TW201325577A - Cage-shaped spinal frame - Google Patents
Cage-shaped spinal frame Download PDFInfo
- Publication number
- TW201325577A TW201325577A TW100147436A TW100147436A TW201325577A TW 201325577 A TW201325577 A TW 201325577A TW 100147436 A TW100147436 A TW 100147436A TW 100147436 A TW100147436 A TW 100147436A TW 201325577 A TW201325577 A TW 201325577A
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- TW
- Taiwan
- Prior art keywords
- curved section
- deformation
- adjacent
- micropores
- curved
- Prior art date
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- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00359—Bone or bony tissue
Abstract
Description
本發明係關於一種籠型支架,特別是一種適用於人體脊椎病變部位,以於術後強化骨組織癒合及穩定性並可輕易塑形之鈦基脊椎籠型支架。The invention relates to a cage-type stent, in particular to a titanium-based spinal cage-type stent suitable for use in a human spinal lesion for post-operative enhancement of bone tissue healing and stability and for easy shaping.
近年來,多數民眾因生活習慣的改變長期仰賴電腦工作,而必須長時間屈身坐於辦公桌前,加上老齡化社會的演變,以致現今脊椎病變之案例層出不窮,也就使後續脊椎照護的相關問題逐漸受到重視。In recent years, most people have long relied on computer work because of changes in their living habits. They have to sit at their desks for a long time, and with the evolution of an aging society, the current cases of spinal lesions are endless, which is related to subsequent spinal care. The problem is gradually being taken seriously.
脊椎手術的術後照護係為脊椎復原優劣的重要環節,通常於術後,因病人復原速度較其他部位手術緩慢,且無法長時間站立,故多需長期穿著矯正衣,方能避免日常生活之阻礙。The postoperative care of spinal surgery is an important part of the recovery of the spine. Usually, after the operation, the patient recovers slowly than other parts, and can not stand for a long time. Therefore, it is necessary to wear corrective clothes for a long time to avoid daily life. Obstruction.
為此,現階段多以脊椎植入物輔助矯正衣,將脊椎植入物置放於脊椎手術後有骨缺損部位之橫突間,且同時使用磷酸鈣、骨粉、自體骨…等骨填補物填充於該脊椎植入物的開放性空間中,以加速橫突間之骨組織癒合。然而,橫突間生長較快的軟組織常因脊椎植入物的結構不良而容易自孔隙侵入,或者於體內循環系統的流動下帶走脊椎植入物內所填充之自體骨或骨粉,以致傳統脊椎植入物縱使有填補可加速癒合用之骨填補物,卻因經常性的骨填補物流失,而始終無法發揮於術後加速骨組織癒合之功效。For this reason, at this stage, spine implant-assisted orthopaedic clothing is often placed, and the spinal implant is placed between the transverse processes of the bone defect site after spinal surgery, and bone filling materials such as calcium phosphate, bone powder, autologous bone, etc. are simultaneously used. Filled in the open space of the spinal implant to accelerate healing of the bone tissue between the transverse processes. However, the soft tissue that grows faster between the transverse processes is often easily invaded from the pores due to the poor structure of the spinal implant, or the autologous bone or bone powder filled in the spinal implant is taken away under the circulation of the body's circulatory system. Traditional spinal implants, even if they have a bone filling that can be used to accelerate healing, are unable to exert the effect of accelerating bone healing after surgery due to the loss of frequent bone filling.
如中華民國公告第M333884號專利案係揭示一種模組化骨融合椎籠9,該椎籠9前方設有一圓滑形頭部91,該頭部91後方縱向開設一槽狀空間92,並於該椎籠9二側壁設有與槽狀空間92相通之複數個骨融合孔93,且該椎籠9後方另連接有一固定座94,該固定座94用以結合與固定於一骨板固定器95。其中,該槽狀空間92係可容置經絞碎之自體移植骨、異體移植骨或其他如骨水泥、人造骨等骨填補物。藉此,係能使該槽狀空間92內的骨填補物通過該槽狀空間92之上、下開口,而與相鄰脊椎椎體相接觸,以利於骨融合之進行。For example, the Patent Document No. M333884 of the Republic of China discloses a modular bone fusion cage 9 having a rounded head 91 in front of the cage 9 and a groove-like space 92 extending longitudinally behind the head 91. The two side walls of the cage 9 are provided with a plurality of bone fusion holes 93 communicating with the groove-shaped space 92, and a fixing seat 94 is further connected to the rear of the cage 9 for binding and fixing to a bone plate holder 95. . The trough space 92 can accommodate the ground autograft bone, allograft bone or other bone fillings such as bone cement and artificial bone. Thereby, the bone filling in the groove-like space 92 can be made to pass through the upper and lower openings of the groove-shaped space 92 to contact the adjacent vertebrae to facilitate the bone fusion.
然而,習知骨融合椎籠9於使用時,不僅需以數骨螺絲96搭配骨板固定器95,方能將骨融合椎籠9限位於骨缺損部位,作為支撐或固定之用。甚至,上述習知骨融合椎籠9僅能適用於椎體之間,且因其結構之繁複,產生有多處的接合界面,而必需以複雜之立體管雷射雕刻、放電成形…等技術方能成型,不只相對增加骨融合椎籠9的加工困難度,更衍生有製作成本上的相對負擔;加上,於脊椎手術進行時,習知骨融合椎籠9的繁複結構,勢必需耗費醫護人員相當的操作時間,以致相對提升手術過程可能存在之感染風險。However, when the conventional bone fusion cage 9 is used, it is necessary to use the bone screw 96 with the bone plate fixer 95 to limit the bone fusion cage 9 to the bone defect portion for support or fixation. Even the above-mentioned conventional bone fusion cage 9 can only be applied between the vertebral bodies, and due to the complicated structure, multiple joint interfaces are generated, and complicated three-dimensional tube laser engraving, electric discharge forming, etc. must be used. It can not only relatively increase the processing difficulty of the bone fusion cage 9 but also has a relative burden on the production cost. In addition, when the spinal surgery is performed, the complicated structure of the bone fusion cage 9 is necessary. The considerable amount of time the medical staff is operating, so that the risk of infection that may exist during the surgical procedure is relatively increased.
此外,更因習知骨融合椎籠9之槽狀空間92與骨融合孔93的不良設計,始終無法抑止生長快速之軟組織侵入,更容易因體內循環系統的流動,而使存在於該槽狀空間92內的骨填補物係輕易自該骨融合孔93產生流失。如此,傳統習知之骨融合椎籠9終究僅能作為椎體間的支撐及固定之用,完全無法於術後扮演引導組織再生之角色,以致於骨缺損重建的過程依然無法獲得實質上的突破,嚴重影響術後骨組織癒合之效率。In addition, the poor design of the grooved space 92 and the bone fusion hole 93 of the conventional bone fusion cage 9 can not inhibit the rapid soft tissue invasion, and is more likely to exist in the groove space due to the flow of the internal circulation system. The bone filling system within 92 is easily lost from the bone fusion hole 93. Thus, the traditional bone fusion cage 1 can only be used as a support and fixation between the vertebral bodies, and it is completely unable to play the role of guiding tissue regeneration after surgery, so that the process of bone defect reconstruction still cannot achieve a substantial breakthrough. , seriously affect the efficiency of postoperative bone tissue healing.
有鑑於此,確實有必要發展一種於術後強化骨組織癒合及穩定性之鈦基脊椎籠型支架,以適用於人體脊椎病變之任意部位,解決如上所述之各種問題。In view of this, it is indeed necessary to develop a titanium-based spinal cage type stent for enhancing the healing and stability of bone tissue after surgery, so as to be applicable to any part of human spinal lesions, and solve various problems as described above.
本發明主要目的乃改良上述缺點,以提供一種脊椎籠型支架,其係能夠以簡易構型避免接合界面之產生,並輕易引導該脊椎籠型支架由平面變形為既定之立體型態,以降低加工困難度與製作成本,並減少每一脊椎籠型支架之變異性者。The main object of the present invention is to improve the above disadvantages to provide a spinal cage type bracket which can avoid the occurrence of a joint interface in a simple configuration and easily guide the spine cage bracket from a plane to a predetermined three-dimensional shape to reduce Processing difficulties and manufacturing costs, and reduce the variability of each cage cage.
