TW201400077A - Bone implant - Google Patents

Bone implant Download PDF

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Publication number
TW201400077A
TW201400077A TW101122852A TW101122852A TW201400077A TW 201400077 A TW201400077 A TW 201400077A TW 101122852 A TW101122852 A TW 101122852A TW 101122852 A TW101122852 A TW 101122852A TW 201400077 A TW201400077 A TW 201400077A
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Prior art keywords
bone
bone implant
connecting end
retaining section
thread
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TW101122852A
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Chinese (zh)
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TWI469763B (en
Inventor
sheng-hui Meng
Shao-Bu Hu
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sheng-hui Meng
Shao-Bu Hu
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Priority to TW101122852A priority Critical patent/TWI469763B/en
Priority to CN201310058537.9A priority patent/CN103505280B/en
Publication of TW201400077A publication Critical patent/TW201400077A/en
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Publication of TWI469763B publication Critical patent/TWI469763B/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/8625Shanks, i.e. parts contacting bone tissue
    • A61B17/863Shanks, i.e. parts contacting bone tissue with thread interrupted or changing its form along shank, other than constant taper
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0018Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools characterised by the shape
    • A61C8/0028Pins, needles; Head structures therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B2017/8655Pins or screws or threaded wires; nuts therefor with special features for locking in the bone

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Neurology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

A bone implant is presented, which comprises a body and an abutment base. The body has a connecting end, a drilling end and a plurality of engaging sections between the connecting end and the drilling end, with a depart-preventing section forms between any two adjacent engaging sections. Each engaging section has a screw with the same spiral direction on the peripheral surface of the body while the depart-preventing section has an engaging portion on the peripheral surface of the body. The largest outer diameter of the depart-preventing section is smaller than the smallest outer diameter of any engaging section from the depart-preventing section to the connecting end. The abutment base is arranged at the connecting end of the body, with the abutment base has a concave hole.

Description

骨骼植入物 Bone implant

本發明係關於一種骨骼植入物,特別是一種具有螺紋且植入骨骼後即不再取出之骨骼植入物。 The present invention relates to a bone implant, particularly a bone implant that has a thread and is not removed after implantation into the bone.

骨骼植入物之種類繁多,舉凡骨針、骨釘、鎖固骨板或人工關節等植入物的骨螺絲、骨髓內釘或人工牙根等,都是常見的骨骼植入物;一般而言,各種骨骼植入物與骨骼之間的結合穩定度都相當重要,穩固結合於骨骼之骨骼植入物,可提升所欲達成之醫療效果及效率。 There are many kinds of bone implants, such as bone screws, bone nails or artificial roots of implants such as bone needles, bone nails, locking bone plates or artificial joints, etc., are common bone implants; The stability of the bond between the various bone implants and the bones is very important, and the bone implants that are firmly bonded to the bones can enhance the medical effect and efficiency desired.

其中,部分的骨骼植入物在植入骨骼後即不再取出,以人工牙根為例,中華民國公開第201121510號「人體植入物及其製造方法」專利申請案著重在牙根植體之表面材質改良;公告第M338055號「人工牙根之改良結構」專利案著重在牙根植體頸部與骨骼之結合穩定度;而公告第M390130號「單件角度植牙體」專利案則著重在牙根支台的改良。 Among them, some of the bone implants are not taken out after the bones are implanted. Taking the artificial roots as an example, the patent application of the Chinese People's Republic of China Public Publication No. 201121510 "Human Implants and Their Manufacturing Methods" focuses on the surface of the root implants. Material improvement; Announcement No. M338055 "Improved structure of artificial roots" patent focuses on the stability of the joint between the neck and the bone of the root implant; and the patent No. M390130 "Single-piece angle implant" focuses on the root branch Improvement of the station.

惟,前述各習知牙根植體均未在螺紋部中設置能防止逆向滑動脫出之結構,使得該牙根植體植入齒槽骨後,僅能藉由骨組織與牙根植體產生骨整合(Osseointegration)後,該習知牙根植體方能穩固結合於齒槽骨中。然而,在骨整合的過程中,一旦該習知牙根植體受到與螺紋旋向相反之力量,就可能在齒槽骨中旋移而產生滑脫的情況,即使只是些微的位移,也會導致骨組織自該習知牙根植體之 表面鬆動,致使骨整合失敗。基於上述原因,習知骨骼植入物確實有加以改善之必要。 However, none of the above-mentioned conventional root implants has a structure in the threaded portion that prevents reverse sliding out, so that after the root implant is implanted into the alveolar bone, bone integration can only be achieved by the bone tissue and the root implant. After (Osseointegration), the conventional root implant can be firmly integrated into the alveolar bone. However, in the process of osseointegration, once the conventional root implant is subjected to a force opposite to the direction of the thread, it may be spun in the alveolar bone to cause slippage, even if only a slight displacement, Bone tissue from the conventional root implant The surface is loose, causing bone integration to fail. For the above reasons, conventional bone implants do have the need to improve.

本發明之主要目的係提供一種骨骼植入物,係可提供與該骨骼植入物脫出方向相反的阻力,以有效避免該骨骼植入物在骨骼中產生鬆動的狀況,使該骨骼植入物可穩固結合於骨骼中而無法逆向滑動脫出者。 The main object of the present invention is to provide a bone implant that provides resistance opposite to the direction in which the bone implant is dislodged to effectively prevent the bone implant from loosening in the bone, allowing the bone to be implanted. The object can be firmly bonded to the bone and cannot be slipped out of the detachment.

