CN106175994B - Fixative applying device for artificial implant - Google Patents
Fixative applying device for artificial implant Download PDFInfo
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- CN106175994B CN106175994B CN201510212280.7A CN201510212280A CN106175994B CN 106175994 B CN106175994 B CN 106175994B CN 201510212280 A CN201510212280 A CN 201510212280A CN 106175994 B CN106175994 B CN 106175994B
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Abstract
Description
技术领域technical field
本发明系有关于一种人工植体的固定剂施加装置,尤指一种藉由滑置于人工植体内的注射阀,控制固定剂施加位置的装置。The invention relates to a fixative application device for artificial implants, especially a device for controlling the application position of the fixative by sliding an injection valve in the artificial implant.
背景技术Background technique
由于人体骨骼,例如髋骨关节,可能因为先天性髋骨关节发育不良、退化、病变或外力等诸多原因导致股骨头变形、髋臼磨损等状况,使患者的腿部有酸痛、不良于行的困扰。目前的解决方式大多数是施予人工髋骨关节置换术,使患者无需承受因髋骨关节病变所产生的不适。上述的人工髋骨关节置换术是于患者的股骨的髓腔内植入一纵长的人工植体,例如:股骨柄,再于该人工植体的顶端与髋臼间连接一股骨头,完成该项置换手术。Human bones, such as hip joints, may be deformed and acetabular worn due to congenital hip joint dysplasia, degeneration, lesions or external forces, making the patient's legs sore and difficult to walk. troubled. Most of the current solutions are artificial hip replacement, so that patients do not need to bear the discomfort caused by hip joint disease. The above-mentioned artificial hip arthroplasty involves implanting a long artificial implant in the medullary cavity of the patient's femur, such as a femoral stem, and then connecting a piece of bone between the top of the artificial implant and the acetabulum to complete The replacement surgery.
目前在医疗上所应用的人工植体是以金属材料一体成型,呈向下渐尖状,用以植入患者股骨的髓腔中,为了使所植入的人工植体可以紧固在患者的髓腔中,通常会先在患者髓腔入口处填入固定剂后,再插入人工植体,当在插入人工植体的过程中,人工植体的周围便会夹带固定剂进入患者髓腔内,待其硬化,以达到固定的目的。At present, the artificial implants used in medical treatment are integrally formed of metal materials, which are downwardly tapered and are used to implant into the medullary cavity of the patient's femur. In order to make the implanted artificial implants fasten on the patient's In the medullary cavity, the fixative is usually filled at the entrance of the patient's medullary cavity first, and then the artificial implant is inserted. When the artificial implant is inserted, the fixative will be entrained around the artificial implant and enter the patient's medullary cavity , to be hardened to achieve the purpose of fixing.
但是上述的固定剂施加方法,在临床上,固定剂并无法均匀地附着在人工植骨的周围,因而无法确保可以填满于人工植体与患者髓腔间的空隙,导致而影响该人工植骨与患者髓腔间的结合强度。However, in the above-mentioned method of applying the fixative, the fixative cannot evenly adhere to the surrounding of the artificial bone graft clinically, thus it cannot ensure that the gap between the artificial implant and the patient's medullary cavity can be filled, which will affect the artificial bone graft. The strength of the bond between the bone and the patient's medullary cavity.
另外,上述的方法,在人工植体插入患者髓腔的过程中,将使整根人工植体附着固定剂,但是在某些特定的治疗方法并不希望固定剂沾满整根人工植体,而是希望有部份区段无固定剂的存在,如此便可以藉由患者骨组织的重新增生与所植入的人工植体结合成一体;或者在不同形式的人工植骨结构,例如衔接有一节弹性体的人工植体,为确保该节弹性体的灵活弹性机能,必须排除固定剂覆盖于该节弹性体的外缘,前述习知施加固定剂的方法便无法达到上述需求。In addition, the above-mentioned method, in the process of inserting the artificial implant into the patient's medullary cavity, will make the whole artificial implant adhere to the fixative, but in some specific treatment methods, it is not desirable that the fixative be stained with the entire artificial implant. Instead, it is hoped that there is no fixative in some sections, so that the artificial implant can be integrated with the implanted artificial implant through the regeneration of the patient's bone tissue; or in different forms of artificial bone graft structures, such as joints with In order to ensure the flexible elastic function of the elastic body of a section of artificial implant, it is necessary to remove the fixing agent from covering the outer edge of the elastic body.
