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CN110584842A - Extendable prosthesis - Google Patents

Extendable prosthesis Download PDF

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Publication number
CN110584842A
CN110584842A CN201910945581.9A CN201910945581A CN110584842A CN 110584842 A CN110584842 A CN 110584842A CN 201910945581 A CN201910945581 A CN 201910945581A CN 110584842 A CN110584842 A CN 110584842A
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CN
China
Prior art keywords
prosthesis
deformation
extendable
deformation structure
intramedullary rod
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Legal status (The legal status 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 status listed.)
Pending
Application number
CN201910945581.9A
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Chinese (zh)
Inventor
王彩梅
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
BEIJING AIKANG YICHENG MEDICAL EQUIPMENT Co Ltd
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BEIJING AIKANG YICHENG MEDICAL EQUIPMENT Co Ltd
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Priority to CN201910945581.9A priority Critical patent/CN110584842A/en
Publication of CN110584842A publication Critical patent/CN110584842A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • 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
    • A61F2/38Joints for elbows or knees
    • A61F2/3859Femoral components
    • 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
    • A61F2/38Joints for elbows or knees
    • A61F2/389Tibial components
    • 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
    • A61F2/42Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
    • A61F2/4202Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for ankles
    • 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
    • A61F2/42Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
    • A61F2/4261Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for wrists
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006Properties of materials and coating materials
    • A61F2002/30074Properties of materials and coating materials stretchable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006Properties of materials and coating materials
    • A61F2002/30079Properties of materials and coating materials magnetic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006Properties of materials and coating materials
    • A61F2002/30092Properties of materials and coating materials using shape memory or superelastic materials, e.g. nitinol
    • 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
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A61F2002/3611Heads or epiphyseal parts of femur
    • 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
    • A61F2/42Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
    • A61F2/4202Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for ankles
    • A61F2002/4205Tibial components
    • 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
    • A61F2/42Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
    • A61F2/4261Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for wrists
    • A61F2002/4264Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for wrists for radio-carpal joints
    • 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
    • A61F2/42Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
    • A61F2/4261Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for wrists
    • A61F2002/4266Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for wrists for ulno-carpal joints

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Prostheses (AREA)

Abstract

本发明提供了一种可延长假体,在可延长假体中设置有第一假体、第二假体和变形结构,其中,第一假体具有容纳腔,第二假体与第一假体连接,第二假体相对第一假体可移动地设置,变形结构设置在容纳腔内,变形结构的一端与第二假体配合,变形结构由磁性记忆合金制成,变形结构可在外部磁场的作用下发生变形,变形结构在发生变形的情况下,驱动第二假体向远离第一假体的方向移动,以延长可延长假体的总长度。由于变形结构采用磁控形状记忆合金制成,可通过在外部施加磁场使变形结构变形,从而延长可延长假体。这样在假体植入后,只需从外部施加合适的磁场便可延长假体,因此不用施加有创伤的手术。

The present invention provides an extendable prosthesis, in which a first prosthesis, a second prosthesis and a deformation structure are arranged, wherein the first prosthesis has an accommodation chamber, and the second prosthesis is connected to the first prosthesis. Body connection, the second prosthesis is movably set relative to the first prosthesis, the deformation structure is arranged in the accommodation cavity, one end of the deformation structure cooperates with the second prosthesis, the deformation structure is made of magnetic memory alloy, and the deformation structure can be placed on the outside Deformation occurs under the action of the magnetic field, and the deformed structure drives the second prosthesis to move away from the first prosthesis under the condition of deformation, so as to extend the total length of the prosthesis. Since the deformable structure is made of a magnetically controlled shape memory alloy, the deformable structure can be deformed by applying a magnetic field externally, thereby extending the prosthesis. In this way, after the prosthesis is implanted, the prosthesis can be extended only by applying a suitable magnetic field from the outside, so no traumatic surgery is required.

Description

可延长假体extendable prosthesis

技术领域technical field

本发明涉及医疗器械技术领域,具体而言,涉及一种可延长假体。The invention relates to the technical field of medical devices, in particular to an extendable prosthesis.

背景技术Background technique

中国每年原发性骨肉瘤病例约为1万多例。骨肉瘤占原发骨肿瘤的10%,占原发恶性肿瘤的20%,每年发病率为1-3人/100万人,其中75%患者年龄在10-30岁,是严重影响青壮年身心健康的恶性肿瘤。There are more than 10,000 primary osteosarcoma cases in China every year. Osteosarcoma accounts for 10% of primary bone tumors and 20% of primary malignant tumors. The annual incidence is 1-3 per 1 million people, and 75% of the patients are 10-30 years old. It seriously affects the body and mind of young adults. healthy malignancy.

保肢手术的概念在过去的25年中逐渐发展和成熟。保肢手术主要包括受累骨瘤段的完整切除和骨缺损的重建,在过去的二、三十年里美国和欧洲的骨肿瘤诊疗中心使用了各种各样的重建技术,对骨肿瘤切除后肢体进行重建,随着近年来对不同重建方法随访结果分析发现,人工金属假体重建取得了较好的中远期随访结果,人工假体重建的优点包括:内固定耐用,术后即刻的稳定好,较好的短期及远期功能预后,术后关节活动度好。The concept of limb salvage surgery has evolved and matured over the past 25 years. Limb salvage surgery mainly includes the complete resection of the involved bone tumor and the reconstruction of the bone defect. In the past two to three decades, bone tumor diagnosis and treatment centers in the United States and Europe have used various reconstruction techniques. Reconstruction of limbs. With the analysis of follow-up results of different reconstruction methods in recent years, it is found that artificial metal prosthesis reconstruction has achieved good mid-term and long-term follow-up results. The advantages of artificial prosthesis reconstruction include: durable internal fixation, and immediate postoperative stability Good, good short-term and long-term functional prognosis, good range of motion after surgery.

对于青少年,股骨远端和胫骨近端骺板(骨骼生长部位)的生长占整个下肢升高发育长度的70%。股骨下端骺板的切除会使患肢每年丧失约1.6cm长度。出于这种原因考虑,对于年龄很小的骨肿瘤患者(小于10岁)进行膝关节切除必然会引起严重的肢体不等长。对于儿童骨肿瘤患者来说,随着生存期延长,瘤段截除假体重建造成的肢体不等长和跛行等并发症日渐增多。儿童由于骨骼还有很大的生长能力,任何的金属假体随着儿童的长大最后都需要翻修。In adolescents, the growth of the distal femoral and proximal tibial epiphyseal plates (sites of bony growth) accounts for 70% of the total lower extremity ascending developmental length. Resection of the inferior femoral plate will result in a loss of approximately 1.6 cm per year in the affected limb. For this reason, knee resection in very young patients (less than 10 years) with bone tumors is bound to cause severe limb disparity. For children with bone tumors, as the survival time prolongs, complications such as limb length disequilibrium and claudication caused by prosthetic reconstruction after tumor segment resection are increasing day by day. Children have a great deal of bone growth capacity, and any metal prosthesis will eventually require revision as the child grows.

