WO2021092948A1 - Interbody fusion cage - Google Patents

Interbody fusion cage Download PDF

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Publication number
WO2021092948A1
WO2021092948A1 PCT/CN2019/118944 CN2019118944W WO2021092948A1 WO 2021092948 A1 WO2021092948 A1 WO 2021092948A1 CN 2019118944 W CN2019118944 W CN 2019118944W WO 2021092948 A1 WO2021092948 A1 WO 2021092948A1
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WO
WIPO (PCT)
Prior art keywords
shaft
slideway
fusion
fusion cage
cage according
Prior art date
Application number
PCT/CN2019/118944
Other languages
French (fr)
Chinese (zh)
Inventor
邹丽敏
杨海东
孙君
李顺锋
李想
Original Assignee
邹丽敏
杨海东
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 邹丽敏, 杨海东 filed Critical 邹丽敏
Priority to PCT/CN2019/118944 priority Critical patent/WO2021092948A1/en
Publication of WO2021092948A1 publication Critical patent/WO2021092948A1/en

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    • 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

Definitions

  • the present invention relates to the field of medical equipment, in particular to an intervertebral fusion cage.
  • Lumbar degenerative diseases including lumbar spinal stenosis, lumbar spondylolisthesis, degenerative scoliosis, and intervertebral disc-derived diseases, etc.
  • Its treatment principle is to relieve nerve compression and rebuild the stability of the spine.
  • the use of intervertebral fusion cages implanted in the affected area of intervertebral disease to expand, compress and stabilize the diseased intervertebral space has gradually developed into a standard treatment for lumbar degenerative diseases.
  • an intervertebral fusion cage with a high degree of matching with the lumbar vertebral space and good fusion effect of the vertebral body space is provided.
  • An intervertebral fusion cage including:
  • the first expansion member is installed on the shaft body and can move along the axial direction of the shaft body.
  • the first expansion member has an inner end and an outer end distributed along the radial direction of the shaft body. The end is connected with the shaft body;
  • the fusion body is arranged in the circumferential direction of the shaft body and connected to the outer end of the first expansion member.
  • the inner wall of the fusion body is provided with a first slideway, and the extension direction of the first slideway is the same as
  • An included angle is arranged between the outer walls of the fusion body, and the outer end of the first spreading member is movably arranged in the first slideway.
  • Figure 1 is a schematic diagram of an embodiment of the intervertebral fusion cage
  • Fig. 2 is a schematic diagram of the structure of the first distractor in the intervertebral fusion cage shown in Fig. 1;
  • Fig. 3 is a schematic diagram of the structure of the fusion part in the intervertebral fusion cage shown in Fig. 1;
  • Figure 4 is an assembly diagram of the fusion part and the first distractor of the intervertebral fusion cage as shown in Figure 1
  • Figure 5 is a cross-sectional view of the fusion part in the intervertebral fusion cage shown in Figure 1
  • Figure 6 is a side view of the intervertebral fusion cage as shown in Figure 1 in a deployed state
  • Figure 7 is a side view of the closed state of the intervertebral fusion cage shown in Figure 1;
  • Fig. 8 is a schematic structural diagram of a second distracting member in the intervertebral fusion cage shown in Fig. 1;
  • Figure 9 is a side view of another embodiment of the intervertebral fusion cage in a deployed state
  • Fig. 10 is a schematic diagram of the structure of the fusion part in the intervertebral fusion cage shown in Fig. 1;
  • Fig. 11 is a schematic diagram of the working state of the intervertebral fusion cage shown in Fig. 1.
  • an intervertebral fusion cage 10 is used to expand, compress and stabilize the diseased intervertebral space.
  • the intervertebral fusion cage 10 includes a shaft body 100, a first expansion member 200 and a fusion body 300.
  • the first expansion member 200 is mounted on the shaft body 100, and the first expansion member 200 can move along the axial direction of the shaft body 100.
  • the first expansion member 200 has an inner end and an outer end distributed along the radial direction of the shaft body 100.
  • the fusion body 300 is arranged circumferentially around the shaft body 100 to surround the shaft body 100 and the first expansion member 200 and is connected to the outer end of the first expansion member 200.
  • the inner wall of the fusion body 300 close to the shaft 100 is provided with a first slideway 310, and an angle is formed between the extending direction of the first slideway 310 and the outer wall of the fusion body 300.
  • the outer end of the first spreading member 200 is movably arranged in the first slideway 310. Sliding the first spreading member 200 along the first slideway 310 can change the distance between the inner wall of the fusion body 300 and the shaft 100, thereby changing the distance between the inner wall of the fusion body 300 and the shaft 100.
  • the expansion range of the intervertebral fusion cage 10 can be adjusted according to the specific conditions of the intervertebral space, and the contact surface with the vertebral body space can be enlarged to better adapt and match the intervertebral space, and also maintain the vertebral space.
  • the height of the gap restores the physiological curvature of the lumbar spine.
  • the intervertebral fusion cage 10 is closed before implantation, and the overall volume is small, which can meet the requirements of different surgical approaches (anterior approach, posterior approach, transforaminal approach) for the volume of the intervertebral fusion cage 10 .
  • the fusion body 300 includes four fusion parts 320, the four fusion parts 320 are arranged at intervals around the shaft 100, and each fusion part 320 is provided with a first slide 310, and the first expansion The piece 200 extends into the four first slideways 310, and the fusion portion 320 and the shaft body 100 are connected by the first spreading piece 200.
  • the first spreading member 200 includes a first threaded ring 210 and four first supporting rods 220. The first threaded ring 210 is sleeved on the shaft body 100 and is threadedly connected with the shaft body 100.
  • the four first supporting rods 220 are circumferentially and evenly arranged around the first threaded ring 210 to form a cross shape.
  • the four first struts 220 and the four first slides 310 are arranged in one-to-one correspondence, so as to connect the fusion portion 320 with the shaft body 100.
  • the inner walls on both sides of the first slideway 310 are extended with first bending portions 330, and the two first bending portions 330 extend in a direction approaching each other, and the outer end of the first spreading member 200 It is clamped in the first chute 310 and abuts against the first bending part 330.
  • the first support rod 220 includes a first body 221 and a first shaft 222.
  • the cross section of the first slide 310 is a "T" shape, and the first shaft 222 is clamped in the first slide 310, respectively It abuts against the bottom wall of the first slideway 310 and the first bending portion 330.
  • the first body 221 is connected to the first shaft 222 and the first threaded ring 210.
  • the first shaft 222 is cylindrical and is fixedly connected to the end of the first body 221 away from the first threaded ring 210.
  • the fusion portion 320 can rotate around the first shaft 222, so that the fusion portion 320 is driven by the first spreading member 200 The bottom can be stretched.
  • the cross-shaped first spreader 200 is matched with the first slide 310.
  • the four fusion parts 320 have the same structure, and the adjacent or opposite fusion parts 320 of the four fusion parts 320 are all arranged symmetrically.
  • the expanded state of the four fusion portions 320 is more uniform, the space occupied after expansion is larger, and the supporting effect on the vertebral body is better.
  • the first body 221 is in an interference connection with the first slideway 310 and has a certain moving resistance to prevent the first spreading member 200 from sliding along the first slideway 310 under the action of gravity.
  • the material of the fusion body 300 can be titanium alloy or tantalum alloy or high molecular polyether ether ketone or the like.
  • matching first slide 310 and first support rod 220 may be provided.
  • the inner wall of the fusion portion 320 is further provided with an avoiding groove 340, the avoiding groove 340 is parallel to the shaft body 100, and a part of the shaft body 100 is accommodated in the avoiding groove 340.
  • the avoidance groove matching the shape of the shaft body 100 is set as an arc shape to reduce the rotation resistance.
  • the intervertebral fusion cage 10 further includes a second expansion member 400.
  • the second expansion member 400 and the first expansion member 200 are respectively screwed to two ends of the shaft body 100.
  • the shaft body 100 is matched with the first expansion member 200 and is provided with a first thread 110
  • the shaft body 100 is matched with the second expansion member 400 and is further provided with a second thread 120.
  • the first thread 110 and the second thread 120 are respectively arranged in The upper and lower ends of the shaft 100.
  • the rotation directions of the first thread 110 and the second thread 120 are opposite, the first thread 110 is a right-hand thread, and the second thread 120 is a left-hand thread.
  • the pitch of the first thread 110 is greater than the pitch of the second thread 120.
  • the fusion portion 320 is further provided with a second slideway 350, and the end of the second spreading member 400 away from the shaft body 100 is provided in the second slideway 350.
  • the first chute 310 and the second chute 350 are respectively provided at both ends of the fusion part 320.
  • An angle is set between the extension line of the second chute 350 and the shaft body 100.
  • the first chute 310 has an angle along the shaft body 100.
  • the first slide 310 gradually inclined to the shaft body 100 to approach the shaft body 100, along the axis From the top of the body 100 to the center line of the shaft body 100, the distance from the inner wall of the first slide 310 to the shaft body 100 gradually decreases.
