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WO2018199451A1 - Dispositif d'implant pour première vertèbre cervicale - Google Patents

Dispositif d'implant pour première vertèbre cervicale Download PDF

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Publication number
WO2018199451A1
WO2018199451A1 PCT/KR2018/002188 KR2018002188W WO2018199451A1 WO 2018199451 A1 WO2018199451 A1 WO 2018199451A1 KR 2018002188 W KR2018002188 W KR 2018002188W WO 2018199451 A1 WO2018199451 A1 WO 2018199451A1
Authority
WO
WIPO (PCT)
Prior art keywords
pair
implant
screw
cervical spine
cervical
Prior art date
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.)
Ceased
Application number
PCT/KR2018/002188
Other languages
English (en)
Korean (ko)
Inventor
박영섭
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.)
Individual
Original Assignee
Individual
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of WO2018199451A1 publication Critical patent/WO2018199451A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7032—Screws or hooks with U-shaped head or back through which longitudinal rods pass
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • A61B17/7011—Longitudinal element being non-straight, e.g. curved, angled or branched
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • 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

Definitions

  • the present invention relates to an implant device for cervical spine 1, more specifically, to further configure an additional support structure for an implant component to be inserted and fixed to the cervical spine bone 1, the cervical spine 1 only by the procedure of the implant component It relates to a cervical spinal implant device for enabling self-fixation and maintenance.
  • the cervical vertebra corresponds to the vertebral bone constituting the neck of the spine, and is a bone structure that forms the neck part between the skull and the spine of the spine.
  • This cervical spine consists of seven vertebral bones.
  • Screw fixation of the cervical spine is commonly used in the treatment of cervical cervical diseases such as the cervical hernial disk, cervical fractures and dislocations, and cervical spondylosis myelopathy. For this purpose, a lot of fixation using screws has been performed.
  • FIG. 1 is a view showing a schematic example of the configuration of the cervical implant device used for fixing the conventional cervical spine No.
  • Figure 2 is a cervical screw of the conventional cervical cervical first implant device is deformed by the movement of the cervical spine
  • FIG. 3 is a figure which shows an example of the procedure of the conventional cervical implant device.
  • the implant device 10 used in the conventional cervical spine No. 1 is configured as a pair of screw heads 11 and is inserted into the cervical cervical No. 1 pair and fixed.
  • a nut 13 used to fix and fix the rod 13 of the additional screw 12, the pair of additional screws 12, and the rod 13 to the pair of screw heads 11 14.
  • This conventional cervical spinal implant device 10 is shown in Figure 2, as shown in Figure 3, as the fixation of the pedicle screw 12 is not made alone, as shown in Figure 3, at least one remaining cervical spine bone Additional implant procedures will be performed.
  • Korean Patent Publication No. 10-0974498 discloses a cervical spine fixing device in the prior art document.
  • the present invention has been proposed to solve the above problems of the conventionally proposed method, by further comprising a fixed support configuration in the implant configuration to be inserted and fixed to the cervical spine No. 1 bone, only the procedure of the implant configuration Self-fixation at cervical spine 1 is possible, which solves the problem of limitation of cervical spine movement with the time and cost of additional cervical screw fixation 2 Its purpose is to provide.
  • a fixed support member configured to enable self-maintaining maintenance only by the procedure of the implant member through a fixed support for horizontally connecting the pair of additional screws in the lower position of the pair of screw heads of the implant component.
  • Each of the screw region is formed with a screw thread for insertion into the cervical spine No. 1 bone, and the shank region without a thread formed between the screw region and the screw head,
  • the shank area may be configured to have a length equal to the width for further fixing of the fixed support component.
  • the fixed support member may be configured to have a length equal to the width of the cross link to which it is connected.
  • the rod is,
  • It may be configured in an arch shape having a curvature corresponding to the shape of the cervical spine bone 1.
  • the fixed support component is
  • a pair of cross link members disposed and fastened to the shank area portions of the pair of additional screws of the implant component
  • the reinforcing support plate Even more preferably, the reinforcing support plate,
  • It may be configured in an arch shape having a curvature corresponding to the arch shape of the rod of the implant component.
  • the reinforcing support plate Even more preferably, the reinforcing support plate,
  • the connector plate of the implant configuration may be configured in a horizontal flat form.
  • the stationary support feature Even more preferably, the stationary support feature,
  • it may function as an iron core to reinforce.
  • the implant device for cervical spine No. 1 proposed in the present invention, by further comprising a fixed support component to the implant component to be inserted and fixed to the cervical spine No. 1, the self-fixing at the cervical spine No. 1 only by the procedure of the implant component It can be maintained.
  • the deformation of the alignment state can be prevented from being fixed to the fastening fixation of the surgically mounted screw of the implant component through the fixing support component together with the procedure of the implant component. can do.
