CN116473732A - A kind of intervertebral fusion device prosthesis - Google Patents
A kind of intervertebral fusion device prosthesis Download PDFInfo
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- CN116473732A CN116473732A CN202310697754.6A CN202310697754A CN116473732A CN 116473732 A CN116473732 A CN 116473732A CN 202310697754 A CN202310697754 A CN 202310697754A CN 116473732 A CN116473732 A CN 116473732A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
- A61F2/446—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages having a circular or elliptical cross-section substantially parallel to the axis of the spine, e.g. cylinders or frustocones
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Abstract
本发明提供了一种椎间融合器假体,包括:壳体,包括垂直于壳体最大截平面且不在同一直线上的三个调节孔和分别垂直于调节孔但轴线不与调节孔相交的控制孔,调节孔与控制孔的边缘相交;调节机构,包括三组相互垂直交错的蜗轮蜗杆结构和穿设于蜗轮内部的调节块,蜗轮蜗杆分别可转动地设置在调节孔与控制孔内;终板,包括裙边和盲孔,裙边包裹壳体外壁,可滑动地覆盖在壳体之上,还设有滑块,滑块可滑动地设置在盲孔内。应用本发明的技术方案,在进行椎间融合术时,操作壳体内的调节机构进行高度调节,驱动终板高度发生变化,可以匹配患者不同高度的椎间高度。
The present invention provides an intervertebral fusion prosthesis, comprising: a shell, including three adjustment holes perpendicular to the largest cross-sectional plane of the shell and not on the same straight line, and control holes that are respectively perpendicular to the adjustment holes but whose axes do not intersect with the adjustment holes. The casing is slidably covered, and a slider is also provided, and the slider is slidably arranged in the blind hole. Applying the technical solution of the present invention, when performing intervertebral fusion, the adjustment mechanism in the casing is operated to adjust the height, and the height of the end plate is driven to change, which can match the intervertebral height of patients with different heights.
Description
技术领域technical field
本发明专利涉及医疗器械技术领域,具体而言,涉及一种椎间融合器假体。The patent of the present invention relates to the technical field of medical devices, in particular, to an intervertebral fusion device prosthesis.
背景技术Background technique
椎间融合术是治疗脊椎退变性疾病的一种成熟术式,具有高融合率与低并发症等优点,术中使用椎间融合器假体对病变椎间盘进行置换,使脊柱恢复原有生理功能特征。Intervertebral fusion is a mature operation for the treatment of spinal degenerative diseases. It has the advantages of high fusion rate and low complications. During the operation, intervertebral fusion device prosthesis is used to replace the diseased intervertebral disc, so that the spine can restore its original physiological and functional characteristics.
现有技术中,椎间融合器设有多个型号以满足不同椎间高度的患者,但在实际手术过程中,仍然会面临测量精度不够准确、患处剥离不够彻底、骨质不够健康、假体备用型号不够周全等问题难以实现椎间融合器假体的精准匹配。同时伴随时间的推移,椎间融合器假体置入后可能发生二次沉降以致需要再次进行椎间融合术。In the existing technology, there are multiple models of intervertebral fusion cages to meet patients with different intervertebral heights. However, in the actual operation process, problems such as inaccurate measurement accuracy, insufficient peeling of the affected area, insufficient bone quality, and insufficient spare models of prostheses are difficult to achieve accurate matching of intervertebral fusion cage prosthesis. At the same time, with the passage of time, secondary subsidence may occur after the intervertebral fusion prosthesis is placed, so that intervertebral fusion needs to be performed again.
针对以上问题,本发明提出一种椎间融合器假体,通过不在同一直线上的三组调节机构分别对椎间融合器假体的高度进行调节,匹配椎间融合器假体的微量差异,实现更精准的椎间融合术置换术;术后即使发生二次沉降,无需再次更换椎间融合器假体,仅进行高度调节即可,大大降低了患者的痛苦与手术成本。In view of the above problems, the present invention proposes an intervertebral fusion prosthesis, which adjusts the height of the intervertebral fusion prosthesis through three sets of adjustment mechanisms that are not on the same straight line, and matches the slight difference of the intervertebral fusion prosthesis to achieve a more accurate intervertebral fusion replacement operation; even if secondary subsidence occurs after the operation, there is no need to replace the intervertebral fusion prosthesis, only the height adjustment is required, which greatly reduces the pain of the patient and the cost of the operation.
