TWI405557B - Spiral rod connection device - Google Patents
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- TWI405557B TWI405557B TW99132865A TW99132865A TWI405557B TW I405557 B TWI405557 B TW I405557B TW 99132865 A TW99132865 A TW 99132865A TW 99132865 A TW99132865 A TW 99132865A TW I405557 B TWI405557 B TW I405557B
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Abstract
Description
本發明係有關一種脊椎桿件連結裝置,尤指一種可調整角度之脊椎桿件連結裝置。The invention relates to a spinal rod connecting device, in particular to an adjustable angle spinal rod connecting device.
脊椎固定手術中,常用固定桿作為輔助固定裝置,但因脊椎並不是成一直線,各脊椎骨節通常也不平行,例如腰椎為脊柱腹凸(lordosis)。因此若將原本成一直線的固定桿,直接和植入待固定脊椎骨節的複數支骨釘結合固定成一體,將迫使不在一直線上的待固定脊椎骨節變成在一直線上,並使原本不該平行的各個待固定脊椎骨節變成平行。In the spinal fixation surgery, the fixed rod is often used as an auxiliary fixation device, but because the spine is not in a straight line, the vertebrae are usually not parallel, for example, the lumbar vertebra is lordosis. Therefore, if the fixed rod that is originally in line is directly integrated with the multiple bone nails implanted in the vertebral joint to be fixed, it will force the spinal joints to be fixed not in the straight line to become in a straight line, and the original should not be parallel. The individual vertebrae to be fixed become parallel.
為了避免上述缺失,因此醫療界提出各種改良結構,諸如:In order to avoid these shortcomings, the medical community has proposed various improved structures, such as:
1. 以有角度的螺釘(angled screw)解決問題,諸如US-5,176,679、US-5,196,014、US-5,257,994、US-5,466,238等;例如US-5,176,679利用有角度的骨釘(locking pins designed to have specific angles,),來解決上述脊椎骨節通常並不平行問題。但該等方法只適用於一支固定桿和兩支骨釘之間的脊椎骨節固定(因為兩點成一直線),但不適用於一支固定桿和三支(含)骨釘以上的脊椎骨節固定,因為三點通常不在一直線上,此外,該等方法在手術後,患部不具有動態功能,如後彎(extension)、前屈(flexion)、側彎(lateral bending)、扭轉(axial torsion)等及緩衝(cushion)功能。1. Solve problems with angled screws such as US-5,176,679, US-5,196,014, US-5,257,994, US-5,466,238, etc.; for example US-5,176,679 utilizes angled pins designed to have specific angles ,), to solve the above-mentioned spine joints are usually not parallel problems. However, these methods are only suitable for the fixation of the vertebrae between a fixed rod and two bone nails (because the two points are in line), but not for a fixed rod and three or more bones above the bone. Fixed because the three points are usually not in line. In addition, after the operation, the affected part does not have dynamic functions such as extension, flexion, lateral bending, and axial torsion. Wait for the buffer function.
2. 以有角度的固定塊(angled connector)解決問題,諸如US-5,257,994、US-5,330,474等;例如US-5,257,994利用有角度的固定塊(locking block designed to have specific angles),來解決上述脊椎骨節通常並不平行問題。但該等方法只適用於一支固定桿和兩支骨釘之間的脊椎骨節固定(因為兩點成一直線),但不適用於一支固定桿和三支(含)骨釘以上的脊椎骨節固定,因為三點通常不在一直線上,此外,該等方法在手術後,患部不具有動態功能,如後彎(extension)、前屈(flexion)、側彎(lateral bending)、扭轉(axial torsion)等及緩衝(cushion)功能。2. Solve the problem with an angled connector, such as US-5,257,994, US-5,330,474, etc.; for example, US-5,257,994 utilizes locking blocks designed to have specific angles to solve the above-mentioned spine joints. Usually not parallel problems. However, these methods are only suitable for the fixation of the vertebrae between a fixed rod and two bone nails (because the two points are in line), but not for a fixed rod and three or more bones above the bone. Fixed because the three points are usually not in line. In addition, after the operation, the affected part does not have dynamic functions such as extension, flexion, lateral bending, and axial torsion. Wait for the buffer function.
3. 以萬向結合裝置(universal connecting device)解決問題,諸如US-5,474,551、US-5,507,746、US-5,575,791等;例如US-5,474,551係利用萬向墊片固定裝置(a universal pad fixation device),來解決上述脊椎骨節通常並不平行問題。但該等方法只適用於一支固定桿和兩支骨釘之間的脊椎骨節固定(因為兩點成一直線),但不適用於一支固定桿和三支(含)骨釘以上的脊椎骨節固定,因為三點通常不在一直線上,此外,該等方法在手術後,患部不具有動態功能,如後彎(extension)、前屈(flexion)、側彎(lateral bending)、扭轉(axial torsion)等及緩衝(cushion)功能。3. Solve problems with a universal connecting device, such as US-5,474,551, US-5,507,746, US-5,575,791, etc.; for example, US-5,474,551 utilizes a universal pad fixation device. Solving the above-mentioned vertebrae is usually not a parallel problem. However, these methods are only suitable for the fixation of the vertebrae between a fixed rod and two bone nails (because the two points are in line), but not for a fixed rod and three or more bones above the bone. Fixed because the three points are usually not in line. In addition, after the operation, the affected part does not have dynamic functions such as extension, flexion, lateral bending, and axial torsion. Wait for the buffer function.
4. 以多軸螺釘(polyaxial screw)解決問題,諸如美國核准專利US-5,520,690、US-5,531,746、......US-7,186,2552、US-7,207,992等數十筆,及美國相關的公開專利申請案US-20010012937、US-20020111626、......、US-20070161995、US-20070162006等數十筆。這是目前的主流技術。該等技術基本上都是利用多軸螺釘(細節參見該案說明書),來解決上述脊椎骨節通常並不平行問題。4. Solve problems with polyaxial screws, such as US approved patents US-5,520,690, US-5,531,746, ...US-7,186,2552, US-7,207,992, etc., and related publications in the United States Dozens of patent applications such as US-20010012937, US-20020111626, ..., US-20070161995, US-20070162006, etc. This is the current mainstream technology. These techniques basically utilize multi-axis screws (see the description of the details) to solve the problem that the above-mentioned vertebrae are usually not parallel.
