WO2004112638A1 - Hand piece for dental cutting with video camera and visualizer - Google Patents

Hand piece for dental cutting with video camera and visualizer Download PDF

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Publication number
WO2004112638A1
WO2004112638A1 PCT/JP2003/010813 JP0310813W WO2004112638A1 WO 2004112638 A1 WO2004112638 A1 WO 2004112638A1 JP 0310813 W JP0310813 W JP 0310813W WO 2004112638 A1 WO2004112638 A1 WO 2004112638A1
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Prior art keywords
camera
dental cutting
cutting
dental
handpiece
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PCT/JP2003/010813
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French (fr)
Japanese (ja)
Inventor
Hideyo Uji
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Hideyo Uji
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Priority to AU2003261739A priority Critical patent/AU2003261739A1/en
Publication of WO2004112638A1 publication Critical patent/WO2004112638A1/en

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    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/24Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the mouth, i.e. stomatoscopes, e.g. with tongue depressors; Instruments for opening or keeping open the mouth

Definitions

  • the present invention provides a dental cutting handpiece with a television camera, which allows a dentist to proceed with treatment while checking a video image of a tooth cut in real time by attaching a television camera to a part of the dental cutting handpiece.
  • handpieces for dental cutting have been supplied with energy from a motor for power or pressurized air energy to obtain power from the motor, so that water is injected with air to increase heat generation during cutting and cutting efficiency. Water was mixed and supplied, and there was a built-in light to cut invisible parts that would be shadowed by the operating light, and the surgeon would check the teeth or look directly through the mirror.
  • the first object of the present invention is to make it possible to easily visually recognize the state of a tooth being cut during tooth cutting treatment without resorting to complicated procedures.
  • the second purpose is to distinguish between hard dental tissue and soft tissue.
  • the third purpose is to record the condition of tooth formation and cutting during the recovery.
  • a fourth object of the present invention is to easily enable the above-mentioned first to third objects in an existing dental cutting handpiece. Disclosure of the invention
  • the present invention for the first object, employs a method in which a television camera is attached to the tip of a dental cutting hand bead and a dentist can perform treatment while watching the display screen in real time while cutting teeth.
  • a TV camera attached to the toothpiece for dental cutting as an infrared camera to measure the temperature distribution of the hard tissue of the teeth, the temperature distribution of the gingival surface, and the temperature of the pulp in the deep and shallow layers of the fossa.
  • a method was adopted that allows input to the operator's display screen, as well as to the patient's monitor television and to a DVD / video / computer for recording.
  • FIG. 1 is a simplified view of a dental cutting handpiece with a television camera and a visual recognition device according to the present invention.
  • FIG. 2 is an enlarged view of a cutting part of a dental cutting handpiece with a television camera according to the present invention.
  • FIG. 3 is an enlarged view of a preferred dental cutting handpiece with a television camera according to the present invention, in which a lens portion of a television camera is attached to a rotor housing of a dental cutting eight-piece using a holder.
  • FIG. 4 is an enlarged view of a television camera device S having a television camera, a light source, a power supply, and an oscillator attached to a dental cutting handpiece using a holder as a fixing device.
  • FIG. 5 shows a dental cutting instrument with a TV camera, which is detachable so that it can be sterilized, the oscillator and the light source are placed in the sleep on the unit side, and the surgeon looks at the image from the TV camera on the display screen.
  • FIG. 3 is a simplified diagram that allows a patient to watch a monitor television.
  • the handpieces for dental cutting referred to here are air-driven high-speed eight-speed beads, low-speed hand-one-beads, motor-driven eight-speed hand-beads, low-speed hand-pieces, straight hand-pieces, and contra-angle hand-pieces.
  • Intramatic handpiece Deceleration controller angle handpiece, Constant velocity contraangle handpiece, and 5X speed contraangle handpiece.
  • FIG. 1 is a simplified view of a preferred dental cutting handpiece with a television camera according to the present invention and a visual recognition device that allows an operator to view an image during cutting through a display screen.
  • At least one or more TV cameras 5, 7, 8 are attached to the dental cutting handpiece 2 with the TV camera.
  • the surgeon can obtain stereoscopic images.
  • Lighting device 4 for TV camera is LED light, white LED light-near infrared and ED light 'infrared ED light', other wavelength ED light and at least one octogen light around the camera It arranges above.
  • At least one of the CCD camera, infrared camera, and LBCAST (elby cast) camera contains the teeth to be cut, the surrounding gingiva, soft tissue, and cutting tools in the field of view.
  • the handpiece for dental cutting with a TV camera 2 can be used when all functions from the light receiving unit to the transmitter are provided in the part to be sterilized after one patient is finished.
  • a dental cutting hand bead 2 with a television camera that can perform the cutting operation is configured. That is, the DSP'CPU 'transmitter power supply and the like are configured to be difficult to distribute to the unit side.
  • the operator's viewing device is preferably fixed to the operator's head and looks at the display screen 11 with one or both eyes. Furthermore, it is configured to project (project) on the dentist's glasses.
