WO2021029721A1 - Vertebral cage - Google Patents

Vertebral cage Download PDF

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Publication number
WO2021029721A1
WO2021029721A1 PCT/KR2020/010821 KR2020010821W WO2021029721A1 WO 2021029721 A1 WO2021029721 A1 WO 2021029721A1 KR 2020010821 W KR2020010821 W KR 2020010821W WO 2021029721 A1 WO2021029721 A1 WO 2021029721A1
Authority
WO
WIPO (PCT)
Prior art keywords
blade
groove
cage
spine
rotated
Prior art date
Application number
PCT/KR2020/010821
Other languages
French (fr)
Korean (ko)
Inventor
김경학
이길삼
Original Assignee
주식회사 엔닥
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.)
Filing date
Publication date
Application filed by 주식회사 엔닥 filed Critical 주식회사 엔닥
Publication of WO2021029721A1 publication Critical patent/WO2021029721A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/4455Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30383Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
    • A61F2002/3039Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove with possibility of relative movement of the rib within the groove
    • A61F2002/30392Rotation
    • A61F2002/30393Rotation with additional means for limiting said rotation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30476Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30537Special structural features of bone or joint prostheses not otherwise provided for adjustable
    • A61F2002/30538Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting angular orientation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30878Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30904Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves serrated profile, i.e. saw-toothed

Definitions

  • the present invention relates to a cage that is inserted into a space between vertebrae to prevent a subsidence phenomenon and to unite a vertebrae adjacent to a vertebrae, and in detail, a blade for fixing between upper and lower vertebrae. It relates to a cage for a spine configured to precisely rotate between vertebral bodies and to keep the rotated state firmly.
  • a disk existing between a vertebral bone and a bone functions as a joint and plays a very important role in minimizing the impact applied to the spine as the position and shape of the nucleus contained in the disk changes according to the movement of the spine.
  • nucleus Most of the nucleus is made up of water (water), and as you age, the amount of water gradually decreases, and the disk loses its buffering function.
  • the prosthetic material restores spinal function by restoring the original distance between two adjacent vertebral bodies, which is the original height of the intervertebral disc.
  • the vertebral cage can be said to be a structure for supplying bones for fusion between the two vertebral bones while maintaining the height between the two vertebral bones in the lower and upper vertebrae in place after removing the damaged disk.
  • Conventional vertebral cages include a body inserted into a space between a vertebrae adjacent to a vertebrae while providing a space for filling a bone-generating material (bone meal), and a vertebrae positioned at the top in a state provided in the body. It may be configured to include a large; blades that are inserted into the upper surface of the vertebrae positioned at the bottom and the lower to maintain the gap between the upper and lower vertebral bodies.
  • the conventional cage for spine has a problem in that the blades flow on the body due to the force transmitted to the spine when the patient moves, and thus cannot perform its function. That is, the blades inserted into the upper and lower surfaces of the vertebrae are separated from the vertebrae by the movement of the vertebrae, and thus the gap between the vertebral bodies cannot be maintained.
  • the blade when inserting the body into the intervertebral body, the blade is not exposed on the body, so that the overall size of the body is not increased, and after the body is inserted between the vertebral bodies, the blade is rotated on the body to fix the upper and lower vertebrae.
  • a structured cage is being used.
  • the fixing means has a structure that can be used only by a separately designed surgical tool, in the end, there is a disadvantage in that a cost for manufacturing a separate surgical tool is incurred, which increases the surgical cost and thus increases the cost burden of the patient. .
  • An object of the present invention is to solve the above problems, and to provide a cage for a spine configured to easily rotate a blade on a body inserted between a vertebral body by a simple operation of a practitioner and to firmly maintain the rotated blade. There is this.
  • the structural process of rotating the blade on the body and the structural process of fixing the blade in the rotated state are simultaneously performed to shorten the operation time and, in addition, to increase the bonding force between the body and the blade
  • the purpose is to provide a cage.
  • the present invention is inserted between the vertebrae and the adjacent vertebrae, the body provided with a space portion that can be filled with bone meal; A blade rotatably provided on the inner side of the body; And a locking means for fixing the blade rotated or non-rotated on the body on the inner surface of the body, wherein the locking means is a fixing protrusion provided on a surface facing each other and coupled with the body and the blade And it may include a groove.
  • the groove portion when the blade has a horizontal position not exposed to the outside on the space portion of the body, the horizontal state maintenance groove coupled to the fixing protrusion;
  • a vertical state maintenance groove that is coupled to the fixing protrusion when the blade is exposed to the outside on the space portion of the body and has a vertical position;
  • a guide groove that connects the horizontal state maintenance groove and the vertical state maintenance groove to each other, and contacts the fixing protrusion while the blade is rotated.
  • a release preventing jaw is provided to prevent the fixing protrusion inserted into the vertical state maintenance groove from being separated, and the horizontal state maintenance groove and the guide groove At the points connected to each other, a round surface may be provided to assist the separation of the fixing protrusion inserted into the horizontal state maintaining groove.
  • the guide groove may have a shape inclined upward from a direction in which the horizontal state maintaining groove is formed to a direction in which the vertical state maintaining groove is formed.
  • it may further include; a rotating means for rotating the blade and an elastic means provided between the blades for intimate contact with the inner surface of the blade.
  • the rotation means an outer bush inserted into a fastening hole formed in the body; An inner bush rotatably inserted into the outer bush and coupled to the blade; And a space portion provided between the inner bush and the outer bush to accommodate the elastic means.
  • the elastic means may include any one of a coil spring, a washer spring, and a cylindrical elastic body having an elastic restoring force.
  • the present invention is inserted between the vertebrae and the adjacent vertebrae, the body provided with a space portion that can be filled with bone meal; A blade rotatably provided on the inner side of the body; And a locking means for fixing the rotating or non-rotated blade on the body on the inner surface of the body, wherein the locking means includes a rotation shaft provided in the blade and rotatably inserted into a fastening hole formed in the body. Rotation can be restricted.
  • the locking means when the blade is erected in a vertical direction on the body, the rotation shaft and the portion of the body in which the fastening hole is formed are formed in cooperation with each other pin groove; And a fixing pin inserted into the pin groove to limit the rotation of the rotation shaft.
  • the locking means may be threaded portions respectively formed on an outer peripheral surface of the rotation shaft and an inner peripheral surface of the body that partitions the fastening hole.
  • the cage for the spine includes a locking means for maintaining the blade rotated on the body in a state firmly coupled to the inner surface of the body so as to penetrate the upper/lower vertebrae, so that the rotation or flow of the blade by external force is It is prevented so that the spacing of the upper and lower vertebrae can be kept constant, and, in addition, interference between the nervous tissue passing through the spine and other tissues can be reduced.
  • the process of rotating the blade and the process of firmly attaching the rotated blade to the body can be performed in the rotational motion of the operator, it provides convenience of surgery to increase the success rate of surgery, Accordingly, the physical burden on the patient can be reduced.
  • the cage for spine according to the present invention has an elastic means for maintaining the blade in close contact with the inner surface of the body, it is possible to firmly maintain the posture of the non-rotated or rotated blade on the body, and in addition, the body It is also possible to prevent the blade from being separated and lost.
  • FIG. 1 is a perspective view as viewed from the front of a cage for a spine according to an embodiment of the present invention.
  • Figure 2 is a perspective view as viewed from the rear of the cage for the spine according to an embodiment of the present invention.
  • Figure 3 is a cross-sectional view of a cage for the spine according to an embodiment of the present invention.
  • Figure 4 is an exploded perspective view of the cage for the spine according to an embodiment of the present invention.
  • Figure 5 is an exploded perspective view for showing the configuration of the engaging projection of the locking means according to an embodiment of the present invention.
  • Figure 6 is a perspective view showing a state in which the blade of the cage for spine is rotated 90 degrees according to an embodiment of the present invention.
  • Figure 7 is a cross-sectional view for showing the configuration of the groove of the locking means according to an embodiment of the present invention.
  • FIG. 8 is a plan view showing the configuration of a locking means according to another embodiment of the present invention.
  • Figure 9 is a front view for showing the configuration of a locking means according to another embodiment of the present invention.
  • FIGS. 1 to 7 a cage for a spine according to an embodiment of the present invention will be described in detail with reference to FIGS. 1 to 7.
  • detailed descriptions of related known functions or configurations are omitted so as not to obscure the subject matter of the invention.
  • FIG. 1 is a perspective view of a spine cage according to an embodiment of the present invention viewed from the front
  • FIG. 2 is a perspective view of a spinal cage according to an embodiment of the present invention viewed from the rear
  • FIG. 3 is an embodiment of the present invention
  • FIG. 4 is an exploded perspective view of a cage for a spine according to an embodiment of the present invention
  • FIG. 5 is a diagram showing a configuration of a coupling protrusion of a locking means according to an embodiment of the present invention
  • 6 is a perspective view showing a state in which the blade of the cage for spine is rotated by 90 degrees according to an embodiment of the present invention
  • FIG. 7 shows the configuration of a groove of a locking means according to an embodiment of the present invention.
  • Fig. 8 is a plan view showing the configuration of a locking means according to another embodiment of the present invention
  • Fig. 9 is a front view showing the configuration of a locking means according to another embodiment of the present invention.
  • the cage 100 for a spine is inserted between a vertebrae and an adjacent vertebrae, and a body provided with a space in which bone meal can be filled ( 110) and a blade 120 rotatably provided on the inner surface of the body 110; And a locking means 200 for fixing the blade 120 rotated or non-rotated on the body 110 on the inner surface of the body 110.
  • the body 110 may have a trapezoidal shape as a whole when viewed on a plane, and a space portion in which bone meal can be filled is provided at the center thereof.
  • the body 110 may be made of a metal alloy that is harmless to the human body, and may be made of a plastic material such as fiber-reinforced plastic, polyetheretherketone (PEEK), or a polymer.
  • a plastic material such as fiber-reinforced plastic, polyetheretherketone (PEEK), or a polymer.
  • a plurality of protrusions may be provided on the upper and lower surfaces of the body 110 to prevent the body 110 from flowing between the vertebral bodies.
