M4O9049 .· 五、新型說明： 【新型所屬之技術領域】 本創作為有關一種醫療用的骨髓鑽取器材，尤其關於 一種能穿過骨外膜而直接取出海綿骨的便利裝置。 【先前技術】 骨科醫師的日常診療業務中，除了一般習知的開刀病 患外，隨著各種醫療治療技術的快速進展，也同時產生了 ^ 許多需要配合的開刀診療技術，如：骨鶴内釘的置入，是適 用於骨頭受損且型態不佳的病患；骨片的移植，則適合其 他患處的癒合不良而衍生的技術；其中骨髓（海綿骨）的抽 取，除了可以配合病患本身的相對疾患外，配合各種基因 工程的需求’也是這項技術需求日盈魔大的主因。 不論何項技術需求，施行手術時的時間則是醫師最為 要求的重點，然後是開孔品質，手術時間一則關係到骨片 本身的品質，進而影響所要移植部位的需求孔急，再者它 項的基因工程中，骨髓除可做為骨髓移植外，製作為促進 • 細胞分化的生長因子，或是骨髓幹細胞做為他種細胞的分 化來源等等，在在都是與時間競賽的技術要求。 更者，就開刀取骨髓的品質而言，所開孔處的開孔型 態與大小，也影響到原處開孔的癒後情形，如何緊致細密 的完成合適的開孔大小，更成為醫療品質所追求的目標， 所以對於上述的骨髓鑽孔需求，作為臨床醫師的本創作 者，則心有所感，期望據此改良臨床的醫療器械，並為醫 療研發進一份心力。 3 M409049 【新型内容】 爰是，本創作的目的在於設計能夠快速鑽取、便利醫 師使用的一種骨髓鑽取裝置。 基於上述目的本創作為一種骨髓鑽取裝置，其包含: 一鑽孔套筒與一移動内柱；該鑽孔套筒為中空筒狀且具兩 端，一端為一鑽孔端，另一端為一第一握持端，該鑽孔端 開設有齒狀之第一開口，而該第一握持端開設有一第二開 口，而該鑽孔套筒内設有一容置空間，該容置空間與該第 一開口、該第二開口貫穿連通。 該移動内柱為柱狀並具兩端，一端為一動作端，另一 端為一第二握持端，該移動内柱以該動作端由該第二開口 穿設進入，使該移動内柱容設於該容置空間。 藉由上述技術方案，本創作為一種骨髓鑽取裝置，其 具有下列優點： 一、 該第一握持端供醫師便於握持施力，再由該鑽孔 端接觸骨骼組織，並進行快速鑽孔動作，由於骨科手術的 不同形式，但對於時間卻同樣要求，所以本創作的該第一 握持端能讓醫師握持方式合宜，以提高鑽孔速度，提高後 續手術程序的完整流暢度。 二、 該移動内柱藉該動作端由該第二開口穿設進入， 並使該移動内柱容設於該容置空間中，並進行骨髓取用， 對於骨髓本身，則有較佳的後續衍生的細胞品質保證，除 可衍生供做他種組織的生長因子外，更可有較佳的骨髓幹 細胞來源。 4 M409G49 •【實施方式】 茲有關本創作的詳細内容及技術說明，現以實施例來 作進一步說明，但應瞭解的是，該等實施例僅為例示說明 的用途，而不應被解釋為本創作實施的限制。 請參閱「圖1、2、3」所示，為本創作的裝置示意圖、 與使用方式示意圖。本創作為一種骨髓鑽取裝置，其包含: 一鑽孔套筒10與一移動内柱20;該鑽孔套筒10為中空筒 狀且具兩端，一端為一鑽孔端11，另一端為一第一握持端 12，該鑽孔端11開設有齒狀之第一開口 111，而該第一握 修 持端12開設有一第二開口 121，其中該第一握持端12設 有與該鑽孔套筒10筒身垂直的延伸端122，而該鑽孔套筒 10内設有一容置空間13，.該容置空間13與該第一開口 111、該第二開口 121貫穿連通。 該移動内柱20為柱狀並具兩端，一端為一動作端21， 另一端為一第二握持端22，該移動内柱20以該動作端21 由該第二開口 121穿設進入，且該第二握持端22設置有一 卡止端23，以供與該第二開口 121卡設使用，並使該移動 φ 内柱20容設於該容置空間13。 又，該鑽孔套筒10之鑽孔端11進一步設有一保護套 . 30，可避免該鑽孔端11之第一開口 111齒狀部分受損，也 保護一般持有者不會被割傷。 本創作中，該第一握持端12的該延伸端122與該鑽孔 套筒10筒身的設置為提供醫師便於握持施力，再由該鑽孔 端11接觸骨骼組織100 (如圖2所示），並進行快速旋轉鑽 孔動作，使鑽孔端11穿過外骨皮質101進入到海綿骨102 内，使容置空間13靠近鑽孔端11内部有外骨皮質101與 5 M409049 • 海綿骨102。由於對於手術時間的要求，所以本創作的該 第一握持端12與該延伸端122能讓醫師握持方式合宜，進 而加快鑽孔速度，提高後續手術程序的完整流暢度。 取出該鑽孔套筒10後，該移動内柱20藉該動作端21 由該第二開口 121穿設進入後(如圖3所示），並使該移動 内柱20於該容置空間13中移動，並由該第一開口 111將 靠近鑽孔端11内部的外骨皮質101與海绵骨102推出進行 骨髓取用，如此方式對於骨髓本身的品質要求，才有較佳 • 的後續衍生細胞來源，除可供製作他種組織所需的生長因 _ 子外，更可有較佳的骨髓幹細胞來源。 請再參閱「圖4」所示，為本創作的另一實施例示意 圖，其中該第二開口 121可設置於該鑽孔套筒10之筒身 上，如此的結構方式，除可供醫師一手握持柱該第一握持 端12外，另一手可同時操作第二握持端22，避免手術中 的微小失誤，進而有更好的醫療品質。 醫療技術不斷進步，進而進化出許多不同的治療方 式，這需要許多不同部門的共同配合，所以各個環節的細 緻要求更顯重要，或許骨骼鑽取是一門由來已久的骨科技 ^ 術，但由於骨髓衍生出後續新形態的治療方式，所以如何 精益求精，更顯得重要，本創作者為臨床骨科醫師，除執 行一般醫療診治業務外，對於本身醫療團隊的醫療品質維 護，更有自我要求的態度，希冀據此共同維護整體團隊醫 療技術品質。 惟上述僅為本創作的較佳實施例而已，並非用來限定 本創作實施的範圍。即凡依本創作申請專利範圍所做的均 等變化與修飾，皆為本創作專利範圍所涵蓋。 6 M409049 【圖式簡單說明】 圖1為本創作的骨髓鑽取裝置之裝置示意圖。 圖2為本創作的骨髓鑽取裝置之使用方式示意圖一。 圖3為本創作的骨髓鑽取裝置之使用方式示意圖二。 圖4為本創作的骨趙鑽取裝置之另一實施例示意圖。 【主要元件符號說明】 10:鑽孔套筒 11 :鑽孔端 _ 111 :第-開 σ 12 :第一握持端 121 :第二開口 122 :延伸端 13 :容置空間 20 :移動内柱 21 :動作端 22:第二握持端 .鲁 23 :卡止端 ' 30 :保護套 100 :骨骼組織 101 :外骨皮質 102 :海綿骨 7M4O9049 .· V. New Description: [New Technology Field] This work is about a medical bone marrow drilling equipment, especially a convenient device that can directly remove the sponge bone through the epithelium. [Prior Art] In the daily diagnosis and treatment business of orthopedic surgeons, in addition to the well-known patients with open surgery, with the rapid advancement of various medical treatment technologies, there are also many techniques for the diagnosis and treatment that need to be coordinated, such as: The placement of the nail is suitable for patients with damaged bones and poor shape; the transplantation of bone fragments is suitable for the healing of other affected areas; the extraction of bone marrow (sponge bone) can be combined with disease In addition to the relative illnesses of their own, the need to cooperate with various genetic engineering is also the main reason for the demand for this technology. Regardless of the technical requirements, the time for performing the operation is the most important point for the physician, and then the quality of the opening. The operation time is related to the quality of the bone piece itself, which in turn affects the demand for the transplanted part. In genetic engineering, bone marrow can be used as a bone marrow transplant, as