目前约10%的骨原发肿瘤患者面临着保肢手术后肢体不等长的问题。可延长假体可以较好地解决这一问题,但由于当前广泛采用的可延长假体每次延长均需要通过手术,切开一定长度切口显露延长螺钉,利用机械驱动装置延长假体,且每次延长长度有限(血管神经无法耐受牵拉),多次手术增加感染几率及组织瘢痕化。因此,当前医生采用的有创可延长假体对儿童患者来说大大增加了手术次数和术后并发症的几率。这种频繁的手术过程将持续十年甚至更长,对患者造成的痛苦及经济负担都相当大。At present, about 10% of patients with primary bone tumors face the problem of limb length disequilibrium after limb salvage surgery. Extendable prosthesis can better solve this problem, but because the currently widely used extendable prosthesis requires surgery every time it is extended, a certain length of incision is made to expose the extension screw, and the mechanical drive device is used to extend the prosthesis. The length of the extension is limited (the blood vessels and nerves cannot tolerate stretching), and multiple operations increase the chance of infection and tissue scarring. Therefore, the invasive and extendable prosthesis currently used by doctors greatly increases the number of operations and the chance of postoperative complications for pediatric patients. This frequent operation process will last for ten years or even longer, causing considerable pain and economic burden to patients.

发明内容Contents of the invention

本发明提供了一种可延长假体,以解决现有技术中的可延长假体需要进行产生创伤的手术才能延长的问题。The present invention provides an extendable prosthesis to solve the problem in the prior art that the extendable prosthesis needs trauma-generating operations to be extended.

为了解决上述问题,本发明提供了一种可延长假体,包括:第一假体,第一假体具有容纳腔;第二假体,第二假体与第一假体连接,第二假体相对第一假体可移动地设置;变形结构,设置在容纳腔内,变形结构的一端与第二假体配合,变形结构由磁性记忆合金制成,变形结构可在外部磁场的作用下发生变形,变形结构在发生变形的情况下,驱动第二假体向远离第一假体的方向移动,以延长可延长假体的总长度。In order to solve the above problems, the present invention provides an extendable prosthesis, including: a first prosthesis, the first prosthesis has a receiving cavity; a second prosthesis, the second prosthesis is connected with the first prosthesis, and the second prosthesis The body is movably arranged relative to the first prosthesis; the deformation structure is arranged in the receiving cavity, and one end of the deformation structure cooperates with the second prosthesis. The deformation structure is made of magnetic memory alloy, and the deformation structure can be generated under the action of an external magnetic field Deformation, the deformation structure drives the second prosthesis to move away from the first prosthesis under the condition of deformation, so as to extend the total length of the extensible prosthesis.

进一步地,变形结构为可伸缩结构,变形结构在外部磁场的作用下伸长,以驱动第二假体移动。Further, the deformation structure is a stretchable structure, and the deformation structure is elongated under the action of an external magnetic field to drive the movement of the second prosthesis.

进一步地,可延长假体还包括:第一防退结构,第一防退结构的至少一部分可移动地设置,第一假体和第二假体均与第一防退结构配合,第一防退结构用于阻止第二假体向靠近第一假体的方向移动,以避免第二假体在移动完成后回退。Further, the extendable prosthesis also includes: a first anti-retreat structure, at least a part of the first anti-retreat structure is movably arranged, both the first prosthesis and the second prosthesis cooperate with the first anti-retreat structure, and the first anti-retreat structure The retreat structure is used to prevent the second prosthesis from moving toward the first prosthesis, so as to prevent the second prosthesis from retreating after the movement is completed.

进一步地,第一防退结构包括:多个第一防退槽,多个第一防退槽设置在第一假体和第二假体中的一个上;第一卡接部,用于与多个第一防退槽中的任意一个卡接,第一卡接部可移动地设置在第一假体和第二假体中的另一个上;第二假体向远离第一假体的方向移动的情况下,第一卡接部避让多个第一防退槽以使第二假体单向移动;第二假体移动完成后,第一卡接部卡入对应的第一防退槽内以阻止第二假体回退。Further, the first anti-retreat structure includes: a plurality of first anti-retreat grooves, and the plurality of first anti-retreat grooves are arranged on one of the first prosthesis and the second prosthesis; Any one of the plurality of first anti-recession slots is clamped, and the first clamping part is movably arranged on the other of the first prosthesis and the second prosthesis; the second prosthesis moves away from the first prosthesis In the case of moving in one direction, the first clamping part avoids a plurality of first anti-retreat grooves so that the second prosthesis moves in one direction; after the movement of the second prosthesis is completed, the first clamping part snaps into the corresponding first anti-retreat slot to prevent the second prosthesis from receding.

进一步地,变形结构为螺旋形第一弹簧结构;或,变形结构包括多个顺次连接的可伸缩层,各个可伸缩层均可在外部磁场的作用下伸长。Further, the deformation structure is a helical first spring structure; or, the deformation structure includes a plurality of sequentially connected stretchable layers, and each stretchable layer can be stretched under the action of an external magnetic field.

进一步地,变形结构包括多个可伸缩层,可伸缩层包括:间隔设置的两个连接板以及间隔设置在两个连接板之间的支撑板,各个支撑板均相对连接板倾斜设置,在外部磁场的作用下,各个支撑板的倾斜角度均向同一方向变化,以改变两个连接板之间的距离。Further, the deformation structure includes a plurality of stretchable layers, and the stretchable layer includes: two connecting plates arranged at intervals and a support plate arranged at intervals between the two connecting plates, each support plate is arranged obliquely relative to the connecting plate, and the outer Under the action of the magnetic field, the inclination angles of the supporting plates all change in the same direction, so as to change the distance between the two connecting plates.

进一步地,第一假体的内壁和第二假体的外壁中的一个上设置有凸筋,凸筋沿第二假体的移动方向延伸;第一假体的内壁和第二假体的外壁中的另一个上设置有滑槽,滑槽沿第二假体的移动方向延伸,凸筋可滑动地设置在滑槽内。Further, ribs are provided on one of the inner wall of the first prosthesis and the outer wall of the second prosthesis, and the ribs extend along the moving direction of the second prosthesis; the inner wall of the first prosthesis and the outer wall of the second prosthesis The other one is provided with a chute, the chute extends along the moving direction of the second prosthesis, and the ribs are slidably arranged in the chute.

进一步地,第一假体包括相互连接的下套筒和上套筒,变形结构设置在下套筒内,第二假体穿设在上套筒和下套筒中,上套筒和第二假体之间设置有密封结构。Further, the first prosthesis includes a lower sleeve and an upper sleeve connected to each other, the deformation structure is arranged in the lower sleeve, the second prosthesis is passed through the upper sleeve and the lower sleeve, and the upper sleeve and the second dummy A sealing structure is provided between the bodies.

进一步地,上套筒的朝向下套筒的一端具有第一限位面,第二假体包括:髓内杆,髓内杆穿过上套筒,密封结构位于上套筒和髓内杆之间;顶柱,顶柱与髓内杆连接,顶柱的至少一部分位于下套筒内,顶柱具有第二限位面,变形结构与顶柱配合以驱动顶柱和髓内杆移动,第二限位面与第一限位面限位配合以限制髓内杆的移动距离。Further, one end of the upper sleeve facing the lower sleeve has a first limiting surface, and the second prosthesis includes: an intramedullary rod, the intramedullary rod passes through the upper sleeve, and the sealing structure is located between the upper sleeve and the intramedullary rod space; the top post, the top post is connected with the intramedullary rod, at least a part of the top post is located in the lower sleeve, the top post has a second limit surface, the deformation structure cooperates with the top post to drive the top post and the intramedullary rod to move, the first The second limit surface cooperates with the first limit surface to limit the moving distance of the intramedullary rod.

