201212875 六、發明說明： 【發明所屬之技術領域】 本發明係有關—種脊椎料連結裝置，尤指_種可調 整角度之脊椎桿件連結裝置。 【先前技術】’ 脊椎固定手術中，常用固定桿作為輔助固定裝置但 因脊椎並不是成一直線，各脊椎骨節通常也不平行，例如 腰椎為脊柱腹凸⑽d〇sis)e因此若將原本成—直線的固定 桿，直接和植入待固定脊椎骨節的複數支骨釘結合固定成 一體，將迫使不在一直、線上的待固定脊椎骨冑變成在一直 線上，並使原本不該平行的各個待固定脊椎骨節變成平行。 為了避免上述缺失，因此醫療界提出各種改良結構， 諸如： 1.以有角度的螺釘（angled screw)解決問題，諸如us_ 5，176,679、US-5’196,014、US-5,257,994、US-5,466,238 等； 例如US-5，176,679利用有角度的骨釘（h)cking pins designed to have specific angles ,)，來解決上述脊椎骨節 通常並不平行問題。但該等方法只適用於一支固定桿和兩 支骨釘之間的脊椎骨節固定（因為兩點成一直線），但不適 用於一支固定桿和三支（含）骨釘以上的脊椎骨節固定，因 為三點通常不在一直線上，此外，該等方法在手術後，患 部不具有動態功能’如後彎（extension)、前屈（fiexi〇n)、側 彎（lateral bending)、扭轉（axiai torsion)等及緩衝（cushi〇n) 201212875 ° 功能。 2.以有角度的固定塊（angled connector)解決問題，諸 如 US-5,257,994、US-5,330,474 等；例如 uS-5,257,994 利 用有角度的固疋塊（locking block designed to have specific angles) ’來解決上述脊椎骨節通常並不平行問題。但該等 方法只適用於一支固定桿和兩支骨釘之間的脊椎骨節固定 (因為兩點成一直線），但不適用於一支固定桿和三支（含） 骨釘以上的脊椎骨節固定，因為三點通常不在一直線上， _ 此外’該等方法在手術後’患部不具有動態功能，如後彎 (extension)、前屈（flexi〇n)、側彎（iateral bending)、扭轉 (axial torsion)等及緩衝（cushion)功能。 3·以萬向結合裝置（universal connecting device)解決 問題’諸如 US-5,474,551、US- 5,507,746、US-5,575,791 等；例如US-5,474,551係利用萬向墊片固定裝置（a universal pad fixation device)，來解決上述脊椎骨節通常並 φ 不平行問題。但該等方法只適用於一支固定桿和兩支骨釘 之間的脊椎骨節固定（因為兩點成一直線），但不適用於一 支固定桿和三支（含）骨釘以上的脊椎骨節固定，因為三點 通常不在一直線上，此外’該等方法在手術後，患部不具 有動態功能’如後彎（extension)、前屈（flexion)、側彎（lateral bending)、扭轉（axial torsion)等及緩衝（cushi〇n)功能。 4.以多軸螺釘（polyaxial screw)解決問題，諸如美國核 准專利 US-5,520,690、US-5,531，746、......US-7,186,2552 ' US-7，207,992等數十筆，及美國相關的公開專利申請案 201212875 US-20010012937 、 US-20020111626 、 ·..··.、 US-20070161995、US-20070162006 等數十筆。這是目前的 主流技術。該等技術基本上都是利用多軸螺釘（細節參見該 案說明書）’來解決上述脊椎骨節通常並不平行問題。 但上述該專方法只適用於一支固定桿和兩支骨釘之間 的脊椎骨節固定（因為兩點成一直線），但不適用於一支固 定桿和三支（含）骨釘以上的脊椎骨節固定，因為三點通常 不在一直線上’此外，該等方法在手術後，患部不具有動 態功能，如後彎（extension)、前屈（fiexi〇n)、侧彎（iateral bending)、扭轉（axial torsion)等及緩衝（cushion)功能。 5.以人工關節固定裝置解決問題，例如 TW-I275380(細節參見該案說明書），來解決上述脊椎骨節 通常並不平行問題。 該等方法在手術後’患部雖具有動態功能，如後彎 (extension)、前屈（flexion)、側弯（lateral bending)、扭轉 (axial torsion) ’但該設計穩定性差且具有鬆脫的危險性同 時也需佔用較大的空間，此外該設計亦無緩衝（cushi〇n)功 能。 本發明人等之台灣專利TW-200936097利用球弧裝置 與彈性設計使脊椎固定桿同時具備上述的動態功能，如後 彎（extension)、前屈（flexion)、側彎（lateral bending)、扭轉 (axial torsion)及緩衝（cushion)功能，但該專利係利用一外 加之連結裝置，讓第一杯體與第二杯體加以連結.，如此該 脊椎固定裝置將需要加大的空間，而使手術較為不便與耗 201212875 1 時。 本發明除利用具有球弧機構之墊片，配合第一連結桿 及第一連結桿結合端之球弧機構，使兩相鄰連結桿可藉由 具有球弧機構之墊片，而達到調整兩相鄰連結桿之間的角 度之目的並使該發明具備後彎（extension)、前屈（nexi〇n)、 側彎（lateral bending)、扭轉（axial t〇rsi〇n)之動態功能，且 本發明亦利用彈性墊片的設計使該脊椎桿件連結裝置同.時 具備緩衝（cushion)功能，此外本發明亦採用兩連結杯體間 自體連結的設計，減少該脊椎桿件連結裝置所需的元組 件，並同時降低其所需要的空間，以解決本發明人等之台 灣專利TW-200936097的缺點。 本發明可進-步藉由碟狀彈片、連結桿及/或連結杯體 的穿孔大小，加以限制兩相鄰連結桿可調整之角度，使兩 相鄰連結桿之間的角度不致於過大而導致無法復：或破壞 該連結桿之結構，進而影響該骨固定系統之功能。 【發明内容】 本發明之-目的在提供一種脊椎桿件連結裝置。 本發明之另-目的在提供一種具有塾片之脊椎桿件連 結裝置。 本發明之再-目的在提供一種具有彈性塾片之 件連結裝置。 件連結裝置 本發明之又一目的在提供一 種具有碟狀彈片之脊椎桿 7 201212875 ， 發月之再目的在提供一種連結杯體為自體連結之 脊椎桿件連結裝置。 本發明之另一目的在提供一種利用球弧結構，形成萬 向結合之脊椎桿件連結裝置。 本發月之再目的在提供—種具有彈性功能之脊推 件連結裝置。 本發明之還一目的在提供-種可調整角度之脊椎桿件 連結裝置。 ,本發明之再一目的在提供一種有限度控制調整角 脊椎桿件連結裝置。 $之另目的在提供-種具有動態功能之脊椎桿 件連結裝置。 杆 本發明之又-目的在提供—種具有緩衝功能 件連結裝置。 月惟件 本發明之脊椎桿件連結裝置，其包括： 第一連結桿’其至少一端為結合端，該 處的内側及外側實質上成球弧； 扣端 第一連結桿，其至少一端為έ士人山 主y 為、。合端，該結合端近搵她 處的内側及外側實質上成球弧； ^近“ ^墊片，其中該墊片用以放置於 Λ* * 、兩相鄰連結桿中Μ . 第一連結杯體，杯體之杯口端 ’ 底。Ρ内側至少部份實質上成球狐形 °杯體 實質上等於該第—連……弧曲率略小於或 連結桿的結合端近桿端處 率，用以知兮楚, 卜预丨的球弧曲 年用以和。玄第—連結桿的結合端 两 于h處外側的球弧成 201212875 萬向結合’該杯體底部具有一穿孔，用以佶 文°茨笫一連結桿 的桿端由該連結杯體内部穿出到外部；及 該杯體 第二連結杯體，杯體之杯口端具有連結機構 底部内侧至少部份實質上成球弧形’該球弧曲率略小於或 實質上等於該第彡連結#的結合端近桿料外側㈣弧曲 率，用以和該第二連結桿的結合端近桿端處外側的球弧成 萬向結合，該杯體底部具有一穿孔，用以使該第二連結桿201212875 VI. Description of the Invention: [Technical Field of the Invention] The present invention relates to a splint coupling device, and more particularly to an adjustable angle spinal rod connecting device. [Prior Art] In the spinal fixation surgery, the fixed rod is often used as an auxiliary fixation device, but because the spine is not in a straight line, the vertebrae are usually not parallel, for example, the lumbar vertebrae are the sacral bulge (10) d〇sis) so if the original is - The linear fixing rod is directly integrated with the multiple bone nails implanted in the vertebral joint to be fixed, which will force the vertebral bones to be fixed in the line and the line to be in a straight line, and the respective bones to be fixed which should not be parallel The festival becomes parallel. In order to avoid such a deficiency, the medical community has proposed various improved structures, such as: 1. Solving problems with angled screws such as us_ 5,176,679, US-5'196,014, US-5,257,994, US-5,466,238, etc.; For example, US-5,176,679 utilizes angled nails (h) cking pins designed to have specific angles, to solve the above-mentioned problem that the vertebrae are generally not parallel. However, these methods are only suitable for the fixation of the vertebrae between a fixed rod and two bone nails (because the two points are in line), but not for a fixed rod and three or more bones above the bone. Fixed because the three points are usually not in line. In addition, after the operation, the affected part does not have dynamic functions such as extension, flexiform, lateral bending, and axiai. Torsion) and buffer (cushi〇n) 201212875 ° function. 