  • the second slideway 350 has an inner end and an outer end distributed along the longitudinal direction of the shaft body 100.
  • the second slideway 350 gradually Incline to the shaft body 100 to approach the shaft body 100, and along the direction from the bottom of the shaft body 100 to the center line of the shaft body 100, the distance from the inner wall of the second slideway 350 to the shaft body 100 gradually decreases.
  • the shaft 100 is rotated to perform the expansion operation on the intervertebral fusion cage 10, and the first expansion member 200 and the second expansion member 400 simultaneously move from both ends of the shaft 100 toward the midline of the shaft 100 to align the vertebral body.
  • the two ends of the intermediate cage 10 are expanded.
  • the pitch of the first thread 110 is greater than the pitch of the second thread 120, the moving speed of the first spreading member 200 will be faster and the moving distance will be greater, so that the first support
  • the degree to which the opening 200 stretches the top of the intervertebral fusion cage 10 is greater than the degree to which the second expansion member 400 stretches the bottom of the intervertebral fusion cage 10.
  • the size of the top spread of the intervertebral fusion cage 10 is the fusion
  • the side view of the intervertebral fusion cage 10 after unfolding is trapezoidal.
  • the normal lumbar intervertebral space is wide anteriorly and narrowly rearward.
  • the intervertebral fusion cage 10 in the state where both ends are stretched can match the normal vertebral body space after implantation, thereby restoring the original position at the implantation site.
  • Physiological curvature of the lumbar spine is Physiological curvature of the lumbar spine.
  • the second spreading member 400 includes a second threaded ring 410 and four second supporting rods 420.
  • the second threaded ring 410 is sleeved on the shaft body 100 and is threadedly connected with the shaft body 100.
  • the four second supporting rods 420 are circumferentially and evenly arranged around the second threaded ring 410 to form a cross shape.
  • the second support rod 420 includes a second body 421 and a second shaft 422.
  • the cross section of the second slideway 350 is a "T" shape.
  • the second shaft 422 is clamped in the second slideway 350 and is respectively connected to the second slideway 350.
  • the bottom wall of the channel 350 abuts against the second bending part 430.
  • the second body 421 is connected to the second shaft 422 and the second threaded ring 410.
  • the second shaft 100 is cylindrical, and is fixedly connected to the end of the second body 421 away from the second threaded ring 410.
  • the fusion portion 320 can rotate around the second shaft 422, so that the fusion portion 320 is driven by the second spreading member 400 The bottom can be stretched.
  • the four second supporting rods 420 and the four second sliding rails 350 are arranged in one-to-one correspondence to connect the fusion portion 320 and the shaft body 100.
  • the pitch of the second threaded ring 410 is smaller than the pitch of the first threaded ring 210, and the second threaded ring 410 is adapted to the second thread 120 to ensure that the moving distances of the first spreader 200 and the second spreader 400 are different. It should be noted that, referring again to FIG.
  • the end of the shaft body 100 is provided with an operating hole 130.
  • the operating hole 130 is cross-shaped and can be rotated by a workpiece matching the shape of the operating hole 130.
  • the operating hole 130 may also have a regular hexagonal shape, a plum blossom shape, or the like.
  • the second slideway 350 and the first slideway 310 are arranged symmetrically with respect to the midpoint of the shaft body 100, so that the first spreading member 200 and the second spreading member 400 can be kept synchronized during movement. Performance and stability to ensure the expansion effect of the intervertebral fusion cage 10.
  • a limit section 140 is provided between the first thread 110 and the second thread 120 on the shaft body 100, and the limit section 140 is not provided with threads, the first spreading member 200 or the second When the expansion member 400 moves to the limit section 140, it cannot continue to move.
  • the limit section 140 can limit the movement stroke of the first expansion member 200 or the second expansion member 400, avoiding the first expansion member 200 and the second expansion member 200.
  • the two spreaders 400 collide.
  • the shaft 100 is set as a first shaft 150 and a second shaft 160 spaced apart, and the first shaft 150 and the second shaft 160 are arranged coaxially.
  • the first spreading member 200 is threadedly connected with the first shaft 150.
  • the first shaft 150 rotates to drive the first spreading member 200 to move along the first slide 310.
  • the downward movement of the opening 200 will propagate the upper end of the intervertebral fusion cage 10.
  • the second expansion member 400 is threadedly connected with the second shaft 160.
  • the rotation of the second shaft 160 drives the second expansion member 400 to move along the second slideway 350.
  • the upward movement of the second expansion member 400 will affect the intervertebral fusion cage.
  • the lower end of 10 is stretched.
  • the first shaft 150 is provided with a first operating hole (not shown), the first operating hole extends along the axial direction of the first shaft 150 and passes through the first shaft 150, and the second shaft 160 is provided with a second operating hole (Not shown in the figure), the second operating hole extends along the axial direction of the second shaft 160 and penetrates the second shaft 160, and the first operating hole and the second operating hole are arranged opposite to each other.
  • both the first operating hole and the second operating hole can be set in a cross shape, and the workpiece is rotated by matching the shape. When the movement of the first spreading member 200 needs to be driven, the workpiece is extended into the first operating hole It is sufficient to rotate the first shaft 150 in the middle.
  • the movable member When it is necessary to drive the movement of the second spreading member 400, the movable member can be extended into the first operating hole, and inserted into the second operating hole through the first operating hole to rotate the second shaft 160.
  • the material of the fusion body 300 should be a material with a certain deformability, such as a polyurethane material.
  • a finite section 140 is provided on the end of the first shaft 150 close to the second shaft 160.
  • a finite section 140 is provided on the end of the second shaft 160 close to the first shaft 150 to The strokes of the first expansion member 200 and the second expansion member 400 are respectively restricted.
  • two opposite surfaces of the fusion body 300 are provided with teeth 500.
  • the toothed portion 500 is provided on the end surface of the fusion portion 320 that is in contact with the vertebral body.
  • the toothed portion 500 may be in the shape of a saw tooth, which can increase the friction with the contact surface, thereby enhancing stability and avoiding implantation of the cage. Moved after entering.
  • the shape of the fusion portion 320 is a ladder, and the toothed portion 500 is provided on the slope of the ladder.
  • the shape of the fusion portion 320 may be a rectangular parallelepiped, a cylinder, etc., and the tooth-shaped portion 500 is correspondingly disposed on the surface that is in contact with the vertebral body.
  • the fusion part 320 has a hollow structure inside, and the hollow fusion part 320 can store more allogeneic bone powder.
  • a hollow layer 600 is provided in the fusion portion 320.
  • the hollow layer 600 includes a hollow surface 610 and a bottom surface (not shown) disposed oppositely.
  • the hollow surface 610 is provided on the outer wall of the fusion portion 320, and is provided on the outer wall of the fusion portion 320.
  • a plurality of hollow holes are formed to form a hollow surface 610.
  • the hollow surface 610 and the toothed portion 500 are spaced apart, and the bottom surface is opposite to the hollow surface 610.
  • a cavity 620 is provided between the hollow surface 610 and the bottom surface to ensure a greater degree of grasping.
  • the allogeneic bone meal promotes the induction of bone tissue to grow into the pores, promotes the fusion of the vertebral bodies, and enhances the mechanical locking of the intervertebral fusion cage 10, thereby obtaining a better long-term fixation effect.
  • the bottom surface and the inner wall of the fusion part 320 have a predetermined distance to avoid the hollow structure of the inner walls of the first slide 310 and the second slide 350, and to ensure that the first spreader 200 slides on the first slide 310 and the second spreader The stability of 400 when sliding on the second slide 350.
  • the tooth-shaped part 500 can also be circumferentially arranged on the fusion part 320, so that when the intervertebral fusion cage 10 is implanted, the angle of the tooth-shaped part 500 is opposite to the vertebral body. It is more flexible, and at the same time, in order to accommodate the allogeneic bone powder, a toothed portion and a hollow surface 610 are provided on the end surface of the fusion portion 320 at the same time.
  • the internal structure of the intervertebral fusion cage 10 of this embodiment is simple. By replacing the different shafts 100, the first distracting member 200, and the second distracting member 400, it is possible to meet the needs of patients with different degrees of disease and different intervertebral spaces. The individual needs of different heights or different angles in the area have greatly improved the scope of application.
  • the intervertebral fusion cage 10 is implanted in the intervertebral space 11, the initial contact between the vertebral body 12 and the intervertebral fusion cage 10 will compress the intervertebral fusion cage 10. Then, the intervertebral fusion cage 10 is properly deployed according to the size of the intervertebral space 11. Due to the force of the vertebral body 12 on the intervertebral fusion cage 10, when the workpiece rotates the shaft 100, the first distractor 200 and the second distractor 400 will move on the shaft 100. Specifically, the workpiece rotates the proximal end of the shaft body 100.
  • the first spreading member 200 and the second spreading member 400 will approach the middle of the shaft body 100 along the shaft body 100.
