CN108836579B - Artificial Disc Prosthesis - Google Patents
Artificial Disc Prosthesis Download PDFInfo
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- CN108836579B CN108836579B CN201810737642.8A CN201810737642A CN108836579B CN 108836579 B CN108836579 B CN 108836579B CN 201810737642 A CN201810737642 A CN 201810737642A CN 108836579 B CN108836579 B CN 108836579B
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- intervertebral disc
- disc prosthesis
- nucleus pulposus
- artificial intervertebral
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
- A61F2/4425—Intervertebral or spinal discs, e.g. resilient made of articulated components
- A61F2002/443—Intervertebral or spinal discs, e.g. resilient made of articulated components having two transversal endplates and at least one intermediate component
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
Description
技术领域technical field
本发明涉及医用假体技术领域,具体而言,涉及一种人工椎间盘假体。The invention relates to the technical field of medical prosthesis, in particular to an artificial intervertebral disc prosthesis.
背景技术Background technique
目前,市面上的椎间盘假体也主要由三部分组成:上终板、髓核、下终板。市面上的产品多为带有球窝的上终板、球型的髓核、限制髓核运动的下终板。At present, the intervertebral disc prosthesis on the market is mainly composed of three parts: the upper endplate, the nucleus pulposus, and the lower endplate. Most of the products on the market are an upper endplate with a ball socket, a spherical nucleus pulposus, and a lower endplate that restricts the movement of the nucleus pulposus.
上述的椎间盘假体还存在如下缺陷:在追求高活动度的同时,由于椎间盘假体设计或患者运动量过大等因素,人工椎间盘脱位率较大。The above-mentioned intervertebral disc prosthesis also has the following defects: while pursuing high mobility, due to factors such as the design of the intervertebral disc prosthesis or excessive movement of the patient, the rate of artificial intervertebral disc dislocation is relatively high.
且目前的椎间盘假体均为硬性设计,只靠塑料髓核部件自身的弹性,难以满足人体正常椎间盘的弹性需求。Moreover, the current intervertebral disc prosthesis is rigid in design, and it is difficult to meet the elastic demand of the normal intervertebral disc of the human body only by the elasticity of the plastic nucleus pulposus component itself.
因此,市面上急需要一种人工椎间盘假体,在保证高活动度的同时,保证人工椎间盘假体不会出现脱位的风险,同时具有一定弹性。Therefore, there is an urgent need for an artificial intervertebral disc prosthesis on the market, which can ensure high mobility while ensuring that the artificial intervertebral disc prosthesis does not have the risk of dislocation and has a certain degree of elasticity.
发明内容Contents of the invention
本发明的主要目的在于提供一种人工椎间盘假体,以解决现有技术中的人工椎间盘假体容易脱位的问题。The main purpose of the present invention is to provide an artificial intervertebral disc prosthesis to solve the problem of easy dislocation of the artificial intervertebral disc prosthesis in the prior art.
为了实现上述目的,根据本发明的一个方面,提供了一种人工椎间盘假体,包括:上终板,所述上终板的底部设置有定位部;下终板,所述下终板的顶部设置有限位部;髓核,所述髓核的底部通过限位部限定在所述下终板上,所述髓核的顶部位于所述定位部内;弹性连接装置,所述弹性连接装置的底部连接在所述髓核上,所述弹性连接装置的顶端连接在所述上终板上。In order to achieve the above object, according to one aspect of the present invention, an artificial intervertebral disc prosthesis is provided, comprising: an upper endplate, the bottom of which is provided with a positioning part; a lower endplate, the top of which is A limiting portion is set; the nucleus pulposus, the bottom of the nucleus pulposus is limited on the lower endplate by the limiting portion, and the top of the nucleus pulposus is located in the positioning portion; the elastic connecting device, the bottom of the elastic connecting device It is connected to the nucleus pulposus, and the top end of the elastic connection device is connected to the upper endplate.
进一步地,所述髓核的顶部为椭球部,所述椭球部采用橡胶材料制作而成,所述定位部为与所述椭球部相适配的椭球窝。Further, the top of the nucleus pulposus is an ellipsoid, the ellipsoid is made of rubber material, and the positioning part is an ellipsoid socket matching the ellipsoid.
进一步地,所述椭球部上设置有至少一个蜂窝孔,所述蜂窝孔平行或倾斜于所述上终板设置。Further, at least one honeycomb hole is provided on the ellipsoidal portion, and the honeycomb hole is arranged parallel to or inclined to the upper end plate.
进一步地,所述髓核还包括弹性底座,所述椭球部位于所述弹性底座上,所述弹性底座上设置有与所述弹性底座一体设置的定位外凸缘,所述限位部为卡槽,所述定位外凸缘间隙配合在所述卡槽内。Further, the nucleus pulposus also includes an elastic base, the ellipse is located on the elastic base, and the elastic base is provided with a positioning outer flange integrated with the elastic base, and the limiting part is A card slot, and the positioning outer flange is clearance-fitted in the card slot.
