M318405 4 1 八、新型說明： 【新型所屬之技術領域】 ，—本案係有關一種人工脊椎之椎體支架，尤指一種用於脊椎 n、胸、腰椎的人工脊椎之椎體支架，該椎體支架以椎體置 換手術植入被破壞的椎體或腫瘤轉移的脊體，俾人工方 該椎體。 【先前技術】 上常丨，replacement)為目前臨床 始ίΐϋΐί椎ί椎體支架(spacer)來治療(替代)被破壞的 於切二f轉移至脊體的治療方法。藉由外科手術將病變的椎 ΐ椎之驢支練行碰置換手術，其係利 病ίίΐ^ϊ，並減輕病患疼痛和幫助脊椎病變的復原。 iff支架在設計上蓋分為兩類··如圖1a所示 係念-種固疋式網格狀(mesh )椎 =度;以及如圖1b所示係為一種二=為以 S邊F大，=⑼ 【新型内容】 鎖之人本於多年來從事醫療器材設計及產 架經再三實驗與測試，進而發展出本案= 5 I * 術植種人碍椎之椎體支架，係以手 緣開設複數侧孔，㈣形成_純_ ^狀巧其周 M318405 =S個圓=7管以:;== ϊϊ=片二刺r置：接:r兩端严端 ==少;骨融合孔，並於;=突刺且 =:細表以 本體周i之3之_支架，其中該 絲或螺帽糊麟，雜固定螺 本體支架，其中該 糊爾輸说輪 管狀ϊ^ίίί 供2人工脊椎之椎體支架，其中該 ,^ =盒==刺則為圓錐形或角雜形。再者= 本線其中該 6 M318405 複數個凹槽，以供呈環狀排列之複數個尖刺穿 【圖式簡單說明】 為進-步揭示本案之具體技術内容，首先請參閱 ΐ丄f1a及圖1b係習知兩款人工脊椎之椎體支架立體圖；圖“ 難實細之立齡解圖；圖 =本案第一祕實知例組立後之立體圖；圖4為本 實，使用狀態示意圖；圖5為本案人工脊椎之椎^ 二較佳實施例之立體分解圖；圖6為本案第二較 = 娜為樹，細^之^ 如圖2至圖3所示，基本上，本案之人工脊椎之 =、腰敎去切人體魏，其餅 ΐίίί 5Ϊ椎ίί體支架替代切除之脊椎椎體，使其具有ί 和，’=1(又稱為椎龍)係以金屬，例如鈦合金製成之管 得以限，該金屬材料隨著生醫材料科學的進ί，亦 =排列複數個圓孔”，該本 同=⑵ 去ί ft或螺检12 ’以提供醫師在使用前方脊椎固定器(習知 =移v漿或填充生醫:科 生長，或將生醫材料充斥於管内空上f二 7 M318405 1 ' |、該本體1之上、下端分別突伸複數個尖刺14，如圖所示， ，尖刺1>4以角錐形為佳。當本體彳兩端分別與一支撐端蓋2結合 後’該等尖刺14係穿出支撐端蓋2，並利用該等尖刺14刺入脊 椎端板以增加穩定度。 • ^為使該3本體1之上、下端容易與一對呈相對設置之支撐端 蓋2結合’是以’其上、下部相鄰於複數個尖刺14之一列環狀 圓孔11内則設有螺紋15，以便以習知的醫療級結合件，例如螺 絲穿越支撐端蓋2之調整孔26，並鎖固於所選定之具螺紋15之 圓孔11。而為方便醫師於手術中將一對支撐端蓋2快速地結合 ⑩於本體1之上、下端，是以，於欲結合之圓孔彳彳位置分別設置 至少一本體對位溝槽或本體標示線16。 對支揮&蓋2係套接於本體1兩端’並加以固定，以作為 端封構件。各支撐端蓋2轴向蓋片21對應於各尖刺14位置開設 二穿^22 ’以供其穿出。如圖所示，該等複數個穿孔22係排列 成一環形’其内則開設至少一骨融合孔23，其可依實際需求形 成尺寸較大之單一孔洞’或者尺寸較小之複數個孔洞，以方便 骨，合之進行，或者填充自體、異體骨漿或生醫材料。此外， 該蓋片21外表面網狀排列設有複數個棘突狀之棘刺24,各棘刺 # 24以圓錐形或角錐形為佳。 如圖所示，該等棘刺24的高度低於尖刺14，當以手術方式 -將脊椎之椎體撐開固定，各端蓋2之蓋片21外表面呈網狀排列 之複數個棘刺24及較高的複數個尖刺14分別與脊椎端板形成 接觸，俾藉由上述刺狀結構可局部穿入脊椎端板，達到穩定的 效果。 再者，該蓋片21徑向之蓋環25周緣開設至少二長條形調整 ^26,且圓周上設置至少一端蓋對位溝槽或端蓋標示線27之標 示。組立時，將該端蓋標示線27對準本體端示線16，即可令各 調整孔26對準具螺紋15之圓孔11，接著，以醫療級醫療級結合 8 M318405 , ' 件28 ’例如螺絲穿越調整孔26，並螺合於圓孔u 調 所欲高度，使椎體得以升胃或下降，並加以鎖固即$後23 .架ΐϋ太i圖3所示，各支撐端蓋2周緣“ 狀排狀穿孔22，有利於本體之複數個尖刺14之嵌人金鼠， _以及呈網狀排狀複數個棘刺24設計，除椎ϋ ,:合一椎趙支架具防滑脫之優 r:第圓二4、所三 ►耆’以椎體置換手術方式植入本案人工脊椎之椎體 if ΐ具將—對支推端蓋2向上、下撐開至所需高度，'而後以 …δ件28通過調整孔26 ,並鎖固於具螺紋彳5之圓孔Ή， I令該椎體支架替代所嫌讀雜體，峨其具有支撐 的功能。 心如^ \圖7所*，係本案人工脊椎之椎體支架第二實施 例之不忍圖，其中，本實施例之本體彳及一對支撐 均與第-實施例相同，故相同之元件名 唬代表之，是以，各元件間之結合關係在此不擬贅述。 1 本實施例之特點在於··當脊椎角度越大時，尤其是第五 ，椎’在臨床的手術後’習知的人工脊椎之椎體支架容易滑脫 。因此，如圖7所示，若該支撐端蓋2之蓋片21朝向脊 後^向的傾斜面29角度越大，則該等複數個尖刺】4伸出 =支撐蓋板2長度越大，以致刺入椎體深度越深，俾藉由前述 斗^殊的傾斜面設計來提高穩定度。經由實測該傾斜角度以〇度 實施例)至16度(第二實施例)為佳，以提供不同病患的脊 椎角度之選擇。 如圖5所示，因人體脊椎之椎體高度並非相同，若病患之 椎體較高，且利用前述之高度調整結構亦無法因應時，則可在 9 M318405 至少-支撐端蓋2内面套接—中空塾片3，其周緣對應各尖刺 14及穿孔22位置開少有凹槽31，以利夹刺μ穿越凹槽 及穿孔22，並突伸於穿孔22之外。俾藉由於支撐端蓋2内面 接裝塾片3，可增加椎體支架之整體高度，，以因應不同尺寸 之脊椎椎體。 所以，經由本案之實施，其相較於先前技術，藉由該本體 兩端突設之複數個尖刺’其係嵌人支獅蓋相對設置之環狀穿 孔’可方便兩者之結合，並方便醫師於手術時植入兩脊椎端板 之間，同時搭配支撑端蓋外表面突伸複數個棘刺，除了可防止 人工脊椎之椎體支，滑料，並可有魏免鐘支架之凹 融合的效果。再者，本案之支撐端蓋開設^ ΐ ί長ίί調，’其與本體結合時，可將之微調，使兩端 接於兩脊椎端板之間。此外，為增加本 ，椎體支&之整體❺度，該至少—支撐端蓋⑽套接一中 2本體之管狀空間係用來填充自體、異體移植 i聚财妙齡及骨路生 知者，俱福本#之專卿麟。 77勿導 異於無魏目的、手段射效，在麵示其迥 、;I知之技術特徵，且其首先創作合於實用， 型之專利要件，懇請貴審杳类昌明寂在在付&新 俾嘉惠社會，實^便4查委㈣察，細早日賜予專利， 【圖式簡單說明】 =及=係習ί兩款人工脊椎之椎體支架立體圖。 g。