  • the blade 120 may be rotatably provided on the inner surface of the body 110 as described above in a state accommodated in the space portion of the body 110.
  • the blade 120 may be disposed in a horizontal posture that is not exposed in the space portion of the body 110 as shown in FIG. 1 before the body 110 is inserted into the body.
  • the body 110 may be rotated on the inner surface of the body 110 by a rotating means 300 to be described later and disposed in a vertical position. Then, the longitudinal ends are respectively exposed to the upper and lower portions on the space portion of the body 110, and the exposed portions of the blade 120 can be respectively inserted into the lower surface of the upper vertebrae and the upper surface of the lower vertebrae. .
  • the locking means 200 serves to maintain a state in which the blade 120 disposed in a horizontal or vertical position in the space portion of the body 110 is firmly coupled to the inner surface of the body 110, In particular, it serves to maintain the rotation angle of the blade 120, which is disposed in a vertical position and has its longitudinal ends inserted into the upper and lower vertebral bodies, respectively.
  • the locking means 200 as shown in Figures 4 and 5, the fixing protrusion 210 provided on the inner surface of the body 110; And a groove 220 into which the fixing protrusion 210 is inserted and provided on one surface of the blade 120 facing the inner surface of the body 110.
  • the fixing protrusions 210 are shown in the drawings as being provided in pairs at intervals on the inner side of the body 110 in one embodiment of the present invention. It is provided to protrude toward one side of the blade 120 on the inner side of the body 110 while having a shape.
  • the groove portion 220 when the blade 120 has a horizontal posture that is not exposed to the outside on the space portion of the body 110, the fixing protrusion 210 A horizontal state maintenance groove 221 coupled with the; A vertical state maintenance groove 222 coupled with the fixing protrusion 210 when the blade 120 is exposed to the outside on the space portion of the body 110 and has a vertical posture; And a guide groove 223 that connects the horizontal state maintenance groove 221 and the vertical state maintenance groove 222 to each other and contacts the fixing protrusion 210 while the blade 120 is rotated. can do.
  • the fixing protrusion 210 When the blade 120 is disposed parallel to the inner surface of the body 110 so that both ends of the blade 120 are not exposed to the outside on the space portion of the body 110, the fixing protrusion 210 ) Is inserted into the groove. That is, when the fixing protrusion 210 is inserted into the horizontal state maintaining groove 221, as shown in FIG. 1, the blade 120 may maintain a horizontal state parallel to the inner surface of the body 110.
  • the horizontal state maintenance groove 221 may have an engraved hemispherical shape that can be combined with the fixing protrusion 210.
  • the vertical state maintenance groove 222 is disposed so that the blade 120 crosses the inner surface of the body 110 so that both ends thereof in the longitudinal direction are exposed to the outside on the space portion of the body 110, and the fixing protrusion 210 It can be called a groove into which is inserted. That is, when the fixing protrusion 210 is inserted into the vertical state maintaining groove 222, as shown in FIG. 6, the blade 120 may be disposed in a vertical state crossing the inner surface of the body 110.
  • the vertical state maintaining groove 222 may also have an engraved hemispherical shape that can be combined with the fixing protrusion 210.
  • the fixing protrusion 210 inserted into the groove serves as a guide so that it can be easily inserted into the vertical state maintenance groove 222.
  • the guide groove 223 may have an arc shape connecting the horizontal state maintenance groove 221 and the vertical state maintenance groove 222 to each other while being disposed along a part of the circumferential direction with respect to the rotation center of the blade 120. have.
  • the fixing protrusion inserted into the vertical state maintaining groove 222 is prevented from being separated at a point where the vertical state maintaining groove 222 and the guide groove 223 are connected to each other.
  • a departure prevention jaw 224 may be provided.
  • the separation prevention jaw 224 serves to further maintain the rotation angle of the blade 120 by preventing the blade 120 disposed in the vertical direction from flowing even when receiving an external force. That is, it serves to prevent the fixing protrusion 210 inserted into the vertical state maintaining groove 220 from being separated from the vertical state maintaining groove 222 by an external force.
  • Rotation of the blade 120 by the rotation means 300 can be made easily by the departure prevention jaw 224 and the round surface 225 as described above, and in addition, the posture of the blade 120 disposed in the vertical direction is firmly Can be maintained.
  • the guide groove 223 is provided to have a shape inclined upward from the direction in which the horizontal state maintaining groove 221 is formed to the direction in which the vertical state maintaining groove 222 is formed. It is also possible to further prevent the inserted fixing protrusion 210 from being separated from the vertical state maintaining groove 222.
  • the fixing protrusion 210 is provided on the inner surface of the body 110, and the groove 220 is provided on one surface of the blade 120. It is shown in, but is not limited thereto. That is, the fixing protrusion 210 may be provided on one surface of the blade 120 and the groove part 220 may be provided on the inner surface of the body 110 to face it.
  • the locking means 200 further includes an elastic means 400 provided between the rotating means 300 and the blade 120 to make the blade 120 in close contact with the inner surface of the body 110 can do.
  • the elastic means 400 is such that one surface of the blade 120 facing the inner surface of the body 110 is in close contact with the inner surface, thereby increasing the coupling force between the body 110 and the blade 120, and It is rotated by 90 degrees so that the blade 120 disposed in a vertical state can continuously maintain its rotation angle.
  • the elastic means 400 may be implemented as a metallic elastic body such as a coil spring or a washer spring, but is not limited thereto, and may be implemented as a cylindrical elastic body made of a flexible material having an elastic restoring force.
  • the coil spring is shown on the drawing as being interposed between the rotating means 300 and the blade 120.
  • the cage 100 for spine may include a rotating means 300 for rotating the blade 120.
  • the rotation means 300 as shown in Figures 3 and 4, the outer bush 310 inserted into the fastening hole 111 formed in the body 110; An inner bush (320) rotatably inserted into the outer bush (310) and coupled to the blade (120); And a receiving space 330 provided between the inner bush 320 and the outer bush 310 to accommodate the elastic means 400.
  • the outer bush 310 may be inserted into the fastening hole 111 formed in the body 110 in a force-fitting manner, and one end portion thereof in the longitudinal direction may be partially exposed to the outside of the body 110.
  • the inner bush 320 is a component that is directly connected to the blade 120, and the other end thereof in the longitudinal direction may be coupled with a fastening hole formed in the central portion of the blade 120.
  • a flange 321 in contact with one end in the longitudinal direction of the elastic means 400 accommodated in the space portion 330 is provided on an outer peripheral surface of one end in the longitudinal direction of the inner bush 320, and an inner bush ( A tool insertion groove 322 into which the tip of the surgical tool for rotating 320 is inserted is provided.
  • the receiving space 330 is formed between one end in the longitudinal direction of the inner bush 320 and the other end in the longitudinal direction of the outer bush 310, and may accommodate the elastic means 400 as described above.
  • One end in the longitudinal direction of the elastic means 400 accommodated in the receiving space 330 may be in contact with the flange 321 of the inner bush 320 and the other end in the longitudinal direction may be in contact with one end in the longitudinal direction of the outer bush 310.
  • one surface of the blade 120 may be in close contact with the inner surface of the body 110.
  • the elastic means 400 is the receiving space 330 ) Can be momentarily compressed and then tensioned to its original state.
  • a rotation shaft 121 integrally connected with the blade 120 may be used as a means for rotating the blade 120.
  • the outer peripheral surface of the rotary shaft 121 and the inner peripheral surface of the body 110 that divides the fastening hole 111 can be screwed to each other by forming a threaded portion, such a configuration is locking according to another embodiment of the present invention It can be said to be a means.
  • the operator may rotate the rotation shaft 121 and the blade 120 by inserting a surgical tool into the tool insertion groove 121a provided at the tip of the rotation shaft 121.
  • the rotation shaft 121 and the fastening hole 111 are screwed so as to have sufficient binding force
  • the rotation shaft 121 may be further rotated at a predetermined angle to position the blade 120 in a vertical state.
  • the vertical state may be referred to as a state in which the longitudinal end of the blade 120 is exposed to the upper and lower portions of the space portion of the body 110 and inserted into the upper and lower vertebrae.
  • the space portion formed in the body 110 to be filled with bone meal has a size and shape such that the blade 120 and the rotating shaft 121 can be easily inserted into the fastening hole 111 from the inside of the body 110. Can have.
  • the space portion is a pair of vertical walls disposed to face each other with a gap longer than the length of the blade 120 when viewed from a plane, and a slope connected to the upper end of the vertical wall. It may be formed by a horizontal wall connecting the upper ends of the wall and the inclined wall to each other. At this time, the pair of vertical walls of the blade 120 rotated in connection with the rotation shaft 121 formed on the blade 120 is rotated and inserted into the fastening hole 111 from the inside of the body 110. It is preferably arranged at intervals so as not to interfere with the longitudinal ends.
  • a pin groove 510 and a fixing pin 520 may be further used as locking means for fixing the blade 120 and the rotation shaft 121 configured as above on the body 110.
  • a part of the rotation shaft 121 may be grooved in the shape of an arc forming a part of a circle.
  • a part of the body 110 is grooved in the shape of an arc forming a part of a circle, but this groove cooperates with the cutout groove formed on the rotation shaft 121 to form a circular groove. ) Can be formed to communicate with.
  • the pin groove 510 is formed by the incision groove formed in the body 110 and the incision groove formed in the rotation shaft 121.
  • the motion of the blade 120 and the rotation shaft 121 in the rotation direction may be limited.
  • the present invention can be applied and sold in the medical industry.

Abstract

The present invention relates to a vertebral cage comprising: a body which is inserted between a vertebra and a neighboring vertebra, and is provided with a space part in which bone powder may be filled; a blade which is rotatably provided on an inner side surface of the body; and a locking means which fixes the blade, rotated or not rotated on the body, to the inner side surface of the body, wherein the locking means comprises fixing protrusions and groove parts which are respectively provided on the respective surfaces facing each other of the body and the blade, and are coupled to each other.