进一步地,所述弹性底座和所述椭球部之间设置有弹性部件。Further, an elastic component is provided between the elastic base and the ellipse.
进一步地,所述髓核上设置有定位柱,所述弹性连接装置包括弹性连接柱,所述弹性连接柱的底部设置有与所述定位柱相适配的定位槽。Further, a positioning post is provided on the nucleus pulposus, the elastic connecting device includes an elastic connecting post, and a positioning groove matching the positioning post is provided at the bottom of the elastic connecting post.
进一步地,所述弹性连接柱的顶端设置有连接球头,所述上终板的底部设置有连接槽,所述连接球头安装在所述连接槽内。Further, the top end of the elastic connecting column is provided with a connecting ball head, and the bottom of the upper end plate is provided with a connecting groove, and the connecting ball head is installed in the connecting groove.
进一步地,所述连接槽的开口宽度小于所述连接球头的直径。Further, the opening width of the connecting groove is smaller than the diameter of the connecting ball head.
进一步地,所述连接槽为直线槽,所述直线槽与所述定位部连通。Further, the connecting groove is a straight groove, and the straight groove communicates with the positioning part.
进一步地,所述弹性连接装置包括两根弹性连接柱,所述两根弹性连接柱对称设置在所述髓核的两侧。Further, the elastic connecting device includes two elastic connecting posts, and the two elastic connecting posts are arranged symmetrically on both sides of the nucleus pulposus.
进一步地,所述上终板的上表面以及所述下终板的下表面均设置有防旋刺。Further, both the upper surface of the upper endplate and the lower surface of the lower endplate are provided with anti-rotation thorns.
进一步地,所述防旋刺为三角块或梯形块或四边形块。Further, the anti-spin is a triangular block, a trapezoidal block or a quadrilateral block.
进一步地,所述上终板的上表面以及所述下终板的下表面均设置为多孔结构。Further, the upper surface of the upper endplate and the lower surface of the lower endplate are both configured as porous structures.
应用本发明的技术方案,由于本发明中的人工椎间盘假体中设置有弹性连接装置,实际安装时,髓核通过限位部和定位部限定安装在上终板和下终板之间,并通过弹性连接装置连接髓核和上终板,通过该弹性连接装置的作用,能够防止人工椎间盘假体发生脱位。Applying the technical solution of the present invention, since the artificial intervertebral disc prosthesis in the present invention is provided with an elastic connecting device, during actual installation, the nucleus pulposus is limited and installed between the upper endplate and the lower endplate by the limiting part and the positioning part, and The nucleus pulposus and the upper end plate are connected by an elastic connection device, and the artificial intervertebral disc prosthesis can be prevented from dislocation through the function of the elastic connection device.
附图说明Description of drawings
构成本申请的一部分的说明书附图用来提供对本发明的进一步理解,本发明的示意性实施例及其说明用于解释本发明,并不构成对本发明的不当限定。在附图中:The accompanying drawings constituting a part of the present application are used to provide a further understanding of the present invention, and the schematic embodiments and descriptions of the present invention are used to explain the present invention, and do not constitute an improper limitation of the present invention. In the attached picture:
图1示意性示出了本发明的人工椎间盘假体的分解图;Fig. 1 schematically shows an exploded view of the artificial intervertebral disc prosthesis of the present invention;
图2示意性示出了本发明的人工椎间盘假体的剖视图;Fig. 2 schematically shows a sectional view of the artificial intervertebral disc prosthesis of the present invention;
图3示意性示出了本发明的上终板的立体图;Figure 3 schematically shows a perspective view of the upper endplate of the present invention;
图4示意性示出了本发明的上终板的仰视图;Figure 4 schematically shows a bottom view of the upper endplate of the present invention;
图5示意性示出了本发明的上终板的主视图;Figure 5 schematically shows a front view of the upper endplate of the present invention;
图6示意性示出了本发明的髓核的主视图;Fig. 6 schematically shows the front view of the nucleus pulposus of the present invention;
图7示意性示出了本发明的髓核的立体图;Figure 7 schematically shows a perspective view of the nucleus pulposus of the present invention;
图8示意性示出了本发明的下终板的立体图;Figure 8 schematically shows a perspective view of the lower endplate of the present invention;
图9示意性示出了本发明的下终板的俯视图;Figure 9 schematically shows a top view of the lower endplate of the present invention;
图10示意性示出了图9中的A-A剖视图;Fig. 10 schematically shows a cross-sectional view of A-A in Fig. 9;
图11示意性示出了本发明的弹性连接柱的主视图。Fig. 11 schematically shows a front view of the elastic connecting column of the present invention.