為本案人#椎之鐘支架第—較佳實_之立體分解M318405 4 1 VIII. New description: [New technical field] - This case is a kind of vertebral body support for artificial spine, especially a vertebral body support for artificial spine of the spine n, chest and lumbar vertebrae. The stent is implanted with a vertebral body or a tumor-transferred vertebral body by vertebral body replacement surgery, and the vertebral body is artificially implanted. [Previous technique] The conventional method is to treat (alternatively) the destructive treatment of the metastasis to the vertebral body. Surgery is used to treat the diseased vertebrae of the vertebrae and the sacral vertebrae. It is a disease that reduces the pain of the patient and helps the recovery of the spinal lesions. The iff stent is divided into two types according to the design: · as shown in Fig. 1a, the type of solid-type mesh (mesh) vertebra = degree; and as shown in Fig. 1b is a kind of two = for S side F , = (9) [New content] The person who has locked in the medical equipment design and production frame has been repeatedly experimented and tested for many years, and then developed the case = 5 I * surgery planting human body vertebral body stent, with a hand edge Open a plurality of side holes, (4) form _pure _ ^ shape and its circumference M318405 = S circles = 7 tubes to:; == ϊϊ = piece two thorns r set: connect: r ends end == less; bone fusion hole , and; = spurs and =: fine table with the body of the week i of the _ bracket, where the wire or nut paste, the fixed screw body bracket, where the paste loses the wheel tubular ϊ ^ ίίί for 2 labor The vertebral body scaffold of the spine, wherein the ^ = box == thorn is conical or angular. In addition, this line has 6 M318405 multiple grooves for piercing a plurality of spikes in a circular arrangement. [Simple description of the drawing] To further reveal the specific technical content of this case, please refer to ΐ丄f1a and figure first. 1b is a three-dimensional diagram of the vertebral body support of two artificial spines; the figure is "difficult and thin, the age of the map; the figure = the first secret of the case, the stereoscopic view of the group; Figure 4 is the actual, the state of use diagram; 5 is the stereoscopic exploded view of the artificial spine of the present invention; FIG. 6 is the second comparison of the present case = Na is a tree, and the fine ^ ^ ^ as shown in FIG. 2 to FIG. 3, basically, the artificial spine of the present case =, 敎 敎 to cut the human Wei, its cake ΐ ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί The tube is limited, the metal material along with the science of biomedical materials, also = a plurality of round holes, the same = (2) to ί ft or screw 12 ' to provide the physician to use the front spine fixator ( Conventional = shifting v slurry or filling biomedical: growing, or flooding biomedical materials into the tube 7 M318405 1 ' |, the upper and lower ends of the body 1 respectively protrude a plurality of spikes 14, as shown in the figure, the spike 1 > 4 is preferably a pyramidal shape. 2 After the combination, the spikes 14 are passed through the support end cap 2, and the spine end plates are pierced by the spikes 14 to increase the stability. • ^ To make the upper and lower ends of the 3 body 1 easy to pair with The oppositely disposed support end caps 2 are provided with a thread 15 in the annular hole 11 in which the upper and lower portions are adjacent to one of the plurality of spikes 14 so as to be in a conventional medical grade joint, for example The screw passes through the adjusting hole 26 of the supporting end cover 2 and is locked to the selected