TWI775172B - bone screw - Google Patents
bone screw Download PDFInfo
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- TWI775172B TWI775172B TW109134412A TW109134412A TWI775172B TW I775172 B TWI775172 B TW I775172B TW 109134412 A TW109134412 A TW 109134412A TW 109134412 A TW109134412 A TW 109134412A TW I775172 B TWI775172 B TW I775172B
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- cutting edges
- bone screw
- thread segment
- tip section
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8625—Shanks, i.e. parts contacting bone tissue
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B2017/8655—Pins or screws or threaded wires; nuts therefor with special features for locking in the bone
Abstract
一種骨螺釘,包含一釘桿,及一釘頭。釘桿包括一尖端段,及一形成於該尖端段一端的第一螺紋段,該尖端段具有一端部、多個由該端部延伸而出且等角度相間隔排列的切削刃,及多個分別形成於該等切削刃後側的後刀面,該端部為一圓弧端面,定義各該切削刃上任一點的一切削平面與對應的該後刀面之間夾一後斜角,該釘桿形成有多個由該端部延伸至該第一螺紋段的容屑槽,各該容屑槽呈螺旋狀。釘頭形成於該第一螺紋段相反於該尖端段的一端,該釘頭包括一第二螺紋段。藉此,使得該尖端段能起到鑽孔作用。藉由該端部為圓弧端面,能避免刺傷其他組織。A bone screw includes a screw shaft and a screw head. The shank includes a tip section and a first threaded section formed at one end of the tip section, the tip section has one end, a plurality of cutting edges extending from the end and equiangularly spaced apart, and a plurality of The flanks are respectively formed on the rear sides of these cutting edges, and the end is an arc end face, which defines a back bevel between a cutting plane at any point on each cutting edge and the corresponding flank. The The shank is formed with a plurality of chip flutes extending from the end to the first thread segment, and each of the chip flutes is helical. A nail head is formed at an end of the first thread segment opposite to the tip segment, and the nail head includes a second thread segment. Thereby, the tip section can play the role of drilling. Because the end portion is a circular arc end face, other tissues can be prevented from being stabbed.
Description
本發明是有關於一種外科器械,特別是指一種用以植設於骨頭的自鑽自攻式骨螺釘。The present invention relates to a surgical instrument, in particular to a self-drilling and self-tapping bone screw for implanting in bone.
現有要透過多個骨螺釘將一骨板固定在一斷裂的骨頭時,需依序進行該等骨螺釘的螺鎖作業。要進行各該骨螺釘的螺鎖時,首先將一導引套筒鎖固於該骨板,隨後將一鑽頭穿設於該導引套筒內並透過其導引在該骨頭上鑽孔。接著量測該骨頭上被鑽出之孔的深度是否符合需求。最後,再將一自攻式骨螺釘穿設於該骨板並對應於該骨頭的鑽孔位置處鎖入該骨頭內,即完成單一個該骨螺釘的螺鎖作業。Conventionally, when a bone plate is to be fixed to a broken bone through a plurality of bone screws, the screw-lock operation of the bone screws needs to be performed in sequence. When screwing each of the bone screws, a guide sleeve is firstly locked to the bone plate, and then a drill bit is inserted into the guide sleeve and guided to drill holes on the bone. Then measure whether the depth of the hole drilled in the bone meets the requirements. Finally, a self-tapping bone screw is passed through the bone plate and locked into the bone at the position corresponding to the drilled hole in the bone, ie, the screw locking operation of a single bone screw is completed.
由於各該骨螺釘的螺鎖作業需 透過上述多個操作步驟才能完成,且每兩個相鄰的該等骨螺釘只能在差距不大的角度範圍內實施,所以需耗費很長的手術工時。Since the screw-locking operation of each bone screw needs to be completed through the above-mentioned multiple operation steps, and each two adjacent bone screws can only be performed within an angle range with a small difference, it takes a long time for the operation. Time.
