JP7356086B2 - 改良された上顎の拡大装置および前方牽引装置 - Google Patents
改良された上顎の拡大装置および前方牽引装置 Download PDFInfo
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Classifications
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
- A61B17/8071—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones for the jaw
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
- A61C7/06—Extra-oral force transmitting means, i.e. means worn externally of the mouth and placing a member in the mouth under tension
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
- A61C7/10—Devices having means to apply outwardly directed force, e.g. expanders
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
- A61B17/66—Alignment, compression or distraction mechanisms
- A61B17/663—Alignment, compression or distraction mechanisms for jaw bones, e.g. subcutaneous distractors with external access
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8023—Variable length plates adjustable in both directions
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- A—HUMAN NECESSITIES
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8625—Shanks, i.e. parts contacting bone tissue
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- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0093—Features of implants not otherwise provided for
- A61C8/0096—Implants for use in orthodontic treatment
Description
本出願は、あらゆる目的のためにその全体が参照として引用される2018年6月15日に出願した米国仮出願(出願番号:62/685,801、アクセスコード:5437)、 2017年11月24日に出願した米国仮出願(出願番号:62/590,363、アクセスコード:3619)、2018年5月26日に出願した米国仮出願(出願番号:62/676,969、アクセスコード:1055)、 2018年7月17日 に出願した米国仮出願(出願番号:62/699,264、アクセスコード:7667)、 2018年8月29日 に出願した米国特許出願(出願番号:16/115,564、アクセスコード:6177)の優先権を主張する。
と呼ぶ)は、前後方向だけでなく横方向の上顎欠損の患者の治療に使用できる機器である。小児では、上顎弓を広げて永久歯の成長のための空間を作るため、又は上顎を広げて下歯と上顎歯がより良く合うようにするために、口蓋拡大装置が用いられてきた。場合によっては、治療として顎を気道の狭窄部まで拡張する。いくつかの既知の口蓋拡大装置は、調節可能なねじ付き機構(US5564920 Klapper参照)により架橋された歯(臼歯)支持固定手段(帯)により上顎弓を構成し、拡張する。
以下の詳細な説明に記載される他の利点、利益及び実施形態も本発明の範囲内であるので、上記は本発明を限定するものではない。
・ 従来技術の装置:臼歯バンドを介して歯に、4つの締め具を介して口蓋に連結された拡大装置の組立品であり、それぞれ口蓋にねじ付きで挿入されるように構成された単一のねじ付きの組で構成されている(バックグラウンドにて参照されるMoonの装置)
・ 実施例1:調節可能な整列器具150を一対の第1の本体100 a~bと6つの締め具111を介して口蓋に連結して用いる拡大装置の組立品であり、各締め具は2つの組のねじ付きを含み、1組のねじ付きが一対の第1の本体にねじ込み式に連結され、第2のねじ付きの組が口蓋にねじ込み式に連結される(図2 b参照)。
・ 実施例2:2つの本体120 a-b(図6 b参照)の一組と一対の第1の本体100 a-b及び6つの締め具111を介して口蓋に連結された調節可能な整列器具150を用いた拡大装置の組立品であり、各締め具は二組のねじ付き(図2 b参照)を含み、一対のねじ付きが一対の第1の本体にねじ込み式に結合され、第2のねじ付きの組が口蓋にねじ込み式に結合されている(図2 b参照)。
・ 先行技術の機器:98 MPa
・ 実施例1:84 MPa(従来技術と比較して締め具及び骨への応力が低減されている)。
・ 実施例2:50 MPa(従来技術と比較して締め具及び骨への応力が低減されている)。
以下のピーク口蓋伸長が認められた。
・ 先行技術の機器:0.479
・ 実施例1:0.426(従来技術と比較して口蓋縫合により均一な歪みを提供した)。
・ 実施例2:0.397(従来技術及び実施例1と比較して口蓋縫合により均一な歪みを提供した)。
Claims (10)
- 上顎拡大装置は以下のものから構成される:
(i)第1の開口部(101)と第2の開口部(102)を有する第1の本体(100 a-b又は2100 a-b)
(ii)第2の開口部にねじ付きでねじ込むように構成されている第1の締め具(110)
