201112995 六、發明說明： 【發明所屬之技術領域】 尤指一種可灌注醫療 本發明係有關一種骨固定系統 填充物料之骨固定系統。 【先前技術】 般醫界針對長骨斷裂或錯開等骨路折損時所使用傳 統式具骨板及骨釘之固定器，大多利用骨釘與骨板之螺孔 互相鎖固之設計以㈣在骨面上產生摩擦力來提供穩定 度’面對曰益增多的骨質疏鬆骨折及粉碎性骨折，此傳統 式固定器之互鎖結構在手術中仍存有極大之困難度，因骨 釘僅能依螺孔㈣定槽紋的角度鎖人，以致骨釘貫穿關節 面的風險大增’一但螺孔下方恰位於骨頭之粉碎區域或嚴 重骨質疏鬆區’則須刻意扳動骨針之傾斜角度以避開粉碎 區域或嚴重骨質疏鬆區，令鑽孔及鎖入的過程中造成目視 及手動的自然偏差，同時，雖然骨釘在固定螺孔環境下偏 折10度以内仍可提供可接受的穩定度，強行鎖人的結果， 所造成螺孔與螺頭之破壞，將無法旋回再使用。 。灣專利公告第M2 82644的骨折之固定器結構，因其 係利用骨板於樞孔底側設有十字相對應之調整槽到與角度 套呈倒勾狀之卡榫互相嵌卡固定之設計，故於使用上，使 用者必須由上方預判卡榫與調整溝道對正之位置及方向後 再以特殊工具施以極大壓力，使鈦合金角度套的干涉卡榫 之倒勾部位強迫壓入裝置之手工具，同時該角度套與骨板 201112995 在與月科專業醫師實際討論測試發現，其角度套在安裝過 程中右發現角度套螺旋角度不當而欲取出角度套時，亦需 使用特殊強力手工具由骨板下方將角度套之卡榫倒勾部分 内縮同時取出，極作士a 梯作方式容易對手術中的醫務人員造成困 擾。 美國專利5514137號，係利用一灌注裝置將醫療填充 物料灌主於手術部位，以增強手術部位的固^，但此發明 專利並沒有以包覆裝置加以限制醫療填充物料的灌注範 圍使得醫療填充物料有可能流動於手術部位以外的其他 位置。 美國專利6248110號，係利用一填充袋，將該填充袋 放入手術部位’並灌注醫療填充物料於填充袋中，用以固 疋手術部位’但此發明專利若用於斷骨之固定，其不具有 剛性的填充袋及醫療填充物料勢必無法有效將斷骨復位， 同時也無法進一步將斷骨固定連結。 本發明係利用中空固定裝置及包覆部件放入手術部 位’並灌注醫療填充物料’使該醫療填充物料於灌注完成 後成團狀’用以固定手術部位，且進一步於中空固定裝置 連結一迫緊裝置，用以將形成團狀之包覆部件，向手術部 位的骨骼迫緊，以達到緊密結合及固定的效果。 【發明内容】 本發明之一目的，在提供一種骨固定系統。 本發明之再一目的，在提供一種具有中空固定裝置的 201112995 骨固定系統。 本發明之又一目的，在搵你 汉 曰j也长供一種具有迫緊裝置的骨固 定系統。 本發明之另·一目的，在描你 ..201112995 VI. Description of the invention: [Technical field to which the invention pertains] In particular, a pourable medical device The present invention relates to a bone fixation system for a bone fixation system filling material. [Prior Art] In the general medical community, the traditional bone plate and bone nail fixers used for bone fractures such as long bone fractures or staggered bones are mostly designed to lock each other with the screw holes of the bone nails and the bone plate. Friction is generated on the bone surface to provide stability. In the face of increased osteoporosis fractures and comminuted fractures, the interlocking structure of the traditional anchors still has great difficulty in surgery, because the nails can only According to the angle of the screw hole (four), the angle of the groove is locked, so that the risk of the bone nail penetrating the joint surface is greatly increased. [After the screw hole is located in the crushed area of the bone or the severe osteoporosis area, the tilt angle of the bone needle must be intentionally pulled. To avoid the comminuted area or severe osteoporosis area, causing visual and manual natural deviation during drilling and locking, and at the same time, although the nail is within 10 degrees of the fixed screw hole environment, it can provide acceptable Stability, the result of forcibly locking people, the damage caused by the screw holes and the screw head, will not be able to be rotated back and used. . The fixing structure of the fracture of the Bay Patent Publication No. M2 82644 is designed such that the bone plate is provided with a cross corresponding to the adjusting groove on the bottom side of the pivot hole to the card with the inverted hook of the angle sleeve. Therefore, in use, the user must pre-determine the position and direction of the alignment of the channel and the adjustment channel, and then apply a great pressure with a special tool, so that the interference bar of the interference angle of the titanium alloy angle sleeve is forced into the device. The hand tool, at the same time the angle set and the bone plate 201112995 in actual discussion with the monthly specialists found that the angle is set during the installation process. When the right angle is found, the angle of the spiral is not appropriate and the angle set is used. The tool is retracted and retracted from the bottom of the angled card by the angle of the lower part of the bone plate. The method of making a ladder is easy to cause trouble to the medical staff in the operation. U.S. Patent No. 5,514,137 uses a filling device to administer medical filling material to the surgical site to enhance the fixation of the surgical site. However, the invention patent does not limit the filling range of the medical filling material by the coating device so that the medical filling material It is possible to flow to other locations than the surgical site. US Patent No. 6,248,110 uses a filling bag to place the filling bag into the surgical site 'and injects the medical filling material into the filling bag for fixing the surgical site'. However, if the invention patent is used for the fixation of broken bone, Filling bags and medical filling materials that do not have rigidity are incapable of effectively reducing the broken bones, and at the same time, the broken bones cannot be further fixed. The invention utilizes a hollow fixing device and a covering member to be placed in the surgical site 'and injects the medical filling material to make the medical filling material agglomerate after the completion of the infusion to fix the surgical site, and further connects the pressing device to the hollow fixing device. The device is used for pressing the formed covering member to the bone of the surgical site to achieve the effect of tight bonding and fixation. SUMMARY OF THE INVENTION One object of the present invention is to provide a bone fixation system. Still another object of the present invention is to provide a 201112995 bone fixation system having a hollow fixation device. Another object of the present invention is to provide a bone fixation system with a tightening device. Another purpose of the present invention is to describe you..
