CA2070134C - Flexible-end irrigation probe - Google Patents

Flexible-end irrigation probe

Info

Publication number
CA2070134C
CA2070134C CA 2070134 CA2070134A CA2070134C CA 2070134 C CA2070134 C CA 2070134C CA 2070134 CA2070134 CA 2070134 CA 2070134 A CA2070134 A CA 2070134A CA 2070134 C CA2070134 C CA 2070134C
Authority
CA
Canada
Prior art keywords
hollow
probe device
flexible
tip
periodontal
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CA 2070134
Other languages
French (fr)
Inventor
Itai Bab
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Novadent Ltd
Original Assignee
Itai Bab
Novadent Ltd.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from IL9835591A external-priority patent/IL98355A/en
Priority claimed from US07/707,876 external-priority patent/US5127831A/en
Application filed by Itai Bab, Novadent Ltd. filed Critical Itai Bab
Application granted granted Critical
Publication of CA2070134C publication Critical patent/CA2070134C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Abstract

Abstract The present invention describes a hollow irrigation probe consisting of two parts: a rigid, straight or bent, metal or plastic arm with a proximal connection hub such as a luer lock or luer connection or threaded hub or other connection element; and a short, flexible, plastic distal end with a blunt tapered or round tip. Said flexible part is fixed to the arm by means such as chemical bonding, glue, welding or insert molding or plasma etching or mechanical lock. The probe lumen opens at the center of the tip or laterally at some distance from the tip. The probe according to the present invention constitutes the end of pumping devices reaching the patient's body engineered for the delivery of antibiotic/antiseptic or other physiologic and medically compatible solutions. These devices include different manual and automatic syringes, spray injectors and mechanically/electrically driven pump systems. Said flexible end part is designed for the atraumatic penetration into the gingival sulcus/periodontal pockets. The rigid arm enforces the flexible end into the space between the gum and tooth.
It is possible to design multiple arm shapes (and sizes) to facilitate accessibility to various teeth and tooth aspects.
The new probe according to said invention is designed for use by professional and nonprofessional personnel including patient self treatment.

Description

FLEXI~3LE-END IRRIGATION PRO~E

sack~round of the Invention The present invention xelates to a hollow periodontal irrigation probe device for the delivery of any antibiotic/antiseptic or other physiologic and medically compatible solutions into a periodontal pocket or the gingival sulcus.

Prior ~rt The periodontal pocket is a pathologic space formed between the soft gum tissue and tooth root as a result of the destruction of the tooth supporting alveolar bone and periodontal ligament. This space opens to the oral cavity and is populated by pathogenic bacterial species (M.A.
Listgarten, J. Periodontol. 47:1-18, 1976). These bacteria cause further destruction of the tooth attachment apparatus leading eventually to tooth loss. Thus, the aim of all curative and preventive periodontal treatments is to arrest the initiation and progression of tissue destruction by removal of the pathogenic flora. Removal of the pathogenic flora from the pockets cannot be achieved by conventional oral hygiene measures which have a limited subgingival effect (P. Kho, F.C. Smales, J.M. Hardie, J. C1in. Periodontol.
12:676-688, 1985). One approach to this problem, widely used over the last decades, has been surgical pocket elimination.

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This procedure is costly, often results in considerable pain and discomfort and in the lon~ run is characterized by a limited success rate. In mammals, particularly dogs and cats, where periodontal disease is the number one cause of tooth loss (B. Colomery 3d P. Frost, Vet. Clin. North Am.
Small Anim. Pract. 16:817-833, 1986) the treatment consists of periodical scaling of dental sulrus that involve general anaesthesia and incubation (S.M. Marretta, Semin. Yet. Med.
DSurg. Small Anim. 2:230-240, 1987). Recently, evidence that control of periodontal disease can be achieved without pocket elimination has been established (S.P. Ramfjord, J. Am. Dent.
Assoc. 114:37-40, 1987). One such nonsurgical approach is the local administration into the pocket of antibiotics and antiseptics alone or in combination with mechanical debridement of the pocket. The simplest technique for such administration is repeated subgingival irrigation using the respective solutions. This is done using a delivery device e~uipped with a conventional blunt, rigid, metà~ needle (L.L.
Soh, H.N. Newman, J.D. Strahan, J. Clin. Periodontol. 9:66-74, 1982; J.G.L. Khoo, H.N. Newman, J. Periodont. Res.
18:607-619, 1983). With this type of needle the device is operated effectively only by trained personnel. To avoid the risk of traumatizing the soft tissue pocket wall and epithelial attachment as well as the discomfort involved in tooth sensitivity resulting from the contact of the root with metal, the sel~-administered ~by the patient) use is limited to buccal aspects of single-rooted teeth which constitute relatively accessible sites ~L. Braatz, S. Garret, N.
Claffey, J. Egelberg, J. Clin. Periodontol. 12:630-638, 198~). This limitation on patient-administered irrigation of antibacterial solutions results from the needle rigidness and associated traumatizing potential as well as the use of only one form of bending. It is rather surprising that an atraumatic probe with a non metallic end of appropriate shapes and dimensions, is not yet known for the purpose of subgingival irrigation in men and small animals (mammals).