2. Solve the problem with an angled connector such as US-5,257,994, US-5,330,474, etc.; for example, uS-5,257,994 uses locking block designed to have specific angles to solve the above-mentioned vertebrae Sections are usually not parallel issues. However, these methods are only suitable for the fixation of the vertebrae between a fixed rod and two bone nails (because the two points are in line), but not for a fixed rod and three (inclusive) bone joints above the bone nail. Fixed, because the three points are usually not in line, _ In addition, 'these methods do not have dynamic functions in the affected part after surgery, such as extension, flexi〇n, iateral bending, torsion ( Axis torsion) and buffer (cushion) function. 3. Solving problems with a universal connecting device such as US-5,474,551, US-5,507,746, US-5,575,791, etc.; for example, US-5,474,551 utilizes a universal pad fixation device. Solve the above-mentioned spine joints usually and φ non-parallel problems. However, these methods are only suitable for the fixation of the vertebrae between a fixed rod and two bone nails (because the two points are in line), but not for a fixed rod and three or more bones above the bone. Fixed because the three points are usually not in line, and in addition, 'these methods do not have dynamic functions after surgery, such as extension, flexion, lateral bending, and axial torsion. Wait and buffer (cushi〇n) function. 4. Solve problems with polyaxial screws, such as US approved patents US-5,520,690, US-5,531,746, ...US-7,186,2552 'US-7,207,992, etc., and The United States related public patent applications 201212875 US-20010012937, US-20020111626, ·..·., US-20070161995, US-20070162006 and so on. This is the current mainstream technology. These techniques basically utilize multi-axis screws (see the specification for details) to address the problem that the above-mentioned vertebrae are generally not parallel. However, the above-mentioned special method is only suitable for the fixation of the vertebrae between a fixed rod and two bone nails (because the two points are in line), but it is not suitable for a fixed rod and three (including) vertebrae above the bone nail. The section is fixed because the three points are usually not in a straight line. In addition, after the procedure, the affected part does not have dynamic functions such as extension, flexiform, iateral bending, and torsion ( Axis torsion) and buffer (cushion) function. 5. Solve the problem with an artificial joint fixture, such as TW-I275380 (see the instructions for details) to solve the problem that the above-mentioned vertebrae are usually not parallel. These methods have dynamic functions such as extension, flexion, lateral bending, and axial torsion after surgery. However, the design is poor in stability and has the risk of loosening. Sex also takes up a lot of space, and the design also has no buffering (cushi〇n) function. The inventor's Taiwan patent TW-200936097 utilizes a ball arc device and an elastic design to make the spinal fixation rod simultaneously have the above-mentioned dynamic functions such as extension, flexion, lateral bending, and torsion ( Axial torsion) and cushioning function, but the patent uses an additional coupling device to connect the first cup to the second cup. Thus, the spinal fixation device will require more space for surgery Less inconvenient and consume 201212875 1 time. The invention adopts the ball arc mechanism with the ball arc mechanism and the ball joint mechanism of the first connecting rod and the connecting end of the first connecting rod, so that the two adjacent connecting rods can be adjusted by the gasket with the ball arc mechanism. The purpose of the angle between adjacent connecting rods and the invention has the dynamic