Ah供—種具有包覆部件的骨固 定系統。 本發明之還-目的，在提供—種可塞入或灌入醫療填 充物料的骨固定系統。 本發明之再-目的，在提供一種可經由中空固定裝置 塞入或灌入醫療填充物料的骨固定系統。 本發明之又一目的，在提供一種可經由中空固定裝置 將醫療填充物料塞入或灌入包覆部件的骨固定系統。 本發明之還一目的，在提供一種將醫療填充物料注入 包覆部件後’該包覆部件可膨脹之骨固定系統。 本發明之再一目的，在提供一種將醫療填充物料注入 包覆部件後，該醫療填充物料可固化卡合於骨骼之骨固定 系統。 本發明之又一目的，在提供一種包覆部件可有限度控 制醫療填充物料的灌注範圍之骨固定系統。 本發明之還一目的，在提供一種完成灌注醫療填充物 料後，包覆部件及醫療填充物料形成團狀結構之骨固定系 統。 本發明之又目的，在提供一種包覆部件及醫療填充 物料形成之團狀結構可卡合於骨骼之骨固定系統。 一種骨固定系統，其包括. 201112995 -中空固定裝置’其近端為連結端，其遠 一包覆部件，其與該中空固定裴置之迪鸲， 一醫療填充物料，其係經由該中空固定 a Q ， 端’塞人及/或灌入f療填充物料於該包的灌注 醫療填充物料於灌注完成後成團狀；及 ，使該 一迫緊裝置’其與該中空固定裝置的連結端連姓 以將形成圏狀之包覆部件，向手術部位的骨路迫：、、:’用 上述該迫緊裝置可為任意習知之迫緊裝置、 成團狀之包覆部件，向手術部 迫，用以將形 該骨固定系統的穩定性，如螺釘、骨二：加強固定 11)〇 板/螺釘（請參見圖 上述該中空固定裝置之連結端，其可用以連 知之迫緊裝置，使該骨固宗备姑π 意^ 月固疋系統可於灌注醫療填充物料 後，可將手術部位的骨路固定於該膨服且固 ”置於該中空固定裝置之連結端的骨連結裝 δ亥骨固定系統的穩定度。 上述該中空固定裝置之連結端，其與追緊裝置之結人 方式可為任意習知之結合方式，如鎖合、卡合或螺合。。 上述該中空固定裝置，其連結端與灌注端之間的桿 身，可為具有各種類型之紋路，如：環狀紋、直條紋，斑 點紋或網狀紋（請參見圖3b、3e、3d、3e)，用以、增加 空固定裝置與骨之間的摩擦力，使該中空固定裝置不易於 術後產生滑動。 ' 上述該中空固定裝置之灌注端’其可為任意習之 201112995 之灌注端，如具 ^ 、有複數條細縫的灌注端或複數個孔洞的灌 注端（請參見圖4b、4、、 c)’以具有複數條細縫的灌注端為較 佳0 、“X u覆邻件’其可固定於該中空固定裝置的 身、灌注端或連結端，以固定於桿身為較佳。 上述該中空间6杜 習知社 《裝置與包覆部件之結合方式可為任意 槽，#. 以該中空固定裝置的桿身具有一環狀凹 :衣狀凹槽係用以將該包覆部件固定於申空固定裝置Ah provides a bone fixation system with a coated component. Still another object of the present invention is to provide a bone fixation system that can be inserted or filled with medical filling material. A further object of the present invention is to provide a bone fixation system that can be inserted or filled with medical filler material via a hollow fixture. It is yet another object of the present invention to provide a bone fixation system that can insert or fill a medical filler material into a cover member via a hollow fixture. It is still another object of the present invention to provide a bone fixation system in which the cover member is expandable after the medical filler material is injected into the cover member. Still another object of the present invention is to provide a bone fixation system in which the medical filler material is curable to be engaged with the bone after the medical filler material is injected into the covering member. It is yet another object of the present invention to provide a bone fixation system in which the covering member can have a limited control over the perfusion range of the medical filling material. It is still another object of the present invention to provide a bone fixation system in which the coated member and the medical filler material form a mass-like structure after completion of infusion of the medical filler. Still another object of the present invention is to provide a bone-like structure in which a wrap structure formed by a covering member and a medical filler material can be engaged with a bone. A bone fixation system comprising: 201112995 - a hollow fixture "having a proximal end of a joint end, a distal covering member thereof, and a hollow fixed mounting, a medical filling material through which the hollow fixing a Q , the end of the 'cuffed and / or poured into the f-filled material in the bag of the infusion of medical filling material after the completion of the infusion; and, the tensioning device 'the connection with the hollow fixture The surname is a cover member that will form a braid, and the bone path to the surgical site is forced to:,: 'With the above-mentioned pressing device, any known pressing device, a wrap-like covering member, and forced to the surgical department For the stability of the bone fixation system, such as screws, bones 2: reinforcement fixation 11) seesaw / screw (please refer to the connection end of the hollow fixture above, which can be used to connect the tension device, so that The bone solid sacred sputum π ^ ^ 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月Stabilization of the bone fixation system The connecting end of the hollow fixing device and the locking device can be combined with any conventional means, such as locking, snapping or screwing. The hollow fixing device has a connecting end and a pouring end. Between the shafts, there can be various types of lines, such as: ring, straight, speckle or mesh (see Figure 3b, 3e, 3d, 3e), to increase the air fixture and The friction between the bones makes the hollow fixture less prone to slippage after surgery. 'The perfusion end of the hollow fixture described above' can be any of the perfusion ends of 201112995, such as with a plurality of slits The perfusion end of the perfusion end or the plurality of holes (see FIG. 4b, 4, c) 'is preferably a perfusion end having a plurality of slits, and a "X u covering adjacent piece" which can be fixed to the hollow fixing device The body, the perfusion end or the connecting end is preferably fixed to the shaft. The above-mentioned space 6 Du Xizhishe "the combination of the device and the covering member can be any groove, #. The shaft of the hollow fixing device has An annular recess: a garment-like recess is used to The covering member is fixed to the Shenkong fixing device
