M425654 五、新型說明： 【新型所屬之技術領域】 本創作係有關一種組合式脊椎固定裝置， H脊=提供稽開、加M、脊柱縱軸旋轉及椎間盤病變 之復位等功能的組合式脊椎固定裝置。 【先前技術】 人體脊椎係由複數頸椎”，、膠 成，而神經則經由脊髓通過椎體間的空隙 牧惟及薦椎所組 旦脊椎發 生移位、骨折，或產生壓土白弋Λ $田.、一 —t惟^ 豎样，初么士次產生壓或甚周圍肌肉，韌帶組織 末端考/接影響通過的神經’間接引起神經供應的 戈分泌腺體。當保守治療無效或症狀反 使用脊椎彳手術治療’例如安裝脊椎復位系統， 復位喊少對神經及脊髓的料，達維持病人 2 fr線，並讓病人可以恢復良好的生活品質之 目的，而S知脊椎復位系統在安 骨螺釘或釣在脊椎骨節上的克二在 i 2用Γ常的作法不外乎使該系統的脊椎連桿彎 ::使用夹片構件來夹持固定該 = “P會衍生許多缺失，例如 Ά種手 無法央緊’且夹片只能單向調整固定；夹片 無法任意地調整固定在各種角产，；：= 的角度，而 ，’其對連桿-曲部位的固;效=螺 ::的問題；此外’習知脊椎復位系統都只能單心: =rr的固定角度，無法達到任何= …'而經由治療經驗顯示’當脊推復位系統 3 M425654 若無法將脊椎骨節位置準 減損；再者，習知脊椎m :其治療效果將嚴重 •實有改良之必要‘統的構造複雜’故障率高， 【新型内容】 提供—種組合式脊椎固定裝置，i可安裝在 複數脊椎骨節之間，用 八J文裝在 位置，並提供辅助古浐士 _ I舍推月的方位以及固定 狀。 辅助支稽力，達治療或舒緩脊椎病變的症 由複目創作之組合式脊椎固定裝置係 桿螺等構件共同植成口^螺帽、螺合塾以及至少一連 別脊椎骨上，並使該等骨螺钉分別釘固在各 於組合座，缺ίΐΐΐί 螺合#以將骨螺钉螺接 妥適調整組:固定分職於連桿上，並 間的正確定位，並m角度’據此確保各別脊椎骨 而兄、、棱供脊椎一適度的辅助支撐力。 面外周具有向上凸設的球面，在該球 以及第-旋鈕邱鈕部’且自該球面向上凸設一螺柱 旋鑽部可驅動該骨螺釘 本紋，並使本體下端部呈尖錐狀且 體上設有易於螺旋植入骨骼中。前述組合座之座 -徑：迫緊螺：向：穿的軸孔’並在該軸孔的側邊設有 前述螺入執喊、，另於座體上設有垂直向貫穿的套孔。 '、口呈套筒狀而恰可套置於前述組合座的套 M425654 孔中且其中央部位設有一漸縮狀的錐孔，而該錐孔上 端5又有上凸的球面唇緣，以及在該錐孔下端設有内凹的 球面罩簷’利用該球面罩簷恰可套接組合於前述骨螺釘 的釘頭之球面，因此在任何組合角度都可以使二者緊密 套合2前述螺帽，其外周緣具有六角形的旋鈕部，並在 、卜位°又有貝穿螺孔，以及該螺帽底面設有内凹的 球面，藉由該内凹的球面套接組合於前述螺合墊的球面 唇緣上，因此在任何角度設置都可以使二者緊密套合。 •該連=可依安裝部位需求而選用不同桿徑規格，在其桿 體上設有至少一旋鈕部，用以施力調整該連桿的設置角 度或位置；最好’該連桿係由具有彈性、高強度以及耐 钱f生的金屬材料所加卫製成，而該金屬材料是選自於欽 合金、鈕合金、不銹鋼…等，但實施範圍不以前述材料 為^各類適合植設在人體内使用的具有良好機械強度 和抗化學性的合金材料或生物相容性的高分子聚合物 材料（Biocompatible polymer)均適用。 又’依前述結構的基礎，亦可將前述組合座的套孔 f設成為一長形孔’且在該長形孔設置處附近的座體 下方表面叹有止滑紋路而將該螺合墊改設呈環 狀，在其中央部位貫穿孔端邊的周緣設有内凹的球面，< 2該螺合㈣—表面設有複數止滑凸點；並將該螺帽 底面改设為具有外凸的球面；藉改設該組 可增加骨螺釘的組裝間距及角度，並利用設置在Li :表：：止滑紋路與在該螺合墊表面的止滑凸點之搭 配，使月螺釘與組合座的接合更加穩固。 此將於下文中加以說明本創作其他的目的，優點及 5 M425654 顯著的特徵，熟習本技術者熟讀文中的說明後實現本創 作。 【實施方式】 如第一、二圖所示，本創作之組合式脊椎固定裝置 是被=裝在人體脊椎上，係將該等骨螺釘彳分別植設在 各別脊椎骨節9上，以及使用螺帽、螺合墊等螺合構件 f骨螺釘固結於組合座，再令該等組合座分別樞接於連 桿8上，並妥適調整組合固定的位置及角度，據此確保 各別脊椎骨間的正確定位，並提供脊椎一適度的輔助支 撐力。 第三圖顯示本創作實施例的各構件組合態樣，特別 是其中的組合座、螺帽與螺合墊等構件具有二種不同式 2的組合結構，在第四至六圖描述了第一種式樣的組合 結構，而第七、八圖顯示了第二種式樣的組合結構。 本創作之骨螺釘1係在本體設有外螺紋彳2，並使本 體下端部呈尖錐狀且設有切口 13,因此可簡易地將骨螺 針，體旋轉植入於欲治冑骨路中，而在該骨螺釘，的釘 ，°卩位具有向上凸設的球面14以及該球面外周緣設有 紅、。卩15，且自該球面向上伸設一螺柱16以及旋紐部 17 〇 、，而如第三至六圖所示，於第一組合座2上設有一水 平向貫穿的軸孔21，並在該軸孔的侧邊設有一徑向迫緊 螺絲22，另在第一組合座2的延伸板上設有垂直向貫 套孔23 ;而第一螺合墊3係呈套筒狀恰可套置於 第一組合座的套孔23中，在第一螺合墊3的中央部位 M425654 2-:縮狀的錐孔31，而該錐孔上端設有上凸的球面 :一-以及在該錐孔下端設有内凹的球面罩簷33· 第一螺帽4的外周缝且女 ’ 央部位設有-貫穿螺孔、42六角形的旋㈣41 ’並在中 球面们。當骨螺钉Γ2,以及該螺帽底面設有内凹的 〇第一組合座2組接時，將骨螺 ^的釘頭部位串套於第—螺合墊的錐孔31中，^ :二L::内凹的球面罩筹33恰可套接該骨螺 二 此使該骨螺釘無論安裝在任何角度 箆一二4、口墊作緊密套合(參見第六圖），然後再將 16，並^㈣ΐ 42螺合鎖固於該骨螺釘上方的螺柱 3上端凸起的球面唇緣32i^細人/ =螺口墊 。緣搭配組合，因此在任何方位 X 螺帽4與第一螺合墊3都可緊密組合（參見第 六圖）；據此使骨螺釘1、第-組合座2、第一螺合墊3 以及第一螺帽4等構件組合成一體。 ^再如第一圖及第七至八圖所示，於第二組合座5上 认有水平向貫穿的軸孔51，並在該軸孔的侧邊設有一 L向迫=螺絲52’另在第_組合座5的延伸板上設有 垂直向貫穿的長形孔53’以及於該長形孔設置處附近的 座體上、下方表面設置止滑紋路54;而第二螺合墊6 係略呈環狀’在其中央部位的貫穿孔端邊的周緣設有内 凹的球面61 ’並在其一表面設有若干止滑凸點62;第 二螺帽7的外周緣具有六角形的旋鈕部71，並在中央 邛位δ又有一貫穿螺孔72，以及該螺帽底面設有外凸的球 面73。g骨螺釘1與第二組合座$組接時，係將骨螺 釘1的釘頭部位串套至第二組合座的長形孔53中，而 7 ，該長形孔53的上、下面分別設有一片第二螺合墊6， 利用第二螺合墊6中央貫穿孔的内凹球面61與該骨螺 釘釘=上凸設之球面14套接搭配，使該骨螺釘1與第 厂螺合墊6可在任何角度作緊密套合（參見第八圖），然 後再將第二螺帽7的螺孔72螺合鎖固於該骨螺釘上方 的螺柱16,並藉第二螺帽7底面内凹的球面73與第二 螺合墊6中央貫穿孔的内凹球面6彳搭配，達便於在各 種方位角度之組合（參見第人圖）；據此使骨螺釘”、第 一組合座5、第二螺合墊6以及第二螺帽7等構件組合 成二體；上述第二種組合結構雖較前述第一種組合結二 在操作上較為繁複，惟該組合座的長形孔53設置具有 可增加骨螺釘組裝間距及角度的優點，另外利用設置在 組合座表面的止滑紋路54與在螺合墊表面的止滑凸點 之搭配’亦可獲传提升構件組合穩固性的特點。 