200927062 九、發明說明： 【發明所屬之技術領域】 本發明係有關於一種推間盤置換框形支標裝置，特別 是指一種植入至一脊椎椎間盤位置之成形件，其薄壁可被 一預成形之擴張件變形及符合該椎間盤空間形狀，且穩定 變形支撐之椎間盤置換框形支撐裝置。 【先前技術】 傳統的椎間醫療器械或填充物，在進行椎間盤置換支 ❹ 撐治療時，若不是直接以塊狀的醫療器材（cage 〇r spacer )’如鈦金屬或聚醚醚酮塑膠填充塊植入，就是以固 體狀的人工骨填充物材料直接塞入填滿，以便維持該椎間 盤原有的高度。 而如美國Kyphon公司的氣球擴張技術，如 USP5972015、USP6066154 或 USP62481 10B1 等專利，應用 於椎間時，就是植入一氣球將該壓縮的椎間，擴張後支頂 〇 復位，之後須再裝設入如前段所述之醫療填充塊或人造骨 科填充物等，無法於氣球擴張同時直接，或暫時性先加以 支撐高度及位置，且後續植入之固狀植入物，無法完全符 合實際的椎間支撐面積、支撐角度，或其他需求等等問題。 故上述問題皆因於擴張支撐椎間位置時，輔助的擴張 物或工具移開後，完全開放的結果，造成該椎間位置無暫 時可先頂靠、成形、框架支撐的一種暫時性穩定效果，带 成反而會有隨時再次變形的可能性，損及其他未病變的組 織而直接植入之固狀填充物，又無法完全符合實際的椎 200927062 間支撐面積'支撐角度等。 。因此就上述問題，基於對椎間支撐的暫時性穩固、支 撐及框木、連結等功能設定，即可設一可暫時性穩固變 形又可付合空間形狀及提供框架支撐功能之成形件，作 為有效擴張且穩定支撑，與連結該椎間高度、位置等的解 決方案’而有本案椎間盤置換框形支撐裝置之發明等的解 【發明内容】 故本發明之一目的，在提供一種椎間盤置換框形支撐 本發月之另目的，在提供一種包含一成形件，具有 -溥壁’可被預置之一預成所需形狀後捲縮的一擴張件擴 張推擠變形’及符合一植入之椎間醫療位置空間形狀，且 穩定變形之椎間盤置換框形支撐裝置。 本發明之又-目的，在提供—種該成形件被推擠變形 可在所置入之椎間盤位置形成一内置型支架及支撐功 後，200927062 IX. Description of the Invention: [Technical Field] The present invention relates to a push-pad replacement frame-shaped support device, and more particularly to a molded part implanted into a position of a spinal intervertebral disc, the thin wall of which can be The pre-formed expansion member is deformed and the intervertebral disc replacement frame-shaped supporting device conforms to the spatial shape of the intervertebral disc and stably deformed and supported. [Prior Art] Conventional intervertebral medical devices or fillers are not filled directly with a block of medical equipment (cage 〇r spacer) such as titanium or polyetheretherketone plastic when performing disc replacement support treatment. The block implant is filled with solid artificial bone filler material directly to maintain the original height of the intervertebral disc. For example, the balloon expansion technology of Kyphon Company of the United States, such as USP5972015, USP6066154 or USP62481 10B1, is applied to the intervertebral space, which is to implant a balloon to reset the compressed intervertebral space, and then expand the posterior apical ridge, and then reinstall. Into the medical filling block or artificial orthopedic filler as described in the previous paragraph, it is not possible to directly and temporarily support the height and position of the balloon, and the subsequent implanted solid implant cannot fully conform to the actual vertebrae. Problems such as the area of support, the angle of support, or other requirements. Therefore, the above problems are caused by the fact that when the intervertebral position is expanded and the auxiliary dilatation or tool is removed, the result of complete opening causes a temporary stabilization effect that the intervertebral position can be temporarily abutted, formed, and supported by the frame. However, there is a possibility that the belt will be deformed again at any time, and the solid filler directly implanted to damage other unaffected tissues cannot fully conform to the actual support angle of the support area 200927062. . Therefore, in view of the above problems, based on the temporary stabilization of the intervertebral support, support, and the function of the frame, the connection, etc., it is