进一步地,可延长假体为股骨假体,第一假体还包括:股骨髁,下套筒与股骨髁连接。Further, the extendable prosthesis is a femoral prosthesis, and the first prosthesis also includes: a femoral condyle, and the lower sleeve is connected to the femoral condyle.

进一步地,可延长假体还包括:第二防退结构,第二防退结构的至少一部分可移动地设置,髓内杆和顶柱均与第二防退结构配合,第二防退结构用于阻止顶柱向靠近变形结构的方向移动。Further, the extendable prosthesis also includes: a second anti-regression structure, at least a part of the second anti-regression structure is movably arranged, and both the intramedullary rod and the push post cooperate with the second anti-regression structure, and the second anti-regression structure is used for It is used to prevent the top column from moving in the direction close to the deformed structure.

进一步地,第二防退结构包括:多个第二防退槽,多个第二防退槽设置在髓内杆和顶柱中的一个上;第二卡接部,用于与多个第二防退槽中的任意一个卡接,第二卡接部可移动地设置在髓内杆和顶柱中的另一个上。Further, the second anti-regression structure includes: a plurality of second anti-regression grooves, and the plurality of second anti-regression grooves are arranged on one of the intramedullary rod and the push post; Any one of the two anti-recession grooves is clamped, and the second clamping part is movably arranged on the other one of the intramedullary rod and the push post.

应用本发明的技术方案,在可延长假体中设置有第一假体、第二假体和变形结构,其中,第一假体具有容纳腔,第二假体与第一假体连接,第二假体相对第一假体可移动地设置,变形结构设置在容纳腔内,变形结构的一端与第二假体配合,变形结构由磁性记忆合金制成,变形结构可在外部磁场的作用下发生变形,变形结构在发生变形的情况下,驱动第二假体向远离第一假体的方向移动,以延长可延长假体的总长度。由于变形结构采用磁控形状记忆合金制成,可通过在外部施加磁场使变形结构变形,从而延长可延长假体。这样在假体植入后,只需从外部施加合适的磁场便可延长假体,因此不用施加有创伤的手术。这样对患儿不会造成二次或多次手术带来的痛苦,且可以根据患儿腿部生长情况增加单位时间内(如一年内)的延长次数,并且相应减少每次的延长长度,从而使得患儿更容易适应每次延长后的双腿长度及平衡问题。Applying the technical solution of the present invention, a first prosthesis, a second prosthesis and a deformation structure are provided in the extendable prosthesis, wherein the first prosthesis has an accommodation cavity, the second prosthesis is connected with the first prosthesis, and the second prosthesis is connected to the first prosthesis. The second prosthesis is movably arranged relative to the first prosthesis. The deformation structure is arranged in the accommodation cavity. One end of the deformation structure cooperates with the second prosthesis. The deformation structure is made of magnetic memory alloy. Deformation occurs, and the deformation structure drives the second prosthesis to move away from the first prosthesis under the condition of deformation, so as to extend the total length of the extensible prosthesis. Since the deformable structure is made of a magnetically controlled shape memory alloy, the deformable structure can be deformed by applying a magnetic field externally, thereby extending the prosthesis. In this way, after the prosthesis is implanted, the prosthesis can be extended only by applying a suitable magnetic field from the outside, so no traumatic surgery is required. In this way, the child will not suffer from the pain of two or more operations, and the number of extensions per unit time (such as within one year) can be increased according to the growth of the legs of the child, and the length of each extension can be reduced accordingly, so that The child is more likely to adapt to the length of the legs and balance problems after each extension.

附图说明Description of drawings

构成本申请的一部分的说明书附图用来提供对本发明的进一步理解,本发明的示意性实施例及其说明用于解释本发明,并不构成对本发明的不当限定。在附图中:The accompanying drawings constituting a part of the present application are used to provide a further understanding of the present invention, and the schematic embodiments and descriptions of the present invention are used to explain the present invention, and do not constitute an improper limitation of the present invention. In the attached picture:

图1示出了本发明的实施例提供的可延长假体的结构示意图;FIG. 1 shows a schematic structural view of an extendable prosthesis provided by an embodiment of the present invention;

图2示出了图1中的可延长假体的剖视图;Figure 2 shows a cross-sectional view of the extendable prosthesis in Figure 1;

图3示出了图2在A位置的局部放大图;Fig. 3 shows a partial enlarged view of Fig. 2 at position A;

图4示出了图3中的第一防退槽的示意图;Figure 4 shows a schematic diagram of the first anti-retreat groove in Figure 3;

图5示出了图3中的第一卡接部的示意图;Fig. 5 shows a schematic diagram of the first clamping part in Fig. 3;

图6示出了图2中的密封结构的示意图;Figure 6 shows a schematic diagram of the sealing structure in Figure 2;

图7示出了图2中的顶柱和变形结构的示意图;Fig. 7 shows the schematic diagram of top column and deformation structure in Fig. 2;

图8示出了图1中的可延长假体采用另一种变形结构的示意图;Fig. 8 shows a schematic view of the extendable prosthesis in Fig. 1 adopting another deformed structure;

图9示出了图8中的变形结构的放大图;Figure 9 shows an enlarged view of the deformed structure in Figure 8;

图10示出了图1中的上套筒的结构示意图;Figure 10 shows a schematic structural view of the upper sleeve in Figure 1;

图11示出了图1中的髓内杆的结构示意图;Fig. 11 shows a schematic structural view of the intramedullary rod in Fig. 1;

图12示出了图2在B位置的局部放大图;Figure 12 shows a partial enlarged view of Figure 2 at position B;

图13示出了图12中的第二防退槽的示意图;Figure 13 shows a schematic diagram of the second anti-retreat groove in Figure 12;

图14示出了图12中的第二卡接部的示意图。FIG. 14 shows a schematic diagram of the second locking part in FIG. 12 .

其中,上述附图包括以下附图标记:Wherein, the above-mentioned accompanying drawings include the following reference signs:

10、第一假体;11、下套筒;12、上套筒;13、股骨髁;20、第二假体;21、髓内杆;22、顶柱;23、杆体;24、凸台;30、变形结构;31、可伸缩层;32、连接板;33、支撑板;41、第一防退槽;42、第一卡接部;43、第一弹簧;44、第一卡块;51、凸筋;52、滑槽;61、密封套;62、密封圈;71、板体;72、限位齿;81、第二防退槽;82、第二卡接部;83、第二弹簧;84、第二卡块。10. First prosthesis; 11. Lower sleeve; 12. Upper sleeve; 13. Femoral condyle; 20. Second prosthesis; 21. Intramedullary rod; 22. Apex; 23. Rod body; 24. Boss ;30. Deformation structure; 31. Scalable layer; 32. Connecting plate; 33. Support plate; 41. The first anti-retreat groove; 42. The first clamping part; 43. The first spring; 44. The first clamping block ; 51, convex rib; 52, chute; 61, sealing sleeve; 62, sealing ring; 71, plate body; 72, limit tooth; 81, second anti-retreat groove; The second spring; 84, the second block.

