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CN108670507A - adaptive intervertebral fusion - Google Patents

adaptive intervertebral fusion Download PDF

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Publication number
CN108670507A
CN108670507A CN201810603749.3A CN201810603749A CN108670507A CN 108670507 A CN108670507 A CN 108670507A CN 201810603749 A CN201810603749 A CN 201810603749A CN 108670507 A CN108670507 A CN 108670507A
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pillar
main body
struts
fusion device
intervertebral
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CN108670507B (en
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王玉珏
孙杨
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Shenzhen Corliber Scientific
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Shenzhen Corliber Scientific
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Priority to CN202011521346.8A priority Critical patent/CN112674917B/en
Priority to CN202011523313.7A priority patent/CN112704584B/en
Priority to CN201810603749.3A priority patent/CN108670507B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/4455Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • A61F2/446Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages having a circular or elliptical cross-section substantially parallel to the axis of the spine, e.g. cylinders or frustocones

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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

The present disclosure relates to an adaptive intervertebral cage, comprising: a main body portion having a flat shape; and a support portion formed on the main body portion and having a plurality of support columns formed obliquely on the main body portion. In this case, after the intersomatic cage is implanted between the human body such as vertebrae, the supporting part is in direct contact with the vertebrae to receive pressure from the vertebrae, and since the supporting part has a plurality of struts formed obliquely on the body part, the supporting part is easily adaptively stressed according to the surfaces of the vertebrae in contact with the intersomatic cage, thereby improving the clinical prosthetic effect of the intersomatic cage. In addition, since the intervertebral cage can stimulate the fusion surface of the vertebrae more uniformly, it has good bone induction property and can promote the bone to recover and grow.

Description

自适应的椎间融合器adaptive intervertebral fusion

技术领域technical field

本公开涉及一种自适应的椎间融合器。The present disclosure relates to an adaptive intervertebral fusion cage.

背景技术Background technique

随着人口老龄化的加剧与现代都市人民生活习惯的改变,以颈椎病、颈椎间盘突出症、腰椎间盘突出症、腰椎管狭窄症等为代表的脊柱退行性疾病正严重影响人们的工作和生活。目前,上述病情在初期阶段时,大多采用保守的治疗方法例如药物治疗、理疗等。然而,随着患者病情的加重,需要考虑采用更有效的治疗方法例如椎骨融合术来抑制患者病情的加重。以腰椎间盘突出症为例,当椎间盘突出压迫椎管超过1/3或者出现下肢麻木、活动困难、大小便无力等情况时,这时保守的治疗方法的治疗效果已不明显,此时需要考虑对患者实施椎骨融合术。With the intensification of population aging and the change of living habits of modern urban people, spinal degenerative diseases represented by cervical spondylosis, cervical disc herniation, lumbar disc herniation, lumbar spinal stenosis, etc. are seriously affecting people's work and life . At present, when the above-mentioned diseases are in the initial stage, conservative treatment methods such as drug treatment and physical therapy are mostly adopted. However, with the aggravation of the patient's condition, more effective treatment methods such as vertebral fusion should be considered to prevent the aggravation of the patient's condition. Take lumbar disc herniation as an example. When the disc herniation compresses more than 1/3 of the spinal canal or the lower limbs suffer from numbness, difficulty moving, and inability to defecate, the effect of conservative treatment is not obvious. At this time, it is necessary to consider Perform vertebral fusion on the patient.

在椎骨融合术中,通过把椎骨间突出的椎间盘摘除,然后在椎骨间植入椎间融合器以诱导椎骨融合在一起,以便达到消除病灶的目的。在椎骨融合术的临床应用中,由于椎间融合器在手术后被长期置入人体内,因此椎间融合器的结构、制造技术、质量等因素都对椎骨融合术的术后效果起重要的作用。In spondylolisthesis, the herniated intervertebral disc between the vertebrae is removed, and then an intervertebral fusion cage is implanted between the vertebrae to induce the fusion of the vertebrae, so as to achieve the purpose of eliminating the lesion. In the clinical application of vertebral fusion, because the intervertebral fusion device is placed in the human body for a long time after the operation, the structure, manufacturing technology, quality and other factors of the intervertebral fusion device play an important role in the postoperative effect of vertebral fusion. effect.

专利文献1公开了一种可塑形个体化脊柱融合器,包括融合器的上顶板、下顶板、塑形弹簧、内生物硅胶圈、外生物硅胶圈、卡扣A和卡扣B。所述的上顶板和下顶板通过复位弹簧连接在一起,内生物硅胶圈和外生物硅胶圈分布在复位弹簧的内侧和外侧,并通过卡扣A和卡扣B连接在上下顶板上,且外生物硅胶圈上有一骨水泥注入孔。Patent Document 1 discloses a shapeable individualized spinal fusion cage, which includes an upper top plate, a lower top plate, a plastic spring, an inner biosilica gel ring, an outer biosilica gel ring, buckle A and buckle B of the fusion cage. The upper top plate and the lower top plate are connected together by a return spring, the inner bio-silicone ring and the outer bio-silica gel ring are distributed on the inner and outer sides of the return spring, and are connected to the upper and lower top plates through buckle A and buckle B, and the outer There is a bone cement injection hole on the biosilicone ring.

然而,在上述专利文献1中,尽管可以调节融合器的高度、角度、倾斜度等的融合器,但是融合器的上顶板与下顶板的形状固定,而每个手术个体之间是存在个体差异的,与人体骨头接触的面不能完全的贴合。因此,专利文献1的融合器并不利于椎骨间的融合效果。However, in the above-mentioned Patent Document 1, although the fusion cage can be adjusted in height, angle, inclination, etc., the shape of the upper top plate and the lower top plate of the fusion cage is fixed, and there are individual differences between each surgical individual. Yes, the surface in contact with human bones cannot be completely fitted. Therefore, the fusion device of Patent Document 1 is not conducive to the fusion effect between vertebrae.

