TWM618320U - Spinal shoving elastic device - Google Patents

Spinal shoving elastic device Download PDF

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TWM618320U
TWM618320U TW110207846U TW110207846U TWM618320U TW M618320 U TWM618320 U TW M618320U TW 110207846 U TW110207846 U TW 110207846U TW 110207846 U TW110207846 U TW 110207846U TW M618320 U TWM618320 U TW M618320U
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Taiwan
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expansion
sliding
hole
fixed body
elastic element
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TW110207846U
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Chinese (zh)
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李健明
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健寶生技股份有限公司
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Publication of TWM618320U publication Critical patent/TWM618320U/en

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Abstract

一種脊椎撐開彈性裝置,其包括一支撐單元,其包含一固定本體及至少一擴張元件,固定本體有一滑動貫孔,擴張元件有至少一連接部及一擴張部,擴張元件以連接部結合於固定本體;及一彈性元件,其滑設於滑動貫孔而有沿著滑動貫孔之長度延伸之方向移動之自由度,彈性元件有至少一支撐部及一滑移部,支撐部之高度大於滑移部之高度,滑移部之高度對應滑動貫孔之孔徑,彈性元件朝向擴張部滑動時,支撐部將擴張部向支撐單元之外側擴張。本創作可用於撐開腰椎及頸椎等脊椎部位,也可用於擴張並支撐骨骼內部方便灌入骨水泥強化骨骼。An elastic device for vertebral expansion, comprising a supporting unit, comprising a fixed body and at least one expansion element, the fixed body has a sliding through hole, the expansion element has at least one connecting portion and an expansion portion, and the expansion element is coupled to the connecting portion A fixed body; and an elastic element, which is slidably disposed in the sliding through hole and has the freedom to move along the length of the sliding through hole, the elastic element has at least one support portion and a sliding portion, and the height of the support portion is greater than The height of the sliding part corresponds to the hole diameter of the sliding through hole. When the elastic element slides toward the expansion part, the support part expands the expansion part to the outside of the supporting unit. This creation can be used to prop up the lumbar spine and cervical spine, and can also be used to expand and support the bones to facilitate the injection of bone cement to strengthen the bones.

Description

脊椎撐開彈性裝置Spinal extension elastic device

本創作係有關於一種用於脊椎的植入裝置,特別是一種可以避免對被撐開的骨骼過度施壓之脊椎撐開彈性裝置。This creation is related to a spinal implant device, especially a spinal distraction elastic device that can avoid excessive pressure on the stretched bones.

現代人的平均壽命不斷增加,身體內各種組織自然也跟著退化;其中脊椎為人體最大的神經管道,隨著椎間盤的老化所帶來的各種痛苦在現代社會已經是非常常見的老化症狀。而椎間盤若已經嚴重老化,目前主流的治療手段為利用椎間融合器進行的椎間融合手術,但習知的椎間融合器有一類為固定式高度無法調整,這類椎間融合器通常需要其他工具先撐開椎骨才能放入;另有可以放入椎骨間再撐開椎骨的椎間融合器,如我國專利證書號I720677所揭露的脊椎植入結構體,但此類椎間融合器為了強度要求大多皆為鈦合金製成,在長期對脊椎骨施壓的情況下,使用者的脊椎骨反而可能因此塌陷而衍生其他問題。The average life expectancy of modern people continues to increase, and various tissues in the body naturally degenerate. The spine is the largest nerve channel of the human body. The various pains caused by the aging of the intervertebral disc are already very common symptoms of aging in modern society. If the intervertebral disc has been seriously aging, the current mainstream treatment is the use of intervertebral fusion cages for intervertebral fusion surgery. However, there is a type of conventional intervertebral fusion cages that cannot be adjusted in height. This type of intervertebral fusion cage usually requires Other tools can be inserted before opening the vertebrae; there are other intervertebral fusion cages that can be placed between the vertebrae and then open the vertebrae. Most of the strength requirements are made of titanium alloy. In the case of long-term pressure on the spine, the user's spine may collapse and cause other problems.

又,在需要於骨骼內灌入骨水泥強化骨骼時,若僅在骨骼上單純鑽孔,由於需要強化的骨骼大多已經骨質疏鬆,所鑽出的孔洞很容易塌陷而無法維持完整形狀,使得骨水泥並不能順利的填入骨骼之中,需要額外的裝置輔助。In addition, when it is necessary to pour bone cement into the bone to strengthen the bone, if only a hole is drilled in the bone, since most of the bone to be strengthened is already osteoporotic, the drilled hole is easily collapsed and cannot maintain the complete shape, making the bone cement It does not fill the bones smoothly, and requires additional device assistance.

有鑑於此,本創作人乃累積多年相關領域的研究以及實務經驗,特創作出一種脊椎撐開彈性裝置,藉以改善上述習知技術的缺失。In view of this, the creator has accumulated many years of research and practical experience in related fields, and specially created a spinal expansion elastic device to improve the lack of the above-mentioned conventional technology.

本創作之主要目的,在於提供一種能避免對脊椎骨過度施壓的脊椎撐開彈性裝置,以較有彈性的彈性元件來撐開各擴張元件而不是用堅硬的金屬元件,可以減少脊椎骨的壓力;本創作也可用於穩固骨骼的鑽孔以方便灌入骨水泥。The main purpose of this creation is to provide a spinal expansion elastic device that can avoid excessive pressure on the spine, and use more elastic elastic elements to expand the expansion elements instead of hard metal elements, which can reduce the pressure on the spine; This creation can also be used for drilling holes to stabilize bones to facilitate the filling of bone cement.

