M333176 八、新型說明： 【新型所屬之技術領域】 本創作係有關一種脊椎釘間的多功能連桿，尤指一種 用於鎖結連接於釘固在二脊椎骨的骨釘上，且具備彈性變 形能力及可伸縮長度效能的脊椎釘間的多功能連桿構造。 【先前技術】 人體骨架中的脊椎是由延腦部位向下延伸至股部，於 籲脊椎中具有多數神經，而一旦脊椎發生移位或產生壓迫或 :甚至周圍肌肉、㈣組織緊張，都會直接影響通過的神經， 間接引起神經供應的末端器官，肌肉或分泌線體；治療這 -種症狀可利用手術方法在椎脊骨間安裝固定裝置，以達減 $的效果，而習知這種治療手術略係將先骨釘分別植入固 定在上、下兩節椎脊骨的適合位置，然後再於二骨釘間鎖 結固設一連結桿，使骨釘間連結成一剛性固定桿結構，據 此保持兩節椎脊骨間的定位，並提供一適度的支撐力，達 #減壓的效能；但如所知者，人體的各節脊椎骨的生成組合 角度均不相同，因此，前述手術所安裝的剛性固定桿結構， 對於呈曲率之人體脊椎而言，完全沒有任何角度的彈1性空 間’這結果不僅使病患手術後之活動能力受到極大的限 制，且產生的嚴重的不適感’尤其對患有骨質疏鬆症的病 人而言，這種剛性固定桿結構經常會使植設骨釘產生固結 穩固性不良的問題，發生骨釘鬆動或脫落，甚且將因而傷 害到脊椎骨和其周邊細胞組織；又，該剛性固定桿結構將 使原有之關節失去作用，導致上下關節須承擔原有關節之 5 M333176 f能’且其無法提供如椎間盤之柔韋刃、緩衝功能，因而容 易使得上下節脊椎_因過度使用而提早老化或損傷。 【新型内容】 有t於此，本創作的主要目的在於改善前述問題，乃 M f 一 ί具備彈性變形能力及可伸縮長度效能的脊椎釘間 :功此連杯，藉以因應各種不同組合角度的脊椎骨及手 ^裝部位’以簡化手術操作難度，並使病患手術後之不 • 獲得，善，同時藉其具備的彈性緩衝及可伸縮長度的 ;生’：提供治療部位的相鄰二脊椎骨間的自然活動能力 :運動fen ’因此得與其他正常椎間盤密切配合運作，以 ，持上I椎骨間原有關節所提供的效能，避免損害上下節 脊椎關節。 為1成上述目的’本創作之脊椎針間的多功能連桿係 二ΐ桿、一套筒桿以及一彈性連桿所組成；其中，該基 :糸在-端面設-組接部；肖套筒桿為一具有中空部的管 _ ，，在一端設有一開口較中空部更小的止檔部；該彈性 、杯具有一較小外徑以適合串設於前述套筒桿的中空部之 2且可移動自如地穿過該止檔部的開口，在該彈性連桿的 :端設有組接頭，以及在另一端具有限定帛，且令該限定 ::有車乂大外徑係可移動自如地串設於前述套筒桿的中 二之内但不能穿過該止播部的開口；藉將該彈性連桿串 =於該套筒桿的中^部之内，並使該彈性連桿的組接頭自 ^筒桿的讀部之開口伸出，且組接固結於該基桿的組 接。^因此使該彈性連桿與該基桿、該套筒桿樞接成一體。 最好，该彈性連桿係由聚醚醚酮（PEEK，poly ether 6 M333176 r:kefone)或碳素纖維等複合材料或具有彈性之金屬材 γ ,、’而孩基桿的組接部係為一螺孔，且該彈性連桿的 組接頭為一適於與該螺孔搭配螺接的螺桿者。 、進步，本發明還包含一或複數可移動的固定元件， 其被串套於該彈性連桿上且㈣該基桿與該套筒桿之間， 因而可順沿该彈性連桿的軸向移動自#，裨利調整中 釘的最佳固定位置。 ^ 有關本創作之其他目的及功能，經配合下列圖式予以 :進：步之說明後，期线f審查委員有更詳細的瞭 以下所述者僅為用以解釋本創作之較佳實施例，並 非企圖據以對本創作作任何形式上之限制，是以，凡有在 相同之創作精神下所作有關本創作之任何修飾或變更，皆 仍應包括在本創作意圖保護之範疇。 【實施方式】 如后附各圖所示，本創作之脊椎釘間的多功能連桿係 由=基桿卜-套筒桿2以及一彈性連桿3所組成；其中， 亡述基桿1與套筒桿2構件均係採用複合材料(例如碳素纖 維、聚鱗醚酮，PEEK-P0|y ether ether等）或合金 材料（例如鈦合金、不_等）所加n因此除具有良好 的機械強度和抗化學性，亦適合植設在人體脊椎間使用； ^亥基# 1略呈圓柱形短桿體，在其—端面設—螺孔12; 該套筒桿2為-具有中空部21的管柱體，在—端設有一開 口車又中空部更小的止槽部22 ;該彈性連桿3係由聚謎醚酮 (PEEK ’ poly ether ether kefone)或碳素纖維等複合材料製 成’亦可選用具有㈣便㈣㈣合金㈣(例如多股成束 M333176 結構的鈦合金、不銹鋼等），因此其具有良好的機械強度和 抗化學性，並且兼具良好的彈性變形能力，而該彈性連桿3 具有一較小外徑，故可串設於前述套筒桿的中空部21之 内，且可移動自如地穿過該止檔部22的開口，另在該彈性 連桿的一端設有螺桿31，該螺桿31恰可與前述該基桿上 的螺孔12搭配螺接，以及還在該彈性連桿的另一端具有限 疋頭32，且令该限定頭32具有一較大外徑係可移動自如 地串設於前述套筒桿的中空部21之内但不能穿過該止檔部 22的開口。 如前所述之各構件，其藉將該彈性連桿3串設於該套 =桿的中空部21之内，並使該彈性連桿的螺桿31自該套 筒桿的止檔部22之開口伸出，且螺接固結於該基桿端面的 螺孔12 ,再於该套筒桿的大開口端套設一柱塞23，據此使 該彈性連桿3與該基桿1、該套筒桿2樞接成一體。 而如第二圖所示，本創作之脊椎釘間的多功能連桿使 用時，係被鎖結連接於二支分別釘固在二相鄰脊椎骨（未顯 示於圖面）的骨釘5上，利用迫緊螺絲51以分別將本創作 的基# 1及套筒桿2螺固在骨釘上端的固定座52内；另如 第三至第六圖所示，本創作於安裝時，可因應該等骨釘的 植設位置而做出合適的伸置長度及擺置角度㈣，又於安 裝後，其亦可因應使用者脊椎活動狀態而自動作出長度及 角度的微調。 供三支骨釘連結固定的多功能連桿結構 主要係該連桿結構包含一可移動的套體 一又如第七圖顯不本創作另一變化的實施例，係一種可 套於該彈性連桿3上， ’在這個實施例中 4，而該套體4被串 且位於該基桿1與該套筒桿2之間， M333176 =二4:彈性連桿3可左右橫移之運動；當施行三 固定後，即；藉在將連桿前後端的基桿1與套筒桿2 中間之脊椎“固套體4的位置，以獲得位於 桿者可對於多節脊椎骨固定手術所需的連 供各個骨釘分職結固ί 3上串套複數個可移動的套體以 【圖式簡單說明】 第一圖為本創作實施例之側面部分剖視圖. 顯示該 弟一圖為本創作實施例與骨釘組合的運作示意圖一Q ^ 連桿可伸長的態樣； 思田 第四圖為本創作實施例與骨釘組合的運作示意圖 連桿可縮短的態樣； 心° 第五圖為本創作實施例與骨釘組合的運作示音圖 連桿可向下曲折的態樣； 不思田M333176 VIII. New description: [New technical field] This is a multi-functional link between the spine nails, especially one for locking and connecting to the nails fixed to the two vertebrae, and has elastic deformation. Multi-functional link construction between the spine and the ability of the telescopic length. [Prior Art] The spine in the human skeleton extends from the cerebral ventricle to the thigh, which has a majority of nerves in the spine, and once the spine is