TR201617429A2 - A PROTECTED BONE CHisel - Google Patents

A PROTECTED BONE CHisel Download PDF

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Publication number
TR201617429A2
TR201617429A2 TR2016/17429A TR201617429A TR201617429A2 TR 201617429 A2 TR201617429 A2 TR 201617429A2 TR 2016/17429 A TR2016/17429 A TR 2016/17429A TR 201617429 A TR201617429 A TR 201617429A TR 201617429 A2 TR201617429 A2 TR 201617429A2
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TR
Turkey
Prior art keywords
chisel
bone
nose
guided
curved
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TR2016/17429A
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Turkish (tr)
Inventor
Özçeli̇k Necdet
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T C Istanbul Medipol Ueniversitesi
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Publication date
Application filed by T C Istanbul Medipol Ueniversitesi filed Critical T C Istanbul Medipol Ueniversitesi
Priority to TR2016/17429A priority Critical patent/TR201617429A2/en
Priority to PCT/TR2017/000128 priority patent/WO2018101895A2/en
Publication of TR201617429A2 publication Critical patent/TR201617429A2/en

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Classifications

    • 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
    • A61B17/1688Bone 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 sinus or nose
    • 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
    • A61B17/1604Chisels; Rongeurs; Punches; Stamps
    • 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
    • A61B17/1657Bone breaking devices
    • 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
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1785Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the sinus or nose

Abstract

Bu buluş ortopedi, plastik cerrahi, çene cerrahisi gibi alanlarda kemik konstrüksiyonu işlemlerinde fazla kemik dokusu olan burun kemerinin (hump) (H) bir rezeksiyon penceresi (4) içerisine alarak rehber kanal (3) içerisinde ilerleyen bir keski elmanı (7) ile istenilen miktar kadar kemik dokusunu en az hata ile tek parça halinde standart bir şekilde cilde zarar vermeden kesip koparılmasını sağlayan bir korumalı rehberli kemik keskisi (1) ile ilgilidir.The present invention provides the desired amount with a chisel element (7) running through a resection window (4) of the nose belt (H), which has excess bone tissue, in the areas of orthopedics, plastic surgery, and jaw surgery. as well as a protected guided bone chisel (1) which allows the bone tissue to be cut and severed in a single piece in a standard manner without damaging the skin.

Description

TARIFNAME KORUMALI REHBERLI BIR KEMIK KESKISI Teknik Alan Bu bulus özellikle kemik konstrüksiyonu gerektiren durumlarda fazla kemik ve dokunun kontrollü ve standart bir sekilde kesilerek uzaklastirilmasini saglayan bir kemik keskisi ile ilgilidir. Önceki Alan Günümüzde en çok kemik konstrüksiyonun gerektigi alanlardan biri olan estetik burun ameliyatlarinda; burun sirtindaki kemik ve kikirdaktan olusan kabariklik seklindeki burun kemerinin (hump) alinmasi için burun sirtindaki cildin kemik yapidan ayrilarak, burun sirtina degisik boyutlarda olan kemik keskileri (osteotomlar) ile kabarik olan kemik ve dokular alinmaktadir. Günümüz teknolojisinde; bu kemik yapi alinirken burun kökü ile burun kavisinin uyumlu bir devamlilik göstermesi operasyonun basarisini göstermektedir. Bununla birlikte burun sirti kemer yapisi estetik olarak kadin ve erkeklerde farklilik göstermekte oldugu için erkek ve kadina göre farkli kemik konstrüksiyonunun yapilmasi gerekmektedir. DESCRIPTION A PROTECTED GUIDED BONE CUT Technical Area This invention is especially useful in cases where bone construction is required. It is a method that allows the tissue to be removed by cutting in a controlled and standard way. It's about the bone cutter. Previous Field Aesthetics, which is one of the areas where bone construction is most needed today, in nose surgeries; a bump on the back of the nose consisting of bone and cartilage Bone bone of the skin on the back of the nose to remove the hump-shaped nasal bridge bone chisels of different sizes, separated from the structure and placed on the back of the nose Bone and tissues that are swollen with (osteotomes) are removed. Nowadays in technology; While this bone structure is being removed, a harmonious alignment of the nasal root and nasal arch is achieved. Its continuity shows the success of the operation. With this nasal ridge arch structure differs aesthetically between men and women. different bone construction according to men and women required.