functions of extension, flexior, lateral bending, and axial t〇rsi〇n, and The invention also utilizes the design of the elastic spacer to make the spinal rod connecting device have the cushion function at the same time, and the invention also adopts the design of the self-joining between the two connecting cup bodies, thereby reducing the spinal rod connecting device. The disadvantages of the inventor's Taiwan patent TW-200936097 are solved by reducing the required space at the same time. The invention can further limit the adjustable angle of the two adjacent connecting rods by the size of the perforations of the disc-shaped elastic piece, the connecting rod and/or the connecting cup body, so that the angle between the two adjacent connecting rods is not excessively large. It can not be recovered: or destroy the structure of the connecting rod, thereby affecting the function of the bone fixing system. SUMMARY OF THE INVENTION It is an object of the present invention to provide a spinal rod coupling device. Another object of the present invention is to provide a spinal rod attachment device having a sepal. A further object of the present invention is to provide a device connecting device having an elastic cymbal. CONNECTION DEVICE A further object of the present invention is to provide a spinal rod having a disc-shaped elastic piece. 201212875, the purpose of which is to provide a spinal rod coupling device in which the coupling cup is self-joined. Another object of the present invention is to provide a spinal rod coupling device that utilizes a ball arc structure to form a universal joint. A further object of this month is to provide a ridge pusher attachment device having an elastic function. Still another object of the present invention is to provide an adjustable angle spinal rod coupling device. Still another object of the present invention is to provide a limited degree of control adjustment of the spinal rod coupling device. Another purpose of $ is to provide a spinal rod coupling device with dynamic function. Rods Another object of the present invention is to provide a coupling device having a cushioning function. The spinal rod connecting device of the present invention comprises: a first connecting rod' having at least one end thereof being a joint end, wherein the inner side and the outer side are substantially spherical arcs; and the first connecting rod of the buckle end has at least one end thereof The gentleman's mountain master y is. In the joint end, the joint end is substantially spherical arc near the inner side and the outer side of the joint; ^ near "^ gasket, wherein the gasket is used for placing in the Λ**, two adjacent connecting rods. The first link The cup body, the mouth end of the cup body 'bottom. At least part of the inner side of the bowl is substantially a ball-shaped fox. The cup body is substantially equal to the first---the arc curvature is slightly smaller than the joint end of the connecting rod near the rod end. For the purpose of knowing the truth, the ball arc of the pre-existing ball is used to match. The combination of the two ends of the joint of the Xuantu-linking rod is formed into a 201212875 universal joint with a perforation at the bottom of the cup. The rod end of the connecting rod is pierced from the inside of the connecting cup to the outside; and the second connecting cup body of the cup body, the cup end of the cup body has at least a part of the inner side of the bottom of the connecting mechanism The curved arc of the ball has a curvature slightly smaller than or substantially equal to the outer end (four) arc curvature of the joint end of the second joint link, and is used to form a curved arc on the outer side of the joint end of the second joint rod near the rod end. Universal joint, the bottom of the cup has a perforation for the second connecting rod