此外,目前也有透過使用自鑽自攻式骨螺釘來取代前述自攻式骨螺釘,藉以省略前述眾多的操作步驟。但是此種自鑽自攻式骨螺釘具有一銳利的尖端,因此,該尖端很容易在穿出該骨頭後造成其他組織的傷害。In addition, at present, self-drilling and self-tapping bone screws are used to replace the aforementioned self-tapping bone screws, thereby omitting the aforementioned numerous operation steps. However, this self-drilling and self-tapping bone screw has a sharp tip, so the tip can easily cause damage to other tissues after passing through the bone.
因此,本發明之其中一目的,即在提供一種能夠克服先前技術的至少一個缺點的骨螺釘。Accordingly, one object of the present invention is to provide a bone screw that overcomes at least one of the disadvantages of the prior art.
於是,本發明骨螺釘在一些實施態樣中,包含一釘桿,及一釘頭。Therefore, in some embodiments, the bone screw of the present invention includes a screw shaft and a screw head.
釘桿包括一尖端段,及一形成於該尖端段一端的第一螺紋段,該尖端段具有一端部、多個由該端部延伸而出且等角度相間隔排列的切削刃,及多個分別形成於該等切削刃後側的後刀面,該端部為一圓弧端面,定義各該切削刃上任一點的一切削平面與對應的該後刀面之間夾一後斜角,該釘桿形成有多個由該端部延伸至該第一螺紋段的容屑槽,各該容屑槽呈螺旋狀。釘頭形成於該第一螺紋段相反於該尖端段的一端,該釘頭包括一第二螺紋段。The shank includes a tip section and a first threaded section formed at one end of the tip section, the tip section has one end, a plurality of cutting edges extending from the end and equiangularly spaced apart, and a plurality of The flanks are respectively formed on the rear sides of these cutting edges, and the end is an arc end face, which defines a back bevel between a cutting plane at any point on each cutting edge and the corresponding flank. The The shank is formed with a plurality of chip flutes extending from the end to the first thread segment, and each of the chip flutes is helical. A nail head is formed at an end of the first thread segment opposite to the tip segment, and the nail head includes a second thread segment.
在一些實施態樣中,各該後刀面為一與該端部連接的圓弧面。In some embodiments, each of the flank surfaces is a circular arc surface connected to the end portion.
在一些實施態樣中,該等切削刃數量為三個,每兩個相鄰的該等切削刃之間相間隔一角度,該角度為120度。In some embodiments, the number of the cutting edges is three, and every two adjacent cutting edges are separated by an angle, and the angle is 120 degrees.
在一些實施態樣中,該骨螺釘具有一由該釘桿與該釘頭所共同界定出的總長度,該等容屑槽數量為三個,各該容屑槽由該端部延伸至該第一螺紋段的一長度介於該總長度的四分之一至該總長度的二分之一之間。In some embodiments, the bone screw has a total length jointly defined by the shank and the screw head, the number of the chip flutes is three, and each of the chip flutes extends from the end to the A length of the first thread segment is between one quarter of the total length and one half of the total length.
本發明至少具有以下攻效:該尖端段藉由該等切削刃以及該後斜角的設計,使得該尖端段能起到順暢地鑽入該骨頭內的鑽孔作用。藉由各該容屑槽由該端部延伸至該第一螺紋段的設計方式,使得該尖端段在鑽孔過程以及該第一螺紋段在攻螺紋過程中所產生的骨屑能夠排入該等容屑槽並蓄留於其內。藉由該端部為圓弧端面以及各該後刀面為圓弧面的設計方式,能避免刺傷位於該骨頭的該側面處的其他組織。The present invention has at least the following attacking effect: the cutting edge and the rear bevel angle of the tip section enable the tip section to play the role of drilling smoothly into the bone. Due to the design of each of the chip flutes extending from the end to the first thread segment, the bone chips generated by the tip segment during the drilling process and the first thread segment during the tapping process can be discharged into the first thread segment. Equal flute and stored in it. With the design of the end portion being a circular arc end surface and each of the flank surfaces being circular arc surfaces, it is possible to avoid stabbing other tissues located on the side surface of the bone.
在本發明被詳細描述之前,應當注意在以下的說明內容中,類似的元件是以相同的編號來表示。Before the present invention is described in detail, it should be noted that in the following description, similar elements are designated by the same reference numerals.
