WO2010066221A1 - Procédé de perçage, machine de perçage destinée à des fins chirurgicales comportant une garniture, et garniture d'une machine de perçage destinée à des fins chirurgicales - Google Patents

Procédé de perçage, machine de perçage destinée à des fins chirurgicales comportant une garniture, et garniture d'une machine de perçage destinée à des fins chirurgicales Download PDF

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Publication number
WO2010066221A1
WO2010066221A1 PCT/DE2009/001518 DE2009001518W WO2010066221A1 WO 2010066221 A1 WO2010066221 A1 WO 2010066221A1 DE 2009001518 W DE2009001518 W DE 2009001518W WO 2010066221 A1 WO2010066221 A1 WO 2010066221A1
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WO
WIPO (PCT)
Prior art keywords
drill
coolant
attachment
chip
drilling
Prior art date
Application number
PCT/DE2009/001518
Other languages
German (de)
English (en)
Inventor
Johannes Klotz
Friedrich-Wilhelm Bach
Original Assignee
Gottfried Wilhelm Leibniz Universität Hannover
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Gottfried Wilhelm Leibniz Universität Hannover filed Critical Gottfried Wilhelm Leibniz Universität Hannover
Publication of WO2010066221A1 publication Critical patent/WO2010066221A1/fr

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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
    • A61B17/1644Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans using fluid other than turbine drive fluid
    • 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
    • A61B17/1613Component parts
    • A61B17/1633Sleeves, i.e. non-rotating parts surrounding the bit shaft, e.g. the sleeve forming a single unit with the bit shaft
    • 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
    • A61B17/1613Component parts
    • A61B17/1615Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material
    • 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
    • A61B17/1613Component parts
    • A61B17/162Chucks or tool parts which are to be held in a chuck
    • 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
    • A61B17/1644Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans using fluid other than turbine drive fluid
    • A61B17/1646Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans using fluid other than turbine drive fluid with sealing means
    • 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
    • A61B17/1644Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans using fluid other than turbine drive fluid
    • A61B2017/1651Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans using fluid other than turbine drive fluid for cooling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/036Abutting means, stops, e.g. abutting on tissue or skin abutting on tissue or skin