a growth factor that promotes cell differentiation, or as a source of differentiation of bone marrow stem cells as a seed cell, and so on. Moreover, in terms of the quality of the bone marrow, the shape and size of the opening at the opening also affects the post-opening situation of the original opening. How to compact and complete the appropriate opening size becomes more and more The goal pursued by medical quality, so as for the above-mentioned bone marrow drilling needs, as a creator of the clinician, I feel a sense of it, and I hope to improve the clinical medical equipment and make a contribution to medical research and development. 3 M409049 [New Content] The purpose of this creation is to design a bone marrow drilling device that can be quickly drilled and used by doctors. Based on the above object, the present invention is a bone marrow drilling device, comprising: a drilling sleeve and a moving inner column; the drilling sleeve is hollow cylindrical and has two ends, one end is a drilled end, and the other end is a first holding end, the drilling end is provided with a first opening having a tooth shape, and the first holding end defines a second opening, and the drilling sleeve is provided with an accommodating space, the accommodating space The first opening and the second opening are in communication with each other. The moving inner column is columnar and has two ends, one end is an action end, and the other end is a second holding end, and the moving inner column is inserted into the second opening through the action end, so that the moving inner column It is accommodated in the accommodating space. According to the above technical solution, the present invention is a bone marrow drilling device, which has the following advantages: 1. The first holding end is convenient for the physician to hold the force, and then the drilled end contacts the bone tissue and performs rapid drilling. The hole movement, due to the different forms of orthopedic surgery, but the same time requirements, so the first holding end of the creation allows the physician to hold the appropriate way to improve the drilling speed and improve the complete fluency of the subsequent surgical procedures. 2. The moving inner column is inserted into the second opening through the action end, and the moving inner column is accommodated in the accommodating space, and the bone marrow is taken. For the bone marrow itself, there is a better follow-up. Derived cell quality assurance, in addition to the growth factors that can be derived for other tissues, can have a better source of bone marrow stem cells. 4 M409G49 • [Embodiment] The detailed description and technical description of the present invention are further described by way of examples, but it should be understood that the embodiments are for illustrative purposes only and should not be construed as The limitations of this creative implementation. Please refer to "Figure 1, 2, 3" for a schematic diagram of the device and its schematic diagram. The present invention is a bone marrow drilling device, comprising: a drilling sleeve 10 and a moving inner column 20; the drilling sleeve 10 is hollow cylindrical and has two ends, one end is a drilled end 11 and the other end The first holding end 12 is provided with a first opening 111, and the first holding end 12 defines a second opening 121. The first holding end 12 is provided with a second opening 121. An accommodating space 13 is defined in the ferrule sleeve 10, and the accommodating space 13 is connected to the first opening 111 and the second opening 121. . The moving inner column 20 is columnar and has two ends, one end is an action end 21, and the other end is a second holding end 22, and the moving inner column 20 is inserted into the second opening 121 by the action end 21 The second holding end 22 is provided with a locking end 23 for use with the second opening 121, and the moving φ inner column 20 is received in the accommodating space 13. Moreover, the drilled end 11 of the drilling sleeve 10 is further provided with a protective sleeve 30. The toothed portion of the first opening 111 of the drilled end 11 is prevented from being damaged, and the general holder is protected from being cut. . In the present creation, the extended end 122 of the first gripping end 12 and the barrel of the drilling sleeve 10 are arranged to provide a physician with a convenient holding force, and the drilled end 11 contacts the bone tissue 100 (as shown in the figure). 