為達到前述目的,本發明所運用之技術內容包含有:一種骨骼植入物,係包含:一本體,該本體之二端分別為一連接端及一鑽頭端,該本體在該連接端與鑽頭端之間設有數個嚙合區段,任二相鄰之嚙合區段之間設有一防脫區段,該數個嚙合區段各在該本體之環周面分布有一旋向相同之鑽鑿螺紋,該防脫區段在該本體之環周面設有一卡掣部,該防脫區段之最大外徑小於該防脫區段至該連接端間之各該嚙合區段的最小外徑;及一支台座,設於該本體之連接端,該支台座中設有一鍵合凹孔。 In order to achieve the foregoing objective, the technical content of the present invention includes: a bone implant comprising: a body, the two ends of the body are respectively a connecting end and a drill bit end, the body is at the connecting end and the drill bit A plurality of engaging sections are disposed between the ends, and a retaining section is disposed between any two adjacent engaging sections, and the plurality of engaging sections each have a same drilling thread on the circumferential surface of the body The retaining section is provided with a latching portion on the circumferential surface of the body, and the maximum outer diameter of the retaining section is smaller than the minimum outer diameter of each of the engaging sections between the retaining section and the connecting end; And a pedestal disposed at the connecting end of the body, wherein the supporting base is provided with a keying recess.

本發明另提供一種骨骼植入物,係包含:一本體,該本體之二端分別為一連接端及一鑽頭端,該本體在該連接端與鑽頭端之間設有數個嚙合區段,任二相鄰之嚙合區段之間設有一防脫區段,該數個嚙合區段各在該本體之環周面分布有一旋向相同之鑽鑿螺紋,該防脫區段在該本體之環周面設有一卡掣部,該防脫區段之最大外徑小於該防脫區段至該連接端間之各該嚙合區段的最小外徑;及一限位頭,設於該本體之連接端,該限位頭設有一工具抵接部。 The present invention further provides a bone implant, comprising: a body, the two ends of the body are respectively a connecting end and a drill end, the body is provided with a plurality of meshing sections between the connecting end and the drill bit end, A retaining section is disposed between the two adjacent engaging sections, and each of the plurality of engaging sections has a same drilling thread disposed on a circumferential surface of the body, and the retaining section is in the ring of the body a peripheral portion of the retaining portion having a maximum outer diameter smaller than a minimum outer diameter of each of the engaging portions between the retaining portion and the connecting end; and a limiting head disposed on the body The connecting end is provided with a tool abutting portion.

本發明之骨骼植入物,其中,該卡掣部可以為分布在該本體之環周面的至少一防脫螺紋,該防脫螺紋之旋向與該鑽鑿螺紋之旋向不同。 In the bone implant of the present invention, the latching portion may be at least one anti-offset thread distributed on the circumferential surface of the body, and the anti-off-threading direction is different from the direction of rotation of the drilling thread.

本發明之骨骼植入物,其中,該防脫螺紋之數量可以為數個。 The bone implant of the present invention, wherein the number of the anti-offset threads can be several.

本發明之骨骼植入物,其中,相鄰之二防脫螺紋間可以設有一間隔部,該間隔部可以為未設置螺紋之空白段或設有凸出物。 In the bone implant of the present invention, a gap may be provided between the adjacent two anti-offset threads, and the spacer may be a blank portion without a thread or provided with a protrusion.

本發明之骨骼植入物,其中,該卡掣部可以為分布在該本體之環周面的至少一凸環。 In the bone implant of the present invention, the latch portion may be at least one convex ring distributed on a circumferential surface of the body.

本發明之骨骼植入物,其中,該凸環之數量可以為數個。 In the bone implant of the present invention, the number of the convex rings may be several.

本發明之骨骼植入物,其中,相鄰之二凸環間可以設有一間隔部,該間隔部可以為未設置凸環之空白段或設有凸出物。 In the bone implant of the present invention, a spacer may be disposed between the adjacent two convex rings, and the spacer may be a blank portion without a convex ring or provided with a protrusion.

本發明之骨骼植入物,其中,該卡掣部可以為一粗糙表面。 The bone implant of the present invention, wherein the click portion can be a rough surface.

本發明之骨骼植入物,其中,該卡掣部可以為分布在該本體之環周面的至少一螺旋凹槽或環槽。 The bone implant of the present invention, wherein the click portion may be at least one spiral groove or ring groove distributed on a circumferential surface of the body.

本發明之骨骼植入物,其中,各該鑽鑿螺紋之螺旋角可以相同。 In the bone implant of the present invention, the helix angle of each of the drilling threads may be the same.

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:請參照第1圖所示,本發明第一實施例之骨骼植入物為一牙根植體,該牙根植體包含一本體1及一支台座2,該支台座2設於該本體1之一端。 The above and other objects, features, and advantages of the present invention will become more <RTIgt; A detailed description is as follows: Referring to FIG. 1 , the bone implant of the first embodiment of the present invention is a root implant comprising a body 1 and a pedestal 2 disposed on the pedestal 2 One end of the body 1.