(iii)硬口蓋にねじ込むように構成され、第1開口部に挿入するように構成されている第2の締め具(111)
(iv)以下を含む調節可能な整列器具(150)
(a)第1の締め具を受け入れるように構成された第4の開口部(198)を有する第2の本体(151 a-b又は2151 a-b)
(b)第2の本体をお互いに近づけたり離したりするように構成されている調節機構(152又は172)、
前記上顎拡大装置は、固定整列器具(106)をさらに備え、第1の締め具を受けるように構成された第3の開口部(199)を有する。 - 請求項1の上顎拡大装置であって、第1の本体の各々は、第1の開口部の3つと第2の開口部のうちの2つを含み、第2の本体の各々は、第4の開口部の2つを含む、上顎拡大装置。
- 請求項1又は2において、固定整列器具の各々が、第3の開口部のうちの4つを含むことを特徴とする上顎拡大装置。
- 請求項1~3において、調節機構が、第2の本体を相対的に回転させて、第2の本体を互いに近づけたり離したりするように構成されていることを特徴とする上顎拡大装置。
- 第1の開口部が、第2の締め具の上端を受けるように、皿穴があけられている、請求項1~4のいずれかに記載の上顎拡大装置。
- 請求項1~5に記載の上顎拡大装置において、第2の締め具の上端がねじ込まれており、第1の開口部は第2の締め具のねじ付きの上端を受けるようにねじ込まれている、上顎拡大装置。
- 請求項1~6の上顎拡大装置であって、第2固定整列器具(2001)をさらに含み、第1の本体を受けるように構成された調整機能(2117)を含む、上顎拡大装置。
- 調節機構が伸縮スクリュー(172)を含む、請求項1~7のいずれかに記載の上顎拡大装置。
- 請求項1~8の上顎拡大装置において、前記一対の第1の本体が、器具(2002)の自由端を受け入れるための開口部(2197)を備える、又は第2の本体の各々が、器具(2002)の自由端を受け入れるための開口部(2197)を含む、上顎拡大装置。
- 請求項1~9において、上記調節機構は、一端にのみねじ付きを有する伸縮スクリュー(162)であることを特徴とする上顎拡大装置。
Applications Claiming Priority (11)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201762590363P | 2017-11-24 | 2017-11-24 | |
US62/590,363 | 2017-11-24 | ||
US201862676969P | 2018-05-26 | 2018-05-26 | |
US62/676,969 | 2018-05-26 | ||
US201862685801P | 2018-06-15 | 2018-06-15 | |
US62/685,801 | 2018-06-15 | ||
US201862699264P | 2018-07-17 | 2018-07-17 | |
US62/699,264 | 2018-07-17 | ||
US16/115,564 US10575926B2 (en) | 2017-11-24 | 2018-08-29 | Maxillary expander |
US16/115,564 | 2018-08-29 | ||
PCT/US2018/062403 WO2019104255A1 (en) | 2017-11-24 | 2018-11-24 | Improved maxillary expander and protraction device |
Publications (2)
Publication Number | Publication Date |
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JP2021508282A JP2021508282A (ja) | 2021-03-04 |
JP7356086B2 true JP7356086B2 (ja) | 2023-10-04 |
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JP2020546298A Active JP7356086B2 (ja) | 2017-11-24 | 2018-11-24 | 改良された上顎の拡大装置および前方牽引装置 |
Country Status (6)
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JP (1) | JP7356086B2 (ja) |
KR (1) | KR20200103004A (ja) |
CN (2) | CN115363789A (ja) |
AU (1) | AU2018371846A1 (ja) |
CA (1) | CA3159267A1 (ja) |
MX (1) | MX2020005546A (ja) |
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KR102276447B1 (ko) | 2019-11-11 | 2021-07-13 | 주식회사 바이오머테리얼즈코리아 | 교체형 악궁 확장 장치 |
CN114831754B (zh) * | 2022-03-30 | 2024-03-15 | 中国人民解放军联勤保障部队第九八0医院 | 可实现软组织瓣扩展的软组织刮治器及使用方法与应用 |
KR20230141284A (ko) | 2022-03-31 | 2023-10-10 | (주)오스테오닉 | 악궁 확장 장치 및 악궁 확장 시스템 |
CN114948288B (zh) * | 2022-05-17 | 2023-02-03 | 四川大学 | 用于辅助上颌骨骨性扩弓器种植支抗钉植入的导航装置 |
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JP2005204987A (ja) | 2004-01-23 | 2005-08-04 | Kumamoto Technology & Industry Foundation | 骨自動延長器 |
US20160270883A1 (en) | 2015-03-19 | 2016-09-22 | Joseph Yousefian | Dual expanding palatal distractor |