但上述該等方法只適用於一支固定桿和兩支骨釘之間的脊椎骨節固定(因為兩點成一直線),但不適用於一支固定桿和三支(含)骨釘以上的脊椎骨節固定,因為三點通常不在一直線上,此外,該等方法在手術後,患部不具有動態功能,如後彎(extension)、前屈(flexion)、側彎(lateral bending)、扭轉(axial torsion)等及緩衝(cushion)功能。However, the above methods are only applicable to the fixation of the vertebrae between a fixed rod and two bone nails (because the two points are in line), but not for a fixed rod and three or more bone bones. The section is fixed because the three points are usually not in line. In addition, after the procedure, the affected part does not have dynamic functions such as extension, flexion, lateral bending, and axial torsion. ) and buffer (cushion) function.
5. 以人工關節固定裝置解決問題,例如TW-I275380(細節參見該案說明書),來解決上述脊椎骨節通常並不平行問題。5. Solve the problem with an artificial joint fixture, such as TW-I275380 (see the case for details) to solve the problem that the above-mentioned vertebrae are usually not parallel.
該等方法在手術後,患部雖具有動態功能,如後彎(extension)、前屈(flexion)、側彎(lateral bending)、扭轉(axial torsion),但該設計穩定性差且具有鬆脫的危險性同時也需佔用較大的空間,此外該設計亦無緩衝(cushion)功能。These methods have dynamic functions such as extension, flexion, lateral bending, and axial torsion after surgery, but the design is poor in stability and has the risk of loosening. Sex also takes up a lot of space, and the design also has no cushioning function.
本發明人等之台灣專利TW-200936097利用球弧裝置與彈性設計使脊椎固定桿同時具備上述的動態功能,如後彎(extension)、前屈(flexion)、側彎(lateral bending)、扭轉(axial torsion)及緩衝(cushion)功能,但該專利係利用一外加之連結裝置,讓第一杯體與第二杯體加以連結,如此該脊椎固定裝置將需要加大的空間,而使手術較為不便與耗時。The inventor's Taiwan patent TW-200936097 utilizes a ball arc device and an elastic design to make the spinal fixation rod simultaneously have the above-mentioned dynamic functions such as extension, flexion, lateral bending, and torsion ( Axial torsion) and cushioning function, but the patent uses an additional coupling device to connect the first cup to the second cup, so that the spinal fixation device will require more space, so that the surgery is more Inconvenience and time consuming.
本發明除利用具有球弧機構之墊片,配合第一連結桿及第二連結桿結合端之球弧機構,使兩相鄰連結桿可藉由具有球弧機構之墊片,而達到調整兩相鄰連結桿之間的角度之目的並使該發明具備後彎(extension)、前屈(flexion)、側彎(lateral bending)、扭轉(axial torsion)之動態功能,且本發明亦利用彈性墊片的設計使該脊椎桿件連結裝置同時具備緩衝(cushion)功能,此外本發明亦採用兩連結杯體間自體連結的設計,減少該脊椎桿件連結裝置所需的元組件,並同時降低其所需要的空間,以解決本發明人等之台灣專利TW-200936097的缺點。The invention adopts the ball arc mechanism with the ball arc mechanism and the ball joint mechanism of the first connecting rod and the second connecting rod combined end, so that the two adjacent connecting rods can be adjusted by the gasket with the ball arc mechanism. The purpose of the angle between adjacent connecting rods and the invention provides dynamic functions of extension, flexion, lateral bending, and axial torsion, and the present invention also utilizes an elastic mat. The design of the piece enables the spinal rod connecting device to have a cushion function at the same time, and the invention also adopts a design of self-joining between the two connecting cup bodies, thereby reducing the components required for the spinal rod connecting device and simultaneously reducing The space required is to solve the disadvantages of the inventor's Taiwan patent TW-200936097.
本發明可進一步藉由碟狀彈片、連結桿及/或連結杯體的穿孔大小,加以限制兩相鄰連結桿可調整之角度,使兩相鄰連結桿之間的角度不致於過大而導致無法復位或破壞該連結桿之結構,進而影響該骨固定系統之功能。The invention can further limit the adjustable angle of the two adjacent connecting rods by the size of the perforations of the disc-shaped elastic piece, the connecting rod and/or the connecting cup body, so that the angle between the two adjacent connecting rods is not excessively large, thereby failing to be The structure of the connecting rod is reset or destroyed, thereby affecting the function of the bone fixing system.
本發明之一目的在提供一種脊椎桿件連結裝置。It is an object of the present invention to provide a spinal rod coupling device.
本發明之另一目的在提供一種具有墊片之脊椎桿件連結裝置。Another object of the present invention is to provide a spinal rod coupling device having a spacer.
本發明之再一目的在提供一種具有彈性墊片之脊椎桿件連結裝置。Still another object of the present invention is to provide a spinal rod coupling device having an elastic spacer.
本發明之又一目的在提供一種具有碟狀彈片之脊椎桿件連結裝置。It is still another object of the present invention to provide a spinal rod coupling device having a disk-shaped elastic piece.
本發明之再一目的在提供一種連結杯體為自體連結之脊椎桿件連結裝置。Still another object of the present invention is to provide a spinal rod coupling device in which the coupling cup is self-joined.
本發明之另一目的在提供一種利用球弧結構,形成萬向結合之脊椎桿件連結裝置。Another object of the present invention is to provide a spinal rod coupling device that utilizes a ball-arc structure to form a universal joint.
本發明之再一目的在提供一種具有彈性功能之脊椎桿件連結裝置。Still another object of the present invention is to provide a spinal rod coupling device having an elastic function.