Teknigin bilinen durumunda buruii sirti cildi altinda yer alan kemik ve bazen de hem kemik hem de kikirdak dokudan olusan “hump” (burun kemeri) ile burun ucunu olusturan kikirdaklara burun kanatlarinin küçültülmesi islemi de yapilmaktadir. Bununla birlikte burun ucunu kaldirmak ve diklestirrnek için kullanilan kikirdak greftleri ve gerekirse burun kemigine yanlardan yapilan kirma uygulamalari da (lateral osteotoini) yapilmaktadir, Bu konuda burun aiiatomisini en az bozan, burun desteginin en iyi sekillendirebilen yöntemler önemli olmaktadir. In the state of the art, the bone under the wrinkled back skin and sometimes nose with hump (nasal arch) consisting of both bone and cartilage tissue The process of reducing the wings of the nose to the cartilages that form the tip of the nose is also is being done. However, to lift and lift the tip of the nose cartilage grafts used and, if necessary, lateral breakage of the nasal bone applications (lateral osteotoin) are also performed. The least disruptive methods that can best shape the nasal support are important. is happening.

Bilinen uygulamalarda burun kemerini almak üzere kullanilan burun sirti keskileri degisik boyutlarda olabilmektedir. Cilt ile keinik arasinin açilarak keskinin burun sirtina, cildin altina yerlestirilmesi sonrasinda tamamen islemi yapanin el deneyimine bagli olarak keski çekiç darbeleri ile ilerletilir, burun kemeri kesilerek alinir. Bu operasyonun dezavantaji el deneyimiyle keskinin düsünülen kesim rotasindan sasarak derine gidebilmesi, fazla dokunun alinmasi veya yeterli miktarda burun kemerinin alinamamasidir. Yeterli kemik alinamadigi durumlarda farkli boyuttaki egeler ile fazla kemik veya doku törpülenerek burun kemigi istenilen sekle getirilmektedir. Fazla kemik doku alinmasi durumlarinda ise ameliyat sonunda burun sirti düsük kaldigi için kikirdak greftler kullanilarak burun sirtinin yükseltilmesi gerekmektedir. Islemi yapan uzmanin kullanacagi metoda deneyiinine ve birikimine bagli olarak karsilasilma sikligi degismekle birlikte tamamen cerrahi el becerisi, deneyime göre islemler yapilmasindan dolayi bu durumlarin olusma sikligi oldukça yüksektir. Burada kullanilan egeler titresimli, motorlu olabildigi gibi tamamen manuel egelerde olabilmektedir. Nasal ridge chisels used to remove the bridge of the nose in known applications may be of varying sizes. Sharpen the nose by opening the gap between the skin and the kein. After it is placed on the back, under the skin, the hand of the operator is completely Depending on the experience, the chisel is advanced with hammer blows, the bridge of the nose is cut off. is taken. The disadvantage of this operation is the cut, which is considered sharp by hand experience. it can go deep by deviating from its route, excess tissue is removed or not enough amount of nasal bridge can not be taken. In cases where sufficient bone cannot be obtained Nasal bone by rasping excess bone or tissue with different sized files is brought to the desired shape. In cases where excess bone tissue is taken, At the end of the surgery, cartilage grafts were used because the ridge of the nose remained low. the ridge of the nose should be elevated. To be used by the specialist performing the operation The frequency of encounter changes depending on the method, experience and experience. completely due to surgical dexterity, operations according to experience The incidence of these conditions is quite high. Items used here It can be vibrating, motorized as well as completely manual files.

Yeterli kemik dokusunun alinamamasi sonucu yapilan ege islemleri aineliyat sürecini uzatmakta ayni zamanda hastanin iyilesme sürecinin daha uzun ve agrili geçirmesine neden olmaktadir. Cerrahin burun kemigi üzerinde çalisma yogunluguna bagli olarak ödemin yatismasi zaman almaktadir. Bazi uygulamalarda ise burun sirti tek parça halinde çikartilamayarak parçalanmaktadir. Bu durum burun sirtinda düzensizliklere neden olmakla birlikte kullanilan keski kenarlarinin cildi penetre edebilmesi veya derine giderek fazla dokunun alinmasina da (rezeksiyon) sebep olabildigi görülmektedir. Bu durum rekonstrüksiyon ile fazladan alinan dokunun yerine doldurma islemi yapilarak ameliyat süresinin uzamasina ve hayati risklerin olusmasina sebep olabilmektedir. File operations performed as a result of insufficient bone tissue removal It also prolongs the patient's recovery process, making the patient's recovery process longer and more painful. causes it to pass. Surgery on the nasal bone of the surgeon Depending on its density, it takes time for the edema to subside. Some In applications, the back of the nose cannot be removed in one piece. is falling apart. Although this situation causes irregularities in the back of the nose, that the edges of the chisel used can penetrate the skin or go deeper It is seen that it can also cause tissue removal (resection). This situation by performing the filling process instead of the extra tissue taken with reconstruction It can prolong the duration of the operation and cause life-threatening risks.