possible to provide a molded part that can be temporarily stabilized and deformed, can be combined with the shape of the space, and provides the frame support function. Solution for effective expansion and stable support, and a solution for connecting the intervertebral height, position, etc., and the invention of the intervertebral disc replacement frame-shaped support device of the present invention, etc. [Invention] It is an object of the present invention to provide a disc replacement frame Another object of the present invention is to provide a forming member having a forming member which can be pre-formed into a desired shape by one of the presets to expand and push the deformation and conform to an implant. The intervertebral medical position space shape, and the stable deformation of the intervertebral disc replacement frame-shaped support device. Still another object of the present invention is to provide a built-in stent and support work after the inserted member is pushed and deformed,
能之椎間盤置換框形支稽裳置。 本發明之再一目#’在提供一種該預成形《捲縮之擴 張件，可變形至較原體積大且恢復預設形狀，及進—步包 含有可為-撓性擴張件在内之各種形式，將包覆於其外表 面之該成形件薄壁，向該椎間位置推擠變形之椎間盤置換 框形支撐裝置。 故本發明之一種椎間盤置換框形支撐裝置，其藉一已 預成所需形狀後捲縮之擴張件，將該裝置變形； 其特徵在於.該裝置具—成形件，具一薄壁圍成一中 200927062 空容置空間，及植入一待被框架支撐之椎間盤位置；及 該擴張件未變形前，先置入該成形件空間中，及該擴 張件體積相對變形擴大，恢復原預成形狀，即推使該成形 件薄壁向該椎間位置”變形，㈣壁則依該擴張件預成 形狀固定其變形，&附著支撐於該椎間位置中。 上述之椎間盤置換框形支撐裝置，其中該成形件薄 壁，為一管狀及多個穿孔與切縫之圍壁。 ❹The intervertebral disc replacement frame can be placed. Still another object of the present invention is to provide a preformed "crimped expansion member that is deformable to a larger original volume and restores a predetermined shape, and further includes various types of flexible expansion members. Form, the thin portion of the formed member that is coated on the outer surface thereof, and the deformed intervertebral disc is replaced with a frame-shaped supporting device at the intervertebral position. Therefore, the intervertebral disc replacement frame-shaped supporting device of the present invention deforms the device by an expansion member which has been pre-formed into a desired shape and is crimped; and the device has a formed member with a thin wall A medium 200927062 vacant space, and implanted a position of the intervertebral disc to be supported by the frame; and the expansion member is placed in the space of the forming part before being deformed, and the relative deformation of the expansion member is expanded to restore the original preparation The shape, that is, the thin wall of the forming member is deformed toward the intervertebral position, and (4) the wall is fixed in shape according to the shape of the expanding member, and the attachment is supported in the intervertebral position. The above-mentioned intervertebral disc replacement frame support The device, wherein the shaped member is thin, is a tubular and a plurality of perforations and slits surrounding the wall.
