TWM456799U - Guiding assembly for dental implant - Google Patents

Guiding assembly for dental implant Download PDF

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Publication number
TWM456799U
TWM456799U TW102205140U TW102205140U TWM456799U TW M456799 U TWM456799 U TW M456799U TW 102205140 U TW102205140 U TW 102205140U TW 102205140 U TW102205140 U TW 102205140U TW M456799 U TWM456799 U TW M456799U
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Taiwan
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implant
guiding
guide
clamping
assembly
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TW102205140U
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Chinese (zh)
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Jing-Jing Fang
Tzu-Chieh Wu
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Jing-Jing Fang
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Priority to TW102205140U priority Critical patent/TWM456799U/en
Publication of TWM456799U publication Critical patent/TWM456799U/en

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Abstract

A guiding assembly for dental implant is disclosed. The guiding assembly is applied with a guiding plate having at least a metallic ring. The guiding assembly includes a scissor clamp and a replaceable guiding member. The scissor clamp includes a hand-held portion and a main body. The main body is connected to the hand-held portion, and the main body has a pivot and two clamping portions. The clamping portions are pivoted by the pivot. The replaceable guiding member has a guiding portion and a connecting portion. The guiding portion is used for mounting on the metallic ring. The connecting portion is positioned between two of the clamping portions of the main body.

Description

植牙植體導引組件Implant implant guide assembly

本創作係關於一種導引組件。This creation is about a guide assembly.

植牙就是把植體(例如鈦金屬人工牙根)植入口腔齒槽骨中,作為牙齒的原有牙根的替代品,等植體與骨頭緊密結合後,才在植體上安裝假牙,以恢復患者面貌美觀及咀嚼功能。Implantation is the implantation of implants (such as titanium artificial roots) into the alveolar bone of the teeth as a substitute for the original roots of the teeth. After the implants are tightly bonded to the bones, the dentures are attached to the implants to restore The patient has a beautiful appearance and a chewing function.

雖然植牙手術相較於其他類型手術的風險較低,但為避免誤傷其他重要的組織,如神經,血管及鄰近牙齒的牙根等,以及確保手術後患者的美觀及咬合的情形,除了術前規劃必須審慎進行外,在手術中,更是需要搭配良好的輔助器具,以保障病人在手術過程及手術後的安全。Although dental implant surgery is less risky than other types of surgery, in order to avoid accidental injury to other important tissues, such as nerves, blood vessels and roots of adjacent teeth, as well as to ensure the aesthetics and occlusion of patients after surgery, in addition to preoperative Planning must be carried out cautiously. In the operation, it is necessary to use good auxiliary equipment to ensure the safety of the patient during the operation and after the operation.

一般而言,術前規劃即是依據牙齒本身的結構形狀以及其與重要組織之間的幾何關係,進一步確定植體植入的方位,例如角度及深度等,並根據規劃結果製作植牙鑽孔導引板,使手術能確實地依據規劃結果被實現。圖1為習知植牙鑽孔的導引板的示意圖,請參考圖1所示。導引板1係依據病患的口腔結構,即牙齒及骨骼的相互對應方位所成型,而導引板1上具有金屬環11,金屬環11便是依據植體需植入的位置、角度及深度等參數設置於導引板1上,金屬環11的環內空間111可供器械套設。在植牙手術過程中,所使用的器械及植入的植體,便是藉由金屬環11及其環 內空間111的導引而達到預定的位置。In general, preoperative planning is based on the shape of the tooth itself and its geometric relationship with important tissues to further determine the orientation of the implant, such as angle and depth, and make dental implant holes according to the planning results. The guide plate allows the surgery to be reliably implemented according to the planning results. FIG. 1 is a schematic view of a guide plate for a conventional dental implant hole, which is shown in FIG. The guiding plate 1 is formed according to the oral structure of the patient, that is, the corresponding orientation of the teeth and the bone, and the guiding plate 1 has a metal ring 11, and the metal ring 11 is based on the position, angle and implantation of the implant. The parameters such as depth are set on the guiding plate 1, and the inner space 111 of the metal ring 11 can be sleeved by the instrument. During the implant surgery, the instruments used and implanted implants are made of metal rings 11 and their rings. The inner space 111 is guided to reach a predetermined position.

然而,植牙手術過程中單就鑽孔、擴孔到植入植體的步驟,就必須使用數種外徑不盡相同的器械,反觀金屬環11的內徑卻是固定的,故往往產生部分器械因為外徑過大或過小而無法與金屬環11配合的問題,進而導致無法精確導引的情形發生,影響到病患的安全。尤其當鑽孔、擴孔或植體植入時方位不精確,更會影響到病患未來的咀嚼咬合情形,以及整體的美觀。However, in the process of implanting a single hole, the steps of drilling and reaming into the implant must use several instruments with different outer diameters. In contrast, the inner diameter of the metal ring 11 is fixed, so it often occurs. Some of the instruments cannot be fitted with the metal ring 11 because the outer diameter is too large or too small, which leads to the inability to accurately guide the situation, which affects the safety of the patient. Especially when drilling, reaming or implanting, the orientation is not accurate, which will affect the future chewing and occlusion of the patient and the overall aesthetics.

