TWM477256U - Inter-vertebral movable device - Google Patents

Inter-vertebral movable device Download PDF

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Publication number
TWM477256U
TWM477256U TW103200803U TW103200803U TWM477256U TW M477256 U TWM477256 U TW M477256U TW 103200803 U TW103200803 U TW 103200803U TW 103200803 U TW103200803 U TW 103200803U TW M477256 U TWM477256 U TW M477256U
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TW
Taiwan
Prior art keywords
metal plate
curved surface
arc
intervertebral
lower metal
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Application number
TW103200803U
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Chinese (zh)
Inventor
Jun-Hao Wu
Original Assignee
J O Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
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Priority to TW103200803U priority Critical patent/TWM477256U/en
Publication of TWM477256U publication Critical patent/TWM477256U/en

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Description

椎間活動裝置Intervertebral activity device

本創作係有關一種椎間活動裝置,尤指一種用以重建退化之椎間盤疾病之人工替代物。本創作植入脊椎退化節後,可支撐塌陷椎間之高度並重建原有之活動性,藉此消除脊髓或神經根之壓迫情況,並可避免傳統脊椎融合術所引起之鄰近節椎間盤加速退化問題。This creation is related to an intervertebral device, especially an artificial substitute for reconstructing degenerative disc disease. After the insertion of the spinal degeneration section, the creation can support the height of the collapsed intervertebral space and reconstruct the original activity, thereby eliminating the compression of the spinal cord or nerve root and avoiding the accelerated degeneration of the adjacent intervertebral disc caused by traditional spinal fusion. problem.

臨床上治療椎間盤退化性疾病(Degenerative Disc Disease)常植入椎間融合器進行局部活動區段的骨融合,不僅需要犧牲原來椎間活動性之外,融合後的僵直不適感也常影響患者生活品質,臨床追蹤報告更指出有高比例的病患在術後三至五年間發現鄰近節加速退化的問題。對此,可重建退化椎間盤活動性的裝置廣為僅椎間盤退化無其他椎節滑脫或椎間狹窄等併發症之病患所接受。現今市售之人工椎間活動裝置多為三件式設計,包含上、下金屬板及一襯墊,其活動方式為上金屬板於一襯墊上作固定半徑之圓周滑移而達到活動鄰近節椎節目的,然而此一活動方式並無法重建原自然體椎節可平移的特性,長期下來可能造成後側小面關節過度拉扯而導致新的併發症。Clinically, Degenerative Disc Disease is often implanted in an interbody fusion cage for bone fusion in the local active segment. It not only needs to sacrifice the original intervertebral activity, but also the stiffness and discomfort after fusion often affect the patient's life. The quality and clinical follow-up report also pointed out that a high proportion of patients found accelerated acceleration of adjacent nodes within three to five years after surgery. In this regard, devices that can reconstruct the activity of degenerative intervertebral discs are widely accepted by patients with only disc herniation and other complications such as spondylolisthesis or intervertebral stricture. The artificial intervertebral motion devices currently available on the market are mostly three-piece design, including upper and lower metal plates and a pad, which are moved in such a way that the upper metal plate is circumferentially slid on a pad to achieve a movable proximity. In the case of the vertebral program, this mode of activity does not reproduce the translatable nature of the original natural vertebral segments. In the long run, it may cause excessive pulling of the posterior facet joints and cause new complications.

緣是,本創作人有感於上述缺失之可改善,潛心研究並配合學理之運用,終於提出一種設計合理且可有效改善上述問題之本創作。The reason is that this creator feels that the above-mentioned deficiencies can be improved, and the research and cooperation with the use of academics have finally been put forward, and finally a novel design that is reasonable in design and can effectively improve the above problems is proposed.

本創作之主要目的在於提供一種可重建椎節平移及一般活動性之人工椎間活動裝置,利用其可活動之襯墊,藉此使上金屬板達到可平移之自由度,減少因僅固定半徑圓周活動而過度拉扯小面關節,為更貼近原始之椎間盤活動之植入裝置。The main purpose of this creation is to provide an artificial intervertebral motion device that can reconstruct the translation and general mobility of the vertebral segments, and utilizes the movable cushion to achieve the degree of freedom of translation of the upper metal plate and reduce the fixed radius only. The circular motion is excessively pulled by the circular motion, which is an implant device that is closer to the original intervertebral disc activity.

10‧‧‧上金屬板10‧‧‧Upper metal plate

101‧‧‧卡合齒101‧‧‧Knitting teeth

102‧‧‧工具孔102‧‧‧Tool hole

103‧‧‧第一弧面103‧‧‧First curved surface

104‧‧‧第二弧面104‧‧‧second curved surface

105‧‧‧第三弧面105‧‧‧3rd curved surface

11‧‧‧下金屬板11‧‧‧Under metal sheet

111‧‧‧卡合齒111‧‧‧Knitting teeth

112‧‧‧工具孔112‧‧‧Tool hole

113‧‧‧滑槽113‧‧‧Chute

12‧‧‧圓弧狀襯墊12‧‧‧Arc-shaped pad

121‧‧‧第四弧面121‧‧‧fourth curved surface

122‧‧‧軸件122‧‧‧ shaft parts

第一圖:係本創作之立體分解圖。The first picture: is a three-dimensional exploded view of the creation.