  • a patient monitor and a television will be provided so that the patient can also watch the image obtained by the dentist at the same time.
  • the image from the dental cutting device 2 with a television camera is transmitted to the visual recognition device in a wired or wireless state, but wireless information transmission is more preferable.
  • the image from the infrared camera is also available.
  • 'Gingiva-Pulp ⁇ Closed teeth 3 ⁇ 4 and differences between healthy and infected dentin are determined.
  • the viewing device has a function of recording, reproducing, and transferring a video.
  • Fig. 2 shows a television camera 67, a CCD camera 66, a television camera with a zoom function 65, a near-infrared television camera 64, an Elbycast television camera 63, and a television camera 63 around the cutting tool 68 of the dental cutting handpiece.
  • a clean air outlet 59 is provided for cleaning the incident light part of the camera, and cleaning is performed. Then, white ED lights 56 and 51 for illumination, ED lights 57 and 52 for near-infrared rays, ED lights 58 and 53 for other wavelengths, spare lights 60 and 55, and halogen lights 6 and 54 are provided. Clean air jet holes 71 and 59 are provided for surface cleaning. From the TV camera : The image from the camera is displayed on the operator's display screen in a wireless or wired state, and the image is sent to the patient monitor TV. DSP, CPU, transmitter, power supply, light source, etc. are separated on the unit side.
  • Fig. 3 shows a television cutting device and a lighting device g108 fixed to a dental cutting handpiece holder 101 around the cutting tool 104 of the dental cutting handpiece, and the image of the television camera 103 is transmitted to the end of the information transmission code.
  • a lighting device g108 fixed to a dental cutting handpiece holder 101 around the cutting tool 104 of the dental cutting handpiece, and the image of the television camera 103 is transmitted to the end of the information transmission code.
  • the illumination device 108 has a light source transmission cord end 110 at the end of which is a halogen lamp of a light source, a white LED light, and a near infrared ray, which is connected to an LED light.
  • Fig. 4 shows a dental cutting handpiece 155 that is detachably mounted near the mounting of the cutting tool 157 of the dental cutting handpiece, a television camera 159, an LED light 152, a near-infrared LED light, and other components.
  • a wavelength LED light 156, a power supply 151, a DSP / CP LM50, and a transmitter 154 are provided, and the image being cut is transmitted to the operator's receiver by the transmitter 154 so that the operator can obtain the image.
  • a television camera 212, a white LED light 202, and another wavelength LED light 213 are arranged around the periphery where the cutting tool 201 is mounted, so that an image at the time of forming and cutting can be obtained.
  • the dental cutting hand bead 205 with a TV camera on the unit side is equipped with a light source 211 such as an LED light and octogen light, a CPU and a DSP 207, a transmitter 206 as an oscillator, and a power supply 210 to operate the image of the TV camera 212.
  • the image is further projected on the display screen 215 through the information transmission code 217 through the receiving device 216 of the user. More patient monies It is a configuration that can be communicated on TV.
  • the dental cutting device with a television camera and the visual recognition device S according to the present invention are useful because dental treatment can be performed while viewing a treatment site that is difficult to see during dental treatment in real time.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgery (AREA)
  • Dentistry (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Optics & Photonics (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Epidemiology (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

A video camera (212), a white LED light (202), and an LED light (213) of another wavelength are arranged around the region where a cutting tool (201) of the land lice for dental cutting. A light source (211), a power supply (210), a DSP/CPU (207), and a transmitter (206) are provided to the hand piece on the unit side. A receiver (216) receives the video from the video camera (212) during cutting and converts it into an image for the operator to visually recognize the cut portion. A visualizer comprises a display screen (215) that the operator views to perform treatment and a monitor (218) for patient. While viewing the dead area, which the dentist cannot directly see, in real time, the dentist can perform treatment, achieving a good treatment efficiency.

Description

明 細 書 テレビカメラ付き歯科切削用八ンドピースと視認装置 技術分野  Description Handpiece for dental cutting with TV camera and visual recognition device
本発明は、歯科切削用ハンドピースの一部にテレビカメラを取り付け、 歯科医師が歯牙切削時の映像をリアルタイムに確認しながら治療を進め ることのできるテレビカメラ付き歯科切削用ハンドピースと視認装 に 関する。 背景技術  The present invention provides a dental cutting handpiece with a television camera, which allows a dentist to proceed with treatment while checking a video image of a tooth cut in real time by attaching a television camera to a part of the dental cutting handpiece. About. Background art
従来から歯科切削用ハンドピースには、 動力のためのモータ一からの エネルギー供給もしくは加圧された空気エネルギーによリ動力を得て、 切削時の発熱及び切削効率を高めるための注水をエアーと水とをミック スして供給し、 無影燈の影になる見えにくい部位を切削するためにライ 卜を内蔵し、 術者がミラーを介して歯牙を確認するかもしくは直視して いた。  Conventionally, handpieces for dental cutting have been supplied with energy from a motor for power or pressurized air energy to obtain power from the motor, so that water is injected with air to increase heat generation during cutting and cutting efficiency. Water was mixed and supplied, and there was a built-in light to cut invisible parts that would be shadowed by the operating light, and the surgeon would check the teeth or look directly through the mirror.
