TWI756794B - Interspinous stabilization device - Google Patents
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本發明係關於一種脊突間固定裝置;特定而言,係關於一種具有側翼及其通孔之脊突間固定裝置。The present invention relates to a fixation device between ridges; in particular, it relates to a fixation device between ridges with flanks and through holes thereof.
脊椎不適的治療可包括長期醫藥治療或手術。醫藥治療通常是控制症狀,譬如疼痛,而非排除問題。就某些病人而言,此需要長期服藥,因而改變病人的心理狀況,或產生副作用。另一種選擇為手術,但其具侵犯性,且可能會改變脊椎的解剖上的結構及功能。譬如,脊椎融合固定手術,使得兩節或數節椎骨可使用自體骨以及/或人工植入物而融合。融合固定方法是非可逆轉的,且可顯著地改變脊椎骨的活行動範圍。Treatment of spinal discomfort may include long-term medical treatment or surgery. Medical treatment is usually to manage symptoms, such as pain, rather than to eliminate the problem. For some patients, this requires long-term medication, thereby changing the patient's psychological state, or causing side effects. Another option is surgery, but it is invasive and may alter the anatomical structure and function of the spine. For example, spinal fusion and fixation procedures allow two or more vertebrae to be fused using autologous bone and/or artificial implants. Fusion fixation methods are non-reversible and can significantly alter the range of motion of the vertebrae.
美國專利第8118839號揭示一軟質脊突間填充塊,為可以壓縮且具彈性的脊突間填充塊,可避免硬質脊突間填充塊使用時因應力集中於脊突結構所造成的脊突斷裂。軟質脊突間填充塊皆具備雙翼結構,即在脊突間填充塊的左右兩側各有兩個大小相同的翼狀突起,該對稱雙翼結構可以提供脊突間填充塊在2個脊突之間較佳的貼合效果。然而此填充塊由兩條綁線從填充塊外繞脊突固定,較無固定填充塊效果。US Patent No. 8,118,839 discloses a soft interspinous filling block, which is a compressible and elastic interspinous filling block, which can avoid the ridge fracture caused by the stress concentration on the ridge structure when the rigid interspinous filling block is used. . The soft inter-spine filling blocks all have a double-wing structure, that is, there are two wing-like protrusions of the same size on the left and right sides of the inter-spine filling block. Better fit between protrusions. However, this filling block is fixed by two binding wires from the outside of the filling block around the ridge, which has no effect of fixing the filling block.
有鑑於此,因此本技術領域亟需一種脊突間固定器解決前述問題。In view of this, there is an urgent need in the technical field for an interspinous fixator to solve the aforementioned problems.
為解決上述之問題並達成發明之目的,本揭露係關於一種脊突間固定裝置,可同步應用於脊突後方與側邊置入之優點,亦具備良好的繩線綁定機制,以提高填充塊固定性,降低填充塊脫出的機率,同時和脊突更緊密貼合,具有固定脊椎的效果。In order to solve the above problems and achieve the purpose of the invention, the present disclosure relates to an inter-spinous fixation device, which can be simultaneously applied to the advantages of the posterior and lateral implantation of the spine, and also has a good wire binding mechanism to improve filling. The block fixation reduces the probability of the filling block coming out, and at the same time, it fits more closely with the spinal process, which has the effect of fixing the spine.
