CN115192272A - Irregular porous interbody fusion cage and processing method thereof - Google Patents

Irregular porous interbody fusion cage and processing method thereof Download PDF

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CN115192272A
CN115192272A CN202210864864.2A CN202210864864A CN115192272A CN 115192272 A CN115192272 A CN 115192272A CN 202210864864 A CN202210864864 A CN 202210864864A CN 115192272 A CN115192272 A CN 115192272A
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fusion cage
cage
fusion
irregular
porous
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李素丽
赵京生
马凯悦
高状
熊杰
王聪
徐超
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Xi'an Taihui Machinery Technology Co ltd
Xian University of Science and Technology
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Xi'an Taihui Machinery Technology Co ltd
Xian University of Science and Technology
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/4455Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • A61F2/446Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages having a circular or elliptical cross-section substantially parallel to the axis of the spine, e.g. cylinders or frustocones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108Shapes
    • A61F2002/30199Three-dimensional shapes
    • A61F2002/30261Three-dimensional shapes parallelepipedal
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/3094Designing or manufacturing processes
    • A61F2/30942Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
    • A61F2002/30948Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques using computerized tomography, i.e. CT scans
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/3094Designing or manufacturing processes
    • A61F2002/3097Designing or manufacturing processes using laser
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/3094Designing or manufacturing processes
    • A61F2002/30985Designing or manufacturing processes using three dimensional printing [3DP]

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Vascular Medicine (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
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  • Neurology (AREA)
  • Prostheses (AREA)

Abstract

The invention discloses a irregular porous interbody fusion cage which comprises a fusion cage body, wherein the fusion cage body comprises an upper surface and a lower surface, two opposite side surfaces between the upper surface and the lower surface are respectively a first side surface and a second side surface, the upper surface and the lower surface both form inclined slope surfaces, a first arc surface is formed between the lower ends of the two inclined slope surfaces, a second arc surface is formed between the higher ends of the two inclined slope surfaces, a plurality of through holes are formed in the upper surface, the lower surface, the first side surface, the second side surface, the first arc surface and the second arc surface of the fusion cage, any two or more through holes in the plurality of through holes are communicated to form a plurality of irregular channels, and the plurality of irregular channels are constructed on the basis of a Tage polygonal lattice. The invention realizes good elasticity of the fusion cage, achieves stable fusion effect, promotes the adhesion of bone cells on a plurality of surfaces of the structure and bone ingrowth, and solves the problems that the structure of the prior intervertebral fusion cage cannot achieve the preset fusion effect and has overhigh settleability.