、依上述說明可知，當該等骨螺釘被分別植設在各別 脊椎骨節上’且在該等螺帽未迫緊固定前，因該等骨螺 釘螺δ整與螺帽之間係採用凹、凸球面的套接組合^ 式，所以各構件之間可作各種擺置角度的組合（如第六、 八圖所示）’亦即該骨螺釘植入脊椎骨節的方向與位置可 隨意地適當調整，但當該等螺帽被迫緊後，可使骨螺 釘、螺合墊、螺帽、組合座以及連桿等構件之間緊密鎖 固成一體，因此整個脊椎固定裴置與脊椎各骨節之間可 被準確定位且穩固地結合在一起，以達成有效的治療目 的0 可以理解的，上述骨骼固定構造的相關構件使被設 置在人體内使用，所以所選用的材料除了須具備所需的 M425654 機械性質之外，亦被要求具備抗化學性及生物相容性， :些材料可選自鈦合金、组合金、不錄鋼等金屬材 ;，但實施範圍不以前述材料為限。 以上所舉實施例，僅用為方便說明本創作並非加以 離本創作精神料，熟悉此—行業技藝人士 =創作ΐ請專利範圍及發明說明所 ，㈣，均仍應含括於以下申請專利種間易變 【圖式簡單說明】M425654 V. New Description: [New Technology Field] This creation is about a combined spinal fixation device, H-ridge = combined spinal fixation for providing the function of opening, adding M, rotation of the longitudinal axis of the spine and reduction of disc disease. Device. [Prior Art] The human spine is composed of a plurality of cervical vertebrae, and the nerves are transferred through the spinal cord through the gap between the vertebral bodies and the spine of the vertebral body, and the spine is displaced or fractured. Tian., one-t only ^ vertical, the initial sputum produces pressure or surrounding muscles, the end of the ligament tissue test / connect the affected nerves indirectly cause the nerve supply of the secretory gland. When conservative treatment is invalid or the symptoms are reversed Use spinal sacral surgery to treat 'such as installing a spinal reduction system, resetting less nerves and spinal cord material, maintaining the patient's 2 fr line, and allowing the patient to restore a good quality of life, while S knows the spinal reduction system in the bone Screws or squid on the spine joints in the i 2 use the usual practice of bending the spinal rod of the system: use the clip member to clamp the fixed = "P will derive many defects, such as Ά The hand can't be tightened' and the clip can only be adjusted and fixed in one direction; the clip can't be arbitrarily adjusted and fixed in various angles;;:= angle, and 'the solid to the link-curved part; effect=snail :: question; in addition Conventional spinal reduction system can only be single heart: = rr fixed angle, can not reach any = ... ' and through the experience of treatment shows that when the spine push reset system 3 M425654 if the position of the spine joint can not be derogated; Spine m: The therapeutic effect will be severe. • The need for improvement is 'complex structure' and the failure rate is high. [New content] Provide a combined spinal fixation device, i can be installed between multiple vertebrae, with eight J The text is in the position and provides the orientation and fixed shape of the assistant gentleman _ I. Auxiliary support for the treatment or soothing of the spinal lesions. The combined spinal fixation device, such as the snail and the snail, are co-planted into the mouth, the nut, the screw, and at least one of the vertebrae. The bone screws are respectively nailed to each combination seat, and the screw is screwed properly to adjust the bone screw. The fixed position is divided on the connecting rod, and the correct positioning