本發明之還一目的在提供一種可調整角度之脊椎桿件連結裝置。Still another object of the present invention is to provide an adjustable angle spinal rod coupling device.
本發明之再一目的在提供一種有限度控制調整角度之脊椎桿件連結裝置。It is still another object of the present invention to provide a spinal rod coupling device that has a limited degree of control adjustment.
本發明之另一目的在提供一種具有動態功能之脊椎桿件連結裝置。Another object of the present invention is to provide a spinal rod coupling device having a dynamic function.
本發明之又一目的在提供一種具有緩衝功能之脊椎桿件連結裝置。It is still another object of the present invention to provide a spinal rod coupling device having a cushioning function.
本發明之脊椎桿件連結裝置,其包括:第一連結桿,其至少一端為結合端,該結合端近桿端處的內側及外側實質上成球弧;第二連結桿,其至少一端為結合端,該結合端近桿端處的內側及外側實質上成球弧;一墊片,其中該墊片用以放置於兩相鄰連結桿中間;第一連結杯體,杯體之杯口端具有連結機構,該杯體底部內側至少部份實質上成球弧形,該球弧曲率略小於或實質上等於該第一連結桿的結合端近桿端處外側的球弧曲率,用以和該第一連結桿的結合端近桿端處外側的球弧成萬向結合,該杯體底部具有一穿孔,用以使該第一連結桿的桿端由該連結杯體內部穿出到外部;及第二連結杯體,杯體之杯口端具有連結機構,該杯體底部內側至少部份實質上成球弧形,該球弧曲率略小於或實質上等於該第二連結桿的結合端近桿端處外側的球弧曲率,用以和該第二連結桿的結合端近桿端處外側的球弧成萬向結合,該杯體底部具有一穿孔,用以使該第二連結桿的桿端由該連結杯體內部穿出到外部,其中該第一連結杯體之杯口端連結機構和該第二連結杯體之杯口端連結機構形成自體連結。The spinal rod connecting device of the present invention comprises: a first connecting rod having at least one end thereof being a joint end, the inner side and the outer side of the joint end near the rod end being substantially a ball arc; and the second connecting rod having at least one end thereof a joint end, the inner side and the outer side of the joint end near the rod end are substantially spherical arcs; a gasket, wherein the gasket is placed between the two adjacent connecting rods; the first connecting cup body, the cup mouth of the cup body The end has a connecting mechanism, and at least a part of the inner side of the bottom of the cup is substantially spherical arc, and the arc curvature of the ball is slightly smaller than or substantially equal to the curvature of the ball outside the joint end of the first connecting rod near the rod end, The ball end of the first connecting rod is coupled to the outer side of the rod end in a universal direction, and the bottom of the cup body has a perforation for allowing the rod end of the first connecting rod to pass through the inside of the connecting cup body And a second connecting cup body, the cup end of the cup body has a connecting mechanism, and at least a portion of the inner side of the bottom portion of the cup body is substantially spherically curved, and the arc curvature of the ball is slightly smaller than or substantially equal to the second connecting rod The arc curvature of the outer side of the end near the end of the rod is used to The ball end of the joint end of the second connecting rod near the rod end is universally coupled, and the bottom of the cup body has a perforation for allowing the rod end of the second connecting rod to pass out from the inside of the connecting cup body to the outside. The cup end connection mechanism of the first connecting cup and the cup end connecting mechanism of the second connecting cup form a self-linking.
上述該等連結杯體之自體連結,其係利用第一連結杯體之杯口端連結機構及第二連結杯體之杯口端連結機構相互連結形成一完整杯體,以減少本脊椎桿件連結裝置的結構複雜度,並減低脊椎桿件連結裝置所佔用的空間大小,同時也進一步簡化了手術的複雜度。The self-linking of the connecting cups is connected to each other by a cup end connection mechanism of the first connecting cup and a cup end connecting mechanism of the second connecting cup to form a complete cup to reduce the spinal rod The structural complexity of the connecting device reduces the amount of space occupied by the spinal rod connecting device and further simplifies the complexity of the operation.
上述該等連結杯體,其自體連結可為任意習知之連結方式,如扣合連結、螺合連結、鎖合連結、卡合連結或節點連結(請參照圖4c、4d)。The self-linking of the connecting cups may be any conventional connection method such as a snap-fit connection, a screw connection, a lock connection, a snap connection or a node connection (please refer to FIGS. 4c and 4d).
上述該等連結杯體,其穿孔形狀並無限制,但以圓孔為較佳,其圓孔半徑略大於或等於該等連結桿的圓桿端半徑,以略大於該等連結桿的圓桿端半徑為較佳,用以使該等連結桿可在穿孔中萬向轉動,且可藉由該等穿孔的大小限制該等連結桿轉動角度的大小。The shape of the perforation of the connecting cup body is not limited, but a round hole is preferred, and the radius of the round hole is slightly larger than or equal to the radius of the round rod end of the connecting rod, so as to be slightly larger than the round rod of the connecting rod. Preferably, the end radius is such that the connecting rods can rotate universally in the perforations, and the magnitude of the rotation angle of the connecting rods can be limited by the size of the perforations.
上述該等連結桿,其可為兩端皆為結合端或僅一端為結合端。其中該連結桿結合端內側可具有一調整平面(參見圖2a),該調整平面可為具有傾斜角度之調整平面,讓兩相鄰連結桿及墊片之間可藉由該調整平面來限制兩相鄰連結桿之間可轉動的角度,使兩相鄰連結桿之間的可轉動角度不致於過大而導致無法復位或破壞該連結桿之結構,進而影響該脊椎桿件連結裝置之功能。In the above connecting rods, the two ends may be a joint end or only one end may be a joint end. The inner side of the connecting rod joint end may have an adjusting plane (see FIG. 2a), and the adjusting plane may be an adjusting plane having an inclined angle, so that the two adjacent connecting rods and the spacer can be limited by the adjusting plane. The angle of rotation between adjacent connecting rods is such that the angle of rotation between the two adjacent connecting rods is not too large, so that the structure of the connecting rod cannot be reset or broken, thereby affecting the function of the spinal rod connecting device.