  • the present invention in contrast to the cervical spine 1 implants, in addition to the cervical spine 1, additional implants are required in addition to the existing, it is possible to maintain the self-fixed only by the cervical spine 1 procedure, the implant procedure time can be reduced accordingly You can do that.
  • FIG. 1 is a view showing a configuration of a schematic example of a cervical surgical implant device inserted into a conventional cervical spine No. 1.
  • Figure 2 is a view showing an example of a configuration that the deformation of the cervical spine screw of the conventional implant device inserted into the cervical spine No. 1 comes.
  • FIG 3 is a view showing an example of a procedure in which a screw is additionally inserted and connected to the cervical spine 2 for the rigid fixation of the conventional cervical spine first implant device.
  • Figure 4 is a view showing a projection configuration of the cervical spine first implant device according to an embodiment of the present invention.
  • Figure 5 is a view showing a perspective view of a fastening assembly process of the cervical spine implant device according to an embodiment of the present invention.
  • Figure 6 is a view showing a perspective view of the cervical spine first implant device according to an embodiment of the present invention.
  • Figure 7 is a view showing the operation state of the cervical spine No. 1 implant device according to an embodiment of the present invention.
  • FIGS. 4 to 7 the cervical spine first implant device 100 according to an embodiment of the present invention may include an implant component 110 and a fixed support component 130. Can be.
  • the implant component 110 includes a pair of additional screws 112 and a pair of additional screws 112 inserted into the pair of screw heads 111 to be inserted and fixed to the cervical spine No. 1 bone.
  • the implant having a rod 113 for horizontally connecting the pair of screw heads 111 and a fastening nut 114 fastened to and fixed to the pair of screw heads 111 to which the rod 113 is connected.
  • the implant component 110 is a configuration of a dedicated implant that can be used solely to perform cervical spine 1, which is the first bone of the spine, ie, the cervical spine structure, which constitutes the neck of the spine.
  • the pair of additional screw 112 of the implant configuration portion 110 is a screw region 112a, each of which is formed a screw thread for insertion into the cervical spine No. 1 bone, the screw region 112a and the screw head ( 111 is composed of a shank area portion 112b without a thread formed therebetween, but the shank area portion 112b may be configured to have a length in which a shank area equal to a width for additional fixing of the fixed support configuration 130 is added. have.
  • the shank region portion 112b may be configured by adding a width for avoiding stimulation of the existing cervical spinal nerve 2 to the width of the cross link to which the fixed support component 130 to be described later is connected.
  • the shank region 112b has a shank region corresponding to the length of the shank region, which is also provided in the existing cervical pedicle screw, corresponding to the length required by the portion into which the fixed support component 130 for additional fixation is inserted.
  • the rod 113 may be configured in an arch shape having a curvature corresponding to the shape of the cervical spine No. 1 bone.
  • the fixed support feature 130 is an implant feature 110 through a fixed support that horizontally connects a pair of additional screws 112 at a position below the pair of screw heads 111 of the implant feature 110.
  • the fixed support member 130 includes a pair of cross link members 131 arranged and fastened to the shank area portions 112b of the pair of additional screws 112 of the implant member 110, respectively, Reinforcement support plate 132 which is fixed by connecting the pair of cross link members 131 horizontally, and a pair of link fastenings which are respectively fastened and fixed to the pair of cross link members 131 to which the reinforcement support plate 132 is connected. It may be configured to include a nut 133.
  • the fixed support component 130 is to perform the function of the iron core to support and reinforcement so that the deformation of the alignment state does not occur in the fastening of the pair of additional screw 112 of the implant component 110.
  • the reinforcing support plate 132 may be configured in an arch shape having a curvature corresponding to the arch shape of the rod 113 of the implant component 110.
  • the reinforcing support plate 132 may be configured in a horizontal flat form, unlike the arch shape of the rod 113 of the implant component 110.
  • the cervical spine No. 1 implant device by further comprising a fixed support structure in the implant configuration to be inserted and fixed to the cervical spine No. 1, cervical spine only by the procedure of the implant configuration Self-fixation at 1 can be maintained, especially for patients requiring only 1 cervical spine, alignment with the implanted fixation of the implanted cardiac screw of the implant component through the fixation support component with the procedure of the implant component. It is possible to prevent the occurrence of deformation of the state.
  • the present invention as an implant device for cervical spine # 1, unlike the conventional cervical spine # 1 implant procedure, in addition to the cervical spine # 1, additional implant surgery is required, the cervical spine # 1 implant treatment alone, self-maintaining The implant procedure time and cost can be reduced accordingly, and there is no limitation of cervical spine movement of the patient.