circular hole 11 with the thread 15. In order to facilitate the doctor to quickly join the pair of supporting end covers 2 to the body 1 during the operation, The lower end is such that at least one body alignment groove or body marking line 16 is respectively disposed at the position of the round hole 欲 to be combined. The yoke & cover 2 is sleeved on both ends of the body 1 and fixed. As the end seal member, each of the support end caps 2 axial cover sheets 21 is provided with two holes ^22' corresponding to the positions of the spikes 14 for the wear thereof. As shown in the figure, the plurality of perforations 22 are arranged in a ring shape, and at least one bone fusion hole 23 is formed therein, which can form a single hole having a larger size or a plurality of holes having a smaller size according to actual needs. In order to facilitate bone, it is carried out, or filled with autologous, allogeneic bone pulp or biomedical materials. In addition, the outer surface of the cover sheet 21 is arranged in a network with a plurality of spinous-like spines 24, each of which has a conical shape. Or a pyramidal shape is preferred. As shown, the height of the spines 24 is lower than the spikes 14, and when the vertebral body of the spine is surgically fixed, the outer surface of the cover sheet 21 of each end cap 2 is reticulated. The plurality of thorns 24 and the plurality of spiky ribs 14 are respectively in contact with the vertebral end plate, and the thorn-like structure can be partially penetrated into the vertebral end plate to achieve a stable effect. Furthermore, the cover sheet 21 has at least two strip-shaped adjustments 26 at the periphery of the radial cover ring 25, and at least one end cover aligning groove or end cap marking line 27 is provided on the circumference. When assembled, the end cap line 27 is aligned with the body end line 16, so that each adjustment hole 26 is aligned with the circular hole 11 having the thread 15, and then combined with the medical grade medical grade 8 M318405, 'item 28' For example, the screw passes through the adjusting hole 26, and is screwed to the circular hole u to adjust the desired height, so that the vertebral body can be ascended or descended, and locked, that is, after the rear 23, the frame is shown in Figure 3, each supporting end cap 2 circumference "shaped row of perforations 22, is conducive to the body of a plurality of spikes 14 embedded gold rats, _ and a network of rows of multiple spines 24 design, in addition to vertebrae,: one vertebra support with anti-slip The best r: the second round of the second 4, the three ^ 耆 'in the vertebral body replacement surgery implanted the artificial spine of the vertebral body if the cookware will - push the end cap 2 up and down to the required height, ' Then, the δ member 28 passes through the adjustment hole 26 and is locked to the circular hole 具 with the thread 彳 5, so that the vertebral body bracket replaces the readable miscellaneous body, and has a supporting function. The heart is like ^ FIG. 7 *, is the second embodiment of the vertebral body support of the artificial spine of the present invention, wherein the body 彳 and the pair of supports of the embodiment are the same as the first