根據本揭露,該脊突間固定裝置包括:一中央連接部、一第一側翼、一第二側翼、一第三側翼、和一第四側翼。該第一側翼由該中央連接部向一第一方向延伸;該第二側翼由該中央連接部向該第一方向延伸;該第三側翼由該中央連接部向相對於該第一方向之一第二方向延伸;該第四側翼由該中央連接部向該第二方向延伸。該中央連接部具有至少一線孔,該線孔係沿實質上垂直於該第一方向之一第三方向延伸。該第一側翼、該第二側翼、該第三側翼、和該第四側翼分別具有一通孔。According to the present disclosure, the inter-ridge fixing device includes: a central connecting portion, a first lateral wing, a second lateral wing, a third lateral wing, and a fourth lateral wing. The first lateral wing extends from the central connecting portion to a first direction; the second lateral wing extends from the central connecting portion to the first direction; the third lateral wing extends from the central connecting portion to one of the first directions Extends in the second direction; the fourth side wing extends from the central connecting portion to the second direction. The central connecting portion has at least one line hole extending along a third direction substantially perpendicular to the first direction. The first lateral wing, the second lateral wing, the third lateral wing, and the fourth lateral wing respectively have a through hole.
於一特定實施例,其中該第一側翼、該第二側翼、該第三側翼、和該第四側翼分別包括一外側面、一頂面、和一內側面,其中該些通孔係連接該外側面和該頂面。In a specific embodiment, wherein the first side wing, the second side wing, the third side wing, and the fourth side wing respectively comprise an outer side, a top side, and an inner side, wherein the through holes are connected to the the outer side and the top side.
於一特定實施例,其中該第一側翼、該第二側翼、該第三側翼、和該第四側翼分別包括一外側面和一內側面,其中該些通孔係連接該外側面和該內側面。In a specific embodiment, wherein the first side wing, the second side wing, the third side wing, and the fourth side wing respectively comprise an outer side and an inner side, wherein the through holes are connected to the outer side and the inner side side.
於一特定實施例,其中該第一側翼和該第二側翼之長度實質上相同;該第三側翼和該第四側翼之長度實質上相同。In a specific embodiment, the lengths of the first side flap and the second side flap are substantially the same; the lengths of the third side flap and the fourth side flap are substantially the same.
於一特定實施例,其中該第一側翼、該第二側翼、該第三側翼、和該第四側翼分別包括一外側面和一內側面且為一弧形,該弧形係自該外側面朝該內側面彎曲。In a specific embodiment, wherein the first side wing, the second side wing, the third side wing, and the fourth side wing respectively include an outer side and an inner side and are in an arc shape, and the arc is connected from the outer side. Bend towards this inner side.
於一特定實施例,其中該第一側翼、該第二側翼、該第三側翼、和該第四側翼分別具有一厚度,該些厚度小於該中央連接部之厚度。In a specific embodiment, the first side flap, the second side flap, the third side flap, and the fourth side flap respectively have a thickness, and the thicknesses are smaller than the thickness of the central connecting portion.
於一特定實施例,其中該中央連接部包括一第一面以及相對於該第一面之一第二面,該第一面於植入人體時係面對脊柱,該第二面包括至少一凹槽。In a specific embodiment, the central connecting portion includes a first surface and a second surface opposite to the first surface, the first surface faces the spine when implanted in the human body, and the second surface includes at least one groove.
於一特定實施例,其中該第一側翼、該第二側翼、該第三側翼、和該第四側翼分別具有一底端和一頂端,該些底端連接該中央連接部,以及該些底端之厚度大於該些頂端之厚度。In a specific embodiment, wherein the first side wing, the second side wing, the third side wing, and the fourth side wing respectively have a bottom end and a top end, the bottom ends are connected to the central connecting portion, and the bottoms The thickness of the ends is greater than the thickness of the tips.
於一特定實施例,其中該第一側翼、該第二側翼、該第三側翼、和該第四側翼分別具有一底端和一頂端,該些底端連接該中央連接部,以及該些底端之寬度大於該些頂端之寬度。In a specific embodiment, wherein the first side wing, the second side wing, the third side wing, and the fourth side wing respectively have a bottom end and a top end, the bottom ends are connected to the central connecting portion, and the bottoms The width of the ends is greater than the width of the tops.
於一特定實施例,該脊突間固定裝置之材料係人體生物性相容材料。In a specific embodiment, the material of the interspinous fixation device is a human biocompatible material.