between the two points is ensured. The vertebrae and the brothers, and the ribs provide a moderate auxiliary support for the spine. The outer periphery of the surface has an upwardly convex spherical surface, and a stud rotary drill portion is protruded from the ball and the knob-shaped knob portion to drive the bone screw pattern, and the lower end portion of the body has a tapered shape And the body is easy to spiral implant into the bone. The seat of the combination seat-diameter: the tightening screw: the shaft hole to be worn and the screw hole is provided on the side of the shaft hole, and the sleeve hole is vertically penetrated on the seat body. ', the mouth is sleeve-shaped and can be placed in the hole of the sleeve M425654 of the aforementioned combination seat and has a tapered tapered hole at the center thereof, and the upper end 5 of the tapered hole has an upward convex spherical lip, and A concave spherical mask is disposed at the lower end of the tapered hole. The spherical surface of the nail head of the bone screw can be sleeved by the spherical mask, so that the combination of the two can be tightly fitted at any combination angle. a cap having a hexagonal knob portion on the outer circumference thereof, and a hole through the screw hole in the position of the hole, and a concave spherical surface on the bottom surface of the nut, wherein the concave spherical surface is sleeved and combined with the screw Fitted on the spherical lip of the pad, so it can be tightly fitted at any angle. • The connection = different rod diameter specifications can be selected according to the requirements of the installation site, and at least one knob portion is provided on the rod body for applying force to adjust the setting angle or position of the connecting rod; It is made of a metal material which is elastic, high-strength, and resistant to money. The metal material is selected from the group consisting of alloys, alloys, stainless steels, etc., but the scope of implementation is not based on the above materials. An alloy material or a biocompatible polymer material having good mechanical strength and chemical resistance for use in a human body is suitable. Further, according to the basis of the foregoing structure, the sleeve hole f of the combination seat can be set as an elongated hole and the sliding surface of the lower surface of the seat body near the arrangement of the elongated hole is sagged to the screw pad The ring is changed in a ring shape, and a concave spherical surface is provided at a periphery of the end portion of the through hole at the central portion thereof. < 2 The screw (4) surface is provided with a plurality of anti-slip bumps; and the bottom surface of the nut is changed to have Convex spherical surface; by changing this group can increase the assembly spacing and angle of the bone screw, and use the setting of the Li: table:: anti-slip texture and the anti-slip bump on the surface of the screw pad to make the moon screw The joint with the combination seat is more stable. This will be