现有技术文献prior art literature

专利文献1:中国专利申请公开号CN104083235A。Patent Document 1: Chinese Patent Application Publication No. CN104083235A.

发明内容Contents of the invention

本公开有鉴于上述现有技术的状况而完成,其目的在于提供一种能够适应不同椎间骨骼的形状,增加其骨诱导性,促进骨骼生长的椎间融合器。The present disclosure is made in view of the above-mentioned state of the prior art, and its purpose is to provide an intervertebral fusion device that can adapt to the shape of different intervertebral bones, increase its osteoinductivity, and promote bone growth.

为此,本公开提供了一种自适应的椎间融合器,其包括:主体部,其呈扁平状;以及支撑部,其形成在所述主体部,并且具有倾斜形成在所述主体部的多个支柱。To this end, the present disclosure provides an adaptive intervertebral fusion cage, which includes: a main body part in a flat shape; and a support part formed on the main body part and having an obliquely formed Multiple pillars.

在这种情况下,椎间融合器植入人体例如椎骨之间后,支撑部与椎骨直接接触而承受来自椎骨的压力,由于支撑部具有倾斜形成在主体部上的多个支柱,因此,支撑部容易根据椎骨与椎间融合器接触的表面而自适应地受力,从而改善椎间融合器的临床修复效果。此外,由于椎间融合器能够更加均匀地刺激椎骨融合面,因此,具有良好的骨诱导性,能够促进骨骼恢复生长。In this case, after the intervertebral fusion device is implanted in the human body such as between vertebrae, the supporting part is in direct contact with the vertebrae to bear the pressure from the vertebrae. The internal part is easy to be adaptively stressed according to the contact surface of the vertebra and the intervertebral cage, thereby improving the clinical repair effect of the intervertebral cage. In addition, because the intervertebral cage can stimulate the fusion surface of the vertebrae more uniformly, it has good osteoinductivity and can promote bone recovery and growth.

另外,在本公开所涉及的椎间融合器中,可选地,所述多个支柱还包括至少具有第一倾斜角的第一类支柱和具有第二倾斜角的第二类支柱,所述第一类支柱与所述第二类支柱形成有夹角。在这种情况下,支撑部的第一类支柱与第二类支柱能够很好地承受来自椎骨的压力,从而改善椎骨的受力状况,避免对椎骨造成二次伤害。In addition, in the intervertebral fusion device of the present disclosure, optionally, the plurality of struts further include at least a first type of strut with a first inclination angle and a second type of strut with a second inclination angle, the The first type of pillar forms an included angle with the second type of pillar. In this case, the first-type pillars and the second-type pillars of the supporting part can well withstand the pressure from the vertebrae, thereby improving the stress-bearing condition of the vertebrae and avoiding secondary damage to the vertebrae.

另外,在本公开所涉及的椎间融合器中,可选地,所述第一类支柱的支柱与所述第二类支柱的各个支柱分别具有共同的基端。由此,因此,支撑部20可以从多个不同方向承受来自椎骨的受力,从而进一步改善椎骨的受力状况。。In addition, in the intervertebral fusion device of the present disclosure, optionally, the struts of the first type of struts and the respective struts of the second type of struts respectively have a common base end. Therefore, the supporting part 20 can bear the stress from the vertebrae from multiple different directions, thereby further improving the stress state of the vertebrae. .

另外,在本公开所涉及的椎间融合器中,可选地,所述主体部还具有网状结构,所述第一类支柱和所述第二类支柱从所述网状结构倾斜地突起。在这种情况下,具有网状结构的主体部有利于气血交换,促进骨骼生长。In addition, in the intervertebral fusion device according to the present disclosure, optionally, the main body part further has a mesh structure, and the first type of struts and the second type of struts obliquely protrude from the mesh structure. . In this case, the main body part with mesh structure is good for blood exchange and bone growth.

另外,在本公开所涉及的椎间融合器中,可选地,所述多个支柱还包括与所述第一类支柱和所述第二类支柱倾向方向不同的第三类支柱。由此,通过不同方向的三类支柱,能够使椎间融合器的受力更加均匀。In addition, in the intervertebral fusion device of the present disclosure, optionally, the plurality of struts further include a third type of strut having a different inclination direction from the first type of strut and the second type of strut. Thus, through the three types of pillars in different directions, the stress of the intervertebral cage can be more uniform.

另外,在本公开所涉及的椎间融合器中,可选地,所述主体部与所述支撑部一体成形。由此,能够增加椎间融合器的结构稳定性。In addition, in the intervertebral fusion device according to the present disclosure, optionally, the main body part and the support part are integrally formed. Thereby, the structural stability of the intervertebral cage can be increased.

另外,在本公开所涉及的椎间融合器中,可选地,在所述主体部,还填充有人工骨。由此,能够诱导骨骼生长,促进恢复。In addition, in the intervertebral fusion device of the present disclosure, optionally, the main body is also filled with artificial bone. Thereby, bone growth can be induced and recovery can be promoted.

另外,在本公开所涉及的椎间融合器中,可选地,所述支撑部还包括设置在所述支柱的端部的缓冲部。在这种情况下,由于缓冲部与椎骨直接接触,因此能够缓冲椎间融合器与椎骨直接的受力。In addition, in the intervertebral fusion device of the present disclosure, optionally, the support part further includes a buffer part provided at the end of the pillar. In this case, since the buffer part is in direct contact with the vertebrae, it can buffer the force directly received between the intervertebral cage and the vertebrae.

另外,在本公开所涉及的椎间融合器中,可选地,所述缓冲部呈平板状、圆球状、椭圆球状中的至少一种。由此,可以根据不同的椎骨状况选择不同的缓冲部形状。In addition, in the intervertebral fusion device of the present disclosure, optionally, the buffer portion is at least one of a flat plate shape, a spherical shape, and an elliptical spherical shape. Thereby, different buffer shapes can be selected according to different vertebral conditions.