於一特定實施例,該脊突間固定裝置之材料係二甲基聚矽、聚氨酯或其混合物。In a specific embodiment, the material of the interspinous fixation device is dimethylpolysilicon, polyurethane, or a mixture thereof.
本創作之技術特徵,包含特定特徵,係揭示於申請專利範圍,針對本創作之技術特徵,較佳之理解茲配合說明書、依據本創作原理之實施例、和圖式將本創作詳細說明如下。此外,本說明書揭露之內容可為習知技術者所理解並實現,所有不背離發明概念之均等之變更或修改均可為請求項所涵蓋。The technical features of this creation, including specific features, are disclosed in the scope of the patent application. With regard to the technical features of this creation, for the best understanding, this creation is described in detail as follows in conjunction with the description, embodiments based on the principles of this creation, and drawings. In addition, the contents disclosed in this specification can be understood and realized by those skilled in the art, and all equivalent changes or modifications without departing from the inventive concept can be covered by the claims.
本創作說明書及申請專利範圍中所述之所有技術性及科學用語,除非另有所定義,皆為本創作所屬技術領域具有通常知識者可知曉之定義。其中單數用語「一」、「一個」、「該」、或其近似用語,除非另有說明,皆可指涉多於一個對象。本說明書使用之「或」、「以及」、「和」,除非另有說明,皆指涉「或/和」。此外,用語「包含」、「包括」皆非有所限制之開放式連接詞。前述定義僅說明用語定義之指涉而不應解釋為對創作標的之限制。除非另有說明,本創作所用之材料皆為市售易於取得。Unless otherwise defined, all technical and scientific terms described in the description of the creation and the scope of the patent application have the definitions known to those of ordinary skill in the technical field to which the creation belongs. The singular terms "a", "an", "the", or similar terms, unless otherwise stated, may refer to more than one object. "Or", "and" and "and" used in this manual refer to "or/and" unless otherwise specified. In addition, the terms "includes" and "includes" are not open-ended conjunctions of limitation. The foregoing definitions are merely indicative of the definitions of terms and should not be construed as limitations on the subject matter of creation. Unless otherwise stated, the materials used in this creation are commercially available and readily available.
本說明書和請求項所提及的序數,例如「第一」、「第二」等,僅用於說明所揭露之元件,而非指稱或表示元件之間具有任何執行次序,亦非指稱或表示於一元件和另一元件之間的次序、或製程之步驟次序。該些序數僅用於使具有某命名的一元件得以和另一具有相同命名的元件能清楚區分。The ordinal numbers mentioned in this specification and claims, such as "first", "second", etc., are only used to describe the disclosed elements, and do not refer to or indicate that there is any execution order among the elements, nor do they refer to or indicate The sequence between one element and another, or the sequence of steps in a process. These ordinal numbers are only used to clearly distinguish an element with a certain designation from another element with the same designation.
另,本說明書用語「上」、「之上」、「上方」、或相似用語指涉一元件與另一元件直接接觸,但亦指涉一元件與另一元件不直接接觸。In addition, the terms "on", "over", "over", or similar terms in this specification refer to an element that is in direct contact with another element, but also refers to that an element is not in direct contact with another element.