发明内容Contents of the invention
本发明提供了一种椎间融合器假体,包括:壳体,包括垂直于壳体最大截平面且不在同一直线上的三个调节孔和分别垂直于调节孔但轴线不与调节孔相交的控制孔,调节孔与控制孔的边缘相交;调节机构,包括三组相互垂直交错的蜗轮蜗杆结构和穿设于蜗轮内部的调节块,蜗轮蜗杆分别可转动地设置在调节孔与控制孔内;终板,包括裙边和盲孔,裙边包裹壳体外壁,可滑动地覆盖在壳体之上,还设有滑块,滑块可滑动地设置在盲孔内。The present invention provides an intervertebral fusion prosthesis, comprising: a shell, including three adjustment holes perpendicular to the maximum sectional plane of the shell and not on the same straight line, and control holes which are respectively perpendicular to the adjustment holes but whose axes do not intersect with the adjustment holes. The casing is slidably covered, and a slider is also provided, and the slider is slidably arranged in the blind hole.
进一步地,调节孔设有第一孔段、第二孔段、第三孔段、第四孔段,第一孔段直径小于第二孔段直径小于第四孔段直径。Further, the adjustment hole is provided with a first hole segment, a second hole segment, a third hole segment, and a fourth hole segment, and the diameter of the first hole segment is smaller than that of the second hole segment and smaller than that of the fourth hole segment.
进一步地,控制孔设有第五孔段和第六孔段,第五孔段直径小于第六孔段直径。Further, the control hole is provided with a fifth hole segment and a sixth hole segment, and the diameter of the fifth hole segment is smaller than the diameter of the sixth hole segment.
进一步地,蜗轮设有内螺纹与调节块相配合,设有外齿轮与蜗杆相配合,外齿轮两端都设有光滑的第一承转部,第一承转部可转动地设置在第二孔段,外齿轮可转动地设置在第四孔段。Further, the worm wheel is provided with an internal thread to cooperate with the adjustment block, and an external gear is provided to cooperate with the worm, and both ends of the external gear are provided with a smooth first bearing part, the first bearing part is rotatably arranged in the second hole section, and the external gear is rotatably arranged in the fourth hole section.
进一步地,蜗杆设有第一外螺纹,第一外螺纹两端都设有光滑的第二承转部,第二承转部的最外端设有操作部,第二承转部可转动地设置在第五孔段,第一外螺纹可转动地设置在第六孔段。Further, the worm is provided with a first external thread, both ends of the first external thread are provided with a smooth second bearing part, the outermost end of the second bearing part is provided with an operating part, the second bearing part is rotatably arranged in the fifth hole section, and the first external thread is rotatably arranged in the sixth hole section.
进一步地,调节块包括球头和螺柱,螺柱设有第二外螺纹与蜗轮的内螺纹相配合,可移动地设置在蜗轮和调节孔内。Further, the adjustment block includes a ball head and a stud, and the stud is provided with a second external thread to cooperate with the internal thread of the worm wheel, and is movably arranged in the worm wheel and the adjustment hole.
进一步地,螺柱设有止转隙,第一孔段设有止转筋,止转筋与止转隙相互配合。Further, the stud is provided with an anti-rotation gap, the first hole section is provided with an anti-rotation rib, and the anti-rotation rib cooperates with the anti-rotation gap.
进一步地,滑块直径小于盲孔直径,滑块沿盲孔截面紧贴终板进行滑动。Further, the diameter of the slider is smaller than the diameter of the blind hole, and the slider slides closely against the endplate along the section of the blind hole.
进一步地,滑块设有球窝抵接球头。Further, the slider is provided with a ball socket to abut the ball head.
进一步地,三个调节孔呈V形布置,夹角为90°至120°之间。Further, the three adjustment holes are arranged in a V shape with an included angle between 90° and 120°.