另外,在本公开所涉及的椎间融合器中,可选地,所述椎间融合器由3D打印制作。由此,能够利用3D打印技术制作出具有复杂的支柱结构的椎间融合器。In addition, in the intervertebral fusion device involved in the present disclosure, optionally, the intervertebral fusion device is made by 3D printing. Thus, an intervertebral fusion cage with a complex strut structure can be fabricated using 3D printing technology.

另外,在本公开所涉及的椎间融合器中,可选地,所述主体部还具有多个上下贯通的贯通孔。由此,能够在椎间融合器内形成气血通路,促进骨骼生长恢复。In addition, in the intervertebral fusion device according to the present disclosure, optionally, the main body part further has a plurality of through holes penetrating up and down. Thereby, an air and blood passage can be formed in the intervertebral fusion device, and bone growth and recovery can be promoted.

另外,在本公开所涉及的椎间融合器中,可选地,所述人工骨包括生物陶瓷颗粒和可降解聚酯材料。在这种情况下,人工骨可以在促进骨骼生长后降解,在主体部和支撑部中形成气血通路,有利于骨骼的生长恢复。In addition, in the intervertebral fusion device of the present disclosure, optionally, the artificial bone includes bioceramic particles and degradable polyester materials. In this case, the artificial bone can be degraded after promoting bone growth, forming a Qi and blood passage in the main body and the supporting part, which is beneficial to the growth and recovery of the bone.

另外,在本公开所涉及的椎间融合器中,可选地,所述人工骨通过热压合的方式与所述主体部结合。由此,能够使人工骨与椎间融合器牢固地结合。In addition, in the intervertebral fusion device according to the present disclosure, optionally, the artificial bone is combined with the main body part by thermal compression. As a result, the artificial bone and the intervertebral cage can be firmly coupled.

另外,在本公开所涉及的椎间融合器中,可选地,所述贯通孔呈正六棱柱形状。由此,能够在具有稳定性的同时尽可能的将贯通孔增大。In addition, in the intervertebral fusion device of the present disclosure, optionally, the through hole is in the shape of a regular hexagonal prism. Thereby, the through-hole can be enlarged as much as possible while maintaining stability.

根据本发明,能够提供一种能够适应不同椎间骨骼的形状,增加其骨诱导性,促进骨骼生长的椎间融合器。According to the present invention, an intervertebral fusion device that can adapt to the shape of different intervertebral bones, increase its osteoinductivity, and promote bone growth can be provided.

附图说明Description of drawings

现在将仅通过参考附图的例子进一步详细地解释本公开的实施例,其中:Embodiments of the present disclosure will now be explained in further detail by way of example only with reference to the accompanying drawings, in which:

图1是示出了本公开的第一实施方式所涉及的椎间融合器的使用状态示意图。FIG. 1 is a schematic view showing a state of use of an intervertebral fusion device according to a first embodiment of the present disclosure.

图2是示出了本公开的第一实施方式所涉及的椎间融合器的立体图。Fig. 2 is a perspective view showing the intervertebral fusion cage according to the first embodiment of the present disclosure.

图3是示出了图2所涉及的椎间融合器沿着剖面线A-A'方向的剖面图。Fig. 3 is a cross-sectional view showing the intervertebral fusion cage in Fig. 2 along the section line AA'.

图4是示出了椎间融合器的主体的网状结构的示意图。Fig. 4 is a schematic diagram showing the mesh structure of the main body of the intervertebral cage.

图5是示出了椎间融合器的侧视图。Fig. 5 is a side view showing the intervertebral cage.

图6是示出了图5所示的椎间融合器的侧视图的局部放大图。FIG. 6 is a partially enlarged view showing a side view of the intervertebral cage shown in FIG. 5 .

图7是示出了图6的三个支柱的俯视示意图。FIG. 7 is a schematic top view showing three pillars of FIG. 6 .

图8是示出了本公开的第二实施方式所涉及的椎间融合器的立体图。Fig. 8 is a perspective view showing an intervertebral fusion cage according to a second embodiment of the present disclosure.

图9是示出了本公开的第二实施方式所涉及的椎间融合器的主体部的变形例的立体示意图。9 is a schematic perspective view showing a modified example of the main body of the intervertebral cage according to the second embodiment of the present disclosure.

具体实施方式Detailed ways

本公开引用的所有参考文献全文引入作为参考,如同完全阐述的那样。除非另有定义,本公开所使用的技术和科学术语具有与本公开所属领域的普通技术人员通常理解相同的含义。为本领域技术人员提供了本申请中所使用的许多术语的一般指南。本领域技术人员将认识到可以用于本公开的实践中的与本公开所描述的那些相似或等同的许多方法和材料。实际上,本公开决不限于所描述的方法和材料。All references cited in this disclosure are incorporated by reference in their entirety as if fully set forth. Unless defined otherwise, technical and scientific terms used in this disclosure have the same meaning as commonly understood by one of ordinary skill in the art to which this disclosure belongs. A general guide to many of the terms used in this application is provided to those skilled in the art. Those skilled in the art will recognize many methods and materials similar or equivalent to those described in the present disclosure, which could be used in the practice of the present disclosure. Indeed, the present disclosure is in no way limited to the methods and materials described.

(第一实施方式)(first embodiment)

图1是示出了本公开的第一实施方式所涉及的椎间融合器1的使用状态示意图。图2是示出了本公开的第一实施方式所涉及的椎间融合器1的立体图。图3是示出了本公开的第一实施方式所涉及的椎间融合器沿着剖面线A-A'方向的剖面图。FIG. 1 is a schematic view showing a state of use of an intervertebral fusion cage 1 according to a first embodiment of the present disclosure. FIG. 2 is a perspective view showing the intervertebral fusion cage 1 according to the first embodiment of the present disclosure. Fig. 3 is a sectional view showing the intervertebral cage according to the first embodiment of the present disclosure along the section line AA'.