另外,用以接着的固定剂(如骨水泥)通常是呈现黏稠的膏状,缺乏流动性,且硬化时间极短,因此很难抵达位于远程的狭缝各处,容易形成接着不确实的情况,而显其缺点。In addition, the fixative (such as bone cement) used for bonding is usually in the form of viscous paste, lacks fluidity, and has a very short hardening time, so it is difficult to reach all the remote slits, and it is easy to cause inaccurate bonding , and show its disadvantages.
本案发明人有鉴于此,乃加予研究创新,揭示出本发明所示具人工植体的固定剂施加装置。In view of this, the inventor of the present invention made research innovations and disclosed a fixative applying device for an artificial implant shown in the present invention.
发明内容Contents of the invention
本发明的目的旨在提供一种人工植体的固定剂施加装置,包括:一注射腔,自该人工植体的外缘纵长地向内设置;多数挤出孔,分别自该人工植体的外缘朝该注射腔方向穿设并与该注射腔连通;以及一注射阀,含有一阀杆贯穿有一注射通道,令该阀杆吻合地滑置于该注射腔中使固定剂沿该注射信道注入该注射信道末端出口与该注射腔间所构成的注射空间后,循曝露于该注射空间的各该挤出孔向外挤出。The purpose of the present invention is to provide a fixative application device for artificial implants, comprising: an injection chamber, which is arranged inwards lengthwise from the outer edge of the artificial implant; The outer edge of the outer edge of the injection cavity is pierced towards the injection cavity and communicated with the injection cavity; and an injection valve includes a valve stem passing through an injection channel, so that the valve stem can be snugly slid in the injection cavity so that the fixative is injected along the injection cavity. After the channel is injected into the injection space formed between the outlet at the end of the injection channel and the injection cavity, it is extruded through the extrusion holes exposed in the injection space.
本发明所揭示人工植体的固定剂施加装置,其中该人工植体是指人工股骨柄或其它用以植入人骨髓腔内的植体。The present invention discloses a fixative application device for artificial implants, wherein the artificial implants refer to artificial femoral stems or other implants for implanting into human bone marrow cavity.
本发明所揭示人工植体的固定剂施加装置,其中于该注射腔的入口锁接一基座,且该基座轴向地贯穿一轴孔,以吻合地滑套该注射阀的阀杆于内,并于该阀杆与该基座间设有止漏环;如是使该注射阀的阀杆可依该基座的轴孔导引地轴向滑移。上述该阀杆的外缘,犹可环套止漏垫圈,藉该止漏垫圈与该注射腔的穴壁密合,以避免所注入的固定剂,循该阀杆与注射腔间的缝隙窜出。The fixative application device for artificial implants disclosed by the present invention, wherein a base is locked at the entrance of the injection cavity, and the base axially passes through a shaft hole, so as to fitly slide the valve stem of the injection valve on the Inside, an anti-leakage ring is provided between the valve stem and the base; in this way, the valve stem of the injection valve can slide axially guided by the shaft hole of the base. The outer edge of the above-mentioned valve stem can still be covered with a leak-proof gasket, and the leak-proof gasket is tightly connected with the cavity wall of the injection cavity to prevent the injected fixative from escaping through the gap between the valve stem and the injection cavity. out.