Burun kemeri (hump) alindiktan sonra burun çatisi açik kalmaktadir. Bu açikligm kapatilarak tekrar burun sirti olusturulmasi için her iki yanda bulunan burun kemikleri lateral osteotomi ile burun kemikleri yüz iskeletinden serbestlestirilir. After the hump is removed, the nasal roof remains open. This is my clarification the nose on both sides to be closed and re-formed the ridge of the nose. The nasal bones are freed from the facial skeleton by lateral osteotomy.

Bu yöntem hafif kavisli bir kemik keskisi kullanilarak el yordami ile yan kemik duvarinin kirilmasidir. Lateral 0ste0tomi denilen yan burun kemiklerinin kirilmasi islemi el yordami ile, tecrübeye dayanarak yapilir. Bu islemin dezavantaji hastaya göre degisik sonuçlar vermekle birlikte bazen her iki burun duvarinda ayni sekilde uygulanamadigi için ameliyat sonrasinda burunda simetri bozukluklari ile karsilasilabilmektedir. This method is used to manually grope the lateral bone using a slightly curved bone cutter. is the breaking of the wall. Fracture of the lateral nasal bones called lateral osteotomy The process is done manually, based on experience. The disadvantage of this procedure is Although it gives different results according to Since it cannot be applied, there are symmetry disorders in the nose after the surgery. can be compared.

Yukarida bahsedilen olumsuzluklardan dolayi ve mevcut çözümlerin konu hakkindaki yetersizligi nedeniyle kemik konstrüksiyonu konusunda özellikle burun estetiginde standart bir burun estetigi, kontrollü kesim ve düsük hata-risk oranina sahip bir kemik-doku kesiminin yapilabilmesi için bir gelistirme ihtiyacinin gerekli oldugu görülmüstür. Due to the above-mentioned disadvantages and current solutions especially about bone construction due to the inadequacy of a standard rhinoplasty, controlled cut and low error-risk in rhinoplasty A development for making a bone-tissue section with a ratio has been found to be necessary.

Bulusun Kisa Açiklamasi Bu bulusun amaci, kemik konstrüksiyonu islemlerinde kemik dokunun istenilen miktar kadar minimum hata payi ile tek parça halinde standart bir sekilde kesilerek uzaklastirilmasmi saglayan bir kemik keskisi gerçeklestiimektir. Brief Description of the Invention The aim of this invention is to determine the desired bone tissue in bone construction processes. in a standard way in one piece with a minimum margin of error as much as the amount is to perform a bone chisel that allows it to be cut and removed.

Bulusun diger bir amaci kordon gövdesine sahip (egimli bir kesim yapilabilen) bir biçak sayesinde özellikle estetik cerrahide erkek ve kadin gruplarinin her tip burun sekline, kesilecek kemik dokunun formuna uygun, burun kökü ile uyumlu bir burun elde etmek üzere deneyimsel metotlar yerine standart bir islem haline getirilmesidir. It is another object of the invention to have a bead body (which can make an inclined cut) Thanks to the blade, especially in aesthetic surgery, men and women groups can use all types of noses. shape, suitable for the form of the bone tissue to be cut, and compatible with the nasal root. become a standard procedure instead of experiential methods to obtain a nose. is to be brought.

Bulusun bir diger amaci ortopedi, plastik cerrahi, çene cerrahisi gibi alanlarda limitli kemik kesimi (dokunun çikartilip alinmasi) düsünülen kemik yapilarda kemik formuna göre degisen boyutlarda tasarlanarak fazla kemik veya dokunun pratik kontrollü bir sekilde kesilebilmesi ve uzaklastirabilmesini saglayan bir kemik keskisi gerçeklestirmektir. Another aim of the invention is in fields such as orthopedics, plastic surgery, maxillofacial surgery. limited bone cut (removal and removal of tissue) is considered in bone structures Excess bone or tissue is designed in sizes that vary according to the bone form. It is a tool that allows it to be cut and removed in a practical controlled manner. performing a bone cutter.