、布于身為較佳，其中肢—话如，A ^ 、將匕覆部件固定於該環狀凹槽的結合 方式可為任意習知 人弋奋 总15方式，如錨釘、扣環、鎖合、黏 合或綑綁（請參見 口舶 佳。 a、 、7c、7d)。以錨釘或扣環為較 上述該包覆部件，装 盔— 其了為元全包覆或部份包覆該中空 固定裝置之灌注端。 上述該包覆部件，其可為 性句it如a 1忍条知之包覆部件，如彈 性匕覆口P件、網狀包覆部丰、 件多孔包覆部件或金屬包覆部 、參見圖 6a、6b、6c、6d) 〇 上述該包覆部件，其可為任意形狀之包 柱狀、圓錐狀、球形、類球形或類立方體。 上述該包覆部件，其可進— 幹邻杜田μ J進步包括一阻撞部件，該阻 擋邛件用以使一導引裝置穿 姑楢τ二固疋裝置之灌注端後， ι導引裝置可頂住阻擔部件，讓 1什系包覆部件放入骨骼瞎，可 放置至灌注位置’而不致使包覆， .,^ 仕敦入骨骼時，2現 被擠壓或產生皺摺的狀態。 201112995 上述該醫療填充物料’其於灌注完成後成團狀，其中 該團狀可為任意習知之團狀，如圓柱狀、圓錐狀'球形、 類球形或類立方體，以圓柱狀為較佳。 上述該醫療填充物料，其可為任意習知醫療填充物 料，諸如移植用碎骨（bone graft)，骨科用取代物（b〇ne substitutes)、骨水泥（b〇ne cement)、及/或其混合物 (mixture)、組合物（compositi〇n)、複合物（c〇mp〇site)等，參 見 TW-097141700、TW-I227146、US-20070088436。一般而The cloth is preferred, wherein the limbs, such as, A ^, the manner in which the covering member is fixed to the annular groove can be any conventional manner, such as anchors, buckles, locks. Fit, bond or bundle (see mouthpieces. a, , 7c, 7d). The anchor or the buckle is used as the cover member, and the helmet is covered or covered with a perforated end of the hollow fixture. The covering member may be a covering member such as a 匕 知 知, such as an elastic 匕 P P, a mesh covering portion, a porous covering member or a metal covering portion, see the figure 6a, 6b, 6c, 6d) The above-mentioned covering member may be a columnar shape, a conical shape, a spherical shape, a spheroidal shape or a cube-like shape of any shape. The above-mentioned covering member, which can be moved into the adjacent field, includes a blocking member for guiding a guiding device through the perfusion end of the abutting device, and then guiding The device can withstand the resistive parts, allowing 1 of the covered parts to be placed in the skeleton, and can be placed in the filling position 'without wrapping, . . . ^ When the stalk enters the bone, 2 is now squeezed or wrinkled status. 201112995 The medical filling material described above is agglomerated after completion of the infusion, wherein the mass may be any conventional group, such as a cylindrical, conical 'spherical, spheroidal or cubic-like, preferably cylindrical. The medical filling material described above, which may be any conventional medical filling material, such as bone graft for transplantation, b〇ne substitutes, bone cement, and/or Mixtures, compositions (compositi〇n), complexes (c〇mp〇site), etc., see TW-097141700, TW-I227146, US-20070088436. Generally
言’上述醫療填充物料’可採用單純填入之醫療填充物料， 諸如移植用碎骨，例如自體骨（aut0graft)或異體骨 (allograft) ’但以其固化卡合效果顯然相對較差；因此，上 述醫療填充物料’以採用至少含可固結之漿料的醫療填充 物料為較佳’諸如漿料式的醫療填充物料，或塞入上述移 植用碎骨後’再灌入可固結之漿料，使該漿料實質上充滿 整個團狀結構’甚至使團狀結構再稍微膨脹，以強化固化 卡合效果’ 一般而§ ’以直接採用漿料式的醫療填充物料 為更佳。此處所S胃漿料式的醫療填充物料，係指可在使用 時或使用前調配成漿料’於灌入團狀結構後適當時間内固 結之醫療填充物料，諸如上述之骨科用取代物（b〇ne substitutes)、骨水泥（bone cement)、及/或其混合物 (mixture)、組合物（composition)、複合物（comp〇site)等。上 述醫療填充物料’以具有骨傳導作用（osteo_conductive)、 及/或骨引導作用（osteo-inductive)者為較佳，諸如習知的 HA類骨填充物；以具有骨引導作用者為較佳，諸如SrHA 201112995 類醫療填充物料’參見TW-097141700。熟知此項技藝人士 均知上述醫療填充物料’除習知醫療填充物料外，可代以 任何就習知醫療填充物料重新組合或修正之醫療填充物 料’甚至任意具有等效之新開發醫療填充物料。 上述該中空固定裝置，其可為一段式或多段式組合， 若為一段式，該中空固定裝置為整體中空，若為多段式， 遠端灌注端為中空，其餘各端可為中空或實心，各段間可 φ 以任意習知之結合方式結合，如鎖合 '卡合或螺合（請參 見圖 5.a、5b)。 上述該中空固定裝置，可進一步包括一第二包覆部 件，該第二包覆部件可連結於中空固定裝置的桿身，用以 加強固定兩斷骨之間的連結（請參見圖14)。 上述該骨固定系統，其可進一步包括一輔助固定裝 置，以加強固定該骨固定系統的穩定性，其可為骨板、連 結桿、骨釘、螺釘、桿件或骨鉤。 【實施方式】 圖1a為本發明骨固定系統-個較佳具體例的結合示意 圖。其中標號1〇〇為中空固定裝置，11〇為連結端，12〇為 灌注端，130為桿身，該桿身表面具有網紋，為包覆部 件，2 1 0為固定環，2 2 0 i kb # vw u 20為阻擋部件，400為迫緊裝置。其 中中空固定裝置100為一體成型， 八 瓶风1 固疋j衣220用以將包覆 部件200固定於中空固定裝置100的桿身130。 