M315568 八、新型說明： 【新型所屬之技術領域】 本創作係關於一種空心骨釘，尤關於一種用以注入骨 體泥之空心骨釘。 【先前技術】 為治療因骨質疏鬆而引起的脊椎相關病變，其中一種 常用的治療方式係在脊椎骨中注入骨髓泥以堅實骨質，並 以複數骨釘鑽入需固定之脊椎骨，再利用連桿或套箍將該 複數骨釘之間的相對位置加以固定，限制該等脊椎骨之活 動範圍’發揮保護的功效，以利病人康復。 但骨髓泥被注入骨中硬化，雖可發揮堅實骨質的功 效，卻讓後續鑽入骨釘的作業不易進行且耗時良久。由於 鑽入月釘的作業需要在手術中進行，而手術不但時間有 限，且需要仔細精密的操作，不適合過於激烈的操作，因 此讓骨釘鑽入作業成為相關醫療行為中的一大挑戰，更可 能導致降低手術成功率的悲惨後果。 於是有如我國新型專利權第M284355號（下稱專利文 獻1 )提供-種具有底孔的空心骨釘而欲解決該問題，其 係先將該具有底孔的空心骨釘鑽入脊椎骨中，再經由該骨 釘之空心結構灌注骨趙泥到脊椎骨中；如此不但鑽入骨釘 的作業較為簡便容S，也可確實的注人骨髓泥。 除此之外，依照專利文獻1中所記載的使用方法，其 具有底孔的空心骨釘係配合套環來固定骨釘之間的相對位 置’然而，由於脊椎骨特殊的形狀，該等骨釘係設置於脊 4 M315568 椎骨棘突與兩旁沾丛 簟*, 的椎腳之間，當該骨釘被用於胸椎或頸椎 寺椎腳較小且袷 n ^ 易卡到Μ * & Τ與棘突較為接近的脊椎骨時，該套環容 又不能適當的設置該骨釘的位置。 由上所述可左 或頸椎時，’既有骨釘使用套環的結構在用於胸椎 盖。 、有4易卡到棘突的缺點，需要進一步加以改 【新型内容】 有鑒於前过+ _ 有月釘之缺點，本創作之目的在於提供 空心骨釘，jii _ ^ ’、 ” 谷易卡到棘突而適用於胸椎或頸椎，且 问樣適用於其他部位之脊椎骨。 二達j⑴述目# ’本創作所採取之技術手段 心骨釘包括有： 螺管，係一圓營_，目士 辟 體具有一頂端、一底端及一外周 壁，該外周壁上形成有 ，、 A ^ …、文，且形成有一透孔，該透孔係 自其螺管頂端通透至螺管底端； 二固定件’位於前述螺管頂端的邊緣上，係自該邊緣 之一相對位置分別向上延伸 々门—丄 社一 申而成，各固定件具有一内面， 孩内面係形成為弧面且翻 紋； 朝向軸心方向，其上並形成有螺 一螺塞，係一螺才主轉，廿 Δ 其於外周壁上形成有螺紋，該 累紋係匹配於前述固定件内面的螺紋。 使用本創作之空心骨缸# 〆 ^ 月訂日守’係將該個別的空心骨釘分 引鑽入脊椎骨的椎腳與棘突 ,ψ ^ 大之間，接者經由各空心骨釘的 ” ^透孔注入骨髓泥，待督 月^泥在脊椎骨之中硬化之後， 5 M315568 使用一連桿嵌合於空心骨釘的二固定件之間， 椎骨上的空心骨釘相連，& B ，使該相鄰脊 ^ 敢傻以别述螺塞螺人认火 骨釘的二固定件之間，利用該螺塞屢迫該連;則述空心 固定連桿的功效，使該相鄰複數空心骨 于，可以達到 連桿所固定。 、相對位置被該 此時該相鄰脊椎骨之間受到相$的空心 、、:t yfcp立㈣从斗、_L 月釘限制’益 法任思·考曲或相對運動，以 …、 果，且®# 设原並發揮保護治療效 果且因為该連桿係利用該空心骨釘本身 定於其中，盔需以冰*支四 Q疋片敗口固 …、而以外加套裱的方式來將空心骨釘相連， 以不容易被脊椎骨 扪棘大卡到而影響該空心骨釘的設 ，因而可以順利的設置在椎腳較小的胸椎或頸椎上。 豸可知本創作提供-空心骨釘，不僅在適用於胸 才〆頸椎時不容易卡到棘突，且同樣適用於其他部位之脊 椎骨。 【實施方式】 入 > 1第至二圖，分別揭露有本創作第一實施例配 口連#組合之立體圖、局部分解圖及剖視圖。 本創作第一實施例之空心骨釘包括有： 一螺管（1 0 )，係一圓管體，具有一頂端、一底端 夕卜 1"^| 后辛 / 、 ° ’其形狀係由頂端朝向底端收尖，該外周壁上 $成有螺紋’且於其軸心形成有一透孔（1 〇 1 )(請參 閱第三圖戶斤；、 ^} ’該透孔（1 〇 1 )係自其螺管（1 0 ) 頂端貫穿至螺管（10)底端； 二固定件（1 5 ) 位於前述螺管（1 0 )頂端的邊 M315568M315568 VIII. New description: [New technical field] This creation is about a hollow nail, especially a hollow nail for injecting bone mud. [Prior Art] In order to treat spine-related diseases caused by osteoporosis, one of the commonly used treatment methods is to inject bone marrow mud into the vertebrae to solid bone, and use a plurality of bone nails to drill into the bone to be fixed, and then use the connecting rod or The ferrule fixes the relative position between the plurality of bone nails, limiting the range of motion of the vertebral bones to play a protective effect for the patient to recover. However, the bone marrow mud is hardened into the bone, and although it can exert the effect of solid bone, it makes the subsequent drilling of the nail difficult and takes a long time. Because the operation of drilling the nails needs to be carried out during the operation, and the operation is not only limited in time, but also requires careful and precise operation, it is not suitable for too intense operation, so the drilling of the nails becomes a major challenge in related medical activities. May lead to the tragic consequences of reducing the success rate of