉層，然後再進行將骨 釘植入骨射’通常麵術雜巾都會造成相當大顧的傷口， 病患必須承受巨大的疼痛，且傷口崎合縣並訂難看的大症 201219005 痕；再者，-般骨釘植設後其賴的部轉會有—縣度伸設在 骨頭表面’而該截突伸在外的堅硬金屬往往會對附近的生理組織 造成損傷，例如··骨釘植設在人體脊椎上，當錄活動時，脊椎 骨後弓部位的椎板或脊椎突起有時難免會碰觸到植設在附近的骨 釘突伸部，蝴繼嫩嶋崎乡，鳴容易造 ^碰觸部位的她損傷，導致患者產生不適，甚或減損脊椎的運 作效此，而改善上述缺點，乃為業界所企盼。 【發明内容】 主要是提供—種骨釘，其釘體具有軸向衫管道可 搭配糊物··㈣ 設手術，補可提竹触料㈣準雜 除的便利性，更可魏日心釘女裝或移 效能，且—^ _ ^、驗傷口癒合_及減小症痕之 u禮人倾後’村彻該 療輔助藥劑’以增進浴療效果。 伸部==tT套的骨釘結構，釘植設後的突 損傷。谢她理組織造成 —護ί達，本㈣之請主要結觀括-餘本體及 該釘頭上==有钉頭、螺栓體及⑽，而在 相平行的平坦面，例::::：—設有複數對稱互 動該骨釘她簡㈣錢餘工具來旋 、釘碩下方，在該螺栓體上設有 201219005 卜螺、文且於螺紋上設有複數切口，並使該螺栓體的下端部呈尖 錐狀’藉該螺栓體的尖錐下端部以及螺紋切口的設計，使該骨釘 本體更易於螺她人錄巾；該巾空管道係—順沿骨釘本體的中 軸線而開叹’連通貫穿前述針頭與螺栓體；該護套在其上端口 *近”有套％。卩，且在底部具有鏤空孔，因此可自該螺检體向上 串套並罩合固定在該#7頭下方。 特別疋，该骨釘本體係使用具有良好機械強度和抗化學性的 _合金材料所加工製成者，其材料是選自於欽合金 '鈕合金、不銹 鋼等’但實施乾圍不以前述材料為限，各類適合植設在人體内 使用的合金材料均適用。 制是’賴套為-具有彈性變形效能的軟性㈣，且應具 備抗氧化、耐腐健、防水性能佳等特性，而其材料是選自於醫 療級石夕膠、聚_g_EK)、碳素纖維複合材料··等，但實施範 圍不以前述材料為限。 ί 有關本發明之其他目的及功能’經配合下列圖式予以作進一 步之說明後’期极貴審查委員有更詳細的瞭解，惟以下所述 者僅為用以解釋本發明之較佳實施例，並非企圖據以對本發明作 任何形式上之關，是以凡有在_之·精神下所作有關本發 明之任何修飾或變更，皆仍應包括在本發明意圖保護之範鳴。 【實施方式】 如後附各圖所示者為本發明較佳實施例之一，該骨釘結構係 由一骨釘本體1及一護套2所共同組成。 5 201219005 請參閱第一至三圖，該骨針本體1是採用具有良好機械強度 和抗化學性的合金材料⑽如是鈦合金)一體成麵成，因此植設在 人體内使用無虞引發不良副作用；該骨釘本體具有釘頭川、螺栓 體12及中空管道13;在該釘頭1〇上具有向上凸設六角形柱體的 旋紐1〇2 ’因此可搭配旋紐工具(例如：六角板手)來旋動該骨釘本 體1 ;該釘頭1G下方接連著該螺栓體12，而螺栓體的下端部⑵ 係呈尖錐狀，且在螺㈣上設有外敎122，以及於觀上設有複 數切口 123 ’藉該尖錐下端部121以及螺紋切口 123攸計，使該 骨釘本體更易於職植人骨财；該中蜂道13係順沿著該骨釘 本體1的中心軸線而開設，可連通貫穿前物頭1G與螺检體12。 該護套2為-具有彈性變形效能的軟性材料，例如是由醫痛 級石夕膠材料加I製成的，因此其具備抗氧化、耐賴性、防水伯 能佳等概，長久安裝在人體内錢林糾發不_作用；^ 護套在其上端明近具有套環部21，且在底部具有鏤空孔，因此 該護套2可自闕栓體12向上串套並罩合固定在騎頭1〇下方。 安裝時，利用—導針預先定位於精上，再將本發明的 骨釘以其^知3 φ設於鱗針上，令_肅該導針而導 运到欲安裝雜的修上錢躲人#解術，㈣述手術方式 :僅可使_綱峨嫩咖，增㈣造成的 ，口極小’可降低疼痛使傷口快速癒合及減从痕，·經前述植入 體12部分植•當中，僅留骨釘的釘頭⑴ 心在禮外面，而該突伸在倾外面的釘頭ω部分則由該縣 201219005 2所罩設包覆著，因此可避免對在其附近的生理組織造成損傷，例 如在第四圖所顯示的，當脊椎活動時，脊椎骨60後弓部位的脊椎 大起61雖然位於該突伸的釘頭1〇附近，但即使活動時脊椎突起 61碰觸該錄材質的護套2林會誠修損傷或衍生各種不利 特徵，又，當骨釘植入骨骼並移除該導針之後，亦利用一注射器 由骨釘的中空管道I3注人骨水泥、人工骨髓、骨漿、骨髓或營養 劑到骨路内，例如’當用於骨質疏鬆患者的㈣損傷、海棉質骨 籲絡損傷或壞死、脊椎骨病變等，於植人骨釘後由該中空管道13頂 部將骨水泥(cement)灌入，並由螺栓體下端部的開口噴出到骨骼 内，當骨水泥顧時可增強結構，且該骨釘結構與倾則可 藉由骨水泥而穩固結合成一體；或灌入骨水泥和葡糖酸柳咖⑽ gi_ate)或氫氧純灰石(hydroxylapatite)，_方面可強化骨質結 構’-方面葡糖酸转或氫氧基鱗灰石可被吸收而後重新長出骨 頭’使骨釘與新長成倾結合n亦可域巾空管道13注入 •適當的人工骨趙、骨漿、骨鑛或營養劑等，以達預期的療效二 外，由於本發明骨⑽巾蜂道13未在鋪顧12的周緣部位 開設通孔，因此即使已經灌注骨水泥之後，亦可輕純藉由螺蚊 旋出方式加以移除，由此可知本發明之骨釘結構無論是在安 移除均具備便利性。 t 【圖式簡單說明】 第一圖係本發明之構件分離的立體圖； 第二圖係本發明之構件組合的立體圖； 201219005 第三圖係本發明之側視的部分剖面圖；以及 第四圖係本發明安裝使用的側視部分剖面圖。 【主要元件符號說明】 骨釘本體1 釘頭10 旋紐102 螺栓體12 下端部121 φ 外螺紋122 切口 123 中空管道13 該護套2 套環部21 脊椎骨60 脊椎突起61 · 8Participating in the bone road of loosening disease, when planting bone nails, it often produces a problem of poor consolidation and stability. This result will not only cause loosening or shedding of the nail, but will even cause injury. It has always been orthopedics. The physician is attached to the nail body of the bone nail and its peripheral cell tissue, how to solve this problem, for this reason, a hollow bone nail has been developed and used, #内管, and the pipe opening is set in the bone The circumference of the nail cylinder can be injected into the cement by a suitable treatment aid such as cement or nutrient to enhance the bone structure of the nailing site or to help increase the efficacy of the financial function; however, if the curative effect is found during the treatment Insufficient, you need to pull the _ hollow bone nail, and touch the planted in the appropriate part, but because of the above-mentioned treatment aid _ some are can be turned and hardened, the residue will remain after hanging (four) empty ^ bone nail side of the pipe mouth And with the bone (four), it is impossible to use the two sides of the thread to give way to add women, the medical domain spend # time in various ways ^ remove 'so not only increase the suffering of patients, secretly increase medical costs. In addition, the monthly nail U of the eye of the month must cut the layer of skin above the bone, and then implant the bone nail into the bone shot. Usually the facial mask will cause considerable wounds, and the patient must bear huge Pain, and the wound in Qihe County and set the ugly