TWI720668B - Skull implant - Google Patents
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- TWI720668B TWI720668B TW108138950A TW108138950A TWI720668B TW I720668 B TWI720668 B TW I720668B TW 108138950 A TW108138950 A TW 108138950A TW 108138950 A TW108138950 A TW 108138950A TW I720668 B TWI720668 B TW I720668B
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Abstract
本創作係一種頭顱骨植入物,其設於一頭顱骨並位於頭顱骨的破損口,頭顱骨植入物包含一強韌體、一生長體及多數緩衝件,強韌體位於破損口上方且為彈性材質,生長體設於強韌體周圍且抵接破損口的口緣,生長體為多孔隙材質,強韌體的截面厚度小於生長體的截面厚度,多數緩衝件設於生長體的周圍且接觸頭顱骨,本創作頭顱骨植入物運用多數鎖固件鎖固緩衝件於頭顱骨,生長體可供頭顱骨生長並癒合,提升穩定性及密合性,避免擴大破損口的範圍,強韌體承受撞擊或擠壓的壓力或扭力並稍微形變,以消除壓力或扭力並回復形狀,避免頭顱骨植入物裂開。This creation is a kind of skull implant, which is set on a skull and located at the broken mouth of the skull. The skull implant includes a strong body, a growth body and many cushioning parts, and the strong body is located above the broken mouth. It is made of elastic material. The growth body is set around the tough body and abuts the edge of the broken opening. The growth body is made of porous material. The cross-sectional thickness of the tough body is smaller than the cross-sectional thickness of the growth body. Most of the buffers are provided in the growth body. Surrounding and in contact with the skull, the skull implant of this creation uses most locks to lock the buffer on the skull. The growth body can allow the skull to grow and heal, improve stability and tightness, and avoid expanding the scope of the damaged mouth. The tough body bears the pressure or torsion of impact or squeeze and deforms slightly to eliminate the pressure or torsion and restore its shape to prevent the skull implant from cracking.
Description
本創作係一種頭顱骨植入物,尤指一種能與自體骨癒合且提供抗扭及抗壓的頭顱骨植入物。This creation is a skull implant, especially a skull implant that can heal with autogenous bone and provide resistance to torsion and compression.
頭顱骨位於大腦的外側,係為保護大腦不受到衝擊或撞擊的重要保護,對於人體之生命安全是不可或缺的存在,然而頭顱骨受到外物撞擊或擠壓而破損或裂損,卻是臨床上不會少見的病例,頭顱骨受到損傷後不可沒有遮覆保護重要的大腦,因此頭顱骨的植入物就是目前頭顱骨破損的重要替代物。The skull is located on the outer side of the brain. It is an important protection to protect the brain from impacts or impacts. It is indispensable for the life safety of the human body. However, the skull is damaged or cracked by impact or compression by foreign objects. In clinically rare cases, the skull cannot be covered to protect the important brain after being damaged. Therefore, the implant of the skull is an important substitute for the damage of the skull.
現有頭顱骨植入物以一透氣顱板遮覆在頭顱骨的破損口處,該透氣顱板係為相等厚度的板片所製成之構件,且該透氣顱板上具有多數個孔洞,植入的方法係可分為支撐式植入法、鎖固式植入法以及延伸鎖固法,支撐式植入法係以一支撐架,將該透氣顱板鎖設於該支撐架上,並以緊迫的方式將該支撐架抵靠在該頭顱骨的破損口的口緣,這種方式快速且方便,缺點在於當該頭顱骨在受到擠壓或扭轉的力量時,該支撐架受到壓力或扭力容易被擠出該頭顱骨的破損口,因此支撐式植入法的穩定性不佳,該鎖固式植入法將該透氣顱板遮覆在該破損口,用多數個鎖固件將該透氣顱板鎖固於該頭顱骨上,增加該透氣顱板在該頭顱骨上的穩定性,但該頭顱骨的破損口周圍的骨質因受到損傷而變得脆弱,該頭顱骨稍有擠壓或扭轉可能會將該破損口擴大,危及該多數鎖固件的固定,反而使該頭顱骨的損傷更為嚴重,延伸鎖固法係於該透氣顱板的周圍延伸出多數個固定片,將該多數個鎖固件穿過該多數固定片並鎖固於該頭顱骨上,則該多數鎖固件鎖固的位置可遠離該破損口的周圍,可有效解決該鎖固式植入法鎖固的骨質脆弱的問題,但延伸鎖固法的鎖固點離該破損口較遠,會造成該透氣顱板與該頭顱骨之間存有縫隙。Existing skull implants cover the damaged opening of the skull with a breathable skull plate. The breathable skull plate is a component made of plates of equal thickness, and the breathable skull plate has a plurality of holes. The method of entry can be divided into supporting implantation method, locking implantation method and extension locking method. The supporting implantation method uses a support frame to lock the ventilated cranial plate on the support frame, and The support frame is pressed against the edge of the fractured opening of the skull in a pressing manner. This method is quick and convenient. The