因此,如何設計出一種植牙植體的導引組件,其具有輔助、轉接的功能,使各種器械的不同外徑均能妥善地與導引板之金屬環的單一內徑配合,讓醫師能安全且精準地依據規劃結果執行植牙手術,已成為植牙領域中相當重要的課題之一。Therefore, how to design a guiding assembly for planting dental implants, which has the function of assisting and transferring, so that the different outer diameters of various instruments can be properly matched with the single inner diameter of the metal ring of the guiding plate, so that the physician It is one of the most important topics in the field of implants to perform dental implant surgery based on the planned results safely and accurately.

有鑑於上述課題,本創作之目的為提供一種植牙植體的導引組件,其具有輔助、轉接的功能,使各種器械的不同外徑均能妥善地與導引板之金屬環的單一內徑配合,讓醫師能安全且精準地依據規劃結果執行植牙手術。In view of the above problems, the purpose of the present invention is to provide a guiding assembly for planting dental implants, which has the functions of assisting and transferring, so that different outer diameters of various instruments can be properly combined with the metal ring of the guiding plate. The inner diameter fit allows the physician to perform dental implant surgery safely and accurately based on the planned results.

為達上述目的,依據本創作之一種植牙植體導引組件,係與一導引板配合使用,導引板具有至少一金屬環,植牙植體導引組件包括一開闔式夾持件以及一替換式導引件。開闔式夾持件包括一手持部及一本體。本體連接手持部,且具有一樞軸以及二夾持部,樞軸樞接該些夾持部。替換式導引件具有一導引部及一連接部,導引部係用於套設金屬環,且連接部係用於夾設於該些夾持部之間。In order to achieve the above object, according to one of the creations, the dental implant guiding assembly is used in combination with a guiding plate having at least one metal ring, and the implant guiding device comprises an open clamping And a replacement guide. The opening clamp comprises a hand piece and a body. The body is connected to the hand-held portion and has a pivot and two clamping portions, and the pivot pivotally connects the clamping portions. The replacement guide has a guiding portion and a connecting portion. The guiding portion is for arranging a metal ring, and the connecting portion is for sandwiching between the clamping portions.

在本創作之一實施例中,本體具有似剪刀的構型。In one embodiment of the present invention, the body has a scissors-like configuration.

在本創作之一實施例中,各夾持部分別具有一夾持頭及一夾持柄,且夾持頭與夾持柄之間具有一預定角度。In an embodiment of the present invention, each of the clamping portions has a clamping head and a clamping handle, and the clamping head and the clamping handle have a predetermined angle.

在本創作之一實施例中,預定角度為120度至160度。In one embodiment of the present creation, the predetermined angle is from 120 degrees to 160 degrees.

在本創作之一實施例中,該些夾持部其中之一件具有一凹部,其中另一具有一扣件,凹部卡合於扣件。In an embodiment of the present invention, one of the clamping portions has a recess, and the other has a fastener that engages the fastener.

在本創作之一實施例中,凹部具有內徑較小的開口。In one embodiment of the present invention, the recess has an opening having a smaller inner diameter.

在本創作之一實施例中,手持部之外徑大於本體。In one embodiment of the present invention, the outer diameter of the handpiece is larger than the body.

在本創作之一實施例中,替換式導引件具有一中間部,導引部與連接部分別設置於中間部相對之二端。In an embodiment of the present invention, the replacement guide has an intermediate portion, and the guiding portion and the connecting portion are respectively disposed at opposite ends of the intermediate portion.

在本創作之一實施例中,中間部之寬度小於導引部之寬度。In one embodiment of the present invention, the width of the intermediate portion is less than the width of the guide portion.

在本創作之一實施例中,替換式導引件更具有一延伸部,延伸部於中間部上相對於導引部的位置,向另一側延伸。In an embodiment of the present invention, the replacement guide member further has an extension portion extending toward the other side at a position on the intermediate portion relative to the guide portion.

承上所述,本創作之植牙植體導引組件主要係包括開闔式夾持件以及替換式導引件。其中,利用替換式導引件在組件中係為可替換式的特性,而依據各種器械操作部分的外徑大小,選擇使用合適的替換式導引件作為輔助、轉接的媒介,解決不同階段手術器械可能產生之尺寸不合的問題,更避免因為與金屬環之間的空隙,導致術中器械的晃動,偏離原本規劃的路徑。如此,已解決習知植牙手術中使用細長的針狀的導引鑽頭時,因金屬環內徑過大,故僅能依靠醫生的手感,吃力地將細長的導引鑽頭穩定在金屬環中的風險。As described above, the implant implant guide assembly of the present invention mainly includes an open clamp and a replacement guide. Among them, the replacement guide is a replaceable feature in the assembly, and according to the outer diameter of the operating parts of the various instruments, the appropriate replacement guide is selected as the auxiliary and transfer medium to solve different stages. Surgical instruments may cause problems of size mismatch, and avoid the gap between the metal ring and the metal ring, which causes the intraoperative instrument to sway and deviate from the original planned path. Thus, when the elongated needle-shaped guiding bit is used in the conventional dental implant surgery, since the inner diameter of the metal ring is too large, the risk of stabilizing the elongated guiding bit in the metal ring can be aptly relied on only by the doctor's hand.