上述之椎間盤置換框形支撐裝置，其中該成形件之薄 壁穿孔及切縫周緣，受該擴張件向外推擠，形成與原圍壁 間有-角度立起之㈣，及料圍壁尖端刺人該椎間上下 椎骨表'面固定。 上述之椎間盤置換框形支撐裝置，其中該擴張件，設 有-注入端’及具有—或多層撓性圍I，該等撓性圍壁受 外力使之變形成特定形狀，及具有多個通孔，另包含一注 入工具與該注人端相連通，該卫具内容置—醫療填充物， 該醫療填充物注人該擴張件中，將該撓性圍壁擴張成原特 定形狀。 上述之椎間盤置換框形支擇裝置，其中該醫療填充物 於注入使用時為漿狀，注入至該撓性擴張件中一段時間後 可固化成塊狀》 上述之椎間盤置換框形支撐裝置，其中該擴張件棱性 圍壁通孔孔徑不大於該醫療填充物顆粒粒徑，該醫療填充 物注入使該圍壁擴張，進而再推動該成形件薄壁變形及固 定，及該醫療填充物部份會被推擠出該擴張件撓性圍壁外 200927062 表面。 上述之椎間盤置換框形支撐裝置，其中該醫療填充物 為一骨骼組織用骨水泥，或骨替代物，或矽膠填充物。 上述之椎間盤置換框形支揮裝置，其中該擴張件具有 一軸心，及該軸心上裝設有多條不同長度旋線，該轴心受 力旋轉，及使該等旋線跟隨受力旋轉成與該軸心間具一炎The above-mentioned intervertebral disc replacement frame-shaped supporting device, wherein the thin-walled perforation of the forming member and the peripheral edge of the slit are pushed outward by the expanding member to form an angle-angled (four) between the original surrounding wall and the tip end of the material surrounding wall Stinging the upper and lower vertebrae of the intervertebral surface is fixed. The above-mentioned intervertebral disc replacement frame-shaped supporting device, wherein the expansion member is provided with an injection end' and has a multi-layer flexible enclosure I, which is deformed into a specific shape by an external force, and has a plurality of passages The aperture further includes an infusion tool in communication with the injection end, the guard content being a medical filler, the medical filler being injected into the expansion member to expand the flexible enclosure into an original specific shape. The above-mentioned intervertebral disc replacement frame-shaped supporting device, wherein the medical filler is in the form of a slurry when injected, and can be solidified into a block shape after being injected into the flexible expansion member for a period of time. The aperture of the ribbed wall of the expansion member is not larger than the particle size of the medical filler, and the medical filler is injected to expand the wall, thereby pushing the thin wall deformation and fixation of the forming part, and the medical filler portion. Will be pushed out of the surface of the flexible part of the expansion member 200927062. The intervertebral disc replacement frame-shaped supporting device described above, wherein the medical filler is a bone tissue bone cement, or a bone substitute, or a silicone filler. The above-mentioned disc replacement frame-shaped fulcrum device, wherein the expansion member has an axis, and the shaft is provided with a plurality of different lengths of rotation, the axis is rotated by force, and the rotation is followed by force Rotating into an inflammation with the axis
角立起之原設定立體形狀，該等受力旋轉立起之旋線即推 使該成形件薄壁變形。 上述之椎間盤置換框形支擇裝置，其中該擴張件包含 —已預成所需形狀後捲縮之氣囊，可灌人—液體或氣體， 使該氣囊膨脹恢復原預成形狀，及推使該成形件薄壁變形。 上述之椎間盤置換框形支擇裝置，其中該擴張件包含 多條不同長度及位移距離之可位移及可弓起撓性體，該等 撓性體因自體位移時’距離受限形成多個向外弓起變形成 原設定之立體形狀，及該等弓起變形之撓性體即推使該成 形件薄壁變形。 上述之椎間盤置換框形支樓裝置，其中該擴張件包含 —樞接活動部，裝設有多個以—樞軸樞接之不同長度可活 動擺臂’ 4等擺臂受力以該樞軸相對扇形擺動成原設定之 形狀’推使該成形件薄壁變形。 一上述之椎間盤置換框形支榜裝置，其令該擴張件包含 :已預成所需形狀後捲縮之囊袋，可填充人—固體微粒， <該囊袋膨脹恢復原預成形狀，及推使該成形件薄壁變形。 上述之椎間盤置換框形支撐裝置’其中該擴張件包含 8 200927062 一已預成所需型狀後捲縮之記憶物質，可加入一反應物’ 使該記憶物質膨脹恢復原預成形狀，及推使該成形件薄壁 變形。 上述之椎間盤置換框形支撐裝置，其中該預成形之記 ’隐物質可為一記憶金屬，該反應物為一電能或熱能或其他 能量，使該記憶金屬恢復原預成形狀。 ❹ ❹ 上述之椎間盤置換框形支撐裝置，其中該預成形之記 憶金屬’可預成一椎間盤形狀，該反應物使該記憶金屬由 被捲縮’可恢復至原預成之椎間盤形狀，及推使該成形件 薄壁成一椎間盤形狀框架。 上述之椎間盤置換框形支撐裝置，其中該預成形之記 憶金屬，可預成一椎籠（cage)或椎間填充塊（spacer)形 狀10亥反應物使該s己憶金屬由被捲縮，可恢復至原預成之 椎籠或椎間填充塊形狀，及推使該成形件薄壁成一椎籠或 椎間填充塊形狀框架。 本發明中所定義之相對位置，如上、下、側面等，係 指手持該椎間盤置換框形支撐裝置整體組合，參考使用者 頭部方向為上，反之足部方向為τ，而相對於該上、下二 端之周邊’則為側面。^、外則指以該椎間盤置換框形 支撐裝置本體’向其中心點收斂為内，反之發散則為外。 