  • the expansion member 200 moves faster, and the expanded size of the proximal end of the intervertebral fusion cage 10 is larger to match the normal lumbar intervertebral space 11 that is wide in the front and narrow in the back, so as to expand, compress and stabilize the damaged intervertebral space 11.
  • first and second are only used for descriptive purposes, and cannot be understood as indicating or implying relative importance or implicitly indicating the number of indicated technical features. Therefore, the features defined with “first” and “second” may explicitly or implicitly include at least one of the features. In the description of the present invention, “plurality” means at least two, such as two, three, etc., unless otherwise specifically defined.
  • the terms “installed”, “connected”, “connected”, “fixed” and other terms should be understood in a broad sense, for example, it can be a fixed connection or a detachable connection. , Or integrated; it can be mechanically connected or electrically connected; it can be directly connected or indirectly connected through an intermediary, it can be the internal connection of two components or the interaction relationship between two components, unless otherwise specified The limit.
  • installed can be a fixed connection or a detachable connection. , Or integrated; it can be mechanically connected or electrically connected; it can be directly connected or indirectly connected through an intermediary, it can be the internal connection of two components or the interaction relationship between two components, unless otherwise specified The limit.
  • the specific meanings of the above-mentioned terms in the present invention can be understood according to specific situations.
  • the first feature “on” or “under” the second feature may be in direct contact with the first and second features, or the first and second features may be indirectly through an intermediary. contact.
  • the "above”, “above” and “above” of the first feature on the second feature may mean that the first feature is directly above or diagonally above the second feature, or it simply means that the level of the first feature is higher than the second feature.
  • the “below”, “below” and “below” of the second feature of the first feature may be that the first feature is directly below or obliquely below the second feature, or it simply means that the level of the first feature is smaller than the second feature.

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Neurology (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
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  • Prostheses (AREA)

Abstract

An interbody fusion cage (10), comprising a shaft (100), a first expanding member (200), and a fusion body (300). The first expanding member (200) is mounted on the shaft (100) and can move in the axial direction of the shaft (100); the first expanding member (200) has inner ends and outer ends distributed in the radial direction of the shaft (100); the inner ends are connected to the shaft (100); the fusion body (300) is disposed circumferentially around the shaft (100), and is connected to the outer ends of the first expanding member (200); first sliding ways (310) are provided on the inner walls of the fusion body (300); included angles are formed between the extension directions of the first sliding ways (310) and the outer walls of the fusion body (300); the outer ends of the first expanding member (200) are moveably disposed in the first sliding ways (310).

Description

椎间融合器Interbody fusion cage 技术领域Technical field
本发明涉及医疗器械领域,特别是涉及椎间融合器。The present invention relates to the field of medical equipment, in particular to an intervertebral fusion cage.
背景技术Background technique
腰椎退行性疾病(包括腰椎管狭窄症、腰椎滑脱症、退行性侧弯以及椎间盘源性疾病等)及其结构受损是造成人体腰腿疼痛、感觉和运动功能受损甚至丧失的一个重要原因,其治疗原则是解除神经压迫及重建脊柱的稳定性。利用椎间融合器植入椎间病患处将病损椎间隙撑开、压缩及稳定,已逐步发展成为治疗腰椎退行性疾病的标准手段。Lumbar degenerative diseases (including lumbar spinal stenosis, lumbar spondylolisthesis, degenerative scoliosis, and intervertebral disc-derived diseases, etc.) and their structural damage are an important cause of human waist and leg pain, sensory and motor function damage or even loss , Its treatment principle is to relieve nerve compression and rebuild the stability of the spine. The use of intervertebral fusion cages implanted in the affected area of intervertebral disease to expand, compress and stabilize the diseased intervertebral space has gradually developed into a standard treatment for lumbar degenerative diseases.
由于腰椎间隙特别的生理结构,常规的椎间融合器在植入椎间隙后,很难同时满足即恢复椎间隙高度又增加融合器与上下终版的接触面这两个要求,影响手术后的治疗效果。Due to the special physiological structure of the lumbar intervertebral space, after the conventional intervertebral fusion cage is implanted into the intervertebral space, it is difficult to simultaneously meet the two requirements of restoring the intervertebral space height and increasing the contact surface between the fusion cage and the upper and lower final plates. treatment effect.
发明内容Summary of the invention
根据本申请的各种实施例,提供一种与腰椎间隙匹配程度高,使椎体间隙融合效果好的椎间融合器。According to various embodiments of the present application, an intervertebral fusion cage with a high degree of matching with the lumbar vertebral space and good fusion effect of the vertebral body space is provided.
一种椎间融合器,包括:An intervertebral fusion cage, including:
轴体;Shaft
第一撑开件,安装于所述轴体上并能够沿轴体的轴向移动,所述第一撑开件具有沿所述轴体的径向上分布的内端和外端,所述内端与所述轴体连接;及The first expansion member is installed on the shaft body and can move along the axial direction of the shaft body. The first expansion member has an inner end and an outer end distributed along the radial direction of the shaft body. The end is connected with the shaft body; and
融合体,绕所述轴体周向设置,并与所述第一撑开件的外端连接,所述融合体的内壁上开设有第一滑道,所述第一滑道的延伸方向与所述融合体的 外壁之间设有夹角,所述第一撑开件的外端活动设于所述第一滑道中。The fusion body is arranged in the circumferential direction of the shaft body and connected to the outer end of the first expansion member. The inner wall of the fusion body is provided with a first slideway, and the extension direction of the first slideway is the same as An included angle is arranged between the outer walls of the fusion body, and the outer end of the first spreading member is movably arranged in the first slideway.
附图说明Description of the drawings
为了更好地描述和说明这里公开的那些发明的实施例和/或示例,可以参考一幅或多幅附图。用于描述附图的附加细节或示例不应当被认为是对所公开的发明、目前描述的实施例和/或示例以及目前理解的这些发明的最佳模式中的任何一者的范围的限制。In order to better describe and explain the embodiments and/or examples of those inventions disclosed herein, one or more drawings may be referred to. The additional details or examples used to describe the drawings should not be considered as limiting the scope of any of the disclosed inventions, the currently described embodiments and/or examples, and the best mode of these inventions currently understood.
图1为一实施方式椎间融合器的结构示意图;Figure 1 is a schematic diagram of an embodiment of the intervertebral fusion cage;
图2为如图1所示椎间融合器中第一撑开件的结构示意图;Fig. 2 is a schematic diagram of the structure of the first distractor in the intervertebral fusion cage shown in Fig. 1;
图3为如图1所示椎间融合器中融合部的结构示意图;Fig. 3 is a schematic diagram of the structure of the fusion part in the intervertebral fusion cage shown in Fig. 1;
图4为如图1所示椎间融合器中融合部与第一撑开件装配图Figure 4 is an assembly diagram of the fusion part and the first distractor of the intervertebral fusion cage as shown in Figure 1
图5为如图1所示椎间融合器中融合部的剖视图Figure 5 is a cross-sectional view of the fusion part in the intervertebral fusion cage shown in Figure 1
图6为如图1所示椎间融合器展开状态的侧视图;Figure 6 is a side view of the intervertebral fusion cage as shown in Figure 1 in a deployed state;
图7为如图1所示椎间融合器闭合状态的侧视图;Figure 7 is a side view of the closed state of the intervertebral fusion cage shown in Figure 1;
图8为如图1所示椎间融合器中第二撑开件的结构示意图;Fig. 8 is a schematic structural diagram of a second distracting member in the intervertebral fusion cage shown in Fig. 1;
图9为另一实施方式椎间融合器展开状态的侧视图;Figure 9 is a side view of another embodiment of the intervertebral fusion cage in a deployed state;
图10为如图1所示椎间融合器中融合部的结构示意图;Fig. 10 is a schematic diagram of the structure of the fusion part in the intervertebral fusion cage shown in Fig. 1;
图11为如图1所示椎间融合器的工作状态示意图。Fig. 11 is a schematic diagram of the working state of the intervertebral fusion cage shown in Fig. 1.
具体实施方式Detailed ways
为了便于理解本发明,下面将参照相关附图对本发明进行更全面的描述。附图中给出了本发明的较佳实施方式。但是,本发明可以以许多不同的形式来实现,并不限于本文所描述的实施方式。相反地,提供这些实施方式的目的是使对本发明的公开内容理解的更加透彻全面。In order to facilitate the understanding of the present invention, the present invention will be more fully described below with reference to the relevant drawings. The preferred embodiments of the present invention are shown in the drawings. However, the present invention can be implemented in many different forms and is not limited to the embodiments described herein. On the contrary, the purpose of providing these embodiments is to make the disclosure of the present invention more thorough and comprehensive.
