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CN105877877A - Assembled type minimally invasive lumbar interbody fusion apparatus - Google Patents

Assembled type minimally invasive lumbar interbody fusion apparatus Download PDF

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Publication number
CN105877877A
CN105877877A CN201510037993.4A CN201510037993A CN105877877A CN 105877877 A CN105877877 A CN 105877877A CN 201510037993 A CN201510037993 A CN 201510037993A CN 105877877 A CN105877877 A CN 105877877A
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fusion device
intervertebral
guide
sides
back side
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尹知训
丁红梅
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First Affiliated Hospital of Guangzhou Medical University
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First Affiliated Hospital of Guangzhou Medical University
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Abstract

本发明公开了一种组装式腰椎微创椎间融合器,包括设有背侧前后卡槽、中间导向柱的A部分和插装在A部分背侧的设有腹侧前后卡片、中间导向槽的B部分;所述融合器A部分由前端导向部和后侧体部组成;所述A部分前端导向部背侧有向两侧开口的卡槽,所述A部分后侧体部背侧中间有半园柱形导向柱,背侧后部两侧有向上开口的卡槽。所述融合器B部分前端导向部腹侧两边有卡片,所述B部分后侧体部腹侧中间有半园柱形导向凹槽,腹侧后部两侧有向后下的弹性卡片。本发明通过采用融合器A、B两部分的分体组装设计,在使用过程中,可将配套手柄串连式握持融合器A、B两部分,经椎间孔镜、椎间盘镜工作导管锤入椎间隙,当A部分进入椎间隙且后端出工作套管后,转动手柄180度,使A、B两部分上下相对锤入组装于椎间隙内,实现椎间盘镜或椎间孔镜下椎间融合术。

The invention discloses an assembled minimally invasive intervertebral fusion device for the lumbar spine, which comprises a part A provided with a dorsal front and rear card slot and a middle guide column, and a part A inserted on the back side of the A part with a ventral front and back card and a middle guide groove The part B of the fusion device; the part A of the fusion device is composed of a front-end guide part and a rear side body; the back side of the front-end guide part of the part A has a card slot opening to both sides, and the back side of the part A is in the middle of the back side A semi-cylindrical guide column is arranged, and upwardly opening draw-in grooves are arranged on both sides of the rear part of the back side. There are cards on both sides of the ventral side of the front end guide part of the B part of the fusion device, and there is a semi-cylindrical guide groove in the middle of the ventral side of the rear side of the B part, and there are elastic cards on both sides of the ventral rear part. The present invention adopts the split assembly design of the two parts of fusion device A and B. During use, the supporting handles can be used to hold the two parts of fusion device A and B in series, and the working catheter hammer through the intervertebral foramen mirror and the disc mirror Into the intervertebral space, when part A enters the intervertebral space and the rear end exits the working sleeve, turn the handle 180 degrees, so that the two parts A and B are hammered into the intervertebral space relative to each other up and down, so as to achieve intervertebral disc or intervertebral foramenoscopy. Interfusion.

Description

组装式腰椎微创椎间融合器Assembled Lumbar Minimally Invasive Intervertebral Fusion Cage

技术领域technical field

本发明涉及一种腰椎微创椎间融合器。The invention relates to a lumbar minimally invasive intervertebral fusion device.

背景技术Background technique

目前微创椎间融合术主要是通过小切口处理目标椎间隙,将填充骨材料的椎间融合器植入椎间隙,由于现有椎间融合器较大,无法通过椎间盘镜、椎间孔镜工作导管植入椎间隙。因此,尽管不少专家采用椎间盘镜、椎间孔镜下椎管减压、椎间盘处理,仍不能开展镜下、通道下等真正微创椎间融合术。At present, the minimally invasive intervertebral fusion mainly deals with the target intervertebral space through a small incision, and implants the intervertebral fusion device filled with bone material into the intervertebral space. Due to the large size of the existing intervertebral fusion device, it is impossible to pass through the intervertebral disc or foramina. A working catheter is inserted into the intervertebral space. Therefore, although many experts use discoscopy, intervertebral foraminal decompression of the spinal canal, and intervertebral disc treatment, it is still impossible to carry out real minimally invasive intervertebral fusion under the microscope and under the tunnel.

