WO2022062051A1 - 一种可膨胀的防退型椎弓根钉 - Google Patents
一种可膨胀的防退型椎弓根钉 Download PDFInfo
- Publication number
- WO2022062051A1 WO2022062051A1 PCT/CN2020/124580 CN2020124580W WO2022062051A1 WO 2022062051 A1 WO2022062051 A1 WO 2022062051A1 CN 2020124580 W CN2020124580 W CN 2020124580W WO 2022062051 A1 WO2022062051 A1 WO 2022062051A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- nail body
- nail
- core
- sleeve
- body sleeve
- Prior art date
Links
- 230000000903 blocking effect Effects 0.000 claims description 6
- 238000000034 method Methods 0.000 abstract description 5
- 230000008569 process Effects 0.000 abstract description 4
- 239000000243 solution Substances 0.000 description 6
- 239000002639 bone cement Substances 0.000 description 5
- 238000009434 installation Methods 0.000 description 3
- 210000000988 bone and bone Anatomy 0.000 description 2
- 230000001054 cortical effect Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 230000006872 improvement Effects 0.000 description 2
- 208000001132 Osteoporosis Diseases 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000007480 spreading Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
Definitions
- the utility model relates to the field of medical instruments, in particular to an expandable anti-regression type pedicle screw.
- the present invention provides an inflatable anti-regression pedicle screw.
- an expandable anti-regression pedicle screw comprising a screw core, a screw cover and a screw head
- the front part of the screw cover is provided with
- the front part of the nail core is provided with an outer clamping structure
- the nail core is inserted into the nail body sleeve
- the inner clamping structure is matched with the outer clamping structure.
- the rear part of the body sleeve is fixed on the nail body core
- the nail body head is fixed on the front part of the nail body sleeve
- the nail body head is provided with a connecting structure
- the nail body sleeve is provided with a plurality of expansion cuts.
- the front part of the nail body core is provided with an outer engaging structure corresponding to the inner engaging structure at the front end of the nail body sleeve.
- the torque on the nail body core is transmitted to the front part of the nail body sleeve, and the deformation of the nail body sleeve can be avoided during the screwing process. It is used to connect with special tools by connecting the structure on the head of the nail body.
- the inner engaging structure is an inner hexagonal
- the outer engaging structure is an outer hexagonal
- connection structure is an internal thread.
- the inner thread can be detachably connected with a special installation tool, and the inner thread can be detachably connected with the pull rod, so as to facilitate the use.
- the tie rod also includes a tie rod, the front part of the tie rod is provided with an external thread, and the rear part of the tie rod is provided with a blocking platform.
- the rear part forms a block with the nail body core through the blocking table.
- the expansion incision is located near the front end of the nail body sleeve, and a plurality of expansion incisions are arranged around the nail body sleeve at intervals.
- the expansion incision is a straight incision structure, and the expansion incision is parallel to the axial direction of the nail body sleeve. It is easy to spread the nail sleeve to expand it.
- the expansion incision is an oblique incision structure, and the expansion incision is inclined to the axial direction of the nail body sleeve.
- the expansion cut By setting the expansion cut to be inclined, it is the same as the screw-in direction, and is basically in the same direction as the torque during screw-in, so it is not easy to deform.
- the rear part of the nail body sleeve is welded and fixed to the nail body core
- the front part of the nail body sleeve is welded and fixed to the nail body head
- the nail body sleeve is provided with an external thread. The connection between them is made tighter, and the external thread is provided for easy screwing into the vertebral body.
- the nail core includes a core rod and a nail seat, and the outer diameter of the core rod is adapted to the inner diameter of the nail sleeve.
- the shape of the head of the nail is vertebral.
- the utility model has the following advantages:
- This solution provides an inflatable anti-regression pedicle screw.
- the front part of the core of the screw is provided with an outer engaging structure corresponding to the inner engaging structure at the front end of the screw sleeve.
- FIG. 1 is a schematic structural diagram of specific embodiments 1-3 of the present invention.
- FIG. 2 is an exploded view of FIG. 1 .
- FIG. 3 is a cross-sectional view of FIG. 1 when expanded.
- FIG. 4 is a schematic structural diagram of a specific embodiment 4 of the present invention.
- Nail body core 1. Nail body sleeve, 3. Nail body head, 4. Pull rod, 11, Core body stem, 12, External clamping structure, 13, Nail seat, 21, Expansion cutout, 22 , Internal snap-fit structure, 31. Connection structure.
- the present invention provides an inflatable anti-regression pedicle screw, which mainly includes a screw core 1, a screw cover 2 and a screw head 3.