需要说明的是,当元件被称为“固定于”另一个元件,它可以直接在另 一个元件上或者也可以存在居中的元件。当一个元件被认为是“连接”另一个元件,它可以是直接连接到另一个元件或者可能同时存在居中元件。本文所使用的术语“内”、“外”、“左”、“右”以及类似的表述只是为了说明的目的,并不表示是唯一的实施方式。It should be noted that when an element is referred to as being "fixed to" another element, it can be directly on the other element or a central element may also be present. When an element is considered to be "connected" to another element, it can be directly connected to the other element or an intermediate element may be present at the same time. The terms "inner", "outer", "left", "right" and similar expressions used herein are for illustrative purposes only, and do not mean that they are the only embodiments.
参见图1,一实施方式的椎间融合器10用于将病损椎间隙撑开、压缩及稳定。椎间融合器10包括轴体100、第一撑开件200及融合体300,第一撑开件200安装于轴体100上,第一撑开件200能沿轴体100的轴向移动。第一撑开件200具有沿轴体100的径向上分布的内端和外端。融合体300绕轴体100周向设置,以将轴体100及第一撑开件200包围,并与第一撑开件200的外端连接。融合体300靠近轴体100的内壁上开设有第一滑道310,第一滑道310的延伸方向与融合体300的外壁之间设有夹角。第一撑开件200的外端活动设于第一滑道310中,第一撑开件200沿第一滑道310滑动能改变融合体300的内壁与轴体100之间的距离,从而改变椎间融合器10撑开的大小。Referring to Fig. 1, an intervertebral fusion cage 10 according to an embodiment is used to expand, compress and stabilize the diseased intervertebral space. The intervertebral fusion cage 10 includes a shaft body 100, a first expansion member 200 and a fusion body 300. The first expansion member 200 is mounted on the shaft body 100, and the first expansion member 200 can move along the axial direction of the shaft body 100. The first expansion member 200 has an inner end and an outer end distributed along the radial direction of the shaft body 100. The fusion body 300 is arranged circumferentially around the shaft body 100 to surround the shaft body 100 and the first expansion member 200 and is connected to the outer end of the first expansion member 200. The inner wall of the fusion body 300 close to the shaft 100 is provided with a first slideway 310, and an angle is formed between the extending direction of the first slideway 310 and the outer wall of the fusion body 300. The outer end of the first spreading member 200 is movably arranged in the first slideway 310. Sliding the first spreading member 200 along the first slideway 310 can change the distance between the inner wall of the fusion body 300 and the shaft 100, thereby changing the distance between the inner wall of the fusion body 300 and the shaft 100. The size of the intervertebral fusion cage 10 stretched out.
上述椎间融合器10中,第一撑开件200沿第一滑道310滑动能改变融合体300与轴体100之间的距离,从而改变椎间融合器10撑开的大小,椎间融合器10植入病患处时能够根据椎间隙的具体情况调节椎间融合器10的撑开范围,增大与椎体间隙的接触面以对椎间隙更好的适应与匹配,还维持了椎间隙的高度,恢复了腰椎生理曲度。同时,椎间融合器10在植入前为闭合状态,整体体积较小,能够满足不同手术入路(前路、后路、经椎间孔入路)对椎间融合器10的体积的要求。In the above-mentioned intervertebral fusion cage 10, sliding of the first distractor 200 along the first slideway 310 can change the distance between the fusion body 300 and the shaft body 100, thereby changing the size of the distraction of the intervertebral fusion cage 10, and the intervertebral fusion When the device 10 is implanted in the affected area, the expansion range of the intervertebral fusion cage 10 can be adjusted according to the specific conditions of the intervertebral space, and the contact surface with the vertebral body space can be enlarged to better adapt and match the intervertebral space, and also maintain the vertebral space. The height of the gap restores the physiological curvature of the lumbar spine. At the same time, the intervertebral fusion cage 10 is closed before implantation, and the overall volume is small, which can meet the requirements of different surgical approaches (anterior approach, posterior approach, transforaminal approach) for the volume of the intervertebral fusion cage 10 .
在一个实施例中,融合体300包括四个融合部320,四个融合部320绕轴体100周向且间隔设置,每个融合部320上均开设有第一滑道310,第一撑开件200延伸至四个第一滑道310中,融合部320与轴体100通过第一撑开件200连接。同时参见图2,具体地,第一撑开件200包括第一螺纹圈210及四个第一支杆220,第一螺纹圈210套设于轴体100上,且与轴体100螺纹连接。四个第一支杆220绕第一螺纹圈210周向且均匀设置,以呈十字形。 四个第一支杆220与四个第一滑道310一一对应设置,从而将融合部320与轴体100进行连接。In one embodiment, the fusion body 300 includes four fusion parts 320, the four fusion parts 320 are arranged at intervals around the shaft 100, and each fusion part 320 is provided with a first slide 310, and the first expansion The piece 200 extends into the four first slideways 310, and the fusion portion 320 and the shaft body 100 are connected by the first spreading piece 200. Referring to FIG. 2 at the same time, specifically, the first spreading member 200 includes a first threaded ring 210 and four first supporting rods 220. The first threaded ring 210 is sleeved on the shaft body 100 and is threadedly connected with the shaft body 100. The four first supporting rods 220 are circumferentially and evenly arranged around the first threaded ring 210 to form a cross shape. The four first struts 220 and the four first slides 310 are arranged in one-to-one correspondence, so as to connect the fusion portion 320 with the shaft body 100.
参见图3至图5,第一滑道310两侧的内壁延伸有第一折弯部330,且两个第一折弯部330沿相互靠近的方向延伸,第一撑开件200的外端卡设于第一滑道310中,且与第一折弯部330抵接。结合图2,第一支杆220包括第一主体221及第一轴杆222,第一滑道310的截面为“T”字形,第一轴杆222卡设于第一滑道310中,分别与第一滑道310的底壁及第一折弯部330抵接。第一主体221连接第一轴杆222及第一螺纹圈210。第一轴杆222为圆柱形,固定连接在第一主体221远离第一螺纹圈210的一端,融合部320能绕第一轴杆222转动,使得融合部320在第一撑开件200的驱动下能被撑开。十字形的第一撑开件200与第一滑道310相配合,同时,四个融合部320的结构相同,且四个融合部320中相邻或相对的融合部320均呈对称设置,能够使得融合器在撑开后,四个融合部320展开的状态更为均匀,展开后所占的空间更大,对椎体的支撑效果更好。还需注意的是,第一主体221与第一滑道310过盈连接,具有一定的移动阻力,避免第一撑开件200在重力的作用下沿第一滑道310滑动。在本实施例中,融合体300的材料可以选用钛合金或钽合金或高分子聚醚醚酮等。另外,还可根据融合体300的数目设置相匹配的第一滑道310及第一支杆220。Referring to FIGS. 3 to 5, the inner walls on both sides of the first slideway 310 are extended with first bending portions 330, and the two first bending portions 330 extend in a direction approaching each other, and the outer end of the first spreading member 200 It is clamped in the first chute 310 and abuts against the first bending part 330. With reference to FIG. 2, the first support rod 220 includes a first body 221 and a first shaft 222. The cross section of the first slide 310 is a "T" shape, and the first shaft 222 is clamped in the first slide 310, respectively It abuts against the bottom wall of the first slideway 310 and the first bending portion 330. The first body 221 is connected to the first shaft 222 and the first threaded ring 210. The first shaft 222 is cylindrical and is fixedly connected to the end of the first body 221 away from the first threaded ring 210. The fusion portion 320 can rotate around the first shaft 222, so that the fusion portion 320 is driven by the first spreading member 200 The bottom can be stretched. The cross-shaped first spreader 200 is matched with the first slide 310. At the same time, the four fusion parts 320 have the same structure, and the adjacent or opposite fusion parts 320 of the four fusion parts 320 are all arranged symmetrically. As a result, after the cage is expanded, the expanded state of the four fusion portions 320 is more uniform, the space occupied after expansion is larger, and the supporting effect on the vertebral body is better. It should also be noted that the first body 221 is in an interference connection with the first slideway 310 and has a certain moving resistance to prevent the first spreading member 200 from sliding along the first slideway 310 under the action of gravity. In this embodiment, the material of the fusion body 300 can be titanium alloy or tantalum alloy or high molecular polyether ether ketone or the like. In addition, according to the number of fusion bodies 300, matching first slide 310 and first support rod 220 may be provided.
在一个实施例中,融合部320内壁还设有避让槽340,避让槽340与轴体100平行,且部分轴体100容置于避让槽340中。同时,避让槽匹配轴体100的形状设为圆弧形,以减小转动阻力。In an embodiment, the inner wall of the fusion portion 320 is further provided with an avoiding groove 340, the avoiding groove 340 is parallel to the shaft body 100, and a part of the shaft body 100 is accommodated in the avoiding groove 340. At the same time, the avoidance groove matching the shape of the shaft body 100 is set as an arc shape to reduce the rotation resistance.