【實施方式】 錄以較佳具體例配合圖式說明 為進一步說明本發明 實施方式如下： 圖 la中，本發明 椎間盤置換框形支擇裝置 10，即 9 200927062 如圖示中之具有一成形件11，該成形件U具有—薄壁m 圍成一中空容置空間112。及該成形件n薄壁lu為一管 狀、厚度極薄’及開設有多個穿孔1丨3，與切縫丨丨4之圍辟。 圖lb中，該成形件U薄壁Π1另開設有與該圖“中 不同的切縫113形狀，與穿孔！ 14形狀，以便有不同的擴 張變形效果。 ' 圖2a、圖2b及圖3中，該椎間盤置換框形支撐裝置 1〇,其該成形件11為可隨其内部容置之一膨脹擴張物體（即 ❹ 為該一預成形後捲縮之擴張件20)包覆變形，其薄壁ιη 可跟隨内部之膨脹擴張物體形狀，而變形且固定該變形。 如圖2a及圖2b中，該預成形擴張件2〇為膨脹後恢復 原預成形狀三角形柱體狀，或為預成圓形柱體狀等，其在 未膨脹前，即捲縮置入該成形件u之容置空間ιΐ2中待 該擴張件20舒張膨脹，體積相對被變形擴大，恢復原預成 形狀時，即推使其外部的該成形件u薄壁lu跟隨其變 〇 形，致使該成形件11也呈現三角形柱體狀，或圓形柱體狀， 且固定該變形。 如圖3中，亦同前段所述，該擴張件2〇為膨脹後可呈 現原預成形狀之方形柱體狀、球體狀，或為不規則柱體狀 等，亦在其等均未膨脹前即捲縮，置入該成形件11之容置 空間112中，待該等擴張件2〇舒張膨脹，體積相對變形擴 大，恢復原預成形狀時，即推使其外部之該成形件丨丨薄壁 111跟隨其變形，使得該成形件u也呈現方形柱體狀、球 體狀，或為不規則柱體狀等形狀，且固定該變形。 200927062 圖4a、4b、4c及圖5a、圖5b中，該等膨脹擴張物體 可為各種不同形式之預成形擴張件20，或預成某些立體形 狀’且以各種不同的方式方法擴張，使包覆於其外部之該 成形件11跟隨其變形。 圖4a、4b中’該擴張件2〇為一撓性容器擴張件30， °又有一注入端3卜及具有一或多層撓性圍壁32,該等圍壁 32上具有多個通孔321，用以連通該容器内外部。 _ 及包含一注入工具33,内容置一醫療填充物34，該注 入工具33 —端與該注入端3 i相連通，使該醫療填充物34 注入該容器30中，將該容器30擴張恢復原預成形狀，並 推使該成形件11跟隨其變形。 又該醫療填充物34於注入使用時為漿狀，注入至該撓 性容器擴張件30 —段時間後可固化成塊狀。及該醫療填充 物3 4可為一骨路組織用骨水泥，或骨替代物，或石夕膠填充 物。 ❾ 圖4b中’該撓性容器擴張件30圍壁通孔321孔徑不 大於該醫療填充物34顆粒粒徑，該醫療填充物34注入使 該容器圍壁32被推擠膨脹，進而再推動該成形件薄壁 變形及固定’及該醫療填充物3 4部份會被推擠出該容器圍 壁32外表面。 及圖4c中，該撓性容器擴張件30可為一預先受外力 對該待被成形支撐之椎間位置空間成形之可伸縮撓性擴張 容器（規則形狀或不規則形狀），其為預先受外力擴張成特 疋形狀後捲屈縮小，如腎形或椎間盤形狀，及裝設入該成 200927062 形件11中。 圖5a中，該擴張件2〇進一步可為包含有一軸心4〇， 及該軸心40上裝設有多條不同長度之旋線41。該軸心4〇 受力旋轉時，相對即可使該等旋線41跟隨受力旋轉，而成 與該軸心40間具一夾角立起連接，或垂直連接。而該等受 力旋轉立起成原特定立體形狀之旋線41，即可推使該成形 件11薄壁111變形。The original shape of the corner is set to a three-dimensional shape, and the rotation of the force is erected to push the thin portion of the formed part. The above-mentioned intervertebral disc replacement frame-shaped cutting device, wherein the expansion member comprises an airbag which has been pre-formed into a desired shape and is crimped, and can be filled with a liquid or a gas to expand the airbag to restore the original pre-formed shape, and to push the The formed part is thinned and deformed. The above-mentioned intervertebral disc replacement frame-shaped cutting device, wherein the expansion member comprises a plurality of displaceable and archable flexible bodies of different lengths and displacement distances, and the flexible bodies are formed by a plurality of distances due to self-displacement The outward bow is deformed to form a three-dimensional shape originally set, and the flexible body deformed by the bows causes the thin portion of the formed member to be deformed. The above-mentioned intervertebral disc replacement frame-shaped branch device, wherein the expansion member comprises a pivoting movable portion, and a plurality of swing arm arms of different lengths pivotally connected to each other are pivotally supported by the pivot arm The shape of the fan is swung in the original shape to push the thin portion of the formed part. The above-mentioned intervertebral disc replacement frame-shaped support device, wherein the expansion member comprises: a pouch which has been pre-formed into a desired shape and is crimped, and can be filled with human-solid particles, < the pouch expands to restore the original pre-formed shape. And pushing the thin part of the formed part to deform. The above-mentioned