srief Descri~tion of the Invention The present invention relates to a hollow periodontal irrigation probe device for the delivery of any physiologic and/or medical solution into a periodontal pocket comprising a rigid arm with a proximal connection hub, and a short flexible plastic distal end with a blunt tapered or round tip wherein said flexible-end is fixed to the rigid arm and wherein the probe lumen opens at the center of the tip or Iaterally at some distance from the tip.

Detailed Descri~tion of the Invention The present invention describes a hollow irrigation probe consisting of two parts: (i) a rigid, straight or bent, '
2~7013~ ``

metal or plastic arm with a proximal connection hub such as a luer loc~ or luer connection or threaded hub or other connection eiement; ~ii) a short, flexible, plastic distAl end with a blunt tapered or round tip. Said flexible part is fixed to the arm by means such as chemical bonding, glue, welding, insert molding or plasma etching or a mechanical lock. The probe lumen opens at the center of the tip or laterally at some distance from the tip. The probe according to the present invention constitutes the end of pumping devices reaching the patient's body engineered for the delivery of antibiotic/antiseptic or other physiologic and medically compatible solutions. These devices include different manual and automatic syringes, spray injectors and mechanically/electrically driven pump systems. Said flexible-end part is designed for the atraumatic non sensitizing penetration into the gingival sulcus/periodontal pockets. The rigid arm enforces the flexible end into the space ~etween the gum and tooth. It is possible to design multiple arm shapes (and sizes) to facilitate accessibility to various teeth and tooth aspects. The new probe according to said invention is desi~ned for use by professional and nonprofessional personnel including patient self treatment.
The flexible-end periodontal irrigation probe is a hollow device consisting of a 20-1S0 mm long rigid arm and 2-8 mm long flexible distal end part. A connection part such as a luer lock or luer connection or threaded hub or other connection element constitutes the proximal arm end. The arm is straight or bent as illustrated in Figure 1. The arm is made of either metallic or a rigid plastic material. The distal end is made of flexible or semi-flexible nylon or polyethylene or copolymer or polypropylene or ~V~ or teflon or polyamide or any other suitable plastic material, with a degree of hardness of Shore A 55-10~. The proximal hub is made of stainless steel or aluminum or polypropylene or polyethylene or any other suitable plastic material. The arm inner diameter is 14-25 gauge. The flexible end external diameter is 18-27 gau~e. Depending on the combination o~
materials, fixation of the flexible end to the arm is achieved by insertion of an extended end tube through the arm and hub (using the arm as a sleeve) (figure 1) and immobilizing it by means such as arl adhesive, chemical bonding, plasma etching, welding, insert molding or mechanical lock. Alternatively, similar means can be used for the connection of the flexible end tube to the distal end of the arm, thus joining together the lumens of the rigid arm and flexible end. The short flexible plastic distal end can be replaced and the new flexible end can be fitted and inserted to the rigid arm and then fixed to the rigid arm by any conventional mechanical lock. The flexible end has a blunt, rounded or tapered, atraumatic tip. The lumen opens at the center of the tip or laterally as a single hole or as multiple holes 2-6 mm proximal to the tip. The hole tholes) is (are) round, "fish eye" or any other form. In instances of multiple holes they will open to different directions at different distances from the tip.
The present invention also relates to a method for treatment of a pathologic space formed between the soft gum tissue and tooth root (a periodontal pocket) by using the device according to the invention wherein the rigid arm enforces the flexible end into the space between the gum and tooth and wherein a pumping device such as a manual or automatic syringe delivers antibiotic/antiseptic or other physiologic and medically compatible solutions to the periodontal pocket through the device.

Brief DescriPtion of the Fiqures Figure 1 illustrates examples of flexible-end periodontal irrigation probes according to the present invention.
Figure la is a side view of the device with a straight probe.
Figure lb is a side view of the device with a bent probe.
Figure lc is a side view of an alternate device with a bent probe.
Figure 2 illustrates a longitudinal section of the flexible end.
Figure 3 illustrates a cross-section of the probe according to the invention at the point at which the flexible end is inserted to the rigid arm.