参见图6及图7,在一个实施例中,椎间融合器10还包括第二撑开件400。第二撑开件400与第一撑开件200分别螺纹连接于轴体100的两端。具体地,轴体100匹配第一撑开件200设有第一螺纹110,轴体100匹配第二撑开件400还设有第二螺纹120,第一螺纹110与第二螺纹120分别设置在轴体100的上下两端。第一螺纹110与第二螺纹120的旋向相反,第一螺纹110为右旋螺纹,第二螺纹120为左旋螺纹。第一螺纹110的螺距大于第二螺纹120 的螺距,轴体100顺时针转动时,第一撑开件200与第二撑开件400将沿轴体100的中线相向运动,轴体100逆时针转动时,第一撑开件200与第二撑开件400将沿轴体100的两个端部背向运动。Referring to FIGS. 6 and 7, in one embodiment, the intervertebral fusion cage 10 further includes a second expansion member 400. The second expansion member 400 and the first expansion member 200 are respectively screwed to two ends of the shaft body 100. Specifically, the shaft body 100 is matched with the first expansion member 200 and is provided with a first thread 110, and the shaft body 100 is matched with the second expansion member 400 and is further provided with a second thread 120. The first thread 110 and the second thread 120 are respectively arranged in The upper and lower ends of the shaft 100. The rotation directions of the first thread 110 and the second thread 120 are opposite, the first thread 110 is a right-hand thread, and the second thread 120 is a left-hand thread. The pitch of the first thread 110 is greater than the pitch of the second thread 120. When the shaft 100 rotates clockwise, the first spreading member 200 and the second spreading member 400 will move toward each other along the center line of the shaft 100, and the shaft 100 counterclockwise When rotating, the first expansion member 200 and the second expansion member 400 will move back along the two ends of the shaft body 100.
进一步地,同时结合图4,融合部320还开设有第二滑道350,第二撑开件400远离轴体100的一端设于第二滑道350中。第一滑道310与第二滑道350分别设于融合部320的两端,第二滑道350的延长线与轴体100之间设有夹角,第一滑道310具有沿轴体100的纵向上分布的内端和外端,沿第一滑道310的外端到第一滑道310的内端方向,第一滑道310逐渐向轴体100倾斜以靠近轴体100,沿轴体100的顶部到轴体100的中线方向,第一滑道310的内壁到轴体100的距离逐渐减小。对应地,第二滑道350具有沿轴体100的纵向上分布的内端和外端,沿第二滑道350的外端到第二滑道350的内端方向,第二滑道350逐渐向轴体100倾斜以靠近轴体100,沿轴体100的底部到轴体100的中线方向,第二滑道350的内壁到轴体100的距离逐渐减小。如此设置,转动轴体100对椎间融合器10进行撑开操作,第一撑开件200与第二撑开件400同时从轴体100的两端朝轴体100的中线移动,以对椎间融合器10的两端进行撑开,由于第一螺纹110的螺距大于第二螺纹120的螺距,第一撑开件200移动的速度更快,移动的距离将会更大,使得第一撑开件200将椎间融合器10的顶部撑开的程度大于第二撑开件400将椎间融合器10的底部撑开的程度,具体的,椎间融合器10顶部撑开的大小是融合器底部撑开的大小的1.5倍,椎间融合器10展开后的侧视图为梯形。正常的腰椎间隙为前宽后窄,本实施例中的椎间融合器10两端均被撑开的状态能够在植入后与正常椎体间隙相匹配,从而在植入处恢复原有的腰椎生理曲度。Further, in conjunction with FIG. 4 at the same time, the fusion portion 320 is further provided with a second slideway 350, and the end of the second spreading member 400 away from the shaft body 100 is provided in the second slideway 350. The first chute 310 and the second chute 350 are respectively provided at both ends of the fusion part 320. An angle is set between the extension line of the second chute 350 and the shaft body 100. The first chute 310 has an angle along the shaft body 100. The inner and outer ends of the longitudinally distributed, along the outer end of the first slide 310 to the inner end of the first slide 310, the first slide 310 gradually inclined to the shaft body 100 to approach the shaft body 100, along the axis From the top of the body 100 to the center line of the shaft body 100, the distance from the inner wall of the first slide 310 to the shaft body 100 gradually decreases. Correspondingly, the second slideway 350 has an inner end and an outer end distributed along the longitudinal direction of the shaft body 100. Along the direction from the outer end of the second slideway 350 to the inner end of the second slideway 350, the second slideway 350 gradually Incline to the shaft body 100 to approach the shaft body 100, and along the direction from the bottom of the shaft body 100 to the center line of the shaft body 100, the distance from the inner wall of the second slideway 350 to the shaft body 100 gradually decreases. In this way, the shaft 100 is rotated to perform the expansion operation on the intervertebral fusion cage 10, and the first expansion member 200 and the second expansion member 400 simultaneously move from both ends of the shaft 100 toward the midline of the shaft 100 to align the vertebral body. The two ends of the intermediate cage 10 are expanded. Since the pitch of the first thread 110 is greater than the pitch of the second thread 120, the moving speed of the first spreading member 200 will be faster and the moving distance will be greater, so that the first support The degree to which the opening 200 stretches the top of the intervertebral fusion cage 10 is greater than the degree to which the second expansion member 400 stretches the bottom of the intervertebral fusion cage 10. Specifically, the size of the top spread of the intervertebral fusion cage 10 is the fusion The side view of the intervertebral fusion cage 10 after unfolding is trapezoidal. The normal lumbar intervertebral space is wide anteriorly and narrowly rearward. In the present embodiment, the intervertebral fusion cage 10 in the state where both ends are stretched can match the normal vertebral body space after implantation, thereby restoring the original position at the implantation site. Physiological curvature of the lumbar spine.
参见图8,更具体地,第二撑开件400包括第二螺纹圈410及四个第二支杆420,第二螺纹圈410套设于轴体100上,且与轴体100螺纹连接,四个第二支杆420绕第二螺纹圈410周向且均匀设置,以呈十字形。8, more specifically, the second spreading member 400 includes a second threaded ring 410 and four second supporting rods 420. The second threaded ring 410 is sleeved on the shaft body 100 and is threadedly connected with the shaft body 100. The four second supporting rods 420 are circumferentially and evenly arranged around the second threaded ring 410 to form a cross shape.
结合图3,第二滑道350两侧的内壁延伸有第二折弯部430,且两个折弯部430沿相互靠近的方向延伸,第二撑开件400的外端卡设于第二滑道350 中,且与第二折弯部430抵接。第二支杆420包括第二主体421及第二轴杆422,第二滑道350的截面为“T”字形,第二轴杆422卡设于第二滑道350中,分别与第二滑道350的底壁及第二折弯部430抵接。第二主体421连接第二轴杆422及第二螺纹圈410。第二轴体100为圆柱形,固定连接在第二主体421远离第二螺纹圈410的一端,融合部320能绕第二轴杆422转动,使得融合部320在第二撑开件400的驱动下能被撑开。四个第二支杆420与四个第二滑道350一一对应设置,以连接融合部320与轴体100。第二螺纹圈410的螺距小于第一螺纹圈210的螺距,第二螺纹圈410与第二螺纹120适配,保证第一撑开件200与第二撑开件400的移动距离的不同。需要说明的是,再次参见图1,轴体100的端部设有操作孔130,在本实施例中,操作孔130为十字形,可以通过匹配操作孔130形状的工件进行转动。在其他实施例中,操作孔130还可以为正六角形、梅花形等形状。3, the inner walls on both sides of the second slideway 350 are extended with second bending portions 430, and the two bending portions 430 extend in a direction approaching each other, and the outer end of the second spreading member 400 is clamped in the second In the slideway 350, and abuts against the second bending part 430. The second support rod 420 includes a second body 421 and a second shaft 422. The cross section of the second slideway 350 is a "T" shape. The second shaft 422 is clamped in the second slideway 350 and is respectively connected to the second slideway 350. The bottom wall of the channel 350 abuts against the second bending part 430. The second body 421 is connected to the second shaft 422 and the second threaded ring 410. The second shaft 100 is cylindrical, and is fixedly connected to the end of the second body 421 away from the second threaded ring 410. The fusion portion 320 can rotate around the second shaft 422, so that the fusion portion 320 is driven by the second spreading member 400 The bottom can be stretched. The four second supporting rods 420 and the four second sliding rails 350 are arranged in one-to-one correspondence to connect the fusion portion 320 and the shaft body 100. The pitch of the second threaded ring 410 is smaller than the pitch of the first threaded ring 210, and the second threaded ring 410 is adapted to the second thread 120 to ensure that the moving distances of the first spreader 200 and the second spreader 400 are different. It should be noted that, referring again to FIG. 1, the end of the shaft body 100 is provided with an operating hole 130. In this embodiment, the operating hole 130 is cross-shaped and can be rotated by a workpiece matching the shape of the operating hole 130. In other embodiments, the operating hole 130 may also have a regular hexagonal shape, a plum blossom shape, or the like.