本發明次一目的係提供一種脊椎籠型支架,係能夠有效控制其變形應力集中之範圍,以避免於該脊椎籠型支架變形過程,因變形應力過度集中而產生斷裂者。A second object of the present invention is to provide a spinal cage type bracket capable of effectively controlling the range of deformation stress concentration thereof to avoid deformation of the spinal cage type stent due to excessive concentration stress.
本發明再一目的係提供一種脊椎籠型支架,係能夠抑止生長快速之軟組織侵入,且避免體內循環系統的流動帶走骨填補物,而可確保骨填補物穩固於其中而不流失者。Still another object of the present invention is to provide a spinal cage type stent which is capable of inhibiting rapid soft tissue invasion and avoiding the flow of the body circulatory system to remove the bone filling, and ensuring that the bone filling is stabilized therein without loss.
本發明又一目的係提供一種脊椎籠型支架,係能夠適用於人體脊椎病變之任意部位,以由穩固於其中之骨填補物引導骨組織再生且加速骨組織癒合者。Still another object of the present invention is to provide a spinal cage type stent which can be applied to any part of a human spinal lesion to guide bone tissue regeneration and accelerate bone tissue healing by a bone filler which is stabilized therein.
為達到前述發明目的,本發明之脊椎籠型支架,包含一基體,該基體係設有複數線槽,每一線槽具有數彎曲段,其中任二相鄰線槽之間形成一變形支條,每一變形支條形成有一第一基準端及一第二基準端,該第一基準端及第二基準端分別位於鄰近基體之二相對側緣處,用以支撐該變形支條之變形,且該基體另具有複數壓痕,該數壓痕形成於該變形支條表面,並位於鄰近該變形支條之第一基準端或第二基準端處。In order to achieve the foregoing object, the spinal cage type bracket of the present invention comprises a base body, wherein the base system is provided with a plurality of wire grooves, each of the wire grooves has a plurality of curved segments, wherein a deformed branch is formed between any two adjacent wire grooves. Each of the deformation ribs is formed with a first reference end and a second reference end. The first reference end and the second reference end are respectively located at opposite side edges of the adjacent base body for supporting the deformation of the deformation support strip, and The substrate further has a plurality of indentations formed on the surface of the deformation support and located adjacent to the first reference end or the second reference end of the deformation support.
其中,任二相鄰線槽係將該變形支條區分為一縮徑區及一擴徑區,且該變形支條之擴徑區內係開設有複數微孔。且,該複數微孔之孔徑大小係為1~3毫米;該基體之厚度係為20~200微米。Wherein, any two adjacent line slots divide the deformation support into a reduced diameter area and an expanded diameter area, and a plurality of micro holes are formed in the expanded diameter area of the deformation support strip. Moreover, the pore size of the plurality of micropores is 1 to 3 mm; and the thickness of the matrix is 20 to 200 μm.
再者,本發明脊椎籠型支架還可以另設有一終止端,該終止端係位於該複數線槽延伸至基體側緣之端部,且該終止端係為貫穿狀的幾何形微孔。其中,該終止端之態樣係圓形、矩形或方形之空心幾何圖形。Furthermore, the spine cage of the present invention may further comprise a terminating end located at an end of the plurality of wire grooves extending to the side edge of the base body, and the terminating end is a through-shaped geometric microhole. Wherein, the state of the terminating end is a hollow geometric shape of a circle, a rectangle or a square.
其中,該數壓痕皆係由該基體表面內凹而成,且任二相鄰變形支條所形成之壓痕位於同一直線,並平行於該基體之第一基準端或第二基準端。且,該數壓痕之寬度係為0.1~0.3毫米。其中,該數壓痕係成形於該等變形支條之上、下表面,並位於該等複數支條之相對二側,且該數壓痕係分別交錯形成於該等變形支條之縮徑區及擴徑區。Wherein, the number of indentations are concave from the surface of the substrate, and the indentations formed by any two adjacent deformed strips are in the same straight line and parallel to the first reference end or the second reference end of the base body. Moreover, the width of the number of indentations is 0.1 to 0.3 mm. Wherein, the number of indentations are formed on the upper surface and the lower surface of the deformation support strips, and are located on opposite sides of the plurality of plurality of support strips, and the plurality of indentations are respectively staggered and formed on the reduction diameter of the deformation support strips District and expansion area.
本發明脊椎籠形支架還可以更設有一生物可分解高分子薄膜,該生物可分解高分子薄膜係形成於該基體的部分表面或全表面。The spine cage of the present invention may further comprise a biodegradable polymer film formed on a part of the surface or the entire surface of the substrate.
本發明脊椎籠型支架係選擇將該複數線槽之彎曲段區分為一第一彎曲段及一第二彎曲段,該第一彎曲段與第二彎曲段呈連續間隔設置,且該第一彎曲段及第二彎曲段係成相對之弧形。The spinal cage type of the present invention is characterized in that the curved section of the plurality of wire grooves is divided into a first curved section and a second curved section, and the first curved section and the second curved section are disposed at consecutive intervals, and the first bending is performed. The segments and the second curved segments are curved in a relative shape.
其中,該縮徑區係位於其一線槽之第一彎曲段相對另一相鄰線槽之第二彎曲段之間,該擴徑區則位於其一線槽之第二彎曲段相對另一相鄰線槽之第一彎曲段之間。Wherein the reduced diameter zone is located between the first curved section of one of the linear grooves and the second curved section of the other adjacent linear groove, and the expanded diameter zone is located adjacent to the second curved section of one of the linear grooves Between the first curved segments of the wire trough.
於此,其中任二相鄰線槽共同圈圍形成圓形之連續圖紋態樣,且該變形支條之擴徑區內對應形成同心圓形之複數微孔。或者,其中任二相鄰線槽共同圈圍形成眼形之連續圖紋態樣,且該變形支條之擴徑區內對應形成眼形之複數微孔。再者,其中任二相鄰線槽共同圈圍形成圓形之連續圖紋態樣,且該變形支條之擴徑區內對應形成同心圓形之複數微孔及另形成長條形之複數微孔,且該同心圓形之微孔係與長條形之微孔呈間隔設置。Herein, any two adjacent wire grooves are formed in a circular pattern in a continuous pattern, and the expanded diameter region of the deformation branch correspondingly forms a plurality of micropores of concentric circles. Alternatively, any two adjacent line grooves are collectively circled to form a continuous pattern of the eye shape, and the expanded diameter region of the deformation branch corresponds to a plurality of micro holes forming an eye shape. Furthermore, any two adjacent line grooves are formed in a circular pattern in a continuous pattern, and the plurality of micropores corresponding to the concentric circles and the plurality of long strips are formed in the expanded diameter region of the deformed strip. Micropores, and the concentric circular micropores are spaced apart from the elongated micropores.
本發明脊椎籠型支架還可選擇將其中該複數線槽具有連續間隔設置的第一彎曲段及第二彎曲段,該第一彎曲段係呈S形彎曲態樣,該第二彎曲段係呈弧形彎曲態樣。The spine cage bracket of the present invention may further select the first curved section and the second curved section in which the plurality of linear grooves are continuously spaced, the first curved section is in an S-shaped curved state, and the second curved section is Curved curved shape.
承上,其中任二相鄰線槽係共同圈圍形成圓形及S形之連續圖紋態樣,S形圖紋處係形成該變形支條之縮徑區,且圓形圖紋處則形成該變形支條之擴徑區,該變形支條之擴徑區內係對應形成同心圓形之複數微孔。In the above, any two adjacent line groove systems form a circular and S-shaped continuous pattern pattern, and the S-shaped pattern forms the reduced diameter area of the deformation support strip, and the circular pattern is An enlarged diameter region of the deformation support strip is formed, and the expanded diameter region of the deformation support strip corresponds to a plurality of micropores forming a concentric circle.