- the front of the screw cover 2 An inner engaging structure 22 is provided at the front of the nail core 1, an outer engaging structure 12 is provided at the front of the nail core 1, the nail core 1 is inserted into the nail body sleeve 2, and the inner engaging structure 22 is in phase with the outer engaging structure 12.
- the rear part of the nail body sleeve 2 is fixed on the nail body core 1
- the nail body head 3 is fixed on the front part of the nail body sleeve 2
- the nail body head 3 is provided with a connecting structure 31, and the connecting structure 31 is an internal thread
- the nail body sleeve 2 is provided with a plurality of expansion notches 21.
- the inner engaging structure 22 is an inner hexagonal
- the outer engaging structure 12 is an outer hexagonal, which is easy to fit. Matching with the inner hexagon at the front end of the screw body sleeve 2, when the whole pedicle screw is screwed into the vertebral body with a special tool, the torque on the nail body core 1 can be transmitted to the front part of the screw body sleeve 2. The deformation of the nail body sleeve 2 can be avoided during the screwing process.
- the rear part of the nail body sleeve 2 is welded and fixed with the nail body core 1
- the front part of the nail body sleeve 2 is welded and fixed with the nail body head 3
- the nail body is provided with external threads to make the connection between them more secure.
- a nail seat 13 is also provided at the rear of the nail body core 1.
- the front part of the nail seat 13 is the core body rod portion 11.
- the outer diameter of the core body rod portion 11 is adapted to the inner diameter of the nail body sleeve 2, and the The cover 2 has a certain supporting function.
- the external shape of the screw head 3 is in the shape of a cone as a whole.
- a special tool When in use, a special tool is used to pass through the nail body core 1 and connect with the inner thread of the nail body head 3. The outer tube of the special tool is pressed against the nail seat 13.
- the nail body sleeve 2 When the nail body sleeve 2 is subjected to the nail body core 1 and the nail body head. 3.
- the nail body sleeve 2 When pressing toward each other, due to the existence of the expansion slit 21, the nail body sleeve 2 will be stretched outward at this part to form an expanded state. That is, after installation, the part of the pedicle screw that enters the vertebral body can be expanded and thickened, and stuck on the cortical bone of the pedicle, thereby realizing the function of preventing withdrawal.
- this specific embodiment is further improved on the basis of the specific embodiment 1.
- the front part of the tie rod 4 is provided with an external thread, and the rear part of the tie rod 4 is provided with a blocking table.
- the front part of the tie rod 4 passes through the nail body core 1 and is threadedly connected with the nail body head 3, and the rear part of the tie rod 4 passes through the blocking table.
- the nail core 1 forms a stop.
- the tie rod 4 is installed to fix the axial position of the nail body core 1 and the nail body head 3 , thereby maintaining the expanded state of the nail body sleeve 2 .
- the expanded pedicle screw is shown in Figure 3.
- the screw body sleeve 2 bulges outward along the slot 21 until the head end of the nail body core 1 and the tail end of the nail body head 3 contact at point A.
- A By adjusting A The size of the point can be adjusted to the size of the expanded shape.
- this specific embodiment is further improved on the basis of the specific embodiment 1.
- the improvement points are: the expansion incision 21 is located near the front end of the nail body sleeve 2, and a plurality of expansion notches 21 are arranged around the nail body sleeve 2 at intervals,
- the expansion slit 21 is a straight slit structure, and the expansion slit 21 is parallel to the axial direction of the nail body sleeve 2, so as to achieve the effect of easily spreading the nail body sleeve 2 for expansion.
- this specific embodiment is further improved on the basis of the specific embodiment 1.
- the improvement points are: the expansion incision 21 is located near the front end of the nail body sleeve 2 , and a plurality of expansion notches 21 are arranged around the nail body sleeve 2 at intervals In this scheme, the number of expansion slits 21 is 4-6, and the expansion slits 21 are oblique slit structures. , and the torque is basically the same direction when screwing in, and it is not easy to deform.