Description

Irregular porous interbody fusion cage and processing method thereof
Technical Field
The invention relates to the technical field of medical equipment, in particular to a irregular porous interbody fusion cage and a processing method thereof.
Background
Spinal fusion has become a routine technique for spinal surgery and is widely applied to the treatment of lumbar degeneration, cervical instability, intervertebral disc injury and spinal deformity. In general, spinal fusion surgery is an effective method for achieving spinal stabilization and neural decompression. Spinal fusion is mainly performed using autologous bone, allogeneic bone or artificial prosthesis, but since the implantation of autologous bone is limited by some disadvantages of autologous bone, including additional surgical trauma, increased risk of postoperative complications (such as infection, hematoma and donor site pain) and limited supply, metal implants are increasingly favored in the medical field, and the intervertebral fusion cage is used to maintain the height of the intervertebral space and relieve nerve compression or irritation, thereby achieving the effects of stabilizing the spine and good bone tissue growth.
The conventional mechanical processing method cannot manufacture the porous structure of the implant, and easily generates a stress barrier. The 3D printing technology is a new leading-edge technology, traditional tools, clamps and multiple machining processes are not needed, parts with any complex shapes can be rapidly and accurately manufactured on one device by using three-dimensional design data, and therefore free manufacturing is achieved, and the problem of stress barriers is solved.
In the past, in the medical field, a threaded fusion cage is used for promoting the fusion of bone tissues and realizing compact growth, but the sedimentation rate of the threaded fusion cage is very high along with the time, so that the fusion effect has certain defects. The independently designed cage structure in China is generally a dot matrix aperture structure with regular partial areas and is provided with large-size holes, the self-designed cage structure is not beneficial to the support of the cage and the material exchange of blocking cells, and the osteogenic capacity is influenced, for example, the cage structure designed in the patent CN111529134A is only provided with through holes and windows on the upper end surface, the lower end surface, the inner arc surface and the outer arc surface, the porous structure is only in a certain area of the inner arc surface and the outer arc surface, the rest are all solids, the stress concentration phenomenon can exist, the mechanical property of the cage is not matched with autologous bones, force transferring is not uniform, and the cage is not beneficial to the multidirectional fusion and growth. At present, the threadless intervertebral fusion cage is more and more popular, but the personalized fusion cage which is matched with the mechanical property of human skeleton and has irregular and porous structure has less research on the structure design.
Disclosure of Invention
The invention aims to provide a irregular porous interbody fusion cage and a processing method thereof, the spine interbody fusion cage with a complex irregular porous structure matched with human skeleton mechanics is printed by utilizing the flexibility of an additive manufacturing and printing process, the structure is prevented from being over-rigid through the organic combination of the structure and materials, the good elasticity of the fusion cage is realized, the stable fusion effect is achieved, the adhesion of bone cells on a plurality of surfaces of the structure and the growth of bones are promoted, and the problems that the structure of the existing interbody fusion cage cannot achieve the preset fusion effect and the settleability is over high are solved.
According to the irregular porous interbody fusion cage and the processing method thereof of the embodiment of the invention,
specifically, an irregular porous interbody fusion cage, includes the fusion cage body, the fusion cage body includes upper surface and lower surface, relative both sides face between upper surface and the lower surface is first cambered surface and second cambered surface respectively, upper surface and lower surface all form slope surface, two form first cambered surface, two between the lower end of slope surface form the second cambered surface between the higher end of slope surface, a plurality of through-holes have all been seted up on upper surface, lower surface, first side, second side, first cambered surface and the second cambered surface of fusion cage, and several arbitrary through-holes in a plurality of through-holes link up and form a plurality of irregular passageways, and a plurality of irregular passageways construct based on the taige polygon crystal lattice.
On the basis of the scheme, the aperture range of the through holes is 0.5mm-1mm.
On the basis of the scheme, a plurality of arris-tooth-shaped anti-skid protrusions are arranged on the upper surface and the lower surface.
On the basis of the scheme, a first side surface is formed between the lower ends of the two inclined slope surfaces, and a second side surface is formed between the higher ends of the two inclined slope surfaces.