发明内容Contents of the invention

为了克服现有技术的不足,本发明的目的在于提供一种腰椎微创椎间融合器,其可方便于镜下、通道下椎间融合术。In order to overcome the deficiencies of the prior art, the object of the present invention is to provide a minimally invasive lumbar intervertebral fusion device, which can facilitate intervertebral fusion under the microscope and under the channel.

为解决上述问题,本发明所采用的技术方案如下:In order to solve the above problems, the technical scheme adopted in the present invention is as follows:

一种组装式腰椎微创椎间融合器,包括设有背侧前后卡槽、中间导向柱的A部分和插装在A部分背侧的设有腹侧前后卡片、中间导向槽的B部分;所述融合器A部分由前端导向部和后侧体部组成;所述A部分前端导向部背侧有向两侧开口的卡槽,所述A部分后侧体部背侧中间有半园柱形导向柱,背侧后部两侧有向上开口的卡槽。所述融合器B部分前端导向部腹侧两边有卡片,所述B部分后侧体部腹侧中间有半园柱形导向凹槽,腹侧后部两侧有向后下的弹性卡片。An assembled lumbar minimally invasive intervertebral fusion device, comprising a part A with dorsal front and rear card slots and a middle guide column, and a part B inserted on the back side of part A with ventral front and rear cards and a middle guide slot; The part A of the fusion device is composed of a front-end guide part and a rear side body; the back side of the front-end guide part of the part A has a card slot opening to both sides, and the back side of the part A has a semi-cylindrical column in the middle of the back side Shaped guide column, there are card slots opening upwards on both sides of the rear part of the back. There are cards on both sides of the ventral side of the front end guide part of the fusion device B, and there is a semi-cylindrical guide groove in the middle of the ventral side of the rear side of the B part, and there are elastic cards on both sides of the ventral rear part.

所述融合器A、B部分宽度为6mm、长度23mm,高度有4.5mm、5.5mm、6.5mm,组装后高度分别为9mm、11mm、13mm(要求工作通道内径分别为7.5mm、8.5mm、9.5mm)。The width of parts A and B of the fusion device is 6mm, the length is 23mm, and the height is 4.5mm, 5.5mm, 6.5mm. mm).

相比现有技术,本发明的有益效果在于:Compared with the prior art, the beneficial effects of the present invention are:

本发明通过采用融合器分体组装设计,在使用过程中,可将配套手柄串连式握持融合器A、B两部分,经椎间孔镜、椎间盘镜工作导管锤入椎间隙,当A部分进入椎间隙且后端出工作套管后,转动手柄180度,使A、B两部分上下相对锤入组装于椎间隙内,实现椎间盘镜或椎间孔镜下椎管减压、椎间处理后,经工作导管椎间融合术,形成真正的微创椎间融合技术。The present invention adopts the separate assembly design of the fusion device. During use, the matching handles can be used to hold the two parts of the fusion device A and B in series, and hammer them into the intervertebral space through the working catheter of the intervertebral foramen mirror and the intervertebral disc mirror. When A After the part enters the intervertebral space and the rear end exits the working sleeve, turn the handle 180 degrees so that the two parts A and B are hammered into the intervertebral space relative to each other up and down, so as to realize the decompression of the spinal canal under the intervertebral disc or intervertebral foramen After treatment, intervertebral fusion with a working catheter forms a truly minimally invasive intervertebral fusion technique.