該本體1之二端分別為一連接端1a及一鑽頭端1b,該本體1之連接端1a連接該支台座2,該鑽頭端1b較佳選擇為圓弧狀或尖錐狀,本實施例之圖式係以圓弧狀之鑽頭端1b作為實施樣態說明。該本體1在該連接端1a與鑽頭端1b之間設有數個嚙合區段11,任二相鄰之嚙合區段11之間設有一防脫區段12,本實施例之圖式係以該本體1設有二個嚙合區段11及一防脫區段12作為實施樣態說明。 The two ends of the body 1 are respectively a connecting end 1a and a drill end 1b. The connecting end 1a of the main body 1 is connected to the supporting base 2, and the drill end 1b is preferably arc-shaped or tapered. The drawing is described in the form of an arc-shaped drill bit end 1b. The body 1 is provided with a plurality of engaging sections 11 between the connecting end 1a and the bit end 1b, and a retaining section 12 is disposed between any two adjacent engaging sections 11, and the figure of this embodiment is The body 1 is provided with two engaging sections 11 and a retaining section 12 as an embodiment.

在本實施例中,各該嚙合區段11分別在該本體1之環周面分布有一鑽鑿螺紋111,各該嚙合區段11上的鑽鑿螺紋111具有相同旋向,且螺旋角較佳為相同。該鑽鑿螺紋111之螺距間形成一谷部112,該本體1之各嚙合區段11在該谷部112處具有一最小外徑D1;該防脫區段12在該本體1之環周面設有一卡掣部121,該本體1在該防脫區段12處具有一最大外徑D2。其中,為不影響各該嚙合區段11鎖入骨骼之順暢度,該最大外徑D2應小於該防脫區段12至該連接端1a間之各嚙合區段11的最小外徑D1。 In this embodiment, each of the engaging sections 11 is respectively provided with a drilling thread 111 on the circumferential surface of the body 1. The drilling threads 111 on each of the engaging sections 11 have the same direction of rotation, and the helix angle is better. For the same. A valley portion 112 is formed between the pitches of the drilling threads 111. Each of the meshing sections 11 of the body 1 has a minimum outer diameter D1 at the valley portion 112; the retaining portion 12 is on the circumferential surface of the body 1. A latching portion 121 is provided, the body 1 having a maximum outer diameter D2 at the retaining section 12. The maximum outer diameter D2 should be smaller than the minimum outer diameter D1 of each of the meshing sections 11 between the retaining section 12 and the connecting end 1a so as not to affect the smoothness of locking the bones of the engaging sections 11.

在本實施例中,該卡掣部121可以是分布在該本體1之環周面的至少一防脫螺紋121a,故可選擇使該本體1在該防脫區段12處呈縮徑態樣,使該防脫區段12之最大外徑D2可小於該防脫區段12至該連接端1a間之嚙合區段 11的最小外徑D1;如此,該牙根植體由本體1之各嚙合區段11鑚鎖進入骨骼時,該防脫區段12就不會影響鎖合之順暢度。其中,該防脫螺紋121a之旋向與該鑽鑿螺紋111之旋向不同,以提供與該鑽鑿螺紋111反向的扭力。 In this embodiment, the latching portion 121 may be at least one anti-off thread 121a distributed on the circumferential surface of the body 1, so that the body 1 may be selected to have a reduced diameter at the retaining portion 12. The maximum outer diameter D2 of the retaining section 12 can be smaller than the meshing section between the retaining section 12 and the connecting end 1a. The minimum outer diameter D1 of 11; thus, when the root implant is locked into the bone by the respective meshing sections 11 of the body 1, the retaining section 12 does not affect the smoothness of the lock. Wherein, the rotation of the anti-off thread 121a is different from the direction of rotation of the drilling thread 111 to provide a torsion force opposite to the drilling thread 111.

另請配合參照第2圖所示,當該防脫區段12中設有數個防脫螺紋121a時,各該防脫螺紋121a之螺距、螺旋角、牙深等參數可以相同或不同,也可以在相鄰之二防脫螺紋121a間設有一間隔部122,該間隔部122可以為未設置螺紋而呈光滑或粗糙表面之空白段,或是設有環紋或任意形態之凸出物,本發明均不加以限制。 Referring to FIG. 2, when the plurality of anti-dropping screws 121a are provided in the retaining section 12, the parameters such as the pitch, the helix angle, and the depth of the anti-separation thread 121a may be the same or different, or may be the same. A spacing portion 122 is disposed between the adjacent two anti-off-threads 121a. The spacer portion 122 may be a blank portion having a smooth or rough surface without a thread, or a ring or any form of protrusion. The invention is not limited.

該支台座2可以一體連接於該本體1之連接端1a,該支台座2中設有一鍵合凹孔21,以供一支台A(如第3圖所示)結合定位,並由該支台連接一牙冠(未繪示)以構成一假牙。惟,該支台座可因應不同形態之支台而有對應之結構變化,為所屬技術領域中具有通常知識者所能瞭解,且非為本發明之特徵所在,故以下文中將不再贅述,亦不應以圖式所揭露之形態為限。 The pedestal 2 can be integrally connected to the connecting end 1a of the body 1. The supporting base 2 is provided with a keying recess 21 for positioning and positioning of a table A (as shown in FIG. 3). A crown (not shown) is attached to the table to form a denture. However, the pedestal can have corresponding structural changes in response to different forms of the abutment, which can be understood by those having ordinary knowledge in the technical field, and is not a feature of the present invention, and therefore will not be described in detail below. It should not be limited to the form disclosed in the schema.