intervertebral disc replacement frame-shaped supporting device' wherein the expansion member comprises 8 200927062, a memory material which has been pre-formed into a desired shape, and can be added with a reactant to expand the memory material to restore the original pre-formed shape, and push The formed part is deformed in a thin wall. The intervertebral disc replacement frame supporting device described above, wherein the pre-formed hidden matter is a memory metal, and the reactant is an electric energy or thermal energy or other energy to restore the original metal to the original pre-formed shape. ❹ ❹ The above-described intervertebral disc replacement frame-shaped support device, wherein the pre-formed memory metal 'can be pre-formed into an intervertebral disc shape, the reactants enable the memory metal to be retracted to restore the original pre-formed disc shape, and push The shaped member is thinned into a disc-shaped frame. The above-mentioned intervertebral disc replacement frame-shaped supporting device, wherein the pre-formed memory metal can be pre-formed into a cage or a spacer-shaped spacer 10 to make the s-reminised metal be crimped. Revert to the original pre-formed cage or intervertebral block shape, and push the formed piece into a cage or intervertebral block shape frame. The relative positions defined in the present invention, such as the above, the lower side, the side surface, etc., refer to the overall combination of the frame-shaped supporting device for holding the intervertebral disc, with reference to the head of the user being the upper direction, and vice versa, the direction of the foot being τ, and relative to the upper The perimeter of the lower two ends is the side. ^, the outer refers to the replacement of the frame body by the intervertebral disc, and the support device body 'converges to the center point thereof, and vice versa. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS The embodiments of the present invention are further described as follows: In FIG. 1a, the intervertebral disc replacement frame-shaped device 10 of the present invention, that is, 9 200927062 has a molded part as shown in the drawings. 11. The forming member U has a thin wall m enclosing a hollow receiving space 112. And the thin part lu of the formed part n is a tube shape, the thickness is extremely thin' and a plurality of perforations 1丨3 are opened, and the slit 4 is surrounded. In Fig. 1b, the forming member U thin wall Π1 is additionally provided with a shape different from the slit 113 in the figure, and a perforation! 14 shape so as to have different expansion deformation effects. ' Fig. 2a, Fig. 2b and Fig. 3 The intervertebral disc replaces the frame-shaped supporting device 1 , and the forming member 11 is covered and deformed by an expansion and expansion object (ie, the pre-formed crimping expansion member 20). The wall ιη can expand and deform the shape of the object following the expansion of the inner portion, and deform and fix the deformation. As shown in Fig. 2a and Fig. 2b, the pre-formed expansion member 2〇 is expanded to restore the original pre-formed triangular cylinder shape, or is