Description

척추용 케이지Spine cage
본 발명은, 척추뼈 사이의 공간으로 삽입되어 침체(subsidence) 현상을 방지하고 더불어 척추뼈와 이웃한 척추뼈를 유합시키는 케이지에 관한 것으로서, 상세하게는, 상/하부 척추체 간의 고정을 위한 블레이드를 척추체 간에서 정밀하게 회전하고 회전된 상태를 견고하게 유지시킬 수 있도록 구성된 척추용 케이지에 관한 것이다.The present invention relates to a cage that is inserted into a space between vertebrae to prevent a subsidence phenomenon and to unite a vertebrae adjacent to a vertebrae, and in detail, a blade for fixing between upper and lower vertebrae. It relates to a cage for a spine configured to precisely rotate between vertebral bodies and to keep the rotated state firmly.
일반적으로, 척추 뼈와 뼈 사이에 존재하는 디스크는 관절의 기능을 하며 척추의 움직임에 따라서 디스크의 안쪽에 수용된 수핵의 위치와 모양이 바뀌면서 척추에 가해지는 충격을 최소화하는 매우 중요한 역할을 하게 된다.In general, a disk existing between a vertebral bone and a bone functions as a joint and plays a very important role in minimizing the impact applied to the spine as the position and shape of the nucleus contained in the disk changes according to the movement of the spine.
수핵의 대부분은 수분(물)으로 이루어져 있는데 나이를 먹으면서 점차 수분량이 줄어들어 디스크는 완충기능을 상실하게 된다.Most of the nucleus is made up of water (water), and as you age, the amount of water gradually decreases, and the disk loses its buffering function.
이로 인해 섬유에 과도한 압력이 가해지면 허리통증이 발생하고, 여기서 더 진행되면 섬유가 심하게 늘어나거나 파열되면서 뒤쪽에 위치한 신경근을 눌러서 골반, 다리 등에 통증이 발생하게 된다.As a result, when excessive pressure is applied to the fibers, back pain occurs, and when further proceeding, the fibers are severely stretched or ruptured, pressing the nerve roots located at the back, causing pain in the pelvis and legs.
이후 척추의 간격이 점차 좁아지거나 척추 뼈가 내려앉으면서 척추변형이 일어나는 등 각종 부작용들이 발생하고 있다.After that, various side effects such as spinal deformity occur as the spacing of the spine gradually narrows or the spine bones settle down.
이렇게 디스크로 인해 수반되는 질병 치료의 한 방법으로, 손상된 척추 간 디스크를 제거한 후, 두 개의 인접한 척추 사이의 공간을 보형재, 소위 케이지(Cage)로 대체하는 방법이 있다. 즉, 보형재는 척추 간 디스크의 원래 높이인 두 개의 인접한 척추체 사이의 원래 거리가 회복되도록 하여 척추 기능을 회복시키도록 하는 것이다.As a method of treating diseases accompanying the disc, there is a method of removing the damaged intervertebral disc and then replacing the space between two adjacent vertebrae with a prosthetic material, a so-called cage. That is, the prosthetic material restores spinal function by restoring the original distance between two adjacent vertebral bodies, which is the original height of the intervertebral disc.
즉, 척추용 케이지는 손상된 디스크를 제거하고 그 자리에 아래 위쪽의 두 척추 뼈 간의 높이를 유지해주면서 그 두 척추 뼈 간의 융합을 위해 뼈를 공급하기 위한 구조물이라 할 수 있다.That is, the vertebral cage can be said to be a structure for supplying bones for fusion between the two vertebral bones while maintaining the height between the two vertebral bones in the lower and upper vertebrae in place after removing the damaged disk.
종래의 척추용 케이지는, 뼈 생성물질(골분)이 충진 될 수 있는 공간을 마련한 채 척추뼈와 이웃한 척추뼈 사이의 공간으로 삽입되는 몸체와, 몸체에 마련된 상태에서 상부에 위치된 척추뼈의 저면과 하부에 위치된 척추뼈의 윗면으로 삽입되어 상/하부 척추체 간의 간격을 유지하는 블레이드;를 크게 포함하여 구성될 수 있다.Conventional vertebral cages include a body inserted into a space between a vertebrae adjacent to a vertebrae while providing a space for filling a bone-generating material (bone meal), and a vertebrae positioned at the top in a state provided in the body. It may be configured to include a large; blades that are inserted into the upper surface of the vertebrae positioned at the bottom and the lower to maintain the gap between the upper and lower vertebral bodies.
그런데, 종래의 척추용 케이지는, 환자가 움직일 때 척추로 전달되는 힘에 의해 블레이드가 몸체 상에서 유동되어 제 기능을 수행하지 못하는 문제점이 있다. 즉, 척추뼈의 윗면과 저면에 삽입된 블레이드가 척추뼈의 움직임에 의해 척추뼈 상에서 분리되어 척추체간의 간격을 유지시키지 못하는 현상이 발생된다.However, the conventional cage for spine has a problem in that the blades flow on the body due to the force transmitted to the spine when the patient moves, and thus cannot perform its function. That is, the blades inserted into the upper and lower surfaces of the vertebrae are separated from the vertebrae by the movement of the vertebrae, and thus the gap between the vertebral bodies cannot be maintained.
위와 같은 문제점을 해결하기 위하여, 블레이드를 몸체에 고정적으로 형성하는 방식이 제안된 바 있다. 하지만, 이러한 방식은 블레이드와 몸체간의 결합력을 증가시켜 블레이드의 유동을 줄일 수 있는 장점은 있지만 몸체의 전체적인 크기가 증가되는 관계로 인하여 절개 부위도 증가되어 환자의 회복을 더디게 하고, 흉터도 남기는 문제점이 있다.In order to solve the above problems, a method of fixing the blade to the body has been proposed. However, this method has the advantage of reducing the flow of the blade by increasing the coupling force between the blade and the body, but due to the increase in the overall size of the body, the incision area is also increased, slowing the recovery of the patient and leaving a scar. have.
따라서, 근래에는 몸체에 블레이드를 회전 가능하게 마련하는 방식이 사용되고 있다.Therefore, recently, a method of providing a blade rotatably on a body has been used.
즉, 척추체간으로 몸체를 삽입할 시에는 블레이드가 몸체 상에서 노출되지 않도록 하여 몸체의 전체적인 크기를 증가시키지 않고, 척추체간에 몸체가 삽입된 후에 블레이드를 몸체 상에서 회전시켜 상/하부 척추뼈를 서로 고정시키는 구조의 케이지가 사용되고 있다.In other words, when inserting the body into the intervertebral body, the blade is not exposed on the body, so that the overall size of the body is not increased, and after the body is inserted between the vertebral bodies, the blade is rotated on the body to fix the upper and lower vertebrae. A structured cage is being used.
하지만, 이러한 종래의 척추용 케이지는, 몸체 상에서 블레이드를 회전 시키기 위하여 요구되는 구성이 복잡하고, 또한, 몸체 상에서 회전된 블레이드를 고정시키기 위한 별도의 고정수단이 더 요구되는 문제점이 있다.However, such a conventional spine cage has a problem in that the configuration required to rotate the blade on the body is complicated, and a separate fixing means for fixing the rotated blade on the body is further required.
또한, 위와 같은 종래의 척추용 케이지는, 몸체 상에서 블레이드를 회전시키는 시술과정과 회전된 블레이드를 고정시키기 위하여 몸체 상에 별도의 고정수단을 장착하는 시술과정이 별개로 이루어지도록 하므로, 결국, 수술 시간을 증가시키고 수술 과정도 어렵게 하는 문제점이 있다.In addition, since the above conventional cage for spine allows the procedure of rotating the blade on the body and the procedure of attaching a separate fixing means on the body to fix the rotated blade, in the end, the operation time There is a problem that increases and makes the surgical process difficult.
그리고, 고정수단은 별도로 고안된 수술도구에 의해서만 사용될 수 있는 구조를 가지기 때문에, 결국, 별도의 수술도구를 제작하기 위한 비용이 발생되어 수술비용을 증가시키고 이에 따른 환자의 비용적 부담이 늘어나는 단점이 있다.And, since the fixing means has a structure that can be used only by a separately designed surgical tool, in the end, there is a disadvantage in that a cost for manufacturing a separate surgical tool is incurred, which increases the surgical cost and thus increases the cost burden of the patient. .
따라서, 본 출원인은, 상기와 같은 문제점을 해결하기 위하여 본 발명을 개발하게 되었으며, 이와 관련된 선행기술문헌으로는, 대한민국 등록특허 제10-1388078호의 "추간 고정용 블레이드를 가진 케이지"가 있다.Accordingly, the present applicant has developed the present invention in order to solve the above problems, and as a related prior art document, there is a "cage having a blade for intervertebral fixation" of Korean Patent No. 10-1388078.
본 발명은 상기와 같은 문제점을 해결하기 위한 것으로서, 시술자의 간단한 조작으로 척추체간에 삽입된 몸체 상에서 블레이드를 용이하게 회전시킴과 동시에 그 회전된 블레이드를 견고하게 유지할 수 있도록 구성된 척추용 케이지를 제공하는데 목적이 있다.An object of the present invention is to solve the above problems, and to provide a cage for a spine configured to easily rotate a blade on a body inserted between a vertebral body by a simple operation of a practitioner and to firmly maintain the rotated blade. There is this.
또한, 본 발명은, 몸체 상에서 블레이드를 회전시키는 구조적 과정과 회전된 상태의 블레이드를 고정시키는 구조적 과정이 동시에 이루어지도록 하여 수술시간을 단축시키고, 더불어, 몸체와 블레이드 간의 결합력도 증대시킬수 있도록 구성된 척추용 케이지를 제공하는데 목적이 있다.In addition, the present invention, the structural process of rotating the blade on the body and the structural process of fixing the blade in the rotated state are simultaneously performed to shorten the operation time and, in addition, to increase the bonding force between the body and the blade The purpose is to provide a cage.