如图1和图2所示,本公开的第一实施方式涉及自适应的椎间融合器1(有时也称“椎间融合器1”)。在本实施方式中,椎间融合器1包括支撑部20和主体部10。在本实施方式所涉及的椎间融合器1中,主体部10呈扁平状,支撑部20形成在主体部10,并且具有倾斜形成在主体部10的多个支柱。As shown in FIGS. 1 and 2 , a first embodiment of the present disclosure relates to an adaptive intervertebral fusion cage 1 (also sometimes referred to as "intervertebral fusion cage 1"). In this embodiment, the intervertebral cage 1 includes a support part 20 and a main body part 10 . In the intervertebral cage 1 according to the present embodiment, the main body 10 has a flat shape, and the support part 20 is formed on the main body 10 and has a plurality of struts formed obliquely on the main body 10 .

如图1所示,椎间融合器1植入人体例如椎骨2之间后,支撑部20与椎骨直接接触而承受来自椎骨的压力,由于支撑部20具有倾斜形成在主体部10上的多个支柱,因此,支撑部20容易根据椎骨与椎间融合器1接触的表面而自适应地受力,从而改善椎间融合器1的临床修复效果。此外,由于椎间融合器1能够更加均匀地刺激椎骨融合面,因此,具有良好的骨诱导性,能够促进骨骼恢复生长。As shown in Figure 1, after the intervertebral fusion device 1 is implanted into the human body such as between the vertebrae 2, the support part 20 is in direct contact with the vertebrae and bears the pressure from the vertebrae. Therefore, the supporting part 20 is easy to be adaptively stressed according to the contact surface of the vertebra and the intervertebral fusion device 1 , thereby improving the clinical repair effect of the intervertebral fusion device 1 . In addition, since the intervertebral fusion device 1 can stimulate the fusion surface of the vertebrae more uniformly, it has good osteoinductivity and can promote bone recovery and growth.

在一些示例中,在椎间融合器1,支撑部20可以在主体部10的上下表面同时设置(参见图3)。例如,支撑部20可以关于主体部10对称设置有支撑部20a和支撑部20b(参见稍后描述的图5)。在这种情况下,位于主体部10的上下表面的支撑部20a和支撑部20b可以根据椎骨与椎间融合器1接触的表面而自适应地受力,从而进一步改善椎间融合器1的临床修复效果。In some examples, in the intervertebral fusion cage 1 , the support part 20 can be provided on the upper and lower surfaces of the main body part 10 at the same time (see FIG. 3 ). For example, the support portion 20 may be symmetrically provided with a support portion 20 a and a support portion 20 b with respect to the main body portion 10 (see FIG. 5 described later). In this case, the supporting part 20a and the supporting part 20b located on the upper and lower surfaces of the main body part 10 can be adaptively stressed according to the surface of the vertebra in contact with the intervertebral cage 1, thereby further improving the clinical performance of the intervertebral cage 1 Repair effect.

在一些示例中,椎间融合器1可以由3D打印制作。由此,能够利用3D打印技术制作出具有多个支柱结构的椎间融合器1。In some examples, the intervertebral fusion cage 1 can be made by 3D printing. Thus, the intervertebral fusion cage 1 with multiple strut structures can be produced by using 3D printing technology.

在一些示例中,主体部10与支撑部20可以一体成形。由此,能够增加椎间融合器1的结构稳定性。在另一些示例中,主体部10与支撑部20也可以可拆卸地装配在一起。在这种情况下,能够根据不同的椎骨及椎骨间状况有针对性地使用例如支撑部20,由此能够提高椎间融合器1的适用性。In some examples, the main body part 10 and the support part 20 may be integrally formed. Thereby, the structural stability of the intervertebral cage 1 can be increased. In some other examples, the main body part 10 and the support part 20 can also be detachably assembled together. In this case, for example, the support part 20 can be used in a targeted manner according to different vertebrae and intervertebral conditions, thereby improving the applicability of the intervertebral cage 1 .

图4是示出了椎间融合器的主体的网状结构的示意图。Fig. 4 is a schematic diagram showing the mesh structure of the main body of the intervertebral cage.

如图4所示,主体部10可以具有网状结构。在这种情况下,既能够提高主体部10的结构稳定性,也能够有利于椎间融合器1的气血通路,促进骨骼生长。在一些示例中,主体部10可以是平面的网状结构。由此,能够减少椎间融合器1的整体厚度。在一些示例中,主体部10的网状结构可以由三角形、四边形、五边形、六边形或其他多边形组成的平面网状结构。As shown in FIG. 4, the main body portion 10 may have a mesh structure. In this case, it can not only improve the structural stability of the main body part 10, but also facilitate the passage of Qi and blood in the intervertebral cage 1 and promote bone growth. In some examples, the main body portion 10 may be a planar mesh structure. Thus, the overall thickness of the intervertebral cage 1 can be reduced. In some examples, the network structure of the main body 10 may be a planar network structure composed of triangles, quadrilaterals, pentagons, hexagons or other polygons.

在一些示例中,主体部10的外轮廓可以是呈椭圆形、长方形、多边形或不规则图形。例如,主体部10可以呈网格状的六边形。In some examples, the outer contour of the main body part 10 may be oval, rectangular, polygonal or irregular. For example, the main body 10 may have a grid-like hexagonal shape.

在一些示例中,在主体部10中,可以填充促进骨骼生长的填充物。例如,可以在主体部10中填充人工骨(未图示)。由此,能够诱导骨骼生长,促进恢复。In some examples, in the main body portion 10, a filler that promotes bone growth may be filled. For example, artificial bone (not shown) may be filled in the main body part 10 . Thereby, bone growth can be induced and recovery can be promoted.

在一些示例中,人工骨可以通过热压合的方式与主体部10结合。由此,能够使人工骨与椎间融合器1稳定地结合。In some examples, the artificial bone can be combined with the main body 10 by thermocompression. Thereby, the artificial bone and the intervertebral cage 1 can be stably coupled.