第一に、 従来からの歯科切削用ハンドピースでは、 切削することが主 で切削して切削の状態を見る時には動力供給を停止して口腔外に歯科切 削用ハンドピースを一度取リ出して、 デンタルミラーもしくは直視して 歯牙の状態をその都度確認しなければならなかった。 そのため一治療に おいて複雑な操作を何回も繰り返し行なわなくてはならず医療事故ゃス 卜レスを誘発したり治療時間を無駄に費やし、 さらに歯科医が直視する 時の無理な姿勢によリ間接的には肺機能や心機能に負担をかけていた。 第二に、 従来の歯科切削用ハンドビースでは、 龋窩の軟化象牙質を切 削する時、 歯の神経に接近したことを簡単に知ることは難しかった。 第三に、 従来の ;歯科切削用ハンドピースでは、 切削方向からの歯牙形 成中の作業ゃ抜踺時の根管口部の明示の作業などをリアルタイムでモニ ター画面に映し出し記録に残すことはできなかった。 First, conventional dental cutting handpieces are mainly used for cutting, and when observing the state of cutting, the power supply is stopped and the dental cutting handpiece is removed once outside the oral cavity. I had to check the condition of the tooth each time by looking at the dental mirror or directly. For this reason, complicated operations must be repeated many times in one treatment, leading to medical accidents, stress, wasteful treatment time, and excessive posture when the dentist faces directly. Indirectly, it put a burden on lung function and heart function. Second, it was difficult for conventional dental cutting hand beads to easily know that they had approached the tooth nerve when cutting soft dentin in the fossa. Third, conventional; in dental cutting handpiece, leaving the record reflects and obvious task of root canal mouth during working Ya抜踺tooth-shaped in configuration of the cutting direction on the monitor screen in real time Could not.
従って本発明は、 第一の目的として、 歯牙切削治療時、 切削中の歯牙 の状態を無理な姿努ゃ複雑な手順によらなくても、 簡単に視認すること を目的としている。  Therefore, the first object of the present invention is to make it possible to easily visually recognize the state of a tooth being cut during tooth cutting treatment without resorting to complicated procedures.
さらに第二の目的として、 歯牙硬組緣と軟組織を見分けることを目的 としている。  The second purpose is to distinguish between hard dental tissue and soft tissue.
さらに第三の目的として、 治癢中の歯牙形成及び切削の状態を記録す ることを目的としている。  The third purpose is to record the condition of tooth formation and cutting during the recovery.
さらに第四の目的として、 既存の歯科切削用ハンドピースにも前記の 第一から第三までの目的を簡単に可能にすることを目的としている。 発明の開示  A fourth object of the present invention is to easily enable the above-mentioned first to third objects in an existing dental cutting handpiece. Disclosure of the invention
本発明は、 第一の目的のために、 歯科切削用ハンドビースの先端部分 にテレビカメラを取り付け、 歯牙切削時の状態をリアルタイムに歯科医 がディスプレイスクリーンを見ながら治療を可能とする方法をとつた。 第二の目的のために、 歯科切削用八ンドピースに取り付けるテレビ力 メラを赤外線カメラにして、 歯牙硬組織の温度分布と歯肉表面の温度分 布と繭窩の深層及び浅層にある歯髄の温度変化を的確に視覚によリ確認 する方法を採った。  The present invention, for the first object, employs a method in which a television camera is attached to the tip of a dental cutting hand bead and a dentist can perform treatment while watching the display screen in real time while cutting teeth. . For the second purpose, use a TV camera attached to the toothpiece for dental cutting as an infrared camera to measure the temperature distribution of the hard tissue of the teeth, the temperature distribution of the gingival surface, and the temperature of the pulp in the deep and shallow layers of the fossa. We adopted a method of accurately confirming changes visually.
第三の目的のために、 術者のディスプレイスクリーンの他に患者用モ 二ターテレビと記録のための D V D · ビデオ · コンピューターなどへの 入力を可能とする方法を採った。  For the third purpose, a method was adopted that allows input to the operator's display screen, as well as to the patient's monitor television and to a DVD / video / computer for recording.
第四の目的のために、 既存の歯科切削用ハンドピースにテレビカメラ をホルダーを使用して取り付ける方法を採った。 P2003/010813 For the fourth purpose, a TV camera was attached to an existing dental cutting handpiece using a holder. P2003 / 010813
3 Three
図面の簡単な説明; A brief description of the drawings;
第 1 図は、 この発明にかかる望ましいテレビカメラ付き歯科切削用八 ンドピースと視認装置の簡略図である。  FIG. 1 is a simplified view of a dental cutting handpiece with a television camera and a visual recognition device according to the present invention.