為達上述目的,本創作之脊椎撐開彈性裝置,其包含一支撐單元,其包含一固定本體及至少一擴張元件,固定本體有一滑動貫孔,擴張元件有至少一連接部及一擴張部,擴張元件以連接部結合於固定本體;及一彈性元件,其滑設於滑動貫孔而有沿著滑動貫孔之長度延伸之方向移動之自由度,彈性元件有至少一支撐部及一滑移部,支撐部之高度大於滑移部之高度,滑移部之高度對應滑動貫孔之孔徑,使彈性元件朝向擴張部滑動時,彈性元件之支撐部將擴張部向支撐單元之外側擴張,支撐單元就可以將各脊椎骨撐開。若有需要取出本創作時,只要將彈性元件往反方向滑動,擴張元件便會收合減少本創作之高度,讓本創作較習知固定高度的脊椎融合器容易取出。To achieve the above purpose, the spine expansion elastic device of the present invention includes a supporting unit, which includes a fixed body and at least one expansion element, the fixed body has a sliding through hole, and the expansion element has at least one connecting portion and an expanding portion, The expansion element is combined with the fixed body by the connecting part; and an elastic element, which is slidably disposed in the sliding through hole and has the freedom to move along the length of the sliding through hole, and the elastic element has at least one support portion and a sliding movement The height of the supporting part is greater than the height of the sliding part. The height of the sliding part corresponds to the aperture of the sliding through hole. When the elastic element slides toward the expansion part, the supporting part of the elastic element expands the expansion part to the outside of the supporting unit to support The unit can stretch the vertebrae. If you need to take out this creation, just slide the elastic element in the opposite direction, and the expansion element will collapse to reduce the height of this creation, making this creation easier to remove than the conventional fixed-height spinal fusion cage.

彈性元件可為聚醚醚酮(polyether ether ketone,PEEK)製作的元件,相較於鈦合金,PEEK製作的彈性元件在受脊椎骨施壓時會稍微變形,避免本創作對各脊椎骨施加過大壓力。固定本體之各部分可為無生物毒性的鈦合金製作,或是以鈦合金結合部分PEEK材質以減輕重量。支撐部之數量可為二且分別設於彈性元件之兩端,使滑移部設於彈性元件中央。The elastic element can be an element made of polyether ether ketone (PEEK). Compared with a titanium alloy, the elastic element made of PEEK deforms slightly when it is pressed by the vertebrae, so as to avoid the creation of excessive pressure on the vertebrae. Each part of the fixed body can be made of a non-biologically toxic titanium alloy, or a titanium alloy combined with a part of PEEK material to reduce weight. The number of the supporting parts can be two and they are respectively arranged at the two ends of the elastic element, so that the sliding part is arranged at the center of the elastic element.

擴張元件可結合於固定本體未設有滑動貫孔之一面,擴張部之延伸方向平行滑動貫孔貫穿固定本體之方向,連接部之延伸方向平行滑動貫孔之長度延伸之方向,連接部結合擴張部之一端之厚度大於各連接部結合固定本體之一端並往內側延伸。擴張元件可為ㄇ字形而有兩連接部及一擴張部,擴張元件分別以各連接部結合於固定本體。而擴張元件之數量可為二,各擴張元件分別結合於固定本體未設有滑動貫孔且彼此相對的二面其中之一,各連接部結合擴張部之一端之間距小於各連接部結合固定本體之一端之間距,支撐部之高度大於各連接部結合擴張部之一端之間距。The expansion element can be combined with a surface of the fixed body that is not provided with a sliding through hole. The extension direction of the expansion part is parallel to the direction in which the sliding through hole penetrates the fixed body. The extension direction of the connecting part is parallel to the length extension direction of the sliding through hole. The thickness of one end of the part is greater than the one end of each connecting part combined with the fixed body and extends inwardly. The expansion element may be in the shape of a "U" with two connecting parts and an expansion part, and the expansion element is connected to the fixed body by the connecting parts respectively. The number of expansion elements can be two, and each expansion element is respectively connected to one of the two faces of the fixed body that are not provided with a sliding through hole and are opposite to each other. The distance between one end of each connection part and the expansion part is smaller than that of each connection part and the fixed body The distance between one end, the height of the support part is greater than the distance between one end of each connecting part and the expansion part.

只使用單一擴張元件時,擴張元件可位於固定本體之中央且為長條形,彈性元件之支撐部可設於中央,滑移部之數量為二且可分別設於彈性元件之兩端,滑動貫孔於相對於擴張元件之一面可有一供彈性元件進入滑動貫孔之安裝口,各滑移部可分別有一供彈性元件進入安裝口之斜面。在彈性元件往擴張部的方向移動時,支撐部便會推擠擴張部使其向支撐單元1之外側擴張。When only a single expansion element is used, the expansion element can be located in the center of the fixed body and be elongated, the support part of the elastic element can be arranged in the center, and the number of sliding parts can be two and can be respectively arranged at both ends of the elastic element, sliding The through hole can have an installation opening for the elastic element to enter the sliding through hole on a surface opposite to the expansion element, and each sliding portion can respectively have an inclined surface for the elastic element to enter the installation opening. When the elastic element moves in the direction of the expansion part, the support part will push the expansion part to expand to the outside of the support unit 1.

擴張元件可在外側有複數凹凸紋理,固定本體在結合有擴張元件之一面及其相對的一面可分別有複數凹凸紋理。各凹凸紋理可增加本創作與各脊椎骨的摩擦力並供細胞生長來固定本創作。固定本體在靠近各擴張部之一端可為錐形,方便將本創作置入人體。The expansion element can have a plurality of concavo-convex textures on the outside, and the fixed body can have a plurality of concavo-convex textures on the side where the expansion element is combined and the opposite side thereof. The uneven textures can increase the friction between the creation and the vertebrae and allow the growth of cells to fix the creation. The fixed body can be tapered at one end close to each expansion part, which is convenient for putting the creation into the human body.

滑動貫孔可有一安裝部及一滑動部,安裝部之孔徑對應彈性元件之支撐部之尺寸,滑動部之孔徑對應彈性元件之滑移部之高度,使彈性元件由安裝部滑入滑動貫孔並於滑動部滑動,滑動部之孔徑可小於安裝部之孔徑。The sliding through hole can have a mounting part and a sliding part. The aperture of the mounting part corresponds to the size of the support part of the elastic element. The aperture of the sliding part corresponds to the height of the sliding part of the elastic element, so that the elastic element slides from the mounting part into the sliding through hole. And slide on the sliding part, the aperture of the sliding part can be smaller than the aperture of the mounting part.

固定本體在靠近各連接部之一端可有一操作貫孔,操作貫孔連通滑動貫孔,操作貫孔之延伸方向與滑動貫孔之長度延伸方向相同,操作貫孔之內側可有一螺紋,讓施術者可以在本創作置入人體後,由操作貫孔以工具來移動彈性元件。The fixed body may have an operating through hole at one end close to each connecting part, and the operating through hole is connected to the sliding through hole. The extension direction of the operating through hole is the same as the length of the sliding through hole. The inner side of the operating through hole may have a thread for operation. The user can move the elastic element by operating the through hole with a tool after the creation is placed in the human body.