displaced or oppressed or even: surrounding muscles, (4) tissue tension, Directly affecting the passing nerves, indirectly causing the terminal organs of the nerve supply, muscles or secretory lines; treating these symptoms can be performed by installing a fixation device between the vertebrae to reduce the effect of $. In the treatment operation, the anterior nails are respectively inserted into the appropriate positions of the upper and lower vertebral vertebral bones, and then a connecting rod is fixedly locked between the two nails to connect the nails into a rigid fixed rod structure. According to this, the positioning of the two vertebrae is maintained, and a moderate support force is provided to achieve the decompression efficiency; however, as is known, the formation angles of the various vertebrae of the human body are different, therefore, the foregoing The rigid fixed rod structure installed in the operation, for the human spine with curvature, there is no elastic space at any angle. This result not only greatly improves the patient's ability to move after surgery. Restricted, and the resulting serious discomfort 'especially for patients with osteoporosis, this rigid rod structure often causes problems with poor consolidation stability of the implanted nails, loosening or shedding of the nails , and thus will damage the vertebrae and its surrounding cell tissue; in addition, the rigid rod structure will disable the original joint, causing the upper and lower joints to bear the original joint 5 M333176 f can' and it can not provide such as intervertebral disc The soft blade and cushioning function make it easy for the upper and lower spines to age or damage due to excessive use. [New content] In this case, the main purpose of this creation is to improve the above problems. It is a combination of the elastic deformation ability and the retractable length performance of the muscles between the spine and the nail: in this way, in response to various combinations of angles The vertebrae and the hand-installed parts' to simplify the operation of the operation, and to make the patient's surgery not to be acquired, good, and at the same time by its elastic cushioning and retractable length; raw ': provide the adjacent two vertebrae of the treatment site The ability of natural activity: exercise fen 'so it has to work closely with other normal intervertebral discs, in order to maintain the effectiveness of the original joint between the I vertebrae, to avoid damage to the upper and lower joints. For the above purpose, the multi-functional connecting rod of the spine needle of the present invention is composed of a double mast, a sleeve rod and an elastic connecting rod; wherein the base: the 糸-end end-assembly portion; The sleeve rod is a tube having a hollow portion, and a stop portion having a smaller opening than the hollow portion is provided at one end; the elastic portion has a smaller outer diameter to fit the hollow portion of the sleeve rod And movably passing through the opening of the stop portion, a set joint is provided at the end of the elastic link, and a 帛 is defined at the other end, and the limitation is: the yoke has a large outer diameter system Removably