본 발명은, 척추뼈와 이웃한 척추뼈 사이에 삽입되며, 골분이 충진될 수 있는 공간부가 마련된 몸체; 상기 몸체의 내측면에 회전 가능하게 마련되는 블레이드; 및 상기 몸체 상에서 회전 또는 비회전된 블레이드를 상기 몸체의 내측면 상에 고정시키는 록킹수단;을 포함하며, 상기 록킹수단은, 상기 몸체와 상기 블레이드가 서로 마주하는 면 상에 마련되어 서로 결합되는 고정돌기 및 홈부를 포함할 수 있다.The present invention is inserted between the vertebrae and the adjacent vertebrae, the body provided with a space portion that can be filled with bone meal; A blade rotatably provided on the inner side of the body; And a locking means for fixing the blade rotated or non-rotated on the body on the inner surface of the body, wherein the locking means is a fixing protrusion provided on a surface facing each other and coupled with the body and the blade And it may include a groove.
또한, 상기 홈부는, 상기 블레이드가 상기 몸체의 공간부 상에서 외부로 노출되지 않는 수평자세를 가질 시에 상기 고정돌기와 결합되는 수평상태 유지홈; 상기 블레이드가 상기 몸체의 공간부 상에서 외부로 노출되어 수직자세를 가질 시에 상기 고정돌기와 결합되는 수직상태 유지홈; 및 상기 수평상태 유지홈과 상기 수직상태 유지홈을 서로 연결하며, 상기 블레이드가 회전되는 과정에서 상기 고정돌기와 접촉되는 가이드홈;을 포함할 수 있다.In addition, the groove portion, when the blade has a horizontal position not exposed to the outside on the space portion of the body, the horizontal state maintenance groove coupled to the fixing protrusion; A vertical state maintenance groove that is coupled to the fixing protrusion when the blade is exposed to the outside on the space portion of the body and has a vertical position; And a guide groove that connects the horizontal state maintenance groove and the vertical state maintenance groove to each other, and contacts the fixing protrusion while the blade is rotated.
또한, 상기 수직상태 유지홈과 상기 가이드홈이 서로 연결되는 지점에는 상기 수직상태 유지홈에 삽입된 상기 고정돌기가 이탈되는 것을 방지하는 이탈 방지턱이 마련되고, 상기 수평상태 유지홈과 상기 가이드홈이 서로 연결되는 지점에는, 상기 수평상태 유지홈에 삽입된 상기 고정돌기의 이탈을 돕는 라운드면이 마련될 수 있다.In addition, at a point where the vertical state maintenance groove and the guide groove are connected to each other, a release preventing jaw is provided to prevent the fixing protrusion inserted into the vertical state maintenance groove from being separated, and the horizontal state maintenance groove and the guide groove At the points connected to each other, a round surface may be provided to assist the separation of the fixing protrusion inserted into the horizontal state maintaining groove.
또한, 상기 가이드홈은, 상기 수평상태 유지홈이 형성된 방향에서 상기 수직상태 유지홈이 형성된 방향으로 갈수록 상향 경사진 형태를 가질 수 있다.In addition, the guide groove may have a shape inclined upward from a direction in which the horizontal state maintaining groove is formed to a direction in which the vertical state maintaining groove is formed.
또한, 상기 블레이드를 회전시키는 회전수단과 상기 블레이드 사이에 마련되어 상기 블레이드를 상기 몸체의 내측면에 밀착시키는 탄성수단;을 더 포함할 수 있다.In addition, it may further include; a rotating means for rotating the blade and an elastic means provided between the blades for intimate contact with the inner surface of the blade.
또한, 상기 회전수단은, 상기 몸체에 형성된 체결공에 삽입되는 외측부시; 상기 외측부시의 내부로 회전 가능하게 삽입되어 상기 블레이드와 결합되는 내측부시; 및 상기 내측부시와 상기 외측부시 사이에 마련되어 상기 탄성수단을 수용하는 공간부;를 포함할 수 있다.In addition, the rotation means, an outer bush inserted into a fastening hole formed in the body; An inner bush rotatably inserted into the outer bush and coupled to the blade; And a space portion provided between the inner bush and the outer bush to accommodate the elastic means.
또한, 상기 탄성수단은, 코일 스프링, 와셔 스프링, 탄성복원력을 가지는 원통형의 탄성체 중 어느 하나를 포함할 수 있다.In addition, the elastic means may include any one of a coil spring, a washer spring, and a cylindrical elastic body having an elastic restoring force.
또한, 본 발명은, 척추뼈와 이웃한 척추뼈 사이에 삽입되며, 골분이 충진될 수 있는 공간부가 마련된 몸체; 상기 몸체의 내측면에 회전 가능하게 마련되는 블레이드; 및 상기 몸체 상에서 회전 또는 비회전된 블레이드를 상기 몸체의 내측면 상에 고정시키는 록킹수단;을 포함하며, 상기 록킹수단은, 상기 블레이드에 마련되어 상기 몸체에 형성된 체결홀에 회전 가능하게 삽입되는 회전축의 회전을 제한할 수 있다.In addition, the present invention is inserted between the vertebrae and the adjacent vertebrae, the body provided with a space portion that can be filled with bone meal; A blade rotatably provided on the inner side of the body; And a locking means for fixing the rotating or non-rotated blade on the body on the inner surface of the body, wherein the locking means includes a rotation shaft provided in the blade and rotatably inserted into a fastening hole formed in the body. Rotation can be restricted.
또한, 상기 록킹수단은, 상기 블레이드가 상기 몸체 상에서 수직방향으로 세워지면, 상기 회전축과 상기 체결홀이 형성된 몸체의 부위가 서로 협력하여 형성하는 핀홈; 및 상기 핀홈에 삽입되어 상기 회전축의 회전을 제한하는 고정핀;을 포함할 수 있다.In addition, the locking means, when the blade is erected in a vertical direction on the body, the rotation shaft and the portion of the body in which the fastening hole is formed are formed in cooperation with each other pin groove; And a fixing pin inserted into the pin groove to limit the rotation of the rotation shaft.
또한, 상기 록킹수단은, 상기 회전축의 외주면과 상기 체결홀을 구획하는 상기 몸체의 내주면에 각각 형성되는 나사 가공부일 수 있다.In addition, the locking means may be threaded portions respectively formed on an outer peripheral surface of the rotation shaft and an inner peripheral surface of the body that partitions the fastening hole.
본 발명에 따른 척추용 케이지는, 상/하부 척추뼈에 침투되도록 몸체 상에서 회전된 블레이드를 몸체의 내측면과 견고히 결합된 상태로 유지시키는 록킹수단을 구비하므로, 외력에 의한 블레이드의 회전 또는 유동이 방지되어 상/하부 척추뼈의 간격을 일정하게 유지할 수 있고, 더불어, 척추를 통과하는 신경조직과 기타 조직 간의 간섭을 줄일 수 있다.The cage for the spine according to the present invention includes a locking means for maintaining the blade rotated on the body in a state firmly coupled to the inner surface of the body so as to penetrate the upper/lower vertebrae, so that the rotation or flow of the blade by external force is It is prevented so that the spacing of the upper and lower vertebrae can be kept constant, and, in addition, interference between the nervous tissue passing through the spine and other tissues can be reduced.
또한, 본 발명에 따른 척추용 케이지는, 블레이드를 회전시키는 과정과 회전된 블레이드를 몸체 상에 견고히 밀착시키는 과정이 시술자의 회전 동작에 이루어 질 수 있으므로, 수술의 편의성을 제공하여 수술 성공률을 높이고, 이에 따른 환자의 신체적 부담도 줄일 수 있다.In addition, in the cage for spine according to the present invention, since the process of rotating the blade and the process of firmly attaching the rotated blade to the body can be performed in the rotational motion of the operator, it provides convenience of surgery to increase the success rate of surgery, Accordingly, the physical burden on the patient can be reduced.
또한, 본 발명에 따른 척추용 케이지는, 블레이드를 몸체의 내측면에 밀착된 상태를 유지시키는 탄성수단을 구비하므로, 몸체 상에서 비회전 또는 회전된 블레이드의 자세를 견고히 유지시킬 수 있고, 더불어, 몸체 상에서 블레이드가 분리되어 분실되는 것도 방지할 수 있다.In addition, since the cage for spine according to the present invention has an elastic means for maintaining the blade in close contact with the inner surface of the body, it is possible to firmly maintain the posture of the non-rotated or rotated blade on the body, and in addition, the body It is also possible to prevent the blade from being separated and lost.
도 1은 본 발명의 일 실시예에 따른 척추용 케이지를 전방에서 바라본 사시도.1 is a perspective view as viewed from the front of a cage for a spine according to an embodiment of the present invention.
도 2는 본 발명의 일 실시예에 따른 척추용 케이지를 후방에서 바라본 사시도.Figure 2 is a perspective view as viewed from the rear of the cage for the spine according to an embodiment of the present invention.
도 3은 본 발명의 일 실시예에 따른 척추용 케이지의 단면도.Figure 3 is a cross-sectional view of a cage for the spine according to an embodiment of the present invention.
도 4는 본 발명의 일 실시예에 따른 척추용 케이지의 분리 사시도.Figure 4 is an exploded perspective view of the cage for the spine according to an embodiment of the present invention.
도 5는 본 발명의 일 실시예에 따른 록킹수단의 결합돌기의 구성을 보여주기 위한 분리 사시도.Figure 5 is an exploded perspective view for showing the configuration of the engaging projection of the locking means according to an embodiment of the present invention.
도 6은 본 발명의 일 실시예에 따른 척추용 케이지의 블레이드가 90도로 회전된 상태를 보여주는 사시도.Figure 6 is a perspective view showing a state in which the blade of the cage for spine is rotated 90 degrees according to an embodiment of the present invention.
도 7은 본 발명의 일 실시예에 따른 록킹수단의 홈부 구성을 보여주기 위한 단면도.Figure 7 is a cross-sectional view for showing the configuration of the groove of the locking means according to an embodiment of the present invention.
도 8은 본 발명의 다른 실시예에 따른 록킹수단의 구성을 보여주기 위한 평면도.8 is a plan view showing the configuration of a locking means according to another embodiment of the present invention.
도 9은 본 발명의 또 다른 실시예에 따른 록킹수단의 구성을 보여주기 위한 정면도.Figure 9 is a front view for showing the configuration of a locking means according to another embodiment of the present invention.
본 발명의 이점 및 특징, 그리고 그것들을 달성하는 방법은 첨부되는 도면과 함께 상세하게 후술되어 있는 실시예들을 참조하면 명확해질 것이다.Advantages and features of the present invention, and a method of achieving them will become apparent with reference to the embodiments described below in detail together with the accompanying drawings.