本創作也可用於擴張骨骼的鑽孔以方便灌入骨水泥,先於骨骼需要灌入骨水泥補強之處鑽出一填入孔,再於填入孔內置入適合尺寸的本創作,再操作彈性元件將擴張元件張開,填入孔便不會有塌陷之虞,可以方便填入骨水泥到骨骼之中。This creation can also be used to drill holes for expanding bones to facilitate the filling of bone cement. A filling hole is drilled before the bone needs to be filled with bone cement for reinforcement, and then a suitable size of this creation is built into the filling hole, and then the elastic element is operated. When the expansion element is opened, the filling hole will not be in danger of collapsing, and the bone cement can be easily filled into the bone.

為能明確且充分揭露本創作,併予列舉較佳實施之圖例,以詳細說明其實施方式如後述。In order to be able to clearly and fully expose the creation, examples of preferred implementations are listed to illustrate the implementation in detail as described later.

請參閱第一圖至第五圖,揭示出本創作實施方式的圖式,由上述圖式說明本創作之脊椎撐開彈性裝置之實施例(一),包含一支撐單元1,其包含一固定本體10及至少一擴張元件11,固定本體10有一滑動貫孔12,擴張元件11有至少一連接部111及一擴張部112,本實施例(一)中擴張元件11為ㄇ字形而有兩連接部111及一擴張部112,擴張部112連接連接部111未與固定本體10連接的一端,擴張元件11以連接部111結合於固定本體10之兩側,擴張部112與連接部111分別相鄰於滑動貫孔12,擴張元件11結合於固定本體10未設有滑動貫孔12之一面,擴張部112之延伸方向平行滑動貫孔12貫穿固定本體10之方向,各連接部111之延伸方向平行滑動貫孔12之長度延伸之方向,擴張元件11之各連接部111分別位於活動貫孔12的相對兩側其中之一,各連接部111結合擴張部112之一端之厚度大於各連接部111結合固定本體10之一端並往支撐單元1之內側延伸,本實施例(一)中滑動貫孔12由固定本體10的側向貫穿固定本體10,滑動貫孔12之長度方向與固定本體10之長度方向相同;及Please refer to the first to fifth figures, which reveal the drawings of the implementation of this creation. The above drawings illustrate the embodiment (1) of the spine distraction elastic device of this creation, which includes a support unit 1, which includes a fixed The main body 10 and at least one expansion element 11, the fixed main body 10 has a sliding through hole 12, the expansion element 11 has at least one connecting portion 111 and an expansion portion 112. In this embodiment (1), the expansion element 11 is in the shape of a U and has two connections Portion 111 and an expansion portion 112, the expansion portion 112 is connected to the end of the connecting portion 111 that is not connected to the fixed body 10, the expansion element 11 is connected to both sides of the fixed body 10 by the connecting portion 111, and the expansion portion 112 and the connecting portion 111 are respectively adjacent In the sliding through hole 12, the expansion element 11 is combined with the fixed body 10 on a side of the fixed body 10 without the sliding through hole 12, the extension direction of the expansion portion 112 is parallel to the direction in which the sliding through hole 12 penetrates the fixed body 10, and the extension direction of each connecting portion 111 is parallel In the direction in which the length of the sliding through hole 12 extends, each connecting portion 111 of the expansion element 11 is located on one of the opposite sides of the movable through hole 12, and the thickness of one end of each connecting portion 111 combined with the expanding portion 112 is greater than that of each connecting portion 111. One end of the fixed body 10 extends to the inner side of the support unit 1. In the present embodiment (1), the sliding through hole 12 penetrates the fixed body 10 from the side of the fixed body 10, and the length of the sliding through hole 12 is the same as the length of the fixed body 10. Same direction; and

一彈性元件2,其滑設於滑動貫孔12而有沿著滑動貫孔12之長度延伸之方向移動之自由度,彈性元件2有至少一支撐部21及一滑移部22,支撐部21之高度大於滑移部22之高度,滑移部22之高度對應滑動貫孔12之孔徑。支撐部21之數量可為二且分別設於彈性元件2之兩端,使滑移部22設於彈性元件2中央。An elastic element 2 slidably disposed in the sliding through hole 12 to have the freedom to move along the length of the sliding through hole 12. The elastic element 2 has at least one supporting portion 21 and a sliding portion 22. The supporting portion 21 The height is greater than the height of the sliding portion 22, and the height of the sliding portion 22 corresponds to the aperture of the sliding through hole 12. The number of the supporting parts 21 can be two and they are respectively arranged at the two ends of the elastic element 2, so that the sliding part 22 is arranged at the center of the elastic element 2.

本實施例(一)中擴張元件11之數量為二,各擴張元件11分別結合於固定本體10未設有滑動貫孔12且彼此相對的二面其中之一,例如各擴張元件11分別結合於固定本體10之頂面與底面,各擴張元件11之各連接部111結合擴張部112之一端之厚度大於各連接部111結合固定本體10之一端並往支撐單元1之內側延伸,由於各連接部111增加的厚度為朝向支撐單元1的內側延伸,使各連接部111結合擴張部112之一端之間距小於各連接部111結合固定本體10之一端之間距,支撐部21之高度大於各連接部111結合擴張部112之一端之間距。兩個擴張元件11之各連接部111結合固定本體10之一端之間距可以對應支撐部21之高度,讓彈性元件2在如第一圖及第二圖中遠離擴張部112時,擴張元件11與固定本體10持平。本創作亦可只使用單一擴張元件11來達到單一方向的擴張。The number of expansion elements 11 in this embodiment (1) is two, and each expansion element 11 is respectively coupled to one of two faces of the fixed body 10 that are not provided with a sliding through hole 12 and are opposite to each other. For example, each expansion element 11 is respectively coupled to The top surface and the bottom surface of the fixed body 10, the thickness of one end of each connecting portion 111 of each expansion element 11 combined with the expansion portion 112 is greater than that of one end of each connecting portion 111 combined with the fixed body 10 and extends to the inner side of the supporting unit 1, because each connecting portion The increased thickness of 111 extends toward the inner side of the support unit 1, so that the distance between one end of each connecting portion 111 and the expansion portion 112 is smaller than the distance between one end of each connecting portion 111 and the fixed body 10, and the height of the support portion 21 is greater than that of each connecting portion 111 Combine the distance between one end of the expansion portion 112. The distance between the connecting portions 111 of the two expansion elements 11 and one end of the fixed body 10 can correspond to the height of the support portion 21, so that when the elastic element 2 is away from the expansion portion 112 as shown in the first and second figures, the expansion element 11 and The fixed body 10 is flat. This creation can also use only a single expansion element 11 to achieve a single direction of expansion.