的桿端由該連結杯體内部穿出到外部，复φ /、r該第一連結杯 體之杯口端連結機構和該第二連結杯體之叙 件姐^杯口端連結機構 形成自體連結。 上述該等連結杯體之自體連結，其係利用第一連結杯 體之杯口端連結機構及第二連結杯體之杯口端連結機構相 互連結形成一完整杯體，以減少本脊椎桿件連結裝置的結 構複雜度，並減低脊椎桿件連結裝置所佔用的空間大小， 同時也進一步簡化了手術的複雜度。 • 上述該等連結杯體，其自體連結可為任意習知之連結 方式，如扣合連結、螺合連結、鎖合連結、卡合連結或節 點連結（請參照圖4c、4d)。 上述該等連結杯體，其穿孔形狀並無限制，但以圓孔 為較佳，其圓孔半徑略大於或等於該等連結桿的圓桿端半 徑，以略大於該等連結桿的圓桿端半徑為較佳，用以使該 等連結桿可在穿孔中萬向轉動，且可藉由該等穿孔的大小 限制該等連結桿轉動角度的大小。 上述該等連結桿，其可為兩端皆為結合端或僅一端為 201212875 結合端。其令該連結桿結合端内側可具右 圖2a)，該調整平面可為 了具有—調整平面（參見 鄰連結桿及墊片之間可藉由該調平面’讓兩相 桿之間可轉動的角度吏Ί 面來限制兩相鄰連結 J巧及’使兩相鄰連妗煜 不致於過大.而導致無法 ^ s的可轉動角度 影響該脊椎桿件連結裝置之功能。 、、，。構進而 上述該等連結桿，其與結合端可為 、 黃絮知夕处A 士』 體成形’或以任 其中，等：：：(例如卡合、螺合、鎖合等)結合成-體。 同習知脊椎固定桿，以圓桿狀為較佳。 -專連結桿結合端近桿端 體底部内側之球弧形成萬向結合，:“連結杯 杯體内可藉由彼此之門 。、，口干於忒連結 間的球弧面相對轉動，而達到詷举@ 相鄰連結桿之間的角度之目的（參見圖叫。達至]^兩 機構上桿，其結合端近桿端處的内側具有球弧 相鄰連結桿社人端=凹球弧機構或凸球弧機構。該等兩 弧機構… 處的内側球弧機構，其可為凸球 、r弧機構（參見圖6)、凹球弧機構對凸球弧機構 或凹球弧機構對凹球弧 凹球弧機構為較佳。（® 2a)1㈣_構對 t述㈣片’其為具有球弧結構之塾片，以配合第一 =桿及第二連結桿結合端近桿端處的内側之球 =相鄰連結桿可藉由具有球弧機構之塾片萬向轉動，進 :有達：調整兩相鄰連結桿之間的角度之目的及/或固定： 具有動態功能之目的(參見圖2b)。其中該塾片之球狐機 201212875 可為雙凸球弧機構、雙凹球弧機構（請參照圖6)或一凸一凹 球弧機構，以雙凸球弧機構為較佳（請參照圖3a)。 上述該墊片，其可為任意習知之墊片（如圖3a、3b)或 為-具有彈性功能之彈性塾片，以具有彈性功能之彈性塾 片為較佳。該彈性墊片裝置於兩相鄰連結桿之間，使兩相 鄰連結桿之間具有緩衝的功能，讓患者於術後活動時，兩 相鄰連結桿可藉由該彈性堅片減緩兩相鄰連結桿所承受之 衝力’而不是完全由健全之骨節承受所有麼力，這可能會 矚加速鄰近骨節的老化。 上述該彈性墊片可為以任意習知之具有生物相容性的 ㈣成之㈣w (如塑膠、PE、UHMwpE、聚 合物、橡膠或複合材料等）’或以任意習知之方式使該彈性 墊片具有彈性功能，如以彈片、碟狀彈片（請參照圖 或切溝方式（請參照圖3e)製成具有彈性功能之彈性墊片， 該彈片以金屬彈片為較佳。 • 1述該碟狀彈片，其可為任意形式之碟狀彈片，如— 體成型之碟狀彈片或由兩片彈片構成—兩片式碟狀彈片 (請參照圖3c)，該碟狀彈片中可進— 步加一彈性體以加強 其彈性功能（請參照圖3d)e其中該彈 坪旺體可由任意習知之 具有生物相容性的彈性體材料劁 竹取成（如塑膠、PE、 UHMWPE、聚合物、橡膠或複合材 何针寻）。其中該兩片式碟 狀彈片亦可以任意習知之連結方式連結，如螺合人了 鎖合或卡合等。 μ & 上述該碟狀彈片 可藉由碟片部分， 加以限制兩相鄰 11 201212875 連了杯可調整之角度（請參照圖2b) ’其中該碟狀彈片之碟 片可為一具有傾斜角度之碟狀彈片（請參照圖3b)，以利於 該蝶狀彈片與遠έ士日 Λ 逆杯之間之角度調整，使兩相鄰連結椁支 的角度不致於過大而無法復位或破壞該連結桿.碟狀彈 片連釔杯之間連結結構的問題，進而影響該脊椎桿件連鈐 裝置之功能。 ° 本脊椎桿件連結裝置可與任意習知之骨固定裝置連 玄月固定裝置用以將本脊椎桿件連結裝置的連結桿桿 身固定於該骨固定裝置之承接部（參見圖2a)，該骨固定裴 置可為習知的骨釘（其可為單轴骨釘mono-axial Screw或多 軸骨釘poly-axial screw)、類似骨固定裝置（例如骨鉤 等）、輔助骨固定裝置（例如側塊_side M〇ck等），或旋轉骨 釘（參見本發明人等另一台灣專利TW-99100438)，以骨釘 或旋轉骨釘為較佳。該骨固定裝置與連結桿的結合方式可 為習知固定桿和骨釘、骨鉤或侧塊等的固定方式，例如直 接螺合或卡合等。 上述骨固定裝置可與固定器連結，該固定器可為任意 習知之固定器，用以與骨固定裝置之承接部結合，其中古岁 結合方式可為任意習知之固定方式，如鎖合、卡合、螺人 專’以螺合為較佳。 上述該等連結桿固定於該骨固定裝置之承接部之固定 方式’其可為任意習知之固定方式，如螺合固定（傳統骨釘 與桿件之螺合連結）、鎖固固定或卡合固定等。 上述該骨固定裝置、連結桿、連結杯體、墊片或固定 12 201212875 器’其材質可選用任何被認可且適用之f科材料，如可植 入人體之金屬材料’例如鐵基材料不錄鋼316顧 (stainless steel316LVM)、鈦基材料 Ti—6Ai—4v、及鈷 鉻鉬合金等。 上述該等連結桿，其亦可進一步配置一連結套筒以連 結兩相鄰連結桿（請參照圖5)，並藉由連結套筒調整兩相鄰 連結桿之間的距離以配合不同脊椎間的間距。 零【實施方式】 圖1為本發明脊椎桿件連結裝i-較佳具體例分解示 意圖。第一連結桿310與第二連結桿32〇分別穿過第一連 杯體110與第一連結杯體120,並將彈性塾片2〇〇放置於 第一連結柃310與第二連結桿320之間，因第一連結桿31〇 與第二連結桿320之近桿端處外倒3 u、32丨大於第一連結 杯體110與第二連結杯體12〇之穿孔，因此第一連結桿31〇 • 與第二連結桿320將不會滑脫出連結杯體。第一連結杯體 110與第二連結杯體12〇藉由自體連結機構將第一連結桿 3 10、第二連結桿32〇及彈性墊片2〇〇包覆於該等連結杯體 之中，使第一連結桿3 10與第二連結桿32〇之結合端近桿 端處内側3 13、323的凹球弧機構（請參照圖5)可配合彈性 塾片200之球弧機構21 〇，使該等連結桿與彈性塾片2〇〇 間可相對轉動’以調整該等連結桿間之角度（請參照圖 2b) ’且進一步利用彈性墊片200之彈性，讓兩相鄰連結桿 之間具有緩衝的功能’使患者於術後活動時，兩相鄰連結 13 201212875 #可藉由彈性墊# _減緩^相鄰連結桿所 其中彈性塾片及/或連結杯體的穿孔⑴、12二。 :=兩相鄰連結桿可調整之角度，使兩相鄰連:桿 &不致於過大而導致無法復位或破壞該連結桿之 、，、。構’進㈣響料椎桿件連結裝置之功n 310的近桿端處外側311與 、口干 321 Ai，2r 連，、。柃320的近桿端處外侧 藉^結桿於連結杯體底部内側的球弧機構可 彼此之間的球弧面相對轉動，而達到調整兩相鄰連结 才干之間的角度之目的。 圖2a為本發明脊椎桿件連結裝置一較佳具體例剖面示 ::。連結杯體⑽包覆第一連結桿31〇、彈性塾片2〇〇 與第-連結桿320,使第一連結桿31〇與第二連結桿32〇 之結合端近桿端處内側313、323的凹球弧機構可配合彈性 墊片之球弧機構21〇,彼此之間可轉動，以調整連社 桿間之角度（請參照圖2b)。第—連結桿训與第二連結桿 320分別具有—調整平面312、功，讓連結桿與彈性塾片 細之間可藉由該調整平面來限制角度。固定器500將連 結桿桿身固定於承接部420十。 圖2b為圖2a連結桿轉動示意圖。 圖3a、3b、3c、3d、化分別為本發明脊椎固定系統之 連結裝置5種彈性墊片的較佳具體例示意圖。圖3a顯示： 彈性墊片2〇〇之球弧機構210用以與結合桿之近桿端處内 側球弧機構接觸（請參照圖2a)，利用球弧機構21〇的球弧 曲面，使彈性塾片200與連結桿達到調整角度之功能，且 14 201212875 進1藉由碟片部220加以限制連結桿可調整之角度，讓 連結彳干並不是無限度的調整肖 M ή ❹角度’以確保兩相鄰連結桿之 間的角度不至於過大而無法復 社 進而影響該脊椎桿件連 —匕°圖3b顯不：碟片部22〇具有一傾斜角度， 用以限制兩相鄰連結桿之角度。圖化顯示：彈性塾片· 由第一彈片230與第二彈片24〇結合而成，其中第一彈片 230與第二彈片24〇利用扣人方， 扣口方式加以連結。圖3d顯示： 彈性塾片_由第一彈片23〇與第二彈片24〇組合而成， 其中第—彈片230與第二彈片請之間放置—彈性體跡 利用兩相鄰連結桿與連結杯體將上述第一彈片23〇第一 彈片㈣與彈性請放置於兩相鄰連結桿間。圖“顯示: 彈性墊片具有溝槽_，該溝槽⑽使彈性塾片綱 具有彈性功能。 圖&、413、4(^4(1為本發明脊椎桿件連結裝置4種連 結杯體的較佳具體例示意圖。圖4a顯示:第一連結杯體"〇 與第二連結杯體120間以螺合方式連結 連結杯體no與第二連結杯請間以卡合方=結第圖 4c顯示：連結杯冑100藉由雙節點連结13〇由側面包覆連 結桿與彈性墊片200’並以卡合方式固定。圖㈣示：連 結杯體⑽藉由單節點連結14〇由側面包覆連結桿與彈性 塾片200’並以卡合方式固定。 圖5為本發明脊椎桿件連結裝置之多段式連結桿的較 佳具體例示意圖。第一連結# 31〇肖套筒36〇之間以螺合 方式連結，並藉以調整長度，其令第二桿件32〇與套筒 15 201212875 之連結類同第一連結桿310與套筒360。第—連結桿31〇 的近桿端處内側313與第二連結桿32〇的近桿端處内側 為凹球弧機構，使連結桿於連結杯體内可藉由連結桿的凹 球弧機構與彈性W 相對轉動，而達到調整兩相鄰連 結桿之間的角度之目的。 圖6為本發明脊椎桿件連結裝置之多段式連結桿的另 一較佳具體例示意圖。第一連結桿31〇與套筒36〇之間以 螺合方式連結’並藉以調整長度’其中第二桿件32〇與套 筒350之連結類同第一連結# 31〇與套筒36〇。第一連結 桿3H)的近桿端處内側313與第二連結桿32〇的近桿料 内側323為凸球弧機構，使連結桿於連結杯體内可藉由連 結桿的凸球弧機構與雙凹彈性墊"〇〇的球弧面相對轉 動，而達到調整兩相鄰連結桿之間的角度之目的。 圖7為本發明脊椎桿件連έ士奘罟 干什埂、、〇褒置組裝於骨節的一較佳 具體例示意圖。