Bulusun bir diger amaci lateral osteotomi yan burun kemiklerinin kesilmesi (burun çatisini kapatma) ile simetri bozuklugu olmadan burun çatisi duvarlarinin esit miktarda kesilerek kapatilabilinesini saglayan bir kemik keskisi gerçeklestirmektir. Another object of the invention is lateral osteotomy cutting of the lateral nasal bones. (closing the roof of the nose) and the walls of the roof of the nose without any symmetry disorder. a bone cutter that allows it to be cut evenly and closed is to perform.

Bulusun bir diger amaci, standart bir kemik kesim islemi ile operasyon süresini azaltarak hastanin saglik risklerini ortadan kaldirmak ve iyilesme sürecini kisaltmaktir. Another object of the invention is to reduce the operation time with a standard bone cutting procedure. to eliminate the health risks of the patient by reducing is to shorten.

Bulusun Detayli Açiklamasi Bu bulusun amacina ulasmak için gerçeklestirilen “Korumali Rehberli Bir Kemik Keskisi” ekli sekillerde gösterilmis olup, söz konusu sekiller; Sekil 1: Bulus konusu kemik keskisinin bir uygulamasinin üstten perspektif görünümüdür. Detailed Description of the Invention To achieve the purpose of this invention, a “Protected Guided Bone chisel” is shown in the attached figures and the said figures are; Figure 1: Top perspective of an embodiment of the inventive bone chisel is the view.

Sekil 2: Bulus konusu kemik keskisinin bir uygulamasinin burun kemeri rezeksiyon penceresi içine kilitlemis halde yandan görünümüdür. Figure 2: Nose arch of an embodiment of the inventive bone chisel side view with the resection window locked into it.

Sekil 3: Bulus konusu kemik keskisinin kavisli oldugu bir uygulamasinin perspektif görünümüdür. Figure 3: An embodiment of the inventive bone chisel in which it is curved. perspective view.

Sekil 4: Yan kemik keskisi perspektif görünümüdür. Figure 4: Side bone chisel perspective view.

Sekillerde yer alan parçalar tek tek numaralandirilmis olup, bu numaralarin karsiliklari asagida verilmistir. 1. Düz kemik keskisi 2. Gövde 2a. Gövde üst ucu 2b. Gövde alt ucu 3. Rehber kanal . Rezeksiyon penceresi . Tasima elamani 6. Koruyucu eleman 7. Keski elemani 8. Biçak 9. Cetvel . Kavisli gövde ll. Kordon 12. Kavisli gövde kolu K1. Kavisli kemik keskisi K2. Yan kemik keskisi H. Bumn kemeri B. Burun kökü Kemik konstrüksiyonunda kemik doku fazlaligi olan burun kemeri (H) istenilen miktar ve formda standart ve kontrollü bir sekilde tek parça halinde keserek koparan korumali rehberli kemik keski (1) en temel halinde; - içerisinde en az bir keski elemaninin (7) hareket ettigi en az bir gövde (2), - rehber kanalda (3) ilerleyerek burun kemerinin (H) kesimini saglayan en az bir keski elemani (7), - keski elemaninin (7) gövde (2) içerisindeki ileri hareketine rehberlik eden gövdenin (2) her iki tarafinda karsilikli bulunan en az iki rehber kanali (3), - burun kemeri (H) içerisindeki bosluga yerlestirerek kilitleyen gövde (2) üzerinde yer alan en az bir rezeksiyon penceresi (4), - keski elemaninin (7) uç kisminda burun kemerini (H) kesen en az bir biçak (8) içermektedir. The parts in the figures are numbered one by one. the responses are given below. 1. Flat bone chisel 2. Body 2 a. Body upper end 2b. Body lower end 3. Guide channel . resection window . transport staff 6. Protective element 7. Chisel element 8. Knife 9. Ruler . curved body ll. Cord 12. Curved stem arm K1. curved bone cutter K2. lateral bone cutter H. Bumn belt B. Nasal root Nasal arch with excess bone tissue in bone construction (H) in the desired quantity and form in one piece in a standard and controlled manner. guided bone chisel with shear protection (1) in its most basic form; - at least one body (2) in which at least one chisel element (7) moves, - the most suitable for cutting the nasal arch (H) by advancing in the guide channel (3). a small chisel element (7), - guiding the forward movement of the chisel element (7) in the body (2) at least two guide channels (3) located opposite each other on both sides of the body (2), - locking body (2) by placing it in the gap in the nose belt (H) at least one resection window (4) located on the - at least one blade cutting the nose bridge (H) at the tip of the chisel element (7) (8) includes.