pre-formed. a circular cylinder or the like, which is expanded and expanded in the accommodating space ι 2 of the forming member u before being expanded, and the volume is relatively expanded and expanded, and when the original pre-formed shape is restored, Pushing the outer portion of the forming member u thin wall lu to follow its deformed shape, so that the forming member 11 also assumes a triangular cylinder shape, or a circular cylindrical shape, and fixes the deformation. As in Fig. 3, the same as the front section The expansion member 2〇 is a square that can be expanded to form an original pre-formed shape. Columns, spheres, or irregular cylinders, etc., are also crimped before they are unexpanded, and are placed in the accommodating space 112 of the forming member 11 to be dilated and expanded. The relative deformation of the volume is expanded, and when the original pre-formed shape is restored, the outer part of the formed piece thin wall 111 is pushed to follow the deformation, so that the formed part u also exhibits a square cylinder shape, a spherical shape, or an irregular shape. The shape is cylindrical and fixed, and the deformation is fixed. 200927062 In Figures 4a, 4b, 4c and 5a, 5b, the expanded expansion objects may be preformed expansion members 20 of various forms, or pre-formed into certain three-dimensional shapes. 'and expands in a variety of different ways, so that the formed part 11 coated on the outside thereof follows its deformation. In Figures 4a, 4b 'the expansion member 2 is a flexible container expansion member 30, ° has an injection end 3b and having one or more flexible surrounding walls 32 having a plurality of through holes 321 for communicating with the inside and outside of the container. _ and including an injecting tool 33 for placing a medical filler 34, The injection tool 33 is connected to the injection end 3 i to make the medical filling The filling 34 is injected into the container 30, and the container 30 is expanded to restore the original pre-formed shape, and the shaped member 11 is pushed to follow the deformation thereof. The medical filler 34 is slurryed during injection and injected into the flexible portion. The container expansion member 30 can be solidified into a block shape after a period of time. The medical filler 34 can be a bone cement for bone tissue, or a bone substitute, or a Shishi gum filler. ❾ Figure 4b The aperture of the wall through hole 321 of the container expansion member 30 is not larger than the particle size of the medical filler 34. The injection of the medical filler 34 causes the container wall 32 to be pushed and expanded, thereby pushing the thin portion of the molded part to be deformed and fixed. And the portion of the medical filler 34 will be pushed out of the outer surface of the container wall 32. And in FIG. 4c, the flexible container expansion member 30 can be a retractable flexible expansion container (regular shape or irregular shape) which is previously shaped by an external force to form the intervertebral position space to be shaped and supported, which is pre- The external force is expanded into a special shape and the constriction is