TWI548390B - Bionic fixing apparatus and apparatus for pulling out the same - Google Patents
Bionic fixing apparatus and apparatus for pulling out the same Download PDFInfo
- Publication number
- TWI548390B TWI548390B TW103122519A TW103122519A TWI548390B TW I548390 B TWI548390 B TW I548390B TW 103122519 A TW103122519 A TW 103122519A TW 103122519 A TW103122519 A TW 103122519A TW I548390 B TWI548390 B TW I548390B
- Authority
- TW
- Taiwan
- Prior art keywords
- bionic
- thread
- angle
- fixing device
- oblique side
- Prior art date
Links
- 239000011664 nicotinic acid Substances 0.000 title claims description 97
- 230000003592 biomimetic effect Effects 0.000 claims description 40
- 210000001519 tissue Anatomy 0.000 claims description 16
- 210000004872 soft tissue Anatomy 0.000 claims description 15
- 125000006850 spacer group Chemical group 0.000 claims description 11
- 238000000605 extraction Methods 0.000 claims description 10
- 238000006073 displacement reaction Methods 0.000 claims description 8
- 239000000956 alloy Substances 0.000 claims description 3
- 229910045601 alloy Inorganic materials 0.000 claims description 3
- 239000003519 biomedical and dental material Substances 0.000 claims description 3
- 239000000919 ceramic Substances 0.000 claims description 3
- 238000004891 communication Methods 0.000 claims description 3
- 239000002184 metal Substances 0.000 claims description 3
- 229920000642 polymer Polymers 0.000 claims description 3
- 210000000988 bone and bone Anatomy 0.000 description 24
- 238000004519 manufacturing process Methods 0.000 description 18
- 239000000463 material Substances 0.000 description 13
- 239000007943 implant Substances 0.000 description 11
- 238000013461 design Methods 0.000 description 7
- 238000000034 method Methods 0.000 description 7
- 238000002513 implantation Methods 0.000 description 4
- 206010067484 Adverse reaction Diseases 0.000 description 3
- 230000006838 adverse reaction Effects 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 3
- 230000035882 stress Effects 0.000 description 3
- 238000000576 coating method Methods 0.000 description 2
- 238000007796 conventional method Methods 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 238000001125 extrusion Methods 0.000 description 2
- 239000012634 fragment Substances 0.000 description 2
- 230000012447 hatching Effects 0.000 description 2
- 239000000843 powder Substances 0.000 description 2
- 238000003672 processing method Methods 0.000 description 2
- 238000005245 sintering Methods 0.000 description 2
- 238000012360 testing method Methods 0.000 description 2
- 238000010146 3D printing Methods 0.000 description 1
- 208000012260 Accidental injury Diseases 0.000 description 1
- 239000000654 additive Substances 0.000 description 1
- 230000000996 additive effect Effects 0.000 description 1
- 230000032683 aging Effects 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 239000011230 binding agent Substances 0.000 description 1
- 230000015556 catabolic process Effects 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000000120 cytopathologic effect Effects 0.000 description 1
- 238000006731 degradation reaction Methods 0.000 description 1
- 230000008021 deposition Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 230000004927 fusion Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000003475 lamination Methods 0.000 description 1
- 238000013532 laser treatment Methods 0.000 description 1
- 210000003041 ligament Anatomy 0.000 description 1
- 230000008018 melting Effects 0.000 description 1
- 238000002844 melting Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000017074 necrotic cell death Effects 0.000 description 1
- 230000008520 organization Effects 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 239000002245 particle Substances 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 230000035807 sensation Effects 0.000 description 1
- 238000004381 surface treatment Methods 0.000 description 1
- 238000012876 topography Methods 0.000 description 1
- 239000002699 waste material Substances 0.000 description 1
Landscapes
- Prostheses (AREA)
- Materials For Medical Uses (AREA)
Description
本發明是有關於一種仿生固定裝置與其拔出裝置,且特別是有關於一種具有可撓性底部的仿生固定裝置與其拔出裝置。 The present invention relates to a biomimetic fixture and its extraction device, and more particularly to a biomimetic fixture having a flexible bottom and its extraction device.
隨著科技與醫學的進步,係採用例如是骨釘等植入物對生物體內的組織進行固定,以作為意外傷害或自然老化之修復等醫療用途。然而,習知的植入物在植入生物體後,當固定處受力時,容易發生植入物沿著原植入路徑脫出的問題。此外,當固定處包含軟組織時,習知技術須採用可降解材料進行固定,醫學界對於可降解材料對生物體的影響仍有所疑慮,例如會殘留於生物體中無法順利排出,或引起生物細胞病變的可能性。 With advances in technology and medicine, tissues such as bone nails are used to fix tissues in living organisms for medical purposes such as accidental injury or repair of natural aging. However, the conventional implant is prone to the problem that the implant is dislodged along the original implantation path when the fixation is stressed after the implant is implanted. In addition, when the fixed part contains soft tissue, the prior art must be fixed by using a degradable material, and the medical community still has doubts about the influence of the degradable material on the living body, for example, it may remain in the living body and cannot be smoothly discharged, or cause the organism. The possibility of cytopathic effects.
再者,植入物植入生物體後,若是產生不良反應需要取出,也沒有合適的裝置可以輕易地將植入物取出,常常會因此造成生物組織的破壞。 Furthermore, after the implant is implanted into the living body, if an adverse reaction needs to be taken out, and there is no suitable device, the implant can be easily taken out, which often causes damage to the biological tissue.
本發明係有關於一種具有可撓性底部的仿生固定裝置,利用積層製造製程技術在植入物之表面或內部形成特定結構,能有效降低植入物的彈性模數,同時避免植入物沿著原植入路徑脫出。此外,本發明也提出一種拔出仿生固定裝置的裝置,可輕易地將植入物自生物體內取出。 The present invention relates to a biomimetic fixing device having a flexible bottom portion, which utilizes a laminate manufacturing process technology to form a specific structure on the surface or inside of the implant, which can effectively reduce the elastic modulus of the implant while avoiding the implant along the edge. The original implant path is prolapsed. Further, the present invention also proposes a device for extracting a bionic fixation device, which can be easily taken out from a living body.
根據本發明,提出一種仿生固定裝置,包括一本體,本體具有一貫穿孔及至少一狹縫。貫穿孔係貫穿本體之頂面至底面以形成一頂面開口及一底面開口,頂面開口之內徑係大於底面開口之內徑。狹縫係與底面開口連通,且狹縫係從本體之底面向上延伸,以使本體具有一可撓性底部。 According to the present invention, a biomimetic fixation device is provided comprising a body having a consistent perforation and at least one slit. The through hole extends through the top surface to the bottom surface of the body to form a top surface opening and a bottom surface opening, and the inner diameter of the top surface opening is larger than the inner diameter of the bottom surface opening. The slit system is in communication with the bottom opening and the slit extends upwardly from the bottom surface of the body such that the body has a flexible bottom.
根據本發明,提出一種拔出裝置,用以將一仿生固定裝置自一生物體中拔出。仿生固定裝置包括一本體,本體具有一貫穿孔以及一外螺牙與一內螺牙。內螺牙與外螺牙分別設置於該本體之內、外表面。拔出裝置包括一控制部以及一旋入部。旋入部連接控制部。旋入部藉由內螺牙旋入貫穿孔中,使仿生固定裝置自生物體中拔出。 According to the present invention, an extraction device is proposed for extracting a biomimetic fixation device from a living body. The biomimetic fixture includes a body having a consistent perforation and an external thread and an internal thread. The inner screw and the outer screw are respectively disposed on the inner and outer surfaces of the body. The extraction device includes a control portion and a screwing portion. The screwing portion is connected to the control unit. The screwing portion is screwed into the through hole by the internal thread to pull the bionic fixation device out of the living body.