On the basis of the scheme, the angle range of an included angle formed between extension lines of lower ends of the two inclined slope surfaces is 6-10 degrees, and the angle range of the included angle between the two inclined slope surfaces and the horizontal plane is 3-5 degrees.
On the basis of the scheme, the fusion cage body is of a cashew-like structure, the inner arc surface of the first arc surface and the inner arc surface of the second arc surface are arranged in the same direction, and the first side surface and the second side surface are both arc surfaces.
On the basis of the scheme, the fusion cage body is of a football-like structure, the inner arc surface of the first arc surface and the inner arc surface of the second arc surface are oppositely arranged, and the first side surface and the second side surface are both arc surfaces.
On the basis of the scheme, the length of the fusion cage body is 20-30mm, the width of the fusion cage body is 10mm, and the height of the fusion cage body is 8-12mm.
On the basis of the scheme, the upper surface and the lower surface of the fusion cage body are made of tantalum alloy materials, and the fusion cage body is made of titanium alloy materials except the upper surface and the lower surface.
A machining method of a random porous interbody fusion cage is suitable for any one random porous interbody fusion cage, and comprises the following steps:
s1: according to image data of CT scanning, reverse engineering reduction is carried out on the spine of a patient by using 3D image generation software, and the STL format is imported into editing processing software to be converted into entity so as to obtain intervertebral space data;
s2: changing the aperture diameter range to be 0.5-1 mm and the density parameter range to be 0.5-0.75mm according to the intervertebral space data obtained in the step S1 based on the Voronoi Thiessen polygonal structure by using computer-aided design software, and designing an aperture structure suitable for bone growth;
s3: importing the aperture structure file in the step S2 into ANSYS in an IGS format, analyzing by using ANSYS finite element simulation, setting cortical bone, cancellous bone and cartilage, wherein the elastic modulus of the cortical bone is 12GPa, the elastic modulus of the cancellous bone is 100MPa, the elastic modulus of the cartilage is 50MPa and the Poisson ratio is 0.3, simulating the elastic modulus of the fusion cage by using material parameters, and adjusting the aperture size and the structure size of the structure;
s4: guiding irregular porous fuser data into slice processing software in an STL format by using an SLM (selective laser melting) technology, wherein the thickness of a slice is 0.02mm, paving a layer of very thin tantalum alloy powder on a substrate of a forming cylinder in the process of starting processing, selectively carrying out laser melting on the current layer by using a high-power laser beam, cooling and solidifying the molten metal powder, reducing the layer thickness height of a processing platform, printing a titanium alloy layer with the thickness of 2mm, paving the tantalum alloy powder on the processed sheet layer by using a roller, scanning a new layer by using the laser beam, stacking layer by layer, and printing the titanium alloy powder again when the processing thickness is 8mm until the whole part is formed;
wherein the process parameters when printing the titanium alloy powder are as follows: the laser power is 230-250W, the scanning speed is 800-1000mm/s, and the scanning interval is 0.1-0.12mm; the process parameters when printing the tantalum alloy powder are as follows: the laser power is 300W-340W, the scanning speed is 1200mm/s, the scanning interval is 0.07mm, the shape of the fusion cage is printed by adopting two alloy materials by utilizing the SLM technology, the length size range of the fusion cage is 25-30mm, and the width size range is 10-15mm;
s5: and (5) grinding and polishing the part obtained in the step (S4) to obtain the required irregular porous fusion device.
The invention has the beneficial effects that:
(1) The invention is a threadless irregular porous structure, breaks through the structure of the traditional fusion cage, can prevent high settleability due to the threadless structure, is not taken out after the operation, and is simple and convenient for the operation; the bionic human skeleton with the irregular porous structure can increase the contact area of bone tissues, promote the growth of the bone tissues and accelerate the fusion efficiency, and simultaneously ensure that the mechanical property of the human bone tissues is met and the fusion effect of the fusion device is improved by combining the structure and the material under the condition of high aperture ratio;
(2) The processing method of the irregular porous interbody fusion cage utilizes a rapid forming technology, can realize the printing of different materials at different positions due to the unique structure of the irregular porous interbody fusion cage, enhances the contact friction between the upper surface and the lower surface of the interbody fusion cage and the spine by utilizing the advantage of high friction coefficient of a tantalum material, improves the implantation stability, can still meet the requirement of mechanical property under the condition of large aperture ratio by adopting titanium alloy at the rest parts, and can print the interbody fusion cages with different specifications according to the CT intervertebral space data of different patients to realize personalized customization.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention and not to limit the invention. In the drawings:
FIG. 1 is a schematic structural view of a random porous interbody cage (cashew-like type) according to the present invention;
FIG. 2 is a schematic structural view of a random porous interbody cage (football-like) according to the present invention;
FIG. 3 is a left side view of FIG. 2;
FIG. 4 is a right side view of FIG. 2;
FIG. 5 is a partial cross-sectional view of FIG. 1;
FIG. 6 is a partial cross-sectional view of FIG. 2;
FIG. 7 is a diagram of the model of FIG. 1;
FIG. 8 is a diagram of the model of FIG. 2;
FIG. 9 is a schematic diagram of a SLM (selective laser melting) technology manufacturing method of a irregular porous interbody fusion cage processing method according to the present invention;
Detailed Description
The present invention will now be described in further detail with reference to the accompanying drawings.
Example 1
As shown in fig. 1-8, specifically, an irregular porous interbody fusion cage, includes the fusion cage body, the fusion cage body includes upper surface 1 and lower surface 2, the relative both sides face between upper surface 1 and the lower surface 2 is first side 7 and second side 8 respectively, upper surface 1 and lower surface 2 all form slope surface, two form first cambered surface 3 between the lower end of slope surface, two form second cambered surface 4 between the higher end of slope surface, a plurality of through-holes 5 have all been seted up on upper surface 1, lower surface 2, first side 7, second side 8, first cambered surface 3 and the second cambered surface 4 of fusion cage, and arbitrary two or more through-holes 5 in a plurality of through-holes 5 link up and form a plurality of irregular passageways, and a plurality of irregular passageways are based on the construction of taige polygon crystal lattice.
This kind of structure of integration ware body is based on taisen polygon lattice, form by a plurality of spaces taisen structure combination, irregular fretwork porous structure, the whorless, not only can reach good compression elastic modulus, still be favorable to bone tissue to grow into, promote the osseous cell to fuse, conveniently implant, realize individualized customization, simultaneously go up, lower surface 2 sets up to certain angle of slope, it is crooked to do benefit to postoperative patient's vertebra, utilize SLM printing technique to realize fusing different materials of ware different position printing, and simultaneously, inside and outside are porous fretwork structure entirely, the whorless, have good biocompatibility, can induce bone to grow into, be favorable to improving spinal fusion rate and bone regeneration, reach more stable fusion effect.
Preferably, the aperture range of the plurality of through holes 5 is 0.5mm-1mm.
Wherein the porous structure with the pore diameter of 0.5-0.75mm and the density of 0.6-0.75 mm is suitable for people with the bone density T value between-1 and 1; the porous structure with the pore diameter of 0.75-1mm and the density of 0.5-0.6 mm is suitable for people with the bone density T value less than-1.
As shown in figures 3-4, a plurality of ridge-tooth-shaped anti-slip protrusions 6 are arranged on the upper surface 1 and the lower surface 2, so that the unevenness is increased, and the fusion cage is prevented from slipping off after being implanted.
As shown in fig. 3-4, a first arc surface 3 is formed between the lower ends of the two inclined slope surfaces, and a second arc surface 4 is formed between the upper ends of the two inclined slope surfaces.
The angle range of an included angle A between extension lines of the lower ends (namely, the front bulges) of the two inclined slope surfaces is 6-10 degrees, and the angle range of an included angle C between the two inclined slope surfaces and a horizontal plane is 3-5 degrees.
Preferably, the angle of the included angle a formed between the extension lines of the lower ends (i.e. the front convex) of the two inclined slope surfaces is 6 °, the angle of the included angle C formed between the two inclined slope surfaces and the horizontal plane is 3 °, so as to ensure that the fusion cage can avoid the bending movement of the spine after being implanted, and therefore the upper surface 1 and the lower surface 2 are set to have a certain inclination angle, and the angle is helpful for recovering the physiological curvature of the lumbar.
As shown in fig. 4 and 6, the cage body is of a cashew-like structure, the inner arc surface of the first arc surface 3 and the inner arc surface of the second arc surface 4 are arranged in the same direction, and the first side surface 7 and the second side surface 8 are both arc surfaces.
As shown in fig. 5 and 7, the fusion cage body is of a football-like structure, the inner arc surface of the first arc surface 3 and the inner arc surface of the second arc surface 4 are oppositely arranged, and the first side surface 7 and the second side surface 8 are both arc surfaces.
In actual use, the two shapes need to be selected according to the intervertebral space obtained by CT scanning, and the side surfaces of the fusion cage with the two structures are designed into circular arc surfaces which can adapt to the internal structure of the human vertebral body.
On the basis of the scheme, the length L of the fusion cage body is 20-30mm, the width B of the fusion cage body is 10-15mm, and the height of the fusion cage body is 8-12mm.