explained below for other purposes, advantages, and salient features of the 5 M425654, which are familiar to those skilled in the art. [Embodiment] As shown in the first and second figures, the combined spinal fixation device of the present invention is mounted on the human spine, and the bone screws are respectively implanted on the respective vertebrae 9 and used. A screwing member such as a nut or a screw pad is fixed to the combination seat, and the combination seat is pivotally connected to the connecting rod 8 respectively, and the position and angle of the combined fixing are appropriately adjusted, thereby ensuring the respective positions. Correct positioning between the vertebrae and providing a moderate auxiliary support for the spine. The third figure shows the combination of the components of the present embodiment, in particular, the combination seat, the nut and the screw pad have two different combinations of the formula 2, and the first one is described in the fourth to sixth figures. The combined structure of the patterns, while the seventh and eighth figures show the combined structure of the second type. The bone screw 1 of the present invention is provided with an external thread 彳2 in the body, and the lower end portion of the body has a tapered shape and is provided with a slit 13 so that the bone screw and the body can be easily rotated and implanted into the iliac bone road. In the nail of the bone screw, the spherical surface 14 having an upward convex shape and the outer circumference of the spherical surface are provided with red.卩15, and a stud 16 and a knob portion 17 are extended from the ball surface, and as shown in the third to sixth figures, a horizontally penetrating shaft hole 21 is provided in the first assembly seat 2, and A radial tensioning screw 22 is disposed on a side of the shaft hole, and a vertical through sleeve hole 23 is disposed on the extension plate of the first assembly base 2; and the first screwing mat 3 is sleeve-shaped. The sleeve is placed in the sleeve hole 23 of the first assembly seat, in the central portion of the first screw pad 3, M425654 2-: a tapered tapered hole 31, and the upper end of the tapered hole is provided with a convex spherical surface: a-and The lower end of the tapered hole is provided with a concave spherical mask 檐 33· the outer peripheral slit of the first nut 4 and the female central portion is provided with a through-threaded hole, a 42-hexagonal spin (four) 41 ' and in the middle spherical surface. When the bone screw Γ 2 and the bottom surface of the nut are provided with a concave 〇 first combination seat 2, the nail head portion of the bone screw is sleeved in the tapered hole 31 of the first screw hole, ^ : two L:: The concave spherical mask is just enough to fit the snail. This allows the bone screw to be tightly fitted at any angle, either at any angle (see Figure 6), and then 16 , and ^ (four) ΐ 42 screwed to the upper end of the stud 3 above the screw 3 raised spherical lip 32i ^ fine person / = screw pad. The edge combination