本實施(一)中各擴張元件11之間距在各連接部111結合固定本體10之一端最大,方便安裝彈性元件2,然後各擴張元件11之間距隨著往各擴張部112的方向階段性減小,意即各連接部111之厚度隨著往各擴張部112的方向朝內側階段性增加;本實施例中各擴張元件11之間距大致分為三階段,第一階段之間距大於支撐部21之高度,第二階段之間距對應支撐部21之高度讓彈性元件2還不會撐開各擴張元件11,第三階段之間距小於支撐部21之高度讓彈性元件可以撐開各擴張元件11,各階段之間可為平滑曲線上升。也就是各連接部111之厚度大致分為三階段,第一階段最薄,讓彈性元件2方便安裝;第二階段之厚度讓支撐部21倚靠各連接部111而不會撐開各擴張元件11;第三階段最厚,讓彈性元件2之各支撐部21朝向各擴張部112滑動時,各支撐部21會推擠各連接部111最厚的部分,使各擴張部112向支撐單元1之外側擴張。各連接部111之厚度與支撐部21之高度可以針對使用者的狀況來做調整,進而改變本創作可以撐開的高度來配合使用者的身體狀況;例如減少各連接部111之厚度或支撐部21之高度可以減少本創作撐開的高度,反之則增加本創作撐開之高度。In this embodiment (1), the distance between the expansion elements 11 is the largest at one end of each connecting portion 111 combined with the fixed body 10, which facilitates the installation of the elastic element 2, and then the distance between the expansion elements 11 gradually decreases with the direction of each expansion portion 112. Small, meaning that the thickness of each connecting portion 111 gradually increases toward the inner side of each expansion portion 112; in this embodiment, the distance between the expansion elements 11 is roughly divided into three stages, and the distance between the first stage is greater than that of the support portion 21 The height between the second stage and the corresponding support part 21 allows the elastic element 2 to not open the expansion elements 11, and the distance between the third stage is smaller than the height of the support part 21 so that the elastic element can open the expansion elements 11, Between each stage can be a smooth curve rise. That is, the thickness of each connecting portion 111 is roughly divided into three stages. The first stage is the thinnest, allowing the elastic element 2 to be easily installed; the second stage has a thickness that allows the support portion 21 to lean against each connecting portion 111 without spreading the expansion elements 11 ; The third stage is the thickest. When each support portion 21 of the elastic element 2 slides toward each expansion portion 112, each support portion 21 will push the thickest part of each connection portion 111, so that each expansion portion 112 faces the supporting unit 1 Lateral expansion. The thickness of each connecting portion 111 and the height of the supporting portion 21 can be adjusted according to the user's condition, and the height of the creation can be changed to match the user's physical condition; for example, the thickness of each connecting portion 111 or the supporting portion can be reduced The height of 21 can reduce the height of the original creation, and vice versa, it will increase the height of the original creation.

本實施例(一)中滑動貫孔12有一安裝部121及一滑動部122,安裝部121之孔徑對應彈性元件2之支撐部21之尺寸,滑動部122之孔徑對應彈性元件2之滑移部22之尺寸,使彈性元件2之安裝部121可由固定本體10之側面滑入滑動貫孔12之安裝部121來安裝彈性元件2,彈性元件2再以滑移部22於滑動貫孔12之滑動部122滑動,滑動部122之孔徑可小於安裝部121之孔徑。在本實施例(一)中各支撐部21分別為圓角四方體造型避免受脊椎骨壓力而滾動偏離位置,故安裝部121可大致呈圓角四方形。各連接部111結合各擴張部112之一端可為平坦的高原狀,配合各支撐部21的圓角四方體造型,避免彈性元件2受脊椎骨壓力而倒退使各擴張元件11收回;由於各支撐部21之外徑尺寸大於滑動部122,彈性元件2在滑動部122位置時無法側向移動,故彈性元件2不會在滑動部122意外滑出滑動貫孔12。安裝部121的位置可以對應前述各連接部111之第一階段間距,滑動部122的位置則對應前述各連接部111之第二階段及第三階段間距,使彈性元件2在第二階段間距時也不會由側向滑出滑動貫孔12。In the present embodiment (1), the sliding through hole 12 has a mounting portion 121 and a sliding portion 122. The aperture of the mounting portion 121 corresponds to the size of the supporting portion 21 of the elastic element 2, and the aperture of the sliding portion 122 corresponds to the sliding portion of the elastic element 2. The size of 22 allows the mounting portion 121 of the elastic element 2 to slide into the mounting portion 121 of the sliding through hole 12 from the side of the fixed body 10 to install the elastic element 2, and the elastic element 2 is then slid in the sliding through hole 12 by the sliding portion 22 The portion 122 slides, and the aperture of the sliding portion 122 can be smaller than the aperture of the mounting portion 121. In the present embodiment (1), each supporting portion 21 is shaped as a rounded quadrilateral to avoid rolling and deviating from the position due to the pressure of the spine, so the mounting portion 121 can be roughly rounded square. One end of each connecting portion 111 combined with each expansion portion 112 can be flat and plateau-shaped, matching the rounded quadrangular shape of each supporting portion 21, to prevent the elastic element 2 from retreating under the pressure of the spine and causing each expansion element 11 to retract; The outer diameter of 21 is larger than the sliding portion 122, and the elastic element 2 cannot move laterally when the sliding portion 122 is in the position, so the elastic element 2 will not accidentally slip out of the sliding through hole 12 at the sliding portion 122. The position of the mounting portion 121 can correspond to the first-stage pitch of the aforementioned connecting portions 111, and the position of the sliding portion 122 corresponds to the second-stage and the third-stage pitch of the aforementioned connecting portions 111, so that the elastic element 2 is at the second-stage pitch. The sliding through hole 12 will not slide out from the side.