Example 2
The utility model provides an irregular porous intervertebral space fuses ware, fuse ware body upper surface 1 and lower surface 2 and adopt tantalum alloy material, fuse the ware body and all adopt titanium alloy material except upper surface 1 and lower surface 2 to the different mechanical properties and the structure of two kinds of materials cooperate, realize the elastic modulus and the mechanical properties that suit with human bone tissue.
Specifically, the upper surface 1 and the lower surface 2 (each 2 mm) are made of tantalum alloy, and the stability of implantation is achieved by utilizing the high friction coefficient of the tantalum alloy, so that the tantalum alloy is prevented from slipping after being implanted. The middle part (6 mm) of the fusion cage is made of titanium alloy material, accounts for 60 percent of the total volume, and the fusion cage still ensures the compatibility of the mechanical property under the condition of keeping 80 percent of aperture ratio.
The upper, middle and lower different positions of the fusion cage structure respectively use tantalum alloy, titanium alloy and tantalum alloy materials, and the high friction coefficient of the tantalum alloy is used for improving the surface friction of the fusion cage, so that the self-body bone mechanical performance can be met, and the fusion cage can achieve a better fixing effect.
Wherein the titanium-tantalum alloy ratio is 1:13:1.
example 3
As shown in fig. 9, a method for manufacturing a random porous interbody cage, which is suitable for use in the random porous interbody cage according to embodiment 1 or 2, comprises the steps of:
s1: according to image data of CT scanning, 3D image generation software (such as Mimics software) is used for carrying out reverse engineering reduction on the spine of a patient, and the STL format is led into editing processing software (such as Geomagic software) to be converted into solid so as to obtain intervertebral space data;
s2: changing the aperture range to be 0.5-1 mm and the density parameter range to be 0.5-0.75mm by using computer aided design software (such as Materialise 3-matic software) according to the intervertebral disc space data obtained in the step S1 and based on the Voronoi Thiessen polygonal structure, and designing an aperture structure suitable for bone growth;
s3: importing the aperture structure file in the step S2 into ANSYS in an IGS format, analyzing by using ANSYS finite element simulation, setting cortical bone, cancellous bone and cartilage, wherein the elastic modulus of the cortical bone is 12GPa, the elastic modulus of the cancellous bone is 100MPa, the elastic modulus of the cartilage is 50MPa and the Poisson ratio is 0.3, simulating the elastic modulus of the fusion cage by using material parameters, and adjusting the aperture size and the structure size of the structure;
s4: guiding irregular porous fuser data into slice processing software in an STL format by using an SLM (selective laser melting) technology, wherein the thickness of a slice is 0.02mm, paving a layer of very thin tantalum alloy powder on a substrate of a forming cylinder in the process of starting processing, selectively carrying out laser melting on the current layer by using a high-power laser beam, cooling and solidifying the molten metal powder, reducing the layer thickness height of a processing platform, printing a titanium alloy layer with the thickness of 2mm, paving the tantalum alloy powder on the processed sheet layer by using a roller, scanning a new layer by using the laser beam, stacking layer by layer, and printing the titanium alloy powder again when the processing thickness is 8mm until the whole part is formed;
the process parameters when printing the titanium alloy powder are as follows: the laser power is 230-250W, the scanning speed is 800-1000mm/s, and the scanning interval is 0.1-0.12mm; the process parameters when printing the tantalum alloy powder are as follows: the laser power is 300W-340W, the scanning speed is 1200mm/s, the scanning interval is 0.07mm, the shape of the fusion cage is printed by adopting two alloy materials by utilizing the SLM technology, the size range of the length L of the fusion cage is 25-30mm, and the size range of the width B of the fusion cage is 10-15mm;
s5: and (5) grinding and polishing the part obtained in the step (S4) to obtain the required irregular porous fusion device.
As shown in figure 1, the fusion cage structure of this embodiment is based on the polygonal irregular porous structure of taisen, for satisfying the fusion effect of human motion demand and backbone, designs two kinds of structural shapes and is "kidney" shape and "football" shape respectively, can induce the diversified income of osseous tissue, reaches the fast, good effect of fusing of going into of growing into, simultaneously, does not design helicitic texture, not only conveniently implants, avoids the high settleability after implanting moreover. See fig. 1 and 2. The length L and height H of the two cage structures of this embodiment are both 25mm and 10mm, and the width B is 10mm and 15mm, respectively. The side surfaces of the fusion cage with the two structures are designed into the inner structure of a circular arc curved surface which can adapt to the vertebral body of a human body, the upper surface 1 and the lower surface 2 are provided with a plurality of tooth-shaped convex surfaces, friction