TWI573598B - Spine fill block construct - Google Patents
Spine fill block construct Download PDFInfo
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- TWI573598B TWI573598B TW099137706A TW99137706A TWI573598B TW I573598 B TWI573598 B TW I573598B TW 099137706 A TW099137706 A TW 099137706A TW 99137706 A TW99137706 A TW 99137706A TW I573598 B TWI573598 B TW I573598B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Neurology (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Description
本發明係一種脊椎填充塊構造,尤指一種用於安裝在人體脊椎之相鄰兩椎體終板間作為人造椎間盤的脊椎填充塊構造。The present invention relates to a spinal packing structure, and more particularly to a spinal packing structure for use as an artificial intervertebral disc between adjacent vertebral endplates of a human spine.
如所知者,人體脊椎是由多數個脊椎節骨串接而成,且於脊椎中具有多數神經延伸,在相鄰之上下兩脊椎間形成有椎間盤,而椎間盤是一個具有可塑性的結構,可以吸收脊椎垂直的壓力並提供上下脊椎骨間之緩衝作用;然而,當其中任何一節的椎間盤產生病變或老化時,將會壓迫鄰近節脊椎神經造成疼痛,導致人體行動上產生不便。對於上述椎間盤故障所引致的諸多問題,通常以施行椎間融合術或在椎間植入人工椎間盤的方式來解決,然而施行椎間融合術將使原有之關節失去作用,導致上下關節須承擔原有關節之功能,因而使得上下節脊椎關節因過度使用而提早老化或損傷;另外,在椎間植入的人工椎間盤通常並無原有人體椎間盤的的彈性緩衝特性,以致安裝後之關節將失去所有緩衝功能,無法配合其他正常的椎間盤運作而提早老化,且習用人工椎間盤之設計無法防止人體脊椎過度前傾,安裝後仍有位移或裝置脫位之虞;此外,現有的人工椎間盤植入椎間後不易調整,然而習知人工椎間盤均具有固定的高度規格,無法完全符合個別患者的脊椎間隙大小需求,若在手術植入重建的椎間高度有所偏差時,輕則會導致患者不舒服,嚴重的話會影響損害其他鄰近的脊椎結構,而且重新取出或更換植入物的手術困難,過程中極易造成病患傷害。As is known, the human spine is formed by a series of vertebral segments, and has a plurality of nerve extensions in the spine. An intervertebral disc is formed between the adjacent upper and lower spine, and the intervertebral disc is a plastic structure. It absorbs the vertical pressure of the spine and provides a cushioning effect between the upper and lower vertebrae; however, when any one of the intervertebral discs develops lesions or aging, it will compress the adjacent spinal nerves and cause pain, resulting in inconvenience to the human body. Many problems caused by the above-mentioned intervertebral disc failure are usually solved by intervertebral fusion or intervertebral disc implantation. However, intervertebral fusion will cause the original joint to lose its function, resulting in the upper and lower joints being responsible. The function of the original joint, so that the upper and lower joints of the spine are prematurely aged or damaged due to excessive use; in addition, the artificial intervertebral disc implanted in the intervertebral disc usually has no elastic cushioning characteristics of the original human intervertebral disc, so that the joint after installation will be Loss of all buffering function, can not cooperate with other normal intervertebral disc operation and early aging, and the design of the artificial intervertebral disc can not prevent the human spine from leaning forward excessively, and there is still displacement or dislocation of the device after installation; in addition, the existing artificial intervertebral disc is implanted into the vertebra It is difficult to adjust after the interval. However, the artificial intervertebral discs have fixed height specifications, which cannot fully meet the requirements of the intervertebral space of individual patients. If there is a deviation in the height of the intervertebral reconstruction, the patient may become uncomfortable. Serious, it will affect the damage to other adjacent spine structures, and Difficulties in removing or replacing the implant surgery, the process can easily result in patient harm.
本發明主要提供一種改進的脊椎填充塊構造,其具備彈性變形能力,可安裝在人體脊椎之相鄰兩椎體終板間,並自行微調成適宜的填充塊高度,以重建塌陷的椎間盤之原有高度;同時藉其所具備的彈性緩衝特性以提供治療部位的椎間盤自然的活動能力與運動範圍,因此得與其他正常椎間盤密切配合運作,並確保患者脊椎活動時的舒適性。The invention mainly provides an improved spinal packing structure, which has elastic deformation capability, can be installed between adjacent vertebral endplates of the human spine, and is self-tuned to a suitable filling block height to reconstruct the original collapsed disc. At the same time, it has the elastic cushioning characteristics to provide the natural mobility and range of motion of the disc at the treatment site, so it works closely with other normal intervertebral discs and ensures the comfort of the patient's spine.