為了對本發明之上述及其他方面有更佳的瞭解,下文特舉實施例,並配合所附圖式,作詳細說明如下: In order to provide a better understanding of the above and other aspects of the present invention, the following detailed description of the embodiments and the accompanying drawings
1、2、3‧‧‧仿生固定裝置 1, 2, 3 ‧ ‧ bionic fixtures
11‧‧‧底面開口 11‧‧‧Bottom opening
12‧‧‧頂面開口 12‧‧‧Top opening
10‧‧‧貫穿孔 10‧‧‧through holes
101‧‧‧底部 101‧‧‧ bottom
20‧‧‧本體 20‧‧‧ body
201‧‧‧狹縫 201‧‧‧ slit
202‧‧‧外螺牙 202‧‧‧ External thread
2021‧‧‧第一斜邊 2021‧‧‧First bevel
2022‧‧‧第二斜邊 2022‧‧‧second bevel
2023‧‧‧第三斜邊 2023‧‧‧Three oblique sides
2024‧‧‧第四斜邊 2024‧‧‧4th hypotenuse
203‧‧‧內螺牙 203‧‧‧ internal thread
204‧‧‧間隔區 204‧‧‧Interval
205‧‧‧孔洞 205‧‧‧ hole
2051‧‧‧第一開口 2051‧‧‧first opening
2052‧‧‧第二開口 2052‧‧‧second opening
2052-1‧‧‧第一端 2052-1‧‧‧ first end
2052-2‧‧‧第二端 2052-2‧‧‧second end
2053‧‧‧第一側壁 2053‧‧‧First side wall
2054‧‧‧第二側壁 2054‧‧‧second side wall
206‧‧‧可撓性底部 206‧‧‧Flexible bottom
208‧‧‧內表面 208‧‧‧ inner surface
209‧‧‧外表面 209‧‧‧ outer surface
30‧‧‧內固定結構 30‧‧‧Fixed structure
301‧‧‧螺牙 301‧‧‧ thread
5、6‧‧‧拔出裝置 5, 6‧‧‧ pull out device
51、61‧‧‧控制部 51, 61‧‧‧Control Department
52、62‧‧‧旋入部 52, 62‧‧‧ Screw-in Department
53‧‧‧固定部 53‧‧‧ fixed department
80‧‧‧容置空間 80‧‧‧ accommodating space
90‧‧‧軟組織 90‧‧‧Soft organization
A-A’、B-B’、D-D’‧‧‧剖面線 A-A’, B-B’, D-D’‧‧‧ hatching
C‧‧‧部分區域 C‧‧‧Partial areas
D1‧‧‧第一方向 D1‧‧‧ first direction
D2、D3、D4、D5、D6‧‧‧方向 Directions D2, D3, D4, D5, D6‧‧
P1、P2、P3、P4‧‧‧路徑 P1, P2, P3, P4‧‧ path
R1‧‧‧第一參考平面 R1‧‧‧ first reference plane
R2‧‧‧第二參考平面 R2‧‧‧ second reference plane
θ1‧‧‧第一外角 Θ1‧‧‧first outer angle
θ2‧‧‧第二外角 Θ2‧‧‧second outer angle
θ3‧‧‧第三外角 θ3‧‧‧The third outer angle
θ4‧‧‧第四外角 Θ4‧‧‧fourth outer corner
θ5‧‧‧第一角度 Θ5‧‧‧ first angle
θ6‧‧‧第二角度 Θ6‧‧‧second angle
X、Y、Z‧‧‧座標軸 X, Y, Z‧‧‧ coordinate axis
第1A圖繪示本發明實施例之仿生固定裝置的示意圖。 FIG. 1A is a schematic view showing a bionic fixing device according to an embodiment of the present invention.
第1B圖為第1A圖之仿生固定裝置沿著A-A’連線,自仿生固定裝置之底部往頂部觀看所繪示的剖面圖。 Fig. 1B is a cross-sectional view of the bionic fixture of Fig. 1A taken along line A-A', viewed from the bottom of the bionic fixture to the top.
第2A圖為第1A圖之仿生固定裝置沿著B-B’連線所繪示在X-Z平面的簡化剖面示意圖。 Figure 2A is a simplified cross-sectional view of the bionic fixture of Figure 1A taken along the line B-B' in the X-Z plane.
第2B圖繪示本發明實施例之內固定結構固定於貫穿孔的簡化示意圖。 FIG. 2B is a simplified schematic view showing the fixing structure of the embodiment of the present invention fixed to the through hole.
第3A圖繪示第2B圖之C區域的部分放大示意圖。 FIG. 3A is a partially enlarged schematic view showing a region C of FIG. 2B.
第3B圖繪示本發明實施例之外螺牙在一橫向剖面(X-Y平面)的剖面示意圖。 FIG. 3B is a schematic cross-sectional view showing the outer thread of the embodiment of the present invention in a transverse section (X-Y plane).
第4A圖繪示本發明另一實施例之仿生固定裝置的示意圖。 FIG. 4A is a schematic view showing a bionic fixation device according to another embodiment of the present invention.
第4B圖為第4A圖之仿生固定裝置沿著D-D’線所繪示的剖面示意圖。 Figure 4B is a schematic cross-sectional view of the bionic fixture of Figure 4A taken along line D-D'.
第5A、5B圖繪示利用本發明實施例之仿生固定裝置固定軟組織的示意圖。 5A and 5B are schematic views showing the fixation of soft tissue by the bionic fixation device of the embodiment of the present invention.
第5C圖繪示本發明實施例之之仿生固定裝置在橫向剖面(X-Y平面)上的剖面示意圖。 FIG. 5C is a schematic cross-sectional view showing a bionic fixing device according to an embodiment of the present invention in a lateral cross section (X-Y plane).
第6A、6B圖繪示本發明實施例之拔出裝置拔出一仿生固定裝置的示意圖。 6A and 6B are schematic views showing the extraction device of the embodiment of the present invention with a bionic fixture removed.
第7A、7B圖繪示本發明另一實施例之拔出裝置拔出一仿生固定裝置的示意圖。 7A and 7B are schematic views showing the pulling out of a bionic fixing device according to another embodiment of the present invention.
以下係參照所附圖式詳細敘述本創作之實施例。圖式中相同的標號係用以標示相同或類似之部分。需注意的是,圖式係已簡化以利清楚說明實施例之內容,圖式上的尺寸比例並非按照實際產品等比例繪製,因此並非作為限縮本發明保護範圍之用。 Embodiments of the present invention will be described in detail below with reference to the accompanying drawings. The same reference numerals are used to designate the same or similar parts. It is to be noted that the drawings have been simplified to clearly illustrate the contents of the embodiments, and the dimensional ratios in the drawings are not drawn to the scale of the actual products, and thus are not intended to limit the scope of the present invention.
第1A圖繪示本發明實施例之仿生固定裝置1的示意圖。第1B圖為第1A圖之仿生固定裝置1沿著A-A’連線,自仿生固定裝置1之底部往頂部觀看所繪示的剖面圖。 FIG. 1A is a schematic view showing a bionic fixation device 1 according to an embodiment of the present invention. Fig. 1B is a cross-sectional view of the bionic fixture 1 of Fig. 1A taken along the line A-A', viewed from the bottom of the bionic fixture 1 to the top.
如第1A、1B圖所示,本發明實施例之仿生固定裝置1包括一本體20。本體20具有一貫穿孔(through hole)10及至少一狹縫(slit)201。貫穿孔10係貫穿本體20之頂面至底面,以形成一頂面開口12及一底面開口11,頂面開口12之內徑係大於底面開口11之內徑。狹縫201係與底面開口11連通,且狹縫201係從本體20之底面向上延伸,以使本體20具有一可撓性底部206。也就是說,狹縫201係自本體20之外表面209延伸至貫穿孔10並穿透可撓性底部206。在本實施例中,本體20可包括一外螺牙202,外螺牙202設置於本體20之外表面209。 As shown in FIGS. 1A and 1B, the bionic fixation device 1 of the embodiment of the present invention includes a body 20. The body 20 has a consistent through hole 10 and at least one slit 201. The through hole 10 extends through the top surface to the bottom surface of the body 20 to form a top surface opening 12 and a bottom surface opening 11. The inner diameter of the top surface opening 12 is larger than the inner diameter of the bottom surface opening 11. The slit 201 is in communication with the bottom opening 11 and the slit 201 extends upwardly from the bottom surface of the body 20 such that the body 20 has a flexible bottom 206. That is, the slit 201 extends from the outer surface 209 of the body 20 to the through hole 10 and penetrates the flexible bottom 206. In the present embodiment, the body 20 can include an external thread 202 that is disposed on the outer surface 209 of the body 20.
在一實施例中,狹縫201可為複數個,如第1B圖所示,狹縫201之數量為三個,但本發明並未限定於此。 In one embodiment, the number of the slits 201 may be plural. As shown in FIG. 1B, the number of the slits 201 is three, but the present invention is not limited thereto.
