TWI355258B - Multi-walled placeholder - Google Patents

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Publication number
TWI355258B
TWI355258B TW099114491A TW99114491A TWI355258B TW I355258 B TWI355258 B TW I355258B TW 099114491 A TW099114491 A TW 099114491A TW 99114491 A TW99114491 A TW 99114491A TW I355258 B TWI355258 B TW I355258B
Authority
TW
Taiwan
Prior art keywords
tubular body
item
holder
tubular
plate
Prior art date
Application number
TW099114491A
Other languages
English (en)
Other versions
TW201034620A (en
Inventor
Lutz Biedermann
Wilfried Matthis
Helmar Rapp
Original Assignee
Biedermann Motech Gmbh & Co Kg
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Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=40210705&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=TWI355258(B) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Biedermann Motech Gmbh & Co Kg filed Critical Biedermann Motech Gmbh & Co Kg
Publication of TW201034620A publication Critical patent/TW201034620A/zh
Application granted granted Critical
Publication of TWI355258B publication Critical patent/TWI355258B/zh

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Classifications

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    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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    • A61F2/442—Intervertebral or spinal discs, e.g. resilient
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    • H01L29/40—Electrodes ; Multistep manufacturing processes therefor
    • H01L29/43—Electrodes ; Multistep manufacturing processes therefor characterised by the materials of which they are formed
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    • H—ELECTRICITY
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    • H01L29/40—Electrodes ; Multistep manufacturing processes therefor