具体实施方式Detailed ways

下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述。显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。以下对至少一个示例性实施例的描述实际上仅仅是说明性的,决不作为对本发明及其应用或使用的任何限制。基于本发明中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The following will clearly and completely describe the technical solutions in the embodiments of the present invention with reference to the drawings in the embodiments of the present invention. Apparently, the described embodiments are only some of the embodiments of the present invention, but not all of them. The following description of at least one exemplary embodiment is merely illustrative in nature and in no way taken as limiting the invention, its application or uses. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without creative efforts fall within the protection scope of the present invention.

如图附图所示,本发明的实施例提供了一种可延长假体,包括:第一假体10,第一假体10具有容纳腔;第二假体20,第二假体20与第一假体10连接,第二假体20相对第一假体10可移动地设置;变形结构30,设置在容纳腔内,变形结构30的一端与第二假体20配合,变形结构30由磁性记忆合金制成,变形结构30可在外部磁场的作用下发生变形,变形结构30在发生变形的情况下,驱动第二假体20向远离第一假体10的方向移动,以延长可延长假体的总长度。As shown in the accompanying drawings, the embodiment of the present invention provides an extendable prosthesis, including: a first prosthesis 10, the first prosthesis 10 has a receiving chamber; a second prosthesis 20, the second prosthesis 20 is connected with The first prosthesis 10 is connected, and the second prosthesis 20 is movably arranged relative to the first prosthesis 10; the deformation structure 30 is arranged in the receiving cavity, and one end of the deformation structure 30 cooperates with the second prosthesis 20, and the deformation structure 30 is formed by Made of magnetic memory alloy, the deformable structure 30 can be deformed under the action of an external magnetic field. When deformed, the deformable structure 30 drives the second prosthesis 20 to move away from the first prosthesis 10 to extend the prosthesis. The total length of the prosthesis.

应用本发明的技术方案,在可延长假体中设置有第一假体10、第二假体20和变形结构30,其中,第一假体10具有容纳腔,第二假体20与第一假体10连接,第二假体20相对第一假体10可移动地设置,变形结构30设置在容纳腔内,变形结构30的一端与第二假体20配合,变形结构30由磁性记忆合金制成,变形结构30可在外部磁场的作用下发生变形,变形结构30在发生变形的情况下,驱动第二假体20向远离第一假体10的方向移动,以延长可延长假体的总长度。由于变形结构30采用磁控形状记忆合金制成,可通过在外部施加磁场使变形结构30变形,从而延长可延长假体。这样在假体植入后,只需从外部施加合适的磁场便可延长假体,因此不用施加有创伤的手术。这样对患儿不会造成二次或多次手术带来的痛苦,且可以根据患儿腿部生长情况增加单位时间内(如一年内)的延长次数,并且相应减少每次的延长长度,从而使得患儿更容易适应每次延长后的双腿长度及平衡问题。在调节时,通过控制从外部施加的磁场的强度以及时间来精确控制第二假体20的移动距离,从而控制可延长假体的总长度。Applying the technical solution of the present invention, a first prosthesis 10, a second prosthesis 20 and a deformation structure 30 are arranged in the extendable prosthesis, wherein the first prosthesis 10 has an accommodation cavity, and the second prosthesis 20 is connected to the first prosthesis. The prosthesis 10 is connected, the second prosthesis 20 is movably arranged relative to the first prosthesis 10, the deformation structure 30 is arranged in the accommodation cavity, and one end of the deformation structure 30 cooperates with the second prosthesis 20, and the deformation structure 30 is made of magnetic memory alloy made, the deformable structure 30 can be deformed under the action of an external magnetic field, and the deformable structure 30 drives the second prosthesis 20 to move away from the first prosthesis 10 under the condition of deformation, so as to extend the length of the prosthesis. total length. Since the deformable structure 30 is made of a magnetically controlled shape memory alloy, the deformable structure 30 can be deformed by applying an external magnetic field, thereby extending the prosthesis. In this way, after the prosthesis is implanted, the prosthesis can be extended only by applying a suitable magnetic field from the outside, so no traumatic surgery is required. In this way, the child will not suffer from the pain of two or more operations, and the number of extensions per unit time (such as within one year) can be increased according to the growth of the legs of the child, and the length of each extension can be reduced accordingly, so that The child is more likely to adapt to the length of the legs and balance problems after each extension. During the adjustment, the moving distance of the second prosthesis 20 is precisely controlled by controlling the strength and time of the magnetic field applied from the outside, so as to control and extend the total length of the prosthesis.

在本实施例中,变形结构30为可伸缩结构,变形结构30在外部磁场的作用下伸长,以驱动第二假体20移动。这样可通过变形结构30伸长的方式驱动第二假体20移动。In this embodiment, the deformation structure 30 is a stretchable structure, and the deformation structure 30 is stretched under the action of an external magnetic field to drive the movement of the second prosthesis 20 . In this way, the second prosthesis 20 can be driven to move through the elongation of the deformation structure 30 .

为了提高可靠性,在本实施例中,可延长假体还包括:第一防退结构,第一防退结构的至少一部分可移动地设置,第一假体10和第二假体20均与第一防退结构配合,第一防退结构用于阻止第二假体20向靠近第一假体10的方向移动,以避免第二假体20在移动完成后回退。通过第一防退结构实现了第二假体20只能向远离第一假体10的方向单方向移动,而不能向靠近第一假体10的方向移动,从而避免了假体延长后收缩。In order to improve reliability, in this embodiment, the extendable prosthesis further includes: a first anti-retreat structure, at least a part of the first anti-retreat structure is movably arranged, and both the first prosthesis 10 and the second prosthesis 20 are connected to The first anti-retreat structure cooperates, and the first anti-retreat structure is used to prevent the second prosthesis 20 from moving toward the first prosthesis 10, so as to prevent the second prosthesis 20 from retreating after the movement is completed. The first anti-retraction structure realizes that the second prosthesis 20 can only move in one direction away from the first prosthesis 10 , but cannot move in a direction close to the first prosthesis 10 , thereby avoiding contraction of the prosthesis after being extended.

具体地,第一防退结构包括:多个第一防退槽41,多个第一防退槽41设置在第一假体10和第二假体20中的一个上;第一卡接部42,用于与多个第一防退槽41中的任意一个卡接,第一卡接部42可移动地设置在第一假体10和第二假体20中的另一个上;第二假体20向远离第一假体10的方向移动的情况下,第一卡接部42避让多个第一防退槽41以使第二假体20单向移动;第二假体20移动完成后,第一卡接部42卡入对应的第一防退槽41内以阻止第二假体20回退。这样可通过第一卡接部42与多个第一防退槽41的配合实现第二假体20的单方向移动。Specifically, the first anti-retreat structure includes: a plurality of first anti-retreat grooves 41, and the plurality of first anti-retreat grooves 41 are arranged on one of the first prosthesis 10 and the second prosthesis 20; 42, used to engage with any one of the multiple first anti-retreat grooves 41, the first engaging portion 42 is movably arranged on the other of the first prosthesis 10 and the second prosthesis 20; the second When the prosthesis 20 moves away from the first prosthesis 10, the first engaging part 42 avoids a plurality of first anti-retreat grooves 41 so that the second prosthesis 20 moves in one direction; the movement of the second prosthesis 20 is completed Afterwards, the first engaging portion 42 is engaged in the corresponding first anti-retreat groove 41 to prevent the second prosthesis 20 from retreating. In this way, the unidirectional movement of the second prosthesis 20 can be realized through the cooperation of the first engaging portion 42 and the plurality of first anti-retreat grooves 41 .