그러나, 본 발명은 이하에서 개시되는 실시예들에 한정되는 것이 아니라 서로 다른 다양한 형태로 구현될 것이며, 단지 본 실시예들은 본 발명의 개시가 완전하도록 하며, 본 발명이 속하는 기술분야에서 통상의 지식을 가진 자에게 발명의 범주를 완전하게 알려주기 위해 제공되는 것이며, 본 발명은 청구항의 범주에 의해 정의될 뿐이다.However, the present invention is not limited to the embodiments disclosed below, but will be implemented in a variety of different forms, only these embodiments make the disclosure of the present invention complete, and common knowledge in the technical field to which the present invention pertains. It is provided to completely inform the scope of the invention to those who have, and the invention is only defined by the scope of the claims.
이하, 도 1 내지 도 7을 참조하여 본 발명의 일 실시예에 따른 척추용 케이지가 상세하게 설명된다. 본 발명을 설명함에 있어, 관련된 공지기능 혹은 구성에 대한 구체적인 설명은 발명의 요지를 모호하지 않게 하기 위하여 생략된다.Hereinafter, a cage for a spine according to an embodiment of the present invention will be described in detail with reference to FIGS. 1 to 7. In describing the present invention, detailed descriptions of related known functions or configurations are omitted so as not to obscure the subject matter of the invention.
도 1은 본 발명의 일 실시예에 따른 척추용 케이지를 전방에서 바라본 사시도이고, 도 2는 본 발명의 일 실시예에 따른 척추용 케이지를 후방에서 바라본 사시도이고, 도 3은 본 발명의 일 실시예에 따른 척추용 케이지의 단면도이고, 도 4는 본 발명의 일 실시예에 따른 척추용 케이지의 분리 사시도이고, 도 5는 본 발명의 일 실시에에 따른 록킹수단의 결합돌기의 구성을 보여주기 위한 분리 사시도이고, 도 6은 본 발명의 일 실시예에 따른 척추용 케이지의 블레이드가 90도로 회전된 상태를 보여주는 사시도이고, 도 7은 본 발명의 일 실시예에 따른 록킹수단의 홈부 구성을 보여주기 위한 단면도이고, 도 8은 본 발명의 다른 실시예에 따른 록킹수단의 구성을 보여주기 위한 평면도이고, 도 9은 본 발명의 또 다른 실시예에 따른 록킹수단의 구성을 보여주기 위한 정면도이다.1 is a perspective view of a spine cage according to an embodiment of the present invention viewed from the front, FIG. 2 is a perspective view of a spinal cage according to an embodiment of the present invention viewed from the rear, and FIG. 3 is an embodiment of the present invention A cross-sectional view of a cage for a spine according to an example, FIG. 4 is an exploded perspective view of a cage for a spine according to an embodiment of the present invention, and FIG. 5 is a diagram showing a configuration of a coupling protrusion of a locking means according to an embodiment of the present invention 6 is a perspective view showing a state in which the blade of the cage for spine is rotated by 90 degrees according to an embodiment of the present invention, and FIG. 7 shows the configuration of a groove of a locking means according to an embodiment of the present invention. Fig. 8 is a plan view showing the configuration of a locking means according to another embodiment of the present invention, and Fig. 9 is a front view showing the configuration of a locking means according to another embodiment of the present invention.
도 1 내지 도 7에 도시된 바와 같이, 본 발명의 일 실시예에 따른 척추용 케이지(100)는, 척추뼈와 이웃한 척추뼈 사이에 삽입되며, 골분이 충진될 수 있는 공간부가 마련된 몸체(110)와, 상기 몸체(110)의 내측면에 회전 가능하게 마련되는 블레이드(120); 및 상기 몸체(110) 상에서 회전 또는 비회전된 블레이드(120)를 상기 몸체(110)의 내측면 상에 고정시키는 록킹수단(200);을 포함할 수 있다.As shown in FIGS. 1 to 7, the cage 100 for a spine according to an embodiment of the present invention is inserted between a vertebrae and an adjacent vertebrae, and a body provided with a space in which bone meal can be filled ( 110) and a blade 120 rotatably provided on the inner surface of the body 110; And a locking means 200 for fixing the blade 120 rotated or non-rotated on the body 110 on the inner surface of the body 110.
먼저, 상기 몸체(110)는, 평면 상에서 바라보았을 때 전체적으로 사다리꼴의 형태를 가질 수 있으며, 그 중앙부에는 골분이 충진될 수 있는 공간부가 마련된다.First, the body 110 may have a trapezoidal shape as a whole when viewed on a plane, and a space portion in which bone meal can be filled is provided at the center thereof.
몸체(110)는, 인체에 무해한 금속 합금으로 이루어질 수 있으며, 섬유강화플라스틱, 폴리에테르에테르케톤(PEEK), 폴리머와 같은 플라스틱재로 이루어질 수도 있다.The body 110 may be made of a metal alloy that is harmless to the human body, and may be made of a plastic material such as fiber-reinforced plastic, polyetheretherketone (PEEK), or a polymer.
그리고, 몸체(110)의 윗면과 저면에는 척추체간에서 몸체(110)가 유동되는 것을 방지하는 다수개의 돌기가 마련될 수 있다.Further, a plurality of protrusions may be provided on the upper and lower surfaces of the body 110 to prevent the body 110 from flowing between the vertebral bodies.
상기 블레이드(120)는, 몸체(110)의 공간부에 수용된 상태에서 전술한 바와 같이 몸체(110)의 내측면에 회전 가능하게 마련될 수 있다.The blade 120 may be rotatably provided on the inner surface of the body 110 as described above in a state accommodated in the space portion of the body 110.
이러한 블레이드(120)는, 몸체(110)가 신체에 삽입되기 이전에는 도 1에 도시된 바와 같이 몸체(110)의 공간부에서 비노출되는 수평자세로 배치될 수 있다.The blade 120 may be disposed in a horizontal posture that is not exposed in the space portion of the body 110 as shown in FIG. 1 before the body 110 is inserted into the body.
반대로, 몸체(110)가 척추체간에 삽입된 후에는 도 6에 도시된 바와 같이, 후술할 회전수단(300)에 의해 몸체(110)의 내측면 상에서 회전되어 수직자세로 배치될 수 있다. 그러면, 그 길이방향 단부가 몸체(110)의 공간부 상에서 상부 및 하부로 각각 노출되며, 이 노출된 블레이드(120)의 부위가 상부 척추뼈의 저면 및 하부 척추뼈의 윗면으로 각각 삽입될 수 있다.On the contrary, after the body 110 is inserted between the vertebral bodies, as shown in FIG. 6, the body 110 may be rotated on the inner surface of the body 110 by a rotating means 300 to be described later and disposed in a vertical position. Then, the longitudinal ends are respectively exposed to the upper and lower portions on the space portion of the body 110, and the exposed portions of the blade 120 can be respectively inserted into the lower surface of the upper vertebrae and the upper surface of the lower vertebrae. .
상기 록킹수단(200)은, 몸체(110)의 공간부 내에서 수평자세 또는 수직자세로 배치된 블레이드(120)가 몸체(110)의 내측면과 견고히 결합된 상태를 유지시켜주는 역할을 하며, 특히, 수직자세로 배치되어 상/하부 척추체로 길이방향 단부가 각각 삽입된 블레이드(120)의 회전각도를 유지시키는 역할을 한다.The locking means 200 serves to maintain a state in which the blade 120 disposed in a horizontal or vertical position in the space portion of the body 110 is firmly coupled to the inner surface of the body 110, In particular, it serves to maintain the rotation angle of the blade 120, which is disposed in a vertical position and has its longitudinal ends inserted into the upper and lower vertebral bodies, respectively.
이러한, 록킹수단(200)은, 도 4 및 도 5에 도시된 바와 같이, 상기 몸체(110)의 내측면에 마련되는 고정돌기(210); 및 상기 고정돌기(210)가 삽입되며, 상기 몸체(110)의 내측면과 마주하는 상기 블레이드(120)의 일면에 마련되는 홈부(220);를 포함할 수 있다.This, the locking means 200, as shown in Figures 4 and 5, the fixing protrusion 210 provided on the inner surface of the body 110; And a groove 220 into which the fixing protrusion 210 is inserted and provided on one surface of the blade 120 facing the inner surface of the body 110.
상기 고정돌기(210)는, 도 4에 도시된 바와 같이, 본 발명의 일 실시예에서는 몸체(110)의 내측면 상에서 서로 간격을 두고 한 쌍으로 마련되는 것으로 도면 상에 도시되어 있으며, 반구의 형태를 가진 채로 몸체(110)의 내측면 상에서 블레이드(120)의 일면을 향해 돌출되게 마련되어 있다.The fixing protrusions 210, as shown in FIG. 4, are shown in the drawings as being provided in pairs at intervals on the inner side of the body 110 in one embodiment of the present invention. It is provided to protrude toward one side of the blade 120 on the inner side of the body 110 while having a shape.
상기 홈부(220)는, 도 5 및 도 7에 도시된 바와 같이, 상기 블레이드(120)가 상기 몸체(110)의 공간부 상에서 외부로 노출되지 않는 수평자세를 가질 시에 상기 고정돌기(210)와 결합되는 수평상태 유지홈(221); 상기 블레이드(120)가 상기 몸체(110)의 공간부 상에서 외부로 노출되어 수직자세를 가질 시에 상기 고정돌기(210)와 결합되는 수직상태 유지홈(222); 및 상기 수평상태 유지홈(221)과 상기 수직상태 유지홈(222)을 서로 연결하며, 상기 블레이드(120)가 회전되는 과정에서 상기 고정돌기(210)와 접촉되는 가이드홈(223);을 포함할 수 있다.The groove portion 220, as shown in Figures 5 and 7, when the blade 120 has a horizontal posture that is not exposed to the outside on the space portion of the body 110, the fixing protrusion 210 A horizontal state maintenance groove 221 coupled with the; A vertical state maintenance groove 222 coupled with the fixing protrusion 210 when the blade 120 is exposed to the outside on the space portion of the body 110 and has a vertical posture; And a guide groove 223 that connects the horizontal state maintenance groove 221 and the vertical state maintenance groove 222 to each other and contacts the fixing protrusion 210 while the blade 120 is rotated. can do.