上述該等連結桿,其與結合端可為一體成形,或以任意習知之結合方式(例如卡合、螺合、鎖合等)結合成一體。其中該等連結桿類同習知脊椎固定桿,以圓桿狀為較佳。The connecting rods may be integrally formed with the joint ends or integrated in any conventional combination (for example, snapping, screwing, locking, etc.). Among them, the connecting rods are similar to the conventional spinal rods, and are preferably round rods.
上述該等連結桿結合端近桿端處的外側和該等連結杯體底部內側之球弧形成萬向結合,使該等連結桿於該連結杯體內可藉由彼此之間的球弧面相對轉動,而達到調整兩相鄰連結桿之間的角度之目的(參見圖2b)。The ball joints of the connecting rods at the proximal end of the connecting rod and the inner side of the bottom of the connecting cups form a universal joint, so that the connecting rods can be opposite to each other by the arc surface of the connecting rod Rotate to achieve the purpose of adjusting the angle between two adjacent connecting rods (see Figure 2b).
上述該等連結桿,其結合端近桿端處的內側具有球弧機構,該球弧機構可為凹球弧機構或凸球弧機構。該等兩相鄰連結桿結合端近桿端處的內側球弧機構,其可為凸球弧機構對凸球弧機構(參見圖6)、凹球弧機構對凸球弧機構或凹球弧機構對凹球弧機構(參見圖2a),以凹球弧機構對凹球弧機構為較佳。The connecting rods have a ball arc mechanism on the inner side of the joint end near the rod end, and the ball arc mechanism may be a concave ball arc mechanism or a convex ball arc mechanism. The two adjacent connecting rods are combined with the inner ball arc mechanism at the end of the rod, which may be a convex ball arc mechanism to the convex ball arc mechanism (see FIG. 6), a concave ball arc mechanism to the convex ball arc mechanism or a concave ball arc. The mechanism is preferably a concave ball arc mechanism with a concave ball arc mechanism (see Fig. 2a).
上述該墊片,其為具有球弧結構之墊片,以配合第一連結桿及第二連結桿結合端近桿端處的內側之球弧機構,使兩相鄰連結桿可藉由具有球弧機構之墊片萬向轉動,進而達到調整兩相鄰連結桿之間的角度之目的及/或固定後具有動態功能之目的(參見圖2b)。其中該墊片之球弧機構可為雙凸球弧機構、雙凹球弧機構(請參照圖6)或一凸一凹球弧機構,以雙凸球弧機構為較佳(請參照圖3a)。The gasket is a gasket having a ball arc structure to match the inner ball arc mechanism at the proximal end of the first connecting rod and the second connecting rod, so that the two adjacent connecting rods can have the ball The gasket of the arc mechanism rotates universally, thereby achieving the purpose of adjusting the angle between the two adjacent connecting rods and/or having a dynamic function after being fixed (see Fig. 2b). The ball arc mechanism of the gasket may be a double convex ball arc mechanism, a double concave ball arc mechanism (please refer to FIG. 6 ) or a convex concave ball arc mechanism, and a double convex ball arc mechanism is preferred (refer to FIG. 3 a ) ).
上述該墊片,其可為任意習知之墊片(如圖3a、3b)或為一具有彈性功能之彈性墊片,以具有彈性功能之彈性墊片為較佳。該彈性墊片裝置於兩相鄰連結桿之間,使兩相鄰連結桿之間具有緩衝的功能,讓患者於術後活動時,兩相鄰連結桿可藉由該彈性墊片減緩兩相鄰連結桿所承受之衝力,而不是完全由健全之骨節承受所有壓力,這可能會加速鄰近骨節的老化。The gasket may be any conventional gasket (as shown in FIGS. 3a and 3b) or an elastic gasket having an elastic function, and an elastic gasket having an elastic function is preferred. The elastic gasket is arranged between two adjacent connecting rods to provide a buffering function between the two adjacent connecting rods, so that the two adjacent connecting rods can slow down the two phases by the elastic spacers during postoperative activities. Instead of completely absorbing all the pressure from a healthy joint, it may accelerate the aging of adjacent joints.
上述該彈性墊片可為以任意習知之具有生物相容性的彈性體材料製成之彈性墊片(如塑膠、PE、UHMWPE、聚合物、橡膠或複合材料等),或以任意習知之方式使該彈性墊片具有彈性功能,如以彈片、碟狀彈片(請參照圖3c)或切溝方式(請參照圖3e)製成具有彈性功能之彈性墊片,該彈片以金屬彈片為較佳。The elastic gasket may be an elastic gasket (such as plastic, PE, UHMWPE, polymer, rubber or composite material, etc.) made of any conventional biocompatible elastomer material, or in any conventional manner. The elastic gasket has an elastic function, such as a spring piece, a disc-shaped elastic piece (refer to FIG. 3c) or a grooving method (refer to FIG. 3e) to form an elastic gasket with elastic function, and the elastic piece is preferably made of a metal elastic piece. .
上述該碟狀彈片,其可為任意形式之碟狀彈片,如一體成型之碟狀彈片或由兩片彈片構成一兩片式碟狀彈片(請參照圖3c),該碟狀彈片中可進一步加一彈性體以加強其彈性功能(請參照圖3d)。其中該彈性體可由任意習知之具有生物相容性的彈性體材料製成(如塑膠、PE、UHMWPE、聚合物、橡膠或複合材料等)。其中該兩片式碟狀彈片亦可以任意習知之連結方式連結,如螺合、扣合、鎖合或卡合等。The disc-shaped elastic piece may be any type of disc-shaped elastic piece, such as an integrally formed disc-shaped elastic piece or a two-piece disc-shaped elastic piece formed by two pieces of elastic pieces (refer to FIG. 3c), and the disc-shaped elastic piece may further Add an elastomer to enhance its elastic function (please refer to Figure 3d). Wherein the elastomer can be made of any conventional biocompatible elastomeric material (e.g., plastic, PE, UHMWPE, polymer, rubber or composite, etc.). The two-piece disc-shaped elastic piece can also be connected by any conventional connection method, such as screwing, snapping, locking or snapping.