本創作可藉由握持開闔式夾持件,並更換不同的替換式導引 件,使術中每種鑽頭尺寸的手術器械能妥善地被導引,而確實地依據規劃路徑作業,以提升手術的精準度及精確性。而開闔式夾持件的本體,係由二個夾持部以樞軸連接而成,不僅更換替換式導引件相當便利,且夾持式的設計提供了相當的操作自由度,方便醫生手術操作及空間配置。This creation can be achieved by holding the open grip and replacing the different replacement guides. The surgical instruments of each drill size in the operation can be properly guided and reliably operated according to the planning path to improve the accuracy and accuracy of the operation. The body of the open-type clamping member is pivotally connected by two clamping portions, which not only replaces the replacement guiding member, but also has a convenient operation degree for the doctor. Surgical operation and space configuration.

〔習知〕[study]

1‧‧‧導引板1‧‧‧Guideboard

11‧‧‧金屬環11‧‧‧Metal ring

111‧‧‧環內空間111‧‧‧Inside space

〔本創作〕[this creation]

2‧‧‧開闔式夾持件2‧‧‧Open jaw clamps

21‧‧‧手持部21‧‧‧Handheld Department

22‧‧‧本體22‧‧‧Ontology

221‧‧‧樞軸221‧‧‧ pivot

222‧‧‧夾持部222‧‧‧ gripping department

222a‧‧‧夾持頭222a‧‧‧Clamping head

222b‧‧‧夾持柄222b‧‧‧grip handle

223、223a‧‧‧凹部223, 223a‧‧‧ recess

224‧‧‧扣件224‧‧‧ fasteners

224a‧‧‧扳動部224a‧‧‧Turning Department

3、3a、3b‧‧‧替換式導引件3, 3a, 3b‧‧‧Replaceable guides

31、31a、31b‧‧‧導引部31, 31a, 31b‧ ‧ guidance

311、311a‧‧‧定位孔311, 311a‧‧ ‧ positioning holes

32‧‧‧連接部32‧‧‧Connecting Department

33、33a、33b‧‧‧中間部33, 33a, 33b‧‧‧ middle part

34a‧‧‧延伸部34a‧‧‧Extension

D‧‧‧鑽頭D‧‧‧Drill

G‧‧‧植牙植體導引組件G‧‧‧ implant implant guide

W1 、W2 ‧‧‧寬度W 1 , W 2 ‧ ‧ width

θ‧‧‧預定角度Θ‧‧‧predetermined angle

圖1為習知植牙鑽孔的導引板的示意圖。FIG. 1 is a schematic view of a guide plate for a conventional dental implant hole.

圖2A為本創作一實施例之一種植牙植體導引組件的使用時的狀態示意圖。2A is a schematic view showing a state in which a dental implant guiding assembly is used in an embodiment of the present invention.

圖2B為圖2A所示之植牙植體導引組件的非使用時的狀態示意圖。2B is a schematic view showing the state of the implant implant guiding assembly shown in FIG. 2A when not in use.

圖3為圖2A所示之替換式導引件的放大示意圖圖4為圖2A之植牙植體組件應用於植牙手術的部分示意圖。3 is an enlarged schematic view of the alternative guide shown in FIG. 2A. FIG. 4 is a partial schematic view of the implant implant assembly of FIG. 2A applied to a dental implant procedure.

圖5為圖3所示之替換式導引件的另一實施方式的示意圖。Figure 5 is a schematic illustration of another embodiment of the alternative guide shown in Figure 3.

圖6A為圖3所示之替換式導引件的又一實施方式的示意圖。Figure 6A is a schematic illustration of yet another embodiment of the alternative guide shown in Figure 3.

圖6B為圖6A所示之替換式導引件的上視圖。Figure 6B is a top plan view of the alternative guide shown in Figure 6A.

圖7為圖2A所示之開闔式夾持件的側面示意圖。Figure 7 is a side elevational view of the open jaw clamp of Figure 2A.

圖8為圖2B所示之凹部的另一實施方式的部分示意圖。Figure 8 is a partial schematic view of another embodiment of the recess shown in Figure 2B.

以下將參照相關圖式,說明依本創作較佳實施例之一種植牙植體導引組件,其中相同的元件將以相同的參照符號加以說明。Hereinafter, a dental implant guiding assembly according to one embodiment of the present invention will be described with reference to the related drawings, wherein the same elements will be described with the same reference numerals.

圖2A為本創作一實施例之一種植牙植體導引組件的使用時的狀態示意圖,圖2B為圖2A所示之植牙植體導引組件的非使用時的狀態 示意圖,請同時參考圖1至圖2B所示。本實施例之植牙植體導引組件G可與任意的導引板1配合使用,當然包括習知的導引板1,且導引板1具有至少一金屬環11。圖1所示之導引板1具有七個金屬環11。2A is a schematic view showing a state in which the implant dental implant guide assembly is used in an embodiment of the present invention, and FIG. 2B is a non-use state of the implant implant guide assembly shown in FIG. 2A. For the schematic diagram, please refer to FIG. 1 to FIG. 2B at the same time. The implant implant guide assembly G of the present embodiment can be used with any guide plate 1, of course, including the conventional guide plate 1, and the guide plate 1 has at least one metal ring 11. The guide plate 1 shown in Fig. 1 has seven metal rings 11.