第 2図は、 この発明にかかる望ましいテレビカメラ付き歯科切削用八 ンドピースの切削部の拡大図である。  FIG. 2 is an enlarged view of a cutting part of a dental cutting handpiece with a television camera according to the present invention.
第 3図は、 ホルダーを使用してテレビカメラのレンズ部分を歯科切削 用八ンドピースのローターハウジングに取り付けたこの発明にかかる望 丰しいテレビカメラ付き歯科切削用ハンドピースの拡大図である。  FIG. 3 is an enlarged view of a preferred dental cutting handpiece with a television camera according to the present invention, in which a lens portion of a television camera is attached to a rotor housing of a dental cutting eight-piece using a holder.
第 4図は、 テレビカメラと光源と電源と発振器が一つのテレビカメラ 装 Sとして、 固定装置であるホルダーを用いて歯科切削用ハンドピース に取り付けた拡大図である。  FIG. 4 is an enlarged view of a television camera device S having a television camera, a light source, a power supply, and an oscillator attached to a dental cutting handpiece using a holder as a fixing device.
第 5図は、 テレビカメラ付き歯科切削用八ンドピースが滅菌可能に脱 着式になり発振器や光源をュニッ卜側のスリープ内に納め、 術者が前記 テレビカメラからの映像をディスプレイスクリーンで見て、 患者もモニ ターテレビを見ることを可能とする簡略図である。 Figure 5 shows a dental cutting instrument with a TV camera, which is detachable so that it can be sterilized, the oscillator and the light source are placed in the sleep on the unit side, and the surgeon looks at the image from the TV camera on the display screen. FIG. 3 is a simplified diagram that allows a patient to watch a monitor television.
03 010813 03 010813
4 Four
発明を実施するた,めの最良の形態 BEST MODE FOR CARRYING OUT THE INVENTION
本発明をより詳細に説述するために、 添付の図面に従ってこれを説明 する。  The present invention will be described in more detail with reference to the accompanying drawings.
ここで言う歯科切削用ハンドピースとは、 エアー駆 ¾のハイスピード 八ンドビース ' ロースピードハンド一ビース、 モータ一駆動の八イスピ ードハンドビース · ロースピードハンドピース、 ス卜レー卜ハンドビー ス、 コントラアングルハンドピース、 イントラマチックハンドピース、 減速コン卜ラアングルハンドピース、 等速コントラアングル八ンドビー ス、 五倍速コントラアングルハンドピースを含む。  The handpieces for dental cutting referred to here are air-driven high-speed eight-speed beads, low-speed hand-one-beads, motor-driven eight-speed hand-beads, low-speed hand-pieces, straight hand-pieces, and contra-angle hand-pieces. , Intramatic handpiece, Deceleration controller angle handpiece, Constant velocity contraangle handpiece, and 5X speed contraangle handpiece.
第 1 図は、 この発明にかかる望ましいテレビカメラ付き歯科切削用八 ンドピースと、 術者が切削中の映像をディスプレイスクリーンを通して 見ることの出来る視認装置の簡略図である。  FIG. 1 is a simplified view of a preferred dental cutting handpiece with a television camera according to the present invention and a visual recognition device that allows an operator to view an image during cutting through a display screen.
このテレビカメラ付き歯科切削用ハンドピース 2には、少なくとも一台 以上のテレビカメラ 5 · 7 · 8を取り付ける。二台以上設ける時には術者は立 体的な映像を入手可能となる。 倍率は等倍のもの、広角のもの、拡大のも の、 ズーム機能のあるもの、 を使用する。 テレビカメラのための照明装 置 4は L E Dライ ト ·白色 L E Dライト-近赤外線し E Dライ ト'赤外線し E Dライ卜 ·他の波長し E Dライ卜や、 八ロゲンライ トをカメラ周囲に 少なくとも一つ以上配置する。  At least one or more TV cameras 5, 7, 8 are attached to the dental cutting handpiece 2 with the TV camera. When two or more units are installed, the surgeon can obtain stereoscopic images. Use magnifications of 1: 1, wide-angle, magnified, and with zoom function. Lighting device 4 for TV camera is LED light, white LED light-near infrared and ED light 'infrared ED light', other wavelength ED light and at least one octogen light around the camera It arranges above.
搭載するカメラは一台で多機能を備えるものや一台一台が特定の機能 を備えるものがある。 C C Dカメラや赤外線カメラや L B C A S T (ェ ルビーキャスト) カメラの少なくとも一台のカメラが切削する歯牙と周 囲の歯肉ゃ軟組織と切削用具を視野内に収めている。  Some cameras are equipped with multiple functions, and some are equipped with specific functions. At least one of the CCD camera, infrared camera, and LBCAST (elby cast) camera contains the teeth to be cut, the surrounding gingiva, soft tissue, and cutting tools in the field of view.