其中,上述附图包括以下附图标记:Wherein, the above-mentioned accompanying drawings include the following reference signs:
10、上终板;11、定位部;12、连接槽;20、下终板;21、限位部;30、髓核;31、椭球部;311、蜂窝孔;32、弹性底座;321、定位外凸缘;33、弹性部件;34、定位柱;40、弹性连接装置;41、弹性连接柱;411、连接球头;412、定位槽;50、防旋刺。10. Upper endplate; 11. Positioning part; 12. Connection groove; 20. Lower endplate; 21. Limiting part; 30. Nucleus pulposus; 31. Ellipsoid part; , positioning outer flange; 33, elastic component; 34, positioning column; 40, elastic connecting device; 41, elastic connecting column; 411, connecting ball head; 412, positioning groove; 50, anti-rotation thorn.
具体实施方式Detailed ways
需要说明的是,在不冲突的情况下,本申请中的实施例及实施例中的特征可以相互组合。下面将参考附图并结合实施例来详细说明本发明。It should be noted that, in the case of no conflict, the embodiments in the present application and the features in the embodiments can be combined with each other. The present invention will be described in detail below with reference to the accompanying drawings and examples.
需要注意的是,这里所使用的术语仅是为了描述具体实施方式,而非意图限制根据本申请的示例性实施方式。如在这里所使用的,除非上下文另外明确指出,否则单数形式也意图包括复数形式,此外,还应当理解的是,当在本说明书中使用术语“包含”和/或“包括”时,其指明存在特征、步骤、操作、器件、组件和/或它们的组合。It should be noted that the terminology used here is only for describing specific implementations, and is not intended to limit the exemplary implementations according to the present application. As used herein, unless the context clearly dictates otherwise, the singular is intended to include the plural, and it should also be understood that when the terms "comprising" and/or "comprising" are used in this specification, they mean There are features, steps, operations, means, components and/or combinations thereof.
需要说明的是,本申请的说明书和权利要求书及上述附图中的术语“第一”、“第二”等是用于区别类似的对象,而不必用于描述特定的顺序或先后次序。应该理解这样使用的数据在适当情况下可以互换,以便这里描述的本申请的实施方式例如能够以除了在这里图示或描述的那些以外的顺序实施。此外,术语“包括”和“具有”以及他们的任何变形,意图在于覆盖不排他的包含,例如,包含了一系列步骤或单元的过程、方法、系统、产品或设备不必限于清楚地列出的那些步骤或单元,而是可包括没有清楚地列出的或对于这些过程、方法、产品或设备固有的其它步骤或单元。It should be noted that the terms "first" and "second" in the description and claims of the present application and the above drawings are used to distinguish similar objects, but not necessarily used to describe a specific sequence or sequence. It is to be understood that the data so used are interchangeable under appropriate circumstances such that the embodiments of the application described herein, for example, can be practiced in sequences other than those illustrated or described herein. Furthermore, the terms "comprising" and "having", as well as any variations thereof, are intended to cover a non-exclusive inclusion, for example, a process, method, system, product or device comprising a sequence of steps or elements is not necessarily limited to the expressly listed instead, may include other steps or elements not explicitly listed or inherent to the process, method, product or apparatus.
为了便于描述,在这里可以使用空间相对术语,如“在……之上”、“在……上方”、“在……上表面”、“上面的”等,用来描述如在图中所示的一个器件或特征与其他器件或特征的空间位置关系。应当理解的是,空间相对术语旨在包含除了器件在图中所描述的方位之外的在使用或操作中的不同方位。例如,如果附图中的器件被倒置,则描述为“在其他器件或构造上方”或“在其他器件或构造之上”的器件之后将被定位为“在其他器件或构造下方”或“在其他器件或构造之下”。因而,示例性术语“在……上方”可以包括“在……上方”和“在……下方”两种方位。该器件也可以其他不同方式定位(旋转90度或处于其他方位),并且对这里所使用的空间相对描述作出相应解释。For the convenience of description, spatially relative terms may be used here, such as "on ...", "over ...", "on the surface of ...", "above", etc., to describe The spatial positional relationship between one device or feature shown and other devices or features. It will be understood that the spatially relative terms are intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the figures. For example, if the device in the figures is turned over, devices described as "above" or "above" other devices or configurations would then be oriented "beneath" or "above" the other devices or configurations. under other devices or configurations”. Thus, the exemplary term "above" can encompass both an orientation of "above" and "beneath". The device may be otherwise oriented (rotated 90 degrees or at other orientations) and the spatially relative descriptions used herein interpreted accordingly.
参见图1至图11所示,根据本发明的实施例,提供了一种人工椎间盘假体,该人工椎间盘假体包括上终板10、下终板20、髓核30以及弹性连接装置40。Referring to FIGS. 1 to 11 , according to an embodiment of the present invention, an artificial intervertebral disc prosthesis is provided. The artificial intervertebral disc prosthesis includes an upper endplate 10 , a lower endplate 20 , a nucleus pulposus 30 and an elastic connection device 40 .