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Neurology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Description
图4为本实用新型具体实施方式4的结构示意图。
Claims (10)
- 一种可膨胀的防退型椎弓根钉,其特征在于,包括钉体芯(1)、钉体套(2)和钉体头(3),所述钉体套(2)的前部设置有内卡合结构(22),所述钉体芯(1)的前部设置有外卡合结构(12),所述钉体芯(1)插装在钉体套(2)中,并且内卡合结构(22)与外卡合结构(12)相配合,所述钉体套(2)的后部固定在钉体芯(1)上,所述钉体头(3)固定在钉体套(2)的前部,所述钉体头(3)上设置有连接结构(31),所述钉体套(2)上开设有多条膨胀切口(21)。
- 如权利要求1所述的可膨胀的防退型椎弓根钉,其特征在于,所述内卡合结构(22)为内六方,所述外卡合结构(12)为外六方。
- 如权利要求1所述的可膨胀的防退型椎弓根钉,其特征在于,所述连接结构(31)为内螺纹。
- 如权利要求3所述的可膨胀的防退型椎弓根钉,其特征在于,还包括拉杆(4),所述拉杆(4)的前部设置有外螺纹(41),所述拉杆(4)的后部设置有阻挡台,使用时拉杆(4)的前部穿过钉体芯(1)后与钉体头(3)螺纹连接,并且拉杆(4)的后部通过阻挡台与钉体芯(1)形成阻挡。
- 如权利要求1所述的可膨胀的防退型椎弓根钉,其特征在于,所述膨胀切口(21)位于靠近钉体套(2)前端的位置,多个膨胀切口(21)环绕钉体套(2)间隔布置。
- 如权利要求5所述的可膨胀的防退型椎弓根钉,其特征在于,所述膨胀切口(21)为直切口结构,所述膨胀切口(21)与钉体套(2)的轴向方向平行。
- 如权利要求5所述的可膨胀的防退型椎弓根钉,其特征在于,所述膨胀切口(21)为斜切口结构,所述膨胀切口(21)倾斜于钉体套(2)的轴向方向。
- 如权利要求1-7任一所述的可膨胀的防退型椎弓根钉,其特征在于,所述钉体套(2)的后部与钉体芯(1)焊接固定,所述钉体套(2)的前部与钉体头(3)焊接固定,所述钉体套(2)的外壁上 设置有螺纹。
- 如权利要求1-7任一所述的可膨胀的防退型椎弓根钉,其特征在于,所述钉体芯(1)包括芯体杆部(11)和钉座(13),所述芯体杆部(11)的外径与钉体套(2)的内径相适配。
- 如权利要求1-7任一所述的可膨胀的防退型椎弓根钉,其特征在于,所述钉体头(3)的外形呈椎状。
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CN202022096217.0 | 2020-09-23 | ||
CN202022096217.0U CN213606799U (zh) | 2020-09-23 | 2020-09-23 | 一种可膨胀的防退型椎弓根钉 |
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WO2022062051A1 true WO2022062051A1 (zh) | 2022-03-31 |
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WO (1) | WO2022062051A1 (zh) |
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WO2023245877A1 (zh) * | 2022-06-23 | 2023-12-28 | 中国人民解放军总医院第四医学中心 | 椎体撑开支撑钉 |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN204049820U (zh) * | 2014-08-12 | 2014-12-31 | 深圳市沃尔德外科医疗器械技术有限公司 | 脊柱椎弓根螺钉 |
CN104546106A (zh) * | 2015-01-26 | 2015-04-29 | 山东省文登整骨医院 | 一种高把持力骨螺钉 |
US20190133656A1 (en) * | 2017-09-15 | 2019-05-09 | Alphatec Spine, Inc. | Surgical Screw |
CN111437023A (zh) * | 2020-03-16 | 2020-07-24 | 中国人民解放军联勤保障部队第九二〇医院 | 一种新型膨胀式椎弓根螺钉及翻修固定方法 |
CN111449745A (zh) * | 2020-05-11 | 2020-07-28 | 云南省第一人民医院 | 一种基于三柱固定的椎体内扩张装置、植入套管及植入方法 |
WO2020178409A1 (en) * | 2019-03-05 | 2020-09-10 | Sota Orthopaedics Ltd. | A bolt apparatus for vertebral fixation |
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2020
- 2020-09-23 CN CN202022096217.0U patent/CN213606799U/zh active Active
- 2020-10-29 WO PCT/CN2020/124580 patent/WO2022062051A1/zh active Application Filing
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN204049820U (zh) * | 2014-08-12 | 2014-12-31 | 深圳市沃尔德外科医疗器械技术有限公司 | 脊柱椎弓根螺钉 |
CN104546106A (zh) * | 2015-01-26 | 2015-04-29 | 山东省文登整骨医院 | 一种高把持力骨螺钉 |
US20190133656A1 (en) * | 2017-09-15 | 2019-05-09 | Alphatec Spine, Inc. | Surgical Screw |
WO2020178409A1 (en) * | 2019-03-05 | 2020-09-10 | Sota Orthopaedics Ltd. | A bolt apparatus for vertebral fixation |
CN111437023A (zh) * | 2020-03-16 | 2020-07-24 | 中国人民解放军联勤保障部队第九二〇医院 | 一种新型膨胀式椎弓根螺钉及翻修固定方法 |
CN111449745A (zh) * | 2020-05-11 | 2020-07-28 | 云南省第一人民医院 | 一种基于三柱固定的椎体内扩张装置、植入套管及植入方法 |
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