disadvantage is that when the skull is squeezed or twisted, the support frame is subjected to pressure or Torsion is easy to be squeezed out of the damaged opening of the skull, so the stability of the supporting implantation method is not good. The locking implantation method covers the ventilated skull plate on the damaged opening. The air-permeable skull plate is locked on the skull to increase the stability of the air-permeable skull plate on the skull, but the bone around the fractured opening of the skull becomes fragile due to damage, and the skull is slightly squeezed Or twisting may enlarge the broken opening, endanger the fixation of the majority of the fasteners, and make the skull damage more serious. The extension locking method is to extend the plurality of fixation sheets around the ventilated skull plate. If a plurality of locking members pass through the plurality of fixing plates and are locked on the skull, the locking position of the plurality of locking members can be far away from the periphery of the broken opening, which can effectively solve the problem of the bones locked by the locking implantation method. The problem of fragility, but the locking point of the extension locking method is far away from the broken opening, which will cause a gap between the ventilating skull plate and the skull.
上述以該透氣顱板的植入方法,皆係將該透氣顱板遮住該頭顱骨的破損口,該透氣顱板與該頭顱骨係以貼抵的方式組合,則該透氣顱板與該頭顱骨仍為兩個分別獨立的構件,該透氣顱板無法與該頭顱骨癒合,當人體的頭部再次受到撞擊的壓力或擠壓的扭力時,很容易在從該頭顱骨與該透氣顱板的貼抵處破裂,擴大該破損口的範圍,為解決上述問題,產生一種具有多孔質層的頭骨植入物,該多孔質層與該頭顱骨的破損口的口緣抵接,該多孔質層具有多數個密合孔,該多數密合孔可供該頭顱骨生長骨骼之空間,該頭顱骨生長的骨骼伸入該多孔質層,則該頭骨植入物即能與該頭顱骨癒合,則當人體的頭部再次受到壓力或扭力時,該頭顱骨生長入該多孔質層的骨骼強韌且具彈性,可以抵抗壓力或扭力而避免由該多孔質層與該頭顱骨的抵接位置破裂。The above-mentioned implantation method of the ventilated cranial plate is that the ventilated cranial plate covers the broken mouth of the skull, and the ventilated cranial plate and the skull are combined in a sticking manner, then the ventilated skull plate and the The skull is still two separate components. The breathable skull cannot heal with the skull. When the head of the human body is subjected to impact pressure or squeezing torsion again, it is easy to connect the skull to the breathable skull. In order to solve the above-mentioned problems, a skull implant with a porous layer is produced. The porous layer abuts against the edge of the damaged orifice of the skull. The stromal layer has a plurality of close holes, and the plurality of close holes can provide space for the skull to grow bones. The bones of the skull grow into the porous layer, and the skull implant can heal with the skull , When the head of the human body is subjected to pressure or torsion again, the bones of the skull that grow into the porous layer are strong and elastic, and can resist pressure or torsion and avoid contact between the porous layer and the skull The location is broken.
然而,該頭顱骨生長的骨骼只會延伸到該多孔質層的周圍,意即該頭顱骨的生長不到該多孔質層的中央,而該頭骨植入物的該多孔質層的厚度均一,當人體的頭部再次受到壓力或扭力時,該多孔質層的中央會受到由該多孔質層周圍與該頭顱骨癒合而抵抗的應力,使得該多孔質層的中央破裂,造成該頭骨植入物抗壓及抗扭性不佳的問題。However, the bones of the skull only extend to the periphery of the porous layer, which means that the skull does not grow in the center of the porous layer, and the thickness of the porous layer of the skull implant is uniform. When the head of the human body is subjected to pressure or torsion again, the center of the porous layer will receive the stress resisted by the healing of the surrounding porous layer with the skull, causing the center of the porous layer to rupture, causing the skull to be implanted The problem of poor resistance to compression and torsion.