本發明裝置於眷 衣直於會椎月卽，彈性墊片200放 置於兩相鄰連結桿之間，用The rod end is pierced from the inside of the connecting cup body to the outside, and the cup end connection mechanism of the first connecting cup body and the second connecting cup body are formed by the cup end connection mechanism of the second connecting cup body Body connection. The self-linking of the connecting cups is connected to each other by a cup end connection mechanism of the first connecting cup and a cup end connecting mechanism of the second connecting cup to form a complete cup to reduce the spinal rod The structural complexity of the connecting device reduces the amount of space occupied by the spinal rod connecting device and further simplifies the complexity of the operation. • The self-linking of the above-mentioned connecting cups may be any conventional joining method such as a snap-fit connection, a screw-on connection, a lock connection, a snap connection or a node connection (please refer to Figures 4c and 4d). The shape of the perforation of the connecting cup body is not limited, but a round hole is preferred, and the radius of the round hole is slightly larger than or equal to the radius of the round rod end of the connecting rod, so as to be slightly larger than the round rod of the connecting rod. Preferably, the end radius is such that the connecting rods can rotate universally in the perforations, and the magnitude of the rotation angle of the connecting rods can be limited by the size of the perforations. The above connecting rods may be a combined end at both ends or only one end of the 201212875 joint end. The inner side of the connecting rod can be provided with the right side of the connecting rod 2a). The adjusting plane can have an adjusting plane (see that the connecting rod between the adjacent connecting rod and the spacer can be rotated between the two rods) The angle 吏Ί face limits the two adjacent joints and the 'two adjacent ligatures are not too large. The rotatable angle that cannot be used affects the function of the spinal rod connecting device. The above-mentioned connecting rods may be formed into a body with the joint end, or the body of the yellow flakes, or may be combined with a body, such as: (for example, snapping, screwing, locking, etc.). It is preferred to use a conventional rod-shaped rod to have a round rod shape. - A special joint rod is combined with a ball arc on the inner side of the bottom end of the end rod body to form a universal joint: "The cup cup body can be connected to each other by the door. The dry mouth of the ball is relatively rotated between the joints of the cymbal, and the angle between the squatting @ contiguous connecting rods is reached (see the figure. Up to reach) ^ the upper rod of the two mechanisms, the end of the joint near the end of the rod The inner side has a ball arc adjacent connecting rod body end = concave ball arc mechanism or convex ball arc mechanism. The inner ball arc mechanism at the arc mechanism can be a convex ball, an r arc mechanism (see Fig. 6), a concave ball arc mechanism, a convex ball arc mechanism or a concave ball arc mechanism, preferably a concave ball arc concave arc mechanism. (® 2a) 1 (four) _ constitutive t (four) piece 'which is a cymbal with a ball arc structure to match the inner ball at the end of the first rod and the second connecting rod near the end of the rod = adjacent connecting rod The universal rotation of the cymbal with the ball arc mechanism can be carried out: the purpose of adjusting the angle between the two adjacent connecting rods and/or fixing: for the purpose of dynamic function (see Fig. 2b). The ball fox machine 201212875 can be a double convex ball arc mechanism, a double concave ball arc mechanism (please refer to FIG. 6) or a convex and concave concave ball arc mechanism, and a double convex ball arc mechanism is preferred (please refer to FIG. 3a). The gasket may be any conventional gasket (as shown in FIGS. 3a and 3b) or an elastic diaphragm having an elastic function, and an elastic diaphragm having an elastic function is preferred. Between the adjacent connecting rods, the two adjacent connecting rods have a function of buffering between the two adjacent connecting rods, so that the patient is adjacent to each other after the postoperative activity The elastic rod can slow down the impact of the two adjacent connecting rods by the elastic plate instead of completely absorbing all the force from the sound joint, which may accelerate the aging of the adjacent joint. The elastic gasket can be Any of the conventional biocompatible (four) (4) w (such as plastic, PE, UHMwpE, polymer, rubber or composite materials, etc.) or in any conventional manner, the elastic gasket has an elastic function, such as a shrapnel, The disc-shaped elastic piece (please refer to the figure or the grooving method (please refer to FIG. 3e) to make an elastic gasket with elastic function, and the elastic piece is preferably a metal elastic piece. 