surgery. Therefore, as for the new patent patent No. M284355 (hereinafter referred to as Patent Document 1), a hollow bone nail having a bottom hole is provided to solve the problem, and the hollow bone nail having the bottom hole is first drilled into the vertebra, and then Through the hollow structure of the bone nail, the bone and the mud are poured into the vertebrae; thus, the operation of not only drilling the nail is relatively easy, but also the bone marrow mud can be reliably injected. In addition, according to the method of use described in Patent Document 1, a hollow nail with a bottom hole is fitted with a collar to fix the relative position between the nails. However, due to the special shape of the vertebrae, the nails are The system is placed between the vertebrae of the vertebrae 4 M315568 and the vertebrae of the two sides of the vertebrae, when the nail is used for the thoracic or cervical vertebrae, the vertebrae are small and 袷n ^ easy to get into the Μ * & When the spinous process is closer to the vertebra, the ring can not properly position the nail. When the left or cervical vertebrae are described above, the structure of the collar using the existing nail is used for the thoracic spine. There are 4 shortcomings to the spine, which need to be further modified. [New content] In view of the shortcomings of the previous + _ month nail, the purpose of this creation is to provide hollow bone nails, jii _ ^ ', ” Gu Yika It can be applied to the thoracic or cervical vertebrae to the spinous process, and the application is applicable to the vertebrae of other parts. Erda j(1)述目# 'The technical means adopted by this creation include: screw, system, _, 目The body has a top end, a bottom end and an outer peripheral wall, and the outer peripheral wall is formed with, A, ..., and formed with a through hole which penetrates from the top end of the screw to the bottom end of the screw The two fixing members are located on the edge of the top end of the screw, and extend from the opposite position of the edge to the opposite end of the door. The fixing member has an inner surface, and the inner surface of the child is formed into a curved surface. The rib is oriented toward the axial direction, and a screw-plug is formed thereon, and a screw is mainly rotated, and 廿Δ is formed with a thread on the outer peripheral wall, and the rib is matched with the thread on the inner surface of the fixing member. The hollow bone cylinder of this creation # 〆 ^ month set Shou's the individual hollow bone nails are drilled into the vertebrae of the vertebrae and the spinous processes, between the large and large, and the recipients are injected into the bone marrow mud through the hollow holes of the hollow bone nails. After hardening in the vertebrae, 5 M315568 is fitted between the two fixation members of the hollow nail using a connecting rod, and the hollow bone nails on the