CN102940517A - Medical cutting tool,its guide member,and cut bone sampling tool - Google Patents

Medical cutting tool,its guide member,and cut bone sampling tool Download PDF

Info

Publication number
CN102940517A
CN102940517A CN2012104475710A CN201210447571A CN102940517A CN 102940517 A CN102940517 A CN 102940517A CN 2012104475710 A CN2012104475710 A CN 2012104475710A CN 201210447571 A CN201210447571 A CN 201210447571A CN 102940517 A CN102940517 A CN 102940517A
Authority
CN
China
Prior art keywords
cutting
cutting element
bone
medical cutting
medical
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.)
Pending
Application number
CN2012104475710A
Other languages
Chinese (zh)
Inventor
若吉修似
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.)
WAKAYOSHI SEISAKUSHO CO Ltd
Original Assignee
WAKAYOSHI SEISAKUSHO CO 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 JP2007147507A external-priority patent/JP2008295901A/en
Priority claimed from JP2008001711A external-priority patent/JP5134379B2/en
Priority claimed from JP2008143798A external-priority patent/JP2009285358A/en
Application filed by WAKAYOSHI SEISAKUSHO CO Ltd filed Critical WAKAYOSHI SEISAKUSHO CO Ltd
Publication of CN102940517A publication Critical patent/CN102940517A/en
Pending legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0089Implanting tools or instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C3/00Dental tools or instruments
    • A61C3/02Tooth drilling or cutting instruments; Instruments acting like a sandblast machine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1635Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for grafts, harvesting or transplants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1662Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1673Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the jaw
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • A61C1/08Machine parts specially adapted for dentistry
    • A61C1/082Positioning or guiding, e.g. of drills
    • A61C1/084Positioning or guiding, e.g. of drills of implanting tools
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0003Not used, see subgroups
    • A61C8/0004Consolidating natural teeth

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Epidemiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Transplantation (AREA)
  • Dental Prosthetics (AREA)
  • Surgical Instruments (AREA)

Abstract

Intended is to provide a medical cutting tool, which can recover chips produced by the cutting action, thereby to form a hole for inserting an implant stably therethrough. The medical cutting tool comprises a supporting member (1) and a cutting member (2). This cutting member (2) has a cutting portion (21) formed at one end portion of a cylindrical body portion (20), and the cutting portion (21) has cutting edges (23) extended radially from the center axis of the body portion (20) toward the outer circumference. A center tip portion (24) is formed at the central portion, in which the cutting edges (23) are formed, and outer circumference tip portions (25) are formed at the outer circumference end portion. Between the cutting edges (23), inclined side faces (23b) and side faces (23a) of the adjoining cutting edges (23) are formed to intersect in valley shapes, in which inlet portions (26) are so individually formed in the valley-shaped portions as to communicate with the inside of the body portion (20).