수평상태 유지홈(221)은, 블레이드(120)가 몸체(110)의 내측면과 평행하게 배치되어 그 길이방향 양단부가 몸체(110)의 공간부 상에서 외부로 노출되지 않을 시에 고정돌기(210)가 삽입되는 홈이라 할 수 있다. 즉, 고정돌기(210)가 수평상태 유지홈(221)에 삽입되면, 도 1에 도시된 바와 같이, 블레이드(120)는 몸체(110)의 내측면과 평행한 수평상태를 유지할 수 있다.When the blade 120 is disposed parallel to the inner surface of the body 110 so that both ends of the blade 120 are not exposed to the outside on the space portion of the body 110, the fixing protrusion 210 ) Is inserted into the groove. That is, when the fixing protrusion 210 is inserted into the horizontal state maintaining groove 221, as shown in FIG. 1, the blade 120 may maintain a horizontal state parallel to the inner surface of the body 110.
이러한, 수평상태 유지홈(221)은, 고정돌기(210)와 형합적으로 결합될 수 있는 음각의 반구 형태를 가질 수 있다.The horizontal state maintenance groove 221 may have an engraved hemispherical shape that can be combined with the fixing protrusion 210.
수직상태 유지홈(222)은, 블레이드(120)가 몸체(110)의 내측면과 교차되게 배치되어 그 길이방향 양단부가 몸체(110)의 공간부 상에서 외부로 노출될 시에 고정돌기(210)가 삽입되는 홈이라 할 수 있다. 즉, 고정돌기(210)가 수직상태 유지홈(222)에 삽입되면, 도 6에 도시된 바와 같이, 블레이드(120)는 몸체(110)의 내측면과 교차되는 수직상태로 배치될 수 있다.The vertical state maintenance groove 222 is disposed so that the blade 120 crosses the inner surface of the body 110 so that both ends thereof in the longitudinal direction are exposed to the outside on the space portion of the body 110, and the fixing protrusion 210 It can be called a groove into which is inserted. That is, when the fixing protrusion 210 is inserted into the vertical state maintaining groove 222, as shown in FIG. 6, the blade 120 may be disposed in a vertical state crossing the inner surface of the body 110.
이러한, 수직상태 유지홈(222)도 고정돌기(210)와 형합적으로 결합될 수 있는 음각의 반구 형태를 가질 수 있다.Such, the vertical state maintaining groove 222 may also have an engraved hemispherical shape that can be combined with the fixing protrusion 210.
가이드홈(223)은, 수평상태로 배치된 블레이드(120)가 후술할 회전수단(300, 도3 및 도 4참조)에 의해 회전되어 수직상태로 배치될 시에, 수평상태 유지홈(221)에 삽입된 고정돌기(210)가 수직상태 유지홈(222)에 용이하게 삽입될 수 있도록 하는 가이드 역할을 한다.The guide groove 223, when the blade 120 disposed in a horizontal state is rotated by a rotating means 300 (see FIGS. 3 and 4) to be described later and disposed in a vertical state, the horizontal state maintenance groove 221 The fixing protrusion 210 inserted into the groove serves as a guide so that it can be easily inserted into the vertical state maintenance groove 222.
이러한 가이드홈(223)은, 블레이드(120)의 회전중심을 기준으로 원주방향 일부를 따라 배치된 채 수평상태 유지홈(221)과 수직상태 유지홈(222)을 서로 연결하는 호의 형태를 가질 수 있다.The guide groove 223 may have an arc shape connecting the horizontal state maintenance groove 221 and the vertical state maintenance groove 222 to each other while being disposed along a part of the circumferential direction with respect to the rotation center of the blade 120. have.
한편, 도 7에 도시된 바와 같이, 상기 수직상태 유지홈(222)과 상기 가이드홈(223)이 서로 연결되는 지점에는 상기 수직상태 유지홈(222)에 삽입된 상기 고정돌기가 이탈되는 것을 방지하는 이탈 방지턱(224)이 마련될 수 있다.On the other hand, as shown in FIG. 7, the fixing protrusion inserted into the vertical state maintaining groove 222 is prevented from being separated at a point where the vertical state maintaining groove 222 and the guide groove 223 are connected to each other. A departure prevention jaw 224 may be provided.
이탈 방지턱(224)은 수직방향으로 배치된 블레이드(120)가 외력을 전달받아도 유동되지 않도록 하여 블레이드(120)의 회전각도를 더욱 유지시키는 역할을 한다. 즉, 수직상태 유지홈(220)에 삽입된 고정돌기(210)가 외력에 의해 수직상태 유지홈(222)에서 이탈되는 것을 방지하는 역할을 한다.The separation prevention jaw 224 serves to further maintain the rotation angle of the blade 120 by preventing the blade 120 disposed in the vertical direction from flowing even when receiving an external force. That is, it serves to prevent the fixing protrusion 210 inserted into the vertical state maintaining groove 220 from being separated from the vertical state maintaining groove 222 by an external force.
반면에, 상기 수평상태 유지홈(221)과 상기 가이드홈(223)이 서로 연결되는 지점에는, 상기 수평상태 유지홈(221)에 삽입된 상기 고정돌기(210)의 이탈을 돕는 라운드면(225)이 마련될 수 있다.On the other hand, at a point at which the horizontal state maintaining groove 221 and the guide groove 223 are connected to each other, a round surface 225 that helps the separation of the fixing protrusion 210 inserted into the horizontal state maintaining groove 221 ) Can be provided.
라운드면(225)은, 수평방향으로 배치된 블레이드(120)가 후술할 회전수단(300)에 의하여 회전될 시에, 수평상태 유지홈(221)에 삽입되었던 고정돌기(210)가 수평상태 유지홈(221) 상에서 용이하게 이탈될 수 있도록 하는 역할을 한다. Round surface 225, when the blade 120 disposed in the horizontal direction is rotated by the rotating means 300 to be described later, the fixing protrusion 210 inserted into the horizontal state maintenance groove 221 is maintained in a horizontal state It serves to be easily separated from the groove 221.
위와 같은 이탈 방지턱(224) 및 라운드면(225)에 의하여 회전수단(300)에 의한 블레이드(120)의 회전이 용이하게 이루어질 수 있고, 더불어, 수직방향으로 배치된 블레이드(120)의 자세가 견고히 유지될 수 있다.Rotation of the blade 120 by the rotation means 300 can be made easily by the departure prevention jaw 224 and the round surface 225 as described above, and in addition, the posture of the blade 120 disposed in the vertical direction is firmly Can be maintained.
더불어, 가이드홈(223)은, 상기 수평상태 유지홈(221)이 형성된 방향에서 상기 수직상태 유지홈(222)이 형성된 방향으로 갈수록 상향 경사진 형태를 가지도록 마련되어 수직상태 유지홈(222)에 삽입된 고정돌기(210)가 수직상태 유지홈(222)에 이탈되는 것을 더욱 방지할 수도 있다.In addition, the guide groove 223 is provided to have a shape inclined upward from the direction in which the horizontal state maintaining groove 221 is formed to the direction in which the vertical state maintaining groove 222 is formed. It is also possible to further prevent the inserted fixing protrusion 210 from being separated from the vertical state maintaining groove 222.
참고로, 본 발명의 일 실시예에서는, 상기 고정돌기(210)가 몸체(110)의 내측면에 마련되고, 상기 홈부(220)는 상기 블레이드(120)의 일면에 마련되는 것으로 설명 및 도면 상에 도시되어 있으나 이에 한정되는 것은 아니다. 즉, 상기 고정돌기(210)가 상기 블레이드(120)의 일면에 마련될 수 있고 상기 홈부(220)는, 이에 대향하여 상기 몸체(110)의 내측면에 마련될 수도 있다.For reference, in an embodiment of the present invention, the fixing protrusion 210 is provided on the inner surface of the body 110, and the groove 220 is provided on one surface of the blade 120. It is shown in, but is not limited thereto. That is, the fixing protrusion 210 may be provided on one surface of the blade 120 and the groove part 220 may be provided on the inner surface of the body 110 to face it.
한편, 상기 록킹수단(200)은, 상기 회전수단(300)과 상기 블레이드(120) 사이에 마련되어 상기 블레이드(120)를 상기 몸체(110)의 내측면으로 밀착시키는 탄성수단(400)을 더 포함할 수 있다.On the other hand, the locking means 200 further includes an elastic means 400 provided between the rotating means 300 and the blade 120 to make the blade 120 in close contact with the inner surface of the body 110 can do.
탄성수단(400)은, 몸체(110)의 내측면과 마주하는 블레이드(120)의 일면이 상기 내측면과 밀착된 상태를 이루도록 하여, 몸체(110)와 블레이드(120)간의 결합력을 높이고, 더불어, 90도로 회전되어 수직상태로 배치된 블레이드(120)가 그 회전각도를 지속적으로 유지할 수 있도록 한다.The elastic means 400 is such that one surface of the blade 120 facing the inner surface of the body 110 is in close contact with the inner surface, thereby increasing the coupling force between the body 110 and the blade 120, and It is rotated by 90 degrees so that the blade 120 disposed in a vertical state can continuously maintain its rotation angle.
이러한 탄성수단(400)은, 코일 스프링이나 와셔 스프링과 같은 금속 탄성체로 구현될 수 있으며, 이에 한정되지 않고 탄성복원력을 가지는 플렉시블한 재질의 원통형 탄성체로 구현될 수도 있다. 참고로, 본 발명의 일 실시예에서는, 코일 스프링이 회전수단(300)과 블레이드(120) 사이에 개재되는 것으로 도면 상에 도시되어 있다.The elastic means 400 may be implemented as a metallic elastic body such as a coil spring or a washer spring, but is not limited thereto, and may be implemented as a cylindrical elastic body made of a flexible material having an elastic restoring force. For reference, in an embodiment of the present invention, the coil spring is shown on the drawing as being interposed between the rotating means 300 and the blade 120.