Bulus, etraf dokulara zarar vermesini önleyecek sekilde burun tipi ve burun kemerinin (H) sekline göre degisen ölçülere sahip bir rezeksiyon penceresi (4), içerisine yerlestirilen keski elemaninin (7) rehber kanal (3) içerisinde ilerlemesi ile düzgün ve hassas bir sekilde kesimini saglamaktadir. Kemik konstrüksiyon isleminde kesilmesi istenen burun kemeri (H) miktari ve sekli belirlenir. Kesimi yapilacak burun kemerine (H) en uygun ölçüdeki kemik keskisi (1) ve tipi seçilir. The invention is designed to prevent damage to the surrounding tissues and nose type and nose. a resection window (4) with varying dimensions according to the shape of the arch (H), advancement of the chisel element (7) placed inside the guide channel (3) It provides a smooth and precise cut. bone construction In the process, the amount and shape of the nose belt (H) that is desired to be cut is determined. cut Bone chisel (1) and type are selected in the most suitable size for the nose bridge (H) to be made.

Kemik formu düz bir yapiya sahip oldugu durumda korumali rehberli kemik keskisi (1), kavisli bir kemik formuna sahip yapilarda ise kavisli kemik keskisi (K1) tercih edilir. Burun estetiginde burun çatisini kapatma islemi için ise yan kemik keskisi (K2) tipi kullanilir. Protected guided bone when the bone form has a flat structure chisel (1), in structures with a curved bone form, curved bone chisel (K1) is preferred. In nasal aesthetics, for the closure of the nasal roof, it is on the side. bone cutter (K2) type is used.

Burun sirtindaki cilt, burun köküne (B) kadar olan yüzey boyunca burun kemiginden ayrilir. Bulusa konu olan korumali rehberli kemik keskisi (l) temsili düz bir burun üzerindeki burun kemeri (H) rezeksiyon penceresi (4) içinde olacak sekilde burun köküne (B) yerlestirilir. Gövde (2) gövde alt ucu (2b) burun köküne (B) dayanacak sekilde sabitlenir. (Sekil: 2) Kesim islemi boyunca burun kökü (B) baslangiç referans noktasi olarak alinir. Skin on the back of the nose, nose along the surface up to the root of the nose (B) detaches from the bone. Representation of the protected guided bone chisel (l) which is the subject of the invention the bridge of the nose (H) on a straight nose will be within the resection window (4) It is placed on the nasal root (B) as follows. The trunk (2) the lower end of the trunk (2b) to the root of the nose (B) is fixed to stand. (Figure: 2) The nasal root (B) is taken as the initial reference point during the cutting process.

Burundaki kemeri (H) rezeksiyon penceresi (4) içerisinden geçerek içine yerlesecek sekilde gövde alt ucu (2b) burun köküne (B) dayandirilir. Gövde üst ucu (Za) her iki tarafinda yer alan tasima elamani (5) üzerinden tutularak gövde alt ucu (2b) burun köküne (B) dayanacak sekilde, rezeksiyon penceresi (4) istenilen açida sabitlenir. Burun kemeri (H), rezeksiyon penceresi (4) içerisinden geçip bosluga tam olarak yerlesecek sekilde oturur. The bridge (H) on the nose passes through the resection window (4) and enters it. The lower end of the trunk (2b) is rested on the nasal root (B) in such a way that it is located. trunk upper By holding the end (Za) over the carrying element (5) on both sides, the lower part of the body with the tip (2b) resting on the nasal root (B), the resection window (4) fixed at the angle. The bridge of the nose (H) passes through the resection window (4) it sits in the space in such a way that it fits perfectly.