Description

The bootstrap technique of medical cutting element, ways and medical cutting element
The application be that May 31, application number in 2008 are 200880000399.6 the applying date, denomination of invention divides an application for the patent application of " medical cutting element and ways thereof and the collection kit that cuts bone ".
Technical field
The medical cutting element that adopts when the spliced eye that the present invention relates in the surgical operations such as dentistry, oral surgery, plastic surgery to be formed for transplanting toward the bone perforation and the ways collection kit that cuts bone in addition.
Background technology
In the surgical operations such as dentistry, oral surgery, plastic surgery, the implants such as artificial tooth root, artificial joint, artificial bone-head, fractures instrument must be pegged graft exactly, thereby bore a hole, form spliced eye at the live body bone of human body in advance, in spliced eye, insert implant, position fixing.
As the medical cutting element that in this perforation, adopts, for example having narrated a kind of medical hollow in the patent documentation 1 bores, it is the discharge road that is formed through vertically the cutting swarf that produces along with cutting operation, be at certain intervals a plurality of cutting edges that the outermost perimembranous of direction of rotation are made as advancing angle of radial formation, form the guide surface of cutting swarf from the outermost perimembranous of cutting edge to discharge road direction.In addition, narrate a kind of the combination as the 1st brill, the conduct of shaping brill in the patent documentation 2 and cut the 2nd brill of brill and the boring device of the 3rd brill that the conduct lifting is bored, the function that the 1st drilling tool has is to stay one deck cortical bone in bottom, upper jaw hole, make accurately cylinder flat-bottom hole, the function that the 2nd drilling tool has is to remain on hole Bottomattached upper jaw hole mucosa to cut discoideus cortical bone, and the function that the 3rd drilling tool has is should to raise with upper jaw hole mucosa by discoideus cortical bone with the discoideus cortical bone butt in bottom, upper jaw hole.In addition, narrated a kind of perforation in the patent documentation 3 with boring, it is to be made of the tip end cutting of 2~4 swords on the spiral and rear end blade.
As perforating tool, for example adopt as described in the patent documentation 4 when the peristome of cylinder forms the parting tool that cuts off sword, the columnar hole of can boring a hole out exactly, but, need to remove the bone of the inside that cuts off, thereby, for example patent documentation 5 and 6 is described, proposition is pulverized the bone of inside and remove when bone cuts off, and the bone of pulverizing recycles the packing material in the hole along with device takes out together when implant is installed.
As the method for removing the bone that cuts off, for example narration in the patent documentation 7 will be inserted clava with the bone bolt that columnar cutter cuts off inner, utilize the screw cramping, reverse clava it is removed.
When utilizing cutting element to bore a hole, need to preset its cutting direction, use ways for this reason.For example, narrated a kind of ways in the patent documentation 8, it possesses the crown member on damaged that covers and be installed in human body, the pilot hole that the above-below direction perforation is set at crown member is used for apparatus for work is directed to the target punch position, has from the slit of pilot hole open above-below direction towards the side.In addition, patent documentation 9 has been narrated the implant that forms gathering sill and has been implanted guide in Fig. 8.
Patent documentation 1: JP 5-42810 communique
Patent documentation 2: specially permit communique No. 3706938
Patent documentation 3: Unexamined Patent 6-304187 communique
Patent documentation 4: open in fact clear 56-28308 communique
Patent documentation 5: Unexamined Patent 10-118085 communique
Patent documentation 6: special table 2003-526417 communique
Patent documentation 7: open in fact flat 1-82015 communique
Patent documentation 8: special permission 2006-341067 communique
Patent documentation 9: JP 2008-73440 communique
Employing will be removed and lose the ground product of the live body bone of the human body that produces along with cutting, thereby be difficult to such ground product is recycled during as the brill of patent documentation 2 and 3 described.The ground product that flows out when also considering to reclaim cutting but, might be infiltrated impurity during outflow, not as preferred.
In the patent documentation 1, the guiding of cutting swarf former state and the attraction that produce along with cutting to be arrived the discharge road, so that cutting swarf can not disperse towards periphery, but, owing to carrying out stock removal action with direction of rotation outermost perimembranous as advancing angle, thereby easily producing position deviation, very difficult efficient is cut well.In addition, the shape that central authorities heave is formed on the bottom, hole of boring a hole, and it is unstable that the implant of grafting easily becomes.
The hole bottom shape of this perforation is the shape of approximate as far as possible implant preferably, but, when adopting patent documentation 1 described brill shape, the peripheral part of bottom deepens, thereby, want implant is inserted into prescribed depth, must deeply cut peripheral part than its degree of depth, cut too much the live body bone.Thereby, correspondingly the damage of live body bone being become large, the regeneration of bone latens.Also be that middle body is cut deeply when adopting patent documentation 3 described brill shape, thereby, the problem that same existence must be cut the live body bone too much.
In addition, as described in the patent documentation 5, can recycle the bone of pulverizing and pulverize when removing the bone that cuts off, but, if pulverize inner bone when cutting off, the bone of pulverizing when then taking out can flow out a part, might waste the live body bone that can recycle.In addition, as described in patent documentation 7, when utilizing the screw cramping to reverse owing to not using bone stud portion cramping, thereby might the disconnection midway of bone bolt, can't remove from the bottom surface clean.
Ways as described in patent documentation 8 and 9, adopt and form along the vertical direction the groove of slit-shaped in order to guide cutting element, but, when with such groove during as spigot surface, can easily locate from laterally inserted cutting element, conversely, in the perforation action, exist cutting element and easily in groove, swing, can't carry out the stable such shortcoming of perforation action.
Summary of the invention
For this reason, the object of the present invention is to provide medical cutting element and the ways collection kit that cuts bone in addition, can form recyclablely along with perforation action and the cutting object that produces and the hole section of the implant of can stably pegging graft, can easily fix the go forward side by side perforation action of line stabilization of medical cutting element simultaneously.
Medical cutting element of the present invention, end in tubular body section arranges cutting portion, and stock removal action is carried out in rotation centered by the central shaft of this main part, described medical cutting element is characterised in that, described cutting portion comprises: a plurality of cutting blades, it is radiated entends setting and central side from described central shaft towards periphery and links to each other and arrange, and covers the open-ended of described main part and form; Central tip section, its core at described cutting blade is outstanding laterally along described central shaft; A plurality of importing oral areas, its opening between described cutting blade forms and cutting object is imported to the inside of described main part.Also have, it is characterized in that, form along the outstanding periphery point of the direction of described central shaft at the outer circumferential side of described cutting blade.Also have, it is characterized in that, described cutting blade intersects and forms blade tip along a side of described central shaft and with respect to the another side of described inclined.Also have, it is characterized in that, the taking-up member that will take out from the cutting object of described importing oral area importing is housed in the inside of described main part.
The collection kit that cuts bone of the present invention is used for collecting the bone of the bone parting tool excision of adopting tubulose, it is characterized in that, comprising: the insertion member of tubulose, and it has the shape in the cut-out trace that can insert described bone parting tool; Supporting member, it can support described insertion member removably along central axis direction, and is provided with the bar-shaped screw thread fixed part that extends setting in the inside of described insertion member along central shaft.Also have, it is characterized in that, described insertion member and described supporting member screw togather.Also have, it is characterized in that, described screw thread fixed part is set its front end for than the opening of described insertion member more in the inner part.Also have, it is characterized in that, described screw thread fixed part becomes pointed mode with its front end and forms taper.
The ways of medical cutting element of the present invention, described medical cutting element the leading section side cutting portion is set and centered by central shaft rotation carry out stock removal action, the ways of described medical cutting element is characterised in that, comprise: main part, it forms and can be installed in operative site; Guide part, it is formed through the external diameter that has with the outer peripheral face of described medical cutting element along the vertical direction on described main part identical or than the spigot surface of its slightly large internal diameter, and along the cutting direction described medical cutting element that leads; The slit slot part, it cuts away described guide part along the vertical direction, the width that formation is narrower than the internal diameter of described guide part, the width setup of described slit slot part becomes than the external diameter of the outer peripheral face of described medical cutting element is narrow that to form the width of narrow wide insertion section than a part of cutting away this outer peripheral face wide, described insertion section is inserted in the described slit slot part, thus with respect to described guide part from the described medical cutting element of transverse splicing.Also have, it is characterized in that, described guide part forms by cylindrical structural member is fixed on the described main part, and described cylindrical structural member has the slit corresponding with described slit slot part.