is increased, the upper surface 1 and the lower surface 2 (each 2 mm) adopt tantalum alloy materials except the friction which is structurally increased, thereby the high friction coefficient of the tantalum alloy is utilized to achieve the stability of implantation, and the fusion cage is prevented from slipping after implantation. The middle part (6 mm) is shown in figures 3 and 4, and both adopt titanium alloy materials, account for 60 percent of the total volume, and the fusion cage still ensures the compatibility of the mechanical property under the condition of 80 percent of porosity. As shown in figure 2, in order to ensure that the bending movement behavior of the spine is avoided after the fusion cage is implanted, the upper surface 1 and the lower surface 2 are arranged to have certain inclination angles, the front convex angle formed by the two surfaces is 6 degrees, and the included angles between the upper inclined slope surface and the horizontal plane are both 3 degrees, which is beneficial to recovering the physiological curvature of the lumbar.
The invention relates to a specific embodiment of a processing method of a irregular porous interbody fusion cage, which comprises the following steps as shown in figures 1-9:
(1) The doctor carries out CT scanning on the spine of the patient to obtain CT image data of the patient, utilizes Mimics software to carry out reverse engineering reduction on the spine of the patient, and introduces the STL format into Geomagic to realize the STL format, so as to obtain intervertebral space data.
(2) The approximate shape of the fusion cage is designed according to the intervertebral space data, and a porous structure suitable for bone growth is designed by utilizing Materialise 3-matic software and changing the aperture (0.5 mm-1 mm) and the density parameter (0.5 mm-0.75 mm) based on the Voronoi Thiessen polygonal structure.
(3) And importing the file into ANSYS in an IGS format, analyzing by using finite element simulation, setting the elastic modulus of a cortical bone (with the elastic modulus of 12 GPa), a cancellous bone (with the elastic modulus of 100 MPa) and a cartilage (with the elastic modulus of 50 MPa) and a Poisson ratio of 0.3 for simulating the elastic modulus of the fusion cage, adjusting the pore size of the structure, and realizing the hollow porous structures with different pore diameters so as to adapt to people with different bone densities.
(4) Aiming at different crowds, the length and the size range are set to be 25-30mm according to the irregular porous structure; the width dimension ranged from 10-15mm, and the irregular porous fusion device was introduced into the slice processing software in STL format using SLM printing technique as in FIG. 8, with a slice thickness of 0.02mm. In the process of starting processing, a layer of very thin tantalum alloy powder with the thickness of 0.03mm is firstly paved on a substrate of a forming cylinder, a high-power laser beam selectively carries out laser melting on the current layer, after the molten metal powder is cooled and solidified, a processing platform is lowered by one layer thickness height, a titanium alloy layer with the thickness of 2mm is printed, the tantalum alloy powder is paved on the processed sheet layer by a roller, the laser beam starts to scan a new layer, the layer is overlapped layer by layer, and the titanium alloy powder is changed to be printed when the processing thickness is 8mm until the whole part is formed. Wherein the process parameters when printing the titanium alloy powder are as follows: the laser power is 230W, the scanning speed is 1000mm/s, and the scanning interval is 0.12mm; the process parameters when printing the tantalum alloy powder are as follows: the laser power is 300W, the scanning speed is 1200mm/s, and the scanning interval is 0.07mm.
(5) And (5) grinding and polishing the part obtained in the step (4) to obtain the required part.
In some embodiments, the random multi-hole intersomatic cage has a length of 25mm, a width of 10mm, a height of 10mm, a lordotic angle of 6 °, a pore size of 0.75mm, and a density of 0.5mm.
In some embodiments, the random multi-hole intersomatic cage has a length of 25mm, a width of 10mm, a height of 10mm, a lordotic angle of 6 °, a pore size of 0.5mm, and a density of 1mm.
In some embodiments, the random multi-hole intersomatic cage has a length of 30mm, a width of 15mm, a height of 10mm, a lordotic angle of 6 °, a pore size of 1mm, and a density of 0.5mm.
The irregular porous interbody fusion cage and the preparation method thereof adopt the porous structure of the bionic bone, have no screw thread on the whole, are an integral model of the irregular porous structure, can enable the contact surface of the fusion cage and the spine to be more compact, accelerate the growth and migration of bone tissues from a plurality of surfaces of the fusion cage, accelerate the fusion effect, avoid high settleability caused by the existence of the screw thread, and do not need to fill bone materials in the fusion cage in the operation, thereby simplifying the operation of the operation.
The above description is only for the preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art should be considered to be within the technical scope of the present invention, and the technical solutions and the inventive concepts thereof according to the present invention should be equivalent or changed within the scope of the present invention.