1. The disc-shaped elastic piece can be any form. A disc-shaped shrapnel, such as a body-formed disc-shaped shrapnel or a two-piece shrapnel, is a two-piece disc-shaped shrapnel (see Figure 3c). The disc-shaped shrapnel can be further stepped with an elastomer to enhance its elastic function. (Please refer to Fig. 3d) e wherein the elastic body can be taken from any of the conventional biocompatible elastomeric materials (such as plastic, PE, UHMWPE, polymer, rubber or composite). The two-piece disc-shaped shrapnel can also be connected by any conventional connection method, such as screwing or locking. μ & The disc-shaped shrapnel can be used to restrict the two adjacent 11 by the disc portion. 201212875 has an adjustable angle of the cup (please refer to Fig. 2b). The disc of the disc-shaped shrapnel can have an inclined angle. The disc-shaped shrapnel (please refer to Figure 3b), in order to facilitate the angle adjustment between the butterfly shrapnel and the far-off gentleman's sun-baked cup, so that the angle of the two adjacent joints is not too large to reset or destroy the joint. The problem of the connection structure between the rod and the disc-shaped elastic piece and the cup, thereby affecting the function of the spinal rod device. The spinal rod connecting device can be coupled with any conventional bone fixing device to fix the connecting rod shaft of the spinal rod connecting device to the receiving portion of the bone fixing device (see FIG. 2a), The bone fixation device can be a conventional bone nail (which can be a mono-axial screw or a poly-axial screw), a bone-like fixation device (such as a bone hook, etc.), and an auxiliary bone fixation device ( For example, a side block _side M〇ck or the like, or a rotating bone nail (see another Taiwan patent TW-99100438 by the inventors), preferably a bone nail or a rotating nail. The manner in which the bone fixation device and the connecting rod are combined may be a fixed manner of a conventional fixing rod and a bone nail, a bone hook or a side block, such as direct screwing or snapping. The bone fixing device can be coupled to the fixing device, and the fixing device can be any conventional fixing device for combining with the receiving portion of the bone fixing device, wherein the ancient age bonding mode can be any conventional fixing manner, such as locking and carding. It is better to use the screw and the screw. The fixing manner of the connecting rods fixed to the receiving portion of the bone fixing device can be any conventional fixing manner, such as screwing and fixing (conventional bone nail and rod screwing), locking fixing or clamping Fixed, etc. The above-mentioned bone fixation device, connecting rod, connecting cup body, gasket or fixing 12 201212875's material can be selected from any approved and applicable f-materials, such as metal materials implantable in the human body, such as iron-based materials. Steel 316 (stainless steel316LVM), titanium-based material Ti-6Ai-4v, and cobalt-chromium-molybdenum alloy. The connecting rods may further be provided with a connecting sleeve for connecting two adjacent connecting rods (please refer to FIG. 5), and the distance between the two adjacent connecting rods is adjusted by the connecting sleeve to match the different intervertebral spaces. Pitch. [Embodiment] Fig. 1 is an exploded view of a preferred embodiment of a spinal rod connecting device i of the present invention. The first connecting rod 310 and the second connecting rod 32 穿过 pass through the first connecting cup 110 and the first connecting cup 120 respectively, and the elastic cymbal 2 〇〇 is placed on the first connecting 柃 310 and the second connecting rod 320 Between the first connecting rod 31 〇 and the second connecting rod 320, the proximal end of the second connecting rod 320 is inverted 3 u, 32 丨 larger than the first connecting cup body 110 and the second connecting cup body 12 ,, so the first link The rod 31〇 and the second connecting rod 320 will not slip out of the coupling cup. The first connecting cup body 110 and the second connecting cup body 12 〇〇 cover the first connecting rod 3 10 , the second connecting rod 32 〇 and the elastic spacer 2 〇 in the connecting cup body by a self-linking mechanism The concave arc mechanism (refer to FIG. 5) of the inner end 3 13 and 323 of the joint end of the first connecting rod 3 10 and the second connecting