除此之外,本發明脊椎籠型支架之複數線槽具有連續間隔設置的一第一彎曲段及一第二彎曲段,該第一彎曲段及第二彎曲段皆係由一直線段與一弧線段相接而成,且任二相鄰線槽係共同圈圍形成菱形之連續圖紋態樣。其中,該變形支條之擴徑區內係對應形成橢圓形之複數微孔。In addition, the plurality of slots of the spine cage bracket of the present invention have a first curved section and a second curved section which are continuously spaced apart, and the first curved section and the second curved section are both a straight line segment and an arc line. The segments are connected in series, and any two adjacent line grooves are formed in a circle to form a continuous pattern of diamonds. Wherein, the expanded diameter zone of the deformed strip corresponds to a plurality of micropores forming an elliptical shape.
或者,該複數線槽具有連續間隔設置的一第一彎曲段及一第二彎曲段,該第一彎曲段及第二彎曲段皆係由二直線段與二弧線段相接而成,且任二相鄰線槽係共同圈圍形成矩形之連續圖紋態樣。其中,該變形支條之擴徑區內係對應形成長圓形之複數微孔。Alternatively, the plurality of wire grooves have a first curved segment and a second curved segment which are continuously spaced apart, and the first curved segment and the second curved segment are formed by connecting two straight segments and two arc segments, and Two adjacent wire troughs form a continuous pattern of rectangles in a common circle. Wherein, the expanded diameter zone of the deformation support strip corresponds to a plurality of micropores forming an oblong shape.
為讓本發明之上述及其他目的、特徵及優點能更明顯易懂,下文特舉本發明之較佳實施例,並配合所附圖式,作詳細說明如下:The above and other objects, features and advantages of the present invention will become more <RTIgt;
請參照第2圖所示,其為本發明一較佳實施例,該脊椎籠型支架係選擇由材質為純鈦金屬或鈦合金之基體1所製成,且該基體1之厚度較佳為20~200微米,以便於在手術進行中達到脊椎籠型支架塑形之功效,以下所述之脊椎籠型支架係以〝基體1〞稱之。Referring to FIG. 2, which is a preferred embodiment of the present invention, the spine cage bracket is made of a base 1 made of pure titanium metal or titanium alloy, and the thickness of the base 1 is preferably 20~200 microns, in order to achieve the effect of shaping the spinal cage stent during the operation. The spine cage bracket described below is called the 〝 matrix.
該基體1係設有複數線槽11,該複數線槽11具有數彎曲段111。其中,該複數線槽11之彎曲段111型態係可以選擇為不同曲率或相同曲率之弧形,且以相對或相鄰之方式連續間隔設置,以呈現重複性或非重複性的複數線槽11的彎曲段111之態樣。於此,僅粗略說明該複數線槽11的彎曲段111之變異,且選擇以連續設置且呈相對弧形之型態作為本發明較佳實施例的複數線槽11的彎曲段111之態樣,其他關於該複數線槽11的彎曲段111之變異型態說明,請容後參閱第4至6圖時再一併詳述。The base body 1 is provided with a plurality of wire grooves 11 having a plurality of curved segments 111. Wherein, the curved section 111 of the plurality of troughs 11 can be selected as arcs of different curvatures or the same curvature, and are arranged at intervals in a relatively or adjacent manner to present a repeating or non-repetitive complex trough. The aspect of the curved section 111 of 11. Here, only the variation of the curved section 111 of the plurality of wire grooves 11 is roughly explained, and the shape of the curved section 111 of the plurality of wire grooves 11 of the preferred embodiment of the present invention is selected in a continuously arranged and relatively curved shape. For other descriptions of the variation of the curved section 111 of the plurality of trunkings 11, please refer to the fourth to sixth figures for further details.
於本實施例中,該複數線槽11之彎曲段111係區分為一第一彎曲段111a及一第二彎曲段111b,該第一彎曲段111a與第二彎曲段111b係呈連續間隔設置,且該第一彎曲段111a及第二彎曲段111b較佳係成相對之弧形[亦即如第2圖所示之第一彎曲段111a與第二彎曲段111b相接成S之型態];且,該複數線槽11較佳係由該基體1之一側緣延伸至該基體1之另一相對側緣[即如第2圖所示由基體1之左側緣朝Y方向延伸至基體1之右側緣],且該複數線槽11之端部與基體1之側緣間係具有適當間距。In this embodiment, the curved section 111 of the plurality of linear grooves 11 is divided into a first curved section 111a and a second curved section 111b, and the first curved section 111a and the second curved section 111b are arranged at consecutive intervals. The first curved section 111a and the second curved section 111b are preferably formed in a curved shape [that is, the first curved section 111a and the second curved section 111b are connected to form a S shape as shown in FIG. 2] Moreover, the plurality of linear grooves 11 preferably extend from one side edge of the base body 1 to the other opposite side edge of the base body 1 [ie, as shown in FIG. 2, the left side edge of the base body 1 extends in the Y direction to the base body. The right edge of 1 is, and the end of the plurality of wire grooves 11 and the side edge of the base 1 have an appropriate spacing.
請配合參照第2及3圖所示,其中任二相鄰之線槽11間係形成一變形支條12,以於該基體1受Y方向之外力擠壓時,容許任二相鄰之變形支條12可沿Z方向相互分離而變形為三維立體型態,以直接使該基體1一體成型為一中空籠形之態樣[詳如第3圖所示],且經成形後之基體1係不存在有任何接合之界面。於本實施例中,其中任二相鄰之線槽11係將該變形支條12分為一縮徑區121及一擴徑區122,該縮徑區121係位於其一線槽11之第一彎曲段111a相對另一相鄰線槽11之第二彎曲段111b之間[亦即該變形支條12二側邊於基體1表面圈圍之較小區段],該擴徑區122則位於其一線槽11之第二彎曲段111b相對另一相鄰線槽11之第一彎曲段111a之間[亦即該變形支條12二側邊於基體1表面圈圍之較大區段]。其中,該縮徑區121與擴徑區122係可依照該複數線槽11的彎曲段111之態樣,特別係呈連續間隔設置。Referring to Figures 2 and 3, a deformed struts 12 are formed between any two adjacent slots 11 to allow any two adjacent deformations when the base 1 is pressed by a force in the Y direction. The struts 12 can be separated from each other in the Z direction and deformed into a three-dimensional shape to directly form the base body 1 into a hollow cage shape [as shown in FIG. 3], and the formed base body 1 is formed. There is no interface for any joints. In this embodiment, any two adjacent slots 11 divide the deformation support 12 into a reduced diameter area 121 and an expanded diameter area 122, and the reduced diameter area 121 is located at the first of the one of the linear slots 11 The curved section 111a is located between the second curved section 111b of the adjacent adjacent groove 11 [that is, the smaller side of the surface of the deformed strip 12 is surrounded by the surface of the base 1], and the expanded section 122 is located The second curved section 111b of one of the linear grooves 11 is opposite to the first curved section 111a of the other adjacent linear groove 11 [that is, the two sides of the deformed support 12 are surrounded by a larger section of the surface of the base 1]. The diameter reducing area 121 and the diameter expanding area 122 can be arranged in a continuous interval according to the curved section 111 of the plurality of line slots 11.