Other medical cutting elements of the present invention, can be plugged in the guide part of above-mentioned ways, described medical cutting element is characterized in that, in at least a portion zone of outer peripheral face, external diameter is set for the internal diameter of described spigot surface roughly the same or slightly less than it, and has a part of cutting away outer peripheral face form narrow wide insertion section in this zone.
The invention effect
Medical cutting element of the present invention, has formation as above, thereby be covered with the open-ended a plurality of cutting blades of radial formation that are of tubular body section, with the continuous setting of the core of a plurality of cutting blades, the central tip section that formation is outstanding along central shaft to foreign side, therefore, if centered by central shaft rotating main body section, the a plurality of cutting blade parts that are the radiated entends setting just rotate centered by central tip section, can carry out the stable stock removal action towards central axis direction.
In addition, between a plurality of cutting blades, form a plurality of importing oral areas that cutting object imported tubulose main part inside, therefore accommodated in main part inside by the cutting object former state of cutting blade cutting.Thereby the cutting object that is accumulated in main part inside after stock removal action can being finished reclaims and recycles, and cutting object can be able to not flowed out ground and really reclaim.
In addition, the cutting blade forms to central shaft to outstanding periphery point at its outer circumferential side, thus can be in the stock removal action process direction center point and periphery point, carry out more stable stock removal action.And, because central part and peripheral part cut highlightedly, the shape of the approximate implant in the bottom surface of the hole section of boring a hole along with stock removal action thus, if cut until central tip section reaches prescribed depth, the degree of depth of implant of can pegging graft of just can boring a hole.Thereby, need not cut too much the live body bone, can suppress the damage to the live body bone.In addition, owing to can be finish-machined to the hole section of approximate implant shape, the implant of therefore pegging graft and the gap smaller between the section of hole can be accelerated bone to implant regeneration on every side.
In addition, the cutting blade is to intersect and form blade tip along a side of central shaft and with respect to the another side of inclined, even therefore also can keep enough intensity when covering open-ended formation cutting blade.And, the part that the another side of one side of 1 cutting blade and the cutting blade that is adjacent intersects forms the paddy shape, partly form the importing oral area at its paddy shape, therefore make the cutting object of the live body bone that cuts at blade tip import to swimmingly the importing oral area along with the rotation of main part, can positively carry out the recovery of cutting object with the spinning movement of main body action with being consistent.
In addition, the taking-up member that will take out from importing cutting object that oral area imports is housed in tubular body section inside, the cutting object that thus can efficient will be accumulated in along with stock removal action well main part inside takes out.
The collection kit that cuts bone of the present invention, has formation as above, thereby comprise that tubulose inserts member, it is the shape that has in the cut-out trace that can insert the bone parting tool, supporting member, it is to supporting removably the insertion member along central shaft, be arranged on simultaneously and insert component inside extends setting along central shaft bar-shaped screw thread fixed part, if therefore one side is inserted member toward the tubular bone parting tool that adopts leading section to form sawtooth in the cut-out trace that the live body bone forms, a rotating support member, then the internal whorl fixed part screws in the live body bone, if extract supporting member at the state that screws in the screw thread fixed part, just can collect the whole former state of the bone of cut-out.And, owing to being simultaneously will insert in the member insertion cut-out trace simultaneously to screw in the screw thread fixed part, therefore the screw thread fixed part can not deviate from from the bone of cut-out, can positively screw in the inside bone into cut-out, fore-end bone at the screw thread fixed part when extracting supporting member separates, collect, thereby can reliably collect the bone integral body of cut-out to the drains.
Thereby after bone was collected, the spliced eye of the implant that forms on the bone can be worked into the degree of depth when cutting off neatly.In addition, from supporting member along central shaft to the insertion member of dismantling, the bone integral body that makes the screw thread fixed part screw in inner cut-out is exposed, if from the bone of the cut-out screw thread fixed part of dismantling, do not flow out to the outside when the bone after then collecting can be as pulverizing, can obtain simply cut-out bone.In addition, the bone of collection can not pulverized like this, and keeps the former state state of live body bone to collect, and therefore can obtain with the former state state tissue of bone surface and inside etc., can be according to the position separate processes of bone yet.
In addition, screw togather and install as long as will insert member and supporting member, just can be along central shaft to installing simply removably, in addition, when one side rotating support member simultaneously operates, also can not make and insert member and carry out stable operation with deviating from.
In addition, as long as set the front end of screw thread fixed part than the inner side of opening who inserts member, just can under the state in the cut-out trace of the opening insertion bone parting tool that inserts member the front end of spiral fixed part be contacted with bone, can insert rotating support member under the state of insertion of member in the screw-in position of more positively setting screw thread fixed part front end by the insertion of inserting member and direction, can screw in fixed part with the steady statue that can not break away from from the bone of cut-out.
In addition, as long as the screw thread fixed part is formed taper, so that become the shape of its front end point, just can screw in swimmingly inside bone, also can not destroy bone ground when from bone, pulling down the screw thread fixed part and easily pull down.
The ways of medical cutting element of the present invention, has aforesaid formation, its setting of the width of slit slot part is narrower and wider than cutting the width that this outer peripheral face part is the insertion section that forms in a narrow margin than medical cutting element outer peripheral face external diameter, thereby can easily medical cutting element be plugged into guide part, also can operating stably when the rotary hospital cutting element is bored a hole action simultaneously.
Namely, when medical cutting element is plugged into guide part, if the insertion section of medical cutting element is laterally inserted corresponding to the slit slot part, then because the width setup of the Width insertion section of slit slot part gets wide, therefore can make the insertion section simply by the slit slot part, can easily medical cutting element be installed to guide part.
In addition, when using cutting element to be plugged into state rotary hospital in the guide part, because the width setup of slit slot part must be narrower than the external diameter of the outer peripheral face of medical cutting element, thereby prevented that really medical cutting element is from guide part flies out the slit groove in spinning movement.Thereby medical cutting element rotates in guide part with stable state, medical cutting element can be directed on the predefined cutting direction.
In addition, as guide part, be that the cylindrical structural member that will have the slit corresponding with the slit slot part is fixed on the main part and uses, thus, can adopt the material that spinning movement is smooth, mar proof is high at cylindrical structural member, to allow to be rotated swimmingly action.And, as long as be shaped exactly in advance processing and being fixed on the main part of cylindrical structural member, just can improve the precision of guide part inner peripheral surface, can set accurately the cutting direction of medical cutting element.
In addition, when making ways, as long as the cylindrical structural member of preshaped processing is fixed, form guide part and get final product, the situation that forms guide part with direct processing main part is compared, easily the high ways of the accuracy of manufacture.
Description of drawings
Fig. 1 is the exploded perspective view relevant with medical cutting element of the present invention.
Front view and A-A cutaway view that Fig. 2 is the side view relevant with cutting member, see from central axis direction.
Fig. 3 is the axonometric chart that expression is fixed on cutting member the state on the supporting member.
Fig. 4 be with in order to the key diagram that the stock removal action of live body bone perforation is relevant.
Fig. 5 is the axonometric chart of the supporting member relevant with variation.
Fig. 6 is the key diagram relevant with the stock removal action of variation.
Fig. 7 is the key diagram relevant with the stock removal action of other variation.
Fig. 8 is the exploded perspective view relevant with the collection kit that cuts bone of the present invention.
Fig. 9 is the cutaway view relevant with embodiment shown in Figure 8.
Figure 10 is the local amplification view of Fig. 9.
Figure 11 is the axonometric chart of the state installed on the driving head of expression.
Figure 12 is the axonometric chart relevant with the bone parting tool.
Figure 13 is the key diagram that expression utilizes the cutting-off process that the bone parting tool carries out.
Figure 14 is the key diagram that expression utilizes the collection process that the collection kit that cuts bone carries out.
Figure 15 is the stereoscopic figure relevant with the ways of medical cutting element of the present invention.
Figure 16 is the axonometric chart relevant with cylindrical structural member.
Figure 17 is the top view relevant with guide part.
Figure 18 is the axonometric chart relevant with cutting element.
Figure 19 is front view and the side view relevant with cutting element.
Figure 20 is the key diagram relevant with the manufacturing process of ways.
Figure 21 is the key diagram relevant with the manufacturing process of ways.
Figure 22 is the key diagram relevant with the manufacturing process of ways.
Figure 23 is the key diagram relevant with the manufacturing process of ways.
Figure 24 is the key diagram relevant with the manufacturing process of ways.
Figure 25 is the key diagram relevant with the process of grafting cutting element in ways.