第2A圖為第1A圖之仿生固定裝置1沿著B-B’連線所繪示在X-Z平面的簡化剖面示意圖。要注意的是,為了便於呈現本發明實施例之技術特徵,後方之圖式係以簡化之示意圖表示,某些元件與元件間的連接關係可能會被省略。如圖所示,本發明實施例之仿生固定裝置1之貫穿孔10的底部101可例如為一錐狀。在此,貫穿孔10的底部101係對應於 本體20之可撓性底部206的位置。此外,仿生固定裝置1更可包括一內固定結構30,內固定結構30可固定於可撓性底部206。 Fig. 2A is a simplified cross-sectional view of the bionic fixture 1 of Fig. 1A taken along the line B-B' in the X-Z plane. It is to be noted that in order to facilitate the presentation of the technical features of the embodiments of the present invention, the following drawings are shown in simplified schematic form, and the connection between the components and the components may be omitted. As shown in the figure, the bottom portion 101 of the through hole 10 of the bionic fixing device 1 of the embodiment of the present invention may be, for example, a tapered shape. Here, the bottom 101 of the through hole 10 corresponds to The position of the flexible bottom 206 of the body 20. In addition, the biomimetic fixture 1 can further include an internal fixation structure 30 that can be secured to the flexible bottom 206.
第2B圖繪示本發明實施例之內固定結構30固定於貫穿孔10的簡化示意圖。在本實施例中,本體20也可包括一內螺牙203,內螺牙203設置於本體20之內表面208,且內螺牙203與外螺牙202之螺紋方向可相同或相反。 FIG. 2B is a simplified schematic view showing the fixing structure 30 of the embodiment of the present invention fixed to the through hole 10. In this embodiment, the body 20 can also include an internal thread 203. The internal thread 203 is disposed on the inner surface 208 of the body 20, and the thread direction of the inner thread 203 and the outer thread 202 can be the same or opposite.
同時參照第2A、2B圖,內固定結構30可例如是一螺絲,螺絲表面具有螺牙301,可利用螺牙301與本體20之內螺牙203,將內固定結構30沿著第一方向D1,旋轉進入貫穿孔10中。在本實施例中,第一方向D1例如是平行於仿生固定裝置1植入生物體的方向(即為一植入方向),也就是說,仿生固定裝置1之底部可先沿著第一方向D1進入生物體,以進行仿生固定裝置1之植入。 Referring to FIGS. 2A and 2B, the inner fixing structure 30 can be, for example, a screw having a thread on the surface of the screw, and the screw 301 and the inner thread 203 of the body 20 can be used to fix the inner fixing structure 30 along the first direction D1. Rotate into the through hole 10. In this embodiment, the first direction D1 is, for example, parallel to the direction in which the biomimetic fixation device 1 is implanted into the living body (ie, an implantation direction), that is, the bottom of the biomimetic fixation device 1 may first follow the first direction. D1 enters the living body for implantation of the biomimetic fixation device 1.
如第2B圖所示,當內固定結構30旋至可撓性底部206時,由於狹縫201的設計且貫穿孔10之底部101為錐狀,使可撓性底部206會受到內固定結構30之推擠而產生形變,並沿著例如是圖中之方向D2與D3,向外部推擠。 As shown in FIG. 2B, when the inner fixing structure 30 is screwed to the flexible bottom 206, the flexible bottom 206 is subjected to the inner fixing structure 30 due to the design of the slit 201 and the bottom 101 of the through hole 10 being tapered. The pushing causes deformation and pushes to the outside along directions D2 and D3, for example, in the figure.
在本發明實施例中,仿生固定裝置1係透過本體20之外螺牙202固定於生物體中。也就是說,當可撓性底部206受到內固定結構30之推擠而產生形變並向外部推擠,會使可撓性底部206向外擴張而更加牢固地嵌入生物體中,即便仿生固定裝置1承受一相反於第一方向D1之方向(即為一拔出方向)的外力,仿生固定裝置1也不容易將固定於生物體之外螺牙202自生物體內脫出。 In the embodiment of the present invention, the bionic fixation device 1 is fixed to the living body through the external thread 202 of the body 20. That is, when the flexible bottom portion 206 is deformed by the pushing of the inner fixing structure 30 and pushed outward, the flexible bottom portion 206 is expanded outwardly and more firmly embedded in the living body even if the bionic fixing device When the external force is applied to the direction opposite to the first direction D1 (i.e., in the direction of pulling out), the bionic fixing device 1 does not easily release the thread 202 from the living body outside the living body.
要注意的是,雖然本發明上述實施例係以內固定結構30為螺絲,並利用本體20之內螺牙203將內固定結構30鎖固於貫穿孔10中,但本發明並未限定於此。相對地,本發明也可利用其他非螺牙的結構設計,例如是卡榫或其他類似的結構設計,將內固定結構30固定於可撓性底部206並向外部推擠,使仿生固定裝置1更加牢固地嵌入生物體中,在此不多加贅述。 It should be noted that although the above embodiment of the present invention uses the inner fixing structure 30 as a screw and the inner fixing structure 30 is locked in the through hole 10 by the inner thread 203 of the body 20, the present invention is not limited thereto. In contrast, the present invention can also utilize other non-threaded structural designs, such as cassettes or other similar structural designs, to fix the inner fixed structure 30 to the flexible bottom 206 and push it to the outside to make the bionic fixture 1 It is more firmly embedded in the organism and will not be described here.
內固定結構30固定於貫穿孔10時,由於本發明實施例之可撓性底部206具有撓性且設有至少一狹縫201,使仿生固定裝置1具有撓性,因此,內固定結構30不會破壞本體20,僅會讓可撓性底部206產生形變並向外部推擠,進而使仿生固定裝置1能更加穩固地固定於生物體中。 When the inner fixing structure 30 is fixed to the through hole 10, since the flexible bottom portion 206 of the embodiment of the present invention has flexibility and is provided with at least one slit 201, the bionic fixing device 1 has flexibility, and therefore, the inner fixing structure 30 does not The body 20 is destroyed, and only the flexible bottom portion 206 is deformed and pushed to the outside, thereby enabling the bionic fixing device 1 to be more firmly fixed in the living body.
此外,本發明實施例之外螺牙202也可具有不同的實施態樣。第3A圖繪示第2B圖之C區域的部分放大示意圖。如圖所示,外螺牙202在一縱向剖面(longitudinal section)(在此處例如是沿著B-B’連線所切出之剖面,即X-Z平面,此縱向剖面係平行於仿生固定裝置1植入生物體的方向)具有一第一斜邊2021與一第二斜邊2022,第一斜邊2021與本體20之夾角為一第一外角θ1,第二斜邊2022與本體20之夾角為一第二外角θ2。在本實施例中,第一斜邊2021係位於第二斜邊2022之上方。 In addition, the external thread 202 of the embodiment of the present invention may also have different implementations. FIG. 3A is a partially enlarged schematic view showing a region C of FIG. 2B. As shown, the outer thread 202 is in a longitudinal section (here, for example, a section cut along the line B-B', ie, the XZ plane, which is parallel to the bionic fixture. 1 is implanted in the direction of the living body) having a first oblique side 2021 and a second oblique side 2022. The angle between the first oblique side 2021 and the body 20 is a first outer angle θ1, and the second oblique side 2022 is at an angle with the body 20. It is a second outer angle θ2. In the present embodiment, the first bevel 2021 is located above the second bevel 2022.
在本實施例中,第一外角θ1係小於90度,第二外角θ2係大於90度。也就是說,本發明實施例之外螺牙202在X-Z平面上本身便可呈一倒鉤狀,使仿生固定裝置1在承受相反於第一方向D1之方向(拔出方向)的外力時,也不容易自生物體內脫出。 In the present embodiment, the first outer angle θ1 is less than 90 degrees, and the second outer angle θ2 is greater than 90 degrees. That is to say, in the embodiment of the present invention, the external thread 202 can be in the shape of a barb on the XZ plane, so that the bionic fixing device 1 is subjected to an external force in a direction opposite to the first direction D1 (extraction direction). It is also not easy to escape from the body.
要注意的是,本發明實施例之外螺牙202的第一斜邊2021 與第二斜邊2022也可具有弧度。如第3A圖所示,當第一斜邊2021與第二斜邊2022具有弧度時,第一外角θ1係定義為第一斜邊2021與本體20之接觸點的切線,和本體20的夾角;第二外角θ2係定義為第二斜邊2022與本體20之接觸點的切線,和本體20的夾角。 It should be noted that the first oblique side 2021 of the external thread 202 of the embodiment of the present invention is noted. The second bevel 2022 can also have a curvature. As shown in FIG. 3A, when the first oblique side 2021 and the second oblique side 2022 have a curvature, the first outer angle θ1 is defined as a tangent to the contact point of the first oblique side 2021 and the body 20, and an angle between the first body 20 and the body 20; The second outer angle θ2 is defined as a tangent to the contact point of the second oblique side 2022 and the body 20, and an angle with the body 20.