第二圖:係本創作之立體分解圖。The second picture: is a three-dimensional exploded view of the creation.

第三圖:係本創作之立體組合圖。The third picture: a three-dimensional combination of the creation of this creation.

第四圖:係本創作之沿第三圖中4-4剖線之剖視圖。Figure 4: A cross-sectional view of the creation along the line 4-4 in the third figure.

第五圖:係本創作之沿第三圖中5-5剖線之剖視圖。Figure 5: A cross-sectional view of the creation along the line 5-5 in the third figure.

以下具體實施例僅為本創作最佳實施態樣的例示,非意圖限制本創作之範圍。所屬領域具有通常知識者可藉由本創作之揭露,在不背離本創作精神的範圍內做出適度的變更和修正。The following specific examples are merely illustrative of the best mode of the present invention and are not intended to limit the scope of the present invention. Those of ordinary skill in the art can make appropriate changes and modifications within the scope of the spirit of the present invention by the disclosure of the present invention.

請參照第一圖至第五圖,本創作提供一種椎間活動裝置,其可重建塌陷椎體之高度,同時提供退化頸椎區段自然活動能力與運動範圍。所述之椎間活動裝置包括一上金屬板10、一下金屬板11及一圓弧狀襯墊12。Referring to the first to fifth figures, the present invention provides an intervertebral motion device that can reconstruct the height of the collapsed vertebral body while providing the natural mobility and range of motion of the degenerated cervical segment. The intervertebral moving device comprises an upper metal plate 10, a lower metal plate 11 and an arc-shaped pad 12.

該上金屬板10的外緣設有二工具孔102,該上金屬板10的頂部設有一曲率近似椎骨曲面之第一弧面103及多數個卡合齒101,該上金屬 板10的底部凹設有一第二弧面104及一增加活動角度之第三弧面105。The outer edge of the upper metal plate 10 is provided with two tool holes 102. The top of the upper metal plate 10 is provided with a first curved surface 103 having a curvature approximating the surface of the vertebra and a plurality of engaging teeth 101. The bottom of the plate 10 is concavely provided with a second curved surface 104 and a third curved surface 105 for increasing the movable angle.

該下金屬板11的外緣設有二工具孔112,該下金屬板11的頂部設有一滑槽113,該下金屬板11的底部設有多數個卡合齒111。The outer edge of the lower metal plate 11 is provided with two tool holes 112. The top of the lower metal plate 11 is provided with a sliding slot 113. The bottom of the lower metal plate 11 is provided with a plurality of engaging teeth 111.

該圓弧狀襯墊12的頂部設有一第四弧面121,該圓弧狀襯墊12的底部設有一軸件122。A top surface of the arc-shaped gasket 12 is provided with a fourth curved surface 121. A bottom portion of the circular arc-shaped gasket 12 is provided with a shaft member 122.

組合時,該圓弧狀襯墊12置於該上金屬板10與該下金屬板11之間,該第四弧面121與該第二弧面104的配合,使該上金屬板10在該圓弧狀襯墊12的頂部作前後方向、左右方向以及軸向轉動的滑動接觸,如第四圖以及第五圖所示。在本實施例中,該第四弧面121與該第二弧面104之間呈拱形弧面的接觸配合,形成本創作之椎間活動裝置的關節面,用以提供整體機構前後屈曲、左右屈曲以及軸向轉動的活動自由度,同時透過該上金屬板10的底部凹設有一增加活動角度之第三弧面105,用以增加該上金屬板10前後屈曲以及左右屈曲的活動範圍。該圓弧狀襯墊12之軸件122可配合於該下金屬板11之滑槽113內,使該圓弧狀襯墊12無限制於該滑槽113自由滑移,於整體機構活動時,該圓弧狀襯墊12本體會產生水平移動及轉動,達到本創作之可平移活動度之需求。When assembled, the arc-shaped spacer 12 is disposed between the upper metal plate 10 and the lower metal plate 11, and the fourth curved surface 121 cooperates with the second curved surface 104 to make the upper metal plate 10 The top of the arc-shaped spacer 12 is a sliding contact in the front-rear direction, the left-right direction, and the axial direction as shown in the fourth and fifth figures. In this embodiment, the fourth arcuate surface 121 and the second arcuate surface 104 are in an arc-shaped contact surface to form an articular surface of the intervertebral motion device of the present invention for providing an overall mechanism of flexion before and after, The left and right buckling and the freedom of movement of the axial rotation are simultaneously provided with a third curved surface 105 of the increased angle of movement through the bottom of the upper metal plate 10 for increasing the range of motion of the upper metal plate 10 before and after buckling and left and right buckling. The shaft member 122 of the arc-shaped spacer 12 can be fitted into the sliding slot 113 of the lower metal plate 11, so that the arc-shaped spacer 12 is freely limited to the sliding groove 113, and when the whole mechanism is active, The body of the arc-shaped pad 12 is horizontally moved and rotated to meet the requirement of the translational activity of the present creation.