參照圖1-4,本發明係提供一種脊突間固定裝置10,包括:一中央連接部100、一第一側翼301、一第二側翼501、一第三側翼701、和一第四側翼901。1-4, the present invention provides an
該第一側翼301由該中央連接部100向一第一方向延伸;該第二側翼501由該中央連接部100向該第一方向延伸;該第三側翼701由該中央連接部100向相對於該第一方向之一第二方向延伸;該第四側翼901由該中央連接部100向該第二方向延伸。換言之,該第一側翼301和該第二側翼501自該中央連接部100朝同一方向延伸,而該第三側翼701和該第四側翼901自該中央連接部100朝同一方向延伸,且該第一側翼301和該第二側翼501之延伸方向和該第三側翼701和該第四側翼901之延伸方向彼此相對。The first
該中央連接部100具有至少一線孔。於本揭露圖式,該中央連接部100具有二線孔101, 103。但本發明不限於此,該中央連接部100可具有單一線孔,亦可具有多於二個線孔。該些線孔可沿該棘間固定裝置10之長度方向排列,或沿其寬度方向排列,或為斜向排列。該些線孔101, 103係沿實質上垂直於該第一方向之一第三方向延伸。換言之,可由圖2得知,該些線孔101, 103係沿實質上垂直該些側翼301, 501, 701, 901之延伸方向,且亦垂直於該棘間固定裝置10之長度方向。The central connecting
該第一側翼301、該第二側翼501、該第三側翼701、和該第四側翼901分別具有一通孔。The first
具體而言,該第一側翼301具有一第一通孔3011;該第二側翼501具有一第二通孔5011;該第三側翼701具有一第三通孔7011;該第四側翼901具有一第四通孔9011。Specifically, the first
於圖2-3所揭露之實施例中,該些側翼301, 501, 701, 901分別包括一外側面、一頂面、和一內側面。以該第一側翼301為例,如圖3所示,該第一側翼301具有一外側面3013、一頂面3015、和一內側面3017,其中該內側面3017係面對另一側翼之一面,而該外側面3013係相對於該內側面3017之另一面,該頂面3015連接該外側面3013和該內側面3017。於本實施例,該第一通孔3011係連接該外側面3013和該頂面3015。其他側翼501, 701, 901之結構相似,於此不再贅述。In the embodiment disclosed in FIGS. 2-3, the
但於圖式未揭露之另一實施例,通孔係連接側翼之外側面及內側面。However, in another embodiment not disclosed in the drawings, the through holes are connected to the outer side surface and the inner side surface of the side wings.
此外,於圖式未揭露之另一實施例,側翼不具有頂面,該側翼之外側面係連接內側面,且通孔係連接該外側面及內側面。In addition, in another embodiment not disclosed in the drawings, the side wings do not have a top surface, the outer side surfaces of the side wings are connected to the inner side surfaces, and the through holes are connected to the outer side surfaces and the inner side surfaces.
於一特定實施例,該第一側翼301和該第二側翼501之長度實質上相同;該第三側翼701和該第四側翼901之長度實質上相同。於一更特定實施例,該第一側翼301和該第二側翼501之長度與該第三側翼701和該第四側翼901之長度相同或相異。In a specific embodiment, the lengths of the first
於一特定實施例,該第一側翼301、該第二側翼501、該第三側翼701、和該第四側翼901分別具有一厚度,該些厚度小於該中央連接部100之厚度。於一較佳實施例,該第一側翼301、該第二側翼501、該第三側翼701、和該第四側翼901分別具有一底端和一頂端,該些底端連接該中央連接部100,以及該些底端之厚度大於該些頂端之厚度。因此,整體觀之,於本發明之裝置,該中央連接部100之厚度最大,且大於或等於該些側翼之底端,再者該些側翼之厚度自底端至頂端逐漸減小,該底端之厚度最小。In a specific embodiment, the first
於一特定實施例,該第一側翼301、該第二側翼501、該第三側翼701、和該第四側翼901分別包括一外側面和一內側面且為一弧形,該弧形係自該外側面朝該內側面彎曲。於另一特定實施例,該些側翼301, 501, 701, 901彼此平行。於另一特定實施例,該些側翼301, 501, 701, 901分別包括一外側面和一內側面,且該些外側面為一弧形以及該些內側面彼此平行,或為弧形。In a specific embodiment, the first
於本實施例,對於該些側翼之內側面而言,彼此相對之內側面底端之間距大於或等於彼此相對之內側面之頂端之間距。In this embodiment, for the inner sides of the side wings, the distance between the bottom ends of the inner sides facing each other is greater than or equal to the distance between the top ends of the inner sides facing each other.