圖lb為本發明骨固定系統―個完成灌注的較佳具體 201112995 例不意圖°其令職H)〇為中空固定裝置，11〇為連結端， 120為灌注端’ 13G為桿身，2⑻為包覆部件，加為固定 環’細為阻擋部件，300為醫療填充物料，400為迫緊裝The above-mentioned medical filling material can use a medical filling material which is simply filled, such as a bone for transplantation, such as autologous bone (aut0graft) or allograft (allograft), but the curing effect is obviously relatively poor; therefore, The medical filling material described above is preferably a medical filling material containing at least a condensable slurry, such as a medical filling material such as a slurry type, or after being inserted into the above-mentioned bone for transplantation, and then refilled into the condensable pulp. In order to make the slurry substantially fill the entire lumpy structure 'even the lumpy structure is slightly expanded to enhance the curing engagement effect'. Generally, § 'is better to use the slurry type medical filling material directly. The medical filling material of the S-slurry type herein refers to a medical filling material which can be formulated into a slurry at the time of use or before use to be consolidated in a suitable time after being poured into the mass structure, such as the above-mentioned orthopedic substitute. (b〇ne substitutes), bone cement, and/or mixtures thereof, compositions, comp〇sites, and the like. The above-mentioned medical filling material is preferably made of osteo-conductive, and/or osteo-inductive, such as a conventional HA-based bone filler; preferably having a bone guiding effect, For example, SrHA 201112995 medical filling material 'see TW-097141700. Those skilled in the art are aware that the above-mentioned medical filling material 'in addition to the conventional medical filling material, can replace any medical filling material that is recombined or corrected with respect to the conventional medical filling material' or even any equivalent new developed medical filling material. . The hollow fixing device may be a one-stage or multi-stage combination. If it is a one-stage type, the hollow fixing device is hollow as a whole. If it is a multi-stage type, the distal perfusion end is hollow, and the other ends may be hollow or solid. φ can be combined in any conventional combination, such as locking 'engagement or screwing (see Figure 5.a, 5b). The hollow fixing device may further include a second covering member connectable to the shaft of the hollow fixing device for reinforcing the joint between the two broken bones (see Fig. 14). The bone fixation system described above may further include an auxiliary fixation device for enhancing the stability of the bone fixation system, which may be a bone plate, a tie rod, a nail, a screw, a rod or a bone hook. [Embodiment] Fig. 1a is a schematic view showing the combination of a preferred embodiment of the bone fixation system of the present invention. The reference numeral 1〇〇 is a hollow fixing device, 11〇 is a connecting end, 12〇 is a perfusion end, 130 is a shaft, the surface of the shaft has a mesh, which is a covering part, and 2 1 0 is a fixed ring, 2 2 0 i kb # vw u 20 is a blocking member, and 400 is a pressing device. The hollow fixing device 100 is integrally formed, and the eight-cylinder wind 1 fixing body 200 is used to fix the covering member 200 to the shaft 130 of the hollow fixing device 100. Figure lb is a preferred embodiment of the bone fixation system of the present invention. The specific embodiment of 201112995 is not intended to be a hollow fixture, 11 is a connection end, 120 is a perfusion end '13G is a shaft, and 2 (8) is Coated parts, added as a retaining ring 'thin as a blocking part, 300 is a medical filling material, 400 is a tight fit
置。其十醫療填充物料300經由中空固定裝置1〇〇,之灌J 端U0灌入包覆部件2〇〇，且醫療填充物料_將包覆部 件200灌滿’形成一團狀。 圖2為本發明骨固定系統一個較佳具體例的分解示意 圖。其中標號1〇〇為中空固定裝置’ 11〇為連結端，12〇為 灌注端’ 130為桿身’ 131為環狀凹槽，2〇〇為包覆部件， 21〇為固定環’ 22g為阻擋部件，221為前阻擋元件，a 為後阻擋元件。其中該固定環21〇用以將包覆部件固 定於中空固定裝置1〇〇的環狀凹槽131。 圖3a 3b、3c、3d、3e為本發明骨固定***5種中空 固定裝置桿身紋路的示意圖。圖3a顯示：中空固定裝置為 一體成型，桿身13〇並無紋路。圖3b顯示：中空固定裝置 ，一體成型，桿身130具有環狀紋路。圖3c顯示：中空固 定裝置為-體成型’捍身13〇具有直條紋路。圖3d顯示： 中空固定裝置為-體成型，桿身13G具有斑點紋路。圖“ 顯不’中空固定裝置為一體成型，桿身13〇具有網狀紋路。 圖4a 4b、4c為本發明骨固定系統之中空固定裝置的 3種灌注端較佳具體例示意圖。其中標號120為灌注端。 圖4a顯示：灌注端12〇並無孔洞或細縫。冑顯示：灌 注端120有複數條細縫，以利醫療填充物料從灌注端⑶ 灌入包覆部件。圖4e顯示：灌注端12()有複數個孔洞，以 201112995 利醫療填充物料從灌注 竭1m包覆部件。 a、5b為本發明骨固定系統2種中 。方式的較佳具體例示意 裝置的、，，。 ⑴為連結部件m W端㈣UG為連結部件， 、全加从 的、、口 σ端，U0為灌注部件，121 . 注部件120的結合端。圖5a顯干 件121為灌 件120以螺合的方式“ 7 U件與灌注部 螺旋構造，連結部件u ，’、♦連、，·。部件110具有 合。 10與灌注部件12〇以卡合的方式結 圖6a、6b、6c、6d為本發明骨固定 的較佳具體例示意@ # , 、、 4種包覆部件 〆、锻例不。其中標號2⑽為 < 示：包霜邱杜？nn a ζ 4件。圖6a顯 HP件200為網狀包覆部件。圖 _ 200 ^ ΡΕΤ Μ Ψ It a? /j. ’不.包覆部件 T材質包覆部件。圖6c顯示：包霜λ 屬包覆部件。圖6d磲干.勺薄I復部件200為金 圖7、7h 7 部件2〇0為彈性包覆部件。 a c、7d為本發明骨固定系 與中空II玄t番έ士人以 統4種包覆部件 工固疋裝置尨合的較佳具體例示意圖 為桿身，200為包覆部件，21〇為固定、中標號130 身130與包覆部件2〇〇以錫釘方式結合二顯不：= ⑼與包覆部件200以螺合方式結合。/顯示··桿身 叙气通 c顯示：桿身130 與包覆部件200以迫緊方式結合。 千身 包覆加丄 .·肩不：桿身130與 匕覆。卩件200以綑綁方式結合。 圖8a、8b、8c為本發明骨固定系統 鱼申*種金屬包覆部件 -固疋裝置結合的較佳具體例示意圖。 為奸έ 其中標號130 于身’ 200為包覆部件，210為固定環。 霜却μ 圖8a顯示：包 。200為金属包覆部件，桿身13〇與包覆部件败以 11 201112995 ，方式結合°圖8b顯示：包覆部件·為金屬包覆部件， 桿身130與包覆部件2〇〇以螺合方式結合。圖8。顯示：包 覆部件200為金屬包覆部件，桿身13〇與包覆部件以 迫緊方式結合。 