如圖2A所示,植牙植體導引組件G係一組合式的裝置,其包括一開闔式夾持件2以及一替換式導引件3。其中,替換式導引件3之一端可套設於金屬環11,開闔式夾持件2之一端可供手術醫師握持。開闔式夾持件2包括一手持部21及一本體22。本體22連接手持部21,且本體22具有一樞軸221以及二夾持部222,樞軸221樞接夾持部222。較佳的,本體22具有似剪刀的構型。詳細而言,當開闔式夾持件2為夾持住替換式導引件3的狀態時,二個夾持部222為相互重疊的構型(如圖2A所示),並以樞軸221連接二個夾持部222。因此,當開闔式夾持件2要切換為非夾持的狀態時,二個夾持部222便可以樞軸221為軸心往相對之方向移動而相互分離(如圖2B所示),類似剪刀的作動,接著便可以更換植牙植體導引組件G。As shown in FIG. 2A, the implant implant guide assembly G is a combined device that includes an open jaw clamp 2 and a replacement guide 3. Wherein, one end of the replacement guide 3 can be sleeved on the metal ring 11, and one end of the open clamp 2 can be held by the surgeon. The opening clamp 2 includes a hand portion 21 and a body 22. The body 22 is connected to the hand-held portion 21, and the body 22 has a pivot 221 and two clamping portions 222. The pivot 221 is pivotally connected to the clamping portion 222. Preferably, body 22 has a scissors-like configuration. In detail, when the opening clamp 2 is in a state of holding the replacement guide 3, the two clamping portions 222 are in an overlapping configuration (as shown in FIG. 2A) and are pivoted. 221 connects the two clamping portions 222. Therefore, when the opening clamp 2 is to be switched to the non-clamping state, the two clamping portions 222 can move the pivot 221 in the opposite direction and are separated from each other (as shown in FIG. 2B). Similar to the action of the scissors, the implant implant guide assembly G can be replaced.

如圖2A及圖2B所示,替換式導引件3具有一導引部31及一連接部32,導引部31係用於套設金屬環11之環內空間111中(請參考圖1所示),且連接部32係用於夾設於夾持部222之間。其中,各夾持部222分別具有一夾持頭222a及一夾持柄222b,而二個夾持頭222a可以分別由連接部32之左右二側將連接部32夾設於之間,固定連接部32的位置。連接部32可為圖中所示之凸起的結構,於本實施例中,連接部32係為圓柱體,而各個夾持頭222a為對應的半圓環形柱狀結構(如圖2B所示),當植牙植體導引組件G為使用之狀態時,夾持頭222a可依據與連接部32相 互配合的構型,對連接部32施予壓力以夾持連接部32。當然,本創作不限制連接部32的形狀,更可以為多邊形、橢圓形或是其他不規則形,而夾持頭222a的構型僅需與連接部32相互配合。當然,夾持頭222a夾持連接部32的外力來源可由手術醫師持續緊握二夾持部222來提供,或透過下述機構相互固定方式來達成,本創作在此不限。As shown in FIG. 2A and FIG. 2B, the replacement guide member 3 has a guiding portion 31 and a connecting portion 32 for guiding the inner space 111 of the metal ring 11 (refer to FIG. 1). The connecting portion 32 is for interposing between the clamping portions 222. Each of the clamping portions 222 has a clamping head 222a and a clamping handle 222b, and the two clamping heads 222a can be respectively sandwiched between the connecting portions 32 by the left and right sides of the connecting portion 32, and are fixedly connected. The position of the part 32. The connecting portion 32 can be a convex structure as shown in the figure. In the embodiment, the connecting portion 32 is a cylinder, and each of the clamping heads 222a is a corresponding semicircular cylindrical column structure (as shown in FIG. 2B). When the implant implant guiding component G is in a state of use, the clamping head 222a can be in accordance with the connecting portion 32. The cooperating configuration applies pressure to the connecting portion 32 to clamp the connecting portion 32. Of course, the present invention does not limit the shape of the connecting portion 32, and may be polygonal, elliptical or other irregular shape, and the configuration of the clamping head 222a only needs to cooperate with the connecting portion 32. Of course, the external force source of the clamping head 222a for clamping the connecting portion 32 can be provided by the surgeon continuously gripping the two clamping portions 222, or by means of the following mechanism, and the present invention is not limited thereto.

另外,特別說明的是,透過圓柱體構型的連接部32,可使得開闔式夾持件2能以連接部32為軸心水平地轉動,較佳地係可以轉動180度,如此使手術醫師可以自由地調整開闔式夾持件2的位置,從而能在不影響鑽孔、擴孔或植入植體作業的情況下,穩定地將替換式導引件3維持在金屬環11之環內空間111。更佳的,連接部32的上下兩端具有較大之外徑,使連接部32形成類似「I」的構型,以確保夾持頭222a可穩固的夾設連接部32,不致於脫落。In addition, it is particularly explained that the opening portion 32 of the cylindrical configuration can be rotated horizontally about the connecting portion 32, preferably 180 degrees, so that the operation is performed. The physician can freely adjust the position of the open jaw clamp 2 so as to stably maintain the replacement guide 3 in the metal ring 11 without affecting the drilling, reaming or implanting operation. The inner space 111. More preferably, the upper and lower ends of the connecting portion 32 have a larger outer diameter, so that the connecting portion 32 forms an "I"-like configuration to ensure that the clamping portion 222a can securely sandwich the connecting portion 32 without falling off.