上述該碟狀彈片,可藉由碟片部分,加以限制兩相鄰連結桿可調整之角度(請參照圖2b),其中該碟狀彈片之碟片可為一具有傾斜角度之碟狀彈片(請參照圖3b),以利於該碟狀彈片與連結桿之間之角度調整,使兩相鄰連結桿之間的角度不致於過大而無法復位或破壞該連結桿-碟狀彈片-連結杯之間連結結構的問題,進而影響該脊椎桿件連結裝置之功能。The disc-shaped elastic piece can be adjusted by the disc portion to adjust the angle of the two adjacent connecting rods (refer to FIG. 2b), wherein the disc of the disc-shaped elastic piece can be a disc-shaped elastic piece with an inclined angle ( Please refer to FIG. 3b) to facilitate the angle adjustment between the disc-shaped elastic piece and the connecting rod, so that the angle between the two adjacent connecting rods is not too large to reset or destroy the connecting rod-disc spring-joining cup The problem of the inter-connected structure, in turn, affects the function of the spinal rod attachment device.
本脊椎桿件連結裝置可與任意習知之骨固定裝置連結,該骨固定裝置用以將本脊椎桿件連結裝置的連結桿桿身固定於該骨固定裝置之承接部(參見圖2a),該骨固定裝置可為習知的骨釘(其可為單軸骨釘mono-axial screw或多軸骨釘poly-axial screw)、類似骨固定裝置(例如骨鉤-hook等)、輔助骨固定裝置(例如側塊-side block等),或旋轉骨釘(參見本發明人等另一台灣專利TW-99100438),以骨釘或旋轉骨釘為較佳。該骨固定裝置與連結桿的結合方式可為習知固定桿和骨釘、骨鉤或側塊等的固定方式,例如直接螺合或卡合等。The spinal rod connecting device can be coupled to any conventional bone fixing device for fixing the connecting rod shaft of the spinal rod connecting device to the receiving portion of the bone fixing device (see FIG. 2a). The bone fixation device may be a conventional bone nail (which may be a mono-axial screw or a poly-axial screw), a bone-like fixation device (such as a bone hook-hook, etc.), and an auxiliary bone fixation device. (e.g., side block-side block, etc.), or a rotating bone nail (see another Taiwan patent TW-99100438 by the inventors), preferably a bone nail or a rotating nail. The manner in which the bone fixation device and the connecting rod are combined may be a fixed manner of a conventional fixing rod and a bone nail, a bone hook or a side block, such as direct screwing or snapping.
上述骨固定裝置可與固定器連結,該固定器可為任意習知之固定器,用以與骨固定裝置之承接部結合,其中該結合方式可為任意習知之固定方式,如鎖合、卡合、螺合等,以螺合為較佳。The bone fixing device can be coupled to the fixing device. The fixing device can be any conventional fixing device for engaging with the receiving portion of the bone fixing device, wherein the bonding manner can be any conventional fixing manner, such as locking and snapping. , screwing, etc., preferably by screwing.
上述該等連結桿固定於該骨固定裝置之承接部之固定方式,其可為任意習知之固定方式,如螺合固定(傳統骨釘與桿件之螺合連結)、鎖固固定或卡合固定等。The connecting rods are fixed to the receiving portion of the bone fixing device, and can be any conventional fixing manner, such as screwing and fixing (conventional bone nail and rod screwing), locking fixing or clamping Fixed, etc.
上述該骨固定裝置、連結桿、連結杯體、墊片或固定器,其材質可選用任何被認可且適用之骨科材料,如可植入人體之金屬材料,例如鐵基材料不鏽鋼316 LVM(stainless steel 316 LVM)、鈦基材料Ti-6Al-4V、及鈷鉻鉬合金等。The bone fixation device, the connecting rod, the connecting cup, the gasket or the fixing device may be made of any approved or suitable orthopedic material, such as a metal material that can be implanted into the human body, such as an iron-based material stainless steel 316 LVM (stainless) Steel 316 LVM), titanium-based material Ti-6Al-4V, and cobalt-chromium-molybdenum alloy.
上述該等連結桿,其亦可進一步配置一連結套筒以連結兩相鄰連結桿(請參照圖5),並藉由連結套筒調整兩相鄰連結桿之間的距離以配合不同脊椎間的間距。The connecting rods may further be provided with a connecting sleeve for connecting two adjacent connecting rods (please refer to FIG. 5), and the distance between the two adjacent connecting rods is adjusted by the connecting sleeve to match the different intervertebral spaces. Pitch.