立圖9為本發明骨固定系統用於競關節的較佳具體例示 思圖’其中標號100為中空固定裝置，2〇〇為包覆部件， :〇0為填充物料’ 400為迫緊裝置，610為前斷骨，62〇為 後斷骨，630為裂縫。中空固定裝置1〇〇及包覆部件_ 穿過後斷骨620、裂縫63〇及前斷骨61〇，並經由灌注醫療 填充㈣300’把前斷f㈣及後斷骨62()連結，並進— ^利用边緊裝置400，將前斷# 61〇、後斷# 62〇及中空固 疋裝置1〇〇更為緊密的連結，提高其穩固性。其手術方 可進一步參見圖15a到i5k。 " 圖10為本發明骨固定系統用於長骨的較佳具體例示 意圖’其中標號1〇〇為中空固定裝置，2〇〇為包覆部件， 為真充物料，400為迫緊裝置，610為前斷骨，620為 後斷月’ 630為裂縫。中空固定裝置.1〇〇及包覆部件2⑽ 穿過月’j斷骨61G、裂縫63G及後斷骨62Q，並經由灌注醫療 填充物料300 ’把前斷骨610及後斷骨620連結，並進一 ^利用边緊裝置彻’將前斷骨610、後斷骨62G及中空固 疋裝置1〇〇更為緊密的連結提高其穩固性。其手術方 叮進步參見圖15a到15k。 圖11為本發明骨固定系統與輔助固定裝置用於長骨的 較佳具體例示意圖’其中標號100為中空固定裝置，200 12 201112995 300為填充物料，400為迫緊裝置，5〇〇為辅 6W為前斷骨，62〇為後斷骨，63()為裂縫。 100及包覆部件200穿過輔助固定裝置5〇〇、 為包覆部件， 助固定裝置， 中空固定裝置 前斷骨610、裂縫63〇及後斷骨62〇，並經由灌注醫療填充 物料300，把前斷f 61〇及後斷# 62〇連结並進一步利 用迫緊裝置400’將前斷骨61〇、後斷骨62〇及中空固定裝 置1〇〇更為緊密的連結，提高其穩固性。其手術方式可進Set. The ten medical filling material 300 is poured into the covering member 2 through the hollow fixing device 1 , and the medical filling material _ fills the covering member 200 to form a dough. Fig. 2 is an exploded perspective view showing a preferred embodiment of the bone fixation system of the present invention. The reference numeral 1〇〇 is a hollow fixing device '11〇 is a connecting end, 12〇 is a pouring end '130 is a shaft' 131 is an annular groove, 2〇〇 is a covering part, 21〇 is a fixing ring '22g is The blocking member, 221 is a front blocking member, and a is a rear blocking member. The fixing ring 21 is for fixing the covering member to the annular groove 131 of the hollow fixing device 1〇〇. Figures 3a, 3b, 3c, 3d, and 3e are schematic views of the five types of hollow fixtures of the bone fixation system of the present invention. Figure 3a shows that the hollow fixture is integrally formed and the shaft 13 has no grain. Figure 3b shows the hollow fixture, integrally formed, with the shaft 130 having a ring pattern. Figure 3c shows that the hollow fixture is a body-formed body 13 with a straight stripe path. Figure 3d shows that the hollow fixture is body-formed and the shaft 13G has a speckle pattern. The figure shows that the hollow fixing device is integrally formed, and the shaft 13 has a mesh pattern. Fig. 4a 4b and 4c are schematic diagrams showing three preferred filling examples of the hollow fixing device of the bone fixing system of the present invention. Figure 4a shows that there are no holes or slits in the perfusion end. 胄 shows that the perfusion end 120 has a plurality of slits to facilitate the filling of the medical filling material from the perfusion end (3) into the coated part. Figure 4e shows: The perfusion end 12 () has a plurality of holes to cover the 1 m-coated component from the 201112995 medical filling material. a, 5b are the two types of bone fixation systems of the present invention. (1) is the connecting member m W end (4) UG is the connecting member, the full plus, the port σ end, U0 is the pouring member, 121. The joining end of the injecting member 120. The drying member 121 of Fig. 5a is the filling member 120 for screwing The way "7 U piece and the pouring part spiral structure, connecting parts u, ', ♦ 连, , · ·. Component 110 has a combination. 10 is joined to the filling member 12A in a manner of engagement. Figs. 6a, 6b, 6c, and 6d show a preferred embodiment of the bone fixation of the present invention. # # , , , 4 kinds of covering members 锻, forging examples. Where the label 2 (10) is < Show: Bao Qiu Qiu Du? Nn a ζ 4 pieces. Figure 6a shows that the HP member 200 is a mesh-coated member. Fig. _ 200 ^ ΡΕΤ Μ Ψ It a? /j. ‘No. Covering parts T material covering parts. Figure 6c shows that the frosting λ is a cladding component. Fig. 6d is dry. The scoop thin I complex part 200 is gold. Fig. 7, 7h 7 The part 2〇0 is an elastic covering part. Ac and 7d are schematic diagrams of a preferred embodiment of the bone fixation system of the present invention and the hollow II Xuan Tuanshi people, which are combined with four types of cladding components, and 200 is a covering member, and 21 is a cover member. The fixed, medium-numbered 130 body 130 and the covering member 2 are joined by a stud type. The following is combined with the covering member 200 in a screwing manner. /Show··Rod body The air flow c shows that the shaft 130 and the covering member 200 are combined in a tight manner. Thousands of body wrapped and crowned. · Should not: shaft 130 and cover. The components 200 are combined in a bundled manner. 