CN117814964A - Vertebral body prosthesis - Google Patents
Vertebral body prosthesis Download PDFInfo
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- CN117814964A CN117814964A CN202410242319.9A CN202410242319A CN117814964A CN 117814964 A CN117814964 A CN 117814964A CN 202410242319 A CN202410242319 A CN 202410242319A CN 117814964 A CN117814964 A CN 117814964A
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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
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
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- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Neurology (AREA)
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- Life Sciences & Earth Sciences (AREA)
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- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
Description
技术领域Technical Field
本发明涉及人工假体领域,具体而言,涉及一种椎体假体。The present invention relates to the field of artificial prostheses, and in particular to a vertebral prosthesis.
背景技术Background technique
人体的脊柱会由于病患或外力影响而发生破坏,例如椎体肿瘤、严重粉碎性骨折以及结核等感染性疾病,并可能导致脊髓、神经损害或出现椎节的塌陷及脊柱的成角畸形,神经功能障碍或成角畸形明显者常需行椎体切除术。而人工椎体的出现脊柱肿瘤、脊柱结核及外伤患者提供了一个较为可靠的治疗方法。The human spine can be damaged by illness or external forces, such as vertebral tumors, severe comminuted fractures, and infectious diseases such as tuberculosis, which may cause spinal cord and nerve damage or vertebral collapse and angular deformity of the spine. Patients with obvious neurological dysfunction or angular deformity often need vertebrae resection. The appearance of artificial vertebrae provides a more reliable treatment method for patients with spinal tumors, spinal tuberculosis and trauma.
在椎体切除术中,为了保留尽可能多的椎体本体或手术操作过程中不可避免的人工误差,脊柱的上下截骨表面往往不能够完全平行,使得植入的椎体假体与截骨表面契合困难。During vertebral resection, in order to preserve as much of the vertebral body as possible or due to inevitable human errors during the surgical operation, the upper and lower osteotomy surfaces of the spine are often not completely parallel, making it difficult for the implanted vertebral prosthesis to fit the osteotomy surface.
本发明的主要目的在于提供一种椎体假体,以解决现有技术中椎体假体难以契合脊柱不同倾角截骨面的问题。The main purpose of the present invention is to provide a vertebral prosthesis to solve the problem in the prior art that the vertebral prosthesis is difficult to fit the osteotomy surfaces of the spine with different inclination angles.
发明内容Summary of the invention
为了实现上述目的,本发明提供了一种椎体假体,包括:椎板,具有第一锥面及其锥顶的第一球窝和锥面的第二球窝;椎体,具有第二锥面及其锥顶的第一球头,还具有内部的横倾腔和纵倾腔;调节机构,具有连接椎板和椎体的弹性元件,插设在横倾腔的第一旋钮、叉形部和联动柱以及插设在纵倾腔的第二旋钮,叉形部和联动柱可移动的设置在横倾腔内。In order to achieve the above-mentioned purpose, the present invention provides a vertebral prosthesis, comprising: a vertebral plate, a first ball socket having a first conical surface and a conical top and a second ball socket on the conical surface; a vertebral body, a first ball head having a second conical surface and a conical top, and also having an internal transverse tilt cavity and a longitudinal tilt cavity; an adjustment mechanism, comprising an elastic element connecting the vertebral plate and the vertebral body, a first knob, a fork-shaped portion and a linkage column inserted in the transverse tilt cavity, and a second knob inserted in the longitudinal tilt cavity, the fork-shaped portion and the linkage column being movably arranged in the transverse tilt cavity.
进一步地,第一锥面的锥顶、第二锥面的锥顶、第一球头的球心、第一球窝的球心位于同一点。Furthermore, the apex of the first conical surface, the apex of the second conical surface, the center of the first ball head, and the center of the first ball socket are located at the same point.
进一步地,弹性元件为拉伸元件,连接椎板和椎体并提供拉力。Furthermore, the elastic element is a tensile element, which connects the vertebral plate and the vertebral body and provides tension.
进一步地,第一旋钮具有轴线共线的第一操作部、同心轴、齿轮部,第一旋钮既可转动又可移动地设置在横倾腔内。Furthermore, the first knob comprises a first operating portion, a coaxial shaft, and a gear portion, the axes of which are colinear, and the first knob is rotatably and movably arranged in the tilt cavity.