在一个实施例中,第二滑道350与第一滑道310关于轴体100的中点呈中心对称设置,这样能使得第一撑开件200与第二撑开件400在运动时保持同步性及稳定性,以保证椎间融合器10的撑开效果。In one embodiment, the second slideway 350 and the first slideway 310 are arranged symmetrically with respect to the midpoint of the shaft body 100, so that the first spreading member 200 and the second spreading member 400 can be kept synchronized during movement. Performance and stability to ensure the expansion effect of the intervertebral fusion cage 10.
参见图6,在一个实施例中,在轴体100上第一螺纹110与第二螺纹120之间设有限位段140,限位段140上未设置螺纹,第一撑开件200或第二撑开件400移动到限位段140时将无法再继续移动,通过限位段140能够限制第一撑开件200或第二撑开件400的移动行程,避免第一撑开件200与第二撑开件400相碰撞。Referring to FIG. 6, in one embodiment, a limit section 140 is provided between the first thread 110 and the second thread 120 on the shaft body 100, and the limit section 140 is not provided with threads, the first spreading member 200 or the second When the expansion member 400 moves to the limit section 140, it cannot continue to move. The limit section 140 can limit the movement stroke of the first expansion member 200 or the second expansion member 400, avoiding the first expansion member 200 and the second expansion member 200. The two spreaders 400 collide.
参见图9,在一个实施例中,为了更自由的调节融合器两端撑开的程度,将轴体100设置为间隔设置的第一轴体150及第二轴体160,且第一轴体150与第二轴体160同轴设置,第一撑开件200与第一轴体150螺纹连接,第一轴体150转动带动第一撑开件200沿第一滑道310移动,第一撑开件200向下运动将对椎间融合器10的上端进行撑开。第二撑开件400与第二轴体160螺纹连接,第二轴体160转动带动第二撑开件400沿第二滑道350移动,第二撑开件400向上运动将对椎间融合器10的下端进行撑开。第一轴体150开 设有第一操作孔(图未示),第一操作孔沿第一轴体150的轴向延伸且贯通第一轴体150,第二轴体160开设有第二操作孔(图未示),第二操作孔沿第二轴体160的轴向延伸且贯通第二轴体160,第一操作孔与第二操作孔相对设置。在本实施例中,第一操作孔与第二操作孔均可以设置为十字形,通过匹配形状的工件进行转动,需要驱动第一撑开件200的移动时,将工件伸入第一操作孔中转动第一轴体150即可。需要驱动第二撑开件400的移动时,将动件伸入第一操作孔中,并穿过第一操作孔伸入到第二操作孔中对第二轴体160进行转动即可。需要说明的是,本实施例中,融合体300的材料应选用具有一定形变能力的材料,如聚氨酯材料等。Referring to Figure 9, in one embodiment, in order to more freely adjust the degree of expansion of the two ends of the cage, the shaft 100 is set as a first shaft 150 and a second shaft 160 spaced apart, and the first shaft 150 and the second shaft 160 are arranged coaxially. The first spreading member 200 is threadedly connected with the first shaft 150. The first shaft 150 rotates to drive the first spreading member 200 to move along the first slide 310. The downward movement of the opening 200 will propagate the upper end of the intervertebral fusion cage 10. The second expansion member 400 is threadedly connected with the second shaft 160. The rotation of the second shaft 160 drives the second expansion member 400 to move along the second slideway 350. The upward movement of the second expansion member 400 will affect the intervertebral fusion cage. The lower end of 10 is stretched. The first shaft 150 is provided with a first operating hole (not shown), the first operating hole extends along the axial direction of the first shaft 150 and passes through the first shaft 150, and the second shaft 160 is provided with a second operating hole (Not shown in the figure), the second operating hole extends along the axial direction of the second shaft 160 and penetrates the second shaft 160, and the first operating hole and the second operating hole are arranged opposite to each other. In this embodiment, both the first operating hole and the second operating hole can be set in a cross shape, and the workpiece is rotated by matching the shape. When the movement of the first spreading member 200 needs to be driven, the workpiece is extended into the first operating hole It is sufficient to rotate the first shaft 150 in the middle. When it is necessary to drive the movement of the second spreading member 400, the movable member can be extended into the first operating hole, and inserted into the second operating hole through the first operating hole to rotate the second shaft 160. It should be noted that, in this embodiment, the material of the fusion body 300 should be a material with a certain deformability, such as a polyurethane material.
在一个实施例中,第一轴体150上靠近第二轴体160的一端设置有限位段140,对应地,第二轴体160上靠近第一轴体150的一端设置有限位段140,以分别对第一撑开件200及第二撑开件400的行程进行限制。In one embodiment, a finite section 140 is provided on the end of the first shaft 150 close to the second shaft 160. Correspondingly, a finite section 140 is provided on the end of the second shaft 160 close to the first shaft 150 to The strokes of the first expansion member 200 and the second expansion member 400 are respectively restricted.
参见图10,在一个实施例中,融合体300的相对两面设有齿状部500。具体地,齿状部500设置在融合部320上与椎体相接触的端面,齿状部500可以为锯齿的形状,能够增大与接触面的摩擦力,从而加强稳定性,避免融合器植入后发生移动。需要说明的是,本实施例中,融合部320的形状为梯台,齿状部500设置在梯台的斜面上。在其他实施例中,融合部320的形状可以为长方体、圆柱等,齿状部500对应设置在与椎体相贴合接触的一面。融合部320的内部具有镂空结构,镂空状的融合部320能储存较多的同种异体骨粉。具体地,融合部320中设置有镂空层600,镂空层600包括相对设置的镂空面610及底面(图未示),镂空面610设于融合部320的外壁上,在融合部320外壁上开设多个镂空孔以形成镂空面610,镂空面610与齿状部500间隔设置,底面与镂空面610相对设置,镂空面610与底面之间设有空腔620,能够保证较大程度的抓住同种异体骨粉,促进诱导骨组织长入孔隙,促进椎体间融合,增强椎间融合器10的机械锁固,从而获得更好的长期固定效果。底面与融合部320的内壁具有既定距离,避免第一滑道310、第二滑道350的内壁为镂空结构,保证了第一撑开件200在第一滑道310滑动、第 二撑开件400在第二滑道350滑动时的稳定性。在其他实施例中,齿状部500还可以周向设置在融合部320上,这样在植入椎间融合器10的时候,不用刻意翻转角度使齿状部500与椎体相对,植入时更为灵活,同时为了容纳同种异体骨粉,在融合部320的端面上同时设置齿状部及镂空面610。Referring to FIG. 10, in one embodiment, two opposite surfaces of the fusion body 300 are provided with teeth 500. Specifically, the toothed portion 500 is provided on the end surface of the fusion portion 320 that is in contact with the vertebral body. The toothed portion 500 may be in the shape of a saw tooth, which can increase the friction with the contact surface, thereby enhancing stability and avoiding implantation of the cage. Moved after entering. It should be noted that, in this embodiment, the shape of the fusion portion 320 is a ladder, and the toothed portion 500 is provided on the slope of the ladder. In other embodiments, the shape of the fusion portion 320 may be a rectangular parallelepiped, a cylinder, etc., and the tooth-shaped portion 500 is correspondingly disposed on the surface that is in contact with the vertebral body. The fusion part 320 has a hollow structure inside, and the hollow fusion part 320 can store more allogeneic bone powder. Specifically, a hollow layer 600 is provided in the fusion portion 320. The hollow layer 600 includes a hollow surface 610 and a bottom surface (not shown) disposed oppositely. The hollow surface 610 is provided on the outer wall of the fusion portion 320, and is provided on the outer wall of the fusion portion 320. A plurality of hollow holes are formed to form a hollow surface 610. The hollow surface 610 and the toothed portion 500 are spaced apart, and the bottom surface is opposite to the hollow surface 610. A cavity 620 is provided between the hollow surface 610 and the bottom surface to ensure a greater degree of grasping. The allogeneic bone meal promotes the induction of bone tissue to grow into the pores, promotes the fusion of the vertebral bodies, and enhances the mechanical locking of the intervertebral fusion cage 10, thereby obtaining a better long-term fixation effect. The bottom surface and the inner wall of the fusion part 320 have a predetermined distance to avoid the hollow structure of the inner walls of the first slide 310 and the second slide 350, and to ensure that the first spreader 200 slides on the first slide 310 and the second spreader The stability of 400 when sliding on the second slide 350. In other embodiments, the tooth-shaped part 500 can also be circumferentially arranged on the fusion part 320, so that when the intervertebral fusion cage 10 is implanted, the angle of the tooth-shaped part 500 is opposite to the vertebral body. It is more flexible, and at the same time, in order to accommodate the allogeneic bone powder, a toothed portion and a hollow surface 610 are provided on the end surface of the fusion portion 320 at the same time.