為此本發明所提供之脊椎填充塊構造,其包含一組式樣對稱且保持間隔而平行設置的上墊板與下墊板,以及一斜向連接於前述上、下墊板的對向邊緣之彈性板,使前述三板連接組成一側向截面略呈Z字型的本體,從而令該脊椎填充塊的本體具有上下方向的彈性變形能力。To this end, the present invention provides a spinal packing structure comprising a plurality of symmetrical and spaced apart upper and lower pads disposed in parallel, and an oblique connection to the opposite edges of the upper and lower pads. The elastic plate connects the three plates to form a body having a slightly zigzag shape on one side, so that the body of the spine block has an elastic deformation capability in the up and down direction.
特別是,在上墊板與下墊板之向外側的主表面設有止滑構造,例如是多數具有鋸齒狀條紋或凹凸狀的壓花圖案,藉以減少植入體的位移滑動,增進安裝在脊椎之椎體間的穩定性。In particular, the main surface of the upper and lower pads is provided with a non-slip structure, for example, an embossing pattern having a plurality of zigzag stripes or irregularities, thereby reducing the displacement sliding of the implant and improving the mounting. Stability between the vertebrae of the spine.
特別是,在上墊板與下墊板的邊緣設有向內翻摺設置的C型(或ㄈ型)唇緣,利用該等C型唇緣以限定該彈性體的伸縮限度,防止脊椎填充塊本體被過度壓縮導致彈性疲乏而變形,並藉該C型唇緣的弧形外側構型之設計,避免脊椎填充塊本體在伸縮運作時,造成上、下墊板的邊緣刮傷附近的生理組織。In particular, a C-shaped (or ㄈ-shaped) lip that is folded inward is provided at the edge of the upper and lower pads, and the C-shaped lip is used to define the elastic expansion limit of the elastic body to prevent vertebral filling. The block body is over-compressed to cause elastic fatigue and deformation, and the curved outer configuration of the C-shaped lip prevents the spine-filled block body from causing scratches near the edges of the upper and lower pads during the telescopic operation. organization.
特別是,該脊椎填充塊的本體係使用複合材料或合金材料所加工製成者,其中,該複合材料是選自於碳素纖維、聚醚醚酮(PEEK,poly ether ether ketone)...等,而該合金材料是選自於鈦合金、鉭合金、不銹鋼...等,但實施範圍不以前述材料為限,各類適合植設在人體內使用的具有良好機械強度和抗化學性的複合材料或合金材料均適用。In particular, the system of the spine pack is processed using a composite material or an alloy material, wherein the composite material is selected from the group consisting of carbon fiber, polyether ether ketone (PEEK)... Etc., and the alloy material is selected from titanium alloy, tantalum alloy, stainless steel, etc., but the scope of implementation is not limited to the foregoing materials, and various types are suitable for planting in the human body for good mechanical strength and chemical resistance. Composite or alloy materials are suitable.
特別是,更包含於該脊椎填充塊本體設有一或複數的貫穿孔或凹洞,藉以增加該脊椎填充塊本體內所填充之自體骨或人造骨組織與患者脊椎椎體的接觸面積,並增加前述自體骨或人造骨組織內的血流灌注量,而達到較佳的骨融合率。In particular, the body of the spinal packing block is further provided with one or a plurality of through holes or cavities to increase the contact area of the autologous bone or artificial bone tissue filled in the body of the spinal packing block with the patient's spinal vertebral body, and Increasing the amount of blood perfusion in the aforementioned autologous bone or artificial bone tissue to achieve a better bone fusion rate.
此將於下文中進一步闡明本發明的其他功能及技術特徵,熟習本技術者熟讀文中的說明後即可據以實現本發明。Other functional and technical features of the present invention will be further clarified below, and the present invention can be implemented by those skilled in the art after reading the description in the text.