其中,上终板10的底部设置有定位部11;下终板20的顶部设置有限位部21;安装时,使得髓核30的底部通过限位部21限定在下终板20上,髓核30的顶部位于定位部11内,便于对髓核30进行定位和安装;弹性连接装置40的底部连接在髓核30上,顶端连接在上终板10上。Wherein, the bottom of the upper end plate 10 is provided with a positioning portion 11; the top of the lower end plate 20 is provided with a limiting portion 21; during installation, the bottom of the nucleus pulposus 30 is limited on the lower end plate 20 by the limiting portion 21, and the nucleus pulposus 30 The top of the elastic connecting device 40 is located in the positioning part 11 to facilitate the positioning and installation of the nucleus pulposus 30 ;
由于本实施例中的人工椎间盘假体中设置有弹性连接装置40,实际安装时,髓核30通过限位部21和定位部11限定安装在上终板10和下终板20之间,并通过弹性连接装置40连接髓核30和上终板10,通过该弹性连接装置40的作用,能够防止人工椎间盘假体发生脱位。Since the artificial intervertebral disc prosthesis in this embodiment is provided with an elastic connecting device 40, during actual installation, the nucleus pulposus 30 is limited and installed between the upper endplate 10 and the lower endplate 20 by the limiting part 21 and the positioning part 11, and The nucleus pulposus 30 and the upper endplate 10 are connected by the elastic connection device 40 , and the artificial intervertebral disc prosthesis can be prevented from dislocation through the function of the elastic connection device 40 .
本实施例中的髓核30的顶部为椭球部31,该椭球部31采用橡胶材料制作而成,定位部11为与椭球部31相适配的椭球窝,便于对椭球部31进行定位。本实施例中的椭球部31具有一定的弹性功能,且弹性连接装置40也具有弹性功能,使得整个人工椎间盘假体更加接近人体的生理特性,可使得人工椎间盘假体在一定程度上抵消部分应力,减少人工椎间盘假体的受力,从而增加人工椎间盘假体寿命。与此同时,本实施例中的椭球部31能够在椭球窝内运动,椭球部31活动度更符合人体的生理需求,椭球部31上设置有至少一个蜂窝孔311,蜂窝孔311平行或倾斜于上终板10设置,可以在压力作用下实现一定的弹性(上下方向)。The top of the nucleus pulposus 30 in this embodiment is an ellipsoidal portion 31, which is made of rubber material, and the positioning portion 11 is an ellipsoidal socket suitable for the ellipsoidal portion 31, which is convenient for aligning the ellipsoidal portion. 31 for positioning. The ellipsoid 31 in this embodiment has a certain elastic function, and the elastic connecting device 40 also has an elastic function, so that the whole artificial intervertebral disc prosthesis is closer to the physiological characteristics of the human body, and the artificial intervertebral disc prosthesis can offset part of the Stress, reduce the force of the artificial intervertebral disc prosthesis, thereby increasing the life of the artificial intervertebral disc prosthesis. At the same time, the ellipsoid 31 in this embodiment can move in the ellipsoid socket, and the activity of the ellipsoid 31 is more in line with the physiological needs of the human body. The ellipsoid 31 is provided with at least one honeycomb hole 311, and the honeycomb hole 311 Parallel or oblique to the upper endplate 10, a certain degree of elasticity (up-and-down direction) can be achieved under pressure.
当然,在本发明的其他实施例中,还可以将椭球部31设置为球形部,只要是在本发明的构思下的其他变形方式,均在本发明的保护范围之内。但是椭球部31更加符合人体的生理需求。Certainly, in other embodiments of the present invention, the ellipsoidal portion 31 may also be set as a spherical portion, as long as other deformations are within the scope of the present invention, they are within the protection scope of the present invention. However, the ellipsoidal portion 31 is more in line with the physiological needs of the human body.
髓核30还包括弹性底座32,椭球部31位于弹性底座32上,弹性底座32上设置有与弹性底座32一体设置的定位外凸缘321,限位部21为卡槽,定位外凸缘321卡设在卡槽内,便于将髓核30固定安装在下终板20上。The nucleus pulposus 30 also includes an elastic base 32. The ellipsoid 31 is located on the elastic base 32. The elastic base 32 is provided with a positioning outer flange 321 integrally provided with the elastic base 32. The limiting portion 21 is a slot for positioning the outer flange. 321 is clamped in the slot, so as to facilitate the fixed installation of the nucleus pulposus 30 on the lower endplate 20 .