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Description

1355258 r j 六、發明說明： 【發明所屬之技術領域】 、 本發明係有關一種供植入人體或動物體内的多層壁固定器，特別 、是當作脊椎固定器或脊椎圓盤固定器使用，以及該固定器的製造方法 和模組系統。 本發明為第095147215號原申請案之分割案，其係基於智慧財產局 中華民國98年3月17曰（98)智專一（六）〇51〇6字第09820150520號審查 聲意見通知函所表明’原申請案之申請專利範圍請求項第3〜5，10〜14， 21 ’ 23〜37及40項無不予專利之事由，特將該等請求項申請分割並申請 為本發明之請求項1〜25，以求專利保護的時效性，而餘留的請求項則 繼續進行再審查。 【先前技術】 按習用脊椎或脊椎圓盤固定器，如專利案DE195〇4867C1，該固定 斋具有圓柱管狀體，該圓柱管狀體設置複數個菱形或镄石形的莫空 部，該簍空部排列成橫列和直行，該圓柱管狀體的末端設有與菱形相 _同的凸出_狀和凹陷，供誠連的脊椎或组織接合.，該鑽石形籌空 部促使該組織於植入器上生長，而使植入器與身體密合。 工 又如美國專利2{)()5雇15154專糖，該植人器具有鷹架結構，該 鷹架結構的格子延伸至整個植入器，該格子結構的植入器用於取代關 節、，例如臀部、膝關節、肩關節或其他部位，然而，該格子結構很難 製造且需個別調整和製造以符合每個患者。 。德國專利案D_3_A1，係為一可調整長度的固定器，該固定 器具有兩套筒狀的構件，該兩㈣互相套合，經由—槓桿使該兩套筒 1355258 該槓桿太複雜很難 互相連接，雖顧裝置有鮮的長度娜，然而 製造。 德國專利案_簡·，係為一可調整長度的脊椎圓盤固定 益’ 套筒像望遠鏡般互相套合，且用螺絲鎖住，缺而， 言載分散，且_結構太緊密，不能有效 組織於該固定器上生長。 固 美國專利案__073660，係為一當作固定器的植入器，雜 ==狀套筒’該波狀套筒套於另一套筒内，，該波狀套 外歐洲專稱E_4751A1，係為—脊椎管狀體，該f狀體具有兩 錄子’該兩個籠子由—凸出螺栓插人容置孔連接，該結構可藉由鎖 住的位置纽變長度，然而，騎狀體受限於容置孔。 【發明内容】 本發明之目的，在於提供-觀於製造、具多魏使用、對於分 散負載具有紐紅㈣人體搞物組織結合的植。該植入器可
用作脊柱牺定H ’亦即當作脊椎或脊椎圓翻定器，亦可用於 骨頭的末端。 S 〈技術解決〉 本發明依據專利案DE19504867C1所延伸，該案已證實其實際價 值’特別是驗當作脊椎或脊椎醜以及t狀骨頭末端的固定器^ 步發展歧崎《互相套合形成-多層構件或多層壁艘 第二’魏姆狀體，脚—第―f狀體和至少- 佳的h形成一多層壁體的固定器，該固定器不僅且有嗜 管狀體和==；==峨咖，峨騎該第1 特別是設置於該第狀之横穿固定器之縱軸的橫切面， 狀，其具有易於製造二性體有簡單的幾何形 三离形祕+ 茨吕狀體具有回形、橢圓形、長方形或 及易於製造的機; 屬-和第二管狀體的簡單幾何形月而具有易、於維二 器因骨質_⑽特Γ並可與骨頭有較大接觸面積，而避免該固定 第二管_第二管狀體，該 本發明的第⑽ 1讀入及第一管狀體。 該社構可如 數健第二錄缝縣人該第-管狀體， 〜構可相向敎性以 邊體 題的^ L__=m生長，該管狀 :個第H5亥第二管狀體並排套入該第-管狀體的結構，兮兩個1 可適用於本發晴亦可改钟體負載力，該結構 身體^轉—f狀體和該第—管狀體相頭開，翔的 身體組織於該雜體上 ，、⑽4、可促使 數個第橫： s狀體的縱軸與該第—管妝者，該荨第二 載時可達到較_定/ 疋偏離平行，如此於—些特定負 ，勤1受濟曲的應力時偏_分齡式可導 致更好的穩定性。 ,°亥第和第一官狀體具有不同的橫切面，可為圓— 矩形、_彡、均彡、鑽石形(_、她彡^邊〉、三 有圓角的多邊形、侧形，形或其他不規則形。^ f形、具 製，特性，其形狀可關切定·本形狀，如_=易於 腎臟形。 邊形、具有圓角的多邊形、_形及 本^⑽第—要點’韻二管狀贿壓套合於該第—管 亦即該紅管狀體的外表周圍或臨近 = 卜管狀體或該定位板輸變形或額外_膠變形而互==、该 之接觸亥=合編該第二管狀體和該第—管峨連接件的代理