8a, 8b, and 8c are schematic views showing a preferred embodiment of the combination of the metal-clad component and the solid-state device of the bone fixation system of the present invention. For the smuggling, the reference numeral 130 is a covering member, and 210 is a fixing ring. Cream but μ Figure 8a shows: package. 200 is a metal-clad part, the shaft 13〇 and the covering part are defeated by 11 201112995, and the manner is combined. FIG. 8b shows that the covering part is a metal-clad part, and the shaft 130 and the covering part 2 are screwed together. Ways to combine. Figure 8. It is shown that the covering member 200 is a metal covering member, and the shaft 13 is joined to the covering member in a pressing manner. Figure 9 is a preferred embodiment of the bone fixation system of the present invention for engaging in joints. Wherein the reference numeral 100 is a hollow fixing device, 2 is a covering member, and 〇 0 is a filling material '400 is a pressing device, 610 is the front broken bone, 62 is the posterior broken bone, and 630 is the crack. The hollow fixing device 1〇〇 and the covering member _ pass through the posterior broken bone 620, the crack 63〇 and the front broken bone 61〇, and connect the front broken f(4) and the rear broken bone 62() through the perfusion medical filling (4) 300', and enter - ^ By using the edge tightening device 400, the front break #61〇, the rear break #62〇, and the hollow solid-state device 1〇〇 are more closely connected to improve the stability. The procedure can be further seen in Figures 15a through i5k. " Fig. 10 is a schematic view showing a preferred embodiment of the bone fixation system for long bones of the present invention, wherein the reference numeral 1 is a hollow fixing device, 2 is a covering member, and is a true filling material, and 400 is a pressing device. 610 is the front broken bone, and 620 is the rear broken moon '630 is the crack. The hollow fixing device.1〇〇 and the covering member 2(10) pass through the moon 'j broken bone 61G, the crack 63G and the rear broken bone 62Q, and connect the front broken bone 610 and the rear broken bone 620 through the infusion medical filling material 300 ' The use of the edge-tightening device to improve the stability of the front broken bone 610, the rear broken bone 62G and the hollow solid-state device 1〇〇. See Figure 15a through 15k for advances in surgery. Figure 11 is a schematic view showing a preferred embodiment of the bone fixation system and the auxiliary fixation device for the long bone of the present invention. The reference numeral 100 is a hollow fixing device, 200 12 201112995 300 is a filling material, 400 is a pressing device, and 5 is auxiliary. 6W is the front broken bone, 62〇 is the posterior broken bone, and 63() is the crack. 100 and the covering member 200 passes through the auxiliary fixing device 5〇〇, is a covering member, a fixing device, a hollow fixing device before the broken bone 610, a crack 63〇 and a rear broken bone 62〇, and fills the material 300 via the infusion medical treatment, Connect the front break f 61〇 and the rear break # 62〇 and further use the pressing device 400' to connect the front broken bone 61〇, the rear broken bone 62〇 and the hollow fixing device 1〇〇 more closely to improve the stability. Sex. Its surgical approach can be improved
—步參見圖15a到15k。 圖12為本發明骨固定系統用於長骨的另一較佳具體 例不意圖’纟中標號1〇〇為中空固定裝置，2〇〇為包覆部 件’ 300為填充物料，400為迫緊裝置，610為前斷骨，62〇 為後斷骨’ 630為裂縫。中空固定裝i 1〇〇及包覆部件· 穿過前斷骨610、裂縫63〇及後斷骨62〇，並經由灌注醫療 填充物料300，把前斷骨61〇及後斷骨62〇連結並進一 步利用迫緊裝置400，將前斷骨61〇、後斷骨62〇及中空固 定裝置100更為緊密的連結，提高其穩固性。其手術方式 可進一步參見圖15a到15k。 圖13為本發明骨固定系統與辅助固定裝置用於髖關 節的較佳具體例示意圖，其中標號100為中空固定裝置， 2〇〇為包覆部件，300為填充物料，4〇〇為迫緊裝置， 為輔助固定裝置，610為前斷骨，62〇為後斷f，63〇為裂 縫。中空固定裝置1〇〇及包覆部件2〇〇穿過後斷骨62〇、 輔助固定裝置500、裂縫63〇及前斷骨61〇，並經由灌注醫 療填充物料300，把前斷骨610及後斷骨620連結，並進 13 201112995 一步利用迫緊_ w 緊裝置4〇〇,將前斷骨61〇、 固定裝置1〇〇更為緊密的遠……“2〇及中空 式可進-步參見二 穩固性。其手術方 夕争見圖15a到i5k。 圖14為本發明骨 _ 裝置用於盤" 疋糸統興第-包覆部件輔助固定 空固定f詈卽的較佳具體例示意圖，其中標號100為中 、，200為包覆部件，230為第二包 為填充物料，400為迫， 覆…綱 鼢私馬刖斷骨，620為後 二包覆部1 :中空固定裝置10°、包覆部件2〇。及第 將醫療埴230穿過後斷骨620、裂縫630及前斷骨610， 療填充物料_灌注於包覆部件200以固定前斷骨61〇 骨_，再將醫療填充物料綱灌注於第二包覆部 ，以加強前斷骨310其後斷骨32〇之間的連结，並 進-步利用迫緊裝置400,將前斷骨61〇、後斷骨62〇及中 空固定裝置100更為緊密的連結，提高其穩固性。 圖⑸至圖1仏為本發明骨固定系統的手術步驟示意 圖。其中標號H)0為中空固定裝置，為包覆部件，22〇 為阻撐部件’ 為填充物料，為迫緊|置，610為 前斷骨，620為後斷骨，630為裂縫，71〇為鑽孔裝置，72〇 為導引裝置’ 730為灌注裝置，74〇為鎖固裝置。冑…顯 示：鑽孔裝置7H)錯人後斷骨㈣。圖15b顯示：鑽孔裝 置710鑽過後斷骨620,經過裂縫63〇，並鑽入前斷骨61〇。 圖15c顯示：鑽孔裝f 710以完成鑽孔的動作，並將鑽孔 裝置710取出。