进一步地,第二旋钮具有凸出椎体的第二操作部及中心的内螺纹,第二旋钮可转动地设置在纵倾腔内。Furthermore, the second knob has a second operating portion protruding from the cone and an internal thread at the center, and the second knob is rotatably arranged in the trim cavity.
进一步地,叉形部设有承载同心轴的转动孔、插设齿轮部的豁口,底部设有外螺纹与第二旋钮的内螺纹相配合,叉形部可移动地设置在横倾腔内。Furthermore, the fork-shaped part is provided with a rotating hole for carrying the coaxial shaft and a notch for inserting the gear part, and the bottom is provided with an external thread that matches the internal thread of the second knob, and the fork-shaped part is movably arranged in the transverse tilt cavity.
进一步地,联动柱设有抵接在第二球窝的第二球头以及与齿轮部相啮合的齿条部,联动柱可移动的设置在横倾腔内。Furthermore, the linkage column is provided with a second ball head abutting against the second ball socket and a rack portion meshing with the gear portion, and the linkage column is movably arranged in the transverse tilt cavity.
进一步地,联动柱至少存在两个,平行设置在齿轮部两侧。Furthermore, there are at least two linkage columns, which are arranged in parallel on both sides of the gear portion.
进一步地,第二球窝直径大于第二球头直径。Furthermore, the diameter of the second ball socket is greater than the diameter of the second ball head.
进一步地,横倾腔内壁设有转轴部向外贯通椎体,同心轴既可转动又可移动地设置在横倾腔内。Furthermore, a rotating shaft portion is provided on the inner wall of the transverse tilt cavity and penetrates the vertebral body outwardly, and the coaxial shaft is rotatably and movably arranged in the transverse tilt cavity.
应用本发明的技术方案,一种椎体假体,包括:椎板,具有第一锥面及其锥顶的第一球窝和锥面的第二球窝;椎体,具有第二锥面及其锥顶的第一球头,还具有内部的横倾腔和纵倾腔;调节机构,具有连接椎板和椎体的弹性元件,插设在横倾腔的第一旋钮、叉形部和联动柱以及插设在纵倾腔的第二旋钮,叉形部和联动柱可移动的设置在横倾腔内。在椎体假体植入过程中,可以调节椎体的前后倾角以及左右倾角来匹配不同角度的截骨面,使植入的椎体假体与截骨表面更加契合。Using the technical solution of the present invention, a vertebral prosthesis includes: a vertebral plate, a first ball socket with a first cone surface and its cone top, and a second ball socket on the cone surface; a vertebral body, a first ball head with a second cone surface and its cone top, and an internal transverse tilt cavity and longitudinal tilt cavity; an adjustment mechanism, an elastic element connecting the vertebral plate and the vertebral body, a first knob, a fork-shaped portion, and a linkage column inserted in the transverse tilt cavity, and a second knob inserted in the longitudinal tilt cavity, the fork-shaped portion and the linkage column are movably arranged in the transverse tilt cavity. During the implantation of the vertebral prosthesis, the anterior-posterior tilt angle and the left-right tilt angle of the vertebral body can be adjusted to match the osteotomy surfaces of different angles, so that the implanted vertebral prosthesis is more in line with the osteotomy surface.
附图说明BRIEF DESCRIPTION OF THE 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 drawings constituting a part of the present application are used to provide a further understanding of the present invention. The exemplary embodiments of the present invention and their descriptions are used to explain the present invention and do not constitute an improper limitation of the present invention. In the drawings:
图1示出了根据本发明的椎体假体的爆炸图;FIG1 shows an exploded view of a vertebral prosthesis according to the present invention;
图2示出了根据本发明的椎体假体的剖视图;FIG2 shows a cross-sectional view of a vertebral prosthesis according to the present invention;
图3示出了根据本发明的椎体假体的椎板的结构示意图;FIG3 is a schematic diagram showing the structure of a vertebral plate of a vertebral prosthesis according to the present invention;
图4示出了根据本发明的椎体假体的椎体的剖视图;FIG4 shows a cross-sectional view of a vertebral body of a vertebral prosthesis according to the present invention;
图5示出了根据本发明的椎体假体的第一旋钮的剖视;FIG5 shows a cross-sectional view of a first knob of a vertebral prosthesis according to the present invention;
图6示出了根据本发明的椎体假体的叉形部的剖视图;FIG6 shows a cross-sectional view of the fork portion of the vertebral prosthesis according to the present invention;
图7示出了根据本发明的椎体假体的齿条的结构示意图。FIG. 7 is a schematic structural diagram of a rack of a vertebral prosthesis according to the present invention.