reduced, such as a kidney shape or a disc shape, and is fitted into the 200927062 shape member 11. In Fig. 5a, the expansion member 2 can further include a shaft core 4, and the shaft core 40 is provided with a plurality of different lengths of the rotation 41. When the shaft 4〇 is rotated by force, the rotation 41 can be rotated in accordance with the force, and the shaft 40 is connected to the shaft 40 at an angle or vertically. On the other hand, the force is rotated to form a rotation 41 which is a specific three-dimensional shape, so that the thin wall 111 of the formed member 11 can be deformed.
❹ 或該擴張件20 it-步為包含有—預成所需形狀後捲 屈之氣囊50，可灌入一液體或氣體51，使該氣囊5〇膨脹 恢復原預成形，及推使該成形件丨丨薄壁丨丨〖變形。 或該擴張件20為進一步包含有多條不同長度及位移 距離之可位移及可弓起之撓性體6〇,該等撓性體6〇因自 體位移時，距離受限形成多個向外弓起61變形成原設定之 特定立體形狀’及該等弓起61變形之撓性體6〇即推使該 成形件11薄壁111變形。 圖5b中，該擴張件 70，裝設有多個以一樞轴71枢接之不同長度可活動擺 72，該等擺臂72受力以該樞軸71相對扇形擺動成原設 特定形狀時，即推使該成形件i i薄壁u i變形。 或該擴張件20進一步包含一已預成所需形狀後捲 之囊袋80,可填充入一固體微粒81，使該囊袋8〇膨脹 形成原預設形狀，及推使該成形件11薄壁丨丨丨變形。 圖6a中，該擴張件20包含-已預成所需型狀後捲 之記憶物質90,可加入一反應物91，使該記憶物質9〇 12 200927062 脹恢復原預成形狀’及推使該成形件1 1薄壁1 1 1變形。 如可為一 s己憶金屬9 0，可預成一椎間盤形狀9 2，或可 預成一椎籠（cage ) 93或椎間填充塊（spacer)形狀94， 該反應物為一電能或熱能91，或其他能量，該反應物91 使該記憶金屬90由被捲縮，可恢復至原預成之椎間盤形狀 92，及推使该成形件11薄壁i丨丨成一椎間盤形狀框架。 或可恢復至原預成之椎籠93或椎間填充塊形狀94，或 or the expansion member 20 is an air bag 50 containing a pre-formed shape and then crimped into a liquid or gas 51 to expand the air bag 5 恢复 to restore the original preform, and to push the forming Pieces of thin wall 丨丨 〖 deformation. Or the expansion member 20 further includes a plurality of displaceable and archable flexible bodies 6〇 of different lengths and displacement distances, and the flexible bodies 6 are formed by a plurality of directions due to the self-displacement The outer bow 61 is deformed to form a specific three-dimensional shape that is originally set and the flexible body 6 of the bow 61 is deformed to deform the thin wall 111 of the formed member 11. In Fig. 5b, the expansion member 70 is provided with a plurality of movable pendulums 72 of different lengths pivotally connected by a pivot 71. The swing arms 72 are forced to swing relative to the fan 71 to a specific shape. That is, the thin part ui of the formed piece ii is pushed to be deformed. Or the expansion member 20 further includes a pocket 80 that has been pre-formed into a desired shape and can be filled into a solid particle 81 to expand the pocket 8 to form an original predetermined shape, and to push the formed member 11 thin. The tick is deformed. In Fig. 6a, the expansion member 20 comprises a memory substance 90 which has been pre-formed into a desired shape, and a reactant 91 can be added to cause the memory substance 9〇12 200927062 to expand to restore the original pre-formed shape' The formed piece 1 1 is deformed by the thin wall 1 1 1 . If it can be a singular metal 90, it can be pre-formed into a disc shape 9 2, or can be pre-formed as a cage 93 or a spacer shape 94, the reactant being an electric energy or thermal energy 91. Or other energy, the reactant 91 causes the memory metal 90 to be crimped back to the original pre-formed disc shape 92, and pushes the formed member 11 into a disc-shaped frame. Or may be restored to the original pre-made cage 93 or intervertebral block shape 94,