Figure 26 is the key diagram relevant with the process of grafting cutting element in ways.
Figure 27 is the key diagram relevant with the process of grafting cutting element in ways.
Figure 28 is the cutaway view relevant with the state that is plugged with the insertion section in cylindrical structural member.
Among the figure, 1-supporting member, 10-main part, 2-cutting member, the 20-main part, the 21-cutting portion, 23-cuts blade, 24-central tip section, 25-periphery point, 26-imports oral area, and 3-takes out member, 30-main part, the 30a-groove, 4-takes out member, 41-main part, 43-intercommunicating pore, the 5-supporting member, 50-screw thread fixed part, 51-installation portion, 52-screw part, the 53-flange portion, 6-inserts member, 60-main part, the 61-installation portion, 62-peristome, 80-main part, the 81-guide part, 82-slit slot part, 83-cylindrical structural member, the 84-slit, 90-cutting element, 91-supporting member, the 92-cutting member, 94-cutting portion, 98-insertion section.
The specific embodiment
Below, describe in detail about embodiments of the present invention.Also have, below the embodiment of explanation is to implement best concrete example of the present invention, does not therefore carry out technical various restriction, but, does not limit the meaning of the present invention as long as particularly point out in the following description, and the present invention just is not limited to these modes.
Fig. 1 is the exploded perspective view relevant with medical cutting element of the present invention.Medical cutting element possesses supporting member 1 and cutting member 2.Supporting member 1 forms flange portion 11 and screw thread fixed part 12 in an end side of bar-shaped main part 10, forms clamping part 13 in the other end side.Cutting member 2 forms cutting portion 21 in an end of cylindrical body section 20, forms in the other end threaded portion 22 is installed.
Threaded portion 22 is installed forms thread groove at the inner peripheral surface of main part 20, so that screw togather with the screw thread fixed part 12 of supporting member 1.Then, screw togather threaded portion 22 is installed until with flange portion 11 butts so that cutting member 2 is fixed on the supporting member 1.
Clamping part 13 cuttings of supporting member 1 are that the thickness of stipulating is Flange-shaped Parts reservation end when forming, along the central shaft incision part of supporting member 1.And clamping part 13 is installed in not to be had on the illustrated driving head, and supporting member 1 relies on driving head rotary actuation centered by its central shaft.It is consistent that cutting member 2 is set central shaft mutual under the state that is installed on the supporting member 1 for.
Front view (Fig. 2 (b)) and A-A cutaway view (Fig. 2 (c)) that Fig. 2 is the side view (Fig. 2 (a)) relevant with cutting member 2, see from central axis direction.Cutting portion 21 possesses 3 cutting blades 23.Each formation of cutting blade 23 is to be the radiated entends setting from main part 20 central shaft O towards periphery, and continuous setting of central side that each cuts blade 23 is covered with the open-ended of main part 20.
Each cuts blade 23 is to be the radiated entends setting and the side 23a that forms along central shaft O and be the radiated entends setting and intersect and form blade tip 23c with respect to the side 23b that inclined forms towards periphery from central shaft O from the central shaft O of main part 20 towards periphery.
And the core 3 cutting blades 23 link to each other and arrange forms central tip section 24 highlightedly along central shaft O to foreign side.The blade tip 23c that blade 23 will cut in central tip section 24 converges concentrated, is taper and forms pointed shape.In addition, in the outer circumferential side end of 3 cutting blades 23, blade tip 23c forms periphery point 25 highlightedly to foreign side on central shaft O direction, and each blade tip 23c that cuts blade 23 is processed into both ends to the outstanding curved shape of foreign side.Central tip section 24 sets for slightly more outstanding to foreign side than periphery point 25.
Each cuts between the blade 23, and the side 23a of the side 23b of inclination and the cutting blade 23 of adjacency intersects to form the paddy shape, forms respectively with main part 20 internal communication ground in the part that forms the paddy shape and imports oral area 26.
Fig. 3 is the axonometric chart that expression is fixed on cutting member 2 state on the supporting member 1.On supporting member 1, cutting member 2 is installed, supporting member 1 is rotated centered by central shaft, thereby on cutting portion 21, cutting blade 23 rotate centered by central tip section 24, therefrom apex of the heart end 24 is the blade tip 23c rotation of the cutting blade 23 of radiated entends setting, carries out stock removal action.
Fig. 4 be with in order to the key diagram that the stock removal action of live body bone perforation is relevant.At first, the meat part M on surface that covers the perforation of bone parts B is removed, expose bone parts B, make the surperficial butt of the central tip section 24 of cutting portion 21 and periphery point 25 and the bone parts B that exposes.Then, apply power along the direction of central shaft, make the front end of central tip section 24 and the periphery point 25 bone parts B that nips, with stable state positioning cutting member 2 (Fig. 4 (a)).
Behind bone parts B positioning cutting member 2, rotary actuation supporting member 1, rotary cutting member 2 centered by central shaft.Then, if with respect to cutting member 2 along the central axis direction application of force, then therefrom the blade tip 23c that forms to periphery point 25 of apex of the heart end 24 simultaneously rotates one side and contacts with the surface sliding of bone parts B, carries out stock removal action.At that time, central tip section 24 is projected into foreign side, bites into all the time among the bone parts B, can not produce position deviation, can carry out stable stock removal action.In addition, owing to being that one side is rotated blade tip 23c with periphery point 25 to the outstanding one side of foreign side, carry out stock removal action, thereby cutting portion 21 can not rock, can bore a hole along central axis direction exactly.
And, be directed into the paddy shape part of cutting between the blade 23 by the cutting object G of the bone parts that cuts blade 23 pulverizing, import to main part 20 inside from importing oral area 26.At that time pulverized cutting object G after being cut soon just by former state import to the inside of main part 20, reclaim (Fig. 4 (b)) thereby can not can sneak into the ground such as impurity.
If carrying out stock removal action after the degree of depth of regulation, rising cutting member 2, the H of circular port section (Fig. 4 (c)) with cutting member 2 roughly the same diameters then bores a hole out.Although the bottom surface of the H of hole section is depression based on the central tip section 24 of cutting portion 21 and periphery point 25 and slightly a bit, form and cutting member 2 orthogonality of center shaft plane.Thereby shown in Fig. 4 (d), in the implant I patchhole H of section when, gap smaller between the two can be with stable state location implant I.In addition, because the gap between implant I and the bone parts B is little, thereby Zhi More is carried out in the regeneration that can carry out as soon as possible bone.And, owing to can utilize stock removal action only to bore a hole in the necessary part of the grafting of implant, thereby the damage to the live body bone can be suppressed to irreducible minimum.
In the example described above, be provided with 3 cutting blades, but, as long as form a plurality of cutting blades, be not defined in 3.In addition, the shape of cutting blade can change the shape of above-mentioned cutting blade as required so long as form the shape of paddy shape part get final product between the cutting blade of adjacency.
Fig. 5 is the axonometric chart that is illustrated in the variation that the taking-up member that takes out in order to the cutting object in the main part 20 that will be recovered to cutting member 2 is set on the supporting member 1.In the example shown in Fig. 5 (a), at the core of screw thread fixed part 12 the fixing member 3 that takes out is installed.In addition, in other examples shown in Fig. 5 (b), at the core of screw thread fixed part 12 the fixing member 14 that takes out is installed.
Take out member 3 and form spiral groove 30a in the periphery of the diameter cylindrical body portion 30 slightly less than cutting member 2 inner peripheral surfaces.The inner face of the surface of the leading section 31 of main part 30 and the cutting portion 21 of cutting member 2 forms coniform with being consistent.And spiral groove 30a is formed into the surface of leading section 31, and it is set for when the inner face butt of leading section 31 and cutting portion 21, and the importing oral area 26 of groove 30a and cutting portion 21 is opposed.
Fig. 6 is the key diagram when the supporting member 1 installation cutting member 2 shown in Fig. 5 (a) carries out stock removal action.Stock removal action and action illustrated in fig. 4 are same, and therefore the description thereof will be omitted.If fixing the supporting member 1 installation cutting member 2 that takes out member 3, then form to take out the inner peripheral surface state of butt almost very close to each other of outer peripheral face and cutting member 2 of the main part 30 of member 3, the state (Fig. 6 (a)) that also connect airtight with the inner face of cutting portion 21 on the surface of the leading section 31 of formation taking-up member 3.
Then, if rotating support member 1 carries out stock removal action, then cutting object is recycled to cutting member 2 inside from importing oral area 26, and but, the cutting object G that is recovered is directed into (Fig. 6 (b)) among the groove 30a.Thereby along with the propelling of stock removal action, cutting object is extruded among the spiral helicine groove 30a successively, constantly accumulates.
Stock removal action is pulled down cutting member 2 from supporting member 1 after finishing, and the cutting object G former state that then is accumulated in the groove 30a keeps, can be neatly from the cutting member 2 inner cutting object G (Fig. 6 (c)) that take out.
Taking-up member 4 shown in Fig. 5 (b) is the main parts 41 at the leading section fixed disc shape of slender rod shaped installation portion 40.Installation portion 40 is erect along central shaft at the central part of screw thread fixed part 12 and is arranged.Main part 41 forms than the slightly little diameter of cutting member 2 inner peripheral surfaces, the leading section in the central part fixed installation section 40 of its bottom surface.The inner face of the surface of the leading section 42 of main part 41 and the cutting portion 21 of cutting member 2 forms coniform with being consistent.And, wear a plurality of intercommunicating pores 43 at main part 41 perforation leading sections 42 and bottom surface.