^爾四魏，娜__嫩術由轉力， 或材料上的連接’或具體的連接（成型或安裝V 特別地，該連接件包括定位板和連接銷。 λ疋位板最好為盤狀或環狀，藉由壓擠套合、鉚纟τ、螺絲 ^材料上的或具體的連接（成型或安裝）以橫穿於管狀體的縱轴: 式而與郷—管缝連接，該第二管狀财以_方式連接。 亦即該第二管狀體與連接件形成—結構體，該結 該第-管狀體。 體） 該連接銷可為鉚釘、螺絲或條狀物(可焊接於該管狀 1355258 至少一該第二管狀體⑻圭為數個）套入 個該軸，物咖軸第_細切:。’錢置兩 該第’㈣有複數綱α，敕位部供固定 亥複數個開口供眺連的組織於其上生長。 螺、使職銷連接鎖被製成為翁， 軸接鎖具有接觸面供支撐該管狀體，該接觸, 頭部，另-接觸面設於鉚針或螺絲的尾部。 叹、P·，丁或螺絲 =連==於該錄料殼部的數部对穿部相 織接合，或者分離__以供管狀體 構件(如該定位板)連接。 接件次植入讀其他 如此 管狀體外，而形 如用螺絲連接，則螺紋洞最好对於外_第-管狀體内， 該螺絲與其頭部即會置於該管狀體内部，不會凸出該 成一光滑外表。 本發明的Μ魏，轉管狀體至少部分相互套疊，且藉由可拆 或可附著的連接件連接’或直接連接成一_的構 模組系統。所以’該模組系統符合樣式簡單且可個別 =的=求，醫生可組合該固定器以適用於病患。然而，該固定器可 為現成品，亦可由連接件來作調整。 本發明的第六要點，該管狀體只有—些部位縣端面臨近處設置 連接件’切著ϋ定n整個長度觀察時，在各狀器之關寬度區域 1355258 便有較大的面積佩連的_生長1連接件可限制其 個，較佳者為2至12個，且伽_部只設置2 _ 較佳為3個，該連接件便可與簍空部、 _連接件’ 螺紋洞）配合運作。 -他疋位。卜凹陷或洞（例如 另-具體實施例，該管狀體具有相同中 狀，如此可形成-平行多層壁體結構。°目同橫切面形 爿-具體實_，該連接件可設於該f狀體外殼部之 一不同位置’如此該管狀體即可任意改變相互間的配置’船的 4而突出其邊緣，且讓它們只能沿著_額如 ^完全套 長度或高度可調整，不同的該管狀 =Ρδ_定器的 構，可缩互套宜$成—望遠鏡般的結 ^ 置，該梅體亦可相互旋轉，使外 :::互成-一開，相_管峨是： 而該内環管狀體則具有較厚壁面，給侧定器所生長’ t可桃晴域微，形、三角 _形、菱形或其他類::邊形、八邊形、具有圓角的多邊形、 該等相互有間隔，其間隔不是藉由該連接件連接 _外壁或內壁’較佳為條狀或片狀且垂直突出= 1355258 部。因為各管狀體間的空隙，足夠的間隔可供生長中的組織使用。再 者’因為各管狀體間隔設置，相對地在末端或前端面形成寬大的接觸 面積，便不需再給予端板或其他類似構件的設置。 該管狀體至少一端，較佳為兩端設有凸部和凹部供毗連的組織於 其上生長。 該連接件可為銷、螺栓、扣件、螺絲、端板或類似物品，可變換 使用特別是在外殼部的簍空部或貫穿部，如此便無需再額外設置個別 馨的容置部。如此可減少成本和簡化製造。然而，獨立的定位部仍然可 設置於該管狀體的該外殼部： 另一具體實施例，該固定器位在管狀體的前面設有至少一個，較 佳為兩個端板，該端板可當連接件。該端板係呈一圓環狀，且具有去 除部和/或凹陷供該管狀體端部的凸部連接。較佳者，該環狀端板設 有-裂縫並使該端減—緊_或具彈㈣環形物，如此該管狀體的凸 部被該端板以摩擦力支撐住。 相同地，間介板或定位板亦可被細為―緊賊具彈性的環形物。 於該外殼部的該連接件 概亦辦蝴射焊接蝴賭連接法而與 二..· · 4上的雜，此法亦可_於其他連接件，_是設置 該管狀體或該連接件可於表 (hyd呵apatite)錄子卢神—㈣次處理例如虱氧磷灰石 鈦表面。域子處理，或可用鈦或鈦合金當材料而形成-粗 所有生物彳目細合適材㈣可麟該轉件，如該管狀體和該連 ϋ圭者’為生物相容聚合物或金屬，例如鈦、 金，不同材料亦可用於該不同的構件。 螺欽° 本U的域魏，顧定器設有至少兩個不同的管狀體，至少 相互2直I鮮狀體至少部分相互套® ’且勤至少—該連接件 >著=做2、结構侧連接細於働置而改變。各管狀體 ，，轴做不_佈置，及有肢的佈置也是可能的。 並县Ϊ紅貫施例所詳述的本發明各f狀體，其亦可經由切割而改變 -長度，或域切至任—長度位置簡整管狀體的末端點。 表面=二僅魏侧定^齡後，可於錢定器絲上塗料或作 产理处艮P且於各構件組合前之固定器也可各自做表面塗料或表面 =也=_# ’咖__管狀體，在組裝前，其管 狀體也可做表面塗料或表面處理。 明的發狀體結構設計’制是以下具體實施例所詳細說 月的其可喊_切至任何長度健來縱其诚或其末端的位置。 —總之’本發明提供—模組，其為可單 體結構而具有大面積供― 使付該植入器同時具有穩定性和易於結合，為签形外科最佳的 兹將本發W他優點，特缺具體實_佐賴辦細說明如后。 