第3B圖繪示本發明實施例之外螺牙202在本體20之橫向剖面(transverse section)(X-Y平面)上的剖面示意圖。在本實施例中,橫向剖面係垂直於第一方向D1以及縱向剖面(X-Z平面)。如第3B圖所示,本發明實施例之外螺牙202在橫向剖面(X-Y平面)上具有一第三斜邊2023、一第四斜邊2024與至少一間隔區204,第三斜邊2023與第四斜邊2024位於間隔區204之相對兩側。此外,第三斜邊2023與本體20之夾角為一第三外角θ3,第四斜邊2024與本體20之夾角為一第四外角θ4,第三外角θ3與第四外角θ4大於0度且小於90度。 FIG. 3B is a schematic cross-sectional view showing the external thread 202 of the embodiment of the present invention on a transverse section (X-Y plane) of the body 20. In the present embodiment, the transverse cross section is perpendicular to the first direction D1 and the longitudinal section (X-Z plane). As shown in FIG. 3B, the external thread 202 of the embodiment of the present invention has a third oblique side 2023, a fourth oblique side 2024 and at least one spacing area 204, and a third oblique side 2023 in a lateral section (XY plane). The fourth beveled edge 2024 is located on opposite sides of the spacer 204. In addition, the angle between the third oblique side 2023 and the body 20 is a third external angle θ3, the angle between the fourth oblique side 2024 and the body 20 is a fourth external angle θ4, and the third external angle θ3 and the fourth external angle θ4 are greater than 0 degrees and less than 90 degrees.
類似地,本發明實施例之外螺牙202的第三斜邊2023與第四斜邊2024也可具有弧度。如第3B圖所示,當第三斜邊2023與第四斜邊2024具有弧度時,第三外角θ3係定義為第三斜邊2023與本體20之接觸點的切線,和本體20的夾角;第四外角θ4係定義為第四斜邊2024與本體20之接觸點的切線,和本體20的夾角。 Similarly, the third oblique side 2023 and the fourth oblique side 2024 of the external thread 202 of the embodiment of the present invention may also have a curvature. As shown in FIG. 3B, when the third oblique side 2023 and the fourth oblique side 2024 have a curvature, the third outer angle θ3 is defined as a tangent to the contact point of the third oblique side 2023 and the body 20, and an angle with the body 20; The fourth outer angle θ4 is defined as the tangent to the contact point of the fourth oblique side 2024 and the body 20, and the angle between the body 20.
本發明實施例之外螺牙202在橫向剖面上可具有複數個間隔區204。如第3B圖所示,在本實施例中,外螺牙202具有兩個間隔區204。同時參照第1A圖,外螺牙202之複數個間隔區204可使外螺牙202係為不連續。 The outer thread 202 of the embodiment of the present invention may have a plurality of spacers 204 in a lateral cross section. As shown in FIG. 3B, in the present embodiment, the outer thread 202 has two spacers 204. Referring also to FIG. 1A, the plurality of spacers 204 of the outer thread 202 can cause the outer thread 202 to be discontinuous.
當仿生固定裝置1植入生物體中,舉例來說,將仿生固定裝 置1作為一骨釘,並藉由外螺牙202之設計旋入人體的骨骼中,此時,在外螺牙202旋入骨骼的過程中會使骨骼產生骨屑,這些骨屑可集中於外螺牙202之複數個間隔區204內,達到集屑的目的。此外,由於本發明實施例之外螺牙202的第三斜邊2023與第四斜邊2024係使外螺牙202呈一倒鉤狀,當仿生固定裝置1植入生物體後,若想要循與旋入之路徑相反的方向旋出仿生固定裝置1,集中於間隔區204內的骨屑阻礙倒鉤狀的外螺牙202,防止仿生固定裝置1被旋出。 When the biomimetic fixation device 1 is implanted in the living body, for example, the bionic fixation device The 1 is used as a bone nail and is screwed into the bone of the human body by the design of the external thread 202. At this time, the bone is generated during the process of screwing the external thread 202 into the bone, and the bone fragments can be concentrated outside. In the plurality of spacers 204 of the thread 202, the purpose of collecting chips is achieved. In addition, since the third oblique side 2023 and the fourth oblique side 2024 of the thread 202 are in the form of a barb of the external thread 202, when the biomimetic fixing device 1 is implanted into the living body, if desired, The bionic fixation device 1 is unscrewed in the opposite direction to the path of screwing in, and the bone debris concentrated in the spacer 204 blocks the barbed outer thread 202, preventing the bionic fixation device 1 from being unscrewed.
第4A圖繪示本發明另一實施例之仿生固定裝置2的示意圖。與第1A圖之仿生固定裝置1類似,仿生固定裝置2同樣包括一本體20,本體20具有一貫穿孔10。此外,本體20可包括一外螺牙202,外螺牙202設置於本體20之外表面209。 FIG. 4A is a schematic view showing a bionic fixation device 2 according to another embodiment of the present invention. Similar to the biomimetic fixture 1 of Figure 1A, the biomimetic fixture 2 also includes a body 20 having a consistent perforation 10. In addition, the body 20 can include an outer thread 202 that is disposed on the outer surface 209 of the body 20.
在本實施例中,本體20可包括複數個孔洞205。第4B圖為第4A圖之仿生固定裝置2沿著D-D’線所繪示的剖面示意圖。要注意的是,第4B圖係為一簡化示意圖,省略部分元件(例如:外螺牙202與內螺牙203)以更清楚地繪示孔洞205之結構。 In this embodiment, the body 20 can include a plurality of holes 205. Fig. 4B is a schematic cross-sectional view of the bionic fixture 2 of Fig. 4A taken along line D-D'. It is to be noted that FIG. 4B is a simplified schematic diagram, omitting some of the components (eg, outer thread 202 and inner thread 203) to more clearly illustrate the structure of the hole 205.
如第4B圖所示,孔洞205自本體20之外表面209延伸至貫穿孔10。當仿生固定裝置2旋入一生物體時,生物體的硬組織(例如是外螺牙202旋入骨骼的過程中使骨骼產生的骨屑)可沿著這些孔洞205延伸至本體20之路徑,集中進入貫穿孔10內。舉例來說,可將仿生固定裝置2作為一骨釘沿著旋入方向D4旋入人體的骨骼中,此時,在外螺牙202旋入骨骼的過程中會使骨骼產生骨屑,這些骨屑可沿著路逕P1、P2、P3與P4被導引進入仿生固定裝置2,而使骨屑集中至仿生固定裝置2之貫穿孔 10內。 As shown in FIG. 4B, the aperture 205 extends from the outer surface 209 of the body 20 to the through hole 10. When the biomimetic fixation device 2 is screwed into an organism, the hard tissue of the living body (for example, the bone debris generated by the bone during the screwing of the external thread 202 into the bone) can extend along the holes 205 to the path of the body 20, focusing. It enters the through hole 10. For example, the bionic fixation device 2 can be screwed into the bone of the human body as a bone nail in the screwing direction D4. At this time, the bones are generated during the screwing of the external thread 202 into the bone, and the bone chips are generated. It can be guided into the bionic fixing device 2 along the paths P1, P2, P3 and P4, and the bone chips can be concentrated to the through holes of the bionic fixing device 2. Within 10.
在本發明實施例中,孔洞205的尺寸與其延伸至貫穿孔10之路徑,係可依據仿生固定裝置2旋入生物體之方向進行調整。舉例來說,孔洞205在本體20之外表面209係形成第一開口2051,在本體20之內表面208係形成第二開口2052。第二開口2052在本體20之內表面208上具有一第一端2052-1與一第二端2052-2。在本實施例中,第一開口2051之面積大於第二開口2052之面積。 In the embodiment of the present invention, the size of the hole 205 and the path extending to the through hole 10 can be adjusted according to the direction in which the biomimetic fixing device 2 is screwed into the living body. For example, the aperture 205 forms a first opening 2051 on the outer surface 209 of the body 20 and a second opening 2052 in the inner surface 208 of the body 20. The second opening 2052 has a first end 2052-1 and a second end 2052-2 on the inner surface 208 of the body 20. In this embodiment, the area of the first opening 2051 is larger than the area of the second opening 2052.