參閱圖1,本發明骨螺釘100之一實施例,該骨螺釘100為一自鑽自攻式骨螺釘並包含一釘桿1,及一釘頭2。Referring to FIG. 1 , an embodiment of a
參閱圖1、圖2及圖3,該釘桿1包括一尖端段11,及一形成於該尖端段11一端的第一螺紋段12。該尖端段11具有一端部111、多個切削刃112,及多個後刀面113。本實施例的該端部111為一圓弧端面。該等切削刃112由該端部111延伸而出且等角度相間隔排列。本實施例的該等切削刃112數量以及該等後刀面113數量各自是以三個為例,每兩個相鄰的該等切削刃112之間相間隔一角度A,該角度A為120度。該等後刀面113分別形成於該等切削刃112後側,各該後刀面113為一與該端部111連接的圓弧面。定義各該切削刃112上任一點的一切削平面P與對應的該後刀面113之間夾一後斜角θ,本實施例的該後斜角θ是例如介於0度至5度之間。Referring to FIGS. 1 , 2 and 3 , the
參閱圖1、圖2及圖4,該釘桿1形成有多個由該端部111延伸至該第一螺紋段12的容屑槽13,各該容屑槽13呈螺旋狀。本實施例的該等容屑槽13數量是以三個為例。該釘頭2形成於該第一螺紋段12相反於該尖端段11的一端,該釘頭2包括一第二螺紋段21。該釘頭2形成有一盲孔22,用以供一螺絲起子插置。該骨螺釘100具有一由該釘桿1與該釘頭2所共同界定出的總長度L,各該容屑槽13由該端部111延伸至該第一螺紋段12的一長度D介於該總長度L的四分之一至該總長度L的二分之一之間。Referring to FIGS. 1 , 2 and 4 , the
參閱圖1、圖2及圖5,欲透過該骨螺釘100將一骨板3鎖固於一骨頭4時,將該釘桿1的該尖端段11穿設於該骨板3的一螺孔31並鑽入該骨頭4的一側面41。該尖端段11藉由該等切削刃112以及該後斜角θ(如圖3所示)的設計,能大幅降低該尖端段11旋入該骨頭4時所受到的阻力,使得該尖端段11能起到順暢地鑽入該骨頭4內的鑽孔作用。隨後,該第一螺紋段12會在該骨頭4攻螺紋並鎖入該骨頭4內。本實施例的該等切削刃112數量設為三個的方式,能提升切削該骨頭4的切削效果。當然,在本實施例的其他實施方式中,該等切削刃112數量也可為兩個或三個以上,不以本實施例所揭露的數量為限。Referring to FIG. 1 , FIG. 2 and FIG. 5 , when a
藉由各該容屑槽13由該端部111延伸至該第一螺紋段12的設計方式,使得該尖端段11在鑽孔過程以及該第一螺紋段12在攻螺紋過程中所產生的骨屑能夠排入該等容屑槽13並蓄留於其內。再者,藉由各該容屑槽13由該端部111延伸至該第一螺紋段12的一長度D介於該總長度L的四分之一至該總長度L的二分之一之間的設計方式,能確保該第一螺紋段12整個攻入該骨頭4內後,能讓骨屑能夠完整地蓄留並容置於該等容屑槽13內,能避免骨屑的浪費,並能防止骨屑任意排出而造成環境汙染。本實施例的該等容屑槽13數量設為三個的方式,能提升容納骨屑的容量。當然,在本實施例的其他實施方式中,該等容屑槽13數量也可為兩個或三個以上,不以本實施例所揭露的數量為限。Due to the design of each of the
最後,當該釘頭2的該第二螺紋段21螺鎖於該骨板3的該螺孔31內時,該骨螺釘100即把該骨板3鎖固於該骨頭4的該側面41。此時,該尖端段11的該端部111或者是該端部111與各該後刀面113一部分會凸伸出該骨頭4的另一側面42一小段距離,圖5是以該端部111與各該後刀面113一部分凸伸出該骨頭4的該側面42為例,藉由該端部111為圓弧端面以及各該後刀面113為圓弧面的設計方式,能避免該端部111或者是各該後刀面113刺傷位於該骨頭4的該側面42處的其他組織。Finally, when the
綜上所述,本實施例的該骨螺釘100,該尖端段11藉由該等切削刃112以及該後斜角θ的設計,使得該尖端段11能起到順暢地鑽入該骨頭4內的鑽孔作用。藉由各該容屑槽13由該端部111延伸至該第一螺紋段12的設計方式,使得該尖端段11在鑽孔過程以及該第一螺紋段12在攻螺紋過程中所產生的骨屑能夠排入該等容屑槽13並蓄留於其內。藉由該端部111為圓弧端面以及各該後刀面113為圓弧面的設計方式,能避免刺傷位於該骨頭4的該側面42處的其他組織,故確實能達成本發明之目的。To sum up, in the
惟以上所述者,僅為本發明之實施例而已,當不能以此限定本發明實施之範圍,凡是依本發明申請專利範圍及專利說明書內容所作之簡單的等效變化與修飾,皆仍屬本發明專利涵蓋之範圍內。However, the above are only examples of the present invention, and should not limit the scope of the present invention. Any simple equivalent changes and modifications made according to the scope of the application for patent of the present invention and the content of the patent specification are still within the scope of the present invention. within the scope of the invention patent.