另外,該變形支條12還形成有一第一基準端123及一第二基準端124,該第一基準端123及第二基準端124係分別位於鄰近基體1之二相對側緣處[亦即如第2圖所示之左、右側緣],用以作為該變形支條12自該基體1產生變形時的分離基準。換言之,該變形支條12與基體1之二相對側緣間係存在有適當間距,以致該變形支條12係可在相接於該基體1之二相對側緣處[即如第2圖所示之基體1沿X方向延伸之側緣],分別形成該第一基準端123及第二基準端124。藉此,係可以使該變形支條12與基體1呈部分相接,亦即使該變形支條12與基體1呈現不完全之分割,使得該變形支條12可以同時自該第一基準端123及第二基準端124撐離,而由二維平面轉變為三維立體型態,使得該基體1呈現較佳中空籠型之態樣,而可以於其中填滿骨填補物。In addition, the deformation support 12 is further formed with a first reference end 123 and a second reference end 124. The first reference end 123 and the second reference end 124 are respectively located at opposite side edges of the adjacent base body 1 [ie, The left and right edges, as shown in Fig. 2, serve as a separation criterion for the deformation of the deformed strip 12 from the base 1. In other words, there is a proper spacing between the deformed struts 12 and the opposite side edges of the base 1 such that the deformable struts 12 are contiguous with the opposite side edges of the base 1 [ie, as shown in FIG. 2 The side edges of the base body 1 extending in the X direction are formed to form the first reference end 123 and the second reference end 124, respectively. Thereby, the deformation support 12 can be partially connected to the base body 1 , and even if the deformation support 12 and the base body 1 are incompletely divided, the deformation support 12 can be simultaneously from the first reference end 123 . The second reference end 124 is detached from the two-dimensional plane to a three-dimensional shape, so that the base body 1 exhibits a better hollow cage shape, and the bone filler can be filled therein.
再者,該基體1另設有數壓痕13,該數壓痕13係形成於該變形支條12表面,並位於該變形支條122的預定變形處,於本例而言,該數壓痕13係形成於鄰近該基體1之側緣處,特別係指鄰近於該數變形支條12所形成之第一基準端123及第二基準端124。該數壓痕13係可以選擇成形於該變形支條12之上或下表面[意指可成形於該基體1之單面或雙面],或者還可以選擇成形於該變形支條12鄰近該基體1之二相對側緣[意指可成形於該複數支條12之單側或雙側]。其中,該數壓痕13皆係由該基體1表面內凹而成,且該數壓痕13之寬度較佳係為0.1~0.3毫米,以具有引導該變形支條12可輕易上、下撐開之較佳效果。Furthermore, the base body 1 is further provided with a plurality of indentations 13 formed on the surface of the deformation support strip 12 and located at a predetermined deformation of the deformation support strip 122. In this example, the number of indentations The 13 series is formed adjacent to the side edge of the base body 1, in particular, the first reference end 123 and the second reference end 124 formed adjacent to the number of deformation support strips 12. The number of indentations 13 can be selectively formed on the upper or lower surface of the deformation support 12 [meaning that it can be formed on one or both sides of the base 1], or can alternatively be formed adjacent to the deformation support 12 The opposite side edges of the base 1 [meaning that it can be formed on one or both sides of the plurality of struts 12]. Wherein, the number of indentations 13 are concavely formed by the surface of the substrate 1 , and the width of the plurality of indentations 13 is preferably 0.1 to 0.3 mm, so as to guide the deformation of the support strip 12 for easy up and down support. The better effect.
於本實施例中,該數壓痕13係選擇成形於該變形支條12之上、下表面,並同時位於該複數支條12鄰近該基體1之二相對側緣處[意指該複數支條12之左、右二側],且該數壓痕13較佳係分別交錯形成於該變形支條12之縮徑區121及擴徑區122。特別係如第2圖所示,該壓痕13[即成形於該基體1上表面之壓痕13a]較佳係成形於其一變形支條12之擴徑區122,另一壓痕13[即成形於該基體1下表面之壓痕13b]則成形於另一相鄰變形支條12之縮徑區121,且壓痕13a、13b係平行於該第一基準端123及第二基準端124。簡言之,該數壓痕13的凹面開口方向係相對於該變形支條12受擠壓變形之方向,請參閱第3圖所示,係以形成三條變形支條12a、12b及12為例,該變形支條12a、12c受擠壓朝該基體1之Z方向變形,則該壓痕13a係形成於該變形支條12a、12c之上表面[如圖所示係位於該複數支條12之擴徑區122],且該壓痕13a的凹面開口方向亦朝該基體1之Z方向設置;反之,該變形支條12b受擠壓朝該基體1之Z’方向變形,則該壓痕13b係形成於該變形支條12b之下表面[如圖所示係位於該複數支條12之縮徑區121],且該壓痕13b的凹面開口方向亦朝該基體1之Z’方向設置。藉此,遂能使變形應力集中於該壓痕13處,而順勢朝既定方向分離該變形支條12,達到該變形支條12可呈較佳展開型態之功效。In this embodiment, the number of indentations 13 are selectively formed on the upper and lower surfaces of the deformation support 12, and are located at the opposite side edges of the plurality of bases 12 adjacent to the base 1 [meaning the plurality of branches The left and right sides of the strip 12], and the number of indentations 13 are preferably alternately formed in the reduced diameter region 121 and the expanded diameter region 122 of the deformed strip 12, respectively. In particular, as shown in Fig. 2, the indentation 13 [i.e., the indentation 13a formed on the upper surface of the substrate 1] is preferably formed in the enlarged diameter region 122 of one of the deformed branches 12, and the other indentation 13 [ That is, the indentation 13b formed on the lower surface of the substrate 1 is formed on the reduced diameter region 121 of the other adjacent deformation support 12, and the indentations 13a, 13b are parallel to the first reference end 123 and the second reference end. 124. In short, the concave opening direction of the number of indentations 13 is opposite to the deformation deformation direction of the deformation support 12, as shown in FIG. 3, the three deformation branches 12a, 12b and 12 are formed as an example. The deformation support strips 12a, 12c are deformed toward the Z direction of the base body 1, and the indentation 13a is formed on the upper surface of the deformation support strips 12a, 12c (as shown in the plurality of support strips 12) The expanded diameter region 122], and the concave opening direction of the indentation 13a is also disposed in the Z direction of the base body 1; otherwise, the deformed support strip 12b is deformed to be deformed in the Z' direction of the base body 1, and the indentation is 13b is formed on the lower surface of the deformation support 12b [as shown in the reduced diameter section 121 of the plurality of strips 12], and the concave opening direction of the indentation 13b is also disposed in the Z' direction of the base 1 . Thereby, the enthalpy can concentrate the deformation stress on the indentation 13 and separate the deformation struts 12 in a predetermined direction, so that the deformation struts 12 can be in a better expanded state.
注意的是,上述僅揭示其一實施例,並不以此限定該壓痕13成形於該變形支條12之縮徑區121或擴徑區122時,該壓痕13的凹面開口方向應該固定朝向該基體1之上或下[即Z方向或Z’方向],係屬熟習該技藝之人士依據上述原則所能輕易理解並加以應用,不再逐一贅述。It is to be noted that the above description only discloses an embodiment thereof, and the concave opening direction of the indentation 13 should be fixed when the indentation 13 is formed on the reduced diameter region 121 or the enlarged diameter region 122 of the deformation support 12 . Towards the base 1 above or below [ie, the Z direction or the Z' direction], those skilled in the art can easily understand and apply them according to the above principles, and will not be described one by one.
再者,本發明脊椎籠型支架還可以另設有複數微孔2,該複數微孔2皆呈貫穿狀地開設於該基體1表面,以使該基體1之上、下表面係呈連通。詳言之,該複數微孔2係開設於該變形支條12之擴徑區122,較佳係因應任二相鄰線槽11的彎曲段111態樣,而與該任二相鄰線槽11之彎曲段111呈現相互對應之型態。例如:任二相鄰線槽11共同圈圍形成如圓形之連續圖紋態樣時,便可於該變形支條12之擴徑區122內對應形成如同心圓形之複數微孔2。於本實施例中,該複數微孔2之孔徑大小可以選擇為0.5~3.5毫米,特別係選擇為1~3毫米之複數微孔2,以減輕該基體1之重量、增加該基體1之可撓性以及減少於X光照射時造成干擾。其中,該複數微孔2之形態係能與任二相鄰線槽11之彎曲段111相配合,容後配合第4至8圖再一併說明該複數微孔2之變異。Furthermore, the spine cage of the present invention may further be provided with a plurality of micropores 2, and the plurality of micropores 2 are formed in a penetrating manner on the surface of the substrate 1 such that the upper and lower surfaces of the substrate 1 are in communication. In detail, the plurality of micropores 2 are formed in the enlarged diameter region 122 of the deformed support strip 12, preferably in the form of the curved section 111 of any two adjacent linear slots 11, and the adjacent two adjacent slots The curved segments 111 of 11 assume a mutually corresponding pattern. For example, when any two adjacent trunkings 11 are formed in a circular pattern, a plurality of micropores 2 like a circular circle can be formed in the expanded diameter region 122 of the deformed strip 12 . In this embodiment, the pore size of the plurality of micropores 2 can be selected from 0.5 to 3.5 mm, in particular, a plurality of micropores 2 selected from 1 to 3 mm to reduce the weight of the substrate 1 and increase the thickness of the substrate 1. Flexibility and reduced interference caused by X-ray exposure. The shape of the plurality of micropores 2 can be matched with the curved segments 111 of any two adjacent troughs 11, and the variation of the plurality of micropores 2 will be described later together with the fourth to eighth figures.