附图说明Description of drawings

图1为本发明A、B部分的结构示意图;Fig. 1 is the structural representation of A, B part of the present invention;

图2为本发明A、B两部分的手柄串连式握持示意图;Fig. 2 is the schematic diagram of the serial grip of handles of A and B two parts of the present invention;

图3为本发明的组装示意图;Fig. 3 is the assembly schematic diagram of the present invention;

其中,1、融合器A部分;11、导向部下斜坡;12、导向部上斜坡;13、前卡槽;14、导向柱;15、后卡槽;16、前挡片;2、融合器B部分;21、前卡片;22、导向槽;23、后卡片;3、配套手柄;31、手柄后端;32、融合器A部分固定杆;33、推力螺母;4、工作导管。Among them, 1. part A of the fusion device; 11. the lower slope of the guide part; 12. the upper slope of the guide part; 13. the front slot; 14. the guide column; 15. the rear slot; 16. the front block; 21. Front card; 22. Guide groove; 23. Rear card; 3. Matching handle; 31. Rear end of handle; 32. Fixing rod of part A of fusion device; 33. Thrust nut; 4. Working catheter.

具体实施方式detailed description

下面,结合附图以及具体实施方式,对本发明做进一步描述,以便于更清楚的理解本发明所要求保护的技术思路。In the following, the present invention will be further described in conjunction with the accompanying drawings and specific embodiments, so as to understand the technical ideas claimed in the present invention more clearly.

如图1、2、3所示,为本发明的一种组装式微创椎间融合器,包括设有背侧前卡槽13、后卡槽15、中间导向柱14的A部分1和插装在A部分1背侧的设有腹侧前卡片21、后卡片23、中间导向槽22的B部分2;所述A部分前端导向部背侧有向两侧开口的卡槽13,卡槽前端有前挡片16,以便与B部分的导向部前卡片21交锁,并阻挡B部分向前滑移;所述A部分体部背侧中间有半园柱形分段导向柱14,与B部分体部腹侧中间半园柱形导向槽22相匹配,以引导B部分2与A部分1精确组装,并相互交锁;所述A部分体部后端背侧两侧有向上开口的后卡槽15,以便与B部分腹侧后部两侧弹性后卡片23相交锁。As shown in Figures 1, 2, and 3, it is an assembled minimally invasive intervertebral fusion device of the present invention, which includes A part 1 with a dorsal front slot 13, a rear slot 15, a middle guide column 14, and an insertion Installed on the back side of part A 1, part B 2 is provided with ventral front card 21, rear card 23, and middle guide groove 22; the back side of the front guide part of part A has a card slot 13 open to both sides, and the card slot The front end has a front catch 16 so as to be interlocked with the guide part front card 21 of the B part, and prevent the B part from sliding forward; there is a semi-cylindrical segmented guide column 14 in the middle of the back side of the A part body, and The semi-cylindrical guide groove 22 in the middle of the ventral side of the B part body is matched to guide the precise assembly of the B part 2 and the A part 1, and interlock each other; there are upward openings on both sides of the rear end of the A part body. The rear card slot 15 is so as to be interlocked with the elastic rear cards 23 on both sides of the ventral rear part of the B part.

优选的,所述融合器具有A、B两部分,以便融合器分成两部分经过较小的工作导管达椎间隙,在椎间隙组装成合符高度要求的椎间融合器。融合器A、B两部分均为体部中空两侧多孔,便于填充骨材料和骨生长融合。Preferably, the fusion device has two parts, A and B, so that the fusion device is divided into two parts and reaches the intervertebral space through a smaller working catheter, and assembled into an intervertebral fusion device meeting the height requirement in the intervertebral space. Both parts A and B of the cage are hollow and porous on both sides, which is convenient for filling bone material and bone growth and fusion.