此外,本體20具有一第一側壁2053與一第二側壁2054分別位於孔洞205之兩側,第二側壁2054面對第一側壁2053。第一側壁2053係為一第一參考平面R1沿著旋入方向D4(或本體20之外表面209的一切線方向)旋轉一第一角度θ5所形成,在此,第一參考平面R1係垂直於本體20之外表面209與內表面208,並通過第二開口2052之第一端2052-1。第二側壁2054係為一第二參考平面R2沿著旋入方向D4(或本體20之外表面209的一切線方向)旋轉一第二角度θ6所形成,在此,第二參考平面R2係垂直於本體20之外表面209與內表面208,並通過第二開口2052之第二端2052-2。 In addition, the body 20 has a first sidewall 2053 and a second sidewall 2054 respectively located at two sides of the hole 205, and the second sidewall 2054 faces the first sidewall 2053. The first sidewalls 2053 are formed by rotating a first reference plane R1 along a screwing direction D4 (or a line direction of the outer surface 209 of the body 20) by a first angle θ5, where the first reference plane R1 is vertical. The outer surface 209 and the inner surface 208 of the body 20 pass through the first end 2052-1 of the second opening 2052. The second side wall 2054 is formed by rotating a second reference plane R2 along the screwing direction D4 (or the line direction of the outer surface 209 of the body 20) by a second angle θ6, where the second reference plane R2 is vertical. The outer surface 209 and the inner surface 208 of the body 20 pass through the second end 2052-2 of the second opening 2052.
在本實施例中,第一角度θ5與第二角度θ6皆大於0度且小於90度,且第二角度θ6大於第一角度θ5,使得第一開口2051之面積大於第二開口2052之面積,可有效地促進生物體的硬組織(例如是骨屑)藉由孔洞205往貫穿孔10內集中。 In this embodiment, the first angle θ5 and the second angle θ6 are both greater than 0 degrees and less than 90 degrees, and the second angle θ6 is greater than the first angle θ5, such that the area of the first opening 2051 is greater than the area of the second opening 2052. The hard tissue (for example, bone chips) of the living body can be effectively promoted to be concentrated in the through hole 10 by the holes 205.
此外,雖然第4A、4B圖並未特別標示,但本發明實施例之仿生固定裝置2的外螺牙202同樣具有至少一間隔區204,間隔區204可達 到例如集中骨屑的目的。當仿生固定裝置2植入生物體內時,可將生物體的硬組織(例如是骨屑)往外螺牙202之間隔區204集中,或者藉由孔洞205穿過本體20,快速地往貫穿孔10內集中。反之,當貫穿孔10之空間生物體的硬組織被佔滿時,也可透過孔洞205將這些硬組織穿過本體20,再藉由外螺牙202之間隔區204快速將多餘的硬組織排出(排屑)。 In addition, although the 4A and 4B drawings are not particularly labeled, the outer thread 202 of the bionic fixation device 2 of the embodiment of the present invention also has at least one spacer 204, and the spacer 204 is reachable. For example, the purpose of concentrating bone chips. When the biomimetic fixation device 2 is implanted into the living body, the hard tissue of the living body (for example, bone fragments) may be concentrated toward the spacer 204 of the outer screw 202, or the hole 205 may pass through the body 20 and quickly pass through the through hole 10. Concentrated within. On the contrary, when the hard tissue of the living organism through the hole 10 is occupied, the hard tissue can also be passed through the hole 205 through the body 20, and the excess hard tissue can be quickly discharged through the space 204 of the external thread 202. (chip removal).
在一實施例中,仿生固定裝置2也可如第1A圖所繪示之仿生固定裝置1,其本體20包括一狹縫201(未繪示於第4A圖),狹縫201位於本體20之底部,且自本體20之外表面209延伸至貫穿孔10。 In one embodiment, the bionic fixture 2 can also be a bionic fixture 1 as shown in FIG. 1A. The body 20 includes a slit 201 (not shown in FIG. 4A), and the slit 201 is located in the body 20. The bottom portion extends from the outer surface 209 of the body 20 to the through hole 10.
在某些實施例中,本發明之仿生固定裝置也可應用於將生物體內的軟組織90(參照第5A、5B圖)進行固定。第5A、5B圖繪示利用本發明實施例之仿生固定裝置3固定軟組織90的示意圖。第5C圖繪示本發明實施例之仿生固定裝置3在橫向剖面(X-Y平面)上的剖面示意圖。仿生固定裝置3的結構類似於第2A、2B圖之仿生固定裝置1,相同的元件在此不多加贅述。 In some embodiments, the biomimetic fixation device of the present invention is also applicable to the fixation of soft tissue 90 (see Figures 5A, 5B) in a living body. 5A and 5B are schematic views showing the fixation of the soft tissue 90 by the bionic fixation device 3 of the embodiment of the present invention. FIG. 5C is a schematic cross-sectional view showing the biomimetic fixing device 3 of the embodiment of the present invention in a transverse section (X-Y plane). The structure of the bionic fixture 3 is similar to that of the bionic fixture 1 of FIGS. 2A and 2B, and the same components will not be described here.
如第5A~5C圖所示,仿生固定裝置3之本體20可包括一容置空間80,容置空間80可例如相鄰於本體20之內表面208,使生物體的軟組織90容置於此容置空間80內,並固定於仿生固定裝置3上。在本實施例中,生物體的軟組織90例如是韌帶。由於容置空間80的配置,軟組織90可藉由內固定結構30固定至貫穿孔10時,一併固定於仿生固定裝置3內。 As shown in Figures 5A-5C, the body 20 of the biomimetic fixture 3 can include an accommodating space 80, which can be adjacent to the inner surface 208 of the body 20, for example, to accommodate the soft tissue 90 of the living body. It is accommodated in the space 80 and fixed to the bionic fixing device 3. In the present embodiment, the soft tissue 90 of the living body is, for example, a ligament. Due to the arrangement of the accommodating space 80, the soft tissue 90 can be fixed to the bionic fixing device 3 by the inner fixing structure 30 when it is fixed to the through hole 10.
舉例來說,軟組織90可先被放置於本體20之容置空間80內,待內固定結構30被旋入固定至貫穿孔10後,軟組織90也可一併固定 於本體20之容置空間80內。 For example, the soft tissue 90 can be first placed in the accommodating space 80 of the body 20. After the inner fixing structure 30 is screwed into the through hole 10, the soft tissue 90 can also be fixed together. In the housing space 80 of the body 20.
同樣地,本發明也可利用其他非螺紋的結構設計(例如是卡榫),將內固定結構30固定於貫穿孔10中,同時一併將軟組織90固定於仿生固定裝置3之本體20內。此外,也可額外配合簡單的縫線等方式,加強軟組織90的固定效果。 Similarly, the present invention can also utilize other non-threaded structural designs (e.g., cassettes) to secure the inner fixation structure 30 in the through-hole 10 while simultaneously securing the soft tissue 90 within the body 20 of the biomimetic fixture 3. In addition, the fixation effect of the soft tissue 90 can be enhanced by additionally matching a simple suture.
傳統固定生物體之軟組織90的方式,須埋入可降解的骨釘,不僅容易產生異物感,也容易造成生物組織的磨損,此外,可降解材料在降解後對生物體的影響仍有疑慮。相對地,藉由本發明實施例之仿生固定裝置3固定生物體之軟組織90,可有效解決上述傳統固定方式產生的問題。 Traditionally, the soft tissue 90 of the fixed organism must be embedded with degradable bone nails, which not only tends to cause foreign body sensation, but also easily causes wear of biological tissues. In addition, there are still doubts about the effects of the degradable materials on the organism after degradation. In contrast, by fixing the soft tissue 90 of the living body by the bionic fixing device 3 of the embodiment of the present invention, the problem caused by the above conventional fixing method can be effectively solved.
由上述各實施例可知,由於本發明之仿生固定裝置具有貫穿孔10與本體20,可透過本體20之外螺牙202固定於生物體的硬組織(例如是骨骼)內,同時透過貫穿孔10、容置空間80與內固定結構30的配合,可固定生物體的軟組織90於本體20之容置空間80內,並加強仿生固定裝置的固定效果,有效防止仿生固定裝置自生物體內脫出。 As can be seen from the above embodiments, the bionic fixation device of the present invention has the through hole 10 and the body 20, and is fixed to the hard tissue (for example, a bone) of the living body through the external thread 20 of the body 20 while passing through the through hole 10. The cooperation between the accommodating space 80 and the inner fixing structure 30 can fix the soft tissue 90 of the living body in the accommodating space 80 of the body 20, and strengthen the fixing effect of the bionic fixing device, thereby effectively preventing the bionic fixing device from coming out of the living body.
在一實施例中,本體20之內螺牙203之螺紋方向與外螺牙202之螺紋方向可相同。在另一實施例中,本體20之內螺牙203之螺紋方向與外螺牙202之螺紋方向係為相反。 In one embodiment, the thread direction of the inner thread 203 of the body 20 can be the same as the thread direction of the outer thread 202. In another embodiment, the thread direction of the inner thread 203 of the body 20 is opposite to the thread direction of the outer thread 202.
