CN107736956A - A kind of recordable pressure and the artificial intelligence cervical intervertebral disk of motion - Google Patents

A kind of recordable pressure and the artificial intelligence cervical intervertebral disk of motion Download PDF

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Publication number
CN107736956A
CN107736956A CN201710993408.7A CN201710993408A CN107736956A CN 107736956 A CN107736956 A CN 107736956A CN 201710993408 A CN201710993408 A CN 201710993408A CN 107736956 A CN107736956 A CN 107736956A
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CN
China
Prior art keywords
supporter
lower plate
plate
motion
artificial intelligence
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Granted
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CN201710993408.7A
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Chinese (zh)
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CN107736956B (en
Inventor
王贝宇
吴廷奎
刘浩
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West China Hospital of Sichuan University
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West China Hospital of Sichuan University
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Classifications

    • 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
    • A61F2/442—Intervertebral or spinal discs, e.g. resilient
    • 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
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657—Measuring instruments used for implanting artificial joints
    • 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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • 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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30667—Features concerning an interaction with the environment or a particular use of the prosthesis
    • 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
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657—Measuring instruments used for implanting artificial joints
    • A61F2002/4666—Measuring instruments used for implanting artificial joints for measuring force, pressure or mechanical tension
    • 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
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657—Measuring instruments used for implanting artificial joints
    • A61F2002/4668—Measuring instruments used for implanting artificial joints for measuring angles

Abstract

The present invention relates to a kind of recordable pressure and the artificial intelligence cervical intervertebral disk of motion, including upper plate, supporter, lower plate, at least one pressure sensor, angle displacement receptor, wireless communication module and minicell, supporter can be relatively movable with upper plate, supporter is high polymer material, pressure sensor, wireless communication module and minicell are provided with supporter, angle displacement receptor, wireless communication module and minicell are equipped with upper plate and lower plate.Supporter can be individually replaced in the present invention, can be changed by Minimally Invasive Surgery, avoid the destruction again at tabulare healing interface；Supporter senses change in pressure and pressure position can be distributed in real time by pressoreceptor, angle displacement receptor can independently record the angle change parameter of three dimensions in real time, can it is noninvasive, continual in real time monitoring prosthese function and state, so as in detail assess patient artificial cervical intervertebral disc replace postoperative short-term and medium-long term risk, instruct Kang Xunlian.