圖3為圖2A所示之替換式導引件的放大示意圖,請參考圖3所示。替換式導引件3具有一中間部33,導引部31與連接部32分別設置於中間部33相對之二端。於本實施例中,導引部31與連接部32除了分別設至於中間部33的兩端,且往相反的方向延伸,即導引部31自中間部33向下延伸,而連接部32自中間部33向上延伸。當然,導引部31與連接部32亦可以往相同的方向延伸,本創作不以此為限。FIG. 3 is an enlarged schematic view of the alternative guide shown in FIG. 2A, which is shown in FIG. 3. The replacement guide 3 has an intermediate portion 33, and the guiding portion 31 and the connecting portion 32 are respectively disposed at opposite ends of the intermediate portion 33. In this embodiment, the guiding portion 31 and the connecting portion 32 are respectively disposed at opposite ends of the intermediate portion 33 and extend in opposite directions, that is, the guiding portion 31 extends downward from the intermediate portion 33, and the connecting portion 32 is self-contained. The intermediate portion 33 extends upward. Of course, the guiding portion 31 and the connecting portion 32 may extend in the same direction as before, and the present invention is not limited thereto.

圖4為圖2A之植牙植體組件應用於植牙手術的部分示意圖,請同時參考圖1及圖4所示。導引部31自中間部33向下延伸,導引部31可向下套設於金屬環11之環內空間111(如圖1所示),即往顎骨的方向套入金屬環11之環內空間111,連接部32自中間部33向上延伸,故 連接部32可凸出於病患的咬合面上,使得操作植牙植體組件G時不會受到其他牙齒的干擾。需註明的是,為求圖式簡潔,圖4僅示其中導引板1的一個金屬環11。4 is a partial schematic view of the implant implant assembly of FIG. 2A applied to a dental implant operation, please refer to FIG. 1 and FIG. 4 at the same time. The guiding portion 31 extends downward from the intermediate portion 33, and the guiding portion 31 can be sleeved downwardly in the annular space 111 of the metal ring 11 (as shown in FIG. 1), that is, the ring of the metal ring 11 is inserted into the direction of the tibia. The inner space 111, the connecting portion 32 extends upward from the intermediate portion 33, so The attachment portion 32 can protrude from the occlusal surface of the patient such that the implant implant assembly G is manipulated without interference from other teeth. It should be noted that, in order to simplify the drawing, FIG. 4 shows only one metal ring 11 of the guide plate 1.

如圖3及圖4所示,導引部31更具有一定位孔311,手術器械,例如各種類型或尺寸的鑽頭等,圖4以鑽頭D為例,經由穿過定位孔311且受到定位孔311的限位,而被導引在預先規劃的路徑上作業,並於顎骨之適當的位置上形成植入植體的空間,同時植體亦是經由定位孔311的限位而被導引至該空間中。在執行手術的過程中,醫生可先選擇適合的替換式導引件3,將之夾設於開闔式夾持件2。之後,將植牙植體導引組件G深入患者口中,並將導引部31套入金屬環11之環內空間111。接著,一手握持開闔式夾持件2的手持部21,將之旋轉調整到不會干擾手術之角度,施力穩定替換式導引件3的位置,而另一手將手術器械,例如鑽頭,置入導引部31的定位孔311中(如圖4所示),開始鑽孔、擴孔或植入植體的作業。惟需說明的是,旋轉調整植牙植體導引組件G時,可以以替換式導引件3之連接部32為軸,亦可以以套設於金屬環11中之導引部31為軸。As shown in FIG. 3 and FIG. 4, the guiding portion 31 further has a positioning hole 311, a surgical instrument, for example, various types or sizes of drill bits, etc., and FIG. 4 takes the drill bit D as an example, and passes through the positioning hole 311 and is received by the positioning hole. The limit of 311 is guided to work on a pre-planned path, and a space for implanting the implant is formed at an appropriate position of the tibia, and the implant is also guided to the position via the positioning hole 311. In this space. During the operation, the doctor can first select a suitable replacement guide 3 and clamp it to the open clamp 2 . Thereafter, the implant implant guide assembly G is inserted into the patient's mouth, and the guide portion 31 is fitted into the annular space 111 of the metal ring 11. Next, the hand-held portion 21 of the open-type gripping member 2 is held in one hand, rotated to adjust to an angle that does not interfere with the operation, and the force is applied to stabilize the position of the replacement guide member 3, while the other hand applies a surgical instrument such as a drill bit. The positioning hole 311 of the guiding portion 31 is placed (as shown in FIG. 4) to start drilling, reaming or implanting the implant. It should be noted that when the implant implant guide G is rotated and adjusted, the connecting portion 32 of the replacement guide 3 may be used as an axis, or the guiding portion 31 sleeved in the metal ring 11 may be used as an axis. .