在植入本創作之椎間活動裝置時,利用安置本創作的手術器械(圖未示),插入並夾持該上金屬板10外緣之工具孔102與該下金屬板11外緣之工具孔112,並使該上金屬板10頂部與該下金屬板11底部與植入節椎間盤的鄰近椎骨貼合。在本實施例中,該上金屬板10頂部之卡合齒101與該下金屬板11底部之卡合齒111卡固定於鄰近椎骨之中,來達到機械固定的目的。然而,此實施例僅為本創作之較佳實施例,所述之上金屬板10頂部表 面以及下金屬板11底部表面也可選擇塗覆氫氧基磷灰石或珠擊處理。上金屬板10頂部表面以及下金屬板11底部表面透過氫氧基磷灰石或珠擊後產生的表面顆粒凹陷分別貼合於鄰近椎骨,使骨細胞生長於間隙中,來達到生物固定的目的。When the intervertebral moving device of the present invention is implanted, a tool for inserting and clamping the tool hole 102 of the outer edge of the upper metal plate 10 and the outer edge of the lower metal plate 11 by using the surgical instrument (not shown) of the present creation is used. The hole 112 is attached to the top of the upper metal plate 10 and the bottom of the lower metal plate 11 to the adjacent vertebra of the implanted intervertebral disc. In this embodiment, the engaging teeth 101 at the top of the upper metal plate 10 and the engaging teeth 111 at the bottom of the lower metal plate 11 are fixed in the adjacent vertebrae for mechanical fixation. However, this embodiment is only a preferred embodiment of the present invention, the top sheet of the upper metal plate 10 The surface of the face and the bottom surface of the lower metal plate 11 may also optionally be coated with a hydroxyapatite or bead blasting treatment. The surface granules generated by the top surface of the upper metal plate 10 and the bottom surface of the lower metal plate 11 through the hydroxyapatite or the bead are respectively adhered to the adjacent vertebrae, so that the bone cells grow in the gap to achieve the purpose of biological fixation. .

10‧‧‧上金屬板10‧‧‧Upper metal plate

101‧‧‧卡合齒101‧‧‧Knitting teeth

102‧‧‧工具孔102‧‧‧Tool hole

103‧‧‧第一弧面103‧‧‧First curved surface

11‧‧‧下金屬板11‧‧‧Under metal sheet

111‧‧‧卡合齒111‧‧‧Knitting teeth

112‧‧‧工具孔112‧‧‧Tool hole

113‧‧‧滑槽113‧‧‧Chute

12‧‧‧圓弧狀襯墊12‧‧‧Arc-shaped pad

121‧‧‧第四弧面121‧‧‧fourth curved surface

122‧‧‧軸件122‧‧‧ shaft parts

Claims (3)

一種椎間活動裝置,其包括:一上金屬板,其外緣設有二工具孔,其頂部設有一曲率近似椎骨曲面之第一弧面及多數個卡合齒,其底部凹設有一第二弧面及一增加活動角度之第三弧面;一下金屬板,其外緣設有二工具孔,其頂部設有一滑槽,其底部設有多數個卡合齒;以及一圓弧狀襯墊,其頂部及底部分別設有一第四弧面及一軸件分別對應於第二弧面及滑槽,其中該圓弧狀襯墊設置於上金屬板與下金屬板之間,該第四弧面與該第二弧面的配合作前後方向、左右方向與軸向轉動的滑動接觸。另外,該軸件與該滑槽的配合,使該圓弧狀襯墊無限制水平移動及轉動於該下金屬板之上。An intervertebral moving device comprises: an upper metal plate, the outer edge of which is provided with two tool holes, the top of which is provided with a first curved surface having a curvature approximating the surface of the vertebra and a plurality of engaging teeth, and a bottom is concavely provided with a second a curved surface and a third curved surface which increases the movable angle; the lower metal plate has two tool holes on the outer edge, a sliding groove at the top, a plurality of engaging teeth at the bottom thereof, and a circular arc pad a fourth arc surface and a shaft member respectively corresponding to the second arc surface and the sliding groove respectively disposed at the top and the bottom, wherein the arc-shaped gasket is disposed between the upper metal plate and the lower metal plate, the fourth curved surface In cooperation with the second arc surface, the front-back direction and the left-right direction are in sliding contact with the axial direction. In addition, the engagement of the shaft member with the sliding groove causes the arc-shaped gasket to move horizontally and rotate unrestrictedly on the lower metal plate. 如申請專利範圍第1項所述之椎間活動裝置,其中該第四弧面與該第二弧面之間呈拱形的接觸配合。The intervertebral moving device of claim 1, wherein the fourth curved surface and the second curved surface have an arched contact fit. 如申請專利範圍第1項所述之椎間活動裝置,其中該上金屬板頂部表面及該下金屬板底部表面可選擇塗覆氫氧基磷灰石或珠擊。The intervertebral moving device of claim 1, wherein the upper surface of the upper metal plate and the bottom surface of the lower metal plate are optionally coated with a hydroxide or apatite.
TW103200803U 2014-01-15 2014-01-15 Inter-vertebral movable device TWM477256U (en)

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