可选地,多个第一防退槽41设置在第二假体20的外壁上,第一卡接部42设置在第一假体10的内壁上,第一卡接部42为多个,以提高可靠性。第一卡接部42可伸缩地设置或第一卡接部42可转动地设置,第一卡接部42包括设置在第一假体10的凹槽内的第一弹簧43和第一卡块44,第一卡块44可伸出或缩回凹槽。第一卡块44具有第一限位平面和第一导向斜面,第一防退槽41具有第二限位平面和第二导向斜面,其中,第一限位平面与第二限位平面限位配合,以在第二假体20受到外部轴向压力时防止回退,第一导向斜面与第二导向斜面配合,以在第二假体20向伸长方向移动时,推动第一卡块44缩回凹槽内。Optionally, a plurality of first anti-recession grooves 41 are provided on the outer wall of the second prosthesis 20, and the first engaging part 42 is provided on the inner wall of the first prosthesis 10, and there are multiple first engaging parts 42, to improve reliability. The first clamping part 42 is provided telescopically or the first clamping part 42 is rotatably provided, and the first clamping part 42 includes a first spring 43 and a first clamping block arranged in the groove of the first prosthesis 10 44. The first block 44 can extend out or retract into the groove. The first block 44 has a first limiting plane and a first guiding slope, and the first anti-retreat groove 41 has a second limiting plane and a second guiding slope, wherein the first limiting plane and the second limiting plane Cooperate to prevent retreat when the second prosthesis 20 is subjected to external axial pressure, and the first guide slope cooperates with the second guide slope to push the first clamping block 44 when the second prosthesis 20 moves in the direction of elongation retract into the groove.

在本实施例中,变形结构30为螺旋形第一弹簧结构;或,变形结构30包括多个顺次连接的可伸缩层31,各个可伸缩层31均可在外部磁场的作用下伸长。In this embodiment, the deformation structure 30 is a helical first spring structure; or, the deformation structure 30 includes a plurality of sequentially connected stretchable layers 31 , and each stretchable layer 31 can be stretched under the action of an external magnetic field.

如图8和图9所示,变形结构30包括多个可伸缩层31,可伸缩层31包括:间隔设置的两个连接板32以及间隔设置在两个连接板32之间的支撑板33,各个支撑板33均相对连接板32倾斜设置,在外部磁场的作用下,各个支撑板33的倾斜角度均向同一方向变化,以改变两个连接板32之间的距离,从而实现可伸缩层31的伸长,相邻两个可伸缩层31共用一个连接板32。通过上述设置,可以实现可伸缩层31较大的伸缩范围,从而实现变形结构30较大的伸缩范围,便于调整假体的总长度。As shown in Figures 8 and 9, the deformation structure 30 includes a plurality of stretchable layers 31, and the stretchable layer 31 includes: two connecting plates 32 arranged at intervals and a support plate 33 arranged at intervals between the two connecting plates 32, Each support plate 33 is arranged obliquely relative to the connection plate 32, and under the action of an external magnetic field, the inclination angle of each support plate 33 changes in the same direction to change the distance between the two connection plates 32, thereby realizing the stretchable layer 31 elongation, two adjacent stretchable layers 31 share a connecting plate 32 . Through the above arrangement, a larger stretching range of the stretchable layer 31 can be realized, thereby realizing a larger stretching range of the deformable structure 30, which is convenient for adjusting the total length of the prosthesis.

在本实施例中,第一假体10的内壁和第二假体20的外壁中的一个上设置有凸筋51,凸筋51沿第二假体20的移动方向延伸;第一假体10的内壁和第二假体20的外壁中的另一个上设置有滑槽52,滑槽52沿第二假体20的移动方向延伸,凸筋51可滑动地设置在滑槽52内。通过上述设置,可对第二假体20的移动起到导向作用并避免第一假体10和第二假体20在周向相对转动。凸筋51设置在上套筒12的内壁上,滑槽52设置在髓内杆21的外壁上。In this embodiment, one of the inner wall of the first prosthesis 10 and the outer wall of the second prosthesis 20 is provided with a rib 51, and the rib 51 extends along the moving direction of the second prosthesis 20; the first prosthesis 10 The other one of the inner wall of the second prosthesis 20 and the outer wall of the second prosthesis 20 is provided with a chute 52 , the chute 52 extends along the moving direction of the second prosthesis 20 , and the rib 51 is slidably disposed in the chute 52 . Through the above arrangement, the movement of the second prosthesis 20 can be guided and the relative rotation of the first prosthesis 10 and the second prosthesis 20 in the circumferential direction can be avoided. The protruding rib 51 is arranged on the inner wall of the upper sleeve 12 , and the slide groove 52 is arranged on the outer wall of the intramedullary rod 21 .

在本实施例中,第一假体10包括相互连接的下套筒11和上套筒12,变形结构30设置在下套筒11内,第二假体20穿设在上套筒12和下套筒11中,上套筒12和第二假体20之间设置有密封结构。通过设置上套筒12和下套筒11,便于各部件的制造和装配。通过设置密封结构可以起到良好的密封效果,避免体液等进入第一假体10内部而影响正常使用。可选地,上套筒12和下套筒11螺纹连接或焊接,上套筒12的端部具有用于与下套筒11的端面配合的限位台阶。In this embodiment, the first prosthesis 10 includes a lower sleeve 11 and an upper sleeve 12 connected to each other, the deformation structure 30 is arranged in the lower sleeve 11, and the second prosthesis 20 is passed through the upper sleeve 12 and the lower sleeve. In the cylinder 11 , a sealing structure is provided between the upper sleeve 12 and the second prosthesis 20 . By setting the upper sleeve 12 and the lower sleeve 11, the manufacture and assembly of each component is facilitated. A good sealing effect can be achieved by providing a sealing structure, preventing body fluids and the like from entering the first prosthesis 10 and affecting normal use. Optionally, the upper sleeve 12 and the lower sleeve 11 are screwed or welded, and the end of the upper sleeve 12 has a limit step for matching with the end surface of the lower sleeve 11 .

在本实施例中,上套筒12的朝向下套筒11的一端具有第一限位面,第二假体20包括:髓内杆21,髓内杆21穿过上套筒12,密封结构位于上套筒12和髓内杆21之间;顶柱22,顶柱22与髓内杆21连接,顶柱22的至少一部分位于下套筒11内,顶柱22具有第二限位面,变形结构30与顶柱22配合以驱动顶柱22和髓内杆21移动,第二限位面与第一限位面限位配合以限制髓内杆21的移动距离。In this embodiment, one end of the upper sleeve 12 facing the lower sleeve 11 has a first limiting surface, and the second prosthesis 20 includes: an intramedullary rod 21 passing through the upper sleeve 12, a sealing structure Located between the upper sleeve 12 and the intramedullary rod 21; the push post 22, the push post 22 is connected to the intramedullary rod 21, at least a part of the push post 22 is located in the lower sleeve 11, and the push post 22 has a second limit surface, The deformation structure 30 cooperates with the push post 22 to drive the push post 22 and the intramedullary rod 21 to move, and the second limiting surface cooperates with the first limiting surface to limit the moving distance of the intramedullary rod 21 .