big 201219005 mark; in addition, after the bone nail planting, the part of the branch will be transferred - the county extends on the surface of the bone 'and the truncated stretch Metals often cause damage to nearby physiological tissues. For example, bone nails are implanted on the human spine. When recording activities, the lamina or vertebrae of the posterior arch of the vertebra sometimes inevitably touch the planted nearby. The nail nail protruding part, the butterfly is in the tenderness of the village, and it is easy for the user to damage the touch area, causing discomfort to the patient, or even detracting from the operation of the spine. Improving the above shortcomings is expected by the industry. [Summary of the Invention] Mainly to provide a kind of bone nail, the nail body has an axial shirt pipe can be matched with the paste. (4) Set up surgery, make up the bamboo touch material (four) the convenience of the miscellaneous miscellaneous, but also the Wei Rixin nail dress Or shift the efficacy, and -^ _ ^, test wound healing _ and reduce the symptoms of the rituals of the people after the 'Village to the treatment of adjuvants' to enhance the effect of the bath. Stretch == tT set of nail structure, nail damage after planting. Xie her organization to create - protect the glutinous, this (four) please mainly include - the body and the nail head == have a nail head, bolt body and (10), and in parallel parallel plane, for example::::: - There are a plurality of symmetrical interactions of the bone nails, her simple (four) money tools to spin, nail the underside, on the bolt body is provided with 201219005 snail, text and a plurality of slits on the thread, and the lower end of the bolt body The tapered portion of the tip of the bolt body and the threaded slit are designed to make the bone nail body easier to screw the human body towel; the empty tube system is opened along the central axis of the bone nail body The sigh 'connects through the aforementioned needle and bolt body; the sheath has a sleeve on its upper port * ”. There is a hollow hole at the bottom, so the sleeve can be slid upward from the screw body and the cover is fixed at the # In particular, the bone nail system is made of _alloy material with good mechanical strength and chemical resistance, and the material is selected from the alloy of the alloy, stainless steel, etc. Not limited to the aforementioned materials, all kinds of alloys suitable for planting in the human body The materials are applicable. The system is 'soft" (soft) with elastic deformation performance (four), and should have anti-oxidation, anti-corrosion, good waterproof properties, etc., and its material is selected from medical grade Shishijiao, poly_ g_EK), carbon fiber composite material, etc., but the scope of implementation is not limited to the above materials. ί Other purposes and functions of the present invention are further explained by the following diagrams. The detailed description is only for the purpose of explaining the preferred embodiments of the present invention, and is not intended to be in any form in accordance with the present invention. Any modification or modification should be included in the intended protection of the present invention. [Embodiment] As shown in the following drawings, one of the preferred embodiments of the present invention is a bone nail structure. The body 1 and the sheath 2 are combined. 