优选的,所述融合器A部分1背侧具有轴向半园柱形分段导向柱14,导向柱前端位于融合器导向部段向前延伸为自后上向前下降低的上斜坡12,与融合器导向部下斜坡11构成子弹头形,便于进入椎间隙;向两侧延伸形成前卡槽13,以便与融合器B部分前卡片21相交锁,阻止B部分2向前、向上、向两侧脱出。半园柱形导向柱14中后段在A部分1进入椎间隙后,有椎间撑开作用,为B部分2开始进入椎间隙预留空间;A部分1背侧导向柱14还与B部分腹侧导向槽22相匹配,能引导B部分2在A部分1背侧精确前移,成功装配;装配后A部分1背侧导向柱14与B部分腹侧导向槽22相互交锁。Preferably, the back side of part A of the fusion device has an axial semi-cylindrical segmented guide post 14, and the front end of the guide post is located at the guide section of the fusion device and extends forward to form an upper slope 12 that lowers from the back up to the front. It forms a bullet shape with the lower slope 11 of the guide part of the fusion cage, which is convenient for entering the intervertebral space; it extends to both sides to form a front card slot 13, so as to interlock with the front card 21 of the fusion cage B part, and prevent the B part 2 from moving forward, upward, and to both sides. side out. After the middle and rear sections of the semi-cylindrical guide post 14 enter the intervertebral space in the A part 1, there is an intervertebral distraction effect, which reserves a space for the B part 2 to enter the intervertebral space; The ventral guide groove 22 matches, and can guide the B part 2 to move forward accurately on the back side of the A part 1, and successfully assemble; after assembly, the dorsal guide post 14 of the A part 1 and the ventral guide groove 22 of the B part are interlocked.

优选的,所述融合器A部分1后端背侧两边具有开口向上的后卡槽15,以便与B部分2腹侧后部两侧弹性卡片23相交锁,阻止B部分2后退脱出;卡槽后壁沉降设计,便于B部分2开始滑向A部分1背侧。Preferably, both sides of the rear end of the fusion device A part 1 have rear card slots 15 with openings upward, so as to interlock with the elastic cards 23 on both sides of the ventral rear part of the B part 2, so as to prevent the B part 2 from retreating and falling out; the card slots The rear wall is designed to sink, so that part B 2 starts to slide to the back side of part A 1 .

在使用过程中,将融合器A、B部分1、2串连式固定于配套手柄3上,A部分1前B部分2后;使用者持握手柄3,将融合器通过工作导管4送达椎间隙缘,用锤锤击手柄后端31,将融合器A部分1锤入椎间隙;以融合器A部分固定杆32为轴,转动手柄3约180度,使融合B部分2转至融合器A部分1相对面,仍用锤锤击手柄后端31,将融合器B部分2锤入椎间隙,或结合拧紧推力螺母33,推动融合器B部分2以导向槽22沿融合器A部分导向柱14向前滑移,最后融合器B部分2与融合器A部分1组装,融合器B部分的前、后卡片21、23及导向槽22与融合器A部分1的前后卡槽13、15及导向柱14交锁。During use, parts A and B of fusion device 1 and 2 are fixed on the supporting handle 3 in series, with part A in front of part B and rear of part 2; the user holds the handle 3 and delivers the fusion device through the working catheter 4 At the edge of the intervertebral space, use a hammer to hammer the rear end 31 of the handle to hammer part A of the fusion cage into the intervertebral space; take the fixing rod 32 of part A of the fusion cage as the axis, and turn the handle 3 about 180 degrees to turn the fusion part B2 to fusion Part A of the cage is opposite to the face, and the rear end 31 of the handle is still hammered with a hammer to hammer the part B of the cage into the intervertebral space, or combined with tightening the thrust nut 33, and the part B of the cage is pushed to follow the guide groove 22 along the part A of the cage The guide column 14 slides forward, and finally the fusion device B part 2 is assembled with the fusion device A part 1, and the front and rear cards 21, 23 and guide grooves 22 of the fusion device B part are connected with the front and rear card slots 13, 23 of the fusion device A part 1. 15 and guide post 14 are interlocked.

上述实施方式仅为本发明的优选实施方式,不能以此来限定本发明的保护的范围,本领域的技术人员在本发明的基础上所做的任何非实质性的变化及替换均属于本发明所要求保护的范围。The above-mentioned embodiment is only a preferred embodiment of the present invention, and cannot be used to limit the protection scope of the present invention. Any insubstantial changes and substitutions made by those skilled in the art on the basis of the present invention belong to the present invention scope of protection claimed.