is combined, so that the X nut 4 and the first screw pad 3 can be tightly combined in any orientation (see the sixth figure); accordingly, the bone screw 1, the first combination seat 2, the first screw pad 3, and The first nut 4 and the like are combined into one body. Further, as shown in the first figure and the seventh to eighth figures, a horizontally extending shaft hole 51 is recognized in the second assembly seat 5, and an L-direction forced=screw 52' is provided on the side of the shaft hole. An elongated hole 53' penetrating vertically is provided on the extension plate of the first assembly block 5, and a stop-slip pattern 54 is disposed on the lower body surface of the seat body near the installation place of the elongated hole; and the second screw pad 6 is provided. The outer circumference of the through-hole end edge of the central portion is provided with a concave spherical surface 61' and a plurality of anti-slip bumps 62 are provided on one surface thereof; the outer circumference of the second nut 7 has a hexagonal shape The knob portion 71 has a through-hole 72 in the central clamp δ, and a convex spherical surface 73 is provided on the bottom surface of the nut. When the g-bone screw 1 and the second combination seat are assembled, the nail head portion of the bone screw 1 is sleeved into the elongated hole 53 of the second combination seat, and 7, the upper and lower sides of the elongated hole 53 are respectively a second screw pad 6 is provided, and the concave spherical surface 61 of the central through hole of the second screwing pad 6 is sleeved and matched with the bone screw of the bone screw=upper convex surface, so that the bone screw 1 and the first screw The mat 6 can be tightly fitted at any angle (see the eighth figure), and then the screw hole 72 of the second nut 7 is screwed to the stud 16 above the bone screw, and the second nut is borrowed. 7 The concave spherical surface 73 of the bottom surface is matched with the concave spherical surface 6彳 of the central through hole of the second screwing pad 6, so as to facilitate the combination of various azimuth angles (see the first figure); accordingly, the bone screw”, the first combination The seat 5, the second screw pad 6 and the second nut 7 and the like are combined into a two-body; the second combination structure is more complicated in operation than the first combination of the first type, but the length of the combination seat The hole 53 is provided with the advantage of increasing the assembly pitch and angle of the bone screw, and additionally utilizing the anti-slip line 54 and the snail disposed on the surface of the combined seat The combination of the anti-slip bumps on the surface of the pad can also be transmitted to enhance the stability of the combination of the lifting members. According to the above description, when the bone screws are respectively planted on the respective vertebrae joints, and in the nuts Before the tightening is fixed, because of the combination of the screw screw δ and the nut, the sleeve and