【實施方式】 I355258 請參閲第一圖所示，係本發明第一具體實施例的立體圖，顯示固 定器（1)的管狀體(2)(3)(4)部分重疊一起。 該管狀體(4)有最大直徑，可容納較小直徑的該管狀體，該管 狀體(3)有較小直徑，可容納最小直徑的該管狀體(2)。 該管狀體(2)(3)依序套入該較大管狀體(4)之内，每—該管狀體可 於縱軸方向突出於較大管狀體的邊緣(5)(6)。 該管狀體（2)(3)(4)由插銷（8)從容置孔(25)(請參閱第三圖）插入 而互相連接，當該插銷(8)被拔出，即可將該管狀體延著縱 軸拍互相推移’而調整該固定器⑴的長度或高度，#達到所需長度 或高度，即可將該插鎖⑻插入該容置孔(25)而將該管狀體 ^
加以固定。 、J 紋孔代替 該插銷⑻的末端設有阻擋部或扣件，例如勾子（圖中未顯示），以 銷⑻蚊在該容置孔⑽裡，亦可用其他連接件如螺絲和螺 該管狀體⑵⑶⑷於其外殼部⑽設有複數縛空部⑼，如第 難刪為增彡侧侧和直行，形 =1巢4’由於辑巢結構，身體組織可於朗定器⑴上生長， 的強度’並且該咖⑴的重量亦可減 咖⑵⑶⑷崎合娜輸轉， 織的生長結在轉料財纽礙。 例立=三、四圖所示，圖三係本發明固定器⑴的另-具體實施 ，號 、四圖的具體實施例與第一、 圖不同的是該管狀體(2)(3)(4) 1355258 完全重疊，如此該管狀體⑵⑶不會如於該管狀體⑷的邊緣⑸。 5玄官狀體⑵⑻⑷的邊緣⑸⑹⑺形成一接觸平: 物 椎骨接觸’由於該三個冑狀體⑵⑶⑷相互套疊並且相互Γ . 於單一管紐餘大的環職觸面，㈣_攸置魏=他2 第-至第四圖的具體實施例中之該管狀體 有凸部αυ和凹部⑽，該凸部⑻係為凸出的條狀或釘二 波浪狀邊緣⑸⑹⑺，該碑（⑴㈣部⑽可由該錄體⑵⑶⑷ 垂直於縱軸的結構處切割而形成，更準確者，大約在—連續簍空部⑼ 的中間處切割；該凹部⑽於靠近該凸部⑻處具有平行壁面和三角 形底部，該三角形底部連接該平行壁面。 -、該凸部（11)和凹部（12)與田比連的身體部位如脊椎骨或組織連接， 並且供毗連的組織於其上生長。 第一一圖顯示供該插銷(8)插入以連接該管狀體(2)(3)(4)的該 隹谷置孔(25)，該容置孔(25)和該插銷（8)亦可以螺絲和螺紋孔來代替。 凊參閱第四圖所示，具體實施例中該同中心軸線的管狀體 (2)(3)(4)係呈中空圓柱筒狀，並由薄條（13)將該管狀體(幻(3)(4)互 相隔開且支撐，鮮薄條(13)之間鱗定圓^㈣隔，在第四圖中的 具體實施例顯示，該等薄條(13)是依序以120度圓心角間隔。 相較於第一、二圖的具體實施例，該插銷（8)可從該管狀體 (2)(3)(4)插入或取出；於此，該薄條(13)則與該管狀體(2)(3)(4)有 實體的連接（材料的連接），例如用雷射將該薄條（13)與該管狀體 (2)(3)(4)焊接，而形成一現成的固定器（1)。 12 1355258 請參閱紅至八圖所示，係本發明另—具體實施例，如圖一至四 的具體實施例，係用於脊椎骨的固定器，相同元件設為相同編號。 •—第五至人_具體實施财，尤其在第八圖中所示，其具有兩個 官狀體⑶⑷並完全被套合’脚，狀體⑶完全套合於該管狀 體(4)中。 第五至八圖之實施例不同於第一及三圖者，是該固定器⑴於上下 兩末端各設置-端板(14)，該端板⑽係呈一圓環狀並具有兩個相對 籲的端部(17)(18)，該端板⑽的兩端部⑽⑽之間設有一裂縫⑽ 和複數個固定部（15)或凹陷，該複數個固定部（⑸或凹陷排列成環 狀，由第六圖可明顯地看出該管狀體⑶⑷的凸部⑴）套接於該固定 /部（15) 〇 @為該賴(16)使得該雜端板(⑷成為緊繃或具彈簧性能的環 形物，當該端板(14)欲裝於該管狀體(3)(4)上時，可藉由擠壓兩端部 (17X18)而使該裂縫(16)的寬度有彈性地縮小，將該環狀端板（14)裝 於該管狀體(3)(4)上並且該凸部（11)插接於該固定部（15)後，即可將 該以板(14)放fe使其恢復彈力，由於該凸部（11)被該固定部（π)的邊 緣擠壓，使得該端板(14)被該凸部（11)藉由摩擦力支撐住。 此種支持器亦可為固定的端板，該端板不設於管狀體的末端，而 置於該管狀體的中間。 第七、八圖所示係顯示第五、六圖中所指的該固定器（丨）未蓋上該 端板(14) ’由此可看出該管狀體(3)和該管狀體(4)僅靠著該端板(14) 區隔開來，而不需要其他的連接件或間隔物。 請參閱第九圖所示’係為本發明的另一具體實施例，顯示該管狀 13 1355258 4 體（3)(4)分開以及組合的情形，除了立體圖之外，第九圖下面為該管 狀體(3)(4)的平面俯視圖，如前述的具體實施例，相同元件設為相同 . 