应用本发明的技术方案,一种椎间融合器假体包括:壳体、调节机构、终板,在进行椎间融合术时,操作壳体内的调节机构进行高度调节,驱动终板高度发生变化,可以匹配患者不同高度的椎间高度。Applying the technical solution of the present invention, an intervertebral fusion device prosthesis includes: a housing, an adjustment mechanism, and an endplate. During intervertebral fusion, the adjustment mechanism in the housing is operated to adjust the height, and the height of the endplate is driven to change, which can match the intervertebral heights of patients with different heights.
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示出了根据本发明实施例提供的一种椎间融合器假体的爆炸图;Fig. 1 shows an exploded view of an intervertebral fusion device prosthesis provided according to an embodiment of the present invention;
图2示出了根据本发明实施例提供的一种椎间融合器假体的旋转剖视图;Fig. 2 shows a rotating sectional view of an intervertebral fusion device prosthesis provided according to an embodiment of the present invention;
图3示出了图1中椎间融合器假体的壳体的旋转剖视图;Fig. 3 shows the rotation sectional view of the housing of the intervertebral fusion device prosthesis in Fig. 1;
图4示出了图1中椎间融合器假体的壳体的下半部分的俯视图;Fig. 4 shows the top view of the lower half of the housing of the intervertebral fusion device prosthesis in Fig. 1;
图5示出了图1中椎间融合器假体的壳体的下半部分的结构示意图;Fig. 5 shows the structural representation of the lower half of the housing of the intervertebral fusion device prosthesis in Fig. 1;
图6示出了图1中椎间融合器假体的半装配的结构示意图;Fig. 6 shows the structural representation of the semi-assembly of the intervertebral fusion device prosthesis in Fig. 1;
图7示出了图1中椎间融合器假体的终板的结构示意图;Fig. 7 shows the structural representation of the endplate of the intervertebral fusion device prosthesis in Fig. 1;
图8示出了图1中椎间融合器假体的调节块的结构示意图;Fig. 8 shows a schematic structural view of the adjustment block of the intervertebral fusion device prosthesis in Fig. 1;
图9示出了图1中椎间融合器假体的调节块的剖视图;Fig. 9 shows a cross-sectional view of the adjustment block of the intervertebral fusion device prosthesis in Fig. 1;
图10示出了图1中椎间融合器假体的蜗轮的结构示意图;Fig. 10 shows the structural representation of the worm wheel of the intervertebral fusion device prosthesis in Fig. 1;
图11示出了图1中椎间融合器假体的蜗轮的剖视图;Fig. 11 shows the sectional view of the worm wheel of the intervertebral fusion device prosthesis in Fig. 1;
图12示出了图1中椎间融合器假体的蜗杆的结构示意图;Fig. 12 shows the structural representation of the worm of the intervertebral fusion device prosthesis in Fig. 1;
图13示出了图1中椎间融合器假体的蜗杆的剖视图。Fig. 13 shows a cross-sectional view of the worm of the intervertebral cage prosthesis in Fig. 1 .
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、壳体;11、调节孔;111、第一孔段;1111、止转筋;112、第二孔段;113、第三孔段;114、第四孔段;12、控制孔;121、第五孔段;122、第六孔段;10. Shell; 11. Adjusting hole; 111. First hole section; 1111. Anti-rotation rib; 112. Second hole section; 113. Third hole section; 114. Fourth hole section; 12. Control hole; 121. Fifth hole section; 122. Sixth hole section;
20、调节机构;21、蜗轮;211、内螺纹;212、外齿轮;213、第一承转部;22、蜗杆;221、第一外螺纹;222、第二承转部;223、操作部;23、调节块;231、球头;232、螺柱;2321、第二外螺纹;2322、止转隙;20. Adjusting mechanism; 21. Worm wheel; 211. Internal thread; 212. External gear; 213. First bearing part; 22. Worm; 221. First external thread; 222. Second bearing part; 223. Operation part; 23. Adjusting block; 231. Ball head;
30、终板;31、裙边;32、盲孔;321、滑块;3211、球窝;30, end plate; 31, skirt; 32, blind hole; 321, slider; 3211, ball socket;
α、夹角。α, included angle.