又、 テレビカメラ付き歯科切削用ハンドビース 2は、ひとりの患者終了 後に滅菌を行なう部分に受光部から送信機までの全ての機能を設ける場 合と、 特に高圧蒸気滅菌などの条件に耐えられないパーツを分けて分離 TJP2003/010813 In addition, the handpiece for dental cutting with a TV camera 2 can be used when all functions from the light receiving unit to the transmitter are provided in the part to be sterilized after one patient is finished. Separate and separate TJP2003 / 010813
5 Five
することの出来るテレビカメラ付き歯科切削用ハンドビース 2を構成す る場合とがある。 すなわち D S P ' C P U ' 卜ランスミッタ一 '電源等 は、 ユニット側に分難する構成とする。 In some cases, a dental cutting hand bead 2 with a television camera that can perform the cutting operation is configured. That is, the DSP'CPU 'transmitter power supply and the like are configured to be difficult to distribute to the unit side.
術者側の視認装置は、 望ましくは術者の頭部に固定してディスプレイ スクリーン 11を片目もしくは両目で見る。更に歯科医の眼鏡上に投影(映 し出す)する構成としている。  The operator's viewing device is preferably fixed to the operator's head and looks at the display screen 11 with one or both eyes. Furthermore, it is configured to project (project) on the dentist's glasses.
又、 歯科医の得た映像を同時に患者も見ることの出来る患者用モニタ 一テレビも設け患者説明用に使用する。  In addition, a patient monitor and a television will be provided so that the patient can also watch the image obtained by the dentist at the same time.
視認装置には、テレビカメラ付き歯科切削用八ンドピース 2からの映像 が有線もしくは無線の状態で情報伝達されるが、 無線による情報伝達が より望ましい。  The image from the dental cutting device 2 with a television camera is transmitted to the visual recognition device in a wired or wireless state, but wireless information transmission is more preferable.
視認装置のディスプレイスクリーン上には、 無影燈からの反射光や歯 科切削用ハンドピース搭載のライ 卜の光による映像の他に、 赤外線カメ ラからの映像も入手可能として、 温度変化の違いによる歯牙 '歯肉 -歯 髄 ·接近した歯 ¾を見極め、 健康歯質 ·感染歯質の差異を見極める構成 となっている。 又、 視認装置は、 映像の記録 ·再生 ·転送が可能な機能 を有している。  On the display screen of the visual recognition device, in addition to the image of the reflected light from the operating light and the light of the light with the dental cutting handpiece, the image from the infrared camera is also available. 'Gingiva-Pulp · Closed teeth ¾, and differences between healthy and infected dentin are determined. The viewing device has a function of recording, reproducing, and transferring a video.
第 2図は、 歯科切削用ハンドピースの切削用具 68を取り付ける周囲に テレビカメラ 67 · C C Dカメラ 66·ズーム機能付きテレビカメラ 65·近赤 外線テレビカメラ 64·エルビーキャストテレビカメラ 63と、前記テレビ力 メラの入射光部分のクリーニングのためにクリーンエアーの噴出孔 59を 設けて、洗浄クリーニングを行なう。そして照明のための白色し E Dライ ト 56·51及び近赤外線し E Dライト 57·52及び他波長し E Dライ卜 58 · 53 及び予備ライト 60·55並びにハロゲンライ ト 6卜 54を設けて、 ライト面の クリーニングのためにクリーンエアー噴出孔 71 ·59を設けて、洗浄クリ一 ニングを行なう。 テレビカメラか :らの映像は無線もしくは有線の状態で術者のディスプ レイスクリーン上に映し出しさらに患者用モニターテレビへと映像を送 る構成となっている。 D S P ' C P U ' 卜ランスミッタ一電源 '光源等 はュニット側に分離する構成とする。 Fig. 2 shows a television camera 67, a CCD camera 66, a television camera with a zoom function 65, a near-infrared television camera 64, an Elbycast television camera 63, and a television camera 63 around the cutting tool 68 of the dental cutting handpiece. A clean air outlet 59 is provided for cleaning the incident light part of the camera, and cleaning is performed. Then, white ED lights 56 and 51 for illumination, ED lights 57 and 52 for near-infrared rays, ED lights 58 and 53 for other wavelengths, spare lights 60 and 55, and halogen lights 6 and 54 are provided. Clean air jet holes 71 and 59 are provided for surface cleaning. From the TV camera : The image from the camera is displayed on the operator's display screen in a wireless or wired state, and the image is sent to the patient monitor TV. DSP, CPU, transmitter, power supply, light source, etc. are separated on the unit side.
第 3図は、歯科切削用ハンドピースの切削用具 104の周囲に歯科切削用 ハンドピースホルダー 101に、 テレビカメラ 103と照明装 g 108を固定し て、前記テレビカメラ 103の映像を情報伝達コード末端が無線もしくは有 線で術者のディスプレイスクリーンと患者のモニターテレビと連絡して 映像を提供する構成となっている。  Fig. 3 shows a television cutting device and a lighting device g108 fixed to a dental cutting handpiece holder 101 around the cutting tool 104 of the dental cutting handpiece, and the image of the television camera 103 is transmitted to the end of the information transmission code. Are connected to the operator's display screen and the patient's monitor television by radio or wire to provide images.