本創作可依據各種手術器械操作部分的外徑大小,設計或製成具有不同定位孔311孔徑的多個替換式導引件3,故較佳地,一組植牙植體導引組件G可以具有一個開闔式夾持件2以及多個替換式導引件3。習知技術中,植牙手術中所使用的導引鑽頭係為細長的針狀鑽頭,而螺紋鑽頭則外徑(或稱口徑或直徑)則明顯大於導引鑽頭的口徑,但金屬環11的環內空間111卻只有單一內徑,導致器械置入金屬環11中時因為存有空隙,使金屬環11幾乎不具有導引功效。而本創作可藉由替換式導引件3與開闔 式夾持件2的配合,可有效地解決此問題。The present invention can design or make a plurality of alternative guide members 3 having different positioning holes 311 according to the outer diameter of the operating portions of the various surgical instruments. Therefore, preferably, a set of implant implant guiding assemblies G can be There is an opening clamp 2 and a plurality of replacement guides 3. In the prior art, the guiding bit used in the implant surgery is an elongated needle drill, and the outer diameter (or diameter or diameter) of the thread drill is significantly larger than the diameter of the pilot bit, but the metal ring 11 The inner space 111 has only a single inner diameter, which causes the metal ring 11 to have little guiding effect when the instrument is placed in the metal ring 11 because of the presence of a gap. And this creation can be replaced by a replacement guide 3 The cooperation of the clamp 2 can effectively solve this problem.

圖5為圖3所示之替換式導引件的另一實施方式的示意圖,如圖5所示,替換式導引件3a更具有一延伸部34a,延伸部34a於中間部33a上相對於導引部31a的位置,向另一側延伸。即延伸部34a為導引部31a的延伸結構,具有連續延伸的定位孔311a,當器械穿過定位孔311a時,因為被限位的部分增加,可更進一步強化穩定性與導引的精確性。圖6A為圖3所示之替換式導引件的又一實施方式的示意圖,圖6B為圖6A所示之替換式導引件的上視圖,請同時參考圖6A及圖6B所示,中間部33b之寬度W1 小於導引部31b之寬度W2 ,換言之,中間部33b延續其原本的寬度W2 ,未依導引部31b的構型改變中間部33b的寬度W2 ,進而於導引部31b的上方形成平切的結構。此種平切的結構,因縮小面積,可降低旋轉調整植牙植體導引組件G時與周圍導引板結構發生的相互干擾。Figure 5 is a schematic view of another embodiment of the alternative guide shown in Figure 3, as shown in Figure 5, the alternative guide 3a further has an extension 34a, the extension 34a on the intermediate portion 33a relative to The position of the guiding portion 31a extends to the other side. That is, the extending portion 34a is an extending structure of the guiding portion 31a, and has a continuously extending positioning hole 311a. When the instrument passes through the positioning hole 311a, the stability of the stability and the guiding can be further enhanced because the limited portion is increased. . 6A is a schematic view of still another embodiment of the alternative guide shown in FIG. 3, and FIG. 6B is a top view of the alternative guide shown in FIG. 6A, please refer to FIG. 6A and FIG. 6B simultaneously. the portion 33b is smaller than the width W 1 of the width W 2 of the guide portion 31b, in other words, the intermediate portion 33b continue its original width W 2, Failing guide portion 31b of the intermediate configuration change portion 33b of the width W 2, and thus the guide A flat structure is formed above the lead portion 31b. Such a flat-cut structure can reduce mutual interference with the surrounding guide plate structure when the implant implant guide assembly G is rotated and rotated due to the reduced area.

圖7為圖2A所示之開闔式夾持件的側面示意圖,請同時參考圖2A及圖7所示。夾持部222分別具有夾持頭222a及夾持柄222b,且夾持頭222a與夾持柄222b之間具有一預定角度θ。詳細而言,以夾持頭222a為基準,夾持柄222b與夾持頭222a夾有一預定角度θ,較佳的,預定角度θ介於120度至160度之間。此種角度的設計使得夾持部222較為傾斜,旋轉調整時不會與病患口腔的組織、牙齒或導引板有所碰撞,降低干擾。FIG. 7 is a side view of the open-type clamping member shown in FIG. 2A, please refer to FIG. 2A and FIG. 7 at the same time. The clamping portion 222 has a clamping head 222a and a clamping handle 222b, respectively, and a predetermined angle θ between the clamping head 222a and the clamping handle 222b. In detail, the gripping shank 222b and the gripping head 222a are sandwiched by a predetermined angle θ with reference to the gripping head 222a. Preferably, the predetermined angle θ is between 120 and 160 degrees. The design of such an angle makes the clamping portion 222 relatively inclined, and does not collide with the tissue, teeth or the guiding plate of the patient's mouth during the rotation adjustment, thereby reducing the interference.