本實施例(一)中固定本體10在靠近各連接部111之一端有一操作貫孔13,操作貫孔13連通滑動貫孔12,操作貫孔13之延伸方向與滑動貫孔12之長度延伸方向相同,操作貫孔13之內側可有一螺紋,讓施術者可以在本創作置入人體後,由操作貫孔13以一置入工具來推進彈性元件2;例如可用一螺桿(未繪製)做為置入工具由操作貫孔13旋入並隨著螺桿(未繪製)的旋轉而推動彈性元件2往擴張部112移動並使各擴張元件11向支撐單元1之外側擴張;而彈性元件2朝向操作貫孔13的一面可有一鎖定槽(未繪製),鎖定槽(未繪製)亦可有螺紋,鎖定槽(未繪製)之直徑可以小於操作貫孔13,需要將彈性元件2拉回時,可將一尾端有對應鎖定槽(未繪製)之螺紋之取出工具由操作貫孔13伸入並與鎖定槽(未繪製)螺接,再移動取出工具來將彈性元件2拉回以閉合各擴張元件11。本實施例(一)中後蓋15有一後蓋孔151對應操作貫孔13來讓前述的置入工具與取出工具通過。In this embodiment (1), the fixed body 10 has an operating through hole 13 at one end close to each connecting portion 111, the operating through hole 13 is connected to the sliding through hole 12, and the extending direction of the operating through hole 13 is the length extending direction of the sliding through hole 12 Similarly, there can be a thread on the inside of the operating through hole 13, allowing the surgeon to use an insertion tool to push the elastic element 2 through the operating through hole 13 after the creation is inserted into the human body; for example, a screw (not drawn) can be used as The insertion tool is screwed in through the operating through hole 13, and with the rotation of the screw (not drawn), the elastic element 2 is pushed to move toward the expansion portion 112, and the expansion elements 11 are expanded to the outside of the support unit 1; and the elastic element 2 faces the operation One side of the through hole 13 can have a locking groove (not drawn), the locking groove (not drawn) can also have a thread, the diameter of the locking groove (not drawn) can be smaller than the operating through hole 13, when the elastic element 2 needs to be pulled back, you can A removal tool with a thread corresponding to the locking groove (not drawn) at the end is inserted through the operating through hole 13 and screwed with the locking groove (not drawn), and then the removal tool is moved to pull the elastic element 2 back to close each expansion Element 11. In this embodiment (1), the back cover 15 has a back cover hole 151 corresponding to the operating through hole 13 to allow the aforementioned insertion tool and removal tool to pass.

彈性元件2可為聚醚醚酮(polyether ether ketone,PEEK)製作的元件,或是以其他的無生物毒性聚合物材料製作,PEEK製作的彈性元件2在撐開各脊椎骨時,受到脊椎骨施壓會稍微變形,避免本創作對各脊椎骨施加過大壓力,若使用不同的材料則可以微調本創作對各脊椎骨施加的壓力;若是以鈦合金等金屬材質製造彈性元件2,彈性元件2在受脊椎骨施壓時產生的反向力較大,各擴張部112可能會嵌入鄰近的脊椎骨使得脊椎骨受損。The elastic element 2 can be made of polyether ether ketone (PEEK) or made of other non-biotoxic polymer materials. When the elastic element 2 made of PEEK stretches the vertebrae, it will be pressed by the vertebrae. Slightly deform to avoid excessive pressure on each vertebra in this creation. If you use different materials, you can fine-tune the pressure on each vertebra in this creation. If the elastic element 2 is made of titanium alloy and other metal materials, the elastic element 2 is under pressure The opposing force generated at this time is relatively large, and each expansion portion 112 may be embedded in the adjacent vertebrae, causing damage to the vertebrae.

固定本體10在靠近各擴張部112之一端可為錐形,方便將本創作置入人體。固定本體10之各部分可為無生物毒性的鈦合金製作,或是以鈦合金結合部分PEEK材質以減輕重量;本實施例(一)中固定本體10與擴張元件11等用於支撐脊椎骨之部分為鈦合金材質一體成形製造,固定本體10再結合一錐形頭段14與一後蓋15,錐形頭段14與後蓋15可分別為PEEK材質製作以減輕重量,故本實施例(一)中固定本體10在俯視角度時大致呈十字形,活動貫孔12設於十字中央部位,各連接部111連接於十字的兩臂,十字中央與各擴張元件11並無相接讓各擴張元件11可以被彈性元件2撐開。固定本體10與後蓋15的兩側邊分別簍空以減輕重量。本實施例(一)中後蓋15有一後蓋孔151對應操作貫孔13。固定本體10、擴張元件11、錐形頭段14與後蓋15亦可為一體成形製造。The fixed body 10 can be tapered at one end close to each expansion portion 112, which is convenient for putting the creation into the human body. Each part of the fixed body 10 can be made of a non-biologically toxic titanium alloy, or a titanium alloy combined with a part of PEEK material to reduce weight; in this embodiment (1), the fixed body 10 and the expansion element 11 are used to support the vertebrae. Titanium alloy material is integrally formed and manufactured, and the fixed body 10 is combined with a tapered head section 14 and a back cover 15. The tapered head section 14 and the back cover 15 can be made of PEEK material to reduce weight. Therefore, this embodiment (1) The middle fixed body 10 is roughly cross-shaped when viewed from above. The movable through hole 12 is provided at the center of the cross. Each connecting portion 111 is connected to the two arms of the cross. It can be stretched by the elastic element 2. Both sides of the fixed body 10 and the rear cover 15 are hollowed out respectively to reduce weight. In this embodiment (1), the back cover 15 has a back cover hole 151 corresponding to the operation through hole 13. The fixed body 10, the expansion element 11, the tapered head section 14 and the back cover 15 can also be manufactured in one piece.