需要说明的是,本实施例的椎间融合器10内部结构简单,通过更换不同的轴体100、第一撑开件200及第二撑开件400,可以满足患者不同病变程度对椎间隙不同区域撑开不同高度或者不同角度的个性化需求,极大的提高了适用范围。It should be noted that the internal structure of the intervertebral fusion cage 10 of this embodiment is simple. By replacing the different shafts 100, the first distracting member 200, and the second distracting member 400, it is possible to meet the needs of patients with different degrees of disease and different intervertebral spaces. The individual needs of different heights or different angles in the area have greatly improved the scope of application.
参见图11,将椎间融合器10植入到椎间隙11中,椎体12与椎间融合器10初步接触将对椎间融合器10进行挤压。接着根据椎间隙11的尺寸对椎间融合器10进行适当的展开,由于椎体12对椎间融合器10的作用力,工件转动轴体100时第一撑开件200及第二撑开件400将在轴体100上移动。具体地,工件转动轴体100的近端,在轴体100的转动下,第一撑开件200及第二撑开件400将会沿着轴体100朝轴体100的中部靠近,由于第一撑开件200移动的速度更快,椎间融合器10的近端展开的尺寸更大,匹配前宽后窄的正常腰椎间隙11,以将病损椎间隙11撑开、压缩及稳定。Referring to FIG. 11, the intervertebral fusion cage 10 is implanted in the intervertebral space 11, the initial contact between the vertebral body 12 and the intervertebral fusion cage 10 will compress the intervertebral fusion cage 10. Then, the intervertebral fusion cage 10 is properly deployed according to the size of the intervertebral space 11. Due to the force of the vertebral body 12 on the intervertebral fusion cage 10, when the workpiece rotates the shaft 100, the first distractor 200 and the second distractor 400 will move on the shaft 100. Specifically, the workpiece rotates the proximal end of the shaft body 100. Under the rotation of the shaft body 100, the first spreading member 200 and the second spreading member 400 will approach the middle of the shaft body 100 along the shaft body 100. The expansion member 200 moves faster, and the expanded size of the proximal end of the intervertebral fusion cage 10 is larger to match the normal lumbar intervertebral space 11 that is wide in the front and narrow in the back, so as to expand, compress and stabilize the damaged intervertebral space 11.
在本发明的描述中,需要理解的是,术语“中心”、“纵向”、“横向”、“长度”、“宽度”、“厚度”、“上”、“下”、“前”、“后”、“左”、“右”、“竖直”、“水平”、“顶”、“底”“内”、“外”、“顺时针”、“逆时针”、“轴向”、“径向”、“周向”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。In the description of the present invention, it should be understood that the terms "center", "longitudinal", "transverse", "length", "width", "thickness", "upper", "lower", "front", " Back", "Left", "Right", "Vertical", "Horizontal", "Top", "Bottom", "Inner", "Outer", "Clockwise", "Counterclockwise", "Axial", The orientation or positional relationship indicated by "radial", "circumferential", etc. is based on the orientation or positional relationship shown in the drawings, and is only for the convenience of describing the present invention and simplifying the description, and does not indicate or imply the pointed device or element It must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as a limitation to the present invention.
此外,术语“第一”、“第二”仅用于描述目的,而不能理解为指示或暗示相对重要性或者隐含指明所指示的技术特征的数量。由此,限定有“第一”、“第二”的特征可以明示或者隐含地包括至少一个该特征。在本发明的描述中,“多个”的含义是至少两个,例如两个,三个等,除非另有明确具体的限定。In addition, the terms "first" and "second" are only used for descriptive purposes, and cannot be understood as indicating or implying relative importance or implicitly indicating the number of indicated technical features. Therefore, the features defined with "first" and "second" may explicitly or implicitly include at least one of the features. In the description of the present invention, "plurality" means at least two, such as two, three, etc., unless otherwise specifically defined.
在本发明中,除非另有明确的规定和限定,术语“安装”、“相连”、“连接”、“固定”等术语应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或成一体;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通或两个元件的相互作用关系,除非另有明确的限定。对于本领域的普通技术人员而言,可以根据具体情况理解上述术语在本发明中的具体含义。In the present invention, unless otherwise clearly specified and limited, the terms "installed", "connected", "connected", "fixed" and other terms should be understood in a broad sense, for example, it can be a fixed connection or a detachable connection. , Or integrated; it can be mechanically connected or electrically connected; it can be directly connected or indirectly connected through an intermediary, it can be the internal connection of two components or the interaction relationship between two components, unless otherwise specified The limit. For those of ordinary skill in the art, the specific meanings of the above-mentioned terms in the present invention can be understood according to specific situations.
在本发明中,除非另有明确的规定和限定,第一特征在第二特征“上”或“下”可以是第一和第二特征直接接触,或第一和第二特征通过中间媒介间接接触。而且,第一特征在第二特征“之上”、“上方”和“上面”可是第一特征在第二特征正上方或斜上方,或仅仅表示第一特征水平高度高于第二特征。第一特征在第二特征“之下”、“下方”和“下面”可以是第一特征在第二特征正下方或斜下方,或仅仅表示第一特征水平高度小于第二特征。In the present invention, unless expressly stipulated and defined otherwise, the first feature “on” or “under” the second feature may be in direct contact with the first and second features, or the first and second features may be indirectly through an intermediary. contact. Moreover, the "above", "above" and "above" of the first feature on the second feature may mean that the first feature is directly above or diagonally above the second feature, or it simply means that the level of the first feature is higher than the second feature. The “below”, “below” and “below” of the second feature of the first feature may be that the first feature is directly below or obliquely below the second feature, or it simply means that the level of the first feature is smaller than the second feature.
在本说明书的描述中,参考术语“一个实施例”、“一些实施例”、“示例”、“具体示例”、或“一些示例”等的描述意指结合该实施例或示例描述的具体特征、结构、材料或者特点包含于本发明的至少一个实施例或示例中。在本说明书中,对上述术语的示意性表述不必须针对的是相同的实施例或示例。而且,描述的具体特征、结构、材料或者特点可以在任一个或多个实施例或示例中以合适的方式结合。此外,在不相互矛盾的情况下,本领域的技术人员可以将本说明书中描述的不同实施例或示例以及不同实施例或示例的特征进行结合和组合。In the description of this specification, descriptions with reference to the terms "one embodiment", "some embodiments", "examples", "specific examples", or "some examples" etc. mean specific features described in conjunction with the embodiment or example , Structure, materials or features are included in at least one embodiment or example of the present invention. In this specification, the schematic representations of the above terms do not necessarily refer to the same embodiment or example. Moreover, the described specific features, structures, materials or characteristics may be combined in any one or more embodiments or examples in a suitable manner. In addition, those skilled in the art can combine and combine the different embodiments or examples and the features of the different embodiments or examples described in this specification without contradicting each other.
以上所述实施例的各技术特征可以进行任意的组合,为使描述简洁,未对上述实施例中的各个技术特征所有可能的组合都进行描述,然而,只要这些技术特征的组合不存在矛盾,都应当认为是本说明书记载的范围。The technical features of the above-mentioned embodiments can be combined arbitrarily. In order to make the description concise, all possible combinations of the various technical features in the above-mentioned embodiments are not described. However, as long as there is no contradiction in the combination of these technical features, All should be considered as the scope of this specification.
以上所述实施例仅表达了本发明的几种实施方式,其描述较为具体和详细,但并不能因此而理解为对发明专利范围的限制。应当指出的是,对于本领域的普通技术人员来说,在不脱离本发明构思的前提下,还可以做出若干变形和改进,这些都属于本发明的保护范围。因此,本发明专利的保护范围 应以所附权利要求为准。The above-mentioned embodiments only express several embodiments of the present invention, and the descriptions are relatively specific and detailed, but they should not be understood as limiting the scope of the invention patent. It should be pointed out that for those of ordinary skill in the art, without departing from the concept of the present invention, several modifications and improvements can be made, and these all fall within the protection scope of the present invention. Therefore, the protection scope of the patent of the present invention should be subject to the appended claims.

Claims (20)

  1. 一种椎间融合器,其特征在于,包括:An intervertebral fusion cage, characterized in that it comprises:
    轴体;Shaft
    第一撑开件,安装于所述轴体上并能够沿所述轴体的轴向移动,所述第一撑开件具有沿所述轴体的径向上分布的内端和外端,所述内端与所述轴体连接;及The first expansion member is mounted on the shaft body and can move along the axial direction of the shaft body. The first expansion member has an inner end and an outer end distributed along the radial direction of the shaft body, so The inner end is connected with the shaft body; and
    融合体,绕所述轴体周向设置,并与所述第一撑开件的外端连接,所述融合体的内壁上开设有第一滑道,所述第一滑道的延伸方向与所述融合体的外壁之间设有夹角,所述第一撑开件的外端活动设于所述第一滑道中。The fusion body is arranged in the circumferential direction of the shaft body and connected to the outer end of the first expansion member. The inner wall of the fusion body is provided with a first slideway, and the extension direction of the first slideway is the same as An included angle is arranged between the outer walls of the fusion body, and the outer end of the first spreading member is movably arranged in the first slideway.