2)) and performing a rapid rotary drilling operation, so that the drilled end 11 passes through the outer cortical bone 101 into the sponge bone 102, so that the accommodating space 13 is close to the inside of the drilled end 11 with the outer cortical bone 101 and 5 M409049 • sponge Bone 102. Due to the requirement of the operation time, the first holding end 12 and the extending end 122 of the present invention can be conveniently held by the doctor, thereby speeding up the drilling speed and improving the complete fluency of the subsequent surgical procedure. After the drilling sleeve 10 is taken out, the moving inner column 20 is inserted into the second opening 121 through the action end 21 (as shown in FIG. 3 ), and the moving inner column 20 is in the accommodating space 13 . Moving in the middle, and the first opening 111 pushes the outer cortical bone 101 and the sponge bone 102 near the inside of the drilled end 11 for bone marrow access, so that the quality of the bone marrow itself is better, and the source of the subsequent derived cells is better. In addition to the growth factors needed to make other tissues, there is a better source of bone marrow stem cells. Please refer to FIG. 4 again, which is a schematic view of another embodiment of the present invention, wherein the second opening 121 can be disposed on the barrel of the drilling sleeve 10 in such a manner that the doctor can hold the hand in one hand. The first gripping end 12 is held by the column, and the second gripping end 22 can be operated simultaneously by the other hand, thereby avoiding minor mistakes in the operation and further having better medical quality. Medical technology continues to advance, and many different treatments have evolved. This requires the cooperation of many different departments, so the detailed requirements of each link are more important. Perhaps bone drilling is a long-standing bone technology, but because of Bone marrow is derived from a new form of treatment, so how to improve, it is more important. This creator is a clinical orthopaedic surgeon. In addition to performing general medical diagnosis and treatment, he has a self-required attitude towards the medical quality maintenance of his own medical team. Together, it hopes to jointly maintain the quality of the overall team medical technology. However, the foregoing is only a preferred embodiment of the present invention and is not intended to limit the scope of the present invention. That is, the equal changes and modifications made by the patent application scope of this creation are covered by the scope of the creation patent. 6 M409049 [Simple description of the drawing] Fig. 1 is a schematic view of the device of the bone marrow drilling device of the present invention. Figure 2 is a schematic view of the use of the bone marrow drilling device of the present invention. FIG. 3 is a schematic diagram 2 showing the use mode of the bone marrow drilling device of the present invention. FIG. 4 is a schematic view of another embodiment of the bone imaging drilling device of the present invention. [Main component symbol description] 10: Drilling sleeve 11: Drilling end _ 111 : First opening σ 12 : First holding end 121 : Second opening 122 : Extended end 13 : accommodating space 20 : Moving inner column 21: action end 22: second grip end. Lu 23: card end '30: protective cover 100: bone tissue 101: outer cortical 102: sponge bone 7