圖1為本發明脊椎桿件連結裝置一較佳具體例分解示意圖。第一連結桿310與第二連結桿320分別穿過第一連結杯體110與第二連結杯體120,並將彈性墊片200放置於第一連結桿310與第二連結桿320之間,因第一連結桿310與第二連結桿320之近桿端處外側311、321大於第一連結杯體110與第二連結杯體120之穿孔,因此第一連結桿310與第二連結桿320將不會滑脫出連結杯體。第一連結杯體110與第二連結杯體120藉由自體連結機構將第一連結桿310、第二連結桿320及彈性墊片200包覆於該等連結杯體之中,使第一連結桿310與第二連結桿320之結合端近桿端處內側313、323的凹球弧機構(請參照圖5)可配合彈性墊片200之球弧機構210,使該等連結桿與彈性墊片200間可相對轉動,以調整該等連結桿間之角度(請參照圖2b),且進一步利用彈性墊片200之彈性,讓兩相鄰連結桿之間具有緩衝的功能,使患者於術後活動時,兩相鄰連結桿可藉由彈性墊片200減緩兩相鄰連結桿所承受之衝力。其中彈性墊片200及/或連結杯體的穿孔111、121大小,可用以限制兩相鄰連結桿可調整之角度,使兩相鄰連結桿之間的角度不致於過大而導致無法復位或破壞該連結桿之結構,進而影響該脊椎桿件連結裝置之功能。第一連結桿310的近桿端處外側311與第二連結桿320的近桿端處外側321為球弧,使連結桿於連結杯體底部內側的球弧機構可藉由彼此之間的球弧面相對轉動,而達到調整兩相鄰連結桿之間的角度之目的。1 is an exploded perspective view of a preferred embodiment of a spinal rod connecting device of the present invention. The first connecting rod 310 and the second connecting rod 320 respectively pass through the first connecting cup body 110 and the second connecting cup body 120 , and the elastic spacer 200 is placed between the first connecting rod 310 and the second connecting rod 320 . Since the outer ends 311 and 321 of the first connecting rod 310 and the second connecting rod 320 are larger than the through holes of the first connecting cup 110 and the second connecting cup 120, the first connecting rod 310 and the second connecting rod 320 are Will not slip out of the connecting cup. The first connecting cup 110 and the second connecting cup 120 cover the first connecting rod 310, the second connecting rod 320 and the elastic spacer 200 in the connecting cup body by the self-connecting mechanism, so that the first connecting cup body 110 The concave arc mechanism (refer to FIG. 5) of the inner end 313, 323 of the joint end of the connecting rod 310 and the second connecting rod 320 can be matched with the ball arc mechanism 210 of the elastic spacer 200 to make the connecting rod and the elastic The spacers 200 are relatively rotatable to adjust the angle between the connecting rods (please refer to FIG. 2b), and further utilize the elasticity of the elastic spacers 200 to provide a buffering function between the two adjacent connecting rods, so that the patient can During postoperative activities, the two adjacent connecting rods can relieve the impact of the two adjacent connecting rods by the elastic spacer 200. The elastic spacers 200 and/or the through holes 111 and 121 of the connecting cups are sized to limit the adjustable angle of the two adjacent connecting rods, so that the angle between the two adjacent connecting rods is not excessively large and cannot be reset or destroyed. The structure of the connecting rod further affects the function of the spinal rod connecting device. The outer side 311 of the first connecting rod 310 near the rod end and the outer side 321 of the second connecting rod 320 are ball arcs, so that the ball arc mechanism connecting the rods on the inner side of the bottom of the cup body can be made by the ball between each other The arc surface is relatively rotated to achieve the purpose of adjusting the angle between the two adjacent connecting rods.
圖2a為本發明脊椎桿件連結裝置一較佳具體例剖面示意圖。連結杯體100包覆第一連結桿310、彈性墊片200與第二連結桿320,使第一連結桿310與第二連結桿320之結合端近桿端處內側313、323的凹球弧機構可配合彈性墊片200之球弧機構210,彼此之間可轉動,以調整連結桿間之角度(請參照圖2b)。第一連結桿310與第二連結桿320分別具有一調整平面312、322,讓連結桿與彈性墊片200之間可藉由該調整平面來限制角度。固定器500將連結桿桿身固定於承接部420中。2a is a cross-sectional view showing a preferred embodiment of the spinal rod connecting device of the present invention. The connecting cup 100 covers the first connecting rod 310, the elastic spacer 200 and the second connecting rod 320, so that the joint end of the first connecting rod 310 and the second connecting rod 320 is close to the concave arc of the inner side 313, 323 at the rod end. The mechanism can cooperate with the ball arc mechanism 210 of the elastic spacer 200 to be rotatable with each other to adjust the angle between the connecting rods (please refer to FIG. 2b). The first connecting rod 310 and the second connecting rod 320 respectively have an adjusting plane 312, 322, so that the angle between the connecting rod and the elastic spacer 200 can be restricted by the adjusting plane. The holder 500 fixes the connecting rod shaft in the receiving portion 420.
圖2b為圖2a連結桿轉動示意圖。Figure 2b is a schematic view showing the rotation of the connecting rod of Figure 2a.
圖3a、3b、3c、3d、3e分別為本發明脊椎固定系統之連結裝置5種彈性墊片的較佳具體例示意圖。圖3a顯示:彈性墊片200之球弧機構210用以與結合桿之近桿端處內側球弧機構接觸(請參照圖2a),利用球弧機構210的球弧曲面,使彈性墊片200與連結桿達到調整角度之功能,且進一步藉由碟片部220加以限制連結桿可調整之角度,讓連結桿並不是無限度的調整角度,以確保兩相鄰連結桿之間的角度不至於過大而無法復位,進而影響該脊椎桿件連結裝置的功能。圖3b顯示:碟片部220具有一傾斜角度,用以限制兩相鄰連結桿之角度。圖3c顯示:彈性墊片200由第一彈片230與第二彈片240結合而成,其中第一彈片230與第二彈片240利用扣合方式加以連結。圖3d顯示:彈性墊片200由第一彈片230與第二彈片240組合而成,其中第一彈片230與第二彈片240之間放置一彈性體250,利用兩相鄰連結桿與連結杯體將上述第一彈片230、第二彈片240與彈性體250放置於兩相鄰連結桿間。圖3e顯示:彈性墊片200具有溝槽260,該溝槽260使彈性墊片200具有彈性功能。3a, 3b, 3c, 3d, and 3e are schematic views showing a preferred embodiment of five types of elastic spacers for the fastening device of the spinal fixation system of the present invention. FIG. 3a shows that the ball arc mechanism 210 of the elastic spacer 200 is in contact with the inner ball arc mechanism at the proximal end of the coupling rod (refer to FIG. 2a), and the elastic spacer 200 is made by the spherical arc surface of the ball arc mechanism 210. The function of adjusting the angle is achieved with the connecting rod, and the adjustable angle of the connecting rod is further restricted by the disc portion 220, so that the connecting rod is not an infinite adjustment angle, so as to ensure that the angle between the two adjacent connecting rods is not excessive. It is too large to be reset, which in turn affects the function of the spinal rod connecting device. Figure 3b shows that the disc portion 220 has an angle of inclination to limit the angle of two adjacent connecting rods. FIG. 3c shows that the elastic spacer 200 is formed by combining the first elastic piece 230 and the second elastic piece 240. The first elastic piece 230 and the second elastic piece 240 are coupled by a fastening manner. FIG. 3d shows that the elastic spacer 200 is formed by combining the first elastic piece 230 and the second elastic piece 240. An elastic body 250 is placed between the first elastic piece 230 and the second elastic piece 240, and the two adjacent connecting rods and the connecting cup body are utilized. The first elastic piece 230, the second elastic piece 240 and the elastic body 250 are placed between two adjacent connecting rods. Figure 3e shows that the elastomeric shim 200 has a groove 260 that provides the resilient shim 200 with a resilient function.