此外,本發明脊椎籠型支架還可以選擇於該基體1之表面形成一生物可分解高分子薄膜3[詳參第7圖所示],該生物可分解高分子薄膜3係可選擇成形於基體1之部分或全表面。於本實施例中,該生物可分解高分子薄膜3較佳僅係成形於該基體1未與骨創傷處接觸之部分表面[亦即同位於一側之變形支條12表面],以由該生物可分解高分子薄膜3阻隔軟組織侵入,並同時由未成形該生物可分解高分子薄膜3之部分與骨創傷處接觸,以透過骨填補物誘導骨組織之生長,達到加速骨組織再生癒合之功效。其中,該生物可分解高分子薄膜3係可以選擇由膠原蛋白、幾丁聚醣、動物膠質或透明質酸等材質所形成。In addition, the spine cage of the present invention may further form a biodegradable polymer film 3 on the surface of the substrate 1 (see FIG. 7 for details), and the biodegradable polymer film 3 may be formed on the substrate. Part 1 or full surface. In the present embodiment, the biodegradable polymer film 3 is preferably formed only on a part of the surface of the substrate 1 that is not in contact with the bone wound [that is, the surface of the deformed support 12 on the same side]. The biodegradable polymer film 3 blocks the soft tissue intrusion, and at the same time, the part of the biodegradable polymer film 3 is not formed to contact the bone wound to induce the growth of the bone tissue through the bone filler, thereby accelerating the regeneration of the bone tissue. efficacy. Among them, the biodegradable polymer film 3 can be selected from materials such as collagen, chitosan, animal gum or hyaluronic acid.
承上述,本發明脊椎籠型支架係可於上述原則下以任意方式進行製作,於此僅以本發明較佳實施例作為舉例說明,以簡述該脊椎籠型支架之成形過程,如下:In view of the above, the vertebral cage type stent of the present invention can be produced in any manner under the above-mentioned principles. Here, only the preferred embodiment of the present invention is exemplified, and the forming process of the vertebral cage type stent is briefly described as follows:
請再配合參照第2及3圖所示,選擇厚度為50微米之鈦箔作為該基體1,以於鈦箔表面雷射加工成形有複數線槽11,該複數線槽11的彎曲段111係呈相對弧形設計,且其中任二相鄰線槽11係可以圈圍形成如圓形、菱形等圖紋態樣,並同時於該變形支條12之擴徑區122內成形孔徑為2毫米之複數微孔2,以由任二相鄰線槽11之間所形成的變形支條12共同排列為陣列鈦網[如第2圖所示之二維平面態樣,該較佳實施例僅以三變形支條為例,以下係以〝12a、12b及12c〞分別稱之],同時利用雷射加工於該變形支條12端部成形徑寬為0.2毫米之壓痕13,特別係成形於該變形支條12的左、右相對應側,且於該基體1上、下表面所形成之壓痕13凹面開口係呈不同方向;最終,再將成形之陣列鈦網浸置於37%鹽酸中持續30分鐘,以使鈦箔表面粗糙度達小於1.5微米,而完成本發明脊椎籠型支架之製作。Referring to Figures 2 and 3, a titanium foil having a thickness of 50 μm is selected as the substrate 1 to form a plurality of wire grooves 11 on the surface of the titanium foil, and the curved portion 111 of the plurality of wire grooves 11 is formed. The design is relatively curved, and any two adjacent slots 11 can be circled to form a pattern such as a circle or a diamond, and at the same time, a hole diameter of 2 mm is formed in the enlarged diameter region 122 of the deformation strip 12 The plurality of micropores 2 are arranged together as an array of titanium meshes by the deformed struts 12 formed between any two adjacent troughs 11 [as in the two-dimensional planar view shown in FIG. 2, the preferred embodiment is only Taking the three deformation support strips as an example, the following are referred to as 〝12a, 12b, and 12c〞 respectively, and at the same time, the indentation 13 having a diameter of 0.2 mm is formed at the end of the deformation support strip 12 by laser processing, in particular, forming On the left and right corresponding sides of the deformation support 12, and the concave openings 13 formed on the upper and lower surfaces of the base body 1 are in different directions; finally, the formed array titanium mesh is immersed in 37%. The hydrochloric acid is continued for 30 minutes to make the surface roughness of the titanium foil less than 1.5 micrometers, and the preparation of the spinal cage type stent of the present invention is completed. .
在需要使用時,係沿第3圖所示之箭頭方向[即為該基體1之Y方向]施予一外力,以由該基體1相對二側緣共同朝內擠壓,使得二維平面之陣列鈦網[亦即第2圖所示之變形支條12a、12b及12c]可以輕易分離,而立即轉變為三維立體之中空籠型。其中,該變形支條12a、12c係以該第一基準端123及第二基準端124為支點,且順勢將變形應力集中於該壓痕13a處,以隨該壓痕13a之凹面開口方向撐起,朝該基體1之Z方向[即圖面所示之上方]推擠變形;另一方面,該變形支條12b則以該第一基準端123及第二基準端124為支點,且同樣順勢將變形應力集中於該壓痕13b處,以隨該壓痕13b之凹面開口方向撐起,朝該基體1之Z’方向[即圖面所示之下方]推擠變形,藉此係可由該變形支條12a、12b及12c經變形展開後圈圍出一填補空間S[詳如第3圖所示之三維立體態樣],以完成本發明脊椎籠型支架於實際使用時的較佳實施態樣。When it is required to be used, an external force is applied along the direction of the arrow shown in FIG. 3 [that is, the Y direction of the base body 1) so as to be pressed inwardly from the opposite side edges of the base body 1 so that the two-dimensional plane The array of titanium meshes (i.e., the deformed struts 12a, 12b, and 12c shown in Fig. 2) can be easily separated and immediately converted into a three-dimensional hollow cage. The deformation support strips 12a and 12c are supported by the first reference end 123 and the second reference end 124, and the deformation stress is concentrated on the indentation 13a to support the concave opening of the indentation 13a. Starting to push the deformation in the Z direction of the base body 1 (ie, above the drawing); on the other hand, the deformation support 12b is supported by the first reference end 123 and the second reference end 124, and the same The deformation stress is concentrated on the indentation 13b to be propped up along the concave opening direction of the indentation 13b, and is deformed toward the Z' direction of the base 1 [ie, below the drawing], thereby being The deformation support strips 12a, 12b and 12c are deformed and expanded to enclose a filling space S [detailed in the three-dimensional three-dimensional aspect shown in FIG. 3] to complete the spine cage bracket of the present invention in practical use. Implementation.
注意的是,上述僅以最簡態樣說明之,故於相同原則下,該脊椎籠型支架之長度[意指該變形支條12於該基體1形成陣列之數目]係可依需求而定,特別係以能符合2~3節脊椎厚度為較佳,而同樣在外力擠壓下,呈現如第3圖所示之任二相鄰變形支條12係呈上、下交錯之變形態樣即可,屬熟習該技藝之人士依據上述原則可輕易思及且加以應用,於此不再逐一贅述。It should be noted that the above description is only in the simplest form, so the length of the spinal cage bracket [meaning the number of arrays of the deformation support 12 on the base 1] can be determined according to requirements under the same principle. In particular, it is preferable to be able to conform to the thickness of 2 to 3 vertebral vertebrae, and also under the external force extrusion, the two adjacent deformational branches 12 as shown in Fig. 3 are in the form of upper and lower interlaced deformations. That is, those who are familiar with the art can easily think about and apply according to the above principles, and will not be described one by one.