优选地,弹性底座32和椭球部31之间设置有弹性部件33,该弹性部件33可以在上终板10沿着髓核30转动时提供弹性,优点之一在于可以抵消部分应力,延长假体寿命,优点之二在于这种结构更接近人体的生理解剖,提高患者的术后体验度。实际设计时,本实施例中的弹性部件33为柱状的橡胶部件或者其他具有弹性的结构件。Preferably, an elastic member 33 is provided between the elastic base 32 and the ellipsoidal portion 31. The elastic member 33 can provide elasticity when the upper endplate 10 rotates along the nucleus pulposus 30. One of the advantages is that it can offset part of the stress and extend the length of the pseudo-suspension. The second advantage is that this structure is closer to the physiological anatomy of the human body, which improves the postoperative experience of patients. In actual design, the elastic member 33 in this embodiment is a columnar rubber member or other elastic structural members.
为了安装弹性连接装置40,本实施例中的髓核30上设置有定位柱34,弹性连接装置40包括弹性连接柱41,弹性连接柱41的底部设置有与定位柱34相适配的定位槽412,实现弹性连接柱41与髓核30的连接。In order to install the elastic connecting device 40, the nucleus pulposus 30 in this embodiment is provided with a positioning post 34, the elastic connecting device 40 includes an elastic connecting post 41, and the bottom of the elastic connecting post 41 is provided with a positioning groove that matches the positioning post 34 412 , realize the connection between the elastic connecting post 41 and the nucleus pulposus 30 .
具体而言,弹性连接柱41的顶端设置有连接球头411,上终板10的底部设置有连接槽12,连接球头411安装在连接槽12内,实现弹性连接柱41与上终板10的连接,并能够实现人工椎间盘假体的自由转动和防脱功能。Specifically, the top end of the elastic connecting post 41 is provided with a connecting ball head 411, and the bottom of the upper end plate 10 is provided with a connecting groove 12. connection, and can realize the free rotation and anti-off function of the artificial intervertebral disc prosthesis.
本实施例中的连接槽12的开口宽度小于连接球头411的直径,能够防止连接球头411中连接槽12中脱出,结构稳定可靠。本实施例中的连接槽12为直线槽,该直线槽与定位部11连通,实际安装时,使连接球头411从定位部11侧滑入到直线槽内,使用时,连接球头411可以沿着连接槽12实现左右运动,满足人工椎间盘假体左右活动的需要;定位槽412与髓核30上的定位柱34卡入装配,定位柱34平行于下终板20设置,定位槽412设置在弹性连接柱41的侧面,实现弹性连接柱41可转动的配合。其中,弹性连接装置40具有弹性连接柱41,可以在上终板10向下压时与髓核30一起产生一定的弹性,实现椎间盘的弹性作用。The opening width of the connection groove 12 in this embodiment is smaller than the diameter of the connection ball head 411, which can prevent the connection ball head 411 from coming out of the connection groove 12, and the structure is stable and reliable. The connecting groove 12 in this embodiment is a linear groove, which communicates with the positioning part 11. During actual installation, the connecting ball head 411 is slid into the linear groove from the side of the positioning part 11. During use, the connecting ball head 411 can be Realize left and right movement along the connection groove 12 to meet the needs of the artificial intervertebral disc prosthesis to move left and right; the positioning groove 412 and the positioning column 34 on the nucleus pulposus 30 are snapped into assembly, the positioning column 34 is set parallel to the lower endplate 20, and the positioning groove 412 is set On the side of the elastic connecting post 41 , the rotatable fit of the elastic connecting post 41 is realized. Wherein, the elastic connecting device 40 has an elastic connecting column 41, which can generate a certain elasticity together with the nucleus pulposus 30 when the upper endplate 10 is pressed down, so as to realize the elastic effect of the intervertebral disc.
参见图2所示,本实施例中的弹性连接装置40包括两根弹性连接柱41,两根弹性连接柱41对称设置在髓核30的两侧,结构简单,能够有效防止人工椎间盘假体发生脱位现象。Referring to Fig. 2, the elastic connecting device 40 in this embodiment includes two elastic connecting columns 41, and the two elastic connecting columns 41 are arranged symmetrically on both sides of the nucleus pulposus 30, the structure is simple, and the artificial intervertebral disc prosthesis can be effectively prevented from occurring. Dislocation phenomenon.
优选地,本实施例中的上终板10的上表面以及下终板20的下表面均设置有防旋刺50。防旋刺50为三角块或梯形块或四边形块,当然,在本发明的其他实施例中,还可以将防旋刺50设置为其他能够防止人工椎间盘假体旋转的结构,只要是在本发明的构思下的其他变形方式,均在本发明的保护范围之内。Preferably, the upper surface of the upper endplate 10 and the lower surface of the lower endplate 20 in this embodiment are both provided with anti-rotation thorns 50 . The anti-rotation thorn 50 is a triangular block or a trapezoidal block or a quadrilateral block. Of course, in other embodiments of the present invention, the anti-rotation thorn 50 can also be set to other structures that can prevent the rotation of the artificial intervertebral disc prosthesis, as long as it is within the concept of the present invention The following other deformation methods are all within the protection scope of the present invention.