可选地,顶柱22包括杆体23和设置在杆体23的一端的凸台24,杆体23穿设在髓内杆21内,凸台24设置在下套筒11内,第二限位面位于凸台24上,变形结构30与凸台24抵接。髓内杆21的外壁上设置有限位台阶,用于与上套筒12的端部限位配合,以限制髓内杆21穿入上套筒12内的长度。Optionally, the push post 22 includes a rod body 23 and a boss 24 arranged at one end of the rod body 23, the rod body 23 is penetrated in the intramedullary rod 21, the boss 24 is arranged in the lower sleeve 11, and the second limit surface is located on the boss. On the platform 24 , the deformation structure 30 abuts against the boss 24 . A limiting step is provided on the outer wall of the intramedullary rod 21 for limiting cooperation with the end of the upper sleeve 12 to limit the length of the intramedullary rod 21 penetrating into the upper sleeve 12 .

可选地,密封结构包括:密封套61,套设在髓内杆21上,密封套61上有限位台阶,以与上套筒12的端部限位配合,多个密封圈62,位于上套筒12的内壁的环形凹槽内,以提高密封效果。Optionally, the sealing structure includes: a sealing sleeve 61 sleeved on the intramedullary rod 21, a limit step is provided on the sealing sleeve 61 to limitly cooperate with the end of the upper sleeve 12, and a plurality of sealing rings 62 are located on the upper sleeve 12. In the annular groove of the inner wall of the sleeve 12, to improve the sealing effect.

该可延长假体可用于胫骨、桡骨、尺骨等骨骼的植入。在本实施例中,可延长假体为股骨假体,第一假体10还包括:股骨髁13,下套筒11与股骨髁13连接。这样该可延长假体可用于植入残留股骨中。The extendable prosthesis can be used for implantation in tibia, radius, ulna and other bones. In this embodiment, the extendable prosthesis is a femoral prosthesis, and the first prosthesis 10 further includes: a femoral condyle 13 , and the lower sleeve 11 is connected to the femoral condyle 13 . This extendable prosthesis can then be used for implantation in the residual femur.

可选地,下套筒11包括顺次连接的筒体、限位柱和定位柱,定位柱为锥形结构,定位柱的直径小于限位柱的直径,限位柱和定位柱穿设在股骨髁13中,以实现定位和限位。Optionally, the lower sleeve 11 includes a sequentially connected cylinder body, a limit post and a positioning post, the positioning post is a tapered structure, the diameter of the positioning post is smaller than the diameter of the stop post, and the stop post and the positioning post pass through the In the femoral condyle 13, to realize positioning and limit.

可选地,第一假体10还包括承载结构,承载结构设置在下套筒11的腔体底部,承载结构包括板体71和设置在板体71上的限位齿72,变形结构30与板体71抵接,限位齿72插在腔体的底壁内。Optionally, the first prosthesis 10 also includes a load-bearing structure, which is arranged at the bottom of the cavity of the lower sleeve 11. The load-bearing structure includes a plate body 71 and limit teeth 72 arranged on the plate body 71. The deformation structure 30 and the plate body The body 71 abuts, and the limit tooth 72 is inserted into the bottom wall of the cavity.

为了进一步提高可靠性,可延长假体还包括:第二防退结构,第二防退结构的至少一部分可移动地设置,髓内杆21和顶柱22均与第二防退结构配合,第二防退结构用于阻止顶柱22向靠近变形结构30的方向移动。这样在第二假体20移动完成后,并且变形结构30缩回后,可以阻止顶柱22向靠近变形结构30的方向移动,从而阻止髓内杆21和顶柱22在轴向产生间隙。In order to further improve the reliability, the extendable prosthesis also includes: a second anti-regression structure, at least a part of the second anti-regression structure is movably arranged, and both the intramedullary rod 21 and the push post 22 cooperate with the second anti-regression structure, and the second anti-regression structure The second anti-retraction structure is used to prevent the top column 22 from moving towards the deformation structure 30 . In this way, after the movement of the second prosthesis 20 is completed and the deformation structure 30 is retracted, the apical post 22 can be prevented from moving toward the deformation structure 30 , thereby preventing the axial gap between the intramedullary rod 21 and the apical post 22 .

进一步地,第二防退结构包括:多个第二防退槽81,多个第二防退槽81设置在髓内杆21和顶柱22中的一个上;第二卡接部82,用于与多个第二防退槽81中的任意一个卡接,第二卡接部82可移动地设置在髓内杆21和顶柱22中的另一个上。通过上述设置既可以实现髓内杆21和顶柱22在轴向的限位,而且,需要拆卸髓内杆21和顶柱22时,通过向两者施加相互远离的拉力,第二卡接部82可避让多个第二防退槽81以使髓内杆21和顶柱22脱离。Further, the second anti-regression structure includes: a plurality of second anti-regression grooves 81, and the plurality of second anti-regression grooves 81 are arranged on one of the intramedullary rod 21 and the top post 22; In order to engage with any one of the multiple second anti-regression grooves 81 , the second engaging portion 82 is movably disposed on the other one of the intramedullary rod 21 and the abutment post 22 . Through the above setting, the axial position of the intramedullary rod 21 and the push post 22 can be realized. Moreover, when the intramedullary rod 21 and the push post 22 need to be disassembled, by applying a pulling force away from each other to the two, the second engaging part 82 can avoid a plurality of second anti-recession grooves 81 so that the intramedullary rod 21 and the top post 22 can be disengaged.

可选地,多个第二防退槽81设置在顶柱22的外壁上,第二卡接部82设置在髓内杆21的内壁上,第二卡接部82为多个,以提高可靠性。第二卡接部82可伸缩地设置或第二卡接部82可转动地设置,第二卡接部82包括设置在髓内杆21的凹槽内的第二弹簧83和第二卡块84,第二卡块84可伸出或缩回凹槽。第二卡块84具有第一限位平面和第一导向斜面,第二防退槽81具有第二限位平面和第二导向斜面,其中,第一限位平面与第二限位平面限位配合,第一导向斜面与第二导向斜面配合,以在需要髓内杆21和顶柱22分离时,推动第二卡块84缩回凹槽内。Optionally, a plurality of second anti-recession grooves 81 are provided on the outer wall of the top column 22, and the second locking part 82 is provided on the inner wall of the intramedullary rod 21, and there are multiple second locking parts 82 to improve reliability. sex. The second locking part 82 is telescopically arranged or the second locking part 82 is rotatably arranged, and the second locking part 82 includes a second spring 83 and a second locking block 84 arranged in the groove of the intramedullary rod 21 , the second block 84 can extend out or retract into the groove. The second block 84 has a first limiting plane and a first guiding slope, and the second anti-retreat groove 81 has a second limiting plane and a second guiding slope, wherein the first limiting plane and the second limiting plane Cooperate, the first guide slope cooperates with the second guide slope to push the second block 84 back into the groove when the intramedullary rod 21 and the abutment post 22 need to be separated.