Definitions

  • the invention relates to a drilling method, a drill intended for surgical purposes with an attachment and a fixable to the attachment by means of a coupling element drill and an attachment for a certain purpose surgical drill.
  • Such a drilling machine and such a drilling method are used in practice, for example, to allow a screw connection of fracture surfaces by means of an osteosynthesis plate and thereby promote the convergence of the affected bones.
  • the osteosynthesis plate is screwed with several screws in each half of the broken bone, in order to connect them.
  • the unnatural force distribution in the bone caused by the implant has a significant influence on the fractures that occur due to the significantly increased elastic modulus of the implant material compared to the bone.
  • This load shielding in the bone leads to a decay of the bone substance and correspondingly reduced stability.
  • stress peaks are formed, which consequently lead here to a fracture of the bone.
  • DE 10 2006 058 937 A1 relates to a drilling machine with a receptacle, which has a contact surface for a region facing away from the drill of a prosthesis shaft of a prosthesis, in particular a joint prosthesis, receiving bone.
  • the drill serves to introduce a hole in the bone and in the prosthesis shaft, so that the screw can be made not only in the bone structure, but also in the prosthesis stem.
  • the hand drill is intended for introducing an elongate fixing aid into a bone under sterile conditions.
  • the hand drill is equipped with a motor-driven rotatable drive shaft, which is kinematically connected to a drill wire chuck.
  • the drill wire chuck is designed to be open in such a way that the fixing aid can be guided through the drill wire chuck in an open position and is non-rotatably connected to the drill wire chuck in a closed position.
  • DE 103 02 873 B3 relates to a drill system which can be used in surgery, comprising a drive part and a functional part, wherein the drive part consists of a non-magnetic metal.
  • DE 295 04 857 U1 describes a drilling jig as a guide for a drill for surgical drills with a sleeve which can be attached with its front end to a bone, through the interior of which the drill can be screwed into the bone, and with a stop face at the rear end, at a stop the depth of the drill into the sleeve limiting stop of the drill can rest.
  • the drill guide is provided with means for varying the distance between the stop surface and the front end of the sleeve so as to allow the surgeon to safely insert bores into the bone.
  • DE 693 26 397 T2 already discloses a device for machining a workpiece with a tool holder and a rotating cutting tool, which has a coolant channel on an outer surface. This extends from the rear end of the cutting tool to a region near the free end, so that the coolant is applied directly to the rake surfaces of the cutting edges of the cutting tool.
  • a drill for dentistry has a longitudinal channel for the supply of coolant to the tool, which opens at the working end of the tool to the outside.
  • the cooling liquid also enters the milling head cavity through the openings, wherein drilling dust is also swept into the milling head cavity. In this way, the heat is to be reduced at the place of its formation, ie at the point where the cutting surfaces rub against the substance to be removed.
  • DE 27 30 227 A1 relates to an apparatus for drilling bone, in which the drill is driven with a reciprocating rotary motion whose amplitude is smaller than a full revolution.
  • a sleeve surrounds the drill, which is pressed forward against the bone to form a channel for receiving the waste. Although the chips are thereby collected in the sleeve, but not led away from the drilling site.
  • drilling machines for surgical purposes associated with drilling in implants high heat, so that the released metal chips that store the heat energy can lead to damage to the tissue, since any increase in temperature above 42 0 C is to be avoided within the human body.
  • drilling machines for machining high-strength materials are necessarily designed as drill presses, since an axial coolant supply due to the sealing side of the processing zone side facing previously could only be realized by a frictional connection of the drill with a chuck, which has the consequence that a manual drilling and a manual drilling device could not be realized.
  • the object of the invention is to provide a substantially improved drilling method and an attachment intended for carrying out the method for a manual drill used in surgery, as well as a manual drill provided with such an attachment, whereby an undesirable heat input, in particular due to drilling in implant materials, is significantly reduced.
  • a drilling method of a drill intended for surgical purposes for introducing bores into bone and fixed therein implants is created by following a coolant through a drill of a secondary cutting edge in the implementation of the drilling process and following the twist angle of the drill behind at least one main cutting edge of the drill emerges.
  • the coolant is deflected into an area behind a chip to be generated and thereby flows around the chip and the drill.
  • the separated chip is transported according to the direction of rotation of the drill from the coolant through a flute of the drill to a drill bit facing away from the chip receiving and collected by a chip receiving.
  • the chip holder includes the drill and adapts to the drill penetration depth accordingly.
  • a drill intended for surgical purposes with an attachment by the drill is designed as a permeable by a coolant hollow body with an outlet for the coolant in the region of a drill bit and with a drill radially enclosing chip receiving, which an opening for the drill, wherein the chip receiving and the drill are movable relative to each other in the direction of an axis of rotation of the drill.
  • the invention is based on the recognition that a damaging influence due to a possible heat input into the tissue can be avoided in a simple manner that resulting chips are transported together with the emerging through the outlet opening in the processing zone coolant along a flute of the drill through the opening into the interior of the chip holder.
  • the hot metallic chips of the implant material thus do not pass uncontrollably into the surrounding tissue. Rather, the chips are conveyed on the outside of the drill in the chip holder. This ensures not only a reliable removal of the chips, but also an uninterrupted cold chain of the chips.
  • a particularly advantageous embodiment of the present invention is achieved in that the drill has a plurality of outlet openings, in particular inclined with respect to the rotational axis of the drill, for the coolant.
  • a particularly efficient cooling of the resulting chips is ensured, in particular by each main cutting edge is associated with a separate outlet opening.
  • a sufficient flow through each flute is achieved, with an inclined arrangement of the outlet opening significantly improves the conveying effect.
  • An undesirable, in particular uncontrolled distribution into the surrounding tissue is excluded.
  • no feed movement is produced by the exiting coolant jet in the opposite direction.
  • At least one outlet opening for deflecting the coolant into an area directly behind a main cutting edge of the drill is executed.