Description

A kind of recordable pressure and the artificial intelligence cervical intervertebral disk of motion
Technical field
The present invention relates to technical field of medical instruments, more particularly to a kind of recordable pressure and the artificial intelligence cervical vertebra of motion Disk
Background technology
Cervical vertebra is in order to adapt to vision, and the stimulate the reaction of the sense of hearing and smell is, it is necessary to there is larger and sharp mobility.Therefore, The scope of activities of cervical vertebra is more much bigger than thoracic vertebrae and lumbar vertebrae, as anterior flexion and rear stretching, left and right lateroflexion, left rotation and right rotation and above-mentioned motion are comprehensive Close the circumduction formed.
Cervical intervertebral disk is a seal being made up of cartilage plate, fibrous ring, nucleus pulposus between the centrum of cervical vertebra two.On Under have cartilage plate, be that hyaline cartilage is covered on centrum, below bone face among epiphysis ring.Upper and lower cartilage plate is together with fibrous ring Nucleus pulposus is sealed.Fibrous ring is made up of the fibrocartilage of collagenous fiber bundle, positioned at the surrounding of nucleus pulposus.The fibre bundle of fibrous ring Mutual diagonal juxtaposition, makes fibrous ring turn into solid tissue, can bear larger bending and torque load.For between cervical vertebra Patient after disk excision needs to use cervical artificial disc.
But by implantable artificial cervical intervertebral disk of performing the operation after, doctor can only periodically (such as postoperative 1 week, 3 months, 6 months, 1 Year, 2 years etc.) by repeatedly checking the functional assessment of the methods such as cervical X-ray, CT to patient's progress artificial intervertebral disk in vivo, this Kind state estimation is really the assessment to certain time dotted state, it is impossible to reacts artificial intervertebral disk under various postures, action, state Comprehensive dynamic state.And radiated caused by the detection methods such as X, CT checked at present, it is difficult to avoid that when being patient's check 's.
The content of the invention
The present invention is intended to provide a kind of recordable pressure and the artificial intelligence cervical intervertebral disk of motion, to replace original cervical vertebra Disk simultaneously exercises its function, realizes and retains motion segment, avoids adjacent segment from secondary degeneration occur, and passes through the sensing in it The functional status of device real time reaction cervical artificial disc.
To reach above-mentioned purpose, the technical solution adopted by the present invention is as follows：
A kind of recordable pressure and the artificial intelligence cervical intervertebral disk of motion, including it is upper plate, supporter, lower plate, at least one Pressure sensor, angle displacement receptor, wireless communication module and the minicell for power supply, supporter top and upper plate Connection, supporter bottom be connected with lower plate, supporter with lower plate is quiet couples, the supporter and upper plate can activity relatively, it is described Supporter is high polymer material, pressure sensor, wireless communication module and minicell is provided with the supporter, upper plate is with Angle displacement receptor, wireless communication module and minicell, pressure sensor and the angle displacement impression are equipped with plate Device electrically connects with wireless communication module.
Further, the upper surface of supporter is the cambered surface of evagination, and the lower surface of upper plate has to be adapted to supporter upper surface Circular groove, supporter and circular groove gap coordinate, and the lower surface of the supporter is provided with least two necks, the card Groove is set at equal intervals around the axis of supporter, and the top surface of lower plate has the fixture block being adapted to neck.
Further, the upper surface of the supporter is the cambered surface of evagination, and the lower surface of the supporter is plane.
Further, a gyroscope, the gyroscope and wireless communication module electricity are respectively provided with the upper plate and lower plate Connection.
Wherein, the center of the upper surface of the upper plate is provided with a toothrow spine A, and the lower surface of lower plate is provided with two toothrow spine B, and two Toothrow spine B is located at the left and right sides of lower plate respectively, and tooth papillae A orientation is parallel with tooth papillae B orientation.
Further, upwarped at left and right sides of the lower plate.
Wherein, there is the breach for being easy to clamping the left and right sides of the upper plate and lower plate, the breach insertion upper plate on upper plate Upper and lower surface, the upper and lower surface of the breach insertion lower plate in lower plate.
Further, there is tantalum metal coating the outer surface of upper plate and lower plate.
Wherein, the material of supporter is polyether-ether-ketone.Further, neck through the upper surface of supporter, lower surface and Side.
Compared with prior art, the invention has the advantages that：
1. supporter senses change in pressure and pressure position can be distributed in real time by pressoreceptor, the angle in upper and lower plates Degree displacement receptor can independently record the angle change parameter in three dimensions X, Y, Z axis space in real time.Pressure above and angle note Record parameter can be collected by wireless communication module and be carried out data transmission with the communication module that the external world matches.The device can be realized The function and state of noninvasive, the uninterrupted prosthese of monitoring in real time, put so as to assess patient in detail in artificial cervical intervertebral disc Change postoperative short-term and medium-long term risk, instruct Kang Xunlian；
, can be by micro- when after supporter abrasion or when working undesirable in vivo 2. supporter can be individually replaced in the present invention Invasive procedures are changed, and avoid the destruction again at tabulare healing interface.
Brief description of the drawings
Fig. 1 is the exploded view of embodiment 1；
Fig. 2 is that supporter is arranged on schematic diagram when in lower plate in embodiment 1；
Fig. 3 is the graphics of the present invention；
Fig. 4 is the structural representation of upper plate；
Fig. 5 is the stereogram of lower plate in embodiment 1；
Fig. 6 is the front view of lower plate in embodiment 1；