請參照第3圖所示,一般進行植牙療程時,會預先在牙齦及齒槽骨上開設一鑽孔(未繪示),接著,以該牙根植體之鑽頭端1b作為植入端,依該鑽鑿螺紋111之旋向旋轉該本體1,使該牙根植體可藉由各該嚙合區段11之鑽鑿螺紋111,逐漸對應切削攻入牙齦及齒槽骨內;其中,藉由將該防脫區段12之最大外徑D2設置成小於該防脫區段12至該連接端1a間之各嚙合區段11的最小外徑D1,使得該防脫區段12在鑚鎖該骨骼植入物的過程中,不會影響各該 嚙合區段11之鎖合順暢度。 Referring to Fig. 3, when a dental implant treatment is performed, a hole (not shown) is formed in the gum and the alveolar bone in advance, and then the drill end 1b of the root implant is used as an implantation end. Rotating the body 1 according to the rotation direction of the drilling thread 111, so that the root implant can be gradually inserted into the gum and the alveolar bone by the drilling thread 111 of each of the engaging sections 11; Setting the maximum outer diameter D2 of the retaining section 12 to be smaller than the minimum outer diameter D1 of each of the engaging sections 11 between the retaining section 12 and the connecting end 1a, so that the retaining section 12 is locked During the process of bone implants, it will not affect each The locking section 11 has a smooth fit.

完成該牙根植體之植入步驟後,齒槽骨內部的骨組織將逐漸與該牙根植體產生骨整合現象,且在骨整合的過程中,骨組織會逐漸包覆該牙根植體之環周面,而該防脫區段12更藉由該防脫螺紋121a等結構增加該本體1與齒槽骨之接觸表面積,以提升骨整合之效果。同時,在骨整合的過程中,不僅長在呈縮徑態樣之防脫區段12的骨組織,可提供該牙根植體脫出的阻力,旋向與鑽鑿螺紋111相反的防脫螺紋121a,更可進一步地提供與該牙根植體脫出方向相反的阻力;如此,可確保該牙根植體穩固地定位於預設位置,不會產生任何位移,不易發生該牙根植體在骨組織中鬆動的狀況,故能有效加速骨整合之效率。 After the implantation step of the root implant, the bone tissue inside the alveolar bone will gradually form osseointegration with the root implant, and during the process of osseointegration, the bone tissue will gradually cover the root of the root implant. The defensive section 12 further increases the contact surface area of the body 1 with the alveolar bone by the structure of the anti-offset 121a or the like to enhance the effect of osseointegration. At the same time, in the process of osseointegration, not only the bone tissue of the detachment prevention section 12, which is in the reduced diameter state, can provide the resistance of the root implant to escape, and the rotation is reversed against the drilling thread 111. 121a, further providing a resistance opposite to the direction in which the root implant is dislodged; thus, ensuring that the root implant is stably positioned at a predetermined position without any displacement, and the root implant is less likely to occur in the bone tissue In the loose state, it can effectively accelerate the efficiency of osseointegration.

請參照第4圖所示,除前述防脫螺紋121a之外,該卡掣部121也可以是分布在該本體1之環周面的至少一凸環121b,故同樣可選擇使該本體1在該防脫區段12處呈縮徑態樣,使該防脫區段12之最大外徑D2可小於該防脫區段12至該連接端1a間之嚙合區段11的最小外徑D1;如此,各該防脫區段12可提供該牙根植體脫出方向相反的阻力,以確保該牙根植體穩固地定位於預設位置,不會產生任何位移。 Referring to FIG. 4, in addition to the anti-detachment screw 121a, the latch portion 121 may be at least one convex ring 121b distributed on the circumferential surface of the body 1, so that the body 1 can also be selected. The retaining section 12 is in a reduced diameter state, such that the maximum outer diameter D2 of the retaining section 12 can be smaller than the minimum outer diameter D1 of the engaging section 11 between the retaining section 12 and the connecting end 1a; In this way, each of the retaining sections 12 can provide the opposite resistance of the root implant in the direction of removal to ensure that the root implant is stably positioned at a predetermined position without any displacement.

另,該凸環121b之數量較佳為數個。當該防脫區段12中設有數個凸環121b時,各該凸環121b之間距或傾斜角等參數可以相同或不同;本實施例之圖式雖以數個等距分布且正交於該本體1軸向之同規格凸環121b表示,但並不以此為限。再者,相鄰之二凸環121b間也可以設有一間 隔部,該間隔部可以為未設置凸環121b而呈光滑或粗糙表面之空白段,或是設有任意形態之凸出物,本發明均不加以限制。 Further, the number of the convex rings 121b is preferably several. When the plurality of convex rings 121b are disposed in the retaining portion 12, the parameters such as the distance between the convex rings 121b and the inclination angle may be the same or different; the pattern of the embodiment is distributed in several equidistances and orthogonal to The main body 1 is represented by the same size convex ring 121b in the axial direction, but is not limited thereto. Furthermore, a space may be provided between the adjacent two convex rings 121b. The partition portion may be a blank portion having a smooth or rough surface without providing the convex ring 121b, or may be provided with a projection of any shape, which is not limited in the present invention.