如后附各圖所示係提供一種具有彈性的脊椎填充塊結構之較佳實施例,其結構主要包含一組式樣對稱且保持間隔而平行設置的上墊板1與下墊板2,以及一斜向連接於前述上、下墊板的對向邊緣之彈性板3,由使前述三板連接組成一側向截面略呈Z字型的本體,因此該本體具有上、下方向的彈性變形能力;其中,上下墊板1、2與彈性板3均係採用合金材料(例如鈦合金、不銹鋼等)或複合材料(例如碳素纖維、聚醚醚酮等)所加工製成,因該等材料具有良好機械強度和抗化學性,所以適合植設在人體脊椎間使用;而如第一、二圖所示,在該上、下墊體1、2的向外主表面上設有多數鋸齒狀紋路4,且於邊緣部位設有向本體內側翻摺設置的C型唇緣5;另,通常該脊椎填充塊除了製成平面型的本體之外(如第四圖所示),亦可為增進植入的骨融合率的考量下而在該脊椎填充塊的本體上設置一貫穿孔6(如第一至三圖所示);此外,在前述列舉的實施例中顯示該脊椎填充塊結構的板體平面係略呈圓形的外觀構型,但可以理解的,在實際的應用上該板體平面並不侷限於前述的外觀構型,其亦可因應欲安裝部位的不同而調整設計成各式符合需求的外觀構型,例如第五、六圖顯示的D字型外觀構型、第七、八圖顯示的橢圓形外觀構型,以及第九、時圖顯示的長條形外觀構型。As shown in the accompanying drawings, a preferred embodiment of a resilient spine-filled block structure is provided, the structure of which mainly comprises a set of symmetrical and spaced apart upper and lower pads 2 and 2, and a The elastic plate 3 obliquely connected to the opposite edges of the upper and lower pads is formed by connecting the three plates to form a body having a slightly zigzag shape on one side, so that the body has an elastic deformation capability in the upper and lower directions; Wherein, the upper and lower pads 1, 2 and the elastic plate 3 are both made of an alloy material (for example, titanium alloy, stainless steel, etc.) or a composite material (for example, carbon fiber, polyether ether ketone, etc.), because the materials have Good mechanical strength and chemical resistance, so it is suitable for planting between the human spine; as shown in the first and second figures, there are many zigzag lines on the outer main surface of the upper and lower cushions 1, 2. 4, and at the edge portion is provided with a C-shaped lip 5 which is folded toward the inner side of the body; in addition, usually, the spine-filled block is not only a flat body but also as shown in the fourth figure, Improve the implant's bone fusion rate while considering the spine filling The body is provided with a consistent perforation 6 (as shown in the first to third figures); in addition, in the above-exemplified embodiment, the plate body plane of the spine block structure is shown to have a slightly circular appearance configuration, but it is understandable In practical applications, the plane of the board body is not limited to the foregoing appearance configuration, and may be adjusted to suit various requirements according to different installation parts, for example, the fifth and sixth figures are displayed. The D-shaped appearance configuration, the elliptical appearance configuration shown in the seventh and eighth figures, and the long-shaped appearance configuration shown in the ninth and the time diagram.
再請參閱第十一圖所示,上述脊椎填充塊結構可植入椎間,使上墊體1的頂面與下墊體2的底面與欲手術之椎間盤區域的鄰近脊椎骨貼合,利用該脊椎填充塊所具有的彈性變形能力以便植入後可自行微調成適宜的填充高度,並藉由該上、下墊體1、2表面的鋸齒狀紋路4使脊椎填充塊可穩固地嵌設於二脊椎骨81、82之間;另,亦可在上墊體的頂部表面與下墊體的底部表面塗覆氫氧基磷灰石,使該等表面透過氫氧基磷灰石分別貼合於鄰近之脊椎骨,達到生物固定的目的;此外,亦可將手術中去除的自體骨贅或人造骨組織填入該脊椎填充塊本體的貫穿孔6中,以達到較佳的骨融合率目的,避免該植入的脊椎填充塊自二脊椎骨之間位移或鬆動脫出,造成椎間塌陷及脊椎不穩等併發症。該脊椎填充塊結構植入椎間後即可重建塌陷的椎間盤之原有高度,同時提供治療部位的椎間盤自然的活動能力與運動範圍,消除對脊髓或神經根的壓迫,於脊椎運作中,可藉由該脊椎填充塊的彈性變形效能而有效地分擔脊椎各方向的受力,避免脊椎折傷,對於當人體跳躍、高處跳下或肩背、腰部突然負荷重物時,該脊椎填充塊的彈性變形能力亦立刻產生吸收震盪及壓力的作用,達到緩衝抗震的效果。此外,利用該脊椎填充塊的C型唇緣可以限定彈性結構的伸縮限度,防止脊椎填充塊本體被過度壓縮導致彈性疲乏而變形,並藉該C型唇緣的弧形外側構型之設計,避免脊椎填充塊本體在伸縮運作時,造成上、下墊板的邊緣刮傷附近的生理組織。Referring to FIG. 11 again, the spine filling block structure can be implanted into the intervertebral space, so that the top surface of the upper cushion body 1 and the bottom surface of the lower cushion body 2 are attached to the adjacent vertebrae of the intervertebral disc region to be operated, and the The elastic deformation ability of the spinal filler block can be self-tuned to a suitable filling height after implantation, and the spine-filled block can be stably embedded in the surface of the upper and lower cushion bodies 1, 2 Between the two vertebrae 81, 82; in addition, the top surface of the upper cushion body and the bottom surface of the lower cushion body