本實施例(一)中各擴張元件11分別在外側有複數凹凸紋理,固定本體10在結合有各擴張元件11之兩面可分別有複數凹凸紋理;各凹凸紋理可增加本創作與各脊椎骨的摩擦力並供細胞生長來固定本創作。若只使用單一擴張元件11,固定本體10在結合有擴張元件11之一面及其相對的一面可分別有複數凹凸紋理。In this embodiment (1), each expansion element 11 has a plurality of concavo-convex textures on the outer side, and the fixed body 10 can have a plurality of concavo-convex textures on the two surfaces where each expansion element 11 is combined; each concavo-convex texture can increase the friction between the creation and the vertebrae. Power and for cell growth to fix the original creation. If only a single expansion element 11 is used, the fixed body 10 can have a plurality of concave and convex textures on the side where the expansion element 11 is combined and the opposite side thereof.

在第四圖及第五圖中,由於兩個擴張元件11之各連接部111結合擴張部112之一端之間距小於支撐部21之高度,彈性元件2朝向各擴張部112移動時,彈性元件2之支撐部21會卡入各連接部111最厚的部分之間,將各連接部111與各擴張部112向支撐單元1之外側擴張,各支撐單元1就可以將各脊椎骨(例如腰椎骨A及頸椎骨A1)撐開。若有需要取出本創作時,只要將彈性元件2往反方向移動,各擴張元件11便會收合減少本創作之高度,讓本創作較習知固定高度的脊椎融合器容易取出。若只使用單一擴張元件11,彈性元件2之各支撐部21會推擠各連接部111最厚的部分,使各擴張部112向支撐單元1之外側擴張。In the fourth and fifth figures, since the distance between the connecting portions 111 of the two expansion elements 11 and one end of the expansion portion 112 is smaller than the height of the support portion 21, when the elastic element 2 moves toward each expansion portion 112, the elastic element 2 The supporting part 21 will be clamped between the thickest part of each connecting part 111, and each connecting part 111 and each expanding part 112 will be expanded to the outside of the supporting unit 1. Each supporting unit 1 can hold each vertebra (such as lumbar vertebra A) And cervical vertebra A1) propped up. If there is a need to take out the creation, just move the elastic element 2 in the opposite direction, and the expansion elements 11 will collapse to reduce the height of the creation, making this creation easier to remove than the conventional fixed-height spinal fusion cage. If only a single expansion element 11 is used, each support portion 21 of the elastic element 2 will push the thickest part of each connection portion 111 to expand each expansion portion 112 to the outside of the support unit 1.

在第六圖及第七圖中,可以看到本創作可在撐開前置入兩腰椎骨A之中間,再操作彈性元件2將擴張元件11撐開來支撐各腰椎骨A。在第八圖及第九圖中可以看到,可以視使用者狀態成對地使用兩個較小的本創作,或是斜置一個較大的本創作。In the sixth and seventh figures, it can be seen that the present creation can be inserted between the two lumbar vertebrae A before the expansion, and then the elastic element 2 is operated to expand the expansion element 11 to support each lumbar vertebra A. As can be seen in the eighth and ninth pictures, two smaller books can be used in pairs, or a larger one can be placed diagonally depending on the status of the user.

在第十圖中可以看到,本創作也可用於穩固腰椎骨A的鑽孔以方便灌入骨水泥,先於腰椎骨A需要灌入骨水泥補強之處鑽出一填入孔A2,再於填入孔A2內置入適合尺寸的本創作,再操作彈性元件2將各擴張元件11張開。有本創作在填入孔A2內支撐,填入孔A2便不會有塌陷之虞,可以方便地填入骨水泥到腰椎骨A之中進行補強,本創作亦可用於補強頸椎骨A1或是其他部位的骨骼鑽孔以填入骨水泥。As can be seen in the tenth picture, this creation can also be used to stabilize the drilling of lumbar vertebra A to facilitate the filling of bone cement. A filling hole A2 is drilled before the lumbar vertebra A needs to be filled with bone cement for reinforcement, and then the filling hole A2 is drilled. The entry hole A2 is inserted into the present creation of a suitable size, and then the elastic element 2 is operated to expand the expansion elements 11. With this creation supporting in the filling hole A2, the filling hole A2 will not have the risk of collapse. It can be easily filled with bone cement into the lumbar vertebra A for reinforcement. This creation can also be used to strengthen the cervical vertebra A1 or Drill holes in other parts of the bone to fill in bone cement.

在第十一圖至第十二圖中,可以看到本創作之實施例(二),其只使用單一擴張元件11且位於固定本體10之頂面之中央,在實施例(二)中擴張元件11為長條形,固定本體10呈一環型結構使擴張元件11可在固定本體10中上下移動,本實施例(二)中滑動貫孔12由固定本體10的側向貫穿固定本體10,彈性元件2之支撐部21設於中央,滑移部22之數量為二且分別設於彈性元件2之兩端,滑動貫孔12於相對於擴張元件11之一面(在本實施例(二)中為底面)有一供彈性元件2進入滑動貫孔12之安裝口16,本實施例(二)中安裝口16有一加寬部161,加寬部161之形狀對應各滑移部22的形狀,且各滑移部22分別有一供彈性元件2進入安裝口16之斜面221(在本實施例(二)中斜面221設於各滑移部22之頂端),讓彈性元件2較容易安裝;要安裝彈性元件2進入滑動貫孔12時,可將各斜面221對準加寬部161,再將彈性元件2塞入安裝口16而進到滑動貫孔12之中,此時支撐部21可倚靠擴張元件11的連接部,彈性元件2便可用各滑移部22於滑動貫孔12中移動。In the eleventh to the twelfth figure, you can see the embodiment (2) of this creation, which only uses a single expansion element 11 and is located in the center of the top surface of the fixed body 10, which is expanded in the embodiment (2) The element 11 is elongated, and the fixed body 10 has a ring-shaped structure so that the expansion element 11 can move up and down in the fixed body 10. In this embodiment (2), the sliding through hole 12 penetrates the fixed body 10 from the side of the fixed body 10. The support part 21 of the elastic element 2 is provided in the center, the number of the sliding parts 22 is two and they are respectively provided at both ends of the elastic element 2, and the sliding through hole 12 is on a surface opposite to the expansion element 11 (in this embodiment (2) The middle is the bottom surface) has a mounting opening 16 for the elastic element 2 to enter the sliding through hole 12. In this embodiment (2), the mounting opening 16 has a widened portion 161, and the shape of the widened portion 161 corresponds to the shape of each sliding portion 22, And each sliding portion 22 has an inclined surface 221 for the elastic element 2 to enter the installation opening 16 (in this embodiment (2), the inclined surface 221 is provided at the top of each sliding portion 22), so that the elastic element 2 is easier to install; When installing the elastic element 2 into the sliding through hole 12, the inclined surfaces 221 can be aligned with the widened portion 161, and then the elastic element 2 can be inserted into the mounting opening 16 to enter the sliding through hole 12, and the supporting portion 21 can lean against at this time Expanding the connecting portion of the element 11, the elastic element 2 can move in the sliding through hole 12 with each sliding portion 22.