slidably disposed in the middle of the sleeve rod but not through the opening of the stop portion; by the elastic link string = within the middle portion of the sleeve rod, and The set of joints of the elastic link protrudes from the opening of the reading portion of the tube rod, and the assembly is fixed to the assembly of the base rod. ^ Therefore, the elastic link is pivotally integrated with the base rod and the sleeve rod. Preferably, the elastic connecting rod is made of a composite material such as polyetheretherketone (PEEK, polyether 6 M333176 r: kefone) or carbon fiber or a metal material γ having elasticity, and the combination of the child base The utility model is a screw hole, and the group joint of the elastic connecting rod is a screw suitable for screwing with the screw hole. And the invention further comprises one or a plurality of movable fixing elements which are sleeved on the elastic link and (4) between the base rod and the sleeve rod, so as to be along the axial direction of the elastic link Move from #, 裨利 adjusts the best fixed position of the nail. ^ For other purposes and functions of this creation, the following diagrams are used: After the description of the steps, the review board of the period has more detailed descriptions. The following are only the preferred embodiments for explaining the creation. It is not intended to impose any form of restriction on the creation of this creation, so that any modification or alteration of the creation made under the same creative spirit should still be included in the scope of protection of this creation. [Embodiment] As shown in the attached drawings, the multi-function linkage between the spine nails of the present invention is composed of a base rod-sleeve rod 2 and an elastic link 3; wherein, the base rod 1 is described And the components of the sleeve rod 2 are made of composite materials (such as carbon fiber, polyscale ether ketone, PEEK-P0|y ether ether, etc.) or alloy materials (such as titanium alloy, not _, etc.), so The mechanical strength and chemical resistance are also suitable for planting in the human spine; ^Huiji #1 is a slightly cylindrical short rod body, which is provided with a screw hole 12 at its end surface; the sleeve rod 2 is - has a hollow The tubular body of the portion 21 is provided at the end with an open vehicle and a hollow portion 22 having a smaller hollow portion; the elastic connecting rod 3 is compounded by PEEK 'poly ether ether kefone or carbon fiber. The material is made of 'four (4) (four) alloy (four) (such as titanium alloy, stainless steel, etc. with multi-stranded M333176 structure), so it has good mechanical strength and chemical resistance, and has good elastic deformation ability. The elastic link 3 has a small outer diameter, so it can be stringed on the sleeve rod. The hollow portion 21 is movably and movably passed through the opening of the stop portion 22, and a screw 31 is disposed at one end of the elastic link, and the screw 31 is matched with the screw hole 12 on the base rod. Screwing, and also having a limiting head 32 at the other end of the elastic link, and having the larger diameter of the defining head 32 movably disposed within the hollow