本方案结合人体股骨髁远端粗、近端细的形态要求设计,采用上下套筒分体制作后焊接成为一体。具有密封效果,防止体液进入假体内部造成对内部材质的腐蚀破坏。假体端部用PEEK塑料,PEEK有优良的生物相容性和耐磨性,防止端部的金属之间在弯曲应力环境下的磨损。This scheme is designed in accordance with the shape requirements of the human femoral condyle, which is thick at the distal end and thin at the proximal end. The upper and lower sleeves are made separately and then welded into one. It has a sealing effect to prevent body fluids from entering the interior of the prosthesis and causing corrosion damage to the internal material. The end of the prosthesis is made of PEEK plastic. PEEK has excellent biocompatibility and wear resistance, which prevents the metal at the end from wearing under bending stress.

应用本发明的技术方案,在可延长假体中设置有第一假体10、第二假体20和变形结构30,其中,第一假体10具有容纳腔,第二假体20与第一假体10连接,第二假体20相对第一假体10可移动地设置,变形结构30设置在容纳腔内,变形结构30的一端与第二假体20配合,变形结构30由磁性记忆合金制成,变形结构30可在外部磁场的作用下发生变形,变形结构30在发生变形的情况下,驱动第二假体20向远离第一假体10的方向移动,以延长可延长假体的总长度。由于变形结构30采用磁控形状记忆合金制成,可通过在外部施加磁场使变形结构30变形,从而延长可延长假体。这样在假体植入后,只需从外部施加合适的磁场便可延长假体,因此不用施加有创伤的手术。这样对患儿不会造成二次或多次手术带来的痛苦,且可以根据患儿腿部生长情况增加单位时间内(如一年内)的延长次数,并且相应减少每次的延长长度,从而使得患儿更容易适应每次延长后的双腿长度及平衡问题。在调节时,通过控制从外部施加的磁场的强度以及时间来精确控制第二假体20的移动距离,从而控制可延长假体的总长度。Applying the technical solution of the present invention, a first prosthesis 10, a second prosthesis 20 and a deformation structure 30 are arranged in the extendable prosthesis, wherein the first prosthesis 10 has an accommodation cavity, and the second prosthesis 20 is connected to the first prosthesis. The prosthesis 10 is connected, the second prosthesis 20 is movably arranged relative to the first prosthesis 10, the deformation structure 30 is arranged in the accommodation cavity, and one end of the deformation structure 30 cooperates with the second prosthesis 20, and the deformation structure 30 is made of magnetic memory alloy made, the deformable structure 30 can be deformed under the action of an external magnetic field, and the deformable structure 30 drives the second prosthesis 20 to move away from the first prosthesis 10 under the condition of deformation, so as to extend the length of the prosthesis. total length. Since the deformable structure 30 is made of a magnetically controlled shape memory alloy, the deformable structure 30 can be deformed by applying an external magnetic field, thereby extending the prosthesis. In this way, after the prosthesis is implanted, the prosthesis can be extended only by applying a suitable magnetic field from the outside, so no traumatic surgery is required. In this way, the child will not suffer from the pain of two or more operations, and the number of extensions per unit time (such as within one year) can be increased according to the growth of the legs of the child, and the length of each extension can be reduced accordingly, so that The child is more likely to adapt to the length of the legs and balance problems after each extension. During the adjustment, the moving distance of the second prosthesis 20 is precisely controlled by controlling the strength and time of the magnetic field applied from the outside, so as to control and extend the total length of the prosthesis.

为了便于理解本方案,下面对磁性记忆合金进行适当说明:In order to facilitate the understanding of this scheme, the magnetic memory alloy is properly explained below:

传统的形状记忆合金在马氏体状态下进行塑性变形后,再将其加热到Af温度以上,便会自动回复到母相的状态;如果将其再次冷却到Mf温度以下,它又会自动回复到原来经塑性变形或马氏体的形状。而且具有远大于其它驱动材料的应变量,但必须通过改变合金的温度来获得应变,因此它的响应速度很慢。传统的形状记忆合金,如TiNi基、Fe基、Cu基合金等,虽然具有较大的可逆恢复应变和大的恢复力,但由于其受温度场驱动,其响应频率较低(约为1Hz左右)。近几年来,一种新型电磁驱动材料—磁控形状记忆合金悄然兴起,并因其突出的磁致应变性能受到广泛关注。After the traditional shape memory alloy is plastically deformed in the martensitic state, it will automatically return to the state of the parent phase if it is heated above the Af temperature; if it is cooled again below the Mf temperature, it will automatically recover to the original plastically deformed or martensitic shape. And it has a much larger strain than other driving materials, but the strain must be obtained by changing the temperature of the alloy, so its response speed is very slow. Traditional shape memory alloys, such as TiNi-based, Fe-based, Cu-based alloys, etc., have large reversible recovery strain and large recovery force, but because they are driven by the temperature field, their response frequency is low (about 1Hz ). In recent years, a new type of electromagnetic actuation material - magneto-controlled shape memory alloy has quietly emerged, and has attracted extensive attention because of its outstanding magneto-induced strain performance.

磁性形状记忆合金的优势就在于它兼具铁磁性和热弹性马氏体相变,并且结合了形状记忆合金应变大和磁致伸缩材料响应快的优点。利用磁场对合金中不利取向马氏体变体的Zeeman静磁力,促使有利取向的马氏体变体长大,并吞并不利取向的变体(表现为孪晶界的移动),从而产生宏观变形。The advantage of magnetic shape memory alloy is that it has both ferromagnetic and thermoelastic martensitic phase transformation, and combines the advantages of large strain of shape memory alloy and fast response of magnetostrictive material. Using the Zeeman static magnetostatic force of the magnetic field on the unfavorable orientation martensite variants in the alloy, the favorable orientation martensite variants are promoted to grow up, and the unfavorable orientation variants are swallowed up (expressed as the movement of the twin boundary), resulting in macroscopic deformation .

磁致形状记忆效应只能存在于具有热弹性马氏体相变的磁性合金中。典型的铁磁性形状记忆合金有Ni-Mn-Ga、Ni-Fe-Ga、Fe基合金(Fe-Pd、Fe-Ni-Co-Ti等)和Co基合金(Co-Ni、Co-Mn系合金等)等。The magnetic shape memory effect can only exist in magnetic alloys with thermoelastic martensitic transformation. Typical ferromagnetic shape memory alloys include Ni-Mn-Ga, Ni-Fe-Ga, Fe-based alloys (Fe-Pd, Fe-Ni-Co-Ti, etc.) and Co-based alloys (Co-Ni, Co-Mn series alloy, etc.) etc.

磁致形状记忆合金之所以特别受重视,是因为:1、性能优异。最主要的性能指标是应变量,比现有材料性能高1-2个数量级。磁性形状记忆合金具有双向应变效应,这些特有的性能很适合开发新的致动器。2、相对于超磁致伸缩材料,该材料的价格较低。由于超磁致伸缩材料含有大量价格昂贵的金属Tb,磁控形状记忆合金的价格大约为超磁致伸缩材料的十分之一。3、可有多种重要应用。磁致形状记忆合金作为智能材料,是未来国防和高技术领域的物质基础。它的高应变特性、高响应频率,可望在传感器、表层智能结构、自动控制、飞机机翼调控系统和超大功率超声换能器技术等方面应用。The reasons why magnetic shape memory alloys are particularly valued are: 1. Excellent performance. The most important performance index is strain, which is 1-2 orders of magnitude higher than that of existing materials. Magnetic shape memory alloys have bidirectional strain effects, and these unique properties are very suitable for the development of new actuators. 2. Compared with giant magnetostrictive materials, the price of this material is lower. Since the giant magnetostrictive material contains a large amount of expensive metal Tb, the price of the magneto-controlled shape memory alloy is about one-tenth of that of the giant magnetostrictive material. 3. There are many important applications. Magnetic shape memory alloys, as smart materials, are the material basis for future national defense and high-tech fields. Its high strain characteristics and high response frequency are expected to be applied in sensors, surface intelligent structures, automatic control, aircraft wing control systems and ultra-high-power ultrasonic transducer technology.