本发明所揭示人工植体的固定剂施加装置,其中令该基座轴向地枢接一调整套筒,该调整套筒轴向地穿设一螺孔,且令该注射阀的阀杆系形成一螺杆,以吻合地螺合于该调整套筒的螺孔中,如是当旋转该调整套筒时便可以联动该阀杆于该注射腔中上、下位移。The fixative application device for artificial implants disclosed by the present invention, wherein the base is axially pivoted to an adjustment sleeve, and the adjustment sleeve is axially pierced with a screw hole, and the valve stem of the injection valve is connected to the A screw rod is formed to be screwed in the screw hole of the adjusting sleeve in a consistent manner, so that when the adjusting sleeve is rotated, the valve rod can be linked to move up and down in the injection chamber.
本发明所揭示人工植体的固定剂施加装置,可将固定剂由该人工植体的注射腔最底端开始注入,使固定剂由远至近,逐渐充填于人工植体与患者髓腔间,使固定剂可以确实地充满于人工植体与患者髓腔间。The fixative application device for the artificial implant disclosed in the present invention can inject the fixative from the bottom of the injection cavity of the artificial implant, so that the fixative gradually fills the gap between the artificial implant and the patient's medullary cavity from far to near, The fixative can be reliably filled between the artificial implant and the patient's medullary cavity.
本发明所揭示人工植体的固定剂施加装置,由于是在植入人工植体于患者的髓腔后再藉由该注射阀的阀杆伸入于该注射腔的位置,界定该固定剂施加的起始位置,因而可确保不污染人工植体所衔接的弹性体,以维护该弹性体正常的功能。The fixative applying device for the artificial implant disclosed in the present invention, since the artificial implant is implanted in the patient's medullary cavity, the valve stem of the injection valve extends into the position of the injection cavity to limit the application of the fixative. The starting position of the artificial implant can thus be guaranteed not to contaminate the elastic body connected to the artificial implant, so as to maintain the normal function of the elastic body.
本发明所揭示人工植体的固定剂施加装置,可由以下的说明及所附各图式,而得以明晰。The fixing agent applying device of the artificial implant disclosed in the present invention can be clarified from the following description and the accompanying drawings.
附图说明Description of drawings
图1为本发明第一实施例的结构示意图;Fig. 1 is the structural representation of the first embodiment of the present invention;
图2为自图1逐渐向上施加固定剂的操作示意图;Figure 2 is a schematic diagram of the operation of applying a fixative gradually upwards from Figure 1;
图3为本发明含有一阻塞的结构示意图;Fig. 3 is a schematic diagram of the structure of the present invention containing a blockage;
图4为本发明第二实施例的剖面结构示意图;4 is a schematic cross-sectional structure diagram of a second embodiment of the present invention;
图5为显示图4所示实施例的应用状态图;FIG. 5 is an application state diagram showing the embodiment shown in FIG. 4;
图6为本发明第三实施例的结构示意图。Fig. 6 is a schematic structural diagram of a third embodiment of the present invention.
图中:In the picture:
10-人工植体 10a-弹性体 11-注射腔10-artificial implant 10a-elastomer 11-injection cavity
110-注射空间 111-穴壁 12-挤出孔110-injection space 111-hole wall 12-extrusion hole
12’挤出孔 13-阻塞 14-基座12' Extrusion Hole 13-Block 14-Base
141-轴孔 142-止漏环 15-调整套筒141-shaft hole 142-leak ring 15-adjusting sleeve
151-螺孔 20-注射阀 21-阀杆151-screw hole 20-injection valve 21-valve stem
22-止漏垫圈 23-注射通道 23a-末端出口22-Anti-leakage gasket 23-Injection channel 23a-End outlet
24-推杆 30-髓腔 40-固定剂24-push rod 30-medullary cavity 40-fixative
具体实施方式Detailed ways
请参阅图1所示,本发明系有关于一种人工植体的固定剂施加装置,将一设有注射腔11及多数挤出孔12的人工植体10置入于患者髓腔30后,以一注射阀20滑入该人工植体10的注射腔11中,并将固定剂40循该注射阀20的注射通道23注入于该人工植体10的注射腔11与该注射通道23的末端出口23a间所构成的注射空间110内,藉由逐渐退移该注射阀20,如图2所示,使固定剂40沿着逐渐曝露于该注射空间110、且贯穿该人工植体10的挤出孔12窜出,充填于人工植体10与患者髓腔30间的装置。Please refer to FIG. 1, the present invention relates to a fixative application device for artificial implants. After placing an artificial implant 10 with an injection cavity 11 and a plurality of extrusion holes 12 into the medullary cavity 30 of a patient, Slide an injection valve 20 into the injection cavity 11 of the artificial implant 10, and inject the fixative 40 into the injection cavity 11 of the artificial implant 10 and the end of the injection channel 23 along the injection channel 23 of the injection valve 20 In the injection space 110 formed between the outlets 23a, by gradually retreating the injection valve 20, as shown in FIG. The outlet hole 12 emerges to fill the device between the artificial implant 10 and the patient's medullary cavity 30 .