Claims (9)

1. The utility model provides an irregular porous interbody fusion cage, includes the fusion cage body, the fusion cage body includes upper surface and lower surface, relative both sides face between upper surface and the lower surface is first side and second side respectively, upper surface and lower surface all form slope surface, two form first cambered surface, two between the slope surface's the lower end form the second cambered surface between the slope surface's the higher end, a serial communication port, all seted up a plurality of through-holes on the upper surface of fusion cage, lower surface, first side, second side, first cambered surface and the second cambered surface, two arbitrary or a plurality of through-holes in a plurality of through-holes link up and form a plurality of irregular passageways, and a plurality of irregular passageways are based on the construction of tyge polygon crystal lattice.
2. The irregular porous intervertebral fusion device as claimed in claim 1, wherein the plurality of through holes have a diameter ranging from 0.5mm to 1mm.
3. The irregular porous intervertebral fusion of claim 1 wherein a plurality of ridge-shaped anti-slip projections are formed on both the upper and lower surfaces.
4. The random multi-hole intervertebral fusion device of claim 1, wherein the angle formed between the extension lines of the lower ends of the two inclined slope surfaces ranges from 6 ° to 10 °, and the angle formed between the two inclined slope surfaces and the horizontal plane ranges from 3 ° to 5 °.
5. The irregular porous interbody fusion cage of claim 1, wherein the cage body is of a cashew-like structure, the intrados of the first arc surface and the second arc surface are arranged in the same direction, and both the first side surface and the second side surface are arc surfaces.
6. The irregular multihole interbody fusion cage of claim 1, wherein the cage body has a football-like structure, the intrados of the first arc surface and the second arc surface are opposite, and the first side surface and the second side surface are both arc surfaces.
7. The random porous intervertebral cage of claim 1, wherein the cage body has a length of 20-30mm, a width of 10-15mm and a height of 8-12mm.
8. The random porous interbody fusion cage of claim 1, wherein the cage body is made of tantalum alloy on upper and lower surfaces thereof, and titanium alloy on the cage body except for the upper and lower surfaces thereof.
9. A method for manufacturing a random porous intersomatic cage adapted to the random porous intersomatic cage of any one of claims 1 to 8, comprising the steps of:
s1: according to image data of CT scanning, reverse engineering reduction is carried out on the spine of a patient by using 3D image generation software, and the STL format is imported into editing processing software to be converted into entity so as to obtain intervertebral space data;
s2: changing the aperture diameter range to be 0.5-1 mm and the density parameter range to be 0.5-0.75mm according to the intervertebral space data obtained in the step S1 based on the Voronoi Thiessen polygonal structure by using computer-aided design software, and designing an aperture structure suitable for bone growth;
s3: importing the aperture structure file in the step S2 into ANSYS in an IGS format, analyzing by using ANSYS finite element simulation, setting cortical bone, cancellous bone and cartilage, wherein the elastic modulus of the cortical bone is 12GPa, the elastic modulus of the cancellous bone is 100MPa, the elastic modulus of the cartilage is 50MPa and the Poisson ratio is 0.3, simulating the elastic modulus of the fusion cage by using material parameters, and adjusting the aperture size and the structure size of the structure;
s4: by utilizing an SLM (selective laser melting) technology, introducing irregular porous fusion device data into slice processing software in an STL (standard template library) format, paving a layer of very thin tantalum alloy powder on a substrate of a forming cylinder in the process of starting processing, carrying out selective laser melting on the current layer by using a high-power laser beam, cooling and solidifying the molten metal powder, printing a titanium alloy layer, paving the tantalum alloy powder on the processed sheet layer, starting scanning a new layer by using the laser beam, superposing the layers layer by layer, and then replacing the titanium alloy powder for printing until the whole part is formed;
s5: and (5) grinding and polishing the part obtained in the step (S4) to obtain the required irregular porous fusion device.
CN202210864864.2A 2022-07-21 2022-07-21 Irregular porous interbody fusion cage and processing method thereof Pending CN115192272A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116327356A (en) * 2023-02-27 2023-06-27 北京长木谷医疗科技有限公司 Artificial intelligence-based spinal surgery preoperative planning method, system and storage medium

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116327356A (en) * 2023-02-27 2023-06-27 北京长木谷医疗科技有限公司 Artificial intelligence-based spinal surgery preoperative planning method, system and storage medium
CN116327356B (en) * 2023-02-27 2024-04-26 北京长木谷医疗科技股份有限公司 Artificial intelligence-based spinal surgery preoperative planning method, system and storage medium

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Inventor after: Li Suli

Inventor after: Zhao Jingsheng

Inventor after: Ma Kaiyue

Inventor after: Gao Zhuang

Inventor after: Xiong Jie

Inventor after: Wang Cong

Inventor after: Xu Chao

Inventor before: Li Suli

Inventor before: Zhao Jingsheng

Inventor before: Ma Kaiyue

Inventor before: Gao Zhuang

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Inventor before: Wang Cong

Inventor before: Xu Chao

CI02 Correction of invention patent application
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Correction item: Inventor

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Number: 11-01

Volume: 39