在第十三圖中,本創作之實施例(二)在使用時,同樣將彈性元件2往擴張部112的方向移動,支撐部21便會推擠擴張部112使其向支撐單元1之外側擴張。本實施例(二)中連接部111與擴張部112之間為平滑的增厚而非階段式,支撐部21朝向擴張部112的一面也可有相對應的平滑斜面,讓支撐部21撐開擴張部112的流程更加順暢不會卡住。實施例(二)中依然可以透過操作貫孔13以前述的方式來移動彈性元件2,讓施術者可以操作實施例(二)撐開或是收回。In Figure 13, when the embodiment (2) of the present creation is in use, the elastic element 2 is also moved in the direction of the expansion portion 112, and the support portion 21 will push the expansion portion 112 to the outside of the support unit 1. expansion. In the second embodiment, the thickness between the connecting portion 111 and the expansion portion 112 is smoothly thickened rather than in stages, and the side of the support portion 21 facing the expansion portion 112 may also have a corresponding smooth slope to allow the support portion 21 to expand. The flow of the expansion part 112 is smoother and does not get stuck. In the second embodiment, the elastic element 2 can still be moved in the aforementioned manner through the operating through hole 13 so that the surgeon can operate the second embodiment to expand or retract.

第十四圖中,可以看到本創作之實施例(二)用於支撐頸椎骨A1,由於頸椎骨A1與腰椎骨A施術的方向不同,故本創作在第十四圖中面對的方向與第六圖及第七圖不同。In the fourteenth figure, you can see that the embodiment (2) of this creation is used to support the cervical vertebra A1. Because the cervical vertebra A1 and the lumbar vertebra A are operated in different directions, the direction of this creation in the fourteenth figure is It is different from the sixth and seventh pictures.

惟以上所述者,僅為本創作之較佳實施例,當不能用以限定本創作可實施之範圍,凡習於本業之人士所明顯可作的變化與修飾,皆應視為不悖離本創作之實質內容。However, the above are only the preferred embodiments of this creation, and should not be used to limit the scope of implementation of this creation. Any obvious changes and modifications that can be made by those who are accustomed to this industry should be regarded as not deviating from it. The essence of this creation.

1:支撐單元 10:固定本體 11:擴張元件 111:連接部 112:擴張部 12:滑動貫孔 121:安裝部 122:滑動部 13:操作貫孔 14:錐形頭段 15:後蓋 151:後蓋孔 16:安裝口 161:加寬部 2:彈性元件 21:支撐部 22:滑移部 221:斜面 A:腰椎骨 A1:頸椎骨 A2:填入孔 1: Support unit 10: Fixed body 11: Expansion element 111: Connection 112: Expansion 12: Sliding through hole 121: Installation Department 122: Sliding part 13: Operation through hole 14: Cone head section 15: back cover 151: Rear cover hole 16: Installation port 161: Widening 2: Elastic element 21: Support 22: Sliding part 221: Slope A: Lumbar vertebrae A1: Cervical vertebra A2: Fill in the hole

第一圖為本創作之實施例(一)之撐開前之立體圖。 第二圖為第一圖之另一角度。 第三圖為第一圖之爆炸圖。 第四圖為本創作之實施例(一)之撐開後之立體圖。 第五圖為第四圖之另一角度。 第六圖為本創作之實施例(一)之使用示意圖(一)。 第七圖為本創作之實施例(一)之使用示意圖(二)。 第八圖為本創作之實施例(一)之使用示意圖(三)。 第九圖為本創作之實施例(一)之使用示意圖(四)。 第十圖為本創作之實施例(一)之使用示意圖(五)。 第十一圖為本創作之實施例(二) 之撐開前之立體圖。 第十二圖為第十一圖之仰視圖。 第十三圖為本創作之實施例(二) 之撐開後之立體圖。 第十四圖為本創作之實施例(二)之使用示意圖。 The first picture is a three-dimensional view of the creative embodiment (1) before being expanded. The second picture is another angle of the first picture. The third picture is an exploded view of the first picture. The fourth figure is a three-dimensional view of the creative embodiment (1) after being expanded. The fifth picture is another angle of the fourth picture. The sixth figure is a schematic diagram (1) of the creative embodiment (1). The seventh figure is a schematic diagram (two) of the creative embodiment (1). The eighth figure is a schematic diagram (3) of the creative embodiment (1). The ninth figure is a schematic diagram (four) of the creative embodiment (1). The tenth figure is a schematic diagram (5) of the creative embodiment (1). The eleventh picture is a three-dimensional view of the creative embodiment (2) before being expanded. The twelfth picture is the bottom view of the eleventh picture. The thirteenth picture is a three-dimensional view of the creative embodiment (2) after being expanded. The fourteenth figure is a schematic diagram of the use of the creative embodiment (2).