除此之外,該防脫區段12之卡掣部121也可以不設置螺紋、凸環或任意形態之凸出物,而是透過例如噴砂及酸蝕等方法以形成一粗糙表面,並藉該粗糙表面增加該本體1與骨骼之接觸表面積,以提升骨整合之效果。 In addition, the latching portion 121 of the retaining portion 12 may not be provided with a thread, a convex ring or a protrusion of any form, but may be formed by a method such as sand blasting and acid etching to form a rough surface, and The rough surface increases the surface area of contact between the body 1 and the bone to enhance the effect of osseointegration.

請參照第5圖所示,該卡掣部121也可以是分布在該本體1之環周面的至少一螺旋凹槽121c或環槽,使該本體1在該防脫區段12處可不必呈縮徑態樣,也能夠使該防脫區段12之最大外徑D2可小於該防脫區段12至該連接端1a間之嚙合區段11的最小外徑D1。如此,該牙根植體同樣可藉該至少一螺旋凹槽121c或環槽,增加該本體1與骨骼之接觸表面積,以提升骨整合之效果,並由該至少一螺旋凹槽121c或環槽更進一步地提供該牙根植體脫出方向相反的阻力,以確保該牙根植體穩固地定位於預設位置,不會產生任何位移。 Referring to FIG. 5 , the latching portion 121 may also be at least one spiral groove 121 c or a ring groove distributed on the circumferential surface of the body 1 , so that the body 1 does not have to be at the retaining portion 12 . In the reduced diameter state, the maximum outer diameter D2 of the retaining section 12 can also be smaller than the minimum outer diameter D1 of the engaging section 11 between the retaining section 12 and the connecting end 1a. In this way, the root implant can also increase the contact surface area of the body 1 with the bone by the at least one spiral groove 121c or the ring groove to enhance the effect of osseointegration, and the at least one spiral groove 121c or the ring groove can be further Further, the resistance of the root implant is reversed to ensure that the root implant is stably positioned at a predetermined position without any displacement.

請參照第6圖所示,本發明第二實施例之骨骼植入物為一骨釘,該骨釘包含一本體3及一限位頭4,該限位頭4設於該本體3之一端。其中,當該骨釘係用以提供暫時性錨定功能時,例如用以固定一骨板,該骨釘可選擇由生物可吸收性材質製成,以於植入一段時間後由生物體吸收而不必再手術取出;當該骨釘係用以提供永久性錨定功能時,例如用以固定一人工關節,該骨釘則可選擇由非生物可吸收性材質製成。 Referring to FIG. 6 , the bone implant of the second embodiment of the present invention is a bone nail, and the bone nail comprises a body 3 and a limiting head 4 , and the limiting head 4 is disposed at one end of the body 3 . . Wherein, when the bone nail is used to provide a temporary anchoring function, for example, to fix a bone plate, the bone nail may be made of a bioabsorbable material to be absorbed by the living body after being implanted for a period of time. There is no need to surgically remove it; when the nail is used to provide a permanent anchoring function, for example to fix an artificial joint, the nail can be made of a non-bioabsorbable material.

該本體3之二端分別為一連接端3a及一鑽頭端3b,該本體3在該連接端3a與鑽頭端3b之間設有數個嚙合區段31,任二相鄰之嚙合區段31之間設有一防脫區段32,本實施例之圖式係以該本體3設有三個嚙合區段31及二個防脫區段32作為實施樣態說明。 The two ends of the body 3 are respectively a connecting end 3a and a drill end 3b. The body 3 is provided with a plurality of engaging sections 31 between the connecting end 3a and the drill end 3b, and any two adjacent engaging sections 31 A retaining section 32 is provided between the embodiment. The figure is characterized in that the body 3 is provided with three engaging sections 31 and two retaining sections 32 as an embodiment.

在本實施例中,各該嚙合區段31分別在該本體3之環周面分布有一鑽鑿螺紋311,各該嚙合區段31上的鑽鑿螺紋311具有相同旋向,且螺旋角較佳為相同。該鑽鑿螺紋311之螺距間形成一谷部312,該本體3之各嚙合區段31在該谷部312處具有一最小外徑D3;該防脫區段32在該本體3之環周面設有一卡掣部321,該本體3在該防脫區段32處具有一最大外徑D4。其中,為不影響各該嚙合區段31鎖入骨骼之順暢度,該最大外徑D2應小於該防脫區段32至該連接端3a間之各嚙合區段31的最小外徑D3。 In this embodiment, each of the engaging sections 31 has a drilling thread 311 distributed on the circumferential surface of the body 3, and the drilling threads 311 on each of the engaging sections 31 have the same direction of rotation, and the helix angle is better. For the same. A valley portion 312 is formed between the pitches of the drilling threads 311, and each of the engaging sections 31 of the body 3 has a minimum outer diameter D3 at the valley portion 312; the retaining portion 32 is on the circumferential surface of the body 3. A latching portion 321 is provided, the body 3 having a maximum outer diameter D4 at the retaining section 32. The maximum outer diameter D2 should be smaller than the minimum outer diameter D3 of each of the meshing sections 31 between the retaining section 32 and the connecting end 3a so as not to affect the smoothness of locking the bones of the engaging sections 31.