本創作之主要目的在於提供一種頭顱骨植入物,藉以改善現有透氣顱板無法與頭顱骨癒合,易於破損口處再次破裂,以及多孔質層的頭骨植入物的厚度均一,造成抗壓及抗扭性不佳的問題。The main purpose of this creation is to provide a skull implant, so as to improve the ability of the existing breathable skull plate to be unable to heal with the skull, which is prone to rupture again at the damaged mouth, and the thickness of the porous layer of the skull implant is uniform, resulting in compression and resistance. The problem of poor torsion resistance.
為達成前揭目的,本創作頭顱骨植入物設於一頭顱骨並位於該頭顱骨上的破損口,該頭顱骨植入物包含: 一強韌體,該強韌體係位於該頭顱骨的破損口的上方,該強韌體係為具有彈性之材質所製成之構件; 一生長體,該生長體設於該強韌體的周圍且組設於該頭顱骨,該生長體的外緣抵接該破損口的口緣,該生長體係為多孔隙材質所製成之構件,該強韌體的截面厚度小於該生長體的截面厚度,且該生長體鄰近該強韌體處的截面厚度小於該生長體鄰近該破損口處的截面厚度,該生長體的截面厚度係由外向內尺寸漸縮;以及 多數個緩衝件,該多數緩衝件間隔排列地設於該生長體的周圍,該多數緩衝件係接觸該頭顱骨的外側面。 In order to achieve the above-mentioned purpose, the skull implant of this creation is set in a skull and located at the broken opening on the skull. The skull implant includes: A tough body, the tough system is located above the broken opening of the skull, and the tough system is a member made of elastic material; A growth body, the growth body is arranged around the tough body and assembled on the skull, the outer edge of the growth body abuts the mouth of the broken mouth, the growth system is a member made of porous material , The cross-sectional thickness of the tough body is less than the cross-sectional thickness of the growth body, and the cross-sectional thickness of the growth body adjacent to the tough body is less than the cross-sectional thickness of the growth body adjacent to the broken opening, and the cross-sectional thickness of the growth body is determined by Tapering in size from outside to inside; and A plurality of buffer members are arranged at intervals around the growth body, and the plurality of buffer members are in contact with the outer surface of the skull.
本創作頭顱骨植入物安裝於該頭顱骨的破損口上,運用多數個鎖固件鎖固於該多數緩衝件,則該數緩衝件提供該生長體及該強韌體穩固地定位於該頭顱骨,且該生長體與該破損口的口緣抵接,藉由該生長體的多孔隙材質可供該頭顱骨生長並癒合,可提升穩定性及密合性,藉由該強韌體的截面厚度小於該生長體的截面厚度,該強韌體可承受到撞擊或擠壓的壓力或扭力並稍微暫時的形變,以消除壓力或扭力並回復該強韌體的形狀,保持該頭顱骨植入物的完整,該強韌體可避免該頭顱骨植入物裂開,該生長體與該頭顱骨癒合可避免擴大該破損口的範圍。The skull implant of the present creation is installed on the broken mouth of the skull, and a plurality of locking members are used to lock the plurality of buffer members, and then the plurality of buffer members provide the growth body and the strong body to be firmly positioned on the skull , And the growth body abuts against the mouth edge of the broken mouth, the porous material of the growth body can allow the skull to grow and heal, which can improve the stability and adhesion. The thickness is less than the cross-sectional thickness of the growth body, the strong body can withstand the pressure or torsion of impact or squeeze and deform slightly temporarily to eliminate the pressure or torsion and restore the shape of the strong body to keep the skull implanted The integrity of the object, the tough body can prevent the skull implant from splitting, and the healing of the growth body with the skull can prevent the expansion of the damaged opening.