embodiment Therefore, the same component name is used to represent that the relationship between the components is not described here. 1 The feature of this embodiment is that when the angle of the spine is larger, especially the fifth, the vertebra is in clinical practice. After the operation, the conventional vertebral body support of the artificial spine is easily slipped. Therefore, as shown in FIG. 7, if the angle of the inclined surface 29 of the cover sheet 21 of the support end cover 2 toward the ridge is larger, the angle is larger. And a plurality of spikes] 4 extension = the greater the length of the support cover 2, so that the deeper the penetration into the vertebral body, the stability is improved by the inclined surface design of the above-mentioned bucket. The embodiment) is preferably 16 degrees (second embodiment) to provide the choice of the angle of the spine of different patients. As shown in Fig. 5, the height of the vertebral body of the human spine is not the same, if the vertebral body of the patient is more If the height adjustment structure is not applicable, the inner surface of the end cap 2 can be sleeved at least at the M M3405. The hollow slab 3 has a peripheral edge corresponding to each thorn 14 and the perforation 22. 31, to facilitate the pliers μ through the groove and the perforation 22, and protrude beyond the perforation 22 By attaching the cymbal 3 to the inner surface of the support end cap 2, the overall height of the vertebral body support can be increased to accommodate different sizes of the vertebral body. Therefore, by the implementation of the present invention, it is compared with the prior art. The plurality of spikes protruding from the two ends of the body, the annular piercings of the lion caps are arranged to facilitate the combination of the two, and are convenient for the doctor to implant between the two vertebrae end plates during operation, and at the same time supporting The outer surface of the end cap protrudes a plurality of spines, in addition to preventing the vertebral body branch of the artificial spine, sliding material, and the effect of the concave fusion of the Wei-free clock bracket. Furthermore, the support end cover of the present case is opened ^ ΐ ί long ί Tune, 'When it is combined with the body, it can be fine-tuned so that both ends are connected between the two vertebra end plates. In addition, in order to increase the overall curvature of the vertebral body branch, the at least one supporting end cap (10) is sleeved with a middle body and the tubular space is used to fill the autologous, allogeneic transplantation, and the bone path is known. , the full blessing of the #福福本#. 77 Do not be different from the purpose of the purpose, the effect of the means, in the face of its ambiguity; I know the technical characteristics, and its first creation is in line with the practical, type of patent requirements, please ask the class Chang Chang is in the payment & Xinyi Jiahui society, the real ^ 4 inspection committee (four) inspection, early patents, [simple illustration] = and = Xi Xiu two artificial spine vertebral body stent stereogram. g. For the case of the person #椎之钟支架 - the best real _ of the three-dimensional decomposition