此外,本發明上述各實施例,皆可以積層製造(Additive Manufacturing,AM)製程,達到上述複雜的微結構。其中無論是本體20之外螺牙202與內螺牙203,或在某些實施例中所具有的狹縫201、孔洞205皆為一體成型。再者,本發明實施例各元件之形狀與排列方式,也可輕易 以積層製造製程完成。相對地,傳統以特殊燒結或表面塗佈製程,再以雷射進行表面處理之製程方法,不僅製程複雜,製造成本也較高,不適於用以生產本發明實施例之結構。 In addition, all of the above embodiments of the present invention can be implemented by an additive manufacturing (AM) process to achieve the above-mentioned complicated microstructure. The thread 202 and the inner thread 203, or the slit 201 and the hole 205 which are provided in some embodiments, are integrally formed in the body 20 . Furthermore, the shapes and arrangements of the components of the embodiments of the present invention can also be easily Completed in a laminate manufacturing process. In contrast, the conventional method of surface treatment by special sintering or surface coating process and laser treatment not only has complicated process and high manufacturing cost, and is not suitable for producing the structure of the embodiment of the present invention.
在本發明實施例中,仿生固定裝置之材質可為金屬、合金、陶瓷或高分子生醫材料。此外,在本發明中的貫穿孔10與本體20之狹縫201或孔洞205,係為利於生物細胞或組織生長的環境,當本發明實施例之仿生固定裝置植入生物體後,生物體內的細胞或組織很容易於貫穿孔10與本體20之狹縫201或孔洞205內生長。 In the embodiment of the present invention, the material of the biomimetic fixing device may be metal, alloy, ceramic or polymer biomedical material. In addition, the through hole 10 and the slit 201 or the hole 205 of the body 20 in the present invention are an environment for promoting the growth of biological cells or tissues. When the biomimetic fixing device of the embodiment of the present invention is implanted into the living body, the living body The cells or tissue are easily grown through the holes 10 and the slits 201 or holes 205 of the body 20.
再者,本發明實施例之仿生固定裝置可應用於生物體中各種不同部位之固定。舉例來說,可應用於人工牙根、椎體釘、人工椎間盤(Artificial Disc)、骨髓內釘或單純作為骨釘使用。由於本發明可以積層製造製程製造仿生固定裝置,因此可簡單地依據應用於生物體之不同部位,而有對應的結構設計。 Furthermore, the bionic fixation device of the embodiment of the invention can be applied to the fixation of various different parts in a living body. For example, it can be applied to artificial roots, vertebral nails, artificial discs, intramedullary nails or simply as bone nails. Since the present invention can manufacture a biomimetic fixing device by a laminate manufacturing process, it can be simply applied to different parts of the living body, and has a corresponding structural design.
第6A、6B圖繪示本發明實施例之拔出裝置5拔出一仿生固定裝置的示意圖。在本實施例中,仿生固定裝置例如是第1A圖所繪示之仿生固定裝置1,包括一本體20。本體20具有一貫穿孔10、一內螺牙203、一外螺牙202。內螺牙203與外螺牙202分別設置於本體20的內表面208與外表面209,且內螺牙203之螺紋方向與外螺牙202之螺紋方向相反。 6A and 6B are schematic views showing the extraction device 5 of the embodiment of the present invention for pulling out a bionic fixing device. In this embodiment, the bionic fixing device is, for example, the bionic fixing device 1 shown in FIG. 1A, and includes a body 20. The body 20 has a consistent perforation 10, an internal thread 203, and an external thread 202. The inner thread 203 and the outer thread 202 are respectively disposed on the inner surface 208 and the outer surface 209 of the body 20, and the thread direction of the inner thread 203 is opposite to the thread direction of the outer thread 202.
本發明實施例之拔出裝置5包括一控制部51以及一旋入部52。旋入部52連接控制部51,且旋入部52可藉由仿生固定裝置1之本體20的內螺牙203旋入貫穿孔10中,使仿生固定裝置1自生物體中拔出。 The unplugging device 5 of the embodiment of the present invention includes a control portion 51 and a screwing portion 52. The screwing portion 52 is connected to the control portion 51, and the screwing portion 52 can be screwed into the through hole 10 by the internal thread 203 of the body 20 of the bionic fixing device 1, so that the bionic fixation device 1 can be pulled out from the living body.
在本實施例中,拔出裝置5更包括一固定部53。固定部53 係用以禁止控制部51與旋入部52在旋出仿生固定裝置1之方向(D5)上的位置。舉例來說,在旋入部52藉由仿生固定裝置1之本體20的內螺牙203旋入貫穿孔10時,固定部53固定控制部51及旋入部52的位置,使控制部51及旋入部52不會在旋出仿生固定裝置1之方向上產生位移。相對地,仿生固定裝置1則由於旋入部52旋入貫穿孔10而產生了如圖中所繪示之方向D5的位移。在本實施例中,方向D5係平行於將仿生固定裝置1旋出生物體的方向,透過仿生固定裝置1沿著方向D5產生的位移,進而將仿生固定裝置1自生物體內旋出。 In the embodiment, the unplugging device 5 further includes a fixing portion 53. Fixing portion 53 It is for prohibiting the position of the control portion 51 and the screwing portion 52 in the direction (D5) in which the bionic fixing device 1 is unscrewed. For example, when the screwing portion 52 is screwed into the through hole 10 by the internal thread 203 of the body 20 of the bionic fixing device 1, the fixing portion 53 fixes the position of the control portion 51 and the screwing portion 52, and causes the control portion 51 and the screwing portion. 52 does not produce a displacement in the direction in which the bionic fixture 1 is unscrewed. In contrast, the bionic fixing device 1 generates a displacement in the direction D5 as illustrated in the drawing because the screwing portion 52 is screwed into the through hole 10. In the present embodiment, the direction D5 is parallel to the displacement of the bionic fixation device 1 in the direction of the birth object, and the displacement of the bionic fixation device 1 along the direction D5, thereby rotating the bionic fixation device 1 from the living body.
第7A、7B圖繪示本發明另一實施例之拔出裝置6拔出一仿生固定裝置的示意圖。在本實施例中,仿生固定裝置同樣例如是第1A圖所繪示之仿生固定裝置1。此外,仿生固定裝置1也可包括內固定結構30,內固定結構30固定於貫穿孔10之底部。 7A and 7B are schematic views showing the extraction device 6 of the present invention in which a bionic fixing device is pulled out. In the present embodiment, the bionic fixing device is also, for example, the bionic fixing device 1 shown in Fig. 1A. In addition, the biomimetic fixing device 1 may also include an inner fixing structure 30 that is fixed to the bottom of the through hole 10.
本發明實施例之拔出裝置6包括一控制部61以及一旋入部62。旋入部62連接控制部61,且旋入部62可藉由仿生固定裝置1之本體20的內螺牙203旋入貫穿孔10中,使仿生固定裝置1自生物體中拔出。 The unplugging device 6 of the embodiment of the present invention includes a control portion 61 and a screwing portion 62. The screwing portion 62 is connected to the control portion 61, and the screwing portion 62 can be screwed into the through hole 10 by the internal thread 203 of the body 20 of the bionic fixing device 1, so that the bionic fixing device 1 is pulled out from the living body.
與第5A、5B圖之拔出裝置5的不同之處,係在於拔出裝置6不具有一固定部53。藉由仿生固定裝置1之內螺牙203之螺紋方向與外螺牙202之螺紋方向相反的設計,當拔出裝置6之旋入部62旋入貫穿孔10時,仿生固定裝置1係以一相反的方向旋出。 The difference from the extracting device 5 of Figs. 5A and 5B is that the extracting device 6 does not have a fixing portion 53. By the design that the thread direction of the inner thread 203 of the bionic fixing device 1 is opposite to the thread direction of the outer thread 202, when the screwing portion 62 of the pulling device 6 is screwed into the through hole 10, the bionic fixing device 1 is reversed. The direction is unscrewed.
舉例來說,拔出裝置6藉由仿生固定裝置1之本體20的內螺牙203,將旋入部62旋轉至貫穿孔10的底部,或者如第7A圖所繪示,將旋入部62旋轉至接觸內固定結構30,使旋入部62相對於仿生固定裝置 1無法繼續沿著一方向D6產生位移。在此,方向D6係平行於將仿生固定裝置1植入生物體的方向。 For example, the extracting device 6 rotates the screwing portion 62 to the bottom of the through hole 10 by the internal thread 203 of the body 20 of the bionic fixing device 1, or rotates the screwing portion 62 to the bottom of the through hole 10 as shown in FIG. 7A. Contacting the inner fixing structure 30 to make the screwing portion 62 relative to the bionic fixing device 1 Cannot continue to generate displacement in one direction D6. Here, the direction D6 is parallel to the direction in which the biomimetic fixture 1 is implanted into the living body.