編號。 . 該外環管狀體(4)如前述具體實施例的該管狀體(4)，而該内環管 狀體(3)設有片狀的間隔部（19)，該間隔部（19)成數列垂直突出於該管 狀體(3)的外殼部（10)，該間隔部（19)可與該管狀體一體成型，亦 可用具體或非具體的連接物來連接，該間隔部（19)亦可設置於該外環 籲管狀體(4)内壁’或同時設置於兩該管狀體⑶⑷上。 該間隔部（19)以一特定角度環列分佈於該管狀體(3)的外緣，於第 九圖中的具體實施例該環狀佈列的間隔部（19)各列相互間隔4〇度角， •該間隔部（19)可設置成一列、數列或不同距離。 - 在所示的具體實施例中’該間隔部（19)亦可當作該管狀體(3)和該 官狀體(4)的連接件，例如以抓或夾的連接方式。這是確實可行的，例 如在該管狀體(4)内部設置對應的容置部即可供該間隔部〇9)嵌入。例 ❿如’大出於3亥管狀體⑶的§亥間隔部（19)整體的直徑大於該管狀體⑷ 的内徑，其中一個或兩個該管狀體(3)(4)於組合和拆開時可有彈性地 伸展或壓縮，則該問隔部（19)即可套接於該管狀體的該容置部或凹 陷部（圖中未顯示）。 請參閱第十、十一圖所示，係本發明另一具體實施例，如前述的 具體實施例，相同元件設為相同編號。 第十、十一圖所示，係為本發明外殼部（10)的放大圖，由此可看 出互相套合的該管狀體(3)和(4)有不同的排列方式，該管狀體(3)(4) 的該簍空部（9)互相對齊或成一直線，如第十一圖所示；或互相錯開， 14 物#嶋)的條議部⑽可從該外 农&4 〜4空部(9)看到’並且該外環管狀體⑷的條狀外殼部 (10)遮蓋住部分___⑶的該蔞空部⑼。 p 相車乂之下’料—_*，該管狀體⑶⑷的該簍铸⑼互相對 齊或成直線5亥内被管狀體⑶的該條狀外殼部⑽設置於該外 管狀體⑷細錄物卩⑽)之後，且在外㈣__穿 請參閱第十二圖所示’如前述的具體實施例，相同元件設為相同 編號.。 在第十一圖中之固定器⑴的該管狀體⑵(3)(4)互相套合，該具 體實施例的特徵為該管狀體⑵⑶⑷壁面具有不_強度或厚度，: 第十二_平面舰財_地看出，該f㈣⑵和⑷的壁面皆較 中間的該管狀體(3)薄，該中間管狀體⑶提供主要的強度和穩定度， 而該管狀體⑷和⑵由於具有㈣壁面，可與錢的組織快速地結 合；於此圖中並未將插銷(8)或薄條(13)晝出。 請參閱第十三圖所示，係為本發明當作脊椎圓盤固定器⑴的立體 圖（a)、側面圖（b)和平面俯視圖(c)，如前述的具體實施例，相同元件 設為相同編號。. 第十三圖所雜具體實施顺第三圖巾的具體實關相似，不同 的是該固定器（1)只有兩個該管狀體⑶⑷，而且只具有一排該莫空部 (9) ’第十二闕翻定ϋ(ι)的高度或長度鴨地較第三圖的該固定 器⑴短’根據不同的使用目的，而使用不同的該固定器⑴，即第三 圖的該固定器（1)餘脊椎的固定器，而第十三_該蚊器⑴當^ 15 1355258 脊椎圓盤固定器。 請參閱第十四圖所示，係本發明另一具體實施例的立體圖，如前 '述的具體實施例’相同元件設為相同編號。 第十四圖顯示，S亥固定器⑴具有—中空圓柱狀之第一管狀體 ⑷，该官狀體⑷設有複數錢形的簍空部⑼，該蔞空部⑼排列成 仏列和直行，形成-蜂巢結構，該簍空部⑼或貫穿部受該外殼部⑽ 條狀的限定’並如先前的實施例一般於其上下兩末端形成凸部⑼和 •凹部（12)0 該管狀體⑷祕近上下兩末端各設置—定條⑽，該定位板 ⑽被以壓擠的方式礙固在該管狀體⑷内部，該定位板⑽的外徑猶 -大於該管狀體(4)的内徑，而使此部分形成彈性緊繃的狀態，其他可將 該定位板(30)固定住的方式亦可適用。 該圓盤狀定位板(30)設有複數個洞（31)，以幫助跟組織的生長結 合與渗透作用。 + • 該定位板⑽設有定位部⑽，該定位部(32)供數個第二圓柱管 狀體(3，)(3”)〇3”，)穿越，該第二管狀體(3，)(3”)(3，”)的形狀與位在外圍 的該第-管狀體⑷㈣，但具有不同直徑，亦_第二管狀體 (3’)(3”)(3’”）的直徑比位在外圍的該第一管狀體(4)_徑小很多，該 定位板(30)的定位部（32)分別設置於虛構三角形的三個角點上，而^ 該第一管狀體（3 )(3 )(3’”)並排固定於該第一管狀體(4)内部，每兮 第二管狀體(3，)(3，，)(3，”)的中心縱軸與該第-管狀體(4)的中心縱轴= 互相平行。 ^ 1355258 1 , 該第二管狀體（3’）（3”）（3”’)被以壓擠的方式嵌固於該定位板(3〇) 的該定位部（32)，該等第二管狀體(3，）(3”）(3，，，）的外徑稍大於該定位部 •(犯）的内徑’如此當該第二管狀體(3 )(3”)(3’”)插入該定位部（32)時， .該第二管狀體(3’)(3”)(3”’)和該定位板(30)產生彈性變形，而達到緊密 結合的目的。 第十四圖所示的具體實施例，係為本發明當作脊椎的固定器，而 第十五圖所示則為本發明當作脊椎圓盤的替代物。同樣地，第十五圖 鲁中的固定器（1)與前一實施例相同的元件設為相同編號，其所選定的固 定器（1)是遠比前述實施例的固定器（1)為短，且只具有一個該定位板 (3〇)，該定位板(30)設於該固定器（1)内部的中間位置，亦即設於縱軸 •延伸段部的中間。其餘部分則和第十四圖的具體實施例相同。 - 請參閲第十六圖所示，係為第十五的平面测，由此可明顯地看 出該外環第-管狀體⑷和該内環第二管狀體(3，)(3，，)(3，，，）的配置狀 態’ 1及設於該定位板⑽上的該洞⑶），並顯示洞⑻的大小不同。 φ 總之，由第十四至十六圖所示的具體實施例，由於擠壓套接的結 ^ ’雜人錢細定ϋ(1)容易製造且其構件可簡單和多樣變化組 ° ^外’藉由該結構，該管狀體⑷有足触間和組齡合，同時， 該固疋器(1)末％的大接觸面積可容納和消除負載。
第 I —一十四圖所示’係為本發明不同具體實施例，該固定器 (1)不’、有德板’—個或數個不_狀之鮮二管紐⑶讎套合 於不同形狀之該外環管狀體⑷内部。 第十七、 、 上 八圖所示，係本發明另一具體實施例的立體圖和平面 t ® /外王衣管狀體⑷在垂直於縱轴的橫切面係呈一腎臟形狀，而 ' · 17 . 1355258 第S狀體(3 )(3 )(3，”)的橫切面係為圓形 依序設置於該外環之管狀體⑷内部。第1狀體(3’)(3，，)(3，，，: 清參閱第十九、二十圖所示，係本發明另 和平面俯视圖，兩個具有圓形橫切面的該«主管狀體=;的立體圖 地嵌固於具有橢圓形橫 體(3)(3 )，被擠壓 圈所示的具體實施例，三個具二+二 請參閱第二十：、-十四圖所千在士找衣之邊體⑷内部。 固定器⑴科_如=；崎施例，該 勒部管紐⑶垂直於 % s狀體⑷擁有圓柱管形而具有圓形的橫切面。因此，在第 切騎稀實關中，对—個_管狀體⑶被擠壓嵌 固於該外辟㈣⑷。 、J卿錢 第十七至二切圖所紅不健體實施例中，亦可於第—管 心丨Γΐ第,二做體⑶的觸面設置連餅，叫倾縣接的方法， 例如螺絲形狀的連接銷或焊接。 請參閱第二十五至二十九圖所示，係為本發明之該管狀體 ⑵⑶⑷具有不同糾面，除了圓形或環狀橫切面（如第二十五圖所 示）外，長方形、特別是正方形(如第二十六圖所示）、六邊形（如第二 Τ七比圖所示）、橢圓形（如第二十八圖所示）或腎臟形(如第二十九圖所 不）皆可。除此，其他形狀例如八邊形或不規則形狀亦可，原則上以簡 單形狀為主，亦可結合昇不同橫切面的圓柱管狀體。 第二十至三十五圖顯示該管狀體(2)(3)(4)外殼部（10)上的該簍 丄乃5258 外，圓形(如第-十—、、’。構。除了鑽石形（菱形）(如第三十圖所示） n、ί _示）、矩形特別是正方形和長方形(如第三十 式γ请不、六邊形(如第三十三圖所示）、_形(如第三十四圖所示） ^邊形(如第三十五圖所示）皆可。除此’其他能使該簍空部⑼具有 又面積同時具有穩定骨架的形狀亦可。
再者*關於數個簍空部⑼的相互排列狀態，它們可排成相分離的 排，如第二十二、三十五圖所示，或該簍空部⑼相互錯開，使里凸 出點伸至鄰排的凹陷處，第三十、三十三騎示最明顯。.… 由此亦可看出該簍空部（9)排成數行，每一該簍空部（9)可直接 置於其他該蔞空部⑼底下，或者是最好互相錯開如此可消除軸線負 载。如第二十至二十五圖更顯*，該籌空部⑼每行的間隔為該簍空部 (9)的一半寬度。 第—十/、至四十二圖所示，係為本發明設置連接銷的不同具體實 施例，該連接銷可為鉚釘和螺絲。 • 第三十六圖所示，係為該管狀體(3)(4)的該外殼部（1〇)之部分立 體圖，兩管狀體(3)(4)之間設置螺絲⑽連接件，該螺絲⑽一端設 有一頭部(40)，另一端設有一尾部（41)，如第三十七圖所示該頭部 (40)具有一接觸面(43)，當該螺絲（13)的軸(45)由該管狀體(3)上的一 貝穿洞穿過，該接觸面（43)與該管狀體(3)的内壁接觸，而該螺絲（13) 的該尾部(41)與該外環管狀體(4)的螺紋洞(42)結合，該尾部(41)的接 觸面（44)與該外環管狀體(4)的内壁接觸，該螺絲(13)的末端與該管狀 體(4)的外殼齊平。 