Fig. 7 is the key diagram when the supporting member 1 installation cutting member 2 shown in Fig. 5 (b) carries out stock removal action.Stock removal action and action illustrated in fig. 4 are same, and therefore the description thereof will be omitted.If fixing the supporting member 1 installation cutting member 2 that takes out member 4, then form to take out the inner peripheral surface state of butt almost very close to each other of outer peripheral face and cutting member 2 of the main part 41 of member 4, the state (Fig. 6 (a)) that also connect airtight with the inner face of cutting portion 21 on the surface of the leading section 42 of formation taking-up member 4.And, to install toward supporting member 1 under the state of cutting member 2, the intercommunicating pore 43 that forms on the main part 41 is positioned in the importing oral area 26 opposed positions with cutting portion 21, and both become connected state.
Then, if rotating support member 1 carries out stock removal action, then cutting object is directed into and imports oral area 26, is recycled to cutting member 2 inside (Fig. 7 (b)) by intercommunicating pore 43.Thereby along with the propelling of stock removal action, cutting object G constantly accumulates down above main part 41.
Stock removal action is pulled down cutting member 2 from supporting member 1 after finishing, and the cutting object G former state that then is accumulated in main part 41 tops is raised, can be neatly from the cutting member 2 inner cutting object G (Fig. 7 (c)) that take out.
Fig. 8 is the exploded perspective view relevant with the collection kit that cuts bone of the present invention.The collection kit that cuts bone possesses supporting member 5 and inserts member 6.
Supporting member 5 is the clavas that form flange portion 53 in substantial middle section, flange portion 53 outstanding settings in the form of annular discs, and a part of cutting away outer peripheral face forms pair of planar shape clamping part 53a.And in a side of flange portion 53, the screw part 52 that is formed with ridge across periphery forms screw thread fixed part 50.
Screw thread fixed part 50 is bar-shaped extension setting along the central shaft of supporting member 5, forms the spiral thread tooth at whole outer peripheral face.And the global shape of screw thread fixed part 50 forms taper with the shape that more forward end is sharper.
Opposite side in flange portion 53 forms toward the installation portion 51 that does not have illustrated driving head to install.Installation portion 51 forms cylindric along the central shaft of supporting member 5, is provided with the installation portion 51a that is fixed on the driving head at its leading section.
And supporting member 5 is made of stainless steel and other metal materials, and its global shape is integrally formed via machining etc.
Insert member 6 and possess the main part 60 cylindraceous of formation, be provided with the installation portion 61 that inner peripheral surface forms thread groove in an end of main part 60, be provided with peristome 62 in the other end.Can also indicate scale at the outer peripheral face of main part 60, the degree of depth that expression is inserted.
Installation portion 61 is cooperating with the screw part 52 of supporting member 5 and is being screwed into, and will insert thus member 6 can be installed on the supporting member 5 removably.In addition, cut away the part of installation portion 61 outer peripheral faces, form the clamping part 61a of pair of planar shape.When clamping part 61a pulls down when will inserting member 6 to be fastened on supporting member 5 or from supporting member 5, the clamping part 53a that forms on flange portion 53 is cooperating does not respectively have illustrated erecting tools mutually to reverse, thereby can easily carry out dismounting with inserting member 6 with supporting member 5.
Insert peristome 62 outer peripheral faces of member 6 towards interior side, form taper, so that easily carry out as described later toward the insertion of cutting off in the trace.
Insert member 6 and be made of stainless steel and other metal materials equally with supporting member 5, its global shape is integrally formed via machining etc.
In the time will inserting member 6 and install on the supporting member 5, insert to central axis direction from the front end of screw thread fixed part 50, installation portion 61 is fastened on the screw part 52, also be that the central axis direction to supporting member 5 moves when pulling down, pull down.
Fig. 9 is the cutaway view of having installed on supporting member 5 under the state that inserts member 6 along the central shaft of supporting member 5.The central shaft of the screw thread fixed part 50 of supporting member 5 is consistent with the central shaft of the main part 60 that inserts member 6, carries out rotary actuation on the handle part if installation portion 51 is installed in, and screw thread fixed part 50 and main part 60 are rotated centered by its rotating shaft T.And shown in the local amplification view of Figure 10, the 62 slightly inner side location with front end 50a ratio open section are set in being centered close on the rotating shaft T of the front end 50a of the point of screw thread fixed part 50 and peristome 62 for.
Also have, the shapes such as external diameter of the shape such as the external diameter of screw thread fixed part 50 and main part 60 can be according to forming implant with the bone parting tool model of spliced eye in order to perforation, prepares in advance multiplely, selects corresponding getting final product.
Axonometric chart when Figure 11 is the upper mounting support member 5 of the past handle part K of expression.The installation portion 51 of supporting member 5 is inserted among the installation portion J of handle part K, thereby can easily install.Then, hold handle part K and operate, thereby carry out for the operation of transplanting.
Figure 12 is the axonometric chart relevant with bone parting tool 7.Bone parting tool 7 arranges installation portion 71 in a side of cylindrical body section 70, and the cutting portion 72 of formation sawtooth is set at the leading section of opposite side.And, with the above-mentioned collection kit that cuts bone same on the driving head installation installation portion 71, be rotated driving, thus can be on bone the conglobate cut-out trace of shape.Such bone parting tool is called optical imaging.
Figure 13 is the key diagram that expression utilizes the cutting-off process that bone parting tool 7 carries out.If rotation bone parting tool 7 then makes main part 70 rotate as rotating shaft with its central shaft, circular cutting portion 72 is rotated (Figure 13 (a)) too take its center as center of rotation.Then, one side is rotated cutting portion 72 1 towards the object position extruding cutting portion of bone B, thereby cuts off (Figure 13 (b)).Outer peripheral face at main part 70 indicates the scale that the degree of depth is cut off in expression, and one side is confirmed its scale, and one side rotates to the necessary degree of depth with main part 70, and one side is pressed into down.After being cut to the necessary degree of depth, rising bone parting tool 7, the conglobate cut-out trace of shape C then, the bone B 1 of cut-out becomes the state (Figure 13 (c)) that is cylindric reservation.
Figure 14 is the key diagram that expression utilizes the process that the collection kit that cuts bone collects the bone B 1 of the cut-out that keeps.At first, the peristome 62 of the insertion member 6 of the collection kit that cuts bone inserted cut off among the trace C, carry out the position and align, make the make a spurt center (Figure 14 (a)) of circular surface of bone B 1 of cut-off parts of the front end 50a of at that time inner screw thread fixed part 50 during the location.
After the position aligns, the rotary actuation collection kit that cuts bone, thus screw thread fixed part 50 is screwed in the bone B 1 of cut-out and screws in.At that time owing to inserting that the main part 60 of member 6 is directed along bone B 1 periphery of cut-out, thereby, screw thread fixed part 50 can not screw in from the central shaft of the bone B 1 of cut-out (Figure 14 (b)) with departing from.When screw thread fixed part 50 screw-ins go down, become a kind of bone parts by the state towards the compressing of insertion member 6 inner peripheral surfaces, the bone B 1 of cut-out becomes crimping and remains on the state that inserts in the member 6.
One side is extracted the collection kit that cuts bone after confirming that the scale that indicates inserting member 6 outer peripheral faces, one side will insert member 6 and be inserted into the necessary degree of depth, separates thereby the bone B 1 of cut-out is being torn.The front end 50a that becomes at that time screw thread fixed part 50 is screwed into the state of bone B 1 bottom of cut-out, can all remove the bone B 1 of cut-out clean when therefore separating.Thereby the size that meets design that the bottom surface does not have residue can be processed in the hole that forms after separating, and can carry out swimmingly the grafting (Figure 14 (c)) of implant.
Separation also keeps the collection kit that cuts bone of the bone B 1 of cut-out to pull down from driving head, utilizes the erecting tools rotation to insert member 6, and its screw part 52 from supporting member 5 is broken away from.Then, main part 60 is moved to central axis direction, can remain in the bone B 1 with cut-out thus to pull down under the state on the screw thread fixed part 50 and insert member 6 (Figure 14 (d)).
Pull down and insert after the member 6, under the state of the bone B 1 that keeps cut-out, rotating support member 5 one sides are pulled out screw thread fixed part 50 (Figure 14 (e)) from bone.The bone B 1 that so, can not make cut-out flows out to the outside and collect (Figure 14 (f)) under the state of live body bone.The packing material that the bone of collecting can be pulverized as the implant spliced eye uses, and the particle diameter of at that time can free setting pulverizing can be according to the meticulous correspondence of the state of implant.In addition, owing to can under former state state on the live body bone, collect, therefore can also simply the bone of collecting be separated according to the position and use.
As mentioned above, can simply the bone that cuts off be removed at short notice, and collect under the former state state, therefore can in the operation of various implants, effectively utilize widely the bone of collecting.
Figure 15 is the stereoscopic figure relevant with the ways of medical cutting element of the present invention.Ways uses in dental treatment, possesses the main part 80 that is contained in patient's denture, will carry out in order to the guide part 81 of the cutting element guiding cutting direction of the perforation operation of mounting implant and cuts away the side of guide part 81 and the slit slot part 82 of opening.
Main part 80 adopts the resin material of called optical imaging.As resin material, adopt such as ethylene chloride resin, vinyl acetate resin, mylar, ABS resin, acrylic resin, fluororesin, polyimide resin, acetaldehyde resin, Merlon etc.Consider and carry out the implant convenience in when operation, resin material is preferably transparent or translucent.