❹ 及推使該成形件薄壁11 1成一椎籠或椎間填充塊形狀框架。 及圖6b中，該成形件u之薄壁ln穿孔113及切縫 114周緣，受該擴張件20向外推擠，形成與原圍壁lu間 有-角度立起之尖端115,及該等圍壁尖端115刺入該椎間 上下椎骨95、96表面固定。 【圖式簡單說明】 圖h及圖lb為本發明—椎間盤置換框形支推裝置之 一成形件較佳具體例示意圖。（圖u為代表圖） 圖2a及圖2b為該成形件依該椎間盤置換框形支擇裝 置之一擴張件形狀變形之較佳具體例示意圖。 圖3為該成形件依該不同形狀之擴張件變形之較佳具 圖4a至圖4e為該擴張件為—預成形撓性擴張容器， 其=組合、通孔圍壁及預成特定形狀容器之較佳具體例 不意圖。 圖5a及圖5b為該 預成形狀之擴張件擴張 不同形式或不同方式之 方法較佳具體例示意圓 立體形狀或 13 200927062 圖6a及圖6b為該椎間盤置換框形支撐裝置植入一椎 間醫療位置，並固定變形及附著支撐之較佳具體例示意圖。 【主要元件符號說明】 10 椎間盤置換框形支撐裝置❹ and pushing the formed piece thin wall 11 1 into a cage or intervertebral filling block shape frame. And in Fig. 6b, the thin wall ln perforation 113 of the forming member u and the periphery of the slit 114 are pushed outward by the expanding member 20 to form a tip 115 which rises at an angle with the original surrounding wall lu, and the like The peripheral wall tip 115 penetrates the surface of the intervertebral upper and lower vertebrae 95, 96 to be fixed. BRIEF DESCRIPTION OF THE DRAWINGS FIG. h and FIG. 1b are schematic diagrams showing a preferred embodiment of a molded member of a disc replacement frame-shaped pushing device of the present invention. (Fig. u is a representative view) Figs. 2a and 2b are schematic views showing a preferred embodiment of the shape of the expansion member according to the intervertebral disc replacement frame-shaped retaining device. Figure 3 is a view showing the deformation of the forming member according to the different shape of the expansion member. Figures 4a to 4e show the expansion member as a pre-formed flexible expansion container, which is a combination, a through-hole wall and a container of a specific shape. Preferred specific examples are not intended. 5a and 5b show a method for expanding the pre-formed expansion member in different forms or different manners. A preferred embodiment is a schematic circular shape or 13 200927062. FIGS. 6a and 6b show the intervertebral disc replacement frame-shaped support device implanted in an intervertebral space. A schematic diagram of a preferred embodiment of the medical position and fixed deformation and attachment support. [Main component symbol description] 10 Intervertebral disc replacement frame support device
11 成形件 111 薄壁 112 容置空間 113 穿孔 114 切縫 115 尖端 20 擴張件 30 預成形撓性擴張件 3 1 注入端 32 撓性圍壁 33 注入工具 34 醫療填充物 321 通孔 40 轴心 41 不同長度旋線 50 預成形氣囊 51 氣體或液體 60 不同長度撓性體 61 弓起變形 70 柩接活動部 71 樞軸 72 不同長度擺臂 80 預成形囊袋 81 固體微粒 90 記憶物質（金屬） 91 反應物（電、熱或其他能量） 92 椎間盤形狀 93 椎籠形狀 94 椎間填充塊形狀 95 上椎骨 96 下椎骨 1411 Forming member 111 Thin wall 112 accommodating space 113 Perforation 114 Slot 115 Tip 20 Expansion member 30 Preformed flexible expansion member 3 1 Injection end 32 Flexible surrounding wall 33 Injection tool 34 Medical filler 321 Through hole 40 Axle 41 Different lengths of rotation 50 Pre-formed airbags 51 Gas or liquid 60 Different lengths of flexible body 61 Arching deformation 70 splicing movable part 71 Pivot 72 Different length swing arm 80 Pre-formed pocket 81 Solid particles 90 Memory material (metal) 91 Reactant (electric, thermal or other energy) 92 disc shape 93 cage shape 94 intervertebral filling block shape 95 upper vertebra 96 lower vertebra 14