vertebrae are connected, & B, so that the adjacent ridges are dare to be stupid. Between the two fixing members of the screw-shaped nail, the screw plug is used to repeatedly connect the joint; the effect of the hollow fixed link is such that the adjacent plurality of hollow bones can be fixed by the connecting rod. The relative position is affected by the hollow of the phase between the adjacent vertebrae at this time, :t yfcp (four) from the bucket, _L month nail limit 'Yifa Rensi · test song or relative movement, to..., and ®# sets the original and protects the therapeutic effect and because the connecting rod is fixed in the hollow bone nail itself, the helmet needs to be hollowed out by the ice*4, and the hollow is added to the hollow. The bone nails are connected, so that the hollow bone nails are not easily caught by the spine and the spine, so that they can be smoothly placed on the thoracic or cervical vertebrae with small vertebrae. I can see that this creation provides a hollow bone nail that is not easy to get stuck in the spinous process not only when it is applied to the chest, but also to the vertebrae of other parts. [Embodiment] In the first to second figures, the perspective view, the partial exploded view and the cross-sectional view of the first embodiment of the present invention are disclosed. The hollow bone nail of the first embodiment of the present invention comprises: a screw tube (1 0 ), which is a round tube body having a top end, a bottom end 1"^| after symplectic /, ° 'the shape is made by the top The tip end is pointed toward the bottom end, and the outer peripheral wall is threaded and has a through hole (1 〇1) formed in its axial center (refer to the third figure; ^} 'the through hole (1 〇1) From the top end of the screw (10) to the bottom end of the solenoid (10); the second fixing member (1 5) is located at the top of the screw (10) at the edge M315568
緣上，係自該邊緣之二相對位晉八如A L 定杜r Ί Μ置刀別向上延伸而成，各固 疋件（15)具有一内面^ y 、丄〇丄），吞亥内面（151) 係形成為弧面且朝向軸心方向，並其上形成有螺紋； -螺塞（30) ’係-螺枉體’其於外周壁上形成有 螺紋，該螺紋係匹配於前述固定件（i 5 )内面（丄5丄）；On the edge, it is formed by the opposite position of the edge of the arse, such as the AL Ding Du Ί Μ 刀 向上 向上 向上 , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 151) is formed into a curved surface and oriented toward the axial direction, and is formed with a thread thereon; - a screw plug (30) 'system-threaded body' is formed with a thread on the outer peripheral wall, the thread is matched with the aforementioned fixing member (i 5 ) inside (丄5丄);