前記照明装罱 108は、光源伝達コード末端 110は光源のハロゲンランプ' 白色 L E Dライト ■近赤外線し E Dライ卜へと接続している。  The illumination device 108 has a light source transmission cord end 110 at the end of which is a halogen lamp of a light source, a white LED light, and a near infrared ray, which is connected to an LED light.
第 4図は、歯科切削用ハンドピースの切削用具 157を取り付ける近くに 着脱式に取り付け固定する歯科切削用八ンドピースホルダー 155にテレ ビカメラ 159と L E Dライ 卜 152と近赤外線 L E Dライ卜と他の波長の L E Dライ ト 156と電源 151と D S P · C P LM50とトランスミッター 154を 設け、切削中の映像をトランスミッター 154により術者の受信器へ送信し て術者が映像を入手可能な構成としてある。  Fig. 4 shows a dental cutting handpiece 155 that is detachably mounted near the mounting of the cutting tool 157 of the dental cutting handpiece, a television camera 159, an LED light 152, a near-infrared LED light, and other components. A wavelength LED light 156, a power supply 151, a DSP / CP LM50, and a transmitter 154 are provided, and the image being cut is transmitted to the operator's receiver by the transmitter 154 so that the operator can obtain the image.
第 5図は、 切削用具 201を取リ付ける周囲に、 テレビカメラ 212 · 白色 L E Dライト 202 ·他の波長 L E Dライト 213を配 gし形成時切削時の映 像を入手可能としている。 オートグレープによる滅菌時には着脱側テレ ビカメラ付き切削用ハンドピース 203として分離部分 204で着脱可能で滅 菌可能としている。 ュニッ卜側テレビカメラ付き歯科切削ハンドビース 205には L E Dライ ト ·八ロゲンライ ト等の光源 211と、 C P Uや D S P 207と発振器であるトランスミッター 206や電源 210を設けて、テレビカメ ラ 212の映像を術者の受信装置 216を通ってさらに情報伝達コード 217を 通リディスプレイスクリーン 215上に映像を映し出す。さらに患者用モニ ターテレビでも^信可能な構成としてある。 産業上の利用可能性 In FIG. 5, a television camera 212, a white LED light 202, and another wavelength LED light 213 are arranged around the periphery where the cutting tool 201 is mounted, so that an image at the time of forming and cutting can be obtained. At the time of sterilization by auto grape, it is detachable and sterilizable at the separation part 204 as a cutting handpiece 203 with a detachable television camera. The dental cutting hand bead 205 with a TV camera on the unit side is equipped with a light source 211 such as an LED light and octogen light, a CPU and a DSP 207, a transmitter 206 as an oscillator, and a power supply 210 to operate the image of the TV camera 212. The image is further projected on the display screen 215 through the information transmission code 217 through the receiving device 216 of the user. More patient monies It is a configuration that can be communicated on TV. Industrial applicability
以上のように、 本発明にかかるテレビカメラ付き歯科切削用八ンドピ ースと視認装 Sは、 歯科治瘳中見えにくい所の治療部位をリアルタイム に見ながら歯科治療が可能で有用である。  As described above, the dental cutting device with a television camera and the visual recognition device S according to the present invention are useful because dental treatment can be performed while viewing a treatment site that is difficult to see during dental treatment in real time.

Claims

請 求 の 範 囲 The scope of the claims
1 . 歯科切削用ハンドピース (2)に切削用具 (3)と切削する歯牙 (6)を視野内 に収める少なくとも一台以上のテレビカメラ (5H7H8)を設け、 前記テレビ カメラからの映像を術者のディスプレイスクリーン(ιυ上に映し出せる ことを特徴とする、 テレビカメラ付き歯科切削用ハンドピースとデイス プレイスクリーンから成る視認装置。 1. The dental cutting handpiece (2) is provided with at least one TV camera (5H7H8) that holds the cutting tool (3) and the tooth to be cut (6) in the field of view, and the image from the TV camera is used by the surgeon. A visual recognition device consisting of a dental cutting handpiece with a TV camera and a display screen, which can be projected on a display screen.
2 . 歯科切削用ハンド一ピースの切削用具 (3)を取り付ける周囲に、 少な くとも一台以上のテレビカメラを配置し、 前記テレビカメラからの映像 を歯科医が直接見ながら治療を行なえることを特徴とするテレビカメラ 付き歯科切削用ハンドビースと視認装霞。  2. At least one or more TV cameras should be placed around the cutting tool (3) of the one-piece dental cutting hand so that the dentist can perform treatment while viewing the images from the TV cameras directly. Dental cutting hand bead with TV camera and visual haze.