在一些示例中,人工骨可以包括生物陶瓷颗粒和可降解聚酯材料。在这种情况下,人工骨可以在促进骨骼生长后降解,在网状结构中形成气血通路,避免阻碍椎间的气血通路,有利于骨骼的生长恢复。In some examples, the artificial bone can include bioceramic particles and a degradable polyester material. In this case, the artificial bone can be degraded after promoting bone growth, forming an air-blood pathway in the network structure, avoiding obstruction of the intervertebral air-blood pathway, and conducive to bone growth and recovery.

在一些示例中,生物陶瓷颗粒可以包括例如羟基磷灰石、磷酸三钙等。在一些示例中,可降解聚酯材料可以包括例如聚乳酸、聚己内酯及其共聚物等。In some examples, bioceramic particles can include, for example, hydroxyapatite, tricalcium phosphate, and the like. In some examples, the degradable polyester material may include, for example, polylactic acid, polycaprolactone, copolymers thereof, and the like.

在另一些示例中,主体部10还可以是实心结构。在这种情况下,主体部10的结构更加坚固。In other examples, the main body 10 may also be a solid structure. In this case, the structure of the main body portion 10 is stronger.

另外,在本实施方式中,主体部10的构成材料没有特别限定,根据不同的应用情形,可以采用金属、陶瓷、聚合物中的至少一种。在一些示例中,出于兼具生物相容性和硬度的考虑,主体部10优选采用金属钛、聚醚醚酮(PEEK)等材料制成。In addition, in this embodiment, the constituent material of the main body portion 10 is not particularly limited, and at least one of metal, ceramic, and polymer can be used according to different application situations. In some examples, in consideration of both biocompatibility and hardness, the main body 10 is preferably made of metal titanium, polyetheretherketone (PEEK) and other materials.

在一些示例中,主体部10还可以具有多个上下贯通的贯通孔(未图示)。由此,能够形成气血通路,促进骨骼生长恢复。其中,贯通孔的位置没有特别限定,在一些示例中,贯通孔可以均匀地分布在主体部10。In some examples, the main body 10 may also have a plurality of through holes (not shown) passing through up and down. As a result, Qi and blood pathways can be formed to promote bone growth and recovery. Wherein, the positions of the through holes are not particularly limited, and in some examples, the through holes may be evenly distributed in the main body portion 10 .

在主体部10为网状结构的情况下,贯通孔可以呈多棱柱形状例如三棱柱、四棱柱、正六棱柱等形状。由此,能够在保证主体部10的结构稳定性的同时增加贯通孔的尺寸。在另一些示例中,贯通孔还可以呈圆形、三角形、四边形或其他不规则形状。When the main body 10 has a network structure, the through holes may be in the shape of polygonal prisms such as triangular prisms, quadrangular prisms, and regular hexagonal prisms. Thereby, the size of the through hole can be increased while ensuring the structural stability of the main body portion 10 . In some other examples, the through hole may also be in the shape of a circle, a triangle, a quadrangle or other irregular shapes.

图5是示出了椎间融合器的侧视图。图6是示出了图5所示的椎间融合器的侧视图的局部放大图。图7是示出了图6的三个支柱的俯视示意图。Fig. 5 is a side view showing the intervertebral cage. FIG. 6 is a partially enlarged view showing a side view of the intervertebral cage shown in FIG. 5 . FIG. 7 is a schematic top view showing three pillars of FIG. 6 .

在本实施方式中,支撑部20可以包括从主体部10倾斜地突起的多个支柱(参见图5)。在一些示例中,在主体部10为网状结构的情况下,多个支柱可以从网状结构倾斜地突起。In the present embodiment, the supporting part 20 may include a plurality of pillars obliquely protruding from the main body part 10 (see FIG. 5 ). In some examples, where the main body portion 10 is a mesh structure, a plurality of struts may obliquely protrude from the mesh structure.

在一些示例中,如图7所示,支撑部20的多个支柱还可以包括至少具有第一倾斜角θ1的第一类支柱21和具有第二倾斜角θ2的第二类支柱22。第一类支柱21与第二类支柱22可以形成有夹角φ。In some examples, as shown in FIG. 7 , the plurality of struts of the supporting part 20 may further include at least a first type of strut 21 having a first inclination angle θ1 and a second type of strut 22 having a second inclination angle θ2. The first type of pillar 21 and the second type of pillar 22 may form an included angle φ.

在一些示例中,第一类支柱21可以包括形成在主体部10上的多个平行的支柱211、支柱212、支柱213、……、支柱21n;第二类支柱22可以包括形成在主体部10上的多个平行的支柱221、支柱222、支柱223、……、支柱22nIn some examples, the first type of struts 21 may include a plurality of parallel struts 21 1 , 21 2 , 21 3 , . . . , 21 n formed on the body portion 10; the second type of struts 22 may include A plurality of parallel struts 22 1 , 22 2 , 22 3 , . . . , 22 n on the main body 10 .

另外,第一类支柱21的第一倾斜角θ1为第一类支柱21与主体部10形成的夹角;第二类支柱22的第二倾斜角θ1为第一类支柱12与主体部10形成的夹角θ2。在一些示例中,第一倾斜角θ1和第二倾斜角θ2可以为0度至90度。In addition, the first inclination angle θ 1 of the first type of pillar 21 is the angle formed by the first type of pillar 21 and the main body 10; the second inclination angle θ 1 of the second type of pillar 22 is the angle between the first type of pillar 12 and the main body The included angle θ 2 formed by 10. In some examples, the first inclination angle θ1 and the second inclination angle θ2 may range from 0 degrees to 90 degrees.

如上所述,由于第一类支柱21和第二类支柱22与主体部10(主体部10的表面或假想面)形成有夹角,因此,将椎间融合器1植入到椎骨之间时,通过第一类支柱21与第二类支柱22能够以不同的方向承受椎骨的压力,从而能够使椎间融合器1更加有效支撑来自椎骨的压力,避免对椎骨造成二次伤害。As mentioned above, since the first type of struts 21 and the second type of struts 22 form an angle with the main body 10 (the surface or imaginary surface of the main body 10), therefore, when the intervertebral fusion device 1 is implanted between the vertebrae , the first type of pillar 21 and the second type of pillar 22 can bear the pressure of the vertebrae in different directions, so that the intervertebral cage 1 can more effectively support the pressure from the vertebrae and avoid secondary damage to the vertebrae.