Keski elemani (7) rehber kanal (3) içinde ilerletilir, keski elemani (7) ucunda yer alan biçak (8) buruii kemerini (H), gövde (2) üst yüzeyi boyunca keser. Keski elemani (7) üst yüzeyinde bulunan cetvel (9) izlenerek önceden ölçüleri alinan burun ve burun kemeri (H) uzunluguna göre kontrollü ve ölçülü bir sekilde çekiç vuruslari ile keski elemani (7) ilerletilir. Rehber kanal (3) içinde keski elamani ilerledikçe istenilen kadar kemik kesiin islemi yapilmis olur. Keski elemani (7) ve keski elemani (7) ucunda yer alan biçak (8) rehber kanal (3) içinde ilerler ve gövde üst ucuna (2a) vardiginda giyotin kesimde oldugu gibi biçak (8) tainainen kapanarak makaslama hareketi yapar. Rezeksiyon penceresi (4) içindeki burun kemeri (H) tamamen tek parça halinde koparilarak alt dokudan siyrilir, gövde (2) üzerinde kalir ve tek parça halinde uzaklastirilir. The chisel element (7) is advanced in the guide channel (3), the chisel element (7) is located at its end. the field blade (8) cuts the buruii belt (H) along the upper surface of the body (2). Chisel pre-measured by following the ruler (9) on the upper surface of the element (7). hammer in a controlled and measured manner according to the nose and nose belt (H) length. The chisel element (7) is advanced with its strokes. Chisel element in guide groove (3) As it progresses, the desired amount of bone incision is made. chisel element (7) and The blade (8) located at the end of the chisel element (7) advances in the guide channel (3) and When it reaches the upper end of the body (2a), the blade (8) is tainainen, as in guillotine cutting. it closes and makes a scissoring motion. The nose inside the resection window (4) the belt (H) is completely broken off in one piece and stripped from the lower tissue, the body (2) remains on it and is removed in one piece.

Rehber kanal (3) içinde ilerlemekte olan keski elemaninin (7) daha fazla ilerlemesini engelleyecek sekilde cilde hasar vermeden durabilmesi amaciyla gövde üst ucu (Za) ve keski elemani (7) her iki yaninda koruyucu elmanlar (6) bulunmaktadir. Bu koruyucu elemanlar (6) gövdenin (2) daha derine giderek, Cilde zarar vermesini önler. More of the chisel element (7) advancing in the guide channel (3) so that it can stop without damaging the skin, preventing its progression. body upper end (Za) and chisel element (7) on both sides of the protective elements (6) are available. These protective elements (6) go deeper into the body (2), Prevents skin damage.

Kavisli burun konstrüksiyonunda ise tercih edilen kavisli kemik keskisi (K1) bir kavis alabilen metal kordon (l 1) ve bu kordon (l 1) ucuna monte edilen bir biçaga (8) sahiptir. Burada keski elemani (7) metal bir saat kordonu seklindeki metalden yapilmis bir kordona (ll) sahip olup burnun kavisi boyunca kavis açisini ve formunu takip ederek ilerler ve yine burun kemerini (H) koparir. Kavis açisina uygun tasarlanmis kavisli gövde (10) ile rehber kanal (3) içinde ilerleyen keski elemani (7) ucundaki biçak (8) yan burun kemigini serbestlestirir. Düz kemik için tasarlanan keskide (1) oldugu gibi biçak (8) gövde üst ucuna (2a) vardiginda giyotin makaslaina hareketi ile buruii kemerinin (H) tek parça blok halinde koparilmasi gerçeklesir. Buradaki kavis açisi burun yapisi ve hastanin talebine uygun olarak belirlenir. In curved nose construction, the preferred curved bone chisel (K1) is a curved metal cord (l 1) and a blade mounted on the end of this cord (l 1) (8) has. Here, the chisel element (7) is made of metal in the form of a metal watch band. It has a cord (II) made of curvature along the curve of the nose and it progresses by following its form and again breaks the bridge of the nose (H). to the arc angle The chisel advancing in the guide channel (3) with a suitably designed curved body (10) The blade (8) at the end of the element (7) frees the lateral nasal bone. For flat bone As with the designed chisel (1), when the blade (8) reaches the upper end of the body (2a) With the movement of the guillotine shears, the buruii belt (H) was formed in one piece detachment takes place. The curve angle here depends on the nose structure and the patient's demand. determined appropriately.