3 . 歯科切削用八ンドピースに、 少なくとも一台以上のテレビカメラと 前記テレビカメラの映像を無線の状態で送信する送信機とを設けて、 前 記送信機からの映像信号を受信して、 ディスプレイ上で歯科医が治療部 位を見ながら治療を行なえることを特徴とするテレビカメラ付き歯科切 削用ハンドビースと視認装 S。 3. At least one or more TV cameras and a transmitter for wirelessly transmitting the video of the TV camera are provided on the dental cutting piece, and the video signal from the transmitter is received and the display is provided. Dental cutting hand-beads with a TV camera and visual recognition equipment S, which allows the dentist to perform treatment while looking at the treatment unit.
4 . 歯科切削用ハンドピースにテレビカメラを取り付けたテレビカメラ 付き歯科切削用ハンドビースが、 高圧蒸気滅菌に耐える部分を脱着部分 とし、 高圧蒸気滅菌に耐えない部分に受けた映像を処理し送信する機能 の D S P · C P U ·光源卜ランスミッタ一 ' L E Dライ 卜が歯科ュニッ 卜側に位 することを特徴とするテレビカメラ付き歯科切削用ハンドピ ース。 4. A function to process and transmit the image received by the handpiece for dental cutting with a television camera with a television camera attached to the handpiece for dental cutting as a detachable part that withstands high-pressure steam sterilization and a part that does not withstand high-pressure steam sterilization. A dental cutting handpiece with a TV camera, characterized in that the DSP / CPU / light source transmitter LED light is located on the dental unit side.
5 . 歯科切削用ハンドピースの切削部分に、 可擻式の、 少なくとも一つ 以上のテレビカメラと、 L E Dライトを設けて、 前記テレビカメラの映 像を歯科医がモニター画面を見ながら治療を行なえることを特徴とする 可撤式テレビカメラ付き歯科切削用ハンドピース。 9 5. At least one movable TV camera and an LED light are provided on the cutting part of the dental cutting handpiece, and the dentist can perform the treatment while watching the image of the TV camera on the monitor screen. A handpiece for dental cutting with a removable TV camera. 9
6. 歯科切削用ハ ドピースの切削用具を取り付ける周囲に、 少なくと . も一つ以上の L E Dライト ·白色し E Dライト '近赤外線 L E Dライ ト - 他の波長の L E Dライ 卜 '赤外線し E Dライ卜 'ハロゲンライトと、 少 なくとも一つ以上のテレビカメラ ·〇 C Dカメラ ' L B CA S T (ェルビ 一キャストカメラ ·赤外線カメラ '近赤外線カメラを配置し、 前記カメ ラの映像を歯科医がディスプレイスクリーンを見ながら切削治療が可能 なことを特徴とするテレビカメラ付き歯科切削用八ンドピースとデイス ブレイスクリーンから成る視認装置。 6. At least one or more LED lights around the area where the cutting tool of the dental cutting handpiece is installed · White and ED light 'Near infrared LED light-LED light of other wavelengths' Infrared and ED light 'Halogen light and at least one or more TV cameras〇 CD camera' LB CA ST (Erbi cast camera · Infrared camera) 'Near infrared camera is installed, and the dentist displays the image of the camera on the display screen. A visual recognition device consisting of a dental cutting screen with a TV camera and a dental blade screen, which enables cutting treatment while watching.
7. 歯科切削用ハンドピースの切削用具 68を取り付ける周囲に、 テレビ カメラ(67)-C C Dテレビカメラ(66)·ズー厶機能付きテレビカメラ(65) • 赤外線テレビカメラ(64) 'エルビーキャストテレビカメラ(63)の、 少なくとも一つ以上のテレビカメラと、 白色 L E Dライ卜(51) ·近赤外 線 L E Dライト(52)·他波長し E Dライト(53) ·八ロゲンライ ト(54)の、 少なくとも一つ以上のライ卜とを設けて配 gし、 前記テレビカメラから― の映像信号を歯科医である術者に伝え、 送られてきた信号を変換して視 觉としてディスプレイスクリーン上に映像として映し出し、 前記テレビ カメラからの映像を同時に患者用モニターテレビで見ることが出来るこ とを特徴とするテレビカメラ付き歯科切削用ハンドピースとディスプレ イスクリーンとモニターテレビとから成る視認装麗。  7. TV camera (67)-CCD TV camera (66) · TV camera with zoom function (65) • Infrared TV camera (64) (63), at least one or more TV cameras and at least one of white LED light (51), near-infrared LED light (52), other wavelength ED light (53), and octogen light (54). One or more lights are provided and arranged, and the video signal from the television camera is transmitted to a surgeon who is a dentist, and the transmitted signal is converted and viewed as an image on a display screen. A dental cutting handpiece with a television camera, a display screen, and a monitor screen, wherein the image from the television camera can be simultaneously viewed on the patient monitor television. Visibility SoUrara composed of a fine.