portion 21 of the sleeve rod but The opening of the stop portion 22 cannot be passed. Each member as described above is provided in the hollow portion 21 of the sleeve = rod by the elastic link 3, and the screw 31 of the elastic link is from the stopper portion 22 of the sleeve rod The opening protrudes and is screwed to the screw hole 12 of the end surface of the base rod, and a plunger 23 is sleeved on the large open end of the sleeve rod, thereby the elastic link 3 and the base rod 1 are thereby The sleeve rod 2 is pivotally integrated. As shown in the second figure, when the multi-function connecting rod between the spine nails of the present invention is used, it is locked and connected to two bone nails 5 respectively fixed on two adjacent vertebrae (not shown on the drawing surface). The tightening screw 51 is used to respectively screw the base #1 and the sleeve rod 2 of the present invention into the fixing seat 52 at the upper end of the nail; as shown in the third to sixth figures, the creation can be performed during installation. The appropriate extension length and placement angle (4) should be made according to the position of the bone nail, and after installation, it can also automatically adjust the length and angle according to the user's spinal activity. The multi-functional link structure for the three bone nails to be fixed and fixed is mainly that the link structure comprises a movable sleeve body, and the seventh embodiment shows another embodiment of the change, which is a kind of elasticity. On the connecting rod 3, 'in this embodiment 4, and the casing 4 is stringed and located between the base rod 1 and the sleeve rod 2, M333176 = two 4: the elastic link 3 can move laterally left and right When the three fixations are performed, that is, by the position of the spine "the sleeve 4 between the base rod 1 and the sleeve rod 2 at the front and rear ends of the connecting rod, to obtain the position required for the multi-segmental spinal fixation operation. For the purpose of the creation of the individual nails, the three sets of movable sleeves are arranged in a series of [simplified illustrations]. The first figure is a side cross-sectional view of the present embodiment. The operation diagram of the combination of the example and the nail is a Q ^ link extensible state; the fourth picture of the field is the operation diagram of the combination of the creative embodiment and the bone nail can be shortened; the heart is the fifth picture The operation diagram of the combination of the present embodiment and the bone nail can be bent downward. Kind; not thinking
第六圖為本創作實施例與骨釘組合的運作示音圖 連桿可向上曲折的態樣；以及 η思/ 第七圖為本創作另一實施例之側面部分剖視圖。 【主要元件符號說明】 螺孔12 中空部21 柱塞23 螺桿31 骨釘5 固定座52 基桿1 套筒桿2 止檔部22 彈性連桿3 限定頭32 迫緊螺絲51 套體4 9The sixth figure is a schematic diagram of the operational sound map of the combination of the creation embodiment and the bone nail. The link can be bent upward; and the η/ seventh diagram is a side sectional view of another embodiment of the creation. [Description of main components] Screw hole 12 Hollow 21 Plunger 23 Screw 31 Bone nail 5 Fixing seat 52 Base rod 1 Sleeve rod 2 Stop portion 22 Elastic link 3 Qualifying head 32 Tightening screw 51 Casing 4 9