the convex spherical surface are combined, so that the components can be combined with various angles of arrangement (such as the sixth, Figure 8)) That is, the direction and position of the bone screw implanted into the vertebrae can be adjusted as appropriate, but when the nuts are forced, the bone screw, screw pad, nut, and combination seat can be used. And the components such as the connecting rod are tightly locked together, so that the entire spinal fixation device and the spine can be accurately positioned and firmly combined to achieve effective therapeutic purposes. 0 It is understood that the above bone fixation The relevant components of the structure are arranged for use in the human body, so the selected materials are required to have chemical resistance and biocompatibility in addition to the required mechanical properties of M425654. These materials may be selected from titanium alloys. , Alloys, non-recorded steel and other metal materials; but the scope of implementation is not limited to the above materials. The above examples are only for convenience of description. This creation is not from the spirit of this creation, familiar with this - industry skilled people = creation ΐ Please refer to the patent scope and invention description, (4), which should still be included in the following patents.
第一圖為本創作安裝在人體脊椎上使用的示意圖； 第二圖為本創作的骨螺釘植設在脊椎骨的示·’ ^三圖為本創作實施例之構件組合的立體圖思， 第四圖為本創作實施例之第—部分構件離 第五圖為第四圖之構件組合的剖示圖；離立體圖， 第六圖為第四圖之構件組合及調整組合 第七圖為本創作實施例之第二部分槿杜八的剖示圖； 圖；以及 的分離立體 第八圖為第七圖之構件組合的剖示圖。 【主要元件符號說明】 骨螺釘1 切口 13 旋叙部15 旋益部17 軸孔21 套孔23 錐孔31 球面罩簷33 外螺紋12 球面14 螺检16 第一級合座2 迫緊螺絲22 第一螺合墊3 球面唇緣32 第—螺帽4 9 M425654 旋鈕部41 貫穿螺孔42 球面43 第二組合座5 轴孔51 迫緊螺絲52 長形孔5 3 止滑紋路54 第二螺合墊6 球面61 止滑凸點62 第二螺帽7 旋鈕部71 貫穿螺孔72 球面73 脊椎骨節9 連桿8The first figure is a schematic diagram of the use of the creation of the artificial spine on the human body; the second figure is a three-dimensional illustration of the component combination of the creation embodiment of the bone screw implanted in the vertebra, the fourth figure The first part of the present embodiment is a sectional view of the combination of the components of the fourth figure from the fifth figure; the left side view, the sixth figure is the component combination and the adjustment combination of the fourth figure. The second part is a cross-sectional view of the figure VIII; the figure; and the separated three-dimensional figure is a cross-sectional view of the component combination of the seventh figure. [Description of main components] Bone screw 1 Incision 13 Rotation part 15 Rotary part 17 Shaft hole 21 Set hole 23 Cone hole 31 Spherical cover 檐 33 External thread 12 Spherical 14 Screw inspection 16 First stage seat 2 Tightening screw 22 First screw pad 3 spherical lip 32 - nut 4 9 M425654 knob portion 41 through screw hole 42 spherical surface 43 second combination seat 5 shaft hole 51 pressing screw 52 elongated hole 5 3 slip line 54 second screw Mat 6 spherical surface 61 non-slip bump 62 second nut 7 knob portion 71 through screw hole 72 spherical surface 73 vertebra joint 9 connecting rod 8