Claims (7)

1.一种组装式腰椎微创椎间融合器,其特征在于所述的椎间融合器包括相互匹配、交锁的椎间融合器A、B两部分组成,椎间融合器由钽金属制成。所述融合器A、B两部分均由前端导向部和后侧体部组成。1. An assembled lumbar minimally invasive intervertebral fusion device is characterized in that said intervertebral fusion device comprises two parts of intervertebral fusion device A and B that match each other and are interlocked, and the intervertebral fusion device is made of tantalum metal become. Both parts A and B of the fusion device are composed of a front-end guide part and a rear-side body part. 2.如权利要求1所述的融合器A部分,其特征在于:其前端导向部3mm长设为向前截面逐渐减少的楔形,背侧中间设有导向柱,导向柱自前移行为自后向前渐次降低的斜坡体,斜坡体两侧有内凹的弧形卡槽。2. The A part of fusion device as claimed in claim 1, characterized in that: the 3mm length of the front end guide part is set as a wedge shape with the front section gradually decreasing, and a guide column is arranged in the middle of the back side, and the guide column moves from the front to the rear. The slope body is gradually lowered forward, and the two sides of the slope body have concave arc-shaped draw-in grooves. 3.如权利要求1所述的融合器A部分,其特征在于:后侧体部背侧中间有半园柱形分段导向柱,导向柱前端均为自前向后渐次增高的斜坡,前段导向柱后端为半球体,后段导向柱后端有螺口。3. Part A of the fusion device as claimed in claim 1, characterized in that: there is a semi-cylindrical segmented guide column in the middle of the back side of the rear body, and the front ends of the guide column are slopes that gradually increase from front to back, and the front section guides The rear end of the post is a hemisphere, and the rear end of the guide post in the rear section has a screw port. 4.如权利要求1所述的融合器A部分,其特征在于:后部两侧有向上开口的卡槽。4. The part A of the fusion device according to claim 1, characterized in that: there are slots opening upwards on both sides of the rear part. 5.如权利要求1所述的融合器B部分,其特征在于:其前端导向部3mm长设为向前截面逐渐减少的楔形,导向部腹侧有与A部分导向部弧形卡槽相匹配的环抱设计,形成两侧前卡片。5. Part B of fusion device as claimed in claim 1, characterized in that: the 3 mm length of the front end guide part is set as a wedge shape with the front section gradually decreasing, and the ventral side of the guide part has an arc-shaped slot matching the guide part of part A The wraparound design forms the sides front card. 6.如权利要求1所述的融合器B部分,其特征在于:后侧体部背侧中间有半园柱形分段导向槽。6. The part B of the fusion device according to claim 1, characterized in that: there is a semi-cylindrical segmented guide groove in the middle of the back side of the rear body. 7.如权利要求1所述的融合器B部分,其特征在于:腹侧后部两侧有向后下的弹性后卡片。7. The part B of the fusion device according to claim 1, characterized in that: there are elastic back cards on both sides of the ventral rear part.
CN201510037993.4A 2015-01-26 2015-01-26 Assembled type minimally invasive lumbar interbody fusion apparatus Pending CN105877877A (en)

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CN109498221A (en) * 2018-12-28 2019-03-22 宁波华科润生物科技有限公司 A kind of assembly type vertebral fusion system through minimally invasive access approach
CN110693631A (en) * 2019-10-17 2020-01-17 徐州市中心医院 A reversible intervertebral fusion cage under endoscopic foramen

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CN106963522A (en) * 2017-04-21 2017-07-21 中国人民解放军第二军医大学第二附属医院 A kind of micro-wound pressure-reduced emerging system of posterolateral lumbar spinal
CN106963522B (en) * 2017-04-21 2018-09-11 中国人民解放军第二军医大学第二附属医院 A kind of micro-wound pressure-reduced emerging system of posterolateral lumbar spinal
CN109498221A (en) * 2018-12-28 2019-03-22 宁波华科润生物科技有限公司 A kind of assembly type vertebral fusion system through minimally invasive access approach
CN110693631A (en) * 2019-10-17 2020-01-17 徐州市中心医院 A reversible intervertebral fusion cage under endoscopic foramen

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