Burun kemerinin (H) kesim isleminden sonra burun çatisinin kapatilmasi için yan kemik keskisi (K2) kullanilir. Yan kemik keskisi (K2) birbirinden bagimsiz karsilikli iki kavisli gövde koluna (12) sahiptir. Bir kol kesilecek kemik kismin disinda, diger kol ise kemik içi kisminda olacak sekilde konumlandirilir ve keski elemani (7) çekiç darbeleri ile ilerletilir. Kavisli gövde kollari (12) arasinda karsilikli olarak yer alan rehber kanal (3) içinde ilerleyen kavis alabilen keski elemani (7) ilerletilir fazla kemik dokusu kesilir. Metal kordon (ll) ile biçak (8) kaVisli gövde kollarinin (12) sahip oldugu kavisin (egim açisinin) formunu alarak ilerler. Kemik çatisi kapanmadan önce karsilikli esit yükseklige sahip yan kemik duvarlari elde edilir. For closing the nose roof after cutting the nose belt (H) bone cutter (K2) is used. Lateral bone cutter (K2) independent of each other it has two opposite curved body arms (12). An arm is the part of the bone to be cut off outside, the other arm is positioned in the inner part of the bone and the chisel element (7) is advanced by hammer blows. Between the curved trunk arms (12) curved chisel that advances in the reciprocating guide channel (3) element (7) is advanced and excess bone tissue is cut. Knife (8) with metal cord (ll) By taking the form of the curve (the angle of inclination) of the curved trunk arms (12) progresses. Side bone of mutually equal height before the bony roof closes walls are obtained.

Limitli kemik kesiminin yapilmasi düsünülen kemik yapilarda kullanilabilmektedir. Rehberlik eden rehber kanal (3) içinden keski elemani (7) hareket etmesi ile tam olarak istenilen kadar kesim islemi yapilmis olur. Ortopedi, plastik cerrahi, Çene cerrahisi gibi diger baska alanlarda da kullanilabilmektedir. In bone structures where limited bone cutting is considered can be used. The chisel element (7) through the guiding guide channel (3) With its movement, the cutting process is done exactly as much as desired. Orthopedics, It can also be used in other fields such as plastic surgery and maxillofacial surgery.

Claims (4)