由於基體1之任二相鄰之變形支條12係朝不同方向相互遠離而圈圍出該填補空間S,因此,位於填補空間S同一側的複數變形支條12係成間隔排列而形成至少一空隙G,該空隙G之外形即等同於一變形支條12的外形。於使用時,容置於填補空間S內的骨填補物係藉由該空隙G與骨組織接觸,因此,擴徑區122的徑寬尺寸應小於骨填補物之大小較為適當,擴徑區122之徑寬係選擇為1.5-4.5毫米,較佳係選擇為2-4毫米,使得骨填補物不會經由該空隙G滲出而流失,以達到限制骨填補物之移動空間的較佳功效,並供予骨填補物能自該空隙G與骨組織接觸,進而加速骨組織再生癒合之效率。Since any two adjacent deformed struts 12 of the base body 1 are separated from each other in different directions to enclose the filling space S, the plurality of deformed struts 12 located on the same side of the filling space S are arranged at intervals to form at least one The gap G, the shape of the gap G is equivalent to the shape of a deformed strip 12. When in use, the bone filling material accommodated in the filling space S is in contact with the bone tissue by the gap G. Therefore, the diameter of the enlarged diameter region 122 should be smaller than the size of the bone filling material, and the diameter expanding region 122 is appropriate. The diameter is selected to be 1.5-4.5 mm, preferably 2-4 mm, so that the bone filling does not escape through the gap G, so as to achieve a better effect of limiting the movement space of the bone filling, and The bone filling material can contact the bone tissue from the gap G, thereby accelerating the efficiency of bone tissue regeneration healing.
除上述之外,本發明脊椎籠型支架亦可以選擇成形有不同彎曲段111態樣之複數線槽11,以透過該複數線槽11的彎曲段111曲型設計,便能增加變形後該變形支條12之順暢度,進而避免因角狀設計所造成的扭轉斷裂及傷害,以同時提升該變形支條12於變形後之支撐強度。In addition to the above, the spine cage bracket of the present invention may also select a plurality of wire grooves 11 formed with different curved segments 111 to transmit the curved portion 111 of the plurality of wire grooves 11 to increase the deformation after deformation. The smoothness of the struts 12, thereby avoiding torsional breakage and damage caused by the angular design, at the same time, to enhance the support strength of the deformed struts 12 after deformation.
請參閱第4至6圖所示,皆係具有不同彎曲段111態樣之複數線槽11搭配不同態樣複數微孔2之示意圖,分別簡述如下:Please refer to the figures 4 to 6 for a schematic diagram of a plurality of linear grooves 11 having different curved segments 111 and a plurality of micropores 2 of different states, which are briefly described as follows:
如第4圖所示,該複數線槽11具有連續間隔設置且呈相對弧形的第一彎曲段111a及第二彎曲段111b,且其中任二相鄰線槽11係共同圈圍形成如眼形[相當於橢圓形]之連續圖紋態樣,並於其一線槽11之第二彎曲段111b與另一相鄰線槽11之第一彎曲段111a所形成之擴徑區122內,對應搭配有相似如眼形之複數微孔2;或者,如第5圖所示,該複數線槽11具有連續間隔設置且呈相對弧形的第一彎曲段111a及第二彎曲段111b,且其中任二相鄰線槽11係共同圈圍形成如圓形之連續圖紋態樣,並於其一線槽11之第二彎曲段111b與另一相鄰線槽11之第一彎曲段111a所形成之擴徑區122內,對應搭配有相似如圓形之複數微孔2,以及另搭配有如長條形之複數微孔2,且圓形微孔係與長條形微孔呈間隔狀設置;另外,如第6圖所示,該複數線槽11具有連續間隔設置的第一彎曲段111a及第二彎曲段111b,該第一彎曲段111a係呈S形彎曲態樣,該第二彎曲段111b係呈弧形彎曲態樣,且其中任二相鄰線槽11係共同圈圍形成如圓形及S形之連續圖紋11態樣,並於任二相鄰線槽11所形成之擴徑區122內,對應搭配有相似如圓形之複數微孔2,其中S形圖紋處係形成該變形支條12之縮徑區121,且圓形圖紋處則形成該變形支條12之擴徑區122。此上述之外,還可以如第7圖所示,該複數線槽11具有連續間隔設置的第一彎曲段111a及第二彎曲段111b,該第一彎曲段111a及第二彎曲段111b皆特別係由一直線段與一弧線段相接而成,且其中任二相鄰線槽11係共同圈圍形成如菱形之連續圖紋態樣,並於其一線槽11之第二彎曲段111b與另一相鄰線槽11之第一彎曲段111a所形成之擴徑區122內,對應搭配有相似如橢圓形之複數微孔2;再則,還可以如第8圖所示,該複數線槽11同樣具有連續間隔設置的第一彎曲段111a及第二彎曲段111b,該第一彎曲段111a及第二彎曲段111b皆特別係由二直線段與二弧線段相接而成,且其中任二相鄰線槽11係共同圈圍形成如矩形之連續圖紋態樣,並於其一線槽11之第二彎曲段111b與另一相鄰線槽11之第一彎曲段111a所形成之擴徑區122內,對應搭配有相似如長圓形之複數微孔2。As shown in FIG. 4, the plurality of wire grooves 11 have a first curved segment 111a and a second curved segment 111b which are disposed at intervals and are relatively curved, and any two adjacent wire grooves 11 are formed in a circle such as an eye. a continuous pattern of a shape [corresponding to an ellipse], and corresponding to the expanded portion 122 formed by the second curved portion 111b of the first groove 11 and the first curved portion 111a of the adjacent adjacent groove 11 a plurality of micropores 2 similar to an eye shape; or, as shown in FIG. 5, the plurality of linear grooves 11 have a first curved section 111a and a second curved section 111b which are disposed at intervals and are relatively curved, and wherein Any two adjacent wire grooves 11 are formed in a continuous pattern such as a circular circle, and formed in the second curved portion 111b of one of the linear grooves 11 and the first curved portion 111a of the other adjacent wire groove 11. In the expanded diameter region 122, a plurality of micropores 2 similar to a circle, and a plurality of micropores 2 having a long strip shape, and the circular micropores are arranged in a spaced relationship with the elongated micropores; In addition, as shown in FIG. 6, the plurality of wire grooves 11 have a first curved segment 111a and a second curved segment 111b which are continuously spaced apart, The first curved section 111a is in an S-shaped curved state, and the second curved section 111b is in an arc-shaped curved state, and any two adjacent linear grooves 11 are collectively circled to form a continuous figure such as a circle and an S-shape. The pattern 11 is formed in the enlarged diameter region 122 formed by any two adjacent slots 11 correspondingly with a plurality of micropores 2 similar to a circle, wherein the S-shaped pattern forms the deformation branch 12 The diameter reducing area 121 is formed, and the enlarged area 122 of the deformation branch 12 is formed at the circular pattern. In addition to the above, as shown in FIG. 7, the plurality of wire grooves 11 have a first curved segment 111a and a second curved segment 111b which are continuously spaced apart, and the first curved segment 111a and the second curved segment 111b are particularly The line segment is connected with an arc segment, and any two adjacent wire grooves 11 are formed in a continuous pattern such as a diamond shape, and the second curved portion 111b of the one groove 11 and the other An enlarged diameter region 122 formed by the first curved portion 111a of an adjacent wire groove 11 is correspondingly matched with a plurality of micropores 2 similar to an elliptical shape; and further, as shown in FIG. 11 is also provided with a first curved section 111a and a second curved section 111b which are arranged at intervals. The first curved section 111a and the second curved section 111b are formed by connecting two straight segments and two arc segments, and any of them Two adjacent troughs 11 are formed in a continuous pattern such as a rectangular pattern, and are formed by the second curved section 111b of one of the linear grooves 11 and the first curved section 111a of the other adjacent linear groove 11. In the radial region 122, a plurality of micropores 2 similar to an oblong shape are associated with each other.