如圖1、圖2及圖4所示,係揭示本創作頭顱骨植入物之一較佳實施例,由圖式可知,本創作頭顱骨植入物設於一頭顱骨40並位於該頭顱骨40上的破損口41,該頭顱骨植入物包含一強韌體10、一生長體20及多數個緩衝件30。As shown in Figure 1, Figure 2 and Figure 4, a preferred embodiment of the creative skull implant is disclosed. It can be seen from the drawings that the creative skull implant is set on a
如圖1、圖3及圖4所示,該強韌體10係位於該頭顱骨40的破損口41的上方,該強韌體10係為具有彈性之材質所製成之構件,其中,該強韌體10具有多數個間隔排列的透氣孔11,且該強韌體10的截面形狀形成拱橋形狀,於本實施例中,該強韌體10係可為鈦或鈦合金所製成之構件。As shown in Figure 1, Figure 3 and Figure 4, the
如圖3至圖5所示,該生長體20設於該強韌體10的周圍且組設於該頭顱骨40,該生長體20的外緣抵接該破損口41的口緣,該生長體20係為多孔隙材質所製成之構件,該強韌體10的截面厚度小於該生長體20的截面厚度,且該生長體20鄰近該強韌體10處的截面厚度小於該生長體20鄰近該破損口處41的截面厚度,該生長體20的截面厚度係由外向內尺寸漸縮,於本實施例中,該生長體20鄰近該破損口處41的截面厚度係為4公厘以內,該生長體20鄰近該強韌體10的截面厚度以及該強韌體10的截面厚度皆為2公厘以內,意即該生長體20的截面厚度不等厚,該生長體20的截面厚度與該強韌體10的截面厚度亦不等厚。As shown in Figures 3 to 5, the
如圖5至圖7所示,該多數緩衝件30間隔排列地設於該生長體20的周圍,該多數緩衝件30係接觸該頭顱骨40的外側面,其中,每一緩衝件30包含一銜接片31及一固接片32,該銜接片31的一端設於該生長體20之周圍,該固接片32形成於該銜接片31的另一端且該固接片32與該頭顱骨40接觸,該固接片32上具有一穿孔33,另外,如圖8及圖9所示,每一緩衝件30包含一彎曲段34,該彎曲段34係位於該緩衝件30的中間處,讓該緩衝件30的兩端之間產生高度落差。As shown in FIGS. 5 to 7, the plurality of
如圖3至圖5所示,係揭示本創作頭顱骨植入物之一較佳實施例,人體的頭顱骨40上因撞擊或擠壓而產生破損口41,醫生可運用該頭顱骨植入物安裝在該頭顱骨40並使該生長體20接觸在該破損口41的口緣,醫生會把該頭顱骨40的破損口41周圍磨出可容置該多數緩衝件30的凹槽42,將該多數個緩衝件30放置於該多數凹槽42,用多數個鎖固件50穿過該多數緩衝件30並鎖固在該頭顱骨40上,該多數鎖固件50穿過該多數穿孔33並鎖固該多數固接片32於該頭顱骨40,則該多數緩衝件30可提供該生長體20初期的支撐,待該頭顱骨40經過骨血生長而伸入該生長體20的多孔隙材質中,使得該生長體20與該頭顱骨40加速癒合成一體之結構,提升該生長體20與該頭顱骨40之間的密合性及穩固性,當該頭顱骨40再次受到撞擊或擠壓,該頭顱骨40受到壓力或扭力作用於該生長體20時,因該頭顱骨40與該生長體20癒合而增加穩定性及密合性,可避免再次從該破損口41裂開,並且該多數凹槽42容置該多數緩衝件30,可於手術後的頭顱骨植入物可以與該人體的頭顱骨40的接合處呈現平滑的狀態,避免手術後接合處的明顯凸起。As shown in Figures 3 to 5, a preferred embodiment of the skull implant of the present invention is disclosed. The
上述中,當該頭顱骨40再次受到撞擊或擠壓,該生長體20受到壓力或扭力的應力作用會將應力傳到該強韌體10,因該強韌體10的截面厚度小於該生長體20的截面厚度,該強韌體10因應所承受的壓力或扭力而稍微形變,然後該強韌體10會藉著自身彈性消除撞擊或擠壓產生的壓力或扭力而回復,該強韌體10則成為具有抵抗壓力或扭力的結構,有效消除壓力或扭力而保持該頭顱骨植入物的完整。In the above, when the
另外,如圖4、圖7及圖9所示,本創作頭顱骨植入物的緩衝件30提供該生長體20初期的支撐,可在該頭顱骨40還未生長出伸入該生長體20的骨骼時,穩固該生長體20於該頭顱骨40的破損口41處,該生長體20於初期安裝於該頭顱骨40上時,該多數緩衝件30應變受到撞擊或擠壓而產生壓力或扭力的狀況,可以讓該生長體20隨著壓力或扭力讓該頭顱骨40變形而調整,該強韌體10係為鈦或鈦合金所製成之構件係提供足夠抵抗撞擊或擠壓的硬度,充分保護該頭顱骨40內的大腦,該頭顱骨植入物植入該頭顱骨40後的外觀具一致性且自然,其中,該彎曲段34係可讓該緩衝件30在受到撞擊或擠壓的狀況下,提供該緩衝件30形變的空間,讓該緩衝件30可以分散撞擊或擠壓而產生的壓力或扭力。In addition, as shown in FIGS. 4, 7 and 9, the
綜上所述,本創作頭顱骨植入物藉由該多數緩衝件30,將該生長體20及該強韌體10穩固地固定於該頭顱骨40上,藉由該生長體20的多孔隙材質,該生長體20與該頭顱骨40接觸,可供該頭顱骨40生長並癒合,可提升穩定性及密合性,藉由該強韌體10的截面厚度小於該生長體20的截面厚度,該強韌體10可承受到撞擊或擠壓的壓力或扭力,保持該頭顱骨植入物的完整,避免該頭顱骨植入物裂開或破損。In summary, the cranial implant of the present creation firmly fixes the
10:強韌體 11:透氣孔 20:生長體 30:緩衝件 31:銜接片 32:固接片 33:穿孔 34:彎曲段 40:頭顱骨 41:破損口 42:凹槽 50:鎖固件10: Toughness 11: Vent holes 20: Growth body 30: Buffer 31: Connection piece 32: Fixing piece 33: Piercing 34: curved section 40: Skull 41: Broken mouth 42: Groove 50: lock firmware