rod 32 可 can be matched with the ball arc mechanism 21 of the elastic cymbal 200 〇, the connecting rod and the elastic cymbal 2 可 can be relatively rotated 'to adjust the angle between the connecting rods (please refer to FIG. 2b)' and further utilize the elasticity of the elastic spacer 200 to make two adjacent links The function of buffering between the rods is to make the patient's postoperative activities, two adjacent links 13 201212875 # can be relied on by the elastic pad # _ ^ ^ the adjacent connecting rod of the elastic cymbal and / or the perforation of the connecting cup (1) 12 two. :=The angle between the two adjacent connecting rods can be adjusted so that the two adjacent links: the rod & are not too large to be able to reset or destroy the connecting rod. The outer side 311 of the proximal end of the work n 310 of the sacral rod connecting device is connected with the dry mouth 321 Ai, 2r. The ball-arc mechanism of the 柃320 near the rod end can be rotated relative to the ball arc surface of the bottom of the cup body to adjust the angle between the two adjacent joints. Fig. 2a is a cross-sectional view of a preferred embodiment of the spinal rod connecting device of the present invention. The connecting cup body (10) covers the first connecting rod 31〇, the elastic flap 2〇〇 and the first connecting rod 320, so that the joint end of the first connecting rod 31〇 and the second connecting rod 32〇 is near the inner side 313 of the rod end, The concave ball arc mechanism of 323 can be matched with the ball arc mechanism 21 of the elastic spacer, and can be rotated between each other to adjust the angle between the connecting rods (please refer to FIG. 2b). The first connecting rod and the second connecting rod 320 respectively have an adjusting plane 312 and a work, and the angle between the connecting rod and the elastic web can be limited by the adjusting plane. The holder 500 fixes the tie rod shaft to the receiving portion 420. Figure 2b is a schematic view showing the rotation of the connecting rod of Figure 2a. 3a, 3b, 3c, and 3d are schematic views showing a preferred embodiment of five kinds of elastic spacers of the connecting device of the spinal fixation system of the present invention. Figure 3a shows: the elastic spacer 2 ball arc mechanism 210 is used to contact the inner ball arc mechanism at the proximal end of the coupling rod (refer to Fig. 2a), and the ball arc surface of the ball arc mechanism 21 is used to make the elasticity The cymbal piece 200 and the connecting rod reach the function of adjusting the angle, and the 14 201212875 advances by the disc portion 220 to limit the angle at which the connecting rod can be adjusted, so that the joint splicing is not an infinite adjustment of the angle 以 ❹ ❹ angle to ensure The angle between the two adjacent connecting rods is not too large to be reconciled and thus affects the spinal rod member. 图° Figure 3b shows that the disc portion 22 has an inclined angle for limiting the two adjacent connecting rods. angle. The figure shows that the elastic piece is formed by combining the first elastic piece 230 and the second elastic piece 24, wherein the first elastic piece 230 and the second elastic piece 24 are connected by a buckled side and a buckle. Figure 3d shows: the elastic cymbal _ is formed by combining the first elastic piece 23 〇 with the second elastic piece 24 ,, wherein the first elastic piece 230 is placed between the second elastic piece and the second elastic piece, the elastic body track utilizes two adjacent connecting rods and the connecting cup The first elastic piece 23 〇 first elastic piece (four) and the elastic body are placed between the two adjacent connecting rods. The figure shows: the elastic spacer has a groove _, and the groove (10) makes the elastic cymbal skeleton have an elastic function. Fig. & 413, 4 (^4 (1 is a connecting body of the spinal rod connecting device of the present invention) A schematic diagram of a preferred embodiment is shown in Fig. 4a. The first connecting cup body "〇 and the second connecting cup body 120 are screwed together to connect the cup body no and the second connecting cup to be engaged with each other. Fig. 4c shows that the connecting cup 100 is covered by the side jointing rod and the elastic spacer 200' by a double-node joint 13 and is fixed by a snap fit. Figure (4) shows that the connecting cup body (10) is connected