另外,在一些示例中,第一类支柱21的第一倾斜角θ1、第二类支柱22的第二倾斜角θ2可以取不同的角度值。In addition, in some examples, the first inclination angle θ 1 of the first type of pillar 21 and the second inclination angle θ 2 of the second type of pillar 22 may take different angle values.

在一些示例中,第一类支柱21的第一倾斜角θ1与第二类支柱22的第二倾斜角θ2可以是相同的,并且第一类支柱21与第二类支柱22形成有夹角在这种情况下,能够使椎间融合器1更加有效均匀支撑来自椎骨的压力。在一些示例中,夹角可以为0至45度。In some examples, the first angle of inclination θ1 of the first type of struts 21 and the second angle of inclination θ2 of the second type of struts 22 may be the same, and the first type of struts 21 and the second type of struts 22 form a clip. horn In this case, it is possible to make the intervertebral fusion cage 1 more effectively and evenly support the pressure from the vertebrae. In some examples, the included angle Can be 0 to 45 degrees.

在一些示例中,第一类支柱21的支柱与第二类支柱22的各个支柱分别具有共同的基端100(参见图6)。具体而言,例如第一类支柱21的支柱211与第二类支柱22的支柱221具有共同的基端1001,第一类支柱21的支柱212与第二类支柱22的支柱222具有共同的基端1002。同理地,第一类支柱21的支柱213可以与第二类支柱22的支柱223具有共同的基端1003,……,第一类支柱21的支柱21n可以与第二类支柱22的支柱22n具有共同的基端100nIn some examples, the struts of the first type of struts 21 and the respective struts of the second type of struts 22 respectively have a common base end 100 (see FIG. 6 ). Specifically, for example, the struts 21 1 of the first type of struts 21 and the struts 22 1 of the second type of struts 22 have a common base end 100 1 , and the struts 21 2 of the first type of struts 21 and the struts 22 of the second type of struts 22 have a common base end 100 1 . 2 have a common base end 100 2 . Similarly, the struts 21 3 of the first type of struts 21 can have a common base end 100 3 with the struts 22 3 of the second type of struts 22, ..., the struts 21 n of the first type of struts 21 can have the same base end 100 3 as the struts of the second type of struts 21 The struts 22 n of 22 have a common base end 100 n .

如上所述,第一类支柱21与第二类支柱22可以具有共同的基端100,因此,支撑部20可以通过多个不同方向的承受来自椎骨的受力,从而改善椎骨的受力状况。As mentioned above, the first type of struts 21 and the second type of struts 22 can have a common base end 100 , therefore, the supporting part 20 can bear the stress from the vertebrae in multiple different directions, thereby improving the stress state of the vertebrae.

另外,在一些示例中,可以通过在支撑部20增加支柱的数量来降低应力集中,使得椎间融合器1内部的结构应力分布更加均匀。另外,一些示例中,基端100还可以设置在支撑部20的实心结构的位置。In addition, in some examples, the stress concentration can be reduced by increasing the number of pillars in the support part 20 , so that the structural stress distribution inside the intervertebral fusion cage 1 is more uniform. In addition, in some examples, the base end 100 may also be disposed at the position of the solid structure of the support part 20 .

在另一些示例中,第一类支柱21的支柱与第二类支柱22的支柱还可以不具有共同的支柱基端而从主体部10直接倾斜而形成。In some other examples, the struts of the first type of struts 21 and the struts of the second type of struts 22 may not have a common base end of the struts, but are directly inclined from the main body 10 .

在一些示例中,支撑部20的支柱还可以包括与第一类支柱21和第二类支柱22倾斜方向不同的第三类支柱23(参见图7)。第三类支柱23具有与主体部10形成的第三倾斜角θ3(未图示)。另外,第三类支柱23分别与第一类支柱21和第二类支柱22形成有夹角。在这种情况下,支撑部20的不同方向的三类支柱21,22,23能够使椎间融合器1的受力更加均匀。In some examples, the struts of the support portion 20 may further include a third type of strut 23 (see FIG. 7 ) whose inclination direction is different from that of the first type of strut 21 and the second type of strut 22 . The third type of strut 23 has a third inclination angle θ 3 (not shown) formed with the main body 10 . In addition, the third type of struts 23 respectively form angles with the first type of struts 21 and the second type of struts 22 . In this case, the three types of struts 21 , 22 , 23 in different directions of the support part 20 can make the intervertebral cage 1 more evenly stressed.

另外,在一些示例中,不同方向的第一类支柱21、第二类支柱22和第三类支柱23可以具有共同的基端100。在一些示例中,具有共同基端100的三类支柱之间相互形成的夹角可以是等角设置。在这种情况下,能够使得基端100均匀受力。In addition, in some examples, the first type of struts 21 , the second type of struts 22 and the third type of struts 23 in different directions may have a common base end 100 . In some examples, the angles formed by the three types of struts having a common base end 100 may be equiangular. In this case, the base end 100 can be evenly stressed.

在一些示例中,第一类支柱21、第二类支柱22和第三类支柱23可以由具有一定弹性的材料制成的。例如,第一类支柱21、第二类支柱22和第三类支柱23可以是由金属钛、聚醚醚酮(PEEK)等中的一种或多种制成。In some examples, the first type of struts 21 , the second type of struts 22 and the third type of struts 23 may be made of materials with certain elasticity. For example, the first type of support 21 , the second type of support 22 and the third type of support 23 may be made of one or more of metal titanium, polyetheretherketone (PEEK) and the like.