根据上述的结构可以知道,本实施例中的人工椎间盘假体如图1,人工椎间盘假体包括上终板10、髓核30、下终板20、弹性连接装置40。According to the above structure, it can be known that the artificial intervertebral disc prosthesis in this embodiment is shown in FIG. 1 .
其中上终板10包括:定位部11,与髓核30的椭球部31匹配;连接槽12,与弹性连接装置40配合,弹性连接装置40的连接球头411嵌入连接槽12内,且可在连接槽12内实现左右滑动,及前后的微动,以满足正常人体解剖左右、前后滑动的需求;防旋刺50,植入后与人体终板接触,可防止假体的旋转,增加稳定性,具体如图3至5所示。Wherein the upper end plate 10 includes: a positioning part 11, matching with the ellipsoid part 31 of the nucleus pulposus 30; a connecting groove 12, cooperating with the elastic connecting device 40, the connecting ball head 411 of the elastic connecting device 40 is embedded in the connecting groove 12, and can be Left and right sliding and front and rear micro-movement are realized in the connection groove 12 to meet the needs of normal human anatomy; the anti-rotation thorn 50, after implantation, contacts with the human endplate, can prevent the rotation of the prosthesis and increase the stability , as shown in Figures 3 to 5.
如图6和图7所示,髓核30包括椭球部31,也可根据需要设计成球状,但椭球部31活动度更符合人体的生理需求,椭球部31上设置有蜂窝孔311,可以在压力作用下实现一定的弹性(上下方向);髓核30包括还包括弹性部件33,该弹性部件33可以在上终板10沿着髓核30转动时提供弹性,优点是,一,可以抵消部分应力,延长假体寿命,二,更接近人体的生理解剖,提高患者的术后体验度;髓核30还包括弹性底座32,该弹性底座32的侧边设置有定位柱34,用于与弹性连接柱41上的定位槽412配合,实现弹性连接装置40与髓核30的连接;椭球部31与上终板10的椭球窝配合,实现自由转动。As shown in Figures 6 and 7, the nucleus pulposus 30 includes an ellipsoidal portion 31, which can also be designed as a spherical shape as required, but the activity of the ellipsoidal portion 31 is more in line with the physiological needs of the human body, and the ellipsoidal portion 31 is provided with honeycomb holes 311 , can realize a certain elasticity (up and down direction) under the action of pressure; the nucleus pulposus 30 includes and also includes an elastic member 33, and the elastic member 33 can provide elasticity when the upper endplate 10 rotates along the nucleus pulposus 30. The advantages are: one, It can offset part of the stress and prolong the life of the prosthesis. Second, it is closer to the physiological anatomy of the human body and improves the patient's postoperative experience. Cooperate with the positioning groove 412 on the elastic connecting column 41 to realize the connection between the elastic connecting device 40 and the nucleus pulposus 30 ; the elliptical part 31 cooperates with the elliptical socket of the upper endplate 10 to realize free rotation.
如图8至图10所示,本实施例中的下终板20包括限位部21,髓核30上的定位外凸缘321嵌入其中,可以使得髓核30在限位部21中不脱出,而且通过间隙设计,使得髓核30能够在内实现一定范围内的自由活动;下终板20的底部设置有防旋刺50,该防旋刺50植入后与人体的终板接触,可防止人工椎间盘假体的旋转,增加稳定性。As shown in FIGS. 8 to 10 , the lower endplate 20 in this embodiment includes a limiting portion 21 , and the positioning outer flange 321 on the nucleus pulposus 30 is embedded in it, so that the nucleus pulposus 30 does not protrude from the limiting portion 21 , and through the design of the gap, the nucleus pulposus 30 can move freely within a certain range; the bottom of the lower endplate 20 is provided with an anti-rotation thorn 50, and the anti-rotation thorn 50 contacts with the endplate of the human body after implantation, which can prevent artificial Rotation of the disc prosthesis for increased stability.