100:骨螺釘 1:釘桿 11:尖端段 111:端部 112:切削刃 113:後刀面 12:第一螺紋段 13:容屑槽 2:釘頭 21:第二螺紋段 22:盲孔 3:骨板 31:螺孔 4:骨頭 41:側面 42:側面 A:角度 D:長度 L:總長度 P:切削平面 θ:後斜角 100: Bone Screw 1: Nail bar 11: Tip segment 111: End 112: Cutting edge 113: Flank 12: The first thread segment 13: Chip flutes 2: Nail head 21: Second thread segment 22: Blind hole 3: Bone Plate 31: screw holes 4: Bones 41: Side 42: Side A: Angle D: length L: total length P: cutting plane θ: Back bevel angle
本發明之其他的特徵及攻效,將於參照圖式的實施方式中清楚地呈現,其中: 圖1是本發明骨螺釘的一實施例的一前視圖,說明一釘桿及一釘頭之間的關係; 圖2是該實施例的一側視圖,說明一端部、多個切削刃、多個後刀面,及多個容屑槽之間的關係; 圖3是該實施例的一尖端段的一不完整剖視圖; 圖4是沿圖1中的IV-IV線所截取的一剖視圖;及 圖5是該實施例將一骨板鎖固於一骨頭的一示意圖。 Other features and effects of the present invention will be clearly presented in the embodiments with reference to the drawings, wherein: 1 is a front view of an embodiment of a bone screw of the present invention, illustrating the relationship between a shank and a head; Figure 2 is a side view of the embodiment illustrating the relationship between one end, the plurality of cutting edges, the plurality of flanks, and the plurality of flutes; Figure 3 is a fragmentary cross-sectional view of a tip section of this embodiment; Figure 4 is a cross-sectional view taken along line IV-IV of Figure 1; and FIG. 5 is a schematic diagram of locking a bone plate to a bone in this embodiment.
100:骨螺釘 100: Bone Screw
1:釘桿 1: Nail bar
11:尖端段 11: Tip segment
111:端部 111: End
112:切削刃 112: Cutting edge
113:後刀面 113: Flank
12:第一螺紋段 12: The first thread segment
13:容屑槽 13: Chip flutes
2:釘頭 2: Nail head
21:第二螺紋段 21: Second thread segment
D:長度 D: length
L:總長度 L: total length
Claims (5)
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WO2009083667A2 (en) * | 2007-10-09 | 2009-07-09 | Societe Implants Diffusion International | Surgical drill with two directions of rotation |
CN102188282A (en) * | 2010-03-08 | 2011-09-21 | 史赛克创伤公司 | Bone fixation system with curved profile threads |
WO2014031935A1 (en) * | 2012-08-23 | 2014-02-27 | DePuy Synthes Products, LLC | Bone fixation system |
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CN114376699A (en) | 2022-04-22 |
TW202214189A (en) | 2022-04-16 |
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