Thereby main part 80 carries out driving fit, curing shaping by the resin material that the flute profiles such as Gypsum Fibrosum that form at molding patient denture are coating molten condition.Thereby main part 80 following can be configured as the shape with the flute profile driving fit.Also have, tabular resin material under thermoplastic state, is pressed on the flute profile from the top, also can form thus the state of driving fit.
Thereby guide part 81 is embedded in and is fixed on formation in the main part 80 by cylindrical structural member 83 as shown in Figure 16.Cylindrical structural member 83 connects main part 80 along the vertical direction, and inner peripheral surface becomes the lead spigot surface of cutting direction of cutting element.On cylindrical structural member 83, cut away along the vertical direction with Rack, form slit 84.
Figure 17 is the top view relevant with guide part 81.The width d of slit 84 sets for narrower than the inside diameter D of the inner peripheral surface of cylindrical structural member 83.In addition, the inside diameter D of cylindrical structural member 83 set for be plugged on guide part 81 in the external diameter of outer peripheral face of cutting element identical or slightly larger than it so that the cutting element of pegging graft can not rock, stably be rotated action in guide part 81.And because the width d of slit 84 is narrower than inside diameter D, thereby cutting element can not depart from slit 84 in the spinning movement.
Cylindrical structural member 83 as described later, be pre-installed on the metal bar, this metal bar is placed in the hole of imbedding that is used for transplanting that wears on the flute profile, under metal bar is placed in state on the flute profile, utilize the resin material that forms main part 80 to coat flute profile, it is solidified, thereby can accurately locate along the cutting direction that is used for imbedding implant.
Material as cylindrical structural member 83 employings, preferably resin material or the metal material of high strength, mar proof, sliding properties excellence, in addition, consider that also cutting element is worn away and disperses to the outside in guide part 81 interior rotational action processes, select harmless material for well.For example, as resin material polyacetal resin preferably, as metal material titanium preferably.
The mode groove shape that slit slot part 82 arranges to the side extension with the slit 84 from cylindrical structural member 83 cuts away main part 80 and forms.The groove width of slit slot part 82 as shown in figure 17, set for identical or larger than it with the width of slit 84, if it is gradually wide that groove width is formed, the cutting element of then can easily pegging graft.
Figure 18 be be plugged on ways 1 in the relevant axonometric chart of cutting element 90, Figure 19 is front view (Figure 19 (a)) and the side view (Figure 19 (b)) of cutting element.Cutting element 90 possesses supporting member 91 and cutting member 92.Supporting member 91 forms bar-shaped, and the upper end forms in order to be installed in the clamping part 93 that does not have on the illustrated handle part.Cutting member 92 forms cylindric, and the bottom forms the cutting portion 94 of saw shape.
Outer peripheral face at cutting member 92 shows the scale 95 that is comprised of many lines, can confirm the penetration depth of cutting member 92 by scale 95.In addition, between the line of scale 95, wearing rectangular-shaped pair of openings section 96 with respect to axisymmetric position, center.Lower end side and peristome 96 at peristome 96 similarly wear another to peristome 97.Owing to forming these peristomes 96 and 97, thereby can take out the cutting object that in the perforation action of cutting element 90, stores in cutting member 92 inside.
Between peristome 97 and cutting portion 94, form insertion section 98.Is cutting away to the position of both sides same widths from central shaft insertion section 98, thereby be configured to the D outer diameter than cutting member 92 outer peripheral faces ' narrow width d '.The D outer diameter of cutting member 92 ' set for the inside diameter D of cylindrical structural member 83 roughly the samely or slightly less than it, the width d ' of insertion section 98 sets for slightly less than the width d of the slit 11 of cylindrical structural member 83.In addition, the length setting of insertion section 98 becomes slightly longer than the length of cylindrical structural member 83.
Figure 20~Figure 24 is the key diagram relevant with the manufacturing process of ways.Figure 20 is the axonometric chart relevant with patient's flute profile, forms denture 101 on base 100 tops of U word shape.Then, wear in advance at the position of imbedding implant and imbed hole 102.Imbedding hole 102 wears along the direction of imbedding according to the decisions such as radioscopic image that the corrective surgery position is taken.
Among Figure 21, insert metal bar 110 with cutting member 92 same diameter of cutting element imbedding in the hole 102 of wearing of patient's flute profile.Chimeric installation cylindrical structural member 83 on metal bar 110.The installation site of cylindrical structural member 83 is set as the height of regulation, so that cutting portion 94 does not contact with tooth meat when cutting element 90 is plugged in the cylindrical structural member 83.
Among Figure 22, under the state that is plugged with metal bar 110, coating whole denture with the resin material of melting and carrying out driving fit.At that time, bury the cylindrical structural member 83 that is installed on the metal bar 110 with resin material, with its driving fit, the partially-formed state for cut away corresponding with slit 84.So, resin material is solidified the main part 80 of the ways that is shaped.
Among Figure 23, pull down the main part 80 of curing from flute profile, from cylindrical structural member 83, extract metal bar 110, to be formed with the ways of guide part 81 thereby can be shaped.And the state that cylindrical structural member 83 keeps cooperating with metal bar 110 is fixed, thereby the inner peripheral surface of cylindrical structural member 83 is set for and made the direction of imbedding of its guiding implant is cutting direction.The part corresponding with slit 84 at guide part 81 forms slit-shaped slot 85.
Among Figure 24, reaming the resin material of below below cylindrical structural member 83, also is to begin to be terminal expansion shape from slit 84 to ream for groove 85, carries out the polish of guide part 81 and slit slot part 82.
By as above, making, thereby preshaped cylindrical structural member 83 can be imbedded on the cutting direction that direction is cutting element exactly location, shaping ways in implant.In addition, be configured as the shape that is consistent with patient's flute profile below the main part 80, therefore, can ways be installed with patient's denture driving fit ground during operation, it is not rocked in the spinning movement process of cutting element, with the operation of boring a hole of stable state.
In the above manufacturing process, be with the resin material of melting with cylindrical structural member solidify, fixing, but, also the resin material of melting can be docked temporary transient curing with flute profile, after forming main part, the part of stationary cylinder shape member is eliminated, will be combined with in the part that eliminates the metal bar location of cylindrical structural member, with between the bonding cylindrical structural member of resin material and main part of melting.Also the part of stationary cylinder shape member can be eliminated when adopting tabular resin material profiled body section, cylindrical structural member is adhesively fixed.
Figure 25~Figure 27 is the key diagram that is illustrated in the process of grafting cutting element 90 in the ways.Ways is contained on patient's denture as shown in figure 25, guide part 81 is accurately positioned in the operative site of implant.After having settled ways, as shown in figure 26, will handle part K laterally the importing along slit slot part 82 from guide part 81 of cutting element 90 be installed.At that time, with in the insertion section 98 opposed insertion slit slot parts 82 that form on the cutting member 92 of cutting element 90.Figure 28 (a) is the cutaway view that is illustrated in the state of the insertion section 98 of having pegged graft in the cylindrical structural member 83 of guide part 81.Because the width of the Width slit 84 of insertion section 98 is slightly smaller, thereby can only from insertion section 98 cutting element 90 be plugged into the cylindrical structural member 83.
Then, after insertion section 98 had been installed on the cylindrical structural member 83, if rotary cutting tool 90, then owing to stagger with slit 84 in insertion section 98, thereby cutting element 90 can not deviate from from slit 84, remains in the cylindrical structural member 83 with stable state.
If cutting element 90 is maintained in the cylindrical structural member 83, then be directed to cutting direction.Then, as shown in figure 27, rotary actuation cutting element 90, moves so that the hole of the toroidal of boring a hole out among the tooth meat M thereby cutting portion 94 is nipped.The degree of depth of utilizing the perforation action to generate, by the scale that shows on the check cutting member 22, thus the degree of depth of the regulation of can boring a hole exactly.
Figure 28 (b) is that the insertion section 98 of expression cutting member 92 is at the cutaway view of the state of the cylindrical structural member 83 interior rotations of guide part 81.Cutting member 92 is at cylindrical structural member 83 interior high speed rotating, thereby insertion section 98 can break away from from slit 84 hardly.And, it is slightly longer than the length of cylindrical structural member 83 that the length setting of insertion section 98 becomes, if therefore cutting member 92 is along with the perforation action is mobile downwards, then can make insertion section 98 from cylindrical structural member 83 to axially staggering, cutting member 92 can not break away from from cylindrical structural member 83, carries out stable spinning movement.
Thereby, can make cutting member 92 action of can not boring a hole with rocking, can be used for according to design forming the hole of imbedding of implant.
Industrial utilizability
Medical cutting element of the present invention can be suitable for when bone is bored a hole the spliced eye that is formed for transplanting in the surgical operations such as dentistry, oral surgery, plastic surgery.And, about the cutting objects such as bone ground product that produce along with stock removal action, also need not lose and can recycling.In addition, because can efficient reclaim well cutting object, so also can be with to the drains recycling of cutting object when the cutting element during as the retrofit precious metal material uses.