除此之外,如圖2A及圖2B所示,夾持部222的其中之一件具有一凹部223,其中另一具有一扣件224,凹部223卡合於扣件224,以持續地提供夾持頭222a夾住替換式導引件3之外力來源。詳而言之,扣 件224可為柱狀結構,而凹部223卡合於柱狀的扣件224。當然,本創作不限制凹部223及扣件224的數量或構型。於本實施例中,扣件224為一倒U字型結構直立地設置於夾持部222,而另一件夾持部222則具有二個凹部223,以卡合倒U字型的扣件224。圖8為圖2B所示之凹部的另一實施方式的部分示意圖,如圖8所示,較佳的,凹部223a具有內徑較小的開口。換言之,凹部223a於開口處的內徑小於其中央部分的內徑,更確保開闔式夾持件2可穩定地保持在闔閉的狀態,不會因為手術中誤觸或誤壓而開啟。In addition, as shown in FIG. 2A and FIG. 2B, one of the clamping portions 222 has a recess 223, and the other has a fastener 224 that is engaged with the fastener 224 for continuous supply. The clamping head 222a clamps the external force source of the replacement guide 3. In detail, buckle The piece 224 can be a cylindrical structure, and the recess 223 is engaged with the cylindrical fastener 224. Of course, the present creation does not limit the number or configuration of the recess 223 and the fastener 224. In the embodiment, the fastener 224 is disposed on the clamping portion 222 in an inverted U-shaped structure, and the other clamping portion 222 has two concave portions 223 to engage the inverted U-shaped fastener. 224. Figure 8 is a partial schematic view of another embodiment of the recess shown in Figure 2B. As shown in Figure 8, preferably, the recess 223a has an opening having a smaller inner diameter. In other words, the inner diameter of the recessed portion 223a at the opening is smaller than the inner diameter of the central portion thereof, and it is further ensured that the open-type gripping member 2 can be stably maintained in the closed state without being opened by accidental contact or mis-pressure during surgery.

參考圖2B所示,更佳的,扣件224具有一扳動部224a,提供一施力點,使手術醫生可輕易的扳動扣件224,而開啟開闔式夾持件2,更換替換式導引件3。另外,扣件224亦可作為施力點,協助扣件224與凹部223的卡合。而於本實施例中,扳動部224a為球狀凸點結構,當然,本創作不以此為限。Referring to FIG. 2B, more preferably, the fastener 224 has a pulling portion 224a, which provides a point of application, so that the surgeon can easily pull the fastener 224 and open the opening clamp 2 to replace the replacement. Guide member 3. In addition, the fastener 224 can also serve as a point of application to assist the engagement of the fastener 224 with the recess 223. In the embodiment, the triggering portion 224a is a spherical bump structure. Of course, the present invention is not limited thereto.

另外,手持部21之外徑大於本體22,以便於醫生握持。而本創作並未限定手持部21的設置位置,較佳的,手持部21設置於具有凹部223b的夾持部222後端,當然亦可分別設置於二個夾持部222,於闔閉狀態時,共同形成一手持部21,本創作不以此為限。In addition, the outer diameter of the hand portion 21 is larger than the body 22 for the doctor to hold. The present invention does not limit the installation position of the hand-held portion 21. Preferably, the hand-held portion 21 is disposed at the rear end of the clamping portion 222 having the concave portion 223b, and may of course be disposed on the two clamping portions 222, respectively. At the same time, a hand-held portion 21 is formed together, and the present creation is not limited thereto.

綜上所述,本創作之植牙植體導引組件主要係包括開闔式夾持件以及替換式導引件。其中,利用替換式導引件在組件中係為可替換式的特性,而依據各種器械操作部分的外徑大小,選擇使用合適的替換式導引件作為輔助、轉接的媒介,解決不同階段手術器械可能產生之尺寸不合的問題,更避免因為與金屬環之間的空隙,導致術中器械的晃動,偏離原本規劃的路徑。如此,已解決習知植牙手術中使用細長的針狀的導引鑽頭 時,因金屬環內徑過大,故僅能依靠醫生的手感,吃力地將細長的導引鑽頭穩定在金屬環中的風險。In summary, the implant implant guide assembly of the present invention mainly comprises an open clamp and a replacement guide. Among them, the replacement guide is a replaceable feature in the assembly, and according to the outer diameter of the operating parts of the various instruments, the appropriate replacement guide is selected as the auxiliary and transfer medium to solve different stages. Surgical instruments may cause problems of size mismatch, and avoid the gap between the metal ring and the metal ring, which causes the intraoperative instrument to sway and deviate from the original planned path. Thus, the use of a slender needle-shaped guide bit in conventional dental implant surgery has been solved. At the time, because the inner diameter of the metal ring is too large, it is only possible to rely on the doctor's hand, and the risk of stabilizing the elongated guiding bit in the metal ring is difficult.

本創作可藉由握持開闔式夾持件,並更換不同的替換式導引件,使術中每種鑽頭尺寸的手術器械能妥善地被導引,而確實地依據規劃路徑作業,以提升手術的精準度及精確性。而開闔式夾持件的本體,係由二個夾持部以樞軸連接而成,不僅更換替換式導引件相當便利,且夾持式的設計提供了相當的操作自由度,方便醫生手術操作及空間配置。By creating the open-type clamping member and replacing the different replacement guides, the surgical instrument of each drill size can be properly guided and reliably operated according to the planned path. The precision and precision of the operation. The body of the open-type clamping member is pivotally connected by two clamping portions, which not only replaces the replacement guiding member, but also has a convenient operation degree for the doctor. Surgical operation and space configuration.