接著,繼續旋轉旋入部62,此時,旋入部62會帶動整個仿生固定裝置1轉動。此時,由於外螺牙202的螺牙方向與內螺牙203的螺牙方向相反,會使得仿生固定裝置1沿著與原本仿生固定裝置1旋入生物體內相反的方向旋轉,並產生如第7B圖中所繪示之方向D5的位移。在本實施例中,方向D5係平行於將仿生固定裝置1拔出生物體的方向,透過仿生固定裝置1沿著方向D5產生的位移,進而將仿生固定裝置1自生物體內拔出。 Next, the screwing portion 62 is continuously rotated. At this time, the screwing portion 62 drives the entire bionic fixation device 1 to rotate. At this time, since the thread direction of the outer thread 202 is opposite to the thread direction of the inner thread 203, the bionic fixation device 1 is rotated in the opposite direction to the original biomimetic fixation device 1 screwed into the living body, and The displacement of the direction D5 shown in Fig. 7B. In the present embodiment, the direction D5 is parallel to the direction in which the bionic fixation device 1 is pulled out of the living object, and the displacement generated by the bionic fixation device 1 along the direction D5, thereby pulling the bionic fixation device 1 out of the living body.
因此,當仿生固定裝置植入生物體後,若是產生不良反應需要取出,可輕易地藉由上述實施例之拔出裝置將植入物取出,且不容易造成生物組織的破壞。 Therefore, when the biomimetic fixation device is implanted into the living body, if an adverse reaction is required to be taken out, the implant can be easily taken out by the extraction device of the above embodiment, and the destruction of the biological tissue is not easily caused.
承上述實施例與說明,本發明利用積層製造製程技術在仿生固定裝置之表面或內部形成特定結構,例如是具有狹縫與孔洞位於仿生固定裝置之本體的結構,相較於習知例如是骨釘等固定結構,具有較低的彈性模數,可防止應力集中及應力遮蔽,能有效避免因承受之應力過大使生物體產生組織凹陷、壞死、磨損,或植入物發生斷裂或破損的情況。 Based on the above embodiments and descriptions, the present invention utilizes a laminate manufacturing process technology to form a specific structure on the surface or inside of a biomimetic fixture, such as a structure having slits and holes in the body of the biomimetic fixture, as compared to conventional bones such as bone. Fixed structure such as nails, which has a low modulus of elasticity, can prevent stress concentration and stress shielding, and can effectively avoid the occurrence of tissue depression, necrosis, wear, or fracture or breakage of the implant due to excessive stress. .
同時,本發明實施例具有之特殊螺牙結構,也可有效避免仿生固定裝置沿著原植入路徑脫出。再者,當仿生固定裝置植入生物體後,若是產生不良反應需要取出,本發明之拔出仿生固定裝置的裝置,可輕易地將仿生固定裝置自生物體內取出。 At the same time, the special screw structure of the embodiment of the invention can also effectively prevent the bionic fixation device from coming out along the original implantation path. Furthermore, when the biomimetic fixation device is implanted into the living body, if the adverse reaction needs to be taken out, the device for extracting the bionic fixation device of the present invention can easily take out the biomimetic fixation device from the living body.
再者,本發明實施例之各種不同的孔洞大小、形狀與排列方 式,也可輕易以積層製造製程完成。相對地,傳統以特殊燒結或表面塗佈製程,再以雷射進行開孔之製程方法,不僅製程複雜,製造成本也較高,不適於用以生產本發明實施例之結構。 Furthermore, various hole sizes, shapes and arrangements of the embodiments of the present invention The formula can also be easily completed in a layered manufacturing process. In contrast, the conventional method of performing special sintering or surface coating processes and then performing laser opening is not only complicated in process, but also has high manufacturing cost, and is not suitable for producing the structure of the embodiment of the present invention.
積層製造(AM)還具有快速原型(Rapid Prototyping,RP)、快速製造(Rapid Manufacturing,RM)或3D列印(3D Printing)等稱呼,2009年由美國材料試驗協會(American Society for Testing and Materials,ASTM)進行正名為積層製造。研究學者將積層製造分成七大類型,如下表一所示,包含:光聚合固化技術(Vat Photopolymerization)、材料噴塗成型技術(Material Jetting)、黏著劑噴塗成型技術(Binder Jetting)、材料擠製成型技術(Material Extrusion)、粉體熔化成型技術(Powder Bed Fusion)、疊層製造成型技術(Sheet Lamination與直接能量沉積技術(Directed Energy Deposition)。 The laminate manufacturing (AM) also has the titles of Rapid Prototyping (RP), Rapid Manufacturing (RM) or 3D Printing. In 2009, the American Society for Testing and Materials (American Society for Testing and Materials) ASTM) is called the manufacturing of laminates. Researchers divide laminated manufacturing into seven types, as shown in Table 1, including: Vat Photopolymerization, Material Jetting, Binder Jetting, and material extrusion. Material Extrusion, Powder Bed Fusion, Sheet Lamination and Directed Energy Deposition.
積層製造的製造特色,係在於將三維(3D)圖檔切成二維(2D)斷面,再依二維斷面逐層加工並逐層堆疊成三維物件。相對於傳統的加工方式,積層製造製程可避免材料浪費,更適合高複雜形貌、客製化之中小量生產應用。 The manufacturing feature of laminated manufacturing is to cut three-dimensional (3D) image files into two-dimensional (2D) sections, and then process them layer by layer according to two-dimensional sections and stack them into three-dimensional objects layer by layer. Compared with the traditional processing method, the multi-layer manufacturing process can avoid material waste, and is more suitable for high-complexity, customized and small-scale production applications.
在製造本發明各實施例之仿生固定裝置時,係將這些仿生固定裝置的三維數位模型切層為20~50μm厚度的二維斷面,在低氧環境(O2濃度小於10,000ppm)之密封建構區中,透過一供料單元將粒徑小於25μm之粉體材料(金屬、合金、陶瓷或高分子生醫材料),進行厚度20~50μm的平面鋪層。 In the manufacture of the biomimetic fixing device of each embodiment of the present invention, the three-dimensional digital model of the biomimetic fixing device is cut into a two-dimensional section having a thickness of 20 to 50 μm, and sealed in a low oxygen environment (O 2 concentration is less than 10,000 ppm). In the construction zone, a powder material (metal, alloy, ceramic or polymer biomedical material) having a particle diameter of less than 25 μm is deposited through a feeding unit to a flat layer having a thickness of 20 to 50 μm.
接著,再以光纖雷射光束(波長1070nm),透過掃描振鏡導引聚焦光束(50~150μm)至鋪層之區域。聚焦光束依照所需之二維斷面移動(移動速度為500~1500mm/s),使聚焦光束照射之粉體材料達到材料的熔點,進而反覆依二維斷面形狀堆疊成三維的仿生固定裝置。這樣的製程方式可達到傳統加工方式難以製作的複雜形貌、內流道與內結構。 Then, the laser beam (wavelength 1070 nm) is used to guide the focused beam (50-150 μm) through the scanning galvanometer to the area of the layer. The focused beam moves according to the required two-dimensional cross-section (moving speed is 500~1500mm/s), so that the powder material irradiated by the focused beam reaches the melting point of the material, and then stacked in a three-dimensional cross-sectional shape to form a three-dimensional bionic fixture. . Such a process can achieve complex topography, internal flow paths and internal structures that are difficult to fabricate in conventional processing methods.
綜上所述,雖然本發明已以實施例揭露如上,然其並非用以限定本發明。本發明所屬技術領域中具有通常知識者,在不脫離本發明之精神和範圍內,當可作各種之更動與潤飾。因此,本發明之保護範圍當視後附之申請專利範圍所界定者為準。 In conclusion, the present invention has been disclosed in the above embodiments, but it is not intended to limit the present invention. A person skilled in the art can make various changes and modifications without departing from the spirit and scope of the invention. Therefore, the scope of the invention is defined by the scope of the appended claims.