그리고, 본 발명의 일 실시예에 따른 척추용 케이지(100)는, 상기 블레이드(120)를 회전시키는 회전수단(300)을 포함할 수 있다.In addition, the cage 100 for spine according to an embodiment of the present invention may include a rotating means 300 for rotating the blade 120.
상기 회전수단(300)은, 도 3 및 도 4에 도시된 바와 같이, 상기 몸체(110)에 형성된 체결공(111)에 삽입되는 외측부시(310); 상기 외측부시(310)의 내부로 회전 가능하게 삽입되어 상기 블레이드(120)와 결합되는 내측부시(320); 및 상기 내측부시(320)와 상기 외측부시(310) 사이에 마련되어 상기 탄성수단(400)을 수용하는 수용공간(330);를 포함할 수 있다.The rotation means 300, as shown in Figures 3 and 4, the outer bush 310 inserted into the fastening hole 111 formed in the body 110; An inner bush (320) rotatably inserted into the outer bush (310) and coupled to the blade (120); And a receiving space 330 provided between the inner bush 320 and the outer bush 310 to accommodate the elastic means 400.
상기 외측부시(310)는, 몸체(110)에 형성된 체결공(111)에 억지끼움 방식으로 삽입될 수 있으며, 그 길이방향 일측 단부는 몸체(110)의 외측으로 일부 노출될 수 있다.The outer bush 310 may be inserted into the fastening hole 111 formed in the body 110 in a force-fitting manner, and one end portion thereof in the longitudinal direction may be partially exposed to the outside of the body 110.
상기 내측부시(320)는, 블레이드(120)와 직접적으로 연결되는 구성요소로서, 그 길이방향 타단부가 블레이드(120)의 중앙부에 형성된 체결공과 결합될 수 있다.The inner bush 320 is a component that is directly connected to the blade 120, and the other end thereof in the longitudinal direction may be coupled with a fastening hole formed in the central portion of the blade 120.
또한, 내측부시(320)의 길이방향 일단측 외주면에는 상기 공간부(330)에 수용된 탄성수단(400)의 길이방향 일단과 접촉되는 플랜지(321)가 마련되고, 그 길이방향 일면에는 내측부시(320)를 회전시키기 위한 수술도구의 선단부가 삽입되는 공구 삽입홈(322)이 마련된다.In addition, a flange 321 in contact with one end in the longitudinal direction of the elastic means 400 accommodated in the space portion 330 is provided on an outer peripheral surface of one end in the longitudinal direction of the inner bush 320, and an inner bush ( A tool insertion groove 322 into which the tip of the surgical tool for rotating 320 is inserted is provided.
상기 수용공간(330)은, 내측부시(320)의 길이방향 일단과 외측부시(310)의 길이방향 타단 사이에 형성되며, 전술한 바와 같이 탄성수단(400)을 수용할 수 있다.The receiving space 330 is formed between one end in the longitudinal direction of the inner bush 320 and the other end in the longitudinal direction of the outer bush 310, and may accommodate the elastic means 400 as described above.
수용공간(330)에 수용된 탄성수단(400)의 길이방향 일단은 내측부시(320)의 플랜지(321)와 접촉되고 그 길이방향 타단은 외측부시(310)의 길이방향 일단과 접촉될 수 있다. 이러한 구성에 의하여 블레이드(120)의 일면이 몸체(110)의 내측면에 밀착된 상태를 이룰 수 있다. 그리고, 시술자가 블레이드(120)를 회전하기 위하여 내측부시(320)에 형성된 공구 삽입홈(322)에 수술도구를 삽입한 채 내측부시(320)를 회전시키면 탄성수단(400)은 수용공간(330) 내에서 순간 압축되었다가 원상태로 인장될 수 있다.One end in the longitudinal direction of the elastic means 400 accommodated in the receiving space 330 may be in contact with the flange 321 of the inner bush 320 and the other end in the longitudinal direction may be in contact with one end in the longitudinal direction of the outer bush 310. With this configuration, one surface of the blade 120 may be in close contact with the inner surface of the body 110. And, when the operator rotates the inner bush 320 while inserting the surgical tool into the tool insertion groove 322 formed in the inner bush 320 in order to rotate the blade 120, the elastic means 400 is the receiving space 330 ) Can be momentarily compressed and then tensioned to its original state.
지금까지 본 발명에 따른 구체적인 실시예에 관하여 설명하였으나, 본 발명의 범위에서 벗어나지 않는 한도 내에서는 여러 가지 변형이 가능함은 물론이다.Although the specific embodiments according to the present invention have been described so far, various modifications are possible without departing from the scope of the present invention.
예컨대, 도 8에 도시된 바와 같이, 블레이드(120)를 회전시키는 수단으로 블레이드(120)와 일체로 연결된 회전축(121)을 이용할 수 있다. 그리고, 회전축(121)의 외주면과 체결공(111)을 구획하는 몸체(110)의 내주면에 각각 나사 가공부를 형성시켜 서로 나사 결합시킬 수 있으며, 이와 같은 구성이 본 발명의 다른 실시예에 따른 록킹수단이라 할 수 있다.For example, as shown in FIG. 8, a rotation shaft 121 integrally connected with the blade 120 may be used as a means for rotating the blade 120. And, the outer peripheral surface of the rotary shaft 121 and the inner peripheral surface of the body 110 that divides the fastening hole 111 can be screwed to each other by forming a threaded portion, such a configuration is locking according to another embodiment of the present invention It can be said to be a means.
시술자는, 회전축(121)의 선단부에 마련된 공구 삽입홈(121a)에 수술도구를 삽입시켜 회전축(121)과 블레이드(120)를 회전시킬 수 있다. 그리고, 회전축(121)과 체결공(111)이 충분히 결속력을 가지도록 나사 결합된 상태에서 상기 회전축(121)을 소정의 각도로 더 회전시켜 상기 블레이드(120)를 수직상태로 배치시킬 수 있다. 여기서, 수직상태라 함은 블레이드(120)의 길이방향 단부가 몸체(110)의 공간부 상에서 상부 및 하부로 각각 노출되어 상/하부 척추뼈에 삽입되는 상태라 할 수 있다.The operator may rotate the rotation shaft 121 and the blade 120 by inserting a surgical tool into the tool insertion groove 121a provided at the tip of the rotation shaft 121. In addition, while the rotation shaft 121 and the fastening hole 111 are screwed so as to have sufficient binding force, the rotation shaft 121 may be further rotated at a predetermined angle to position the blade 120 in a vertical state. Here, the vertical state may be referred to as a state in which the longitudinal end of the blade 120 is exposed to the upper and lower portions of the space portion of the body 110 and inserted into the upper and lower vertebrae.
한편, 몸체(110)에 형성되어 골분이 충진되는 공간부는, 블레이드(120) 및 회전축(121)이 몸체(110)의 내부에서부터 체결공(111)에 용이하게 삽입될 수 있도록 하는 크기 및 형상을 가질 수 있다.On the other hand, the space portion formed in the body 110 to be filled with bone meal has a size and shape such that the blade 120 and the rotating shaft 121 can be easily inserted into the fastening hole 111 from the inside of the body 110. Can have.
즉, 도 8에 도시된 바와 같이, 상기 공간부는, 평면에서 바라보았을 때 블레이드(120)의 길이보다 긴 간격을 가진 채 마주하게 배치되는 한 쌍의 수직벽, 이 수직벽의 상단과 연결되는 경사벽, 경사벽의 상단을 서로 연결하는 수평벽에 의해 형성될 수 있다. 이때, 상기 한 쌍의 수직벽은, 블레이드(120)에 형성된 회전축(121)이 몸체(110)의 내측에서부터 체결공(111)으로 회전 삽입될 시에 이에 연동되어 회전되는 상기 블레이드(120)의 길이방향 단부에 간섭되지 않도록 하는 간격으로 배치되는 것이 바람직하다.That is, as shown in FIG. 8, the space portion is a pair of vertical walls disposed to face each other with a gap longer than the length of the blade 120 when viewed from a plane, and a slope connected to the upper end of the vertical wall. It may be formed by a horizontal wall connecting the upper ends of the wall and the inclined wall to each other. At this time, the pair of vertical walls of the blade 120 rotated in connection with the rotation shaft 121 formed on the blade 120 is rotated and inserted into the fastening hole 111 from the inside of the body 110. It is preferably arranged at intervals so as not to interfere with the longitudinal ends.
또한, 위와 같이 구성된 블레이드(120)와 회전축(121)을 몸체(110) 상에 고정시키는 록킹수단으로 핀홈(510)과 고정핀(520)이 더 사용될 수 있다.In addition, a pin groove 510 and a fixing pin 520 may be further used as locking means for fixing the blade 120 and the rotation shaft 121 configured as above on the body 110.
즉, 도 9에 도시된 바와 같이, 상기 블레이드(120)가 상기 몸체(110) 상에서 수직방향으로 세워지면, 상기 회전축(121)과 상기 체결홀(111)이 형성된 몸체(111)의 부위가 서로 협력하여 형성하는 핀홈(510); 및 상기 핀홈(510)에 삽입되어 상기 회전축의 회전을 제한하는 고정핀(520);을 포함할 수 있다.That is, as shown in Fig. 9, when the blade 120 is vertically erected on the body 110, the rotation shaft 121 and the portion of the body 111 in which the fastening hole 111 is formed are Pin groove 510 formed in cooperation; And a fixing pin 520 inserted into the pin groove 510 to limit rotation of the rotation shaft.
상기 핀홈(510)을 형성하기 위하여, 상기 회전축(121)의 일부는 원의 일부를 형성하는 호의 형태로 홈 가공될 수 있다.In order to form the pin groove 510, a part of the rotation shaft 121 may be grooved in the shape of an arc forming a part of a circle.
이와 마찬가지로, 상기 몸체(110)의 일부는 원의 일부를 형성하는 호의 형태로 홈 가공되되 이 홈은 회전축(121)에 형성된 절개홈과 협력하여 원 형태의 홈을 형성할 수 있도록 체결공(111)과 연통 가능하게 형성될 수 있다.Likewise, a part of the body 110 is grooved in the shape of an arc forming a part of a circle, but this groove cooperates with the cutout groove formed on the rotation shaft 121 to form a circular groove. ) Can be formed to communicate with.