以上,參閱第4至8圖所示,皆僅粗略說明各種不同形態之設計,其原則皆相同於本發明較佳實施例之說明,係屬熟習該技藝之人士依據上述詳細說明可輕易思及並加以應用,於此不再加以詳述。The above is a description of the various embodiments of the present invention, and the principles of the present invention are similar to those of the preferred embodiments of the present invention, and those skilled in the art can readily appreciate the above detailed description. And apply it, and will not be described in detail here.
請參照第9圖所示,本發明脊椎籠型支架於實際使用且經手術置於骨創傷處時,係先將骨填補物容置於脊椎籠型支架經變形後所形成之填補空間S內[意指由二維平面轉為三維立體之中空籠型基體1,以下即稱之〝脊椎籠型支架〞],再將本發明脊椎籠型支架以手術線縫合,並固定於骨創傷之適當部位,特別係如圖所示,直接放置於椎體4連接之棘突41與橫突42之間,不需再以骨釘強力鎖入,即可完成本發明脊椎籠型支架植入之手術。Referring to FIG. 9 , when the spinal cage stent of the present invention is actually used and surgically placed on the bone wound, the bone filling material is first placed in the filling space S formed by the deformation of the spinal cage stent. [meaning a hollow cage-type substrate 1 that is converted from a two-dimensional plane into a three-dimensional plane, hereinafter referred to as a vertebral cage-type stent 〞], and then sutures the spinal cage-type stent of the present invention with a surgical thread and is fixed to the bone wound. The part, especially as shown in the figure, is directly placed between the spinous process 41 and the transverse process 42 connected to the vertebral body 4, and the operation of the spinal cage type stent of the present invention can be completed without the strong locking of the bone nail. .
除上述之外,請參照第10及11圖所示,其係為本發明另一較佳實施例,於本實施例中,該脊椎籠型支架還可以選擇另設有一終止端14,該終止端14係位於該線槽11延伸至基體1側緣之端部[即為該線槽11之末端處],且該終止端14係為貫穿狀的幾何形微孔。藉此,係可避免該變形支條12受擠壓變形時,該變形支條12所承受之變形應力輕易沿該線槽11端部無止境延伸,而造成該線槽11於端部產生裂縫,甚至延伸至該基體1側緣,產生該變形支條12斷裂之情形。其中,該終止端14係一體成形於該線槽11之端部,較佳係分別成形於該複數線槽11之二對應端部[即如第7圖所示之線槽11左、右二端],且該終止端14之態樣係可以選擇為圓形、矩形、方形…等任意呈貫穿狀的幾何形態。In addition to the above, please refer to the 10th and 11th drawings, which is another preferred embodiment of the present invention. In this embodiment, the spinal cage type bracket may further be provided with a terminating end 14, which is terminated. The end 14 is located at the end of the wire groove 11 extending to the side edge of the base body 1 [that is, at the end of the wire groove 11], and the terminating end 14 is a through-shaped geometric micro hole. Therefore, when the deformation support 12 is subjected to the extrusion deformation, the deformation stress of the deformation support 12 easily extends along the end of the groove 11 endlessly, and the groove 11 is cracked at the end. Even extending to the side edge of the base 1 causes the deformation of the deformation support 12 to break. Wherein, the terminating end 14 is integrally formed on the end of the wire groove 11, preferably formed at two corresponding ends of the plurality of wire grooves 11 respectively [ie, the wire groove 11 as shown in FIG. 7 left and right two The end state, and the state of the terminating end 14 can be selected as a circular, rectangular, square, etc., any of the geometric shapes.
本發明脊椎籠型支架之主要特徵在於:藉由該基體1表面設有複數線槽11,且其中任二相鄰線槽11之間係可形成一變形支條12,該些變形支條12便能於適當的外力擠壓下,輕易沿該二相鄰線槽11自二維平面型態變形為三維立體型態,同時,該變形支條12受外力作用所產生的變形應力遂能集中於該壓痕13處,進而透過該壓痕13導引該變形支條12呈上、下交錯之變形,以便直接使該基體1一體成型為一中空籠形之態樣,確保每一脊椎籠型支架具有相同展開之型態,達到降低每一脊椎籠型支架產生變異之功效;甚至,經成形後之基體1係不存在有任何接合之界面,而不致於長時間下因接合界面產生該基體1鬆動,而破壞中空籠形態樣之情形,並可再透過該複數線槽11之終止端14設置,以於該終止端14處發揮緩衝作用,而分散該變形支條12所承受的變形應力,達到避免該變形支條12於末端處產生損害、斷裂之功效;另外,更可由該複數線槽11的彎曲段111之曲度設計,增加變形後該變形支條12之順暢度,進而避免因其他角狀設計所造成的扭轉斷裂及傷害,而可同時提升該變形支條12變形後的支撐強度,且增加整體脊椎籠型支架之穩定性。The main feature of the vertebral cage type bracket of the present invention is that a plurality of wire grooves 11 are provided on the surface of the base body 1, and a deformed struts 12 are formed between any two adjacent wire grooves 11 and the deformation struts 12 are formed. It can be easily deformed from the two-dimensional plane shape to the three-dimensional shape along the two adjacent line grooves 11 under appropriate external force extrusion, and at the same time, the deformation stress generated by the external force of the deformation support strip 12 can be concentrated. The indentation 13 is further guided through the indentation 13 to guide the deformation of the deformation support 12 in an up-and-down manner, so as to directly form the base body 1 into a hollow cage shape, ensuring each cage. The stents have the same unfolded shape, and the effect of reducing the variation of each of the spinal cages is achieved; even, the formed matrix 1 does not have any joint interface, and the joint interface is not generated for a long time. The base body 1 is loosened, and the hollow cage shape is broken, and can be further disposed through the terminating end 14 of the plurality of wire grooves 11 to exert a buffering action at the terminating end 14 to disperse the deformation of the deformed support bar 12 Stress, to avoid this The shape of the strip 12 is damaged and broken at the end; in addition, the curvature of the curved section 111 of the plurality of slots 11 can be designed to increase the smoothness of the deformed strip 12 after deformation, thereby avoiding other angles. The design causes the torsional fracture and damage, and simultaneously increases the support strength of the deformation of the deformation support 12, and increases the stability of the overall spinal cage.
如此,不僅可以降低脊椎籠型支架製作過程的加工困難度,以輕易引導該脊椎籠型支架由平面轉為既定立體態樣,並且有效控制變形應力集中之範圍,避免於脊椎籠型支架的變形過程中,因變形應力的過度集中而產生斷裂之情形。甚至,透過該複數微孔2的孔徑設計,減輕該基體1之重量、增加該基體1之可撓性,以及減少於X光照射時造成干擾,並輔以該生物可分解高分子薄膜3,同時阻隔外部軟組織之侵入,而達到供予骨組織具有良好再生空間之功效;同時,填充於脊椎籠型支架內之骨填補物則能自該空隙G與骨組織產生接觸,以透過骨填補物誘導骨組織生長,進而加速骨組織再生癒合之效率。In this way, not only the processing difficulty of the spine cage stent manufacturing process can be reduced, but also the spine cage bracket can be easily guided from a plane to a predetermined three-dimensional state, and the range of deformation stress concentration can be effectively controlled to avoid deformation of the spinal cage bracket. In the process, a fracture occurs due to excessive concentration of deformation stress. Even the aperture design of the plurality of micropores 2 reduces the weight of the substrate 1, increases the flexibility of the substrate 1, and reduces interference caused by X-ray irradiation, and is supplemented by the biodegradable polymer film 3, At the same time, the invasion of the external soft tissue is blocked, and the bone tissue has a good regeneration space; at the same time, the bone filling filled in the spinal cage can contact the bone tissue from the gap G to penetrate the bone filler. Induces the growth of bone tissue, thereby accelerating the efficiency of bone tissue regeneration and healing.