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 accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only some, not all, embodiments of the present invention. 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1至图13所示,本发明提供了一种椎间融合器假体,包括:壳体10,包括垂直于壳体10最大截平面且不在同一直线上的三个调节孔11和分别垂直于调节孔11但轴线不与调节孔11相交的控制孔12,调节孔11与控制孔12的边缘相交;调节机构20,包括三组相互垂直交错的蜗轮21蜗杆22结构和穿设于蜗轮21内部的调节块23,蜗轮21蜗杆22分别可转动地设置在调节孔11与控制孔12内;终板30,包括裙边31和盲孔32,裙边31包裹壳体10外壁,可滑动地覆盖在壳体10之上,还设有滑块321,滑块321可滑动地设置在盲孔32内。As shown in Figures 1 to 13, the present invention provides an intervertebral fusion prosthesis, comprising: a housing 10, including three adjustment holes 11 that are perpendicular to the maximum section plane of the housing 10 and not on the same straight line, and control holes 12 that are respectively perpendicular to the adjustment holes 11 but whose axes do not intersect with the adjustment holes 11. The worm gear 21 and the worm 22 are respectively rotatably arranged in the adjustment hole 11 and the control hole 12; the end plate 30 includes a skirt 31 and a blind hole 32, the skirt 31 wraps the outer wall of the casing 10, and slidably covers the casing 10, and is also provided with a slider 321, which is slidably arranged in the blind hole 32.
在本实施例中,为了便于展示,壳体10沿控制孔12的轴线所在平面分割为上下两部分。In this embodiment, for the convenience of illustration, the housing 10 is divided into upper and lower parts along the plane where the axis of the control hole 12 is located.
如图3所示,调节孔11设有第一孔段111、第二孔段112、第三孔段113、第四孔段114,第一孔段111直径小于第二孔段112直径小于第四孔段114直径。As shown in FIG. 3 , the adjusting hole 11 is provided with a first hole segment 111 , a second hole segment 112 , a third hole segment 113 , and a fourth hole segment 114 .
如图5所示,控制孔12设有第五孔段121和第六孔段122,第五孔段121直径小于第六孔段122直径。As shown in FIG. 5 , the control hole 12 is provided with a fifth hole section 121 and a sixth hole section 122 , and the diameter of the fifth hole section 121 is smaller than the diameter of the sixth hole section 122 .
如图1至图2、图6、图10至图11所示,蜗轮21设有内螺纹211与调节块23相配合,设有外齿轮212与蜗杆22相配合,外齿轮212两端都设有光滑的第一承转部213,第一承转部213可转动地设置在第二孔段112,保证蜗轮21在调节孔11内顺利转动且不发生偏移,外齿轮212可转动地设置在第四孔段114。As shown in Figure 1 to Figure 2, Figure 6, Figure 10 to Figure 11, the worm wheel 21 has an internal thread 211 with the adjustment block 23, and the outer gear 212 is matched with the worm 22. The two ends of the outer gear 212 have a smooth first toherm 213. Dynamic and no offset, the outer gear 212 can be set in the fourth hole segment 114.
如图1至图2、图6、图12至图13所示,蜗杆22设有第一外螺纹221,第一外螺纹221两端都设有光滑的第二承转部222,第二承转部222的最外端设有操作部223,第二承转部222可转动地设置在第五孔段121,保证蜗杆22在控制孔12内顺利转动且不发生偏移,第一外螺纹221可转动地设置在第六孔段122。As shown in Figure 1 to Figure 2, Figure 6, and Figure 12 to 13, the worm 22 has the first outer thread 221, the first ends of the first outer thread 221 are set with a smooth second inheritance 222, the most outer end of the second to the transfer department 223. Without offset, the first outer thread 221 can be set at the sixth hole section 122.
如图1至图2、图6、图8至图9所示,调节块23包括球头231和螺柱232,螺柱232设有第二外螺纹2321与蜗轮21的内螺纹211相配合,可移动地设置在蜗轮21和调节孔11内。As shown in Figures 1 to 2, Figure 6, and Figures 8 to 9, the adjustment block 23 includes a ball head 231 and a stud 232, the stud 232 is provided with a second external thread 2321 to cooperate with the internal thread 211 of the worm wheel 21, and is movably arranged in the worm wheel 21 and the adjustment hole 11.