by a single node. The connecting rod and the elastic cymbal sheet 200' are covered by the side surface and fixed by the engaging manner. Fig. 5 is a schematic view showing a preferred embodiment of the multi-segment connecting rod of the spinal rod connecting device of the present invention. The first connecting #31〇肖 sleeve 36〇 is connected by screwing, and the length is adjusted, so that the connection between the second rod 32〇 and the sleeve 15201212875 is similar to the first connecting rod 310 and the sleeve 360. The first connecting rod 31〇 The inner side 313 of the rod end and the inner side of the second rod 32 〇 are concave spherical arc mechanism, so that the joint In the connecting cup body, the concave ball arc mechanism of the connecting rod can be rotated relative to the elastic W to achieve the purpose of adjusting the angle between the two adjacent connecting rods. FIG. 6 is a multi-stage connection of the spinal rod connecting device of the present invention. A schematic diagram of another preferred embodiment of the rod. The first connecting rod 31〇 and the sleeve 36〇 are screwed together and adjusted by the length, wherein the connection between the second rod 32〇 and the sleeve 350 is similar. a link #31〇 and a sleeve 36〇. The inner side 313 of the first connecting rod 3H) and the inner side 323 of the second connecting rod 32〇 are a convex arc mechanism, so that the connecting rod is connected to the cup The purpose of adjusting the angle between two adjacent connecting rods can be achieved by rotating the convex arc mechanism of the connecting rod and the curved surface of the double concave elastic pad. A schematic diagram of a preferred embodiment of a gentleman's sputum, and a sputum assembly of the sac. The device of the present invention is placed between the two adjacent connecting rods. ,use
1用以調整兩相鄰連結桿之角度Q 圖8為圖7另一視角示意圖。 【圖式簡單說明】 較佳具體例分解示 較佳具體例剖面示 圖1為本發明脊椎桿件連結裝置一 意圖。 圖2a為本發明脊椎桿件連結簌置一 意圖。 圖2b為圖2a連結桿轉動示意圖。 16 201212875 圖3a、3b、3c、3d、3e分別為本發明脊椎固定系統之 連結裝置5種彈性墊片的較佳具體例示意圖。 圖4a、4b、4c、4d為本發明脊椎桿件連結裝置4種連 結杯體的較佳具體例示意圖。 置之多段式連結桿的較 圖5為本發明脊椎桿件連結裝 佳具體例示意圖。 圖6為本發明脊椎桿件連結裝置之 一較佳具體例示意圖。 Λ連，.σ柃的：1 is used to adjust the angle of two adjacent connecting rods. FIG. 8 is another perspective view of FIG. 7. BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a schematic view of a spinal rod connecting device of the present invention. Fig. 2a is an illustration of the spinal rod connecting device of the present invention. Figure 2b is a schematic view showing the rotation of the connecting rod of Figure 2a. 16 201212875 Figures 3a, 3b, 3c, 3d, and 3e are schematic views showing a preferred embodiment of five kinds of elastic spacers of the connecting device of the spinal fixation system of the present invention. 4a, 4b, 4c, and 4d are schematic views showing a preferred embodiment of four types of connecting cups of the spinal rod connecting device of the present invention. Fig. 5 is a schematic view showing a specific example of the connection of the spinal rod member of the present invention. Fig. 6 is a schematic view showing a preferred embodiment of the spinal rod connecting device of the present invention. Qilian, .σ柃:
圖7為本發明脊椎桿件連 具體例示意圖。 衣於月郎的一較^ 圖8為圖7另-視角示意圖。 【主要元件符號說明】 100 連結杯體 110第一連結杯體 Φ ill 穿孔 120第二連結杯體 121 穿孔 130雙節點連結 140單節點連結 200 彈性墊片 210球弧機構 220碟片部 230 第一彈片 17 201212875 240 第二彈片 250 彈性體 260 溝槽 310 第一連結桿 311 近桿端處外側 312 調整平面 313 近桿端處内側 320 第二連結桿 321 近桿端處外側 322 調整平面 313 近桿端處内側 330 第三連結桿 350 套筒 360 套筒 410 螺釘部 420 承接部 500 固定器 610 骨節 620 骨節 630 骨節 700 雙凹彈性墊片Fig. 7 is a schematic view showing a specific example of a spinal rod member according to the present invention. A comparison of clothing in Yuelang is shown in Fig. 8. [Description of main component symbols] 100 connection cup body 110 first connection cup body Φ ill perforation 120 second connection cup body 121 perforation 130 double-node connection 140 single-node connection 200 elastic spacer 210 ball arc mechanism 220 disc portion 230 first Shrapnel 17 201212875 240 Second shrapnel 250 Elastomer 260 Groove 310 First connecting rod 311 Near rod end outer side 312 Adjustment plane 313 Near rod end inner side 320 Second connecting rod 321 Near rod end outer side 322 Adjustment plane 313 Near rod End inner side 330 third connecting rod 350 sleeve 360 sleeve 410 screw portion 420 receiving portion 500 holder 610 bone joint 620 bone joint 630 bone joint 700 double concave elastic gasket