=本實施例中，該螺塞（3 〇)之頂面形成有-内六角凹 穴（3 1 )，供使用者使用内六角扳手轉動該螺塞（3 〇 )， 以將該螺塞（3 0 )螺合於前述固定件（i 5 )内面（工 請配合參閱第四圖，揭露有本創作第一實施例之使用 示意圖。 使用本創作第一實施例時，可依受治療的脊椎骨（4 〇)位置所需，選擇全部採用本實施例進行治療或採用本 實施例之空心骨釘配合既有空心骨釘（5 〇 ) 一同使用， 且使用時可將一支或一支以上的本實施例之空心骨釘配合 一支或一支以上的既有空心骨釘（5 〇 )使用，其使用之 數量依照治療所需，並無另行限制，可自由配合使用。此 處用以例示說明本實施例實施方式者，係將本實施例配合 既有之空心骨釘（5 0 ) —同使用，將之分別鑽入受治療 的脊椎骨（4 0 )上； 各脊椎骨（40)在背面具有一隆起之棘突（41)， 而在左右兩側分別具有一椎腳（4 2 )，該使用空心骨釘 時，係將空心骨釘鑽入在同側的椎腳（4 2 )與棘突（4 1 )之間； 7 M315568 以下係使用本實祐々丨 釘（50)進行相ΙΓ 骨釘配合二支既有空心骨 釕u U )進仃相鄰的三節脊椎 其分別鑽入該相鄰的三節脊椎骨 之處理，係將 心骨釘（5 ◦)之結構包括有_套考（’其中各既有空 1)係橫向套設於既有空心骨釘（ ），該套環（5 既有空心骨釘（5 〇)與該 二’精由調整該 、〇丄）之間的相對备冷， 使其藉由較大幅度的偏向角度以配合—連桿（2〇)設=， 但因為該偏向角度及該套環本身之體積，使既有空心骨釘 (50)«用於椎腳（42)較小的部位，故該等既有 空心骨釘（5 0 )係適用於椎腳（4 2 )較大的脊椎骨（4 〇 )上；相較之下，本實施例之空心骨釘可順利的使用於 椎腳（4 2 )較小的胸椎或頸椎上。 接著經由本實施例的螺管（1 〇 )透孔（1 〇 1 )注 入骨髓泥，其他使用既有空心骨釘（5 〇 )之脊椎骨（4 0 )則藉由該既有空心骨釘（5 〇 )之結構來注入骨髓泥； 待注入的骨髓泥在脊椎骨（4 〇 )之中硬化之後，使用該 連桿（2 0 )嵌合於本實施例空心骨釘的二固定件（1 5 ) 之間，而該既有空心骨釘（5 〇 )則使用其套環（5 1 ) 固定該連桿（2 〇 )，使本實施例的空心骨釘與該二支既 有空心骨釘（5 〇 )相連；就本實施例的空心骨釘而言， 係以螺塞（3 0 )螺合於前述本實施例空心骨釘的二固定 件（1 5 )之間，並利用該螺塞（3 〇 )壓迫該連桿（2 0 )以達到固定連桿（2 0 )的功效，使該三支空心骨釘 之相對位置被該連桿（2 0 )固定住。 M315568 此時該三節相鄰脊推骨^ / n、 方罹月（4 〇)之間受到相連的空心 骨釘限制，無法任意彎曲或相f 4邳對運動，使需治療的脊椎骨 (4 0 )不會因彎曲或相對運動 τ逆動而衫響其復原的進度與治 療效果。 由上述可知本創作之具體結構與使用方法，其確可提 供不容易卡到棘突而可方便操作之空心骨m在實際 使用日才’不僅可以取複數本創作之空心骨釘共同使用，更 可以搭配既有的空心骨釘使用，讓相關作業更容易進行。 【圖式簡單說明】 第一圖係本創作第一實施例配合一人 圖。 忏、、且口之立體 第二圖係本創作第一實施例配合一連桿組合之 解圖。 句峥分 第二圖係本創作第一實施例之剖視圖。 第四圖係本創作第一實施例之使用示意圖。 【主要元件符號說明】 (1 0 )螺管 （1 0 1 )透孔 (15)固定件 （151)内面 (2 〇 )連桿 （3 0 )螺塞 (31)内六角凹穴 （40)脊椎骨 (4 1 )棘突 （4 2 )椎腳 (5 〇 )既有空心骨釘（5 1 )套環 9In this embodiment, the top surface of the screw plug (3 〇) is formed with a hexagon socket (3 1 ) for the user to rotate the screw plug (3 〇) with an Allen key to 3 0) screwed into the inner surface of the aforementioned fixing member (i 5 ) (refer to the fourth drawing in conjunction with the fourth drawing, the schematic diagram of the use of the first embodiment of the present invention is disclosed. When the first embodiment of the present invention is used, the vertebra can be treated according to the first embodiment (4 〇) position required, choose to use all the treatments in this embodiment or use the hollow bone nail of this embodiment together with the existing hollow nails (5 〇), and can use one or more The hollow bone nail of the embodiment is used together with one or more existing hollow bone nails (5 〇), and the amount of the hollow nail is used according to the treatment, and is not limited, and can be used freely. In the embodiment of the present embodiment, the present embodiment is combined with the existing hollow nail (50) for drilling into the treated vertebra (40); each vertebra (40) is on the back. Has a raised spine (41), and on the left and right sides respectively There is a vertebrae foot (42). When the hollow bone nail is used, the hollow bone nail is drilled between the vertebrae (4 2 ) and the spinous process (4 1 ) on the same side; 7 M315568 々丨 々丨 nail (50) for phase ΙΓ bone nail with two existing hollow bone 钌 u U 仃 仃 仃 仃 仃 仃 仃 仃 仃 仃 仃 仃 仃 仃 仃 仃 仃 仃 仃 仃 仃 仃 仃 仃 5 5 5 5 5 5 ◦) The structure consists of a set of _ sets ('each of which has an empty space 1) is laterally sleeved on the existing hollow nail (), the collar (5 has both a hollow nail (5 〇) and the two 'fine By adjusting the relative coldness between the 〇丄 and 