1‧‧‧仿生固定裝置 1‧‧‧Bionic fixture
10‧‧‧貫穿孔 10‧‧‧through holes
11‧‧‧底面開口 11‧‧‧Bottom opening
12‧‧‧頂面開口 12‧‧‧Top opening
20‧‧‧本體 20‧‧‧ body
201‧‧‧狹縫 201‧‧‧ slit
202‧‧‧外螺牙 202‧‧‧ External thread
204‧‧‧間隔區 204‧‧‧Interval
206‧‧‧可撓性底部 206‧‧‧Flexible bottom
209‧‧‧外表面 209‧‧‧ outer surface
A-A’、B-B’‧‧‧剖面線 A-A’, B-B’‧‧‧ hatching
X、Y、Z‧‧‧座標軸 X, Y, Z‧‧‧ coordinate axis
Claims (20)
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410406040.6A CN104665913B (en) | 2013-11-26 | 2014-08-18 | Bionic fixing device and pulling-out device thereof |
| US14/555,251 US10507041B2 (en) | 2013-11-26 | 2014-11-26 | Bionic fixing apparatus and apparatus for pulling out the same |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201361908772P | 2013-11-26 | 2013-11-26 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| TW201519853A TW201519853A (en) | 2015-06-01 |
| TWI548390B true TWI548390B (en) | 2016-09-11 |
Family
ID=53934712
Family Applications (3)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| TW103118970A TWI586313B (en) | 2013-11-26 | 2014-05-30 | Bionic fixing apparatus |
| TW103122519A TWI548390B (en) | 2013-11-26 | 2014-06-30 | Bionic fixing apparatus and apparatus for pulling out the same |
| TW103122817A TWI536955B (en) | 2013-11-26 | 2014-07-02 | Bionic fixing apparatus |
Family Applications Before (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| TW103118970A TWI586313B (en) | 2013-11-26 | 2014-05-30 | Bionic fixing apparatus |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| TW103122817A TWI536955B (en) | 2013-11-26 | 2014-07-02 | Bionic fixing apparatus |
Country Status (1)
| Country | Link |
|---|---|
| TW (3) | TWI586313B (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10704987B2 (en) | 2016-11-15 | 2020-07-07 | Industrial Technology Research Institute | Smart mechanical component |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TWI587847B (en) | 2015-12-07 | 2017-06-21 | 財團法人工業技術研究院 | Implant device for osseous integration |
| TWI700174B (en) * | 2018-05-15 | 2020-08-01 | 可成生物科技股份有限公司 | Laminated structure with adjustable elastic modulus |
Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TW480169B (en) * | 1997-10-03 | 2002-03-21 | Implant Innovations Inc | Dental implant for implantation in living jawbone having overlying gingiva |
| TW200416020A (en) * | 2002-12-06 | 2004-09-01 | Synthes Ag | Intervertebral implant |
| CN101198291A (en) * | 2005-06-13 | 2008-06-11 | 赫雷厄斯库尔泽有限责任公司 | Method for receiving a medical element in a handling device, handling device for a medical element, and implant |
| TW200936113A (en) * | 2008-02-19 | 2009-09-01 | Pou Yuen Technology Co Ltd | Joint surface partial implants and installation method thereof |
| TW201235005A (en) * | 2010-11-23 | 2012-09-01 | Synthes Gmbh | Surgical implant |
| WO2013043218A1 (en) * | 2009-06-15 | 2013-03-28 | Jackson Roger P | Polyaxial bone anchor with pop-on shank and winged insert with friction fit compressive collet |
| EP2400901B1 (en) * | 2008-09-02 | 2013-05-01 | BHDL Holdings, Llc | Modular pedicle screw with tap and screw driver device |
| TW201325638A (en) * | 2011-12-20 | 2013-07-01 | Metal Ind Res & Dev Ct | Electro-spinning device, GTR implant and method for manufacturing the same |
Family Cites Families (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7468065B2 (en) * | 2002-09-18 | 2008-12-23 | Allergan, Inc. | Apparatus for delivery of ocular implants |
| US7806914B2 (en) * | 2003-12-31 | 2010-10-05 | Spine Wave, Inc. | Dynamic spinal stabilization system |
| US7909830B2 (en) * | 2005-08-25 | 2011-03-22 | Synthes Usa, Llc | Methods of spinal fixation and instrumentation |
| EP2441404B1 (en) * | 2008-04-28 | 2013-07-31 | Biedermann Technologies GmbH & Co. KG | Rod-shaped implant, in particular for spinal stabilization, and method for producing the same |
| TWI457114B (en) * | 2011-12-20 | 2014-10-21 | Metal Ind Res & Dev Ct | Cage-shaped spinal frame |
-
2014
- 2014-05-30 TW TW103118970A patent/TWI586313B/en active
- 2014-06-30 TW TW103122519A patent/TWI548390B/en active
- 2014-07-02 TW TW103122817A patent/TWI536955B/en active
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TW480169B (en) * | 1997-10-03 | 2002-03-21 | Implant Innovations Inc | Dental implant for implantation in living jawbone having overlying gingiva |
| TW200416020A (en) * | 2002-12-06 | 2004-09-01 | Synthes Ag | Intervertebral implant |
| CN101198291A (en) * | 2005-06-13 | 2008-06-11 | 赫雷厄斯库尔泽有限责任公司 | Method for receiving a medical element in a handling device, handling device for a medical element, and implant |
| TW200936113A (en) * | 2008-02-19 | 2009-09-01 | Pou Yuen Technology Co Ltd | Joint surface partial implants and installation method thereof |
| EP2400901B1 (en) * | 2008-09-02 | 2013-05-01 | BHDL Holdings, Llc | Modular pedicle screw with tap and screw driver device |
| WO2013043218A1 (en) * | 2009-06-15 | 2013-03-28 | Jackson Roger P | Polyaxial bone anchor with pop-on shank and winged insert with friction fit compressive collet |
| TW201235005A (en) * | 2010-11-23 | 2012-09-01 | Synthes Gmbh | Surgical implant |
| TW201325638A (en) * | 2011-12-20 | 2013-07-01 | Metal Ind Res & Dev Ct | Electro-spinning device, GTR implant and method for manufacturing the same |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10704987B2 (en) | 2016-11-15 | 2020-07-07 | Industrial Technology Research Institute | Smart mechanical component |
Also Published As
| Publication number | Publication date |
|---|---|
| TW201519854A (en) | 2015-06-01 |
| TW201519853A (en) | 2015-06-01 |
| TWI586313B (en) | 2017-06-11 |
| TW201519852A (en) | 2015-06-01 |
| TWI536955B (en) | 2016-06-11 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN104665913B (en) | Bionic fixing device and pulling-out device thereof | |
| TWI548390B (en) | Bionic fixing apparatus and apparatus for pulling out the same | |
| Scarano et al. | Ultrasonic vs drill implant site preparation: post-operative pain measurement through VAS, swelling and crestal bone remodeling: a randomized clinical study | |
| CN104720939B (en) | A kind of ose implant and processing method | |
| CN1942148A (en) | Surgical implant for promotion of osseo-integration | |
| Li et al. | Orthopedics-related applications of ultrafast laser and its recent advances | |
| CN104665906B (en) | Bionic fixing device | |
| Gehrke et al. | Biomechanical effects of a new macrogeometry design of dental implants: An in vitro experimental analysis | |
| CN102217982B (en) | Artificial bone's manufacture method and the artificial bone produced by the method | |
| WO2014103653A1 (en) | Implant body, abutment body, implant, and method for producing implant | |
| US20150157425A1 (en) | Serrated dental implant | |
| CN104665905B (en) | Bionic fixing device | |
| Winnen et al. | Reversal of osseointegration as a novel perspective for the removal of failed dental implants: A review of five patented methods | |
| Kim et al. | Finite element analysis of novel separable fixture for easy retrievement in case with peri-implantitis | |
| TWI548391B (en) | Bone implant and manufacturing method thereof | |
| Szmukler-Moncler et al. | Characterization of a macro-and micro-textured titanium grade 5 alloy surface obtained by etching only without sandblasting | |
| Kanazirski et al. | Effect of Er: YAG laser exposure on the amorphous smear layer in the marginal zone of the osteotomy site for placement of dental screw implants: a histomorphological study | |
| EP2668924A1 (en) | Platelet rich fibrin-flattening device | |
| Soler-Alcaraz et al. | Evaluation of Change in Radiographic Fractal Dimension around Dental Implants Placed with Low-Speed Drilling and Standard Drilling Protocols | |
| KR20140141463A (en) | Implat fixture having poromeric area | |
| Xu et al. | Advancements in Laser-Processed Functional Surfaces for Medical Devices: A Current Review | |
| Dura Haddad et al. | Primary stability of implants inserted into polyurethane blocks: Micro-CT and analysis in vitro | |
| RU2469682C1 (en) | Implant for mandibular defect replacement | |
| Rebaudi et al. | Peri-implant bone damage procured by piezoelectric and conventional implant site preparation: an in vitro comparison | |
| Ferri et al. | From Mechanical Machining Technology: A New Solution That Integrates Blades to the Implant to Control the Stress to the Peri-Implant Cortical Bone |