  2. 根据权利要求1所述的椎间融合器,其特征在于,所述第一撑开件包括第一螺纹圈及多个第一支杆,所述第一螺纹圈套设于所述轴体上,且与所述轴体螺纹连接,所述第一支杆连接所述第一螺纹圈及所述第一滑道。The intervertebral fusion cage according to claim 1, wherein the first expansion member comprises a first threaded ring and a plurality of first struts, and the first threaded ring is sleeved on the shaft body, And it is threadedly connected with the shaft body, and the first strut connects the first threaded ring and the first slideway.
  3. 根据权利要求2所述的椎间融合器,其特征在于,多个所述第一支杆绕所述螺纹圈周向设置,所述第一滑道设有多个,且与所述第一支杆一一对应设置。The intervertebral fusion cage according to claim 2, wherein a plurality of the first struts are circumferentially arranged around the threaded ring, and the first slideway is provided with a plurality of rods and is connected to the first The support rods are set in one-to-one correspondence.
  4. 根据权利要求2所述的椎间融合器,其特征在于,多个所述第一支杆绕所述第一螺纹圈周向且均匀设置。The intervertebral fusion cage according to claim 2, wherein a plurality of the first struts are arranged evenly and circumferentially around the first threaded ring.
  5. 根据权利要求2所述的椎间融合器,其特征在于,所述第一支杆包括第一主体及第一轴杆,所述第一主体连接所述第一轴杆及所述第一螺纹圈,所述第一轴杆设于所述第一滑道中。The intervertebral fusion cage according to claim 2, wherein the first strut comprises a first body and a first shaft, and the first body is connected to the first shaft and the first thread Ring, the first shaft is arranged in the first slide.
  6. 根据权利要求1所述的椎间融合器,其特征在于,所述第一滑道两侧的内壁延伸有折弯部,且两个所述折弯部沿相互靠近的方向延伸,所述第一撑开件的外端卡设于所述第一滑道中,且与所述折弯部抵接。The intervertebral fusion cage according to claim 1, wherein the inner walls on both sides of the first slideway extend with bending parts, and the two bending parts extend in a direction approaching each other, and the first slide The outer end of a spreading member is clamped in the first slideway and abuts against the bending part.
  7. 根据权利要求1所述的椎间融合器,其特征在于,所述第一撑开件的外端与所述第一滑道过盈连接。The intervertebral fusion cage according to claim 1, wherein the outer end of the first expansion member is in an interference connection with the first slideway.
  8. 根据权利要求1所述的椎间融合器,其特征在于,所述第一滑道具有沿所述轴体的纵向上分布的内端和外端,沿所述第一滑道的外端到所述第一 滑道的内端方向,所述第一滑道逐渐靠近所述轴体。The intervertebral fusion cage according to claim 1, wherein the first slideway has an inner end and an outer end distributed along the longitudinal direction of the shaft, and the outer end of the first slideway reaches In the direction of the inner end of the first chute, the first chute gradually approaches the shaft body.
  9. 根据权利要求1所述的椎间融合器,其特征在于,所述融合体内壁还设有避让槽,所述避让槽与所述轴体平行,且部分所述轴体容置于所述避让槽中。The intervertebral fusion cage according to claim 1, wherein the inner wall of the fusion body is further provided with an escape groove, the escape groove is parallel to the shaft body, and part of the shaft body is accommodated in the escape groove. Slot.
  10. 根据权利要求1-9任一项所述的椎间融合器,其特征在于,还包括第二撑开件,所述第二撑开件与所述第一撑开件的结构相同,所述第二撑开件安装于所述轴体,所述融合体的内壁还开设有第二滑道,所述第二滑道的延伸方向与所述融合体的外壁之间设有夹角,所述第二滑道与所述第一滑道关于所述轴体的中点呈中心对称设置,所述第二撑开件的外端活动设于所述第二滑道中。The intervertebral fusion cage according to any one of claims 1-9, further comprising a second expansion member, and the second expansion member has the same structure as the first expansion member. The second expansion member is installed on the shaft body, the inner wall of the fusion body is also provided with a second slideway, and an angle is formed between the extension direction of the second slideway and the outer wall of the fusion body, so The second chute and the first chute are arranged symmetrically about the center of the shaft, and the outer end of the second spreading member is movably arranged in the second chute.
  11. 根据权利要求10所述的椎间融合器,其特征在于,所述轴体的两端分别设有第一螺纹及第二螺纹,所述第一螺纹与所述第二螺纹的旋向相反,所述第一撑开件与所述第一螺纹螺纹连接,所述第二撑开件与所述第二螺纹螺纹连接。The intervertebral fusion cage according to claim 10, wherein the two ends of the shaft body are respectively provided with a first thread and a second thread, and the first thread and the second thread are rotated in opposite directions, The first expansion member is threadedly connected with the first thread, and the second expansion member is threadedly connected with the second thread.
  12. 根据权利要求11所述的椎间融合器,其特征在于,所述第一螺纹的螺距大于所述第二螺纹的螺距。The intervertebral fusion cage according to claim 11, wherein the pitch of the first thread is greater than the pitch of the second thread.
  13. 根据权利要求11所述的椎间融合器,其特征在于,所述轴体的所述第一螺纹与所述第二螺纹之间设有限位段,所述限位段能限制所述第一撑开件或所述第二撑开件的移动。The intervertebral fusion cage according to claim 11, wherein a limit section is provided between the first thread and the second thread of the shaft body, and the limit section can limit the first Movement of the expansion member or the second expansion member.
  14. 根据权利要求10所述的椎间融合器,其特征在于,所述第二滑道具有沿所述轴体的纵向上分布的内端和外端,沿所述第二滑道的外端到所述第二滑道的内端方向,所述第二滑道逐渐靠近所述轴体。The intervertebral fusion cage according to claim 10, wherein the second slideway has an inner end and an outer end distributed along the longitudinal direction of the shaft, and the outer end of the second slideway reaches In the direction of the inner end of the second slideway, the second slideway gradually approaches the shaft body.
  15. 根据权利要求1-9任意一项所述的椎间融合器,其特征在于,所述轴体包括第一轴体及第二轴体,所述第一轴体与所述第二轴体同轴且间隔设置,所述第一轴体开设有沿所述第一轴体的轴向延伸且贯通的第一操作孔,所述第二轴体上开设有第二操作孔,所述第二操作孔与所述第一操作孔相对设置,还包括与所述第一撑开件结构相同的第二撑开件,所述融合体还开设 有第二滑道,所述第二滑道的延伸方向与所述融合体的外壁之间设有夹角,所述第二撑开件的外端活动设于所述第二滑道中。The intervertebral fusion cage according to any one of claims 1-9, wherein the shaft includes a first shaft and a second shaft, and the first shaft is the same as the second shaft. The first shaft body is provided with a first operating hole extending and penetrating in the axial direction of the first shaft body, and the second shaft body is provided with a second operating hole. The operation hole is arranged opposite to the first operation hole, and further includes a second expansion member having the same structure as the first expansion member. The fusion body is also provided with a second slideway. An included angle is provided between the extending direction and the outer wall of the fusion body, and the outer end of the second spreading member is movably arranged in the second slideway.
  16. 根据权利要求15所述的椎间融合器,其特征在于,所述第一轴体上设有螺纹,所述第二轴体上设有螺纹,所述第一轴体的螺纹与所述第二轴体的螺纹的旋向相反。The intervertebral fusion cage according to claim 15, wherein the first shaft is provided with threads, the second shaft is provided with threads, and the threads of the first shaft are connected to the first shaft. The threads of the two shaft bodies have opposite directions.
  17. 根据权利要求1所述的椎间融合器,其特征在于,所述融合体包括四个融合部,四个所述融合部绕所述轴体周向且间隔设置。The intervertebral fusion cage according to claim 1, wherein the fusion body includes four fusion parts, and the four fusion parts are arranged at intervals around the shaft body.
  18. 根据权利要求1所述的椎间融合器,其特征在于,所述融合体的相对两面设有齿状部。The intervertebral fusion cage according to claim 1, wherein the fusion body is provided with teeth on two opposite surfaces.
  19. 根据权利要求1所述的椎间融合器,其特征在于,所述融合体内部具有镂空结构。The intervertebral fusion cage according to claim 1, wherein the fusion body has a hollow structure inside.
  20. 根据权利要求19所述的椎间融合器,其特征在于,所述融合体的外壁至少部分设置镂空孔,以连通融合体内部的镂空结构,所述镂空结构与所述融合体的内壁具有既定距离。The intervertebral fusion cage according to claim 19, wherein the outer wall of the fusion body is at least partially provided with hollow holes to communicate with the hollow structure inside the fusion body, and the hollow structure and the inner wall of the fusion body have a predetermined distance.
PCT/CN2019/118944 2019-11-15 2019-11-15 Interbody fusion cage WO2021092948A1 (en)

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CN107405204A (en) * 2014-11-12 2017-11-28 爱整形外科公司 General device for expanding and fusing
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