其中,上述附图包括以下附图标记:The above drawings include the following reference numerals:
10、椎板;11、第一锥面;12、第一球窝;13、第二球窝;20、调节机构;21、弹性元件;22、第一旋钮;221、第一操作部;222、同心轴;223、齿轮部;23、第二旋钮;231、第二操作部;232、内螺纹;24、叉形部;241、转动孔;242、豁口;243、外螺纹;25、联动柱;251、第二球头;252、齿条部;30、椎体;31、第二锥面;32、第一球头;33、横倾腔;331、转轴部;34、纵倾腔。10. vertebral plate; 11. first conical surface; 12. first ball socket; 13. second ball socket; 20. adjustment mechanism; 21. elastic element; 22. first knob; 221. first operating part; 222. concentric axis; 223. gear part; 23. second knob; 231. second operating part; 232. internal thread; 24. fork-shaped part; 241. rotating hole; 242. notch; 243. external thread; 25. linkage column; 251. second ball head; 252. rack part; 30. vertebral body; 31. second conical surface; 32. first ball head; 33. transverse tilt cavity; 331. rotating shaft part; 34. longitudinal tilt cavity.
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 be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, rather than all the embodiments. The following description of at least one exemplary embodiment is actually only illustrative and is by no means intended to limit the present invention and its application or use. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.
如图1至图7所示,本发明提供了一种椎体假体,包括:椎板10,具有第一锥面11及其锥顶的第一球窝12和锥面的第二球窝13;椎体30,具有第二锥面31及其锥顶的第一球头32,还具有内部的横倾腔33和纵倾腔34;调节机构20,具有连接椎板10和椎体30的弹性元件21,插设在横倾腔33的第一旋钮22、叉形部24和联动柱25以及插设在纵倾腔34的第二旋钮23,叉形部24和联动柱25可移动的设置在横倾腔33内。As shown in Figures 1 to 7, the present invention provides a vertebral prosthesis, including: a vertebral plate 10, a first ball socket 12 having a first conical surface 11 and a conical top thereof, and a second ball socket 13 on the conical surface; a vertebral body 30, a first ball head 32 having a second conical surface 31 and a conical top thereof, and also having an internal transverse tilt cavity 33 and a longitudinal tilt cavity 34; an adjustment mechanism 20, comprising an elastic element 21 connecting the vertebral plate 10 and the vertebral body 30, a first knob 22, a fork-shaped portion 24 and a linkage column 25 inserted in the transverse tilt cavity 33, and a second knob 23 inserted in the longitudinal tilt cavity 34, wherein the fork-shaped portion 24 and the linkage column 25 are movably arranged in the transverse tilt cavity 33.
如图2和图3所示,第一锥面11的锥顶、第二锥面31的锥顶、第一球头32的球心、第一球窝12的球心位于同一点。保证椎板10在调节过程中围绕同一转动中心进行旋转。As shown in Figures 2 and 3, the apex of the first conical surface 11, the apex of the second conical surface 31, the center of the first ball head 32, and the center of the first ball socket 12 are located at the same point, ensuring that the vertebral plate 10 rotates around the same rotation center during the adjustment process.
在本实施例中,弹性元件21为拉伸元件,连接椎板10和椎体30并提供拉力,使椎板10紧贴椎体30。In this embodiment, the elastic element 21 is a tensile element, which connects the vertebral plate 10 and the vertebral body 30 and provides a tensile force so that the vertebral plate 10 is closely attached to the vertebral body 30 .
如图2和图5所示,第一旋钮22具有轴线共线的第一操作部221、同心轴222、齿轮部223,第一旋钮22既可转动又可移动地设置在横倾腔33内,转动第一操作部221带动齿轮部223在叉形部24的豁口242内旋转,。As shown in Figures 2 and 5, the first knob 22 has a first operating part 221, a concentric shaft 222, and a gear part 223 with colinear axes. The first knob 22 is rotatably and movably arranged in the transverse tilt cavity 33. Rotating the first operating part 221 drives the gear part 223 to rotate in the notch 242 of the fork-shaped part 24.