1:支撐單元 1: Support unit

10:固定本體 10: Fixed body

11:擴張元件 11: Expansion element

111:連接部 111: Connection

112:擴張部 112: Expansion

12:滑動貫孔 12: Sliding through hole

121:安裝部 121: Installation Department

122:滑動部 122: Sliding part

13:操作貫孔 13: Operation through hole

14:錐形頭段 14: Cone head section

15:後蓋 15: back cover

2:彈性元件 2: Elastic element

Claims (10)

一種脊椎撐開彈性裝置,其包括有: 一支撐單元,其包含一固定本體及至少一擴張元件,該固定本體有一滑動貫孔,該擴張元件有至少一連接部及一擴張部,該擴張元件以該連接部結合於該固定本體;及 一彈性元件,其滑設於該滑動貫孔而有沿著該滑動貫孔之長度延伸之方向移動之自由度,該彈性元件有至少一支撐部及一滑移部,該支撐部之高度大於該滑移部之高度,該滑移部之高度對應該滑動貫孔之孔徑,使該彈性元件朝向各該擴張部滑動時,該彈性元件之該支撐部將該擴張部向該支撐單元之外側擴張。 An elastic device for spine distraction, which includes: A support unit, comprising a fixed body and at least one expansion element, the fixed body has a sliding through hole, the expansion element has at least one connection part and an expansion part, the expansion element is combined with the fixed body by the connection part; and An elastic element that is slidably disposed in the sliding through hole and has the freedom to move along the direction of the length of the sliding through hole. The elastic element has at least one support portion and a sliding portion, and the height of the support portion is greater than The height of the sliding portion and the height of the sliding portion correspond to the aperture of the sliding through hole, so that when the elastic element slides toward each expansion portion, the support portion of the elastic element moves the expansion portion toward the outside of the support unit expansion. 如請求項1所述之脊椎撐開彈性裝置,其中該擴張元件為ㄇ字形而有兩連接部及一擴張部,該擴張元件以各該連接部結合於該固定本體,該擴張元件結合於該固定本體未設有該滑動貫孔之一面,各該擴張部之延伸方向平行該滑動貫孔貫穿該固定本體之方向,各該連接部之延伸方向平行該滑動貫孔之長度延伸之方向,該連接部結合該擴張部之一端之厚度大於各該連接部結合該固定本體之一端並往該支撐單元之內側延伸。The spine distracting elastic device according to claim 1, wherein the expansion element is in the shape of a U and has two connecting parts and an expansion part, the expansion element is connected to the fixed body by each of the connection parts, and the expansion element is connected to the The fixed body is not provided with a surface of the sliding through hole, the extension direction of each expansion portion is parallel to the direction in which the sliding through hole penetrates the fixed body, and the extension direction of each connecting portion is parallel to the direction in which the length of the sliding through hole extends. The thickness of one end of the connecting portion combined with the expansion portion is greater than that of the one end of each connecting portion combined with the fixed body and extends toward the inner side of the supporting unit. 如請求項2所述之脊椎撐開彈性裝置,其中該擴張元件之數量為二,各該擴張元件分別結合於該固定本體未設有該滑動貫孔且彼此相對的二面其中之一,各該連接部結合該擴張部之一端之間距小於各該連接部結合該固定本體之一端之間距,該支撐部之高度大於各該連接部結合該擴張部之一端之間距。The spine expansion elastic device according to claim 2, wherein the number of the expansion elements is two, and each expansion element is respectively coupled to one of the two faces of the fixed body that are not provided with the sliding through hole and are opposite to each other, each The distance between one end of the connecting portion and the expansion portion is smaller than the distance between the end of each connecting portion and the fixed body, and the height of the support portion is greater than the distance between one end of each connecting portion and the expansion portion. 如請求項2或3所述之脊椎撐開彈性裝置,其中該支撐部之數量為二且分別設於該彈性元件之兩端。The spine expansion elastic device according to claim 2 or 3, wherein the number of the supporting parts is two and they are respectively arranged at both ends of the elastic element. 如請求項1所述之脊椎撐開彈性裝置,其中各該擴張元件分別在外側有複數凹凸紋理,該固定本體在結合有各該擴張元件之兩面分別有複數凹凸紋理。The spine expansion elastic device according to claim 1, wherein each of the expansion elements has a plurality of concavo-convex textures on the outer side, and the fixed body has a plurality of concavo-convex textures on the two sides where the expansion elements are combined. 如請求項1所述之脊椎撐開彈性裝置,其中該固定本體在靠近各該擴張部之一端為錐形。The spine expansion elastic device according to claim 1, wherein the fixed body is tapered at one end close to each expansion part. 如請求項1所述之脊椎撐開彈性裝置,其中該彈性元件為聚醚醚酮(polyether ether ketone,PEEK)製作的元件。The spine expansion elastic device according to claim 1, wherein the elastic element is an element made of polyether ether ketone (PEEK). 如請求項1所述之脊椎撐開彈性裝置,其中該滑動貫孔有一安裝部及一滑動部,該安裝部之孔徑對應該彈性元件之該支撐部之尺寸,該滑動部之孔徑對應該彈性元件之滑移部之高度。The spine expansion elastic device according to claim 1, wherein the sliding through hole has a mounting part and a sliding part, the aperture of the mounting part corresponds to the size of the support part of the elastic element, and the aperture of the sliding part corresponds to the elasticity The height of the sliding part of the component. 如請求項1所述之脊椎撐開彈性裝置,其中該固定本體在靠近各該連接部之一端有一操作貫孔,該操作貫孔連通該滑動貫孔,該操作貫孔之延伸方向與該滑動貫孔之長度延伸方向相同,該操作貫孔之內側有一螺紋。The spine expansion elastic device according to claim 1, wherein the fixed body has an operating through hole at one end close to each of the connecting portions, the operating through hole communicates with the sliding through hole, and the extending direction of the operating through hole is the same as the sliding through hole. The length of the through hole extends in the same direction, and the inner side of the operating through hole has a thread. 如請求項1所述之脊椎撐開彈性裝置,其中該固定本體呈一環型結構,該擴張元件為長條形,該擴張元件以該連接部結合於該固定本體中央,該滑動貫孔於相對於擴張元件之一面有一供該彈性元件進入該滑動貫孔之安裝口,該彈性元件之該支撐部設於中央,該滑移部之數量為二且分別設於該彈性元件之兩端,各該滑移部分別有一供彈性元件進入該安裝口之斜面。The spine expansion elastic device according to claim 1, wherein the fixed body has a ring-shaped structure, the expansion element is elongated, the expansion element is coupled to the center of the fixed body by the connecting portion, and the sliding through hole is opposite to There is an installation opening on one side of the expansion element for the elastic element to enter the sliding through hole, the support part of the elastic element is arranged in the center, the number of the sliding parts is two and they are respectively arranged at both ends of the elastic element, each The sliding portion respectively has an inclined surface for the elastic element to enter the installation opening.
TW110207846U 2021-07-05 2021-07-05 Spinal shoving elastic device TWM618320U (en)

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