本實施例之卡掣部321可同於第一實施例之卡掣部121,可選擇為分布在該本體3之環周面的至少一防脫螺紋321a、凸環、粗糙表面、螺旋凹槽或環槽,該防脫螺紋321a與螺旋凹槽之旋向與該鑽鑿螺紋311之旋向不同,其他相關之結構可參考第一實施例之說明,於此不再詳述。其中,當卡掣部321為防脫螺紋321a、凸環或粗糙表面時,可選擇使該本體3在該防脫區段32處呈縮徑態樣,當卡掣部321為螺旋凹槽或環槽時,該本體3在該防脫區段32處則可不必呈縮徑態樣;如此,皆可使該防脫區段32之最大外徑D2小於該防脫區段32至該連接端3a間之各嚙合區段 31的最小外徑D3,故該骨釘由本體3之各嚙合區段31鑚鎖進入骨骼時,該防脫區段32就不會影響鎖合之順暢度。 The latching portion 321 of the embodiment can be the same as the latching portion 121 of the first embodiment, and can be selected as at least one anti-dropping screw 321a, a convex ring, a rough surface, and a spiral groove distributed on the circumferential surface of the body 3. Or the ring groove, the rotation direction of the anti-off thread 321a and the spiral groove is different from the rotation direction of the drilling thread 311. For other related structures, reference may be made to the description of the first embodiment, which will not be described in detail. Wherein, when the latching portion 321 is a thread preventing portion 321a, a convex ring or a rough surface, the body 3 can be selected to have a reduced diameter at the retaining portion 32, and when the latching portion 321 is a spiral groove or When the ring groove is formed, the body 3 does not need to be in a reduced diameter state at the retaining portion 32. Thus, the maximum outer diameter D2 of the retaining portion 32 can be made smaller than the retaining portion 32 to the connection. Each meshing section between the ends 3a The minimum outer diameter D3 of 31, so that the nail is locked into the bone by the respective engaging sections 31 of the body 3, the retaining section 32 does not affect the smoothness of the lock.

該限位頭4可以一體連接於該本體3之連接端3a,該限位頭4設有一工具抵接部41,以供一工具(未繪示)抵接定位,並由該工具帶動該限位頭4依該鑽鑿螺紋311之旋向旋轉,從而將該本體3鎖入骨骼中。惟,該限位頭4可因應不同形態之被鎖固物(例如骨板)而有對應之結構變化,為所屬技術領域中具有通常知識者所能瞭解,且非為本發明之特徵所在,故以下文中將不再贅述,亦不應以圖式所揭露之形態為限。 The limiting head 4 can be integrally connected to the connecting end 3a of the body 3. The limiting head 4 is provided with a tool abutting portion 41 for abutting and positioning by a tool (not shown), and the tool is driven by the tool. The head 4 is rotated in the direction of rotation of the drilling thread 311 to lock the body 3 into the bone. However, the limit head 4 can have a corresponding structural change in response to different forms of the locked object (for example, a bone plate), which is known to those of ordinary skill in the art and is not a feature of the present invention. Therefore, it will not be repeated in the following text, nor should it be limited to the form disclosed in the drawings.

請參照第7圖所示,以使用該骨釘將一骨板5固定於骨骼表面為例,該骨釘之本體3係穿過該骨板5上對應之鎖孔51,並以該本體3之鑽頭端3b為植入端,由工具帶動該本體3旋轉,使該骨釘可藉由各該嚙合區段31之鑽鑿螺紋311,逐漸對應切削攻入骨骼內,最後由該骨釘之限位頭4抵接於該骨板5表面,該骨釘無法再繼續鑽入骨骼內,據以限制該骨釘與骨骼之結合深度。其中,藉由將該防脫區段32之最大外徑D4設置成小於該防脫區段32至該連接端3a間之各嚙合區段31的最小外徑D3,使得該防脫區段32在鑽鎖的過程中,不會影響各該嚙合區段31之鎖合順暢度。 For example, as shown in FIG. 7 , the bone plate 5 is fixed to the bone surface by using the bone nail. The body 3 of the bone nail passes through the corresponding locking hole 51 of the bone plate 5 , and the body 3 is used. The drill bit end 3b is an implant end, and the body 3 is rotated by a tool, so that the bone nail can be gradually penetrated into the bone by the drilling thread 311 of each of the meshing sections 31, and finally the bone nail is finally The limiting head 4 abuts against the surface of the bone plate 5, and the bone nail can no longer continue to be drilled into the bone, thereby limiting the depth of bonding of the nail to the bone. The retaining section 32 is provided by setting the maximum outer diameter D4 of the retaining section 32 to be smaller than the minimum outer diameter D3 of each of the engaging sections 31 between the retaining section 32 and the connecting end 3a. In the process of drilling the lock, the locking smoothness of each of the engaging sections 31 is not affected.