may be coated with hydroxyapatite, so that the surfaces are respectively adhered through the hydroxyapatite The adjacent vertebrae can achieve the purpose of biological fixation; in addition, the autogenous osteophytes or artificial bone tissue removed during the operation can be filled into the through hole 6 of the spinal filler block body to achieve better bone fusion rate. The implanted spinal packing block is prevented from being displaced or loosened from the two vertebrae, causing complications such as intervertebral collapse and spinal instability. The vertebral filling block structure can be used to reconstruct the original height of the collapsed intervertebral disc after being implanted into the intervertebral space, and at the same time provide the natural mobility and range of motion of the intervertebral disc at the treatment site, eliminating the compression of the spinal cord or nerve roots, and in the operation of the spine, The elastic deformation effect of the spinal packing block effectively shares the forces in the various directions of the spine and avoids spinal fractures. The spinal filler block is used when the human body jumps, jumps high, or suddenly loads heavy loads on the shoulders and waist. The elastic deformation ability also immediately absorbs the shock and pressure, and achieves the shock-absorbing effect. In addition, the C-shaped lip of the spine-filled block can define the elastic limit of the elastic structure, prevent the spine-filled block body from being excessively compressed, causing elastic fatigue to be deformed, and by the curved outer configuration of the C-shaped lip, When the telescopic filling block body is operated in the telescopic operation, the edges of the upper and lower pads are scratched to damage the nearby physiological tissue.
1...上墊板1. . . Upper pad
2...下墊板2. . . Underlay
3...彈性板3. . . Elastic plate
4...鋸齒狀紋路4. . . Jagged line
5...唇緣5. . . Lip
6...貫穿孔6. . . Through hole
81、82...脊椎骨81, 82. . . spine
第一圖為本發明第一實施例之立體圖;The first figure is a perspective view of a first embodiment of the present invention;
第二圖為本發明第一實施例之俯視圖;The second figure is a plan view of the first embodiment of the present invention;
第三圖為本發明第一實施例之側視圖;Figure 3 is a side view of the first embodiment of the present invention;
第四圖為本發明第二實施例之立體圖;Figure 4 is a perspective view of a second embodiment of the present invention;
第五圖為本發明第三實施例之立體圖;Figure 5 is a perspective view of a third embodiment of the present invention;
第六圖為本發明第三實施例之俯視圖;Figure 6 is a plan view of a third embodiment of the present invention;
第七圖為本發明第四實施例之立體圖;Figure 7 is a perspective view of a fourth embodiment of the present invention;
第八圖為本發明第四實施例之俯視圖;Figure 8 is a plan view of a fourth embodiment of the present invention;
第九圖為本發明第五實施例之立體圖;Figure 9 is a perspective view of a fifth embodiment of the present invention;
第十圖為本發明第五實施例之俯視圖;以及Figure 11 is a plan view of a fifth embodiment of the present invention;
第十一圖係本發明安裝在脊椎之簡示圖。The eleventh figure is a schematic view of the present invention installed on the spine.
1...上墊板1. . . Upper pad
2...下墊板2. . . Underlay
3...彈性板3. . . Elastic plate
4...鋸齒狀紋路4. . . Jagged line
5...唇緣5. . . Lip
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Citations (2)
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CN1976650A (en) * | 2004-04-22 | 2007-06-06 | 华沙整形外科股份有限公司 | Prosthetic intervertebral disc |
TW200831052A (en) * | 2007-01-18 | 2008-08-01 | Chong-Kuang Yang | Spinal rehabilitation apparatus with dual elastic coefficient |
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CN1976650A (en) * | 2004-04-22 | 2007-06-06 | 华沙整形外科股份有限公司 | Prosthetic intervertebral disc |
TW200831052A (en) * | 2007-01-18 | 2008-08-01 | Chong-Kuang Yang | Spinal rehabilitation apparatus with dual elastic coefficient |
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