第二十八圖所示，係為該螺絲（13)的立體圖，該螺絲（13)的該頭 1355258 部(40)可與驅動工具如螺絲起子結合使用，圖中未顯示。 十請參閱第三十九至四十二圖所示，與螺絲（13)連接件相似，兩該 ‘官狀體⑶⑷之間設置崎⑼)連接件，如第三十九騎示，該柳針 .(50)頭部(51)的接觸面（56)與該管狀體⑶的内壁接觸，該鉚針(5〇) 末端的接觸面(57)與該外環管狀體⑷的内壁接觸，如第四十圖所示， 兩違官狀體⑶⑷各有一貫穿洞供該鉚釘⑽的軸⑽插入，該柳針 3〇)末端的鉚接區⑽有一圓柱狀的中空部⑽，該柳釘⑽插入該 籲管狀體⑷的貫穿洞，該鉚釘⑽末端的邊端⑽趣起，提供一可靠的 連接，避免該鉚釘(50)從該管狀體(4)的貫穿洞掉落。 、請參閱第四十一、四十二圖所示，分別為該鉚針(50)未鉚接的情 • 況，和該鉚釘(50)鉚接的情況。 - 請參閱細十三、四十_所示，係本發明_關，第四十三 0所示之^細疋器⑴係為脊椎圓盤替代物；第四十四圖所示之該固定 器（1)係為脊椎替代物。 鲁、第四十二、四十四圖的該固定器⑴是應用為脊柱穩定系統的一部 刀其中。又置有固定螺絲(2〇)，特別是多軸向螺絲，於該固定螺絲⑽） 之間設置-連接捍⑼，藉此_脊椎且讓脊椎排成一直線。 该固定器⑴遭受具體的壓力，制是動力壓力，該固定器⑴尤 其是=層壁體結構或多層構件結構，提供一應付該壓力的解決辦法。 凊參閱第四十五圖所示’該固定器⑴亦可用於臨床應用，例如一 長條骨頭(22)於中央部分斷雜，可將制定器⑴設置於斷裂部分， 加上釘子(23)和螺絲(24)而讓骨頭組織重生。 本發明為第095147215號原申請案之分割案，其係基於智慧財產局 20 1355258 中華民酬年3317日（98)智專—（六侧⑽字第⑽麵弧2()號審查 意見通知函所表明’射請案之巾請專利範騎求項第3〜5, 1㈣， Μ，23韻40項無野專利之事由。因此，髓該等請求項申請分判， 以求專利保護㈣錄，而餘㈣請求棚繼續進行再審查。 本發明所分#j之申請專利麵；概述如下：
二東項1為原β月求項合併。請求項2, 6為原請求柳並分別依 附於咕求項1，3及5。請求項3為原請求項4。請求項4, 8為原請求項12 並分別依附於請求項3及7。請求項5為原請求項5。請求項？為原請求項 月i貞9為原1求項14。請求柳絲請求項25。請求項η為原請 求項23。請求項既科求權。請求〜齡顺輯求微3?。 清求項25為原請求項39及40之合併。 本發明所具體界定於申請專利範圍之技術特徵，已符合專利要 件’謹請釣局依法核予專利。至於原申請案所進行之再審查，亦請鈞 局公平客觀審查，並早日准予專利。 【圖式簡單說明】 第-圖係本發明之第—實施例立體示意圖。 第二圖係第一圖之平面俯視圖。 第三圖係本發明第二實施例外殼部之立體放大圖。 第四圖係第三圖之平面俯視圖。 第五圖係本發明第三實施例立體示意圖。 第六圖係第五圖之平面俯視圖。 第七圖係紅圖树明未設置端歡讀示意圖。 第八圖係第七圖之平面俯視圖。 比5258 ==㈣纖隐及該管狀趙 部之局部放大 第十圖係本發明另一實施例之固定器立體圖及其外殼 部之局部放大 第十一圖係本發明另—實關之固定H立體圖及其外殼 圖。 第十二圖係本發明另一實 當氺1 + ，鬧之墟L及平面俯視圖 體示意圖、側面圖 斜二圖中之_a)至本發縣—實施例之立 及平面俯視圖。 第十四圖係本發明另—實施例之立體示意圖。 第十五圖係本發明另—實施例之立體示意圖。 第十六圖係第十五圖之平面俯視圖。 第十七圖係本發明另—實施例之立體示意圖。 第十八圖係第十七圖之平面俯視圖。 第十九圖係本發明另—實施例之立體示意圖。 第二十圖係第十九圖之平面俯視圖。 第-十-圖係本發明另—實施例之立體示意圖。 第二十二圖係第二十一圖之平面俯視圖。 第-十二圖係本發明另—實施例之立體示意圖。 第二十四圖係第二十三圖之平面俯視圖。 示意圖 形狀示意 圖 第=十五至二十九圖係本發明之管狀體橫切面形狀.K 第二十至三十五圖係本發日月之外殼部上之貫穿部或簍空部之 22 1355258 第三十六圖係本發明之螺絲連接立體示意圖。 第二十七圖係第三十六圖之剖面圖。 第二十八圖係本發明之螺絲立體示意圖。 第三十九圖係本發明之鉚釘連接立體示意圖。 第四十圖係第三十九圖之剖面圖。 第四十-關本發明之繼^鉚接之讀示意圖。 第四十—圖係本侧之鉚釘已鉚接之立體示意圖。