完成該骨釘之植入步驟後,骨骼內部的骨組織將逐漸與該骨釘產生骨整合現象,且在骨整合的過程中,骨組織會逐漸包覆該骨釘之環周面,而各該防脫區段32更藉由該卡掣部321之結構增加該本體3與骨骼之接觸表面積,以 提升骨整合之效果。同時,在骨整合的過程中,不僅長在防脫區段32的骨組織,可中斷各該鑽鑿螺紋311之同向扭力,甚至提供與該骨釘脫出方向相反的阻力;如此,可確保該骨釘穩固地定位於預設位置,不會產生任何位移,不易發生該骨釘在骨組織中鬆動的狀況,故能有效加速骨整合之效率。 After the implantation step of the bone nail is completed, the bone tissue inside the bone will gradually form osseointegration with the bone nail, and during the process of osseointegration, the bone tissue will gradually cover the circumferential surface of the bone nail, and each The retaining section 32 further increases the contact surface area of the body 3 with the bone by the structure of the latching portion 321 Improve the effect of bone integration. At the same time, in the process of osseointegration, not only the bone tissue of the anti-detachment section 32 but also the co-rotational force of each of the drilling threads 311 can be interrupted, and even the resistance opposite to the direction in which the nail is released can be provided; The bone nail is firmly positioned at the preset position without any displacement, and the bone nail is not loosened in the bone tissue, so the efficiency of osseointegration can be effectively accelerated.

綜上所述,本發明之骨骼植入物,可藉由在相鄰之二嚙合區段間設置該防脫區段,提升骨整合之效果,並可提供與該骨骼植入物脫出方向相反的阻力,以有效避免該骨骼植入物在骨骼中產生鬆動的狀況,使該骨骼植入物可穩固結合於骨骼中而無法逆向滑動脫出,具有提升所欲達成之醫療效果及效率的功效。 In summary, the bone implant of the present invention can improve the effect of osseointegration by providing the anti-detachment section between two adjacent meshing sections, and can provide a direction of detachment from the bone implant. The opposite resistance is to effectively avoid the loosening of the bone implant in the bone, so that the bone implant can be firmly integrated into the bone and cannot be reversely slid out, which has the medical effect and efficiency to be improved. efficacy.

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‧‧‧本體 1‧‧‧ Ontology

1a‧‧‧連接端 1a‧‧‧Connected end

1b‧‧‧鑽頭端 1b‧‧‧Drill end

11‧‧‧嚙合區段 11‧‧‧Meshing section

111‧‧‧鑽鑿螺紋 111‧‧‧Drilling thread

112‧‧‧谷部 112‧‧‧ Valley

12‧‧‧防脫區段 12‧‧‧Protection section

121‧‧‧卡掣部 121‧‧‧Card Department

121a‧‧‧防脫螺紋 121a‧‧‧Anti-thread removal

121b‧‧‧凸環 121b‧‧‧ convex ring

121c‧‧‧螺旋凹槽 121c‧‧‧ spiral groove

122‧‧‧間隔部 122‧‧‧Interval

2‧‧‧支台座 2‧‧‧ pedestal

21‧‧‧鍵合凹孔 21‧‧‧bonding recess

3‧‧‧本體 3‧‧‧ Ontology

3a‧‧‧連接端 3a‧‧‧Connected end

3b‧‧‧鑽頭端 3b‧‧‧Drill end

31‧‧‧嚙合區段 31‧‧‧Meshing section

311‧‧‧鑽鑿螺紋 311‧‧‧Drilling thread

312‧‧‧谷部 312‧‧‧ Valley

32‧‧‧防脫區段 32‧‧‧Protection section

321‧‧‧卡掣部 321‧‧‧Card Department

321a‧‧‧防脫螺紋 321a‧‧‧Anti-thread removal

4‧‧‧限位頭 4‧‧‧Limited head

41‧‧‧工具抵接部 41‧‧‧Tools Abutment

5‧‧‧骨板 5‧‧‧ bone plate

51‧‧‧鎖孔 51‧‧‧Keyhole

D1‧‧‧最小外徑 D1‧‧‧Minimum outer diameter

D2‧‧‧最大外徑 D2‧‧‧Maximum outer diameter

D3‧‧‧最小外徑 D3‧‧‧Minimum outer diameter

D4‧‧‧最大外徑 D4‧‧‧Maximum outer diameter

A‧‧‧支台 A‧‧‧ stand

第1圖:本發明第一實施例之結構示意圖(一)。 Fig. 1 is a schematic view showing the structure of a first embodiment of the present invention (1).

第2圖:本發明第一實施例之結構示意圖(二)。 Fig. 2 is a schematic view showing the structure of the first embodiment of the present invention (2).

第3圖:本發明第一實施例之實施示意圖。 Figure 3 is a schematic view showing the implementation of the first embodiment of the present invention.

第4圖:本發明第一實施例之結構示意圖(三)。 Figure 4 is a schematic view showing the structure of the first embodiment of the present invention (3).

第5圖:本發明第一實施例之結構示意圖(四)。 Figure 5 is a schematic view showing the structure of the first embodiment of the present invention (4).

第6圖:本發明第二實施例之結構示意圖。 Figure 6 is a schematic view showing the structure of a second embodiment of the present invention.

第7圖:本發明第二實施例之實施示意圖。 Figure 7 is a schematic view showing the implementation of the second embodiment of the present invention.