如图1、2所示,本发明所揭示人工植体的固定剂施加装置,包括:一注射腔11,由人工植体10的外缘纵长地向内凹设;多数挤出孔12,自该人工植体10的外缘朝该注射腔11方向穿设,并与该注射腔11连通;以及一注射阀20,含有一阀杆21,并轴向地贯穿有一注射通道23,且该阀杆21吻合地滑置于该注射腔11中并可沿该注射腔11轴向地滑移,使固定剂40可以沿该注射通道23注入于其末端出口23a与该注射腔11间所构成的注射空间110后,沿着曝露于该注射空间110的各该挤出孔12向外窜出。As shown in Figures 1 and 2, the fixative application device for the artificial implant disclosed by the present invention includes: an injection cavity 11, which is recessed inwardly from the outer edge of the artificial implant 10; a plurality of extrusion holes 12, Perforated from the outer edge of the artificial implant 10 toward the injection cavity 11, and communicated with the injection cavity 11; and an injection valve 20, which contains a valve stem 21, and axially passes through an injection channel 23, and the The valve stem 21 is slidably placed in the injection cavity 11 and can slide axially along the injection cavity 11, so that the fixative 40 can be injected along the injection channel 23 between the end outlet 23a and the injection cavity 11. After the injection space 110 , it escapes along the extrusion holes 12 exposed to the injection space 110 .
如图3所示,本发明所揭示人工植体的固定剂施加装置,进一步包含一阻塞13置于该人工植体10的注射腔11中,令该阻塞13与该注射腔11的周围密合,以封闭该注射空间110内的部分挤出孔12,以阻挡所注入的固定剂40穿透该阻塞13朝被封闭的挤出孔12’窜出。藉由该阻塞13的设置,可以设定所注入固定剂40自该人工植体10注入于患者髓腔30的位置;例如在图3中,可以在施加一段固定剂40后置入一阻塞13,用以阻挡部份的挤出孔12,当再重新施加固定剂40时,所施加的固定剂40便无法再经由被阻塞13封闭的各该挤出孔12向外窜出,仅能从其它未被封闭的挤出口12向外窜出于该人工植体10与患者髓腔30间,使该人工植体10呈区段式地与患者髓腔30固定。As shown in Figure 3, the fixative application device for artificial implants disclosed by the present invention further includes a stopper 13 placed in the injection cavity 11 of the artificial implant 10, so that the stopper 13 is in close contact with the surroundings of the injection cavity 11 , so as to close part of the extrusion hole 12 in the injection space 110, so as to prevent the injected fixing agent 40 from penetrating through the blockage 13 and escaping toward the closed extrusion hole 12'. By setting the blocking 13, it is possible to set the position where the injected fixative 40 is injected into the patient's medullary cavity 30 from the artificial implant 10; for example, in FIG. , in order to block part of the extrusion holes 12, when the fixative 40 is applied again, the applied fixative 40 can no longer escape outwards through each of the extrusion holes 12 closed by the blockage 13, and can only escape from the The other unclosed extrusion ports 12 escape out between the artificial implant 10 and the patient's medullary cavity 30 , so that the artificial implant 10 is fixed to the patient's medullary cavity 30 in sections.