Fig. 7 is the structural representation of supporter；
In figure：1- upper plates, 2- supporters, 3- lower plates, 4- necks, 5- fixture blocks, 6- tooth papillae A, 7- tooth papillae B, 8- bending sections, 9- Breach, 10- circular grooves.
Embodiment
In order to make the purpose , technical scheme and advantage of the present invention be clearer, below in conjunction with accompanying drawing, the present invention is entered Row is further described.
Embodiment 1
As shown in Figure 1, 2, 3, the artificial intelligence cervical intervertebral disk of pressure and motion is can record disclosed in the present embodiment, including it is upper Plate 1, supporter 2, lower plate 3, at least one pressure sensor, angle displacement receptor, wireless communication module and for powering Minicell, the top of supporter 2 is connected with upper plate 1, and the bottom of supporter 2 is connected with lower plate 3, and supporter 2 and lower plate 3 are quiet Connect, supporter 2 and upper plate 1 can be relatively movable, and supporter 2 be high polymer material, and pressure sensor, wirelessly is provided with supporter 2 Angle displacement receptor, wireless communication module and minicell are equipped with communication module and minicell, upper plate 1 and lower plate 3, Pressure sensor and angle displacement receptor electrically connect with wireless communication module.Pressure sensor can accurate measurement pressure change Change, by monitoring in real time, postoperative rehabilitation and training follow-up are conveniently instructed, pressure is excessive or skewness can cause prosthesis function Loss and abrasion.Wireless communication module by the measurement signal of pressure sensor, angle displacement receptor transmit to external terminal with And reception processing execute instruction.There is tantalum metal coating the outer surface of upper plate 1 and lower plate 3, and the material of supporter 2 is polyether-ether-ketone, Polyetheretherketone (abbreviation PEEK).
The pressure sensor of iso-cross-section product can be set in supporter 2 can also set multiple pressoreceptors.In use, Each supporter 2 has unique number distinguishing mark, and its pressure change in vivo can be read by software or APP.
As shown in fig. 7, the upper surface of supporter 2 is the cambered surface of evagination, the lower surface of upper plate 1 has and the upper surface of supporter 4 The circular groove 10 of adaptation, supporter 2 coordinate with the gap of circular groove 10, supporter 2 is rotated relative to upper plate 1.Support The lower surface of body 2 is provided with least two necks 4, and neck 4 is set at equal intervals around the axis of supporter 2, the top surface of lower plate 3 have with The fixture block 5 that neck 4 is adapted to.The lower surface of supporter 2 is plane, and lower plate 3 and the contact surface of supporter 2 are plane.Neck 4 runs through Upper surface, lower surface and the side of supporter 2.
Wherein, as shown in figure 4, the center of the upper surface of upper plate 1, which is provided with toothrow a spine A6, tooth papillae A6,3.Such as Fig. 5 institutes Show, the lower surface of lower plate 3 is provided with the left and right sides that two toothrow spine B7, two toothrow spine B7 are located at lower plate 3 respectively, tooth papillae A6 arrangement Direction is parallel with tooth papillae B7 orientation, and often row has two tooth papillae B7.
As shown in Figure 5,6, the left and right sides of lower plate 3 upwarps, and the bending section 8 for complying with uncovertebral joint form is formed, when supporter 2 When in lower plate 3, the height of bending section 8 is not higher than supporter 2.Wherein, the left and right sides of upper plate 1 and lower plate 3 has just Lower plate 3 is penetrated in the breach 9 in the upper and lower surface of the insertion upper plate 1 of breach 9 on the breach 9 of clamping, upper plate 1, lower plate 3 Upper and lower surface.
Supporter 2 coordinates with the gap of upper plate 1 in the present invention, with the clamping of lower plate 3, can individually remove supporter 2, work as supporter When after 2 abrasions or working undesirable in vivo, Minimally Invasive Surgery can be carried out and be individually replaced, avoid the infringement at tabulare interface.
By pressure, the judgement of the height of cervical artificial disc and implantation site in art, safety simple to operate are instructed.In real time Postoperative prosthese real pressure change in vivo is recorded, the function and state of the lossless harmless prosthese of monitoring in real time, is suffered from so as to assess Person is replacing postoperative short-term and medium-long term risk, is instructing rehabilitation training.
Embodiment 2
The present embodiment and the difference of embodiment 1 are：A gyroscope, gyroscope and nothing are respectively provided with upper plate 1 and lower plate 3 Line communication module electrically connects.Gyroscope is also powered by minicell.Angle displacement receptor in upper plate 1 and lower plate 3 can be independent The angle change parameter in record three dimensions X, Y, Z axis space in real time.Wireless communication module transmits the signal of gyroscope to body Outer terminal and reception processing execute instruction.
Supporter can be individually replaced in the present invention, can be by minimally invasive after supporter abrasion or when working undesirable in vivo Operation is changed, and avoids the destruction again at tabulare healing interface；Supporter induction pressure can be become in real time by pressoreceptor Change and pressure position is distributed, the angle displacement receptor in upper and lower plates can independently record three dimensions X, Y, Z axis space in real time Angle change parameter.Pressure above and angle recordings parameter can be collected by wireless communication module and be matched with the external world logical News module carries out data transmission.The device can realize the function and state of noninvasive, the uninterrupted prosthese of monitoring in real time, so as to In detail assess patient artificial cervical intervertebral disc replace postoperative short-term and medium-long term risk, instruct Kang Xunlian.
Certainly, the present invention can also have other numerous embodiments, in the case of without departing substantially from spirit of the invention and its essence, Those skilled in the art can make various corresponding changes and deformation according to the present invention, but these change and become accordingly Shape should all belong to the protection domain of appended claims of the invention.