ISTEMLER 1. Limitli kemik konstrüksiyonunda kemik doku fazlaligini istenilen miktar ve formda standart ve kontrollü bir sekilde tek parça halinde keserek koparmayi saglayan, içerisinde en az bir keski elemaninin (7) hareket ettigi en az bir gövde - rehber kanalda (3) ilerleyerek burun kemerinin (H) kesimini saglayan en az bir keski elemani (7), - keski elemaninin (7) gövde (2) içerisinde ileri geri hareket etmesini saglayan gövdenin (2) her iki tarafinda karsilikli bulunan en az iki rehber kanali (3), - burun kemeri (H) içerisindeki bosluga yerlestirerek kilitleyen gövde (2) üzerinde yer alan en az bir rezeksiyoii penceresi (4), - keski elemaninin (7) uç kisminda burun kemerini (H) kesen en az bir biçak (8) ile karakterize edilen bir korumali rehberli kemik keskisi (1). REQUIREMENTS 1. In limited bone construction, at least one body-guiding channel (3) in which at least one chisel element (7) moves, which enables to cut off the excess bone tissue in the desired amount and form in one piece in a standard and controlled manner in a standard and controlled manner, leading to the bridge of the nose ( H) at least one chisel element (7) providing cutting, - at least two guide channels (3) located opposite each other on both sides of the body (2) that enable the chisel element (7) to move back and forth inside the body (2), - nose arch At least one resection window (4) located on the body (2), which locks it by placing it in the cavity inside (H), - a guard guided blade (8) characterized by at least one blade (8) that cuts the nose arch (H) at the tip of the chisel element (7) bone chisel (1). 2. Burun kemerine (H) ve ilgili kesilmesi istenilen kemik miktarina ve sekline göre istenilen büyüklükte tasarlanabilen bir rezeksiyon penceresi (4) ile karakterize edilen Istem 1 ”deki gibi bir korumali rehberli kemik keskisi (l). 2. A protected guided bone chisel (l) as in Claim 1, characterized by a resection window (4) that can be designed in the desired size according to the nasal bridge (H) and the amount and shape of the bone to be cut. 3. Gövde üst ucu (2a) her iki yaninda keskinin (l) tutularak tasinmasini saglayan karsilikli en az iki tasima elamanina (5) sahip olmasi ile karakterize edilen istem 1 veya 2°deki gibi bir korumali rehberli kemik keskisi (l). 3. A protected guided bone chisel (l) as in Claim 1 or 2, characterized in that the upper end of the body (2a) has at least two reciprocal carrying elements (5) on both sides of which the blade (1) is held and carried. 4. Keski elemani (7) yüzeyinde keski elemanin (7) ilerleme kademelerinin görüldügü bir cetvele (9) sahip olmasi ile karakterize edilen yukaridaki istemlerden herhangi birindeki gibi bir korumali rehberli kemik keskisi (1). Keskinin (1) burun köküne (B) dayanmasi sonucu kesim islemi süresince gövde alt ucunun (2b) cilde zarar vermemesini saglayan gövde alt ucu (2b) ve keski elemaninin (7) her iki yaninda çikinti seklimde en az iki koruyucu elemana (6) sahip olmasi ile karakterize edilen yukaridaki istemlerden herhangi birindeki gibi bir korumali rehberli kemik keskisi (l). Burun köküne (B) dayanan bir gövde üst ucu (2a) ile keski elemaninin (7) giris kismi olan gövde alt ucundan (2b) olusan bir gövde ile karakterize edilen yukaridaki istemlerden herhangi birindeki gibi bir korumali rehberli kemik Kavisli burun kemik kesimi için en az bir kordonun (ll) rehber kanal (3) içinden geçtigi en az bir kavisli gövde (10) sahip bir kavisli kemik keskisi (K1) tipine sahip olmasi ile karakterize edilen yukaridaki isteinlerden herhangi birindeki gibi bir korumali rehberli kemik keskisi (l). Kavisli gövdenin (10) egim açisini takip ederek form alan bir metaldeii elde edilmis kordona (11) sahip bir kavisli kemik keskisi (K1) tipine sahip olmasi ile karakterize edilen Istem 7”deki gibi bir korumali rehberli kemik keskisi (l). Burun çatisinin kapanmasi içiii en az bir kordonun (I I) rehber kanal (3) içinden geçtigi en az iki kavisli gövde kollarina (12) sahip yan kemik keski (K2) tipine sahip olmasi ile karakterize edilen Istem 1 ila 6 “dan herhangi birindeki gibi bir korumali rehberli kemik keskisi (l). 10. Kavisli gövde kollarinin (12) egim açisini takip ederek form alan bir metalden imal edilmis kordona (l 1) sahip bir yan kemik keskisi (K1) tipine sahip olmasi ile karakterize edilen Istem 9”daki gibi bir korumali rehberli kemik keskisi (1).4. A guard guided bone chisel (1) as in any one of the above claims, characterized in that the chisel element (7) has a ruler (9) on which the advancement stages of the chisel element (7) can be seen. It has at least two protective elements (6) in the form of protrusions on both sides of the lower end of the body (2b) and the chisel element (7), which ensures that the lower end of the body (2b) does not damage the skin during the cutting process as a result of the blade (1) resting on the root of the nose (B). A guard guided bone chisel (l) as in any one of the above claims, characterized in that it is. A protected guided bone as in any one of the above claims, characterized by a body consisting of a body upper end (2a) resting on the nasal root (B) and the lower end of the body (2b), which is the entry part of the chisel element (7). A guard guided bone chisel (1) as in any of the above claims, characterized in that it has a curved bone chisel (K1) type with at least one curved body (10) through which a cord (II) passes through the guide channel (3). A protected guided bone chisel (l) as in Claim 7, characterized in that it has a curved bone chisel (K1) type with a metal metal cord (11) that takes form by following the inclination angle of the curved body (10). A device as in any one of claims 1 to 6, characterized in that it has a lateral bone chisel (K2) type with at least two curved trunk arms (12) in which at least one cord (I I) passes through the guide channel (3) for the closure of the nasal roof. guided guided bone cutter (l). 10. A protected guided bone chisel as in Claim 9, characterized by having a side bone chisel (K1) type with a cord made of metal (l 1) that takes the form by following the inclination angle of the curved body arms (12) .
TR2016/17429A 2016-11-29 2016-11-29 A PROTECTED BONE CHisel TR201617429A2 (en)

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AU7679691A (en) * 1990-12-05 1991-10-10 Manolis Diamantis Surgical instrument for accurate osteotomy of the nasal hump (destination nasion chisel system: dncs)
KR101236677B1 (en) * 2012-10-26 2013-02-22 전성하 Surgical instrument for nasal hump removal

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