以上所述僅為舉例性,而非為限制性者。任何未脫離本創作之精神與範疇,而對其進行之等效修改或變更,均應包含於後附之申請專利範圍中。The above is intended to be illustrative only and not limiting. Any equivalent modifications or alterations to the spirit and scope of this creation shall be included in the scope of the appended patent application.

2‧‧‧開闔式夾持件2‧‧‧Open jaw clamps

21‧‧‧手持部21‧‧‧Handheld Department

22‧‧‧本體22‧‧‧Ontology

221‧‧‧樞軸221‧‧‧ pivot

222‧‧‧夾持部222‧‧‧ gripping department

222a‧‧‧夾持頭222a‧‧‧Clamping head

222b‧‧‧夾持柄222b‧‧‧grip handle

223‧‧‧凹部223‧‧‧ recess

224‧‧‧扣件224‧‧‧ fasteners

224a‧‧‧扳動部224a‧‧‧Turning Department

3‧‧‧替換式導引件3‧‧‧Replaceable guides

31‧‧‧導引部31‧‧‧ Guidance Department

311‧‧‧定位孔311‧‧‧Positioning holes

32‧‧‧連接部32‧‧‧Connecting Department

33‧‧‧中間部33‧‧‧Intermediate

G‧‧‧植牙植體導引組件G‧‧‧ implant implant guide

Claims (10)

一種植牙植體導引組件,係與一導引板配合使用,該導引板具有至少一金屬環,該植牙植體導引組件包括:一開闔式夾持件,包括:一手持部;及一本體,連接該手持部,且具有一樞軸以及二夾持部,該樞軸樞接該些夾持部;以及一替換式導引件,具有一導引部及一連接部,該導引部係用於套設該金屬環,且該連接部係用於夾設於該些夾持部之間。A planting dental implant guiding assembly is used in combination with a guiding plate having at least one metal ring, the implant implant guiding assembly comprising: an open jaw clamping member, comprising: a hand held And a body connecting the hand-held portion and having a pivot and two clamping portions, the pivot pivotally connecting the clamping portions; and a replacement guiding member having a guiding portion and a connecting portion The guiding portion is configured to sleeve the metal ring, and the connecting portion is configured to be sandwiched between the clamping portions. 如申請專利範圍第1項所述之植牙植體導引組件,其中該本體具有似剪刀的構型。The implant implant guide assembly of claim 1, wherein the body has a scissors-like configuration. 如申請專利範圍第1項所述之植牙植體導引組件,其中各該夾持部分別具有一夾持頭及一夾持柄,且該夾持頭與該夾持柄之間具有一預定角度。The implant implant guide assembly of claim 1, wherein each of the clamping portions has a clamping head and a clamping handle, and the clamping head and the clamping handle have a Predetermined angle. 如申請專利範圍第3項所述之植牙植體導引組件,其中該預定角度為120度至160度。The implant implant guide assembly of claim 3, wherein the predetermined angle is 120 degrees to 160 degrees. 如申請專利範圍第1項所述之植牙植體導引組件,其中該些夾持部其中之一件具有一凹部,其中另一具有一扣件,該凹部卡合於該扣件。The implant implant guiding assembly of claim 1, wherein one of the clamping portions has a recess, and the other has a fastener, the recess being engaged with the fastener. 如申請專利範圍第5項所述之植牙植體導引組件,其中該凹部具有內徑較小的開口。The implant implant guide assembly of claim 5, wherein the recess has an opening having a smaller inner diameter. 如申請專利範圍第1項所述之植牙植體導引組件,其中該手持部之外徑大於該本體。The implant implant guide assembly of claim 1, wherein the outer diameter of the hand-held portion is larger than the body. 如申請專利範圍第1項所述之植牙植體導引組件,其中該替換式導引件具有一中間部,該導引部與該連接部分別設置於該中間部相對之二端。The implant implant guide assembly of claim 1, wherein the replacement guide has an intermediate portion, and the guide portion and the connecting portion are respectively disposed at opposite ends of the intermediate portion. 如申請專利範圍第8項所述之植牙植體導引組件,其中該中間部之寬度小於該導引部之寬度。The implant implant guide assembly of claim 8, wherein the intermediate portion has a width smaller than a width of the guide portion. 如申請專利範圍第8項所述之植牙植體導引組件,其中該替換式導引件更具有一延伸部,該延伸部於該中間部上相對於該導引部的位置,向另一側延伸。The implant implant guide assembly of claim 8, wherein the replacement guide member further has an extension portion, the extension portion on the intermediate portion relative to the guide portion, to the other One side extends.
TW102205140U 2013-03-20 2013-03-20 Guiding assembly for dental implant TWM456799U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107198584A (en) * 2016-03-17 2017-09-26 吴大怡 The planting body central screw residue that fractures drills through spacing stabilizer

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107198584A (en) * 2016-03-17 2017-09-26 吴大怡 The planting body central screw residue that fractures drills through spacing stabilizer

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