如图4至图5、图8至图9所示,螺柱232设有止转隙2322,第一孔段111设有止转筋1111,止转筋1111与止转隙2322相互配合,限制调节块23在受到蜗轮21驱动时只能沿其轴线进行移动。As shown in Figures 4 to 5 and Figures 8 to 9, the stud 232 is provided with an anti-rotation gap 2322, and the first hole section 111 is provided with an anti-rotation rib 1111, and the anti-rotation rib 1111 cooperates with the anti-rotation gap 2322 to limit the adjustment block 23 to move only along its axis when driven by the worm wheel 21.
如图7所示,滑块321直径小于盲孔32直径,滑块321沿盲孔32截面紧贴终板30进行滑动。As shown in FIG. 7 , the diameter of the slider 321 is smaller than that of the blind hole 32 , and the slider 321 slides closely against the endplate 30 along the section of the blind hole 32 .
如图7所示,滑块321设有球窝3211抵接球头231,增大终板30与调节块23的接触面积且保证实时全接触;终板30边缘设置有裙边31包裹壳体10外壁,可滑动地覆盖在壳体10之上,内部形成密封状态,保证终板30不会在失去挤压力时而突然脱离壳体10。As shown in FIG. 7 , the slider 321 is provided with a ball socket 3211 abutting against the ball head 231, which increases the contact area between the end plate 30 and the adjustment block 23 and ensures real-time full contact; the edge of the end plate 30 is provided with a skirt 31 wrapping the outer wall of the housing 10, which is slidably covered on the housing 10, and the inside forms a sealed state to ensure that the end plate 30 will not suddenly break away from the housing 10 when the extrusion force is lost.
特别地,裙边31的制造材料为PE或XPE,可发生微量形变,三组调节机构20独立调节时,终板30与壳体10将不再平行,裙边31产生微量形变保证密封良好。In particular, the skirt 31 is made of PE or XPE, which can be slightly deformed. When the three sets of adjustment mechanisms 20 are independently adjusted, the end plate 30 and the shell 10 will no longer be parallel, and the skirt 31 will undergo a slight deformation to ensure a good seal.
如图4所示,三个调节孔11呈V形布置,夹角α为90°至120°之间。As shown in FIG. 4 , the three adjustment holes 11 are arranged in a V shape, and the included angle α is between 90° and 120°.
需要注意的是,这里所使用的术语仅是为了描述具体实施方式,而非意图限制根据本申请的示例性实施方式。如在这里所使用的,除非上下文另外明确指出,否则单数形式也意图包括复数形式,此外,还应当理解的是,当在本说明书中使用术语“包含”和/或“包括”时,其指明存在特征、步骤、操作、器件、组件和/或它们的组合。It should be noted that the terminology used here is only for describing specific implementations, and is not intended to limit the exemplary implementations according to the present application. As used herein, unless the context clearly indicates otherwise, the singular form is also intended to include the plural form. In addition, it should also be understood that when the terms "comprising" and/or "comprises" are used in this specification, they indicate the presence of features, steps, operations, means, components and/or combinations thereof.
此外,需要说明的是,使用“第一”、“第二”等词语来限定零部件,仅仅是为了便于对相应零部件进行区别,如没有另行声明,上述词语并没有特殊含义,因此不能理解为对本发明保护范围的限制。In addition, it should be noted that the use of words such as "first" and "second" to define parts is only for the convenience of distinguishing corresponding parts. If there is no other statement, the above words have no special meaning, so they should not be understood as limiting the protection scope of the present invention.
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 (10)
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| Application Number | Priority Date | Filing Date | Title |
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| CN202310697754.6A CN116473732A (en) | 2023-06-13 | 2023-06-13 | A kind of intervertebral fusion device prosthesis |
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| CN202310697754.6A CN116473732A (en) | 2023-06-13 | 2023-06-13 | A kind of intervertebral fusion device prosthesis |
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