圖4a、4b、4c、4d為本發明脊椎桿件連結裝置4種連結杯體的較佳具體例示意圖。圖4a顯示:第一連結杯體110與第二連結杯體120間以螺合方式連結。圖4b顯示:第一連結杯體110與第二連結杯體120間以卡合方式連結。圖4c顯示:連結杯體100藉由雙節點連結130由側面包覆連結桿與彈性墊片200,並以卡合方式固定。圖4d顯示:連結杯體100藉由單節點連結140由側面包覆連結桿與彈性墊片200,並以卡合方式固定。4a, 4b, 4c, and 4d are schematic views showing a preferred embodiment of four types of connecting cups of the spinal rod connecting device of the present invention. 4a shows that the first coupling cup 110 and the second coupling cup 120 are screwed together. FIG. 4b shows that the first connecting cup body 110 and the second connecting cup body 120 are coupled to each other by engagement. 4c shows that the connecting cup 100 is covered with the connecting rod and the elastic spacer 200 from the side by the two-node joint 130, and is fixed by the engaging manner. 4d shows that the connecting cup 100 is covered with the connecting rod and the elastic spacer 200 from the side by a single-node joint 140, and is fixed by engagement.
圖5為本發明脊椎桿件連結裝置之多段式連結桿的較佳具體例示意圖。第一連結桿310與套筒360之間以螺合方式連結,並藉以調整長度,其中第二桿件320與套筒350之連結類同第一連結桿310與套筒360。第一連結桿310的近桿端處內側313與第二連結桿320的近桿端處內側323為凹球弧機構,使連結桿於連結杯體內可藉由連結桿的凹球弧機構與彈性墊片200相對轉動,而達到調整兩相鄰連結桿之間的角度之目的。Fig. 5 is a schematic view showing a preferred embodiment of the multi-segment connecting rod of the spinal rod connecting device of the present invention. The first connecting rod 310 and the sleeve 360 are screwed together and adjusted in length, wherein the second rod 320 is coupled to the sleeve 350 like the first connecting rod 310 and the sleeve 360. The inner side 313 of the first connecting rod 310 near the rod end and the inner side 323 of the second connecting rod 320 are concave spherical arc mechanism, so that the connecting rod can be connected to the cup body by the concave ball mechanism and elasticity of the connecting rod The spacer 200 is relatively rotated to achieve the purpose of adjusting the angle between the two adjacent connecting rods.
圖6為本發明脊椎桿件連結裝置之多段式連結桿的另一較佳具體例示意圖。第一連結桿310與套筒360之間以螺合方式連結,並藉以調整長度,其中第二桿件320與套筒350之連結類同第一連結桿310與套筒360。第一連結桿310的近桿端處內側313與第二連結桿320的近桿端處內側323為凸球弧機構,使連結桿於連結杯體內可藉由連結桿的凸球弧機構與雙凹彈性墊片700的球弧面相對轉動,而達到調整兩相鄰連結桿之間的角度之目的。Fig. 6 is a schematic view showing another preferred embodiment of the multi-segment connecting rod of the spinal rod connecting device of the present invention. The first connecting rod 310 and the sleeve 360 are screwed together and adjusted in length, wherein the second rod 320 is coupled to the sleeve 350 like the first connecting rod 310 and the sleeve 360. The inner side 313 of the first connecting rod 310 and the inner side 313 of the second connecting rod 320 are a convex arc mechanism, so that the connecting rod can be connected to the cup by the convex arc mechanism of the connecting rod and the double The arcuate surface of the concave elastic spacer 700 is relatively rotated to achieve the purpose of adjusting the angle between the two adjacent connecting rods.
圖7為本發明脊椎桿件連結裝置組裝於骨節的一較佳具體例示意圖。本發明裝置於脊椎骨節,彈性墊片200放置於兩相鄰連結桿之間,用以調整兩相鄰連結桿之角度。Fig. 7 is a schematic view showing a preferred embodiment of the spinal rod connecting device of the present invention assembled to the joint. The device of the present invention is placed on the vertebra joint, and the elastic spacer 200 is placed between two adjacent connecting rods for adjusting the angle of the two adjacent connecting rods.
圖8為圖7另一視角示意圖。FIG. 8 is a schematic view of another view of FIG. 7.