圖15d顯示：中空固定裝置i 〇〇與包覆部 件200放入由鑽孔裝置710所鑽出的孔洞，其中灌注裝置 14 201112995- See Figures 15a to 15k for steps. Figure 12 is another preferred embodiment of the bone fixation system for long bones of the present invention. It is not intended to be a hollow fastening device, and the second member is a covering member '300 for filling material, and 400 for pressing. The device, 610 is the front broken bone, and 62 〇 is the posterior broken bone '630 is the crack. Hollow fixed i 1〇〇 and coated parts · Pass through the front broken bone 610, the crack 63〇 and the back broken bone 62〇, and through the infusion medical filling material 300, the front broken bone 61〇 and the rear broken bone 62〇 Further, the pressing device 400 is further used to more closely connect the front broken bone 61 〇, the rear broken bone 62 〇 and the hollow fixing device 100 to improve the stability. The surgical procedure can be further seen in Figures 15a to 15k. Figure 13 is a schematic view showing a preferred embodiment of the bone fixation system and the auxiliary fixation device for the hip joint of the present invention, wherein the reference numeral 100 is a hollow fixing device, 2 is a covering member, 300 is a filling material, and 4 is a tight pressing device. The device, in order to assist the fixture, 610 is the front broken bone, 62 〇 is the rear fracture f, 63 〇 is the crack. The hollow fixing device 1〇〇 and the covering member 2〇〇 pass through the rear broken bone 62〇, the auxiliary fixing device 500, the crack 63〇 and the front broken bone 61〇, and the medical material 300 is filled through the infusion, and the front broken bone 610 and the rear Broken bone 620 is connected, and enters 13 201112995. Using one step of tightening _ w tight device 4〇〇, the front broken bone 61〇, the fixed device 1〇〇 is closer and farther away... “2〇 and hollow type can be advanced” The second embodiment is shown in Figs. 15a to i5k. Fig. 14 is a schematic view showing a preferred embodiment of the bone_device for the disk " Wherein the reference numeral 100 is medium, 200 is a covering member, 230 is a second package for filling material, 400 is forced, covered with a smashing smash, and 620 is a second covering portion 1: hollow fixing device 10 °, the covering member 2 〇. and the medical 埴 230 through the broken bone 620, the crack 630 and the front broken bone 610, the therapeutic filling material _ perfusion in the covering member 200 to fix the front broken bone 61 〇 bone, and then The medical filling material is poured into the second covering portion to strengthen the connection between the front broken bone 310 and the subsequent broken bone 32〇. The step-by-step tightening device 400 is used to more closely connect the front broken bone 61〇, the rear broken bone 62〇 and the hollow fixing device 100 to improve the stability. Figures (5) to 1仏 are the bone fixation system of the present invention. Schematic diagram of the surgical procedure, wherein the label H)0 is a hollow fixing device, which is a covering member, 22 is a blocking member, which is a filling material, which is a pressing material, 610 is a front broken bone, 620 is a rear broken bone, and 630 is a rear broken bone, 630 is Crack, 71〇 is the drilling device, 72〇 is the guiding device' 730 is the filling device, 74〇 is the locking device. 胄... display: drilling device 7H) broken bone after the wrong person (4). Figure 15b shows: drilling The device 710 is drilled through the broken bone 620, passes through the slit 63, and is drilled into the front broken bone 61. Figure 15c shows the drilling assembly f 710 to complete the drilling operation and take the drilling device 710. Figure 15d shows: The hollow fixture i 〇〇 and the covering member 200 are placed in a hole drilled by the drilling device 710, wherein the filling device 14 201112995
730與中空固定裝置100連結，其中導引m經由灌 注裝置730,穿過中空固定裝置1〇〇,伸入包覆部件並 頂住阻擋部件230 ,以推開包覆部件·，使包覆部件· 於深入斷骨時，不會因擠壓而皺成一團。圖i5e顯示：中 空固定裝置1〇〇及包覆部件200以完整放入孔洞中。圖i5f 顯示：骨固定系統以放置定位，並將導引裝置72〇抽出骨 固定系統。圖15g顯示：將醫療填充物料3〇〇經由灌注裝 置730及中空固定裝置1〇〇灌注入包覆部件2〇〇。圖w 顯示：醫療填充物料300與包覆部件2〇〇已灌注成團狀。 圖15i顯示：貫注步驟以完成，將灌注裝置73〇抽離中空 固疋裝置100。圖15j顯示：利用鎖固裝置74〇將迫緊裝置 400鎖入中空固定裝置1〇〇。圖15k顯示：迫緊裝置4〇〇所 入t空固定裝置100,並迫緊前斷骨61〇、後斷骨62〇及中 空固定裝置之間的連結。 【圖式簡單說明】 圖la為本發明骨固定系統一個較佳具體例的結合示意 圖 圖lb為圖la完成灌注的較佳具體例示意目。 圖2為本發明骨@ ^系統—個較佳具體例的分解示意 圖。 為本發明骨固定系統5種中空 固疋裝置桿身紋路的示意圖。 圖4a、4b、4c為本發明骨囡金么μ . . . /3月固夂系統之中空固定裝置的 15 201112995 3種灌注端較佳具體例示意圖。 為本發明骨固定系統2種中空固定裝置的結 合方式的較佳具體例示意圖。 圖 6a、6b、6p、. 6d為本發明骨固定系統4種包覆部件 的較佳具體例示意圖。 圖 7a、7b、7c、u & C 7d為本發明骨固定系統4種包覆部件 與中工固疋裝置結合的較佳具體例示意圖。 圖8a 8b、8e為本發明骨固定系統3種金屬包覆部件 與中空固定裝置結合的較佳具體例示意圖。 圖9為本發明骨固定系統用於髖關節的較佳具體例示 意圖。 圖10為本發明骨固定系統用於長骨的較佳具體例示 意圖。 圖11為本發明骨固冑系統與辅助固定裝置用於長骨的 較佳具體例示意圖β 圖12為本發明骨固定系統用於長骨的另一較佳具體 例示意圖。 