JP2017104417A (ja) | 2015-12-11 | 2017-06-15 | 国立大学法人 鹿児島大学 | 上顎拡大装置 |
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BE1013222A3 (nl) * | 2000-01-11 | 2001-11-06 | Mommaerts Maurice Yves | Apparaat voor intraorale distractieosteotomie ter verbreding van de bovenkaak. |
EP1120090A1 (en) * | 2000-01-17 | 2001-08-01 | P.J. Wolgen | Distraction device for maxillofacial surgery |
US7875033B2 (en) * | 2004-07-19 | 2011-01-25 | Synthes Usa, Llc | Bone distraction apparatus |
KR100641402B1 (ko) * | 2005-01-27 | 2006-10-31 | 경북대학교 산학협력단 | 골격에 직접 고정하여 상악골을 측방 확대하는 장치 |
US7780445B2 (en) * | 2005-05-16 | 2010-08-24 | Ahmet Ozlem Keles | Palatal expansion device and methods |
CN200970279Y (zh) * | 2006-11-23 | 2007-11-07 | 王林 | 动物口腔上颌扩弓器 |
US20090130620A1 (en) * | 2007-11-19 | 2009-05-21 | Mohamadreza Yazdi | Bone supported palatal expansion appliance |
AR075488A1 (es) * | 2009-12-11 | 2011-04-06 | Villalba Raul Horacio | Dispositivo odontologico para la correccion del micrognatismo transversal del maxilar superior en pacientes adultos y procedimiento para la construccion del dispositivo y una guia quirurgica |
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CN203153976U (zh) * | 2013-01-01 | 2013-08-28 | 吴建勇 | 可调一体式磁力扩弓矫治器 |
TR201309216A2 (tr) * | 2013-07-30 | 2015-02-23 | Metin Orhan | Tek uygulamada paralel ve açılı genişleme sağlayabilen damak/ çene genişletme apareyi. |
US9351810B2 (en) * | 2013-08-26 | 2016-05-31 | Won Moon | Maxillary skeletal expander using mini-screw |
KR20160133921A (ko) * | 2015-05-14 | 2016-11-23 | 오드리 정-선 윤 | 구개 확장장치 |
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2018
- 2018-11-24 JP JP2020546298A patent/JP7356086B2/ja active Active
- 2018-11-24 AU AU2018371846A patent/AU2018371846A1/en active Pending
- 2018-11-24 CN CN202210655273.4A patent/CN115363789A/zh active Pending
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- 2018-11-24 CN CN201880087707.7A patent/CN111655190B/zh active Active
- 2018-11-24 MX MX2020005546A patent/MX2020005546A/es unknown
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JP2005204987A (ja) | 2004-01-23 | 2005-08-04 | Kumamoto Technology & Industry Foundation | 骨自動延長器 |
US20160270883A1 (en) | 2015-03-19 | 2016-09-22 | Joseph Yousefian | Dual expanding palatal distractor |
JP2017104417A (ja) | 2015-12-11 | 2017-06-15 | 国立大学法人 鹿児島大学 | 上顎拡大装置 |
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MX2020005546A (es) | 2021-03-25 |
KR20200103004A (ko) | 2020-09-01 |
CA3159267A1 (en) | 2019-05-31 |
JP2021508282A (ja) | 2021-03-04 |
CN115363789A (zh) | 2022-11-22 |
CN111655190B (zh) | 2022-07-05 |
CN111655190A (zh) | 2020-09-11 |
AU2018371846A1 (en) | 2020-07-02 |
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