如图4、5所示,本发明所揭示人工植体的固定剂施加装置,其中于该注射腔11的入口锁接一基座14,该基座14轴向地贯穿一轴孔141,以吻合地滑套该注射阀20的阀杆21于内,并可于该阀杆21与该基座14间设有止漏环142;如是该注射阀20的阀杆21便可依循该基座14的轴孔141导引地轴向滑移。本发明于该阀杆21的外缘,系可以环套止漏垫圈22,令该止漏垫圈22与该注射腔11的穴壁111周缘密合。As shown in Figures 4 and 5, the fixative application device for artificial implants disclosed by the present invention, wherein a base 14 is locked at the entrance of the injection chamber 11, and the base 14 axially passes through a shaft hole 141, so as to Fittingly slide the valve stem 21 of the injection valve 20 inside, and an anti-leakage ring 142 may be provided between the valve stem 21 and the base 14; if so, the valve stem 21 of the injection valve 20 can follow the base The shaft hole 141 of 14 is guided to slide axially. According to the present invention, the outer edge of the valve stem 21 can be surrounded by the anti-leakage gasket 22 so that the anti-leakage gasket 22 is in close contact with the periphery of the hole wall 111 of the injection cavity 11 .
如图6所示,本发明所揭示人工植体的固定剂施加装置,其中于该基座14轴向地枢接一调整套筒15,令该调整套筒15轴向地穿设一螺孔151,且令该注射阀20的阀杆21系形成一螺杆,以吻合地螺合于该调整套筒15的螺孔151中,如是当旋转该调整套筒15时便可以联动该注射阀20的阀杆21,于该注射腔11中轴向地位移。As shown in Figure 6, the fixative application device for artificial implant disclosed by the present invention, wherein an adjustment sleeve 15 is axially pivoted on the base 14, so that the adjustment sleeve 15 axially passes through a screw hole 151, and make the valve rod 21 of the injection valve 20 form a screw rod, so as to be screwed in the screw hole 151 of the adjustment sleeve 15, so that when the adjustment sleeve 15 is rotated, the injection valve 20 can be linked The valve stem 21 is axially displaced in the injection chamber 11.
如图1所示,本发明所揭示人工植体的固定剂施加装置,其中该注射阀20进一步包含一推杆24滑合于该阀杆21内的注射通道23中,以将预先装填于该注射通道23内的固定剂40向外推出;或者,于该注射阀20的阀杆21顶端,衔接一管体图未示出,用以导引固定剂40进入该注射通道23中,并使所引入的固定剂40由该阀杆21的末端出口23a窜出。As shown in FIG. 1 , the present invention discloses a fixative application device for artificial implants, wherein the injection valve 20 further includes a push rod 24 that slides into the injection channel 23 in the valve stem 21 to pre-fill the The fixing agent 40 in the injection channel 23 is pushed out; or, at the top of the valve stem 21 of the injection valve 20, a pipe body (not shown) is connected to guide the fixing agent 40 into the injection channel 23, and make The introduced fixing agent 40 escapes from the outlet 23a at the end of the valve stem 21 .