第四十三圖係本發明當作固妓之第—實施例之侧面圖。 第四十四圖係本發明當伽定^之第二實施例之侧面圖。 第四十五圖係本發明當作固定器之第三實施例之侧面圖。 【主要元件符號說明】 (2)(3)(3’)（3”)(3”’)(4)管狀體 (8)插銷 (10) 外殼部 (11) 凸部 (13)薄條、螺絲 (15)固定部 (17)(18)端部 (20)固定螺絲 (22)骨頭 (24)螺絲 (30)定位板 (32)定位部 (1)固定器 (5)(6)(7)邊緣 (9)簍空部 (1〇3)(104)條狀外殼部 (12)凹部 (14)端板 (16)裂縫 (19)間隔部 (21)連接桿 (23)釘子 (25)容置孔 (31)洞 23 1355258 (40)頭部 (41)尾部 (42)螺紋洞 (43)(44)接觸面 (45)軸 (50)鉚釘 (51)頭部 (52)軸 (53)鉚接區 (54)邊端 (55)中空部 (56)(57)接觸面
24

Claims (1)

1355258 七、申請專利範圍： 1. -種固定n，其供植人人體或動物體内，包括有： 連的組織生長；及“有外设亥外殼部設有複數個簍空部供峨 至第二管狀體’具有—外殼部，該 該弟二營狀體至少有一部分套入該第-管狀體内邱是數個簍空部， 隔部； 狀體内部’且具有至少-間 其中’该第二管狀體與該第一管狀 開’而且該間隔部為—定位板。 μ〉一間隔部而相互隔 2·如請求項第！項所述之固定器，^ 該間隔部，該間隔部係為條狀或Μ，殼部的内部或外部設有 外部。 一 直犬出於該外彀部的内部或 3· 一=植人人軸她_定11，其包括有. 一第-管狀體，具有—外、有· 連的組織生長；及 ❸〜外殼部設有複數個簍空部供田比 至第二管狀體，具有— ▲ 該第二管狀體至少有 。亥外威部設有複數個簍空部， 其令，有至少兩該第::該第-管狀體内部； 4. 一種:植：，二部。 g狀體，具有一外Μ却 連的組織生長；及 Λ又。’該外殼部設有複數個簍空部供田比 至少-第二管狀體，具有 該第二管狀體至少有—部 、4。卩’該外殼部設有複數個簍空部， 刀Αδ亥第一管狀體内部； • 25 於該第-物:嶋輪—咖輪簡擠方式嵌固 二，求項第3或4項所述之固^器其中該 間隔一段距離。 第一 g狀體彼此互相 6.如請求項第3或4項所述之固定写， 設有間隔部，該間p /、Μ卜喊部的内部或外部 或外部。秦德為條狀或錄，垂直突出於該外殼部的内部 ^如》月求項第！或4項所述之蚊器，，兩 第二管狀體套人該f—f狀體。” 〃 、三個或更多個該 8.蝴求彻蝴微器，射，該狀 一段距離。 肽體彼此互相間隔 月東項第1、3或4項所述之固定器，其中，— 具有不同厚度。 μ第―、苐二管狀體 10.如明求項第丨、3或4項所述之固定器 ^連接的該連接件，該連接件選自銷、螺栓、螺綠更設置有 :二二去除邹、扣件、端板及其他類似元件至二=陷、 月’項第卜3或4項所述之固定器，其中 圍設置2至24個連接件。 〜口^刚端面範 12.如5月求項第卜3或4項，其令，一 4個或3個連接件。 /工°刀別對應設置2至 13:如清求項第i、3或4項所述之固定器，其中，更 =連接件為至少—個定位板及/或相對該管㈣之軸成橫向贼接 26 U55258 14·如π求項第】、3或4項所述之固定器 ― 定位板。 r該固疋态設有數個 瓜如咐求項第14項所述之固定器，其中， ，或定位至少—峨器之該第二管狀體板嫩位部供擠 瓜如请求項第14項所述之固定器， 之該第—伙體末端或中間。 《立板設置於該固定器 17.如請求項第;14項所述之固定器，1中， 或嶋合，她(細_=== 連接於二*—第管丨:所述之固定0 ’其中’該定位板藉由螺絲或鉚釘 =·= 14項所述之固定器，其中，_板具__ •如^項第！0項所述之固定器’其中’該端板係為具裂縫的環形 物’以使該端板絲緊.献郷簧性能崎獅。 丨^^㈣娜之咖，射，_繼細該端板， 凹陷或固定部供該固定器之該管狀體末端的凸部確實的或 22.如請求項第21項所述之固定器，其中，該凸部包含扣件用以與該 凹陷或去除部鎖合。 從如申請專利制第13項所述之固枝，其中，該連接銷為柳釘或 螺絲。 队如申請專利範圍第13項所述之固定器，其中，該連接銷具有接觸 面供支撐該管狀體。 27 1355258 25.如請求項第1、3或4項所述之固定器，其中，更提供有連接件， 且該管狀體設有單獨的連接開口或洞供該連接件插置，供該連接件插 置的該連接開口為螺紋洞。
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