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Referring now to the figures, the device shown generally in Figure la comprises a short flexible plastic distal end 1 with a blunt tapered or round tip 2 which is fixed within a rigid metal or plastic arm 3 having a proximal connection hub 4 for cooperation with a pumping device (not shown) such as a manual or automatic syringe, a spray injector or a mechanically or electrically driven pump system.

Figure 2 illustrates a longitudinal part-section of the flexible end wherein the probe lumen opens laterally with a line of multiple holes 5, 5', 5" proximal to the blunt tip 6. The probe lumen may also open laterally as multiple holes in different directions at different distances from the tip.

Figure 3 illustrates a cross-section of the device according to the present invention at a point where the flexible end 1 is inserted into the rigid arm 3.

Claims (16)

The embodiments of the invention in which an exclusive property or privilege is claimed are defined as follows:
1. A hollow periodontal irrigation probe device for the delivery of any physiologic or medical solution into a periodontal pocket in mammals comprising a rigid arm with a proximal connection hub, and a short flexible plastic distal end with a blunt tapered or round tip wherein said flexible end is fixed to the rigid arm and wherein the probe lumen opens at the center of the tip or laterally at some distance from the tip.
2. A hollow periodontal irrigation probe device according to Claim 1 wherein a pumping device provides the physiologic or medical solution to the probe.
3. A hollow irrigation probe device according to Claim 1 wherein the rigid arm is straight or bent.
4. A hollow periodontal irrigation probe device according to Claim 1 wherein the rigid arm is formed of suitable metal or plastic.
5. A hollow irrigation probe device according to Claim 1 wherein the proximal hub is made of a material chosen from stainless steel, aluminum, or a plastic material, including but not limited to polypropylene or polyethylene.
6. A hollow periodontal irrigation probe device according to Claim 1 wherein the proximal connection hub includes a connection element.
7. A hollow periodontal irrigation probe device according to Claim 6 wherein the connection element is chosen from a luer lock, a luer connection, or a threaded attachment.
8. A hollow periodontal irrigation probe device according to Claim 1 wherein the short flexible distal end is attached to the rigid arm by a fixing means.
9. A hollow periodontal irrigation probe device according to Claim 8 wherein the fixing means is chosen from chemical bonding, glue, welding, insert molding, plasma etching, or a mechanical locking.
10. A hollow periodontal irrigation probe device according to Claim 1 wherein the short flexible distal end is attached to the rigid arm by a releasable fixing means, whereby the short flexible distal end can be removed and replaced.
11. A hollow periodontal irrigation probe device according to Claim 1 wherein the flexible plastic distal end includes a portion comprising a lining sleeve within the rigid arm.
12. A hollow periodontal irrigation probe device according to Claim 1 wherein the distal end is made of a suitable flexible or semi-flexible plastic material.
13. A hollow periodontal irrigation probe device according to Claim 12 wherein the plastic material is chosen from nylon, polyethylene, copolymer, polypropylene, polyvinyl chloride, teflon or polyamide.
14. A hollow periodontal irrigation probe device according to Claim 1 wherein the flexible end has a blunt, rounded or tapered atraumatic tip and wherein the lumen opens at the center of the tip.
15. A hollow periodontal irrigation probe device according to Claim 1 wherein the flexible end has a blunt, rounded or tapered atraumatic tip and wherein the lumen opens laterally as a single hole or multiple holes proximal to the tip.
16. A hollow periodontal irrigation probe device according to Claim 1 wherein the flexible end has a blunt, rounded or tapered atraumatic tip and wherein the lumen opens laterally as multiple holes in different directions at different distances from the tip.
CA 2070134 1991-06-03 1992-06-01 Flexible-end irrigation probe Expired - Fee Related CA2070134C (en)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
IL9835591A IL98355A (en) 1991-06-03 1991-06-03 Flexible-end irrigation probe
IL98355 1991-06-03
US07/707,876 US5127831A (en) 1991-06-03 1991-06-03 Flexible-end irrigation probe
US707,876 1991-06-03

Publications (1)

Publication Number Publication Date
CA2070134C true CA2070134C (en) 1995-01-03

Family

ID=26322275

Family Applications (1)

Application Number Title Priority Date Filing Date
CA 2070134 Expired - Fee Related CA2070134C (en) 1991-06-03 1992-06-01 Flexible-end irrigation probe

Country Status (1)

Country Link
CA (1) CA2070134C (en)

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