或於另一替代實施例,該第一側翼301、該第二側翼501、該第三側翼701、和該第四側翼901分別具有一底端和一頂端,該些底端連接該中央連接部100,以及該些底端之寬度大於該些頂端之寬度。以圖2之實施例中該第一側翼301和該第二側翼501為例,該些側翼301, 501之底端厚度大於其頂端之厚度。因此,於圖2之實施例中,該些側翼301, 501於前視圖為三角形。但於本揭露,該些側翼亦可為弧形。Or in another alternative embodiment, the
如圖4所示,該中央連接部100包括一第一面1007以及相對於該第一面1007之一第二面1005,該第一面1007於植入人體時係面對脊柱,該第二面1005包括至少一凹槽。於圖4之實施例,該第二面1005包括一第一凹槽105和一第二凹槽107。該第一凹槽105係位於該第一側翼301和該第二側翼501之間,該第二凹槽107係位於該第三側翼701和該第四側翼901之間,且該第一凹槽105係朝第二方向延伸,以及該第二凹槽係朝第一方向延伸。As shown in FIG. 4 , the central connecting
此外,該脊突間固定裝置10之材料可為具有生物相容性之材料,包括但不限於二甲基聚矽、聚氨酯、或其混合物。In addition, the material of the
圖5係該脊突間固定裝置10固定於脊柱之示意圖。於本揭露,該脊突間固定裝置10係藉由一繩線固定於脊柱上。如圖5所示,該脊突間固定裝置10固定於脊柱上時,一繩線之一端穿越線孔後,依序穿越第二通孔和第一通孔;另一方面,該繩線之另一端穿越另一線孔,再依序穿越第四通孔和第三通孔,最後該繩線之二端固定於一鉤環,將該脊突間固定裝置10固定於脊柱。FIG. 5 is a schematic diagram of the interspinous
於本說明書實施例揭示之內容,本創作所屬領域具有通常知識者可明顯得知前述實施例僅為例示而非限制;具本創作所屬技術領域通常知識者可藉由諸多變換、替換而實施,並不與本創作之技術特徵有所差異。依據說明書實施例,本創作可有多種變換仍無礙於實施。本說明書提供之請求項界定本創作之範圍,該範圍涵蓋前述方法與結構及與其相等之創作。From the contents disclosed in the embodiments of this specification, those with ordinary knowledge in the art to which the present creation belongs can obviously know that the foregoing embodiments are merely examples rather than limitations; It does not differ from the technical characteristics of this creation. According to the embodiments of the specification, the present creation may have various transformations without hindering the implementation. The claims provided in this specification define the scope of this creation, which encompasses the foregoing methods and structures and their equivalents.
10 脊突間固定裝置
100 中央連接部
1005 第二面
1007 第一面
101, 103 線孔
105 第一凹槽
107 第二凹槽
301 第一側翼
3011 第一通孔
3013 外側面
3015 頂面
3017 內側面
501 第二側翼
5011 第二通孔
701 第三側翼
7011 第三通孔
901 第四側翼
9011 第四通孔
10
為實施本案所請,提供下列圖式說明,惟並非用以限定所請範圍: 圖1係本發明之脊突間固定裝置之示意圖。 圖2係本發明之脊突間固定裝置之前視圖。 圖3係本發明之脊突間固定裝置之側翼部分示意圖。 圖4係本發明之脊突間固定裝置之側視圖。 圖5係本發明之脊突間固定裝置固定於脊柱之示意圖。 In order to implement the request in this case, the following diagrams are provided, but are not intended to limit the scope of the request: FIG. 1 is a schematic diagram of the inter-spinous fixation device of the present invention. Figure 2 is a front view of the interspinous fixation device of the present invention. FIG. 3 is a schematic diagram of the lateral wing portion of the inter-spinous fixation device of the present invention. Figure 4 is a side view of the interspinous fixation device of the present invention. FIG. 5 is a schematic diagram of the interspinous process fixation device of the present invention being fixed to the spine.