以上所述仅为本发明的优选实施例而已,并不用于限制本发明,对于本领域的技术人员来说,本发明可以有各种更改和变化。凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the present invention. For those skilled in the art, the present invention may have various modifications and changes. Any modifications, equivalent replacements, improvements, etc. made within the spirit and principles of the present invention shall be included within the protection scope of the present invention.

Claims (12)

1. An extendable prosthesis, comprising:
a first prosthesis (10), said first prosthesis (10) having a housing cavity;
a second prosthesis (20), said second prosthesis (20) being connected to said first prosthesis (10), said second prosthesis (20) being movably arranged with respect to said first prosthesis (10);
a deformation structure (30) arranged in the accommodating cavity, wherein one end of the deformation structure (30) is matched with the second prosthesis (20), the deformation structure (30) is made of magnetic memory alloy, the deformation structure (30) can be deformed under the action of an external magnetic field, and the deformation structure (30) drives the second prosthesis (20) to move away from the first prosthesis (10) under the condition of deformation so as to prolong the total length of the extensible prosthesis.
2. The extensible prosthesis of claim 1, wherein the deformation structure (30) is a telescopic structure, the deformation structure (30) being elongated under the action of an external magnetic field to drive the second prosthesis (20) in movement.
3. The extendable prosthesis of claim 2, further comprising:
a first anti-back-out structure, at least a portion of which is movably disposed, the first prosthesis (10) and the second prosthesis (20) both cooperating with the first anti-back-out structure, the first anti-back-out structure being configured to prevent the second prosthesis (20) from moving in a direction closer to the first prosthesis (10) to prevent the second prosthesis (20) from backing out after movement is complete.
4. The extendable prosthesis of claim 3, wherein said first anti-backup structure comprises:
a plurality of first anti-back grooves (41), a plurality of the first anti-back grooves (41) being provided on one of the first prosthesis (10) and the second prosthesis (20);
a first clamping portion (42) used for clamping any one of the first anti-back grooves (41), wherein the first clamping portion (42) is movably arranged on the other one of the first prosthesis (10) and the second prosthesis (20);
when the second prosthesis (20) moves in a direction away from the first prosthesis (10), the first clamping parts (42) avoid the first anti-retreat grooves (41) so that the second prosthesis (20) moves in one direction; after the second prosthesis (20) is moved, the first clamping parts (42) are clamped into the corresponding first anti-withdrawal grooves (41) to prevent the second prosthesis (20) from withdrawing.
5. The extendable prosthesis of claim 2,
the deformation structure (30) is a spiral first spring structure; or the like, or, alternatively,
the deformation structure (30) comprises a plurality of telescopic layers (31) which are connected in sequence, and each telescopic layer (31) can be stretched under the action of an external magnetic field.
6. The extensible prosthesis of claim 5, wherein said deformation structure (30) comprises a plurality of said retractable layers (31), said retractable layers (31) comprising:
two connecting plates (32) that the interval set up and interval set up two backup pad (33) between connecting plate (32), each backup pad (33) all set up to connecting plate (32) slope, under the effect of external magnetic field, each the inclination of backup pad (33) all changes to same direction, in order to change two the distance between connecting plate (32).
7. The extendable prosthesis of claim 1,
a convex rib (51) is arranged on one of the inner wall of the first prosthesis (10) and the outer wall of the second prosthesis (20), and the convex rib (51) extends along the moving direction of the second prosthesis (20);
a sliding groove (52) is arranged on the other one of the inner wall of the first prosthesis (10) and the outer wall of the second prosthesis (20), the sliding groove (52) extends along the moving direction of the second prosthesis (20), and the convex rib (51) is arranged in the sliding groove (52) in a sliding mode.
8. The extensible prosthesis of claim 1, wherein the first prosthesis (10) comprises a lower sleeve (11) and an upper sleeve (12) connected to each other, the deformation structure (30) being arranged inside the lower sleeve (11), the second prosthesis (20) being arranged through the upper sleeve (12) and the lower sleeve (11), a sealing structure being arranged between the upper sleeve (12) and the second prosthesis (20).
9. The extensible prosthesis of claim 8, wherein the end of the upper sleeve (12) facing the lower sleeve (11) has a first stop surface, the second prosthesis (20) comprising:
an intramedullary rod (21), the intramedullary rod (21) passing through the upper sleeve (12), the sealing structure being located between the upper sleeve (12) and the intramedullary rod (21);
the support column comprises a top column (22), the top column (22) is connected with the intramedullary rod (21), at least one part of the top column (22) is located in the lower sleeve (11), the top column (22) is provided with a second limiting surface, the deformation structure (30) is matched with the top column (22) to drive the top column (22) and the intramedullary rod (21) to move, and the second limiting surface is matched with the first limiting surface in a limiting mode to limit the moving distance of the intramedullary rod (21).
10. The extendable prosthesis of claim 8, wherein said extendable prosthesis is a femoral prosthesis, said first prosthesis (10) further comprising:
a femoral condyle (13), the lower sleeve (11) being connected to the femoral condyle (13).
11. The extendable prosthesis of claim 9, further comprising:
the second prevents moving back the structure, the second prevents moving back at least partly of structure and sets up, intramedullary pole (21) with shore (22) all with the cooperation of second prevents moving back the structure, the second prevents moving back the structure and is used for stopping shore (22) are to being close to the direction of deformation structure (30) removes.
12. The extendable prosthesis of claim 11, wherein said second anti-recoil structure comprises:
a plurality of second withdrawal prevention grooves (81), the plurality of second withdrawal prevention grooves (81) being provided on one of the intramedullary rod (21) and the top post (22);
the second clamping portion (82) is used for being clamped with any one of the second anti-back grooves (81), and the second clamping portion (82) is movably arranged on the intramedullary rod (21) and the other of the top columns (22).
CN201910945581.9A 2019-09-30 2019-09-30 Extendable prosthesis Pending CN110584842A (en)

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CN112674912A (en) * 2020-12-30 2021-04-20 北京爱康宜诚医疗器材有限公司 Long bone lengthening prosthesis
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CN115501004A (en) * 2021-06-07 2022-12-23 微创投资控股有限公司 Prosthesis and Prosthesis System
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CN116035774A (en) * 2023-03-07 2023-05-02 北京爱康宜诚医疗器材有限公司 Long bone prosthesis
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CN111035480A (en) * 2019-12-25 2020-04-21 北京爱康宜诚医疗器材有限公司 Tibia structure
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CN116747052A (en) * 2023-08-22 2023-09-15 北京爱康宜诚医疗器材有限公司 A long-segment bone prosthesis that is easy to install
CN116747052B (en) * 2023-08-22 2023-10-27 北京爱康宜诚医疗器材有限公司 Long section bone prosthesis convenient to installation

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