Claims (10)

1. a kind of recordable pressure and the artificial intelligence cervical intervertebral disk of motion, it is characterised in that:Including upper plate (1), supporter (2), lower plate (3), at least one pressure sensor, angle displacement receptor, wireless communication module and for the miniature of power supply Battery, supporter (2) top are connected with upper plate (1), and supporter (2) bottom is connected with lower plate (3), supporter (2) and lower plate (3) Quiet connection, the supporter (2) and upper plate (1) can be relatively movable, and the supporter (2) is high polymer material, the supporter (2) pressure sensor, wireless communication module and minicell are provided with, angle displacement sense is equipped with upper plate (1) and lower plate (3) Receiver, wireless communication module and minicell, pressure sensor and the angle displacement receptor are electric with wireless communication module Connection.
2. recordable pressure according to claim 1 and the artificial intelligence cervical intervertebral disk of motion, it is characterised in that：The branch The upper surface of support body (2) is the cambered surface of evagination, and there is the circular groove being adapted to supporter (4) upper surface the lower surface of upper plate (1) (10), supporter (2) coordinates with circular groove (10) gap, and the lower surface of the supporter (2) is provided with least two necks (4), the neck (4) is set at equal intervals around the axis of supporter (2), and the top surface of lower plate (3) has the card being adapted to neck (4) Block (5).
3. recordable pressure according to claim 2 and the artificial intelligence cervical intervertebral disk of motion, it is characterised in that：The branch The lower surface of support body (2) is plane.
4. recordable pressure according to claim 1 and the artificial intelligence cervical intervertebral disk of motion, it is characterised in that：On described A gyroscope is respectively provided with plate (1) and lower plate (3), the gyroscope electrically connects with wireless communication module.
5. recordable pressure according to claim 1 and the artificial intelligence cervical intervertebral disk of motion, it is characterised in that：On described The center of the upper surface of plate (1) is provided with a toothrow spine A (6), and the lower surface of lower plate (3) is provided with two toothrow spine B (7), two toothrow spine B (7) it is located at the left and right sides of lower plate (3) respectively, tooth papillae A (6) orientation is parallel with tooth papillae B (7) orientation.
6. the artificial intelligence cervical intervertebral disk of pressure and motion is can record according to claim 1 or 5, it is characterised in that：Institute State and upwarped at left and right sides of lower plate (3).
7. recordable pressure according to claim 1 and the artificial intelligence cervical intervertebral disk of motion, it is characterised in that：On described There is the breach (9) for being easy to clamping the left and right sides of plate (1) and lower plate (3), breach (9) the insertion upper plate (1) on upper plate (1) Upper and lower surface, the upper and lower surface of breach (9) the insertion lower plate (3) in lower plate (3).
8. recordable pressure according to claim 1 and the artificial intelligence cervical intervertebral disk of motion, it is characterised in that：Upper plate (1) and there is tantalum metal coating the outer surface of lower plate (3).
9. recordable pressure according to claim 1 and the artificial intelligence cervical intervertebral disk of motion, it is characterised in that：Supporter (2) material is polyether-ether-ketone.
10. recordable pressure according to claim 2 and the artificial intelligence cervical intervertebral disk of motion, it is characterised in that：Neck (4) upper surface, lower surface and the side of supporter (2) are run through.
CN201710993408.7A 2017-09-30 2017-10-23 Artificial intelligent cervical intervertebral disc capable of recording pressure and motion Active CN107736956B (en)

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CN111821073A (en) * 2020-08-20 2020-10-27 四川大学华西医院 Orthopedic implant system for monitoring activity posture and stress change thereof and monitoring method
CN111938881A (en) * 2020-08-20 2020-11-17 四川大学华西医院 Intelligent intervertebral disc system capable of monitoring activity posture and stress thereof and monitoring method
CN111973324A (en) * 2020-08-20 2020-11-24 四川大学华西医院 Orthopedic implant system based on stress self-adaption controllable adjustment and control method thereof
CN112294502A (en) * 2020-10-30 2021-02-02 四川大学华西医院 Assembly type total intervertebral disc prosthesis based on 3D printing technology and manufacturing method thereof
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