如图11所示,本实施例中的弹性连接装置40包括弹性连接柱41,该弹性连接柱41包括连接球头411,该连接球头411嵌入到上终板10上的连接槽12内,连接球头411的直径大于连接槽12开口处宽度,因此连接球头411不会从连接槽12内脱出,且可以沿着连接槽12实现左右滑动,满足人工椎间盘假体左右活动的需要;其中,弹性连接装置40为弹性部件,可以在上终板10向下压时与髓核30一起产生一定的弹性,实现椎间盘的弹性作用。As shown in FIG. 11 , the elastic connection device 40 in this embodiment includes an elastic connection post 41, and the elastic connection post 41 includes a connection ball head 411, and the connection ball head 411 is embedded in the connection groove 12 on the upper end plate 10, The diameter of the connecting ball head 411 is greater than the width of the opening of the connecting groove 12, so the connecting ball head 411 will not escape from the connecting groove 12, and can slide left and right along the connecting groove 12 to meet the left and right movement needs of the artificial intervertebral disc prosthesis; , the elastic connection device 40 is an elastic component, which can generate a certain elasticity together with the nucleus pulposus 30 when the upper endplate 10 is pressed down, so as to realize the elastic effect of the intervertebral disc.
图2为本发明的人工椎间盘假体装配后的剖面示图,髓核30包括椭球部31,椭球面嵌入上终板10的椭球窝里,下半部分通过定位外凸缘321嵌入下终板20的卡槽内,实现与下终板20的连接,且定位外凸缘321直径大于卡槽的开口处直径,因此髓核30不会与下终板20分离,且可以在卡槽内实现自由活动;髓核30通过弹性连接装置40与上终板10形成连接,髓核30上的定位柱34卡入弹性连接柱41上的定位槽412内,弹性连接装置40可以围绕定位柱34实现旋转,且不会脱出,从而上终板10与髓核30形成不可脱位的连接,即,上终板10与髓核30形成不可脱位的连接,髓核30与下终板20形成不可脱位的连接,整个假体为防脱位设计。Fig. 2 is the cross-sectional view of the artificial intervertebral disc prosthesis of the present invention after assembly, the nucleus pulposus 30 comprises an ellipsoidal part 31, the ellipsoidal surface is embedded in the ellipsoidal socket of the upper endplate 10, and the lower half is embedded in the lower part by positioning the outer flange 321 In the draw-in groove of the endplate 20, the connection with the lower endplate 20 is realized, and the diameter of the positioning outer flange 321 is greater than the diameter of the opening of the draw-in groove, so the nucleus pulposus 30 will not be separated from the lower endplate 20, and can be placed in the draw-in groove. The nucleus pulposus 30 forms a connection with the upper endplate 10 through the elastic connecting device 40, the positioning post 34 on the nucleus pulposus 30 snaps into the positioning groove 412 on the elastic connecting post 41, and the elastic connecting device 40 can surround the positioning post 34 realizes the rotation and will not come out, so that the upper endplate 10 forms a non-dislocated connection with the nucleus pulposus 30, that is, the upper endplate 10 forms a non-dislocated connection with the nucleus pulposus 30, and the nucleus pulposus 30 forms an inseparable connection with the lower endplate 20. Dislocation connection, the whole prosthesis is designed to prevent dislocation.
弹性连接柱41的连接球头411嵌入上终板10的连接槽12内,弹性连接装置40可实现沿着连接槽12左右滑移及前后微小滑移,髓核30也可在下终板20的卡槽内的各个方向滑移,以实现椎间盘假体左右滑移和前后滑移的需要,上终板10沿着髓核30的椭球面可实现自由转动,从而实现高活动度。The connecting ball head 411 of the elastic connecting column 41 is embedded in the connecting groove 12 of the upper endplate 10. The elastic connecting device 40 can slide left and right along the connecting groove 12 and slightly slide back and forth. Sliding in all directions in the card slot is required to realize left-right and forward-backward sliding of the intervertebral disc prosthesis. The upper endplate 10 can freely rotate along the ellipsoidal surface of the nucleus pulposus 30 to achieve high mobility.
本发明的髓核30除了有蜂窝孔311实现一定的弹性外,主要靠弹性部件33实现弹性,可以使得人工椎间盘假体在受力作用下出现变形以抵消部分应力,其中弹性连接装置40也为弹性部件,整个人工椎间盘假体在受到压力或剪切力作用下,实现变形,从而增加人工椎间盘假体寿命,且可以为患者提供更好的术后体验,因为本身人体正常的椎间盘也是具有弹性的。Except that the nucleus pulposus 30 of the present invention has honeycomb holes 311 to achieve a certain degree of elasticity, it mainly relies on the elastic member 33 to achieve elasticity, which can make the artificial intervertebral disc prosthesis deform under the action of force to offset part of the stress, wherein the elastic connection device 40 is also Elastic parts, the entire artificial intervertebral disc prosthesis is deformed under pressure or shear force, thereby increasing the life of the artificial intervertebral disc prosthesis, and can provide patients with a better postoperative experience, because the normal intervertebral disc itself is also elastic of.
另外,髓核30可以居中,亦可以按照人体解剖活动中心靠后设计成髓核30偏置设计。本实施例中的上终板10的上表面与下终板20的下表面可以为诱导骨长入的涂层设计,也可为适合骨长入的多孔结构。In addition, the nucleus pulposus 30 can be centered, or the nucleus pulposus 30 can be designed to be offset according to the anatomical activity center of the human body. In this embodiment, the upper surface of the upper endplate 10 and the lower surface of the lower endplate 20 can be designed as a coating for inducing bone ingrowth, or as a porous structure suitable for bone ingrowth.