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Neurology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

La présente invention propose un dispositif d'implant pour la première vertèbre cervicale, configuré par le fait qu'il comprend en outre un élément de support d'accessoire dans un élément d'implant, pour lequel une opération est effectuée en insérant celui-ci de manière fixe dans l'os de la première vertèbre cervicale, de telle sorte que la première vertèbre cervicale peut être fixée et maintenue par elle-même par le biais de l'opération pour l'élément d'implant seul.
PCT/KR2018/002188 2017-04-26 2018-02-22 Dispositif d'implant pour première vertèbre cervicale Ceased WO2018199451A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR1020170053923A KR101782455B1 (ko) 2017-04-26 2017-04-26 경추 1번용 임플란트 장치
KR10-2017-0053923 2017-04-26

Publications (1)

Publication Number Publication Date
WO2018199451A1 true WO2018199451A1 (fr) 2018-11-01

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PCT/KR2018/002188 Ceased WO2018199451A1 (fr) 2017-04-26 2018-02-22 Dispositif d'implant pour première vertèbre cervicale

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KR (1) KR101782455B1 (fr)
WO (1) WO2018199451A1 (fr)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR101782455B1 (ko) * 2017-04-26 2017-09-28 박영섭 경추 1번용 임플란트 장치

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2008194307A (ja) * 2007-02-14 2008-08-28 Showa Ika Kohgyo Co Ltd 椎骨連結部材、及びナットドライバ
KR20090079206A (ko) * 2006-10-18 2009-07-21 워쏘우 오르쏘페딕 인코포레이티드 정형외과용 교정 커넥터
KR20090101912A (ko) * 2006-12-21 2009-09-29 엘디알 메디칼 척추 지지 장치
JP2010515552A (ja) * 2007-01-12 2010-05-13 ランクス インコーポレイテッド 骨固定具組立体
KR100974498B1 (ko) * 2010-04-27 2010-08-10 주식회사 지에스메디칼 경추 고정 장치
KR101782455B1 (ko) * 2017-04-26 2017-09-28 박영섭 경추 1번용 임플란트 장치

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7645294B2 (en) * 2004-03-31 2010-01-12 Depuy Spine, Inc. Head-to-head connector spinal fixation system
US9872711B2 (en) * 2014-10-21 2018-01-23 Warsaw Orthopedic. Inc. Spinal implant system and method

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20090079206A (ko) * 2006-10-18 2009-07-21 워쏘우 오르쏘페딕 인코포레이티드 정형외과용 교정 커넥터
KR20090101912A (ko) * 2006-12-21 2009-09-29 엘디알 메디칼 척추 지지 장치
JP2010515552A (ja) * 2007-01-12 2010-05-13 ランクス インコーポレイテッド 骨固定具組立体
JP2008194307A (ja) * 2007-02-14 2008-08-28 Showa Ika Kohgyo Co Ltd 椎骨連結部材、及びナットドライバ
KR100974498B1 (ko) * 2010-04-27 2010-08-10 주식회사 지에스메디칼 경추 고정 장치
KR101782455B1 (ko) * 2017-04-26 2017-09-28 박영섭 경추 1번용 임플란트 장치

Also Published As

Publication number Publication date
KR101782455B1 (ko) 2017-09-28

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