10 脊突間固定裝置
100 中央連接部
101 線孔
301 第一側翼
3011 第一通孔
501 第二側翼
5011 第二通孔
701 第三側翼
901 第四側翼
9011 第四通孔
10
Claims (11)
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TWI756794B true TWI756794B (en) | 2022-03-01 |
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TW109128840A TWI756794B (en) | 2020-06-24 | 2020-08-24 | Interspinous stabilization device |
TW109210995U TWM609706U (en) | 2020-06-24 | 2020-08-24 | Interspinous stabilization device |
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TW109210995U TWM609706U (en) | 2020-06-24 | 2020-08-24 | Interspinous stabilization device |
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TWI756794B (en) * | 2020-06-24 | 2022-03-01 | 好喜歡妮有限公司 | Interspinous stabilization device |
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US20060241613A1 (en) * | 2005-04-12 | 2006-10-26 | Sdgi Holdings, Inc. | Implants and methods for inter-transverse process dynamic stabilization of a spinal motion segment |
TW200724076A (en) * | 2005-09-27 | 2007-07-01 | Paradigm Spine Llc | Interspinous vertebral stabilization devices |
EP2138120A1 (en) * | 2006-11-07 | 2009-12-30 | Vertiflex, Inc. | Systems and methods for posterior dynamic stabilization of the spine |
US20100094425A1 (en) * | 2008-10-14 | 2010-04-15 | Anulex Technologies, Inc. | Method and apparatus for the treatment of the intervertebral disc annulus |
US8118839B2 (en) * | 2006-11-08 | 2012-02-21 | Kyphon Sarl | Interspinous implant |
CN108338856A (en) * | 2017-01-24 | 2018-07-31 | 好喜欢妮有限公司 | Interspinous process filling block and interspinous process stabilizer |
CN111035482A (en) * | 2019-12-24 | 2020-04-21 | 西安交通大学医学院第二附属医院 | 3D prints bionical anticreep movable artificial cervical vertebra and intervertebral complex of connecting |
TWM609706U (en) * | 2020-06-24 | 2021-04-01 | 好喜歡妮有限公司 | Interspinous stabilization device |
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2020
- 2020-08-24 TW TW109128840A patent/TWI756794B/en active
- 2020-08-24 TW TW109210995U patent/TWM609706U/en unknown
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US20060241613A1 (en) * | 2005-04-12 | 2006-10-26 | Sdgi Holdings, Inc. | Implants and methods for inter-transverse process dynamic stabilization of a spinal motion segment |
TW200724076A (en) * | 2005-09-27 | 2007-07-01 | Paradigm Spine Llc | Interspinous vertebral stabilization devices |
EP2138120A1 (en) * | 2006-11-07 | 2009-12-30 | Vertiflex, Inc. | Systems and methods for posterior dynamic stabilization of the spine |
US8118839B2 (en) * | 2006-11-08 | 2012-02-21 | Kyphon Sarl | Interspinous implant |
US20100094425A1 (en) * | 2008-10-14 | 2010-04-15 | Anulex Technologies, Inc. | Method and apparatus for the treatment of the intervertebral disc annulus |
CN108338856A (en) * | 2017-01-24 | 2018-07-31 | 好喜欢妮有限公司 | Interspinous process filling block and interspinous process stabilizer |
CN111035482A (en) * | 2019-12-24 | 2020-04-21 | 西安交通大学医学院第二附属医院 | 3D prints bionical anticreep movable artificial cervical vertebra and intervertebral complex of connecting |
TWM609706U (en) * | 2020-06-24 | 2021-04-01 | 好喜歡妮有限公司 | Interspinous stabilization device |
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TWM609706U (en) | 2021-04-01 |
TW202200079A (en) | 2022-01-01 |
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