本发明所揭示人工植体的固定剂施加装置,在应用时,可将该注射阀20的阀杆21推入人工植体10的注射腔11的最底端,此时,如图1所示,以P方向推入该推杆24,将预先装填于该注射通道23内的固定剂40循该注入射通道23的末端出口23a持续窜出,操作者视操作状况,如图2所示,逐渐朝U方向退移该阀杆21,使固定剂40可由远而近经逐渐曝露于该注射通道23末端出口23a与该注射腔11间的各该挤出孔12向外窜出充填于人工植体10与患者髓腔30间;缘此,本发明可以使所施加的固定剂40可远达位于人工植体10与患者髓腔30间所构成的狭缝各处,并可确实地充填于该人工植体10与患者髓腔30间的狭缝,解决习知因固定剂40无法抵达远程的狭缝,而造成部份人工植体与患者髓腔间无法获得良好的固定课题。The fixative applying device for the artificial implant disclosed in the present invention, when in use, can push the valve stem 21 of the injection valve 20 into the bottommost end of the injection cavity 11 of the artificial implant 10, at this time, as shown in Figure 1 , push the push rod 24 in the direction of P, and the fixative 40 preloaded in the injection channel 23 will continue to escape along the terminal outlet 23a of the injection channel 23. The operator depends on the operation situation, as shown in Figure 2, Gradually retreat the valve stem 21 in the U direction, so that the fixative 40 can be gradually exposed to the extrusion holes 12 between the end outlet 23a of the injection channel 23 and the injection cavity 11 from far to near, and then filled manually. Between the implant 10 and the patient's medullary cavity 30; for this reason, the present invention can make the applied fixative 40 reach as far as the slit formed between the artificial implant 10 and the patient's medullary cavity 30, and can reliably fill it The slit between the artificial implant 10 and the patient's medullary cavity 30 solves the conventional problem that some artificial implants and the patient's medullary cavity cannot be well fixed because the fixative 40 cannot reach the remote slit.
本发明所揭示人工植体的固定剂施加装置,由于是在该人工植体10置入患者髓腔30内后,再进行施加固定剂40,因此在插入该人工植体10的过程中,患者髓腔30内是没有固定剂40的存在,故人工植体10所衔接的弹性体10a,并不会遭受固定剂40的污染,可以确保人工植体10在机能上的完整,例如,可以确保人工植体10所衔接的弹性体10a仍可保持可被弹性压缩、缓冲外力的机能完整,而显本发明的新颖性及进步性。The fixative applying device for the artificial implant disclosed in the present invention applies the fixative 40 after the artificial implant 10 is placed in the medullary cavity 30 of the patient. Therefore, during the process of inserting the artificial implant 10, the patient There is no fixative 40 in the medullary cavity 30, so the elastic body 10a connected to the artificial implant 10 will not be polluted by the fixative 40, which can ensure the functional integrity of the artificial implant 10, for example, can ensure The elastic body 10a connected to the artificial implant 10 can still maintain the integrity of the function of being elastically compressible and buffering external force, which shows the novelty and progress of the present invention.
本发明所揭示的结构、形状,可于不违本发明的精神与范畴下予以修饰应用,本发明并不予自限。The structures and shapes disclosed in the present invention can be modified and applied without violating the spirit and scope of the present invention, and the present invention is not self-limiting.
Claims (6)
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FR2710257A1 (en) * | 1993-09-24 | 1995-03-31 | Hardy Jean Marie | Femoral shaft for a hip prosthesis |
CN1120926A (en) * | 1994-07-14 | 1996-04-24 | 默克专利股份有限公司 | Artificial femur |
US5741265A (en) * | 1996-02-21 | 1998-04-21 | Chan; Kwan-Ho | Bone canal pressurizer |
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DE10037345A1 (en) * | 2000-07-29 | 2002-02-07 | Juergen Buchholz | Surgical element |
JP2003153924A (en) * | 2001-11-21 | 2003-05-27 | Tomihisa Koshino | Stem of perforated prosthetic hip joint |
CN203436430U (en) * | 2013-09-05 | 2014-02-19 | 武汉德骼拜尔外科植入物有限公司 | Femoral stem facilitating bone cement injecting |
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FR2710257A1 (en) * | 1993-09-24 | 1995-03-31 | Hardy Jean Marie | Femoral shaft for a hip prosthesis |
CN1120926A (en) * | 1994-07-14 | 1996-04-24 | 默克专利股份有限公司 | Artificial femur |
US5741265A (en) * | 1996-02-21 | 1998-04-21 | Chan; Kwan-Ho | Bone canal pressurizer |
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