〇丄), so that the yoke is set by a larger deflection angle, but because of the deflection angle and the volume of the collar itself, There are both hollow bone nails (50) «for the smaller part of the vertebrae (42), so these existing hollow nails (50) are suitable for the vertebrae (4 2) larger vertebrae (4 〇) In contrast, the hollow nail of the present embodiment can be smoothly applied to the smaller thoracic or cervical vertebrae of the vertebrae (42). Then, the bone marrow mud is injected through the through hole (1 〇1) of the screw (1 〇) of the present embodiment, and the other vertebrae (40) using the hollow nail (5 〇) is used by the existing hollow nail ( 5 〇) structure to inject the bone marrow mud; after the bone marrow mud to be injected is hardened in the vertebrae (4 〇), the connecting rod (20) is used to fit the two fixing members of the hollow nail of the embodiment (1 5 Between the two, the existing hollow nail (5 〇) uses its collar (5 1 ) to fix the connecting rod (2 〇), so that the hollow bone nail of the embodiment and the two hollow bone nails (5 〇) connected; in the case of the hollow nail of the embodiment, the screw plug (30) is screwed between the two fixing members (15) of the hollow nail of the foregoing embodiment, and the snail is utilized. The plug (3 〇) presses the connecting rod (20) to achieve the function of fixing the connecting rod (20), so that the relative positions of the three hollow nails are fixed by the connecting rod (20). M315568 At this time, the three adjacent ridges push the bones ^ / n, the side of the moon (4 〇) is limited by the connected hollow nails, can not be bent or f 4 邳 pair movement, so that the spine to be treated (40 The movement and healing effect of the recovery will not be affected by the bending or relative motion τ. It can be seen from the above that the specific structure and the use method of the present invention can provide a hollow bone which is not easy to be stuck to the spinous process and can be easily operated. In the actual use day, it can not only use the hollow bone nails of the present invention, but also Can be used with existing hollow nails to make related work easier. [Simple description of the drawing] The first figure is a first embodiment of the present creation with a one-person figure. The third figure of the first and second embodiments of the present invention is a solution of the first embodiment of the present invention. The second diagram is a cross-sectional view of the first embodiment of the present creation. The fourth drawing is a schematic diagram of the use of the first embodiment of the present creation. [Description of main component symbols] (1 0 ) Screw (1 0 1 ) Through hole (15) Fixing member (151) Inner surface (2 〇) Connecting rod (3 0 ) Screw plug (31) Hexagon socket (40) Vertebrae (4 1 ) Spinous processes (4 2 ) Vertebrae (5 〇) with both hollow nails (5 1 ) collars 9