如图1和图4所示,第二旋钮23具有凸出椎体30的第二操作部231及中心的内螺纹232,第二旋钮23可转动地设置在纵倾腔34内,转动第二旋钮23带动叉形部24进行上下移动,调节椎板10的前后倾角。As shown in FIGS. 1 and 4 , the second knob 23 has a second operating portion 231 protruding from the vertebral body 30 and a central internal thread 232 . The second knob 23 is rotatably disposed in the longitudinal tilt cavity 34 . Rotating the second knob 23 drives the fork-shaped portion 24 to move up and down to adjust the front-back tilt angle of the vertebral plate 10 .
如图2和图6所示,叉形部24设有承载同心轴222的转动孔241、插设齿轮部223的豁口242,底部设有外螺纹243与第二旋钮23的内螺纹232相配合,叉形部24可移动地设置在横倾腔33内。As shown in Figures 2 and 6, the fork-shaped portion 24 is provided with a rotating hole 241 that carries the coaxial shaft 222, a notch 242 for inserting the gear portion 223, and an external thread 243 at the bottom that cooperates with the internal thread 232 of the second knob 23. The fork-shaped portion 24 is movably arranged in the transverse tilt cavity 33.
如图1和图7所示,联动柱25设有抵接在第二球窝13的第二球头251以及与齿轮部223相啮合的齿条部252,联动柱25可移动地设置在横倾腔33内,齿轮部223旋转可带动联动柱25在横倾腔33内上下移动,调节椎板10的左右倾角。As shown in Figures 1 and 7, the linkage column 25 is provided with a second ball head 251 abutting against the second ball socket 13 and a rack portion 252 meshing with the gear portion 223. The linkage column 25 is movably arranged in the transverse tilt cavity 33. The rotation of the gear portion 223 can drive the linkage column 25 to move up and down in the transverse tilt cavity 33 to adjust the left and right inclination angles of the vertebral plate 10.
特别地,联动柱25至少存在两个,平行设置在齿轮部223两侧。In particular, there are at least two linkage columns 25 , which are arranged in parallel on both sides of the gear portion 223 .
如图2所示,第二球窝13直径大于第二球头251直径,当椎板10出现倾角时,第二球头251可在第二球窝13内进行滑动而不产生应力,提高椎体假体的稳定性。As shown in FIG. 2 , the diameter of the second ball socket 13 is larger than the diameter of the second ball head 251 . When the vertebral plate 10 has an inclination angle, the second ball head 251 can slide in the second ball socket 13 without generating stress, thereby improving the stability of the vertebral prosthesis.
如图2和图4所示,横倾腔33内壁设有转轴部331向外贯通椎体30,同心轴222既可转动又可移动地设置在横倾腔33内。As shown in FIG. 2 and FIG. 4 , a rotating shaft portion 331 is provided on the inner wall of the transverse tilting cavity 33 and penetrates the vertebral body 30 outwardly. The coaxial shaft 222 is rotatably and movably disposed in the transverse tilting cavity 33 .
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 terms used herein are only for describing specific embodiments and are not intended to limit the exemplary embodiments 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 be understood that when the terms "comprise" and/or "include" are used in this specification, it indicates the presence of features, steps, operations, devices, 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 terms such as "first" and "second" to limit components is only for the convenience of distinguishing the corresponding components. Unless otherwise stated, the above terms have no special meaning and therefore cannot be understood as limiting the scope of protection 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 description is only a preferred embodiment of the present invention and is not intended to limit the present invention. For those skilled in the art, the present invention may have various modifications and variations. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention shall be included in the protection scope of the present invention.
Claims (10)
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| CN202410242319.9A CN117814964B (en) | 2024-03-04 | 2024-03-04 | A vertebral prosthesis |
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| CN202410242319.9A CN117814964B (en) | 2024-03-04 | 2024-03-04 | A vertebral prosthesis |
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| US20080243254A1 (en) * | 2007-03-29 | 2008-10-02 | Butler Michael S | Height adjustable spinal prostheses |
| US20100280616A1 (en) * | 2009-04-29 | 2010-11-04 | William Frasier | Minimally invasive corpectomy cage and instrument |
| WO2013158294A1 (en) * | 2012-04-16 | 2013-10-24 | Biospine, Llc | Multiple spindle adjustable interbody fusion devices and methods of use |
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| CN117814964B (en) | 2024-06-11 |
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