圖13為本發明骨固定系統與辅助固定裝置用於 節的較佳具體例示意圖。 、風關 圖14為本發明骨固定系統與第二包覆部件輔助固 裝置用於髖關節的較佳具體例示意圖。 圖15a至圖15k為本發明骨固定系統的手術步驟一 圖。 不意 16 201112995 【主要元件符號說明】 100 固定裝置 110 連結端 111 結合端 120 灌注端 121 結合端 130 桿身 131 環狀凹槽 201 包覆部件 210 固定環 220 阻檔部件 221 前阻擋元件 222 後阻擋元件 230 第二包覆部件 301 醫療填充物料 400 迫緊裝置 500 辅助固定裝置 610 前斷骨 620 後斷骨 630 裂縫 710 鑽孔裝置 720 導引裝置 730 灌注裝置 740 鎖固裝置The 730 is coupled to the hollow fixture 100, wherein the guide m passes through the infusion device 730, passes through the hollow fixture 1〇〇, extends into the covering member and bears against the blocking member 230 to push open the covering member. · When you break the bone, you won't wrinkle it by squeezing. Figure i5e shows the hollow fixture 1 and the cover member 200 for complete insertion into the hole. Figure i5f shows the bone fixation system positioned to position and guide the guide 72 out of the bone fixation system. Fig. 15g shows that the medical filling material 3 is poured into the covering member 2 through the filling device 730 and the hollow fixture 1 . Figure w shows that the medical filling material 300 and the cladding member 2 have been infused into a dough. Figure 15i shows the intent step to complete the extraction of the infusion device 73 from the hollow fixation device 100. Figure 15j shows the locking device 400 locked into the hollow fixture 1 by means of a locking device 74. Fig. 15k shows that the pressing device 4 is inserted into the t-fixing device 100, and the connection between the front broken bone 61〇, the rear broken bone 62〇 and the hollow fixing device is forced. BRIEF DESCRIPTION OF THE DRAWINGS Figure la is a schematic diagram of a preferred embodiment of a bone fixation system of the present invention. Figure lb is a schematic illustration of a preferred embodiment of the completion of perfusion. Fig. 2 is an exploded perspective view showing a preferred embodiment of the bone @^ system of the present invention. It is a schematic diagram of the five kinds of hollow solid-state device shaft lines of the bone fixation system of the present invention. 4a, 4b, and 4c are schematic diagrams showing a preferred embodiment of the three types of perfusion ends of the hollow fixation device of the invention. A schematic diagram of a preferred embodiment of a combination of two kinds of hollow fixing devices for the bone fixation system of the present invention. 6a, 6b, 6p, and 6d are schematic views showing a preferred embodiment of four kinds of covering members of the bone fixing system of the present invention. 7a, 7b, 7c, u & C 7d are schematic diagrams showing a preferred embodiment of the four kinds of covering members of the bone fixation system of the present invention combined with the medium-working solid-state device. 8a, 8b, and 8e are schematic views showing a preferred embodiment of the three metal covering members of the bone fixing system of the present invention combined with the hollow fixing device. Fig. 9 is a view showing a preferred specific example of a bone fixation system for a hip joint of the present invention. Fig. 10 is a view showing a preferred specific example of the bone fixation system of the present invention for long bones. Fig. 11 is a schematic view showing a preferred embodiment of the bone fixation system and the auxiliary fixation device for the long bone of the present invention. Fig. 12 is a schematic view showing another preferred embodiment of the bone fixation system for the long bone of the present invention. Fig. 13 is a schematic view showing a preferred embodiment of the bone fixation system and the auxiliary fixation device of the present invention. Fig. 14 is a schematic view showing a preferred embodiment of the bone fixation system and the second covering member auxiliary fixing device for the hip joint of the present invention. 15a to 15k are diagrams showing the surgical procedure of the bone fixation system of the present invention. Unknown 16 201112995 [Main component symbol description] 100 Fixing device 110 Connecting end 111 Bonding end 120 Filling end 121 Bonding end 130 Shaft body 131 Annular groove 201 Covering member 210 Fixing ring 220 Blocking member 221 Front blocking member 222 Rear blocking Element 230 second covering part 301 medical filling material 400 pressing device 500 auxiliary fixing device 610 front broken bone 620 rear broken bone 630 crack 710 drilling device 720 guiding device 730 filling device 740 locking device
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