Claims (3)

1. the bootstrap technique of a medical cutting element, use ways will the leading section side cutting portion is set and centered by central shaft rotation carry out the medical cutting element location of stock removal action and guide to operative site, it is characterized in that,
Described ways comprises:
Main part, it forms and can be installed in operative site;
Guide part, it is formed through spigot surface along the vertical direction on described main part, and along the cutting direction described medical cutting element that leads;
The slit slot part, it cuts away described guide part along the vertical direction, forms the width narrower than the internal diameter of described guide part,
Insert in the described slit slot part insertion section of the described medical cutting element by will be narrower than the width of described slit slot part, thus with respect to described guide part from the described medical cutting element of transverse splicing, make described insertion section stagger from described slit slot part and set for roughly the same with the internal diameter of described spigot surface to the external diameter of the outer peripheral face of described medical cutting element or keep than its slightly little retaining part with described spigot surface, thereby described medical cutting element is positioned and guides.
2. ways, it is used for the bootstrap technique of medical cutting element claimed in claim 1.
3. medical cutting element, it is provided with described insertion section and the described retaining part that can use in the bootstrap technique of medical cutting element claimed in claim 1.
CN2012104475710A 2007-06-01 2008-05-31 Medical cutting tool,its guide member,and cut bone sampling tool Pending CN102940517A (en)