8. 歯科切削用ハンドビースの切削用具(103)の周囲に 脱着式に取り付 け可能な歯科切削用ハンドビースホルダ一(101)に、一方の端の情報伝達 コード(106)が 術者のディスプレイスクリーンと患者のモニターテレビ の少なくとも一方に連絡して残りのもう一方の端が前記歯科切削用ホル ダー ουに固着するテレビカメラ(103)と、一方の端が光源( o)と連絡 し残りの一端が前記歯科切削用ホルダー(101)に固着する照明装置(108) とを設け、前記テレビカメラ(103)からの映像を術者と患者がディスプレ イスクリーンを通じて見ることのできるテレビカメラシステムと視認装 置。 8. The information transmission code (106) at one end is displayed on the operator's display on one of the dental cutting hand beads holders (101) that can be detachably attached around the cutting tool (103) of the dental cutting hand beads. A TV camera (103), which communicates with at least one of the screen and the patient's monitor television and has the other end fixed to the dental cutting holder ο ホ ル, and one end communicates with the light source (o) and An illumination device (108) having one end fixed to the dental cutting holder (101) is provided, and an operator and a patient can display images from the television camera (103). A TV camera system and viewing device that can be viewed through the screen.
9. 歯科切削用ハンドピースの切削用具(157)の周囲に、着脱式に取り付 け可能な歯科切削用八ンドビースホルダー(155)に、少なくとも一つ以上 の L E Dライト(152)と、少なくとも一つ以上のテレビカメラ(159〉と、 D S P -C P U (150)と、トランスミッタ一(154)と、電源(151)とを設けたこ とを特徴とする歯科切削用八ンドピース用テレビカメラ伝送装罱。  9. At least one LED light (152) and at least one LED light (152) are attached to a removable dental cutting holder (155) around the cutting tool (157) of the dental cutting handpiece. A television camera transmission device for dental cutting, comprising one or more television cameras (159>), a DSP-CPU (150), a transmitter (154), and a power supply (151). .
10. 歯料切削用八ンドビースの一部に、 着脱式に取り付け可能な歯科切 削用ハンドビースホルダ一(155)に、少なくとも一つ以上の L E Dライ 卜 (152)と、少なくとも一つ以上のテレビカメラ(159)と、 D S P 'C P U (1 50)と、トランスミッター(154)と、 電源 051)とを設けた歯科切削用八ン ドビース用テレビカメラ伝送装 gと、前記トランスミッター(154)からの 映像信号を受信し術者用ディスプレイスクリーンと患者用モニターテレ ビに映像として映し出せることを特徴とするテレビカメラシステ厶。 10. At least one LED light (152), at least one LED light (152), at least one detachable handpiece holder for dental cutting (155) A television camera transmission device g for dental cutting, equipped with a television camera (159), a DSP CPU (150), a transmitter (154), and a power supply 051); A television camera system characterized by receiving video signals and projecting them on a display screen for an operator and a monitor television for a patient.
11. 着脱側テレビカメラ付き歯科切削用ハンドピース(203) の切削用具 (201)の周囲に少なくとも一つ以上の白色 L E Dライト(202)と、 少なく とも一つ以上のテレビカメラ(2ί2)とを配置した、着脱側テレビカメラ付 き歯科切削ハンドビース(203)と、 前記テレビカメラ(212)からの映像信 号を分離部分(204)を介して、ュニッ卜側テレビカメラ付き歯科切削用八 ンドピース(205)側に設けた D S P *C P U (207)へと信号を送り、前記 D S P -C P U (207)信号を術者の受信装黡(216)と患者用モニターテレビ( 218)に送信するトランスミッター(206) を設けたュニッ ト側テレビカメ ラ付き歯科切削用ハンドビース(205)と、 前記トランスミッ夕ー(206〉か らの信号を受け取る術者用の受信装覼(216)と情報伝達コード(217)とデ イスプレイスクリーン(215)と、 患者用モニタ一テレビ(218)とを設けた ことを特徴とするテレビカメラ付き歯科切削用八ンドビースと術者用デ イスプレイスクリーンと患者用モニターテレビから成る視認装置。 11. At least one white LED light (202) and at least one TV camera (2ί2) around the cutting tool (201) of the dental cutting handpiece (203) with detachable TV camera. The dental cutting handpiece (203) with the detachable television camera and the video signal from the television camera (212) are arranged via the separation part (204) and the dental cutting handpiece (unit) with the television camera (unit). The transmitter (206) sends a signal to the DSP * CPU (207) provided on the 205) side, and transmits the DSP-CPU (207) signal to the receiving device (216) of the operator and the patient monitor television (218). ), A dental cutting hand bead (205) with a television camera on the unit side, a receiving device (216) for an operator to receive a signal from the transmitter (206), and an information transmission code (217). And display screen (215) and patient monitor One TV (218) eight for the TV camera with dental cutting, characterized in that a Ndobisu and operator's de A visual recognition device consisting of a display screen and a patient monitor television.
PCT/JP2003/010813 2003-06-21 2003-08-27 Hand piece for dental cutting with video camera and visualizer WO2004112638A1 (en)

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