綜上所述,本發明脊椎籠型支架係能夠以簡易構型避免接合界面之產生,係能夠降低脊椎籠型支架的加工困難度與製作成本,且輕易引導該脊椎籠型支架由平面變形為既定之立體型態,以達到減少每一脊椎籠型支架變異之功效。再者,本發明脊椎籠型支架更能夠有效控制變形應力集中之範圍,同時於脊椎籠型支架變形過程,達到避免變形應力過度集中而產生斷裂之功效。甚至,本發明脊椎籠型支架更能夠抑止生長快速之軟組織侵入,且避免體內循環系統的流動帶走骨填補物,而可達到確保骨填補物穩固於其中而不流失之功效。此外,本發明脊椎籠型支架還能夠適用於人體脊椎病變之任意部位,以由穩固於其中之骨填補物,達到引導骨組織再生且加速骨組織癒合之功效。In summary, the spine cage bracket of the present invention can avoid the occurrence of the joint interface in a simple configuration, can reduce the processing difficulty and the manufacturing cost of the spinal cage bracket, and easily guide the spine cage bracket from the plane deformation to The established stereotype is used to reduce the variability of each spinal cage stent. Furthermore, the spine cage stent of the present invention can more effectively control the range of deformation stress concentration, and at the same time, in the deformation process of the spine cage stent, the effect of avoiding excessive stress concentration and fracture is achieved. In addition, the spine cage stent of the present invention is more capable of inhibiting the rapid growth of soft tissue invasion, and avoids the flow of the circulation system in the body to take the bone filler, thereby achieving the effect of ensuring that the bone filler is stabilized therein without loss. In addition, the vertebral cage type stent of the present invention can also be applied to any part of the human spinal lesion to achieve the effect of guiding bone tissue regeneration and accelerating bone tissue healing by the bone filling material stabilized therein.
雖然本發明已利用上述較佳實施例揭示,然其並非用以限定本發明,任何熟習此技藝者在不脫離本發明之精神和範圍之內,相對上述實施例進行各種更動與修改仍屬本發明所保護之技術範疇,因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。While the invention has been described in connection with the preferred embodiments described above, it is not intended to limit the scope of the invention. The technical scope of the invention is protected, and therefore the scope of the invention is defined by the scope of the appended claims.
1...基體1. . . Matrix
11...線槽11. . . Trunking
111...彎曲段111. . . Curved section
111a...第一彎曲段111a. . . First curved section
111b...第二彎曲段111b. . . Second curved section
12、12a、12b、12c...變形支條12, 12a, 12b, 12c. . . Deformation support
121...縮徑區121. . . Reduced area
122...擴徑區122. . . Expansion zone
123...第一基準端123. . . First reference
124...第二基準端124. . . Second reference
13、13a、13b...壓痕13, 13a, 13b. . . Indentation
14...終止端14. . . Termination end
2...微孔2. . . Microporous
S...填補空間S. . . Fill the space
3...生物可分解高分子薄膜3. . . Biodegradable polymer film
4...椎體4. . . Vertebral body
41...棘突41. . . Spinous process
42...橫突42. . . Transverse process
G...空隙G. . . Void
9...椎籠9. . . Vertebral cage
91...頭部91. . . head
92...槽狀空間92. . . Trough space
93...骨融合孔93. . . Bone fusion hole
94...固定座94. . . Fixed seat
95...骨板固定器95. . . Bone plate holder
第1圖:習知骨融合椎籠之立體示意圖。Figure 1: A schematic view of a conventional bone fusion cage.
第2圖:本發明脊椎籠型支架之二維平面示意圖。Fig. 2 is a two-dimensional plan view of the spinal cage type stent of the present invention.
第3圖:本發明脊椎籠型支架之三維立體示意圖。Fig. 3 is a three-dimensional perspective view of the spinal cage type stent of the present invention.
第4圖:本發明脊椎籠型支架之不同圖紋形態示意圖一。Fig. 4 is a schematic view showing the different patterns of the ridge cage type of the present invention.
第5圖:本發明脊椎籠型支架之不同圖紋形態示意圖二。Figure 5: Schematic diagram of different patterns of the cage cage of the present invention.
第6圖:本發明脊椎籠型支架之不同圖紋形態示意圖三。Figure 6: Schematic diagram 3 of different patterns of the cage cage of the present invention.
第7圖:本發明脊椎籠型支架之不同圖紋形態示意圖四。Figure 7: Schematic diagram 4 of different patterns of the cage cage of the present invention.
第8圖:本發明脊椎籠型支架之不同圖紋形態示意圖五。Figure 8: Schematic diagram 5 of different patterns of the cage cage of the present invention.
第9圖:本發明脊椎籠型支架之使用示意圖。Figure 9 is a schematic view showing the use of the spinal cage type stent of the present invention.
第10圖:本發明脊椎籠型支架之另一二維平面示意圖。Figure 10 is a schematic illustration of another two dimensional plane of the spinal cage of the present invention.
第11圖:本發明脊椎籠型支架之另一三維立體示意圖。Figure 11 is another three dimensional perspective view of the spinal cage of the present invention.
1...基體1. . . Matrix
11...線槽11. . . Trunking
111...彎曲段111. . . Curved section
111a...第一彎曲段111a. . . First curved section
111b...第二彎曲段111b. . . Second curved section
12、12a、12b、12c...變形支條12, 12a, 12b, 12c. . . Deformation support
121...縮徑區121. . . Reduced area
122...擴徑區122. . . Expansion zone
123...第一基準端123. . . First reference
124...第二基準端124. . . Second reference
13、13a、13b...壓痕13, 13a, 13b. . . Indentation
2...微孔2. . . Microporous
Claims (18)
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TW100147436A TWI457114B (en) | 2011-12-20 | 2011-12-20 | Cage-shaped spinal frame |
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TW100147436A TWI457114B (en) | 2011-12-20 | 2011-12-20 | Cage-shaped spinal frame |
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Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
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TWI586313B (en) * | 2013-11-26 | 2017-06-11 | 財團法人工業技術研究院 | Bionic fixing apparatus |
US9770276B2 (en) | 2013-11-26 | 2017-09-26 | Industrial Technology Research Institute | Bionic fixing apparatus |
US10064737B2 (en) | 2015-12-07 | 2018-09-04 | Industrial Technology Research Institute | Implant device for osseous integration |
US10357297B2 (en) | 2013-11-26 | 2019-07-23 | Industrial Technology Research Institute | Bionic fixing apparatus |
US10507041B2 (en) | 2013-11-26 | 2019-12-17 | Industrial Technology Research Institute | Bionic fixing apparatus and apparatus for pulling out the same |
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DE69839051T2 (en) * | 1997-03-07 | 2009-01-15 | Disc-O-Tech Medical Technologies, Ltd. | PERCUT BONE SYSTEMS AND SPINAL STABILIZATION, MOUNTING AND REPAIR |
CN2836738Y (en) * | 2005-10-25 | 2006-11-15 | 江波 | The shaped bracket that resets that is used for the treatment of the lumbar-thoracic spine compression fracture of vertabral body |
RU2443400C2 (en) * | 2007-03-07 | 2012-02-27 | Ульрих Гмбх Унд Ко. Кг | Intervertebral disk implant with elastic structural elements |
EP2074956B1 (en) * | 2007-12-28 | 2012-06-27 | Biedermann Technologies GmbH & Co. KG | Implant for stabilizing vertebrae or bones |
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Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
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TWI586313B (en) * | 2013-11-26 | 2017-06-11 | 財團法人工業技術研究院 | Bionic fixing apparatus |
US9770276B2 (en) | 2013-11-26 | 2017-09-26 | Industrial Technology Research Institute | Bionic fixing apparatus |
US10357297B2 (en) | 2013-11-26 | 2019-07-23 | Industrial Technology Research Institute | Bionic fixing apparatus |
US10507041B2 (en) | 2013-11-26 | 2019-12-17 | Industrial Technology Research Institute | Bionic fixing apparatus and apparatus for pulling out the same |
US10064737B2 (en) | 2015-12-07 | 2018-09-04 | Industrial Technology Research Institute | Implant device for osseous integration |
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