圖1:本創作頭顱骨植入物之一較佳實施例之俯視示意圖。 圖2:本創作頭顱骨植入物之一較佳實施例之側視示意圖。 圖3:本創作頭顱骨植入物之一較佳實施例之側視剖面示意圖。 圖4:本創作頭顱骨植入物之一較佳實施例之安裝態樣之立體分解示意圖。 圖5:本創作頭顱骨植入物之一較佳實施例之安裝態樣之側視剖面示意圖。 圖6:本創作頭顱骨植入物之一較佳實施例之緩衝件之局部放大之立體示意圖。 圖7:本創作頭顱骨植入物之一較佳實施例之緩衝件之安裝態樣之局部放大之側視示意圖。 圖8:本創作頭顱骨植入物之一較佳實施例之另一緩衝件之局部放大之立體示意圖。 圖9:本創作頭顱骨植入物之一較佳實施例之另一緩衝件之安裝態樣之局部放大之側視示意圖。 Figure 1: A schematic top view of a preferred embodiment of the skull implant of the present invention. Figure 2: A schematic side view of a preferred embodiment of the skull implant of the present invention. Figure 3: A schematic side sectional view of a preferred embodiment of the skull implant of the present invention. Fig. 4: A three-dimensional exploded schematic diagram of the installation state of a preferred embodiment of the skull implant of the present invention. Figure 5: A schematic side sectional view of the installation state of a preferred embodiment of the skull implant of the present invention. Figure 6: A partially enlarged three-dimensional schematic diagram of the cushioning member of a preferred embodiment of the inventive skull implant. Fig. 7: A partial enlarged schematic side view of the installation state of the cushioning member of a preferred embodiment of the skull implant of the present invention. Fig. 8: A partial enlarged perspective view of another cushioning member of a preferred embodiment of the skull implant of the present invention. Fig. 9: A partial enlarged schematic side view of the installation state of another cushioning member of a preferred embodiment of the skull implant of the present invention.
10:強韌體 10: Toughness
11:透氣孔 11: Vent holes
20:生長體 20: Growth body
30:緩衝件 30: Buffer
32:固接片 32: Fixing piece
33:穿孔 33: Piercing
Claims (7)
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Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
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US20060224242A1 (en) * | 2003-04-16 | 2006-10-05 | Porex Surgical, Inc. | Craniofacial implant |
CN1972644B (en) * | 2003-11-21 | 2010-08-25 | 骨棚国际私人有限公司 | Bioabsorbable plug implants and method for bone tissue regeneration |
CN103002831A (en) * | 2010-06-11 | 2013-03-27 | 新宁医院 | Method of forming patient-specific implants |
CN108348338A (en) * | 2015-09-10 | 2018-07-31 | Obl股份公司 | Medical Devices |
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2019
- 2019-10-29 TW TW108138950A patent/TWI720668B/en not_active IP Right Cessation
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20060224242A1 (en) * | 2003-04-16 | 2006-10-05 | Porex Surgical, Inc. | Craniofacial implant |
CN1972644B (en) * | 2003-11-21 | 2010-08-25 | 骨棚国际私人有限公司 | Bioabsorbable plug implants and method for bone tissue regeneration |
CN103002831A (en) * | 2010-06-11 | 2013-03-27 | 新宁医院 | Method of forming patient-specific implants |
CN108348338A (en) * | 2015-09-10 | 2018-07-31 | Obl股份公司 | Medical Devices |
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