5 201219005 Please refer to the first to third figures, the bone body 1 is integrally formed by using an alloy material (10) having good mechanical strength and chemical resistance, such as titanium alloy. Planted in The use of innocuous in vivo causes adverse side effects; the bone nail body has a nail head, a bolt body 12 and a hollow tube 13; on the nail head 1 has a knob 1 〇 2 ' which protrudes upwardly from the hexagonal cylinder. Rotating the nail body 1 with a knob tool (for example, a hexagonal wrench); the bolt body 12 is connected below the nail head 1G, and the lower end portion (2) of the bolt body is tapered and on the screw (four) The outer raft 122 is provided, and a plurality of slits 123 are formed on the view. The lower end portion 121 of the tapered cone and the threaded slit 123 are used to make the bone nail body easier to be implanted into the bones; The central axis of the bone nail body 1 is opened, and can communicate with the front object 1G and the threaded body 12. The sheath 2 is a soft material having elastic deformation performance, for example, a medical pain grade stone material. I made it, so it has anti-oxidation, resistance, and waterproofing. It can be installed in the human body for a long time. The sheath has a collar portion 21 at its upper end. There is a hollow hole at the bottom, so the sheath 2 can be nested up from the 阙 plug 12 and fixed on the ride. Below the head 1 〇. During installation, the guide pin is pre-positioned on the fine, and then the bone nail of the present invention is set on the scale needle with its knowledge 3 φ, so that the guide pin is transported to the repairing money to be installed. Human #解术, (4) Description of the surgical method: only _ 峨 峨 峨 咖 , , 增 增 增 , , , , , , , , , , 四 四 四 四 四 四 四 四 四 四 四 四 四 四 四 四 四 四 四 四 四 四 四 四 四Only the nail head of the bone nail (1) is outside the ritual, and the ω portion of the nail head protruding from the outside is covered by the county 201219005 2, so that the physiological tissue in the vicinity thereof can be avoided. Injury, for example, as shown in the fourth figure, when the spine is active, the spine large 61 of the posterior arch portion of the vertebra 60 is located near the protruding nail head 1 , but the spine protrusion 61 touches the recorded material even when the motion is active. The sheath 2 will repair the damage or derive various unfavorable features. In addition, after the bone nail is implanted into the bone and the guide needle is removed, a syringe is also used to inject the bone cement, artificial bone marrow, and bone pulp from the hollow tube I3 of the nail. Bone marrow or nutrients into the bone, such as 'when used for osteoporosis patients (4) damage, sponge damage or necrosis of the sponge, spinal bone lesions, etc., after the bone nail is implanted, the cement is poured into the top of the hollow pipe 13, and is sprayed into the bone by the opening at the lower end of the bolt body. When the bone cement can strengthen the structure, and the structure and inclination of the bone nail can be firmly integrated by bone cement; or poured into bone cement and gluconate (10) gi_ate) or hydroxylapatite ), the _ aspect can strengthen the bone structure '- aspect of the gluconate or hydroxy ash stone can be absorbed and then re-grow the bones' to make the bone nails and the new long into a tilting n can also be injected into the empty tube 13 Appropriate artificial bone, bone pulp, bone mineral or nutrient, etc., in order to achieve the desired therapeutic effect, because the bone (10) towel bee 13 of the present invention does not have a through hole in the peripheral portion of the paving 12, even if the bone has been perfused After the cement is removed, it can also be removed by screwing out the screw, thereby knowing that the nail structure of the present invention is convenient in both removal and removal. BRIEF DESCRIPTION OF THE DRAWINGS The first drawing is a perspective view of the component separation of the present invention; the second drawing is a perspective view of the component combination of the present invention; 201219005 The third drawing is a side sectional view of the present invention; and the fourth drawing A side elevational cross-sectional view of the mounting of the present invention. [Main component symbol description] Bone nail body 1 Nail head 10 Rotary 102 Bolt body 12 Lower end 121 φ External thread 122 Notch 123 Hollow duct 13 The sheath 2 Collar portion 21 Spine 60 Spine protrusion 61 · 8