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
JP2007-147507 2007-06-01
JP2007147507A JP2008295901A (en) 2007-06-01 2007-06-01 Instrument for collecting excised bone
JP2008-001711 2008-01-08
JP2008001711A JP5134379B2 (en) 2008-01-08 2008-01-08 Medical cutting tool
JP2008143798A JP2009285358A (en) 2008-05-30 2008-05-30 Guide member for medical cutting tool, and medical cutting tool to be inserted to the same
JP2008-143798 2008-05-30

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
CN200880000399.6A Division CN101541254B (en) 2007-06-01 2008-05-31 Medical cutting tool

Publications (1)

Publication Number Publication Date
CN102940517A true CN102940517A (en) 2013-02-27

Family

ID=40093640

Family Applications (1)

Application Number Title Priority Date Filing Date
CN2012104475710A Pending CN102940517A (en) 2007-06-01 2008-05-31 Medical cutting tool,its guide member,and cut bone sampling tool

Country Status (3)

Country Link
KR (1) KR20100021954A (en)
CN (1) CN102940517A (en)
WO (1) WO2008149822A1 (en)

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111601569A (en) * 2017-12-22 2020-08-28 医乐世医疗技术皮诺公司 Dental implant simulation
US11007035B2 (en) 2017-03-16 2021-05-18 Viax Dental Technologies Llc System for preparing teeth for the placement of veneers
US11033356B2 (en) 2011-05-26 2021-06-15 Cyrus Tahmasebi Dental tool and guidance devices
CN113558791A (en) * 2017-02-07 2021-10-29 瑞普国际口腔种植科技公司 Drill type cutting tool for surgical operation
US11253961B2 (en) 2009-02-02 2022-02-22 Viax Dental Technologies Llc Method for restoring a tooth
US11813127B2 (en) 2009-02-02 2023-11-14 Viax Dental Technologies Llc Tooth restoration system
WO2024055527A1 (en) * 2022-09-13 2024-03-21 以诺康医疗科技 (苏州) 有限公司 Cutting part and transition part for ultrasonic scalpel, and ultrasonic scalpel

Families Citing this family (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102008020178A1 (en) * 2008-04-22 2009-11-05 Gebr. Brasseler Gmbh & Co. Kg Bone graft drill
JP5562963B2 (en) 2008-09-10 2014-07-30 ノベル バイオケア サーヴィシィズ アーゲー Apparatus and procedure for implanting dental implants
EP2196162B1 (en) * 2008-12-15 2016-10-12 Straumann Holding AG Drill guide
CH700105A2 (en) 2008-12-15 2010-06-15 Straumann Holding Ag Set of dental drills.
AU2015201878C1 (en) * 2009-02-02 2017-10-12 Viax Dental Technologies, LLC A dentist tool
JP4852183B2 (en) * 2009-09-01 2012-01-11 株式会社インプラントデント Implant device and implant device guide system
CA2724093A1 (en) 2009-12-17 2011-06-17 Straumann Holding Ag Dental tools for guided surgery
WO2012039017A1 (en) * 2010-09-21 2012-03-29 株式会社インプラントデント Surgical guide making tool and surgical guide making method
ES2386715B1 (en) * 2011-01-31 2013-07-08 Juan Carlos Sala Meseguer DEVICE FOR THE REALIZATION OF DENTAL IMPLANTS
KR101128730B1 (en) * 2011-02-17 2012-03-23 오스템임플란트 주식회사 Drill for dental surgery
KR101247516B1 (en) * 2011-05-16 2013-03-26 주식회사 네오바이오텍 Drill bit for collect bone and bone collector therefor
JP6104634B2 (en) * 2013-02-27 2017-03-29 京セラメディカル株式会社 Dental drill
KR101453714B1 (en) * 2013-04-25 2014-10-22 주식회사 림사이언스 Electrically controllable rotating and pressuring apparatus and method for controlling same
KR101512561B1 (en) * 2013-08-19 2015-04-15 연세대학교 원주산학협력단 A drill that arranges surface of the alveolar bone for immediate restoration in guided flapless implant surgery
CN113855176A (en) * 2016-02-15 2021-12-31 泰尔茂株式会社 Medical instrument
JP7148503B2 (en) 2016-09-27 2022-10-05 デントスプリー インプランツ ナムローゼ フェンノートシャップ Force Constrained or Shape Constrained Orientation of Surgical Templates for Guided Implant Dentistry
KR102176997B1 (en) * 2018-10-01 2020-11-10 가톨릭대학교 산학협력단 Medical bone peg unit capable of retrieving crushed bone fragments
WO2021095900A1 (en) * 2019-11-12 2021-05-20 가톨릭대학교 산학협력단 Medical bone peg unit capable of recovering crushed bone
KR102576600B1 (en) * 2022-05-27 2023-09-07 허채헌 Milling bur for implant and method for forming implant hole using the same

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS6024332Y2 (en) * 1979-08-11 1985-07-20 忠吉 馴松 maxillary perforator
JPH0159113U (en) * 1987-10-07 1989-04-13
JPH0314169Y2 (en) * 1987-11-21 1991-03-29
US5484437A (en) * 1988-06-13 1996-01-16 Michelson; Gary K. Apparatus and method of inserting spinal implants
ATE140144T1 (en) * 1992-06-17 1996-07-15 Philipp Rolf Kropf BONE PROCESSING TOOL
US7144414B2 (en) * 2000-06-27 2006-12-05 Smith & Nephew, Inc. Surgical procedures and instruments
JP2006341067A (en) * 2005-05-09 2006-12-21 Icat:Kk Guide material for medical application

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11253961B2 (en) 2009-02-02 2022-02-22 Viax Dental Technologies Llc Method for restoring a tooth
US11813127B2 (en) 2009-02-02 2023-11-14 Viax Dental Technologies Llc Tooth restoration system
US11865653B2 (en) 2009-02-02 2024-01-09 Viax Dental Technologies Llc Method for producing a dentist tool
US11033356B2 (en) 2011-05-26 2021-06-15 Cyrus Tahmasebi Dental tool and guidance devices
US11925517B2 (en) 2011-05-26 2024-03-12 Viax Dental Technologies Llc Dental tool and guidance devices
CN113558791A (en) * 2017-02-07 2021-10-29 瑞普国际口腔种植科技公司 Drill type cutting tool for surgical operation
CN113558791B (en) * 2017-02-07 2023-01-10 瑞普国际口腔种植科技公司 Drill type cutting tool for surgical operation
US11007035B2 (en) 2017-03-16 2021-05-18 Viax Dental Technologies Llc System for preparing teeth for the placement of veneers
CN111601569A (en) * 2017-12-22 2020-08-28 医乐世医疗技术皮诺公司 Dental implant simulation
WO2024055527A1 (en) * 2022-09-13 2024-03-21 以诺康医疗科技 (苏州) 有限公司 Cutting part and transition part for ultrasonic scalpel, and ultrasonic scalpel

Also Published As

Publication number Publication date
KR20100021954A (en) 2010-02-26
WO2008149822A1 (en) 2008-12-11

Similar Documents

Publication Publication Date Title
CN102940517A (en) Medical cutting tool,its guide member,and cut bone sampling tool
CN101541254B (en) Medical cutting tool
CN110325129B (en) Arthroscopic devices and methods
CN110325130B (en) Arthroscopic devices and methods
AU701424B2 (en) Hollow surgical cutter with apertured flutes
CA2101941C (en) Method for implanting a patellar prosthesis
CA2288768C (en) Multiple bladed surgical cutting device removably connected to a rotary drive element
EP2308409B1 (en) Drill for implant
US20060111724A1 (en) Bone harvesting drill bit for oral surgery
US4179810A (en) Device for milling slots in a jawbone for mounting an endossal device
CN101208046A (en) Medical double needle, bone puncturing needle and bone marrow collecting device
CN101836876A (en) Be used to extract the equipment of osteocomma
TWI745922B (en) Hollow-point condensing-compaction tool
RU2741718C2 (en) Surgical drill bit
CN109288553B (en) Medical bone perforator
CN112912019A (en) Arthroscopic devices and methods
US20110208192A1 (en) Surgical tool, especially for machining bones for insertion of a dental implant
JPH04502870A (en) Dental reamer that can follow curved tooth canals
CN110381877A (en) Surgical operation brill formula cutting element
JP2009160278A (en) Medical cutting tool
EP2387960B1 (en) Disposable cylindrical cutter
JP6104634B2 (en) Dental drill
JPH06125923A (en) Shaping tool for hole into which artificial root of tooth is embedded
EP1488745A1 (en) Osteotome Structure
WO2021229854A1 (en) Hollow drill for medical use

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
C02 Deemed withdrawal of patent application after publication (patent law 2001)
WD01 Invention patent application deemed withdrawn after publication

Application publication date: 20130227