따라서, 시술자는, 도 9에 도시된 바와 같이, 블레이드(120)를 수직방향으로 세움과 동시에 몸체(110)에 형성된 절개홈과 회전축(121)에 형성된 절개홈에 의해 핀홈(510)이 형성될 수 있도록 회전축(121)을 회전시킨 상태에서 핀홈(510)에 고정핀(520)을 삽입시켜 블레이드(120)와 회전축(121)의 회전방향 운동을 제한할 수 있다.Therefore, the operator, as shown in Figure 9, at the same time erecting the blade 120 in the vertical direction, the pin groove 510 is formed by the incision groove formed in the body 110 and the incision groove formed in the rotation shaft 121. In a state in which the rotation shaft 121 is rotated so that the fixing pin 520 is inserted into the pin groove 510, the motion of the blade 120 and the rotation shaft 121 in the rotation direction may be limited.
위와 같은 핀홈(510)과 고정핀(520)은, 회전축(121) 외주면에 형성된 나사 가공부 및 체결공(111)을 구획하는 몸체(110)의 내주면에 형성된 나사 가공부와 함께, 몸체(110) 상에서 회전된 블레이드(120)가 외력에 의해 회전 또는 유동되는 것을 더욱 방지할 수 있다.The pin groove 510 and the fixing pin 520 as described above, together with a screw processing portion formed on the outer peripheral surface of the rotation shaft 121 and a screw processing portion formed on the inner peripheral surface of the body 110 that divides the fastening hole 111, the body 110 ) It is possible to further prevent the rotation or flow of the blade 120 rotated by an external force.
그러므로, 본 발명의 범위는 설명된 실시예에 국한되어 정해져서는 안되며, 후술하는 특허 청구의 범위뿐 아니라 이 특허 청구의 범위와 균등한 것들에 의해 정해져야 한다.Therefore, the scope of the present invention should not be defined by being limited to the described embodiments, and should be defined not only by the claims to be described later, but also by the claims and their equivalents.
본 발명은 의료산업분야에 적용되어 판매될 수 있다.The present invention can be applied and sold in the medical industry.

Claims (10)

  1. 척추뼈와 이웃한 척추뼈 사이에 삽입되며, 골분이 충진될 수 있는 공간부가 마련된 몸체;A body inserted between the vertebrae and the adjacent vertebrae, and provided with a space for filling bone meal;
    상기 몸체의 내측면에 회전 가능하게 마련되는 블레이드; 및A blade rotatably provided on the inner side of the body; And
    상기 몸체 상에서 회전 또는 비회전된 블레이드를 상기 몸체의 내측면 상에 고정시키는 록킹수단;을 포함하며,Includes; a locking means for fixing the blade rotated or non-rotated on the body on the inner surface of the body,
    상기 록킹수단은,The locking means,
    상기 몸체와 상기 블레이드가 서로 마주하는 면 상에 마련되어 서로 결합되는 고정돌기 및 홈부를 포함하는 것을 특징으로 하는 척추용 케이지.A cage for a spine, characterized in that it comprises a fixing protrusion and a groove portion provided on a surface of the body and the blade facing each other and coupled to each other.
  2. 제 1 항에 있어서,The method of claim 1,
    상기 홈부는,The groove portion,
    상기 블레이드가 상기 몸체의 공간부 상에서 외부로 노출되지 않는 수평자세를 가질 시에 상기 고정돌기와 결합되는 수평상태 유지홈;A horizontal state maintenance groove coupled to the fixing protrusion when the blade has a horizontal position not exposed to the outside on the space portion of the body;
    상기 블레이드가 상기 몸체의 공간부 상에서 외부로 노출되어 수직자세를 가질 시에 상기 고정돌기와 결합되는 수직상태 유지홈; 및A vertical state maintenance groove that is coupled to the fixing protrusion when the blade is exposed to the outside on the space portion of the body and has a vertical position; And
    상기 수평상태 유지홈과 상기 수직상태 유지홈을 서로 연결하며, 상기 블레이드가 회전되는 과정에서 상기 고정돌기와 접촉되는 가이드홈;을 포함하는 것을 특징으로 하는 척추용 케이지.And a guide groove that connects the horizontal state maintenance groove and the vertical state maintenance groove to each other, and contacts the fixing protrusion while the blade is rotated.
  3. 제 2 항에 있어서,The method of claim 2,
    상기 수직상태 유지홈과 상기 가이드홈이 서로 연결되는 지점에는 상기 수직상태 유지홈에 삽입된 상기 고정돌기가 이탈되는 것을 방지하는 이탈 방지턱이 마련되고,At a point where the vertical state maintaining groove and the guide groove are connected to each other, a separation prevention jaw is provided to prevent the fixing protrusion inserted into the vertical state maintaining groove from being separated,
    상기 수평상태 유지홈과 상기 가이드홈이 서로 연결되는 지점에는, 상기 수평상태 유지홈에 삽입된 상기 고정돌기의 이탈을 돕는 라운드면이 마련되는 것을 특징으로 하는 척추용 케이지.A cage for spine, characterized in that at a point where the horizontal state maintaining groove and the guide groove are connected to each other, a round surface is provided to assist the separation of the fixing protrusion inserted into the horizontal state maintaining groove.
  4. 제 2 항에 있어서,The method of claim 2,
    상기 가이드홈은,The guide groove,
    상기 수평상태 유지홈이 형성된 방향에서 상기 수직상태 유지홈이 형성된 방향으로 갈수록 상향 경사진 형태를 가지는 것을 특징으로 하는 척추용 케이지.Cage for spine, characterized in that it has a shape inclined upward from a direction in which the horizontal state maintaining groove is formed to a direction in which the vertical state maintaining groove is formed.
  5. 제 2 항에 있어서,The method of claim 2,
    상기 블레이드를 회전시키는 회전수단과 상기 블레이드 사이에 마련되어 상기 블레이드를 상기 몸체의 내측면에 밀착시키는 탄성수단;을 더 포함하는 것을 특징으로 하는 척추용 케이지.Spinal cage, characterized in that it further comprises a; rotating means for rotating the blade and an elastic means provided between the blade and in close contact with the blade to the inner surface of the body.
  6. 제 5 항에 있어서,The method of claim 5,
    상기 회전수단은,The rotating means,
    상기 몸체에 형성된 체결공에 삽입되는 외측부시;An outer bush inserted into a fastening hole formed in the body;
    상기 외측부시의 내부로 회전 가능하게 삽입되어 상기 블레이드와 결합되는 내측부시; 및An inner bush rotatably inserted into the outer bush and coupled to the blade; And
    상기 내측부시와 상기 외측부시 사이에 마련되어 상기 탄성수단을 수용하는 공간부;를 포함하는 것을 특징으로 하는 척추용 케이지.And a space portion provided between the inner bush and the outer bush to accommodate the elastic means.
  7. 제 5 항에 있어서,The method of claim 5,
    상기 탄성수단은,The elastic means,
    코일 스프링, 와셔 스프링, 탄성복원력을 가지는 원통형의 탄성체 중 어느 하나를 포함하는 것을 특징으로 하는 척추용 케이지.A cage for a spine comprising any one of a coil spring, a washer spring, and a cylindrical elastic body having an elastic restoring force.
  8. 척추뼈와 이웃한 척추뼈 사이에 삽입되며, 골분이 충진될 수 있는 공간부가 마련된 몸체;A body inserted between the vertebrae and the adjacent vertebrae, and provided with a space for filling bone meal;
    상기 몸체의 내측면에 회전 가능하게 마련되는 블레이드; 및A blade rotatably provided on the inner side of the body; And
    상기 몸체 상에서 회전 또는 비회전된 블레이드를 상기 몸체의 내측면 상에 고정시키는 록킹수단;을 포함하며,Includes; a locking means for fixing the blade rotated or non-rotated on the body on the inner surface of the body,
    상기 록킹수단은,The locking means,
    상기 블레이드에 마련되어 상기 몸체에 형성된 체결홀에 회전 가능하게 삽입되는 회전축의 회전을 제한하는 것을 특징으로 하는 척추용 케이지.A cage for spine, characterized in that it restricts rotation of a rotation shaft provided on the blade and rotatably inserted into a fastening hole formed in the body.
  9. 제 8 항에 있어서,The method of claim 8,
    상기 록킹수단은,The locking means,
    상기 블레이드가 상기 몸체 상에서 수직방향으로 세워지면, 상기 회전축과 상기 체결홀이 형성된 몸체의 부위가 서로 협력하여 형성하는 핀홈; 및When the blade is erected in a vertical direction on the body, the rotation shaft and the portion of the body in which the fastening hole is formed are formed in cooperation with each other; And
    상기 핀홈에 삽입되어 상기 회전축의 회전을 제한하는 고정핀;을 포함하는 것을 특징으로 하는 척추용 케이지.A cage for spine comprising a; a fixing pin inserted into the pin groove to limit the rotation of the rotation shaft.
  10. 제 8 항에 있어서,The method of claim 8,
    상기 록킹수단은,The locking means,
    상기 회전축의 외주면과 상기 체결홀을 구획하는 상기 몸체의 내주면에 각각 형성되는 나사 가공부인 것을 특징으로 하는 척추용 케이지.A cage for a spine, characterized in that it is a screw processing unit formed on an outer circumferential surface of the rotation shaft and an inner circumferential surface of the body that partitions the fastening hole.
PCT/KR2020/010821 2019-08-14 2020-08-14 Vertebral cage WO2021029721A1 (en)

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KR102106023B1 (en) * 2019-08-14 2020-04-29 주식회사 엔닥 Cage for vertebra
KR102538277B1 (en) * 2020-12-08 2023-05-30 가톨릭대학교 산학협력단 endplate preparation tool for anterior cervical interbody fusion
KR102614095B1 (en) * 2022-10-24 2023-12-14 주식회사 엔닥 Manufacturing apparatus of cage for spine

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US20140121773A1 (en) * 2009-08-06 2014-05-01 Nirali Patel Stand-alone interbody fixation system
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US20140121773A1 (en) * 2009-08-06 2014-05-01 Nirali Patel Stand-alone interbody fixation system
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