从以上的描述中,可以看出,本发明上述的实施例实现了如下技术效果:From the above description, it can be seen that the above-mentioned embodiments of the present invention have achieved the following technical effects:
1.本发明假体的结构组成与市面上的假体相比,除了包含上终板、髓核、下终板外,还包括一弹性连接装置,可以实现防脱位;1. Compared with the prosthesis on the market, the structural composition of the prosthesis of the present invention includes an elastic connection device besides the upper endplate, nucleus pulposus, and lower endplate, which can prevent dislocation;
2.本发明的髓核具有弹性设计,可使得假体实现弹性功能,且弹性连接装置也具有一定弹性,更接近于人体生理;2. The nucleus pulposus of the present invention has an elastic design, which can make the prosthesis realize the elastic function, and the elastic connection device also has a certain elasticity, which is closer to human physiology;
3.本发明的髓核可以为球型,也可为椭球型,髓核可在下终板上活动且不脱位,上终板在髓核椭球面上可以旋转,由于髓核的弹性设计及表面设计,可使得假体能够获得较高的活动度;3. The nucleus pulposus of the present invention can be spherical or ellipsoidal. The nucleus pulposus can move on the lower endplate without dislocation, and the upper endplate can rotate on the nucleus pulposus ellipsoid. Due to the elastic design of the nucleus pulposus and The surface design enables the prosthesis to obtain a higher range of motion;
4.本发明具有弹性功能,可使得假体在一定程度上抵消部分应力,减少假体的受力,从而增加假体寿命。4. The present invention has an elastic function, which can make the prosthesis counteract part of the stress to a certain extent, reduce the force of the prosthesis, and thus increase the life of the prosthesis.
以上仅为本发明的优选实施例而已,并不用于限制本发明,对于本领域的技术人员来说,本发明可以有各种更改和变化。凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The above are only preferred embodiments of the present invention, and are not intended to limit the present invention. For those skilled in the art, the present invention may have various modifications and changes. Any modifications, equivalent replacements, improvements, etc. made within the spirit and principles of the present invention shall be included within the protection scope of the present invention.
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| CN110368149B (en) * | 2019-08-05 | 2024-03-15 | 北京爱康宜诚医疗器材有限公司 | Intervertebral disc prosthesis |
| CN110946682B (en) * | 2019-12-16 | 2022-02-11 | 淮阴工学院 | Artificial cervical intervertebral disc prosthesis for easy neck movement |
| CN112716661B (en) * | 2020-12-22 | 2022-11-22 | 汕头大学 | A 3D printed artificial cervical intervertebral joint |
| CN114099091B (en) * | 2021-11-05 | 2024-12-10 | 常州集硕医疗器械有限公司 | Artificial intervertebral disc |
| CN115645121B (en) * | 2022-09-07 | 2025-09-30 | 浙江德康医疗器械有限公司 | Intervertebral joint implant |
| CN116763510B (en) * | 2023-08-24 | 2023-12-19 | 北京爱康宜诚医疗器材有限公司 | Intervertebral fusion prosthesis structure |
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| AU2002346916B2 (en) * | 2002-03-12 | 2008-08-07 | Cervitech, Inc. | Intravertebral prosthesis |
| DE202004009542U1 (en) * | 2004-06-16 | 2004-08-12 | Aesculap Ag & Co. Kg | Artificial intervertebral disk, comprising core with intensely curved upper and less curved lower surface |
| EP2327376B1 (en) * | 2004-06-30 | 2012-10-24 | Synergy Disc Replacement Inc. | Artificial spinal disc |
| US9655735B2 (en) * | 2013-03-15 | 2017-05-23 | Atlas Spine, Inc. | Spinal disc prosthesis |
| CN104224410A (en) * | 2014-09-25 | 2014-12-24 | 四川大学华西医院 | Intervertebral disc prosthesis shock-absorbing structure |
| CN105105889B (en) * | 2015-08-31 | 2017-11-10 | 深圳清华大学研究院 | A kind of artificial lumbar disc prostheses |
| CN106236332B (en) * | 2016-08-31 | 2018-07-20 | 北京爱康宜诚医疗器材有限公司 | Intervertebral disk prosthesis |
| DE102016124877B4 (en) * | 2016-12-19 | 2019-02-07 | Ngmedical Gmbh | Intervertebral disc prosthesis and method for producing a disc prosthesis |
| CN209075043U (en) * | 2018-07-06 | 2019-07-09 | 北京爱康宜诚医疗器材有限公司 | Artificial disc after arthroplasty |
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