1‧‧‧本體 1‧‧‧ Ontology

1a‧‧‧連接端 1a‧‧‧Connected end

1b‧‧‧鑽頭端 1b‧‧‧Drill end

11‧‧‧嚙合區段 11‧‧‧Meshing section

111‧‧‧鑽鑿螺紋 111‧‧‧Drilling thread

112‧‧‧谷部 112‧‧‧ Valley

12‧‧‧防脫區段 12‧‧‧Protection section

121‧‧‧卡掣部 121‧‧‧Card Department

121a‧‧‧防脫螺紋 121a‧‧‧Anti-thread removal

2‧‧‧支台座 2‧‧‧ pedestal

21‧‧‧鍵合凹孔 21‧‧‧bonding recess

D1‧‧‧最小外徑 D1‧‧‧Minimum outer diameter

D2‧‧‧最大外徑 D2‧‧‧Maximum outer diameter

Claims (11)

一種骨骼植入物,係包含:一本體,該本體之二端分別為一連接端及一鑽頭端,該本體在該連接端與鑽頭端之間設有數個嚙合區段,任二相鄰之嚙合區段之間設有一防脫區段,該數個嚙合區段各在該本體之環周面分布有一旋向相同之鑽鑿螺紋,該防脫區段在該本體之環周面設有一卡掣部,該防脫區段之最大外徑小於該防脫區段至該連接端間之各該嚙合區段的最小外徑;及一支台座,設於該本體之連接端,該支台座中設有一鍵合凹孔。 A bone implant comprises: a body, the two ends of which are respectively a connecting end and a drill end, the body is provided with a plurality of meshing sections between the connecting end and the bit end, and any two adjacent A retaining section is disposed between the engaging sections, and each of the plurality of engaging sections has a same drilling thread disposed on a circumferential surface of the body, and the retaining section is provided on a circumferential surface of the body. a latching portion, the maximum outer diameter of the retaining section is smaller than a minimum outer diameter of each of the engaging sections between the retaining section and the connecting end; and a base provided at a connecting end of the body, the branch A key recess is provided in the pedestal. 一種骨骼植入物,係包含:一本體,該本體之二端分別為一連接端及一鑽頭端,該本體在該連接端與鑽頭端之間設有數個嚙合區段,任二相鄰之嚙合區段之間設有一防脫區段,該數個嚙合區段各在該本體之環周面分布有一旋向相同之鑽鑿螺紋,該防脫區段在該本體之環周面設有一卡掣部,該防脫區段之最大外徑小於該防脫區段至該連接端間之各該嚙合區段的最小外徑;及一限位頭,設於該本體之連接端,該限位頭設有一工具抵接部。 A bone implant comprises: a body, the two ends of which are respectively a connecting end and a drill end, the body is provided with a plurality of meshing sections between the connecting end and the bit end, and any two adjacent A retaining section is disposed between the engaging sections, and each of the plurality of engaging sections has a same drilling thread disposed on a circumferential surface of the body, and the retaining section is provided on a circumferential surface of the body. a latching portion, the maximum outer diameter of the retaining section is smaller than a minimum outer diameter of each of the engaging sections between the retaining section and the connecting end; and a limiting head is disposed at the connecting end of the body, The limit head is provided with a tool abutment. 如申請專利範圍第1或2項所述之骨骼植入物,其中,該卡掣部為分布在該本體之環周面的至少一防脫螺紋,該防脫螺紋之旋向與該鑽鑿螺紋之旋向不同。 The bone implant of claim 1 or 2, wherein the latch portion is at least one anti-off thread distributed on a circumferential surface of the body, the rotation of the anti-off thread and the drilling The direction of the thread is different. 如申請專利範圍第3項所述之骨骼植入物,其中,該防脫螺紋之數量為數個。 The bone implant of claim 3, wherein the number of the anti-offset threads is several. 如申請專利範圍第4項所述之骨骼植入物,其中,相鄰之二防脫螺紋間設有一間隔部,該間隔部為未設置螺紋之空白段或設有凸出物。 The bone implant of claim 4, wherein a gap is provided between the adjacent two anti-offset threads, the spacer being a blank portion without a thread or provided with a protrusion. 如申請專利範圍第1或2項所述之骨骼植入物,其中,該卡掣部為分布在該本體之環周面的至少一凸環。 The bone implant of claim 1 or 2, wherein the click portion is at least one convex ring distributed on a circumferential surface of the body. 如申請專利範圍第6項所述之骨骼植入物,其中,該凸環之數量為數個。 The bone implant of claim 6, wherein the number of the convex rings is several. 如申請專利範圍第7項所述之骨骼植入物,其中,相鄰之二凸環間設有一間隔部,該間隔部為未設置凸環之空白段或設有凸出物。 The bone implant of claim 7, wherein a spacer is disposed between the adjacent two convex rings, and the spacer is a blank portion without a convex ring or is provided with a protrusion. 如申請專利範圍第1或2項所述之骨骼植入物,其中,該卡掣部為一粗糙表面。 The bone implant of claim 1 or 2, wherein the click portion is a rough surface. 如申請專利範圍第1或2項所述之骨骼植入物,其中,該卡掣部為分布在該本體之環周面的至少一螺旋凹槽或環槽。 The bone implant of claim 1 or 2, wherein the click portion is at least one spiral groove or ring groove distributed on a circumferential surface of the body. 如申請專利範圍第1或2項所述之骨骼植入物,其中,各該鑽鑿螺紋之螺旋角相同。 The bone implant of claim 1 or 2, wherein each of the drilling threads has the same helix angle.
TW101122852A 2012-06-26 2012-06-26 Bone implant TWI469763B (en)

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