  • the coolant jet enters the gap between the chip and the main cutting edge, so as to achieve the greatest possible cooling effect directly in the area of chip formation. Possible chip residues are lifted by the blasting action of the coolant and thus arrive reliably in the flow of coolant return into the chip receptacle.
  • the chip removal is further improved by biasing the chip receptacle by means of the biasing force of a particular spring element against a processing zone.
  • the chip receiving device reliably automatically lays against the edge region enclosing the borehole.
  • the respective minimum distance of the chip receiving is ensured with respect to the drill bit, so as to keep the residence time of the chips in the tissue as short as possible.
  • the chip holder can in turn have a thermal insulation so as to minimize heating of its outer wall surface to a minimum.
  • the biasing force can also be made adjustable. Furthermore, it is advantageous if the chip receiving rotatably connected to the housing of the drill and thus has a high stability.
  • the chip receiving an elastic or deformable contact surface for abutment against a processing zone enclosing the edge region of the bone to avoid unwanted escape of chips through a gap between the chip receiving and the edge region of the borehole.
  • the abutment surface may, for example, have a recess corresponding to the inner diameter of the chip receptacle, for example, be annular.
  • the contact surface can also be connected for single or multiple use releasably connected to the chip receiving.
  • the chip receiving is connected to a suction. This allows a simple removal of the entering into the chip receiving coolant, so that the volume of the chip receiving only needs to be dimensioned according to the chip volume and thus relatively small. Furthermore, a negative pressure can be generated in the interior of the chip receptacle so as to favor the return flow of the coolant exiting at the drill bit, including the chips.
  • the proportion of traceable coolant in this way is comparatively high.
  • the coolant is a biocompatible liquid, in particular a saline solution, and thus no adverse effects on the tissue or the bone substance is to be feared.
  • the coupling element frictionally receives the drill on the side facing the processing area, then on the other side is positively connected to the primary drill chuck, which in turn radially supplied with coolant and form-fitting with the actual chuck, here secondary chuck , a drill intended for surgical purposes can be connected.
  • the various components of the drill can form a permanently connected unit.
  • the attachment receives the drill chuck in a releasably releasable manner in order to be able to ensure a simple change of the drill when the functionality is otherwise the same is particularly useful.
  • the drill has a plurality of coolant channels, which have a spiral course according to the course of the respective main cutting edge.
  • the cooling effect can be improved due to the reduced distance from the cutting edge.
  • the drill is designed as a carbide drill and thus allows the introduction of holes not only in the bone tissue, but also with little effort in the implant easily.
  • the further object of providing a surgical attachment with a coupling element for a drill is achieved in that on the essay a drill is fixed, which can be flowed through by a coolant hollow body with an outlet for the coolant in the region of a drill bit is executed, with a drill radially enclosing chip receiving, which has an opening for the drill, wherein the chip receiving and the drill are movable relative to each other in the direction of an axis of rotation of the drill.
  • the decisive factor is not only the supply of the coolant to the drilling site, but rather the return of at least a large part of the coolant together with all released chips whose heat otherwise leads to a possible tissue damage when the coolant flow is increased. It is particularly useful if the article is detachably fixable to the drill, so as to enable a universal, so in particular as needed use of the thus designed essay in various drills.
  • the essay can be equipped for this purpose with adapters or different fixatives for several commercial drills.
  • the article has a relative to the drill stationary coolant supply, which can be connected in such a simple manner with a supply line.
  • the coolant supply can be controlled or regulated according to the rotation of the drill.
  • the coolant supply is connected to a cylindrical, the drill concentrically enclosing chip receiving.
  • the chip holder consists of two telescopically displaceable cylindrical hollow bodies, which are connected to the housing of the drill.
  • a compression spring is used to apply a biasing force against the edge region of the bone and thus a reliable investment. After completion of the front part can be removed and the collected chips inside can be disposed of.
  • Figure 1 is a sectional side view of a drill with an essay.
  • FIG. 2 is an enlarged view of the attachment shown in FIG. 1 with a coupling element
  • FIG. 3 is an enlarged view of the coupling element shown in FIG. 2; FIG.
  • Fig. 4 is a further enlarged view of a drill.
  • a drilling machine 1 intended for surgical purposes will be described in more detail below with reference to FIGS. 1 to 3.
  • the per se commercial drill 1 is equipped with an attachment 2, which receives a drill 4 by means of a coupling element 3.
  • the drill 4 has a through-flow of a coolant drill 4, in particular a carbide drill , on.
  • the drill 4 is this fixed to a primary chuck 5 by shrinking positive and positive.
  • the coupling element 3 is then in turn positively connected to a primary chuck 5, which in turn is positively connected to the secondary chuck of the drill 1, so as to transmit the required torque reliably.
  • the chuck 5 and the attachment 2 are equipped with an internal, continuous coolant supply 6, so that a continuous coolant supply of the drill 4 - and after the exit through an outlet opening 7 in the region of the drill tip and the drilling - is guaranteed.
  • the isotonic coolant is then fed together with the chips contained therein along the flute, not shown, of the drill 4 to a cylindrical chip receiving 8, which radially encloses the drill 4 and has an opening 9 for the drill 4.
  • the chip holder 8 and the drill 4 are relative to each other in the direction of a rotation axis 10 of the drill 4 slidably, so that the chip holder 8 by means of the biasing force F of a spring element 11 is biased against a processing zone, so as to ensure a reliable abutment against the bone.
  • the chip holder 8 is connected to an exhaust 12, so that only the chips remain in the interior of the chip holder 8 and can be easily removed from the chip holder 8 after completion of the hole.
  • the drill 4 is shown in a greatly enlarged detailed representation during the execution of the drilling procedure when the bores 20 are introduced into a bone 13 and an implant 14 fixed therein.
  • the coolant is deflected into a region behind a chip 17 to be generated and thereby flows around the chip 17.
  • the separated chip 17 is turned away from the coolant through a flute 18 of the drill 4 to that of the bore in accordance with the direction of rotation 15 of the drill 4 Chip 8 transported and collected by this.
  • the chip holder 8 includes the drill 4 by means of a seal 19 and is axially movable according to the Bohrereindringianae.