另外,在一些示例中,支撑部20还可以包括设置在支柱(第一类支柱21、第二类支柱22和第三类支柱23)的端部的缓冲部(未图示)。在这种情况下,由于缓冲部与椎骨直接接触,因此能够缓冲椎间融合器1与椎骨直接的受力。In addition, in some examples, the support portion 20 may further include a buffer portion (not shown) disposed at the ends of the struts (the first type of strut 21 , the second type of strut 22 and the third type of strut 23 ). In this case, since the buffer portion is in direct contact with the vertebrae, it is possible to buffer the force directly received between the intervertebral cage 1 and the vertebrae.

在一些示例中,缓冲部可以呈平板状、圆球状、椭圆球状中的至少一种。由此,可以根据不同的融合器选择不同的缓冲部形状。In some examples, the buffer portion may be at least one of a flat plate shape, a spherical shape, and an elliptical spherical shape. Thus, different shapes of the cushioning portion can be selected according to different cages.

在一些示例中,缓冲部还可以以支柱的端部为支点进行一定程度的倾斜。在这种情况下,椎间融合器1受到压力时缓冲部会倾斜,从而更好的与骨骼进行贴合。In some examples, the buffer portion can also be inclined to a certain degree with the end of the pillar as the fulcrum. In this case, when the intervertebral fusion cage 1 is under pressure, the buffer portion will be inclined, so as to better fit the bone.

如上所述,支撑部20还可以在主体部10的上下表面同时设置。在这种情况下,椎间融合器1可以通过上下表面的支撑部20同时对骨骼进行诱导刺激,促进恢复生长。As mentioned above, the supporting part 20 may also be provided on the upper and lower surfaces of the main body part 10 at the same time. In this case, the intervertebral fusion device 1 can simultaneously induce and stimulate the bones through the support parts 20 on the upper and lower surfaces, so as to promote recovery and growth.

(第二实施方式)(second embodiment)

图8是示出了本公开的第二实施方式所涉及的椎间融合器的立体图。Fig. 8 is a perspective view showing an intervertebral fusion cage according to a second embodiment of the present disclosure.

本公开的第二实施方式所涉及的自适应的椎间融合器1A(有时称为“椎间融合器1A”)与第一实施方式所涉及的椎间融合器1的主要区别在于,椎间融合器1A的主体部10具有框架结构(参见图8)。The main difference between the adaptive intervertebral fusion cage 1A (sometimes referred to as "intervertebral fusion cage 1A") related to the second embodiment of the present disclosure and the intervertebral fusion cage 1 related to the first embodiment is that the intervertebral The main body portion 10 of the cage 1A has a frame structure (see FIG. 8 ).

在本实施方式所涉及的椎间融合器1A中,主体部10为立体框架结构。具体而言,主体部10可以由多层的平面网状结构层叠而成,平面网状结构之间具有连接柱。在这种情况下,由于网状结构的主体部10具有较多的空隙,因此能够改善椎间气血通路。In the intervertebral cage 1A according to this embodiment, the main body 10 has a three-dimensional frame structure. Specifically, the main body 10 may be formed by laminating multiple layers of planar network structures, with connecting columns between the planar network structures. In this case, since the main body portion 10 of the mesh structure has more spaces, the intervertebral air and blood passage can be improved.

在一些示例中,主体部10可以是长方体的网状结构。在另一些示例中,主体部10也可以是圆柱体、多棱柱体或不规则立体结构等。由此,能够改变椎间融合器1A的主体部10的内部结构分布,改善椎间融合器1A植入到椎间后椎间的气血通路。In some examples, the main body 10 may be a cuboid network structure. In other examples, the main body 10 may also be a cylinder, a polygonal prism, or an irregular three-dimensional structure. Thus, the distribution of the internal structure of the main body 10 of the intervertebral fusion device 1A can be changed, and the air and blood passage of the intervertebral fusion device 1A implanted into the intervertebral space can be improved.

在一些示例中,在主体部10为立体网状结构的情况下,第一类支柱21、第二类支柱22和第三类支柱23可以分别形成在不同的网状结构位置上并且从网状结构倾斜地突起(参见图8)。在这种情况下,能够进一步改善椎间融合器1A的气血交换,便于填充促进骨骼生长的填充物。例如,在这种情况下,可以在主体部10中填充更多的人工骨,从而更有助于诱导骨骼生长,促进骨骼恢复。In some examples, when the main body 10 has a three-dimensional network structure, the first type of struts 21, the second type of struts 22 and the third type of struts 23 can be respectively formed at different positions of the network structure and from the network structure. The structures protrude obliquely (see Figure 8). In this case, the gas and blood exchange of the intervertebral fusion cage 1A can be further improved, and it is convenient to fill with fillers that promote bone growth. For example, in this case, more artificial bone can be filled in the main body part 10, so as to be more helpful in inducing bone growth and promoting bone recovery.

图9是示出了本公开的第二实施方式所涉及的椎间融合器的变形例的示意图。FIG. 9 is a schematic view showing a modified example of the intervertebral fusion cage according to the second embodiment of the present disclosure.

如图9所示,主体部10可以具有盲孔110。具体而言,盲孔110沿着主体部10的长度方向设置在主体部10的实心结构部分。在一些示例中,盲孔110可以是长方形、正方形、圆形、椭圆形、三角形、多边形或不规则图形等。在这种情况下,在椎间融合器1安装至椎骨间后,随着骨骼的生长,部分骨骼会进入盲孔,附着在椎间融合器1上,从而更好地实现骨质与椎间融合器1的结合。As shown in FIG. 9 , the main body portion 10 may have a blind hole 110 . Specifically, the blind hole 110 is provided in the solid structural portion of the main body 10 along the length direction of the main body 10 . In some examples, the blind hole 110 may be a rectangle, a square, a circle, an ellipse, a triangle, a polygon, or an irregular shape. In this case, after the intervertebral fusion device 1 is installed between the vertebrae, as the bone grows, some bones will enter the blind hole and attach to the intervertebral fusion device 1, so as to better realize the bone quality and intervertebral Fusion 1 incorporation.

在另一些示例中,还可以在盲孔110中填充有人工骨(未图示)。由此,可以引导骨骼生长进入盲孔,加快融合。In some other examples, artificial bone (not shown) may also be filled in the blind hole 110 . As a result, bone growth can be directed into the blind hole, accelerating fusion.