100...連結杯體100. . . Link cup
110...第一連結杯體110. . . First connecting cup
111...穿孔111. . . perforation
120...第二連結杯體120. . . Second connecting cup
121...穿孔121. . . perforation
130...雙節點連結130. . . Two-node link
140...單節點連結140. . . Single node link
200...彈性墊片200. . . Elastic gasket
210...球弧機構210. . . Ball arc mechanism
220...碟片部220. . . Disc department
230...第一彈片230. . . First shrapnel
240...第二彈片240. . . Second shrapnel
250...彈性體250. . . Elastomer
260...溝槽260. . . Trench
310...第一連結桿310. . . First connecting rod
311...近桿端處外側311. . . Near the outer end of the rod
312...調整平面312. . . Adjustment plane
313...近桿端處內側313. . . Near the inside of the rod end
320...第二連結桿320. . . Second connecting rod
321...近桿端處外側321. . . Near the outer end of the rod
322...調整平面322. . . Adjustment plane
313...近桿端處內側313. . . Near the inside of the rod end
330...第三連結桿330. . . Third connecting rod
350...套筒350. . . Sleeve
360...套筒360. . . Sleeve
410...螺釘部410. . . Screw section
420...承接部420. . . Undertaking department
500...固定器500. . . Holder
610...骨節610. . . joint
620...骨節620. . . joint
630...骨節630. . . joint
700...雙凹彈性墊片700. . . Double concave elastic gasket
圖1為本發明脊椎桿件連結裝置一較佳具體例分解示意圖。1 is an exploded perspective view of a preferred embodiment of a spinal rod connecting device of the present invention.
圖2a為本發明脊椎桿件連結裝置一較佳具體例剖面示意圖。2a is a cross-sectional view showing a preferred embodiment of the spinal rod connecting device of the present invention.
圖2b為圖2a連結桿轉動示意圖。Figure 2b is a schematic view showing the rotation of the connecting rod of Figure 2a.
圖3a、3b、3c、3d、3e分別為本發明脊椎固定系統之連結裝置5種彈性墊片的較佳具體例示意圖。3a, 3b, 3c, 3d, and 3e are schematic views showing a preferred embodiment of five types of elastic spacers for the fastening device of the spinal fixation system of the present invention.
圖4a、4b、4c、4d為本發明脊椎桿件連結裝置4種連結杯體的較佳具體例示意圖。4a, 4b, 4c, and 4d are schematic views showing a preferred embodiment of four types of connecting cups of the spinal rod connecting device of the present invention.
圖5為本發明脊椎桿件連結裝置之多段式連結桿的較佳具體例示意圖。Fig. 5 is a schematic view showing a preferred embodiment of the multi-segment connecting rod of the spinal rod connecting device of the present invention.
圖6為本發明脊椎桿件連結裝置之多段式連結桿的另一較佳具體例示意圖。Fig. 6 is a schematic view showing another preferred embodiment of the multi-segment connecting rod of the spinal rod connecting device of the present invention.
圖7為本發明脊椎桿件連結裝置組裝於骨節的一較佳具體例示意圖。Fig. 7 is a schematic view showing a preferred embodiment of the spinal rod connecting device of the present invention assembled to the joint.
圖8為圖7另一視角示意圖。FIG. 8 is a schematic view of another view of FIG. 7.
100...連結杯體100. . . Link cup
110...第一連結杯體110. . . First connecting cup
111...穿孔111. . . perforation
120...第二連結杯體120. . . Second connecting cup
121...穿孔121. . . perforation
200...彈性墊片200. . . Elastic gasket
210...球弧機構210. . . Ball arc mechanism
310...第一連結桿310. . . First connecting rod
311...近桿端處外側311. . . Near the outer end of the rod
320...第二連結桿320. . . Second connecting rod
321...近桿端處外側321. . . Near the outer end of the rod
323...近桿端處內側323. . . Near the inside of the rod end
Claims (7)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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TW99132865A TWI405557B (en) | 2010-09-28 | 2010-09-28 | Spiral rod connection device |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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TW99132865A TWI405557B (en) | 2010-09-28 | 2010-09-28 | Spiral rod connection device |
Publications (2)
Publication Number | Publication Date |
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TW201212875A TW201212875A (en) | 2012-04-01 |
TWI405557B true TWI405557B (en) | 2013-08-21 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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TW99132865A TWI405557B (en) | 2010-09-28 | 2010-09-28 | Spiral rod connection device |
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TW (1) | TWI405557B (en) |
Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5961516A (en) * | 1996-08-01 | 1999-10-05 | Graf; Henry | Device for mechanically connecting and assisting vertebrae with respect to one another |
US20050113927A1 (en) * | 2003-11-25 | 2005-05-26 | Malek Michel H. | Spinal stabilization systems |
TWI233398B (en) * | 2002-04-30 | 2005-06-01 | Max Co Ltd | Binder and binding device |
US20050203513A1 (en) * | 2003-09-24 | 2005-09-15 | Tae-Ahn Jahng | Spinal stabilization device |
US20070239159A1 (en) * | 2005-07-22 | 2007-10-11 | Vertiflex, Inc. | Systems and methods for stabilization of bone structures |
TW200901930A (en) * | 2007-07-06 | 2009-01-16 | Chung-Chun Yeh | Steel cable and ball body set for fixing vertebrae |
TW200936097A (en) * | 2008-02-18 | 2009-09-01 | Spine Asia Co Ltd A | Multiple-axis vertebra fixed rod |
-
2010
- 2010-09-28 TW TW99132865A patent/TWI405557B/en not_active IP Right Cessation
Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5961516A (en) * | 1996-08-01 | 1999-10-05 | Graf; Henry | Device for mechanically connecting and assisting vertebrae with respect to one another |
TWI233398B (en) * | 2002-04-30 | 2005-06-01 | Max Co Ltd | Binder and binding device |
US20050203513A1 (en) * | 2003-09-24 | 2005-09-15 | Tae-Ahn Jahng | Spinal stabilization device |
US20050113927A1 (en) * | 2003-11-25 | 2005-05-26 | Malek Michel H. | Spinal stabilization systems |
US20070239159A1 (en) * | 2005-07-22 | 2007-10-11 | Vertiflex, Inc. | Systems and methods for stabilization of bone structures |
TW200901930A (en) * | 2007-07-06 | 2009-01-16 | Chung-Chun Yeh | Steel cable and ball body set for fixing vertebrae |
TW200936097A (en) * | 2008-02-18 | 2009-09-01 | Spine Asia Co Ltd A | Multiple-axis vertebra fixed rod |
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TW201212875A (en) | 2012-04-01 |
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