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

Abstract

L'invention concerne un procédé de perçage et une machine de perçage (1) destinée à des fins chirurgicales comportant une garniture (2) et un foret (4), ainsi qu'une garniture (2) destinée à une machine de perçage (1). L'invention a pour objet de réduire sensiblement l'entrée indésirable de chaleur dans le tissu sous l'effet de perçages dans un matériau d'implant. A cet effet, le foret (4) peut être traversé par un réfrigérant. Après sa sortie par un orifice de sortie (7) dans la zone de la pointe du foret au point de perçage, le réfrigérant est dirigé avec les copeaux qu'il contient le long de la rainure à copeaux du foret (4) vers un réceptacle à copeaux (8) cylindrique qui entoure radialement le foret (4).
PCT/DE2009/001518 2008-12-10 2009-10-30 Procédé de perçage, machine de perçage destinée à des fins chirurgicales comportant une garniture, et garniture d'une machine de perçage destinée à des fins chirurgicales WO2010066221A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102008061249A DE102008061249A1 (de) 2008-12-10 2008-12-10 Ein chirurgisches Bohrverfahren, eine für chirurgische Zwecke bestimmte Bohrmaschine mit einem Aufsatz sowie ein Aufsatz für eine für chirurgische Zwecke bestimmte Bohrmaschine
DE102008061249.9 2008-12-10

Publications (1)

Publication Number Publication Date
WO2010066221A1 true WO2010066221A1 (fr) 2010-06-17

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PCT/DE2009/001518 WO2010066221A1 (fr) 2008-12-10 2009-10-30 Procédé de perçage, machine de perçage destinée à des fins chirurgicales comportant une garniture, et garniture d'une machine de perçage destinée à des fins chirurgicales

Country Status (2)

Country Link
DE (1) DE102008061249A1 (fr)
WO (1) WO2010066221A1 (fr)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102015121779B4 (de) 2015-12-15 2018-03-29 Gottfried Wilhelm Leibniz Universität Hannover Revisionsfähige Endoprothese
CN108272518A (zh) * 2018-02-09 2018-07-13 广州市健齿生物