在一些示例中,人工骨通过热压合的方式与主体部10结合。由此,能够使人工骨与椎间融合器1A牢固地结合。In some examples, the artificial bone is combined with the main body portion 10 by thermocompression. Thereby, the artificial bone and the intervertebral cage 1A can be firmly coupled.

在一些示例中,人工骨可以包括生物陶瓷颗粒和可降解聚酯材料。在这种情况下,人工骨可以在促进骨骼生长后降解,在网状结构中形成气血通路,改善椎间的气血交换,有利于骨骼的生长恢复。In some examples, the artificial bone can include bioceramic particles and a degradable polyester material. In this case, the artificial bone can be degraded after promoting bone growth, forming air and blood pathways in the network structure, improving the exchange of air and blood between the vertebrae, and benefiting the growth and recovery of bones.

在一些示例中,生物陶瓷颗粒可以包括例如羟基磷灰石、磷酸三钙等。在一些示例中,可降解聚酯材料包括例如聚乳酸、聚己内酯及其共聚物等。In some examples, bioceramic particles can include, for example, hydroxyapatite, tricalcium phosphate, and the like. In some examples, the degradable polyester material includes, for example, polylactic acid, polycaprolactone, copolymers thereof, and the like.

以上在具体实施方式中描述了本公开的各种实施例。尽管这些描述直接描述了上述实施例,但是应该理解的是,本领域技术人员可以想到对这里示出和描述的特定实施例的修改和/或变形。落入本说明书范围内的任何这样的修改或变形也意图包括在其中。除非特别指出,否则发明人的意图是说明书和权利要求书中的词语和短语被赋予普通技术人员的普通和习惯的含义。Various embodiments of the present disclosure are described above in the Detailed Description. Although these descriptions directly describe the above-described embodiments, it is to be understood that modifications and/or variations to the specific embodiments shown and described herein may occur to those skilled in the art. Any such modifications or variations that fall within the scope of this description are also intended to be embraced therein. Unless otherwise indicated, it is the inventor's intent that the words and phrases in the specification and claims be given the ordinary and customary meanings of those of ordinary skill.

已经呈现了本申请人在提交本申请时已知的本公开的各种实施例的以上描述,并且旨在用于说明和描述的目的。本说明并非旨在穷尽本发明,也不将本发明限制于所公开的确切形式,并且根据上述教导可以进行许多修改和变形。所描述的实施例用于解释本公开的原理及其实际应用,并且使得本领域的其他技术人员能够以各种实施例以及适合于预期的特定用途的各种修改来利用本公开。因此,旨在本公开不限于公开的用于实现本公开所披露的特定实施例。The foregoing description of various embodiments of the disclosure that are known to the applicant at the time of filing the application has been presented, and is intended for purposes of illustration and description. This description is not intended to be exhaustive or to limit the invention to the precise form disclosed, and many modifications and variations are possible in light of the above teaching. The described embodiments serve to explain the principles of the disclosure and its practical application, and to enable others skilled in the art to utilize the disclosure in various embodiments and with various modifications as are suited to the particular use contemplated. Therefore, it is intended that the present disclosure not be limited to the particular embodiments disclosed for carrying out the present disclosure.

虽然已经示出和描述了本公开的特定实施例,但是对于本领域技术人员而言显而易见的是,基于本公开的教导,可以做出变形和修改而不偏离本公开及其更广泛的方面,因此所附权利要求将在其范围内涵盖在本公开的真实精神和范围内的所有这些改变和修改。本领域技术人员将理解,一般而言,本公开中使用的术语一般意图为“开放”术语(例如术语“包括”应被解释为“包括但不限于”,术语“具有”应被解释为“至少具有”,术语“包括”应被解释为“包括但不限于”等)。While particular embodiments of the present disclosure have been shown and described, it will be obvious to those skilled in the art that, based on the teachings of the disclosure, that changes and modifications can be made without departing from the disclosure and its broader aspects, The appended claims are therefore to cover within their scope all such changes and modifications as are within the true spirit and scope of this disclosure. Those skilled in the art will appreciate that, generally speaking, terms used in this disclosure are generally intended to be "open" terms (for example, the term "comprising" should be interpreted as "including but not limited to", the term "having" should be interpreted as " having at least", the term "comprising" should be interpreted as "including but not limited to", etc.).

Claims (10)

1. a kind of adaptive Invasive lumbar fusion device, which is characterized in that
Including:
Main part, in flat;And
Support portion is formed in the main part, and with the multiple pillars being formed slopely in the main part.
2. Invasive lumbar fusion device according to claim 1, it is characterised in that:
The multiple pillar includes the first kind pillar at least with the first inclination angle and the second class branch with the second inclination angle Column, the first kind pillar are formed with angle with the second class pillar.
3. Invasive lumbar fusion device according to claim 2, it is characterised in that:
The pillar of the first kind pillar and each pillar of the second class pillar are respectively provided with common cardinal extremity.
4. Invasive lumbar fusion device according to claim 2, it is characterised in that:
The main part has a reticular structure, the first kind pillar and the second class pillar from the reticular structure obliquely Protrusion.
5. Invasive lumbar fusion device according to claim 2, it is characterised in that:
The multiple pillar further includes and the different third class branch of the first kind pillar and the second class pillar tendency direction Column.
6. Invasive lumbar fusion device according to claim 1, it is characterised in that:
The main part and the support portion are integrally formed.
7. Invasive lumbar fusion device according to claim 4, it is characterised in that:
In the main part, it is also filled with artificial bone.
8. Invasive lumbar fusion device according to claim 1, it is characterised in that:
The support portion includes the buffer part being arranged in the end of the pillar.
9. Invasive lumbar fusion device according to claim 1, it is characterised in that:
The main part also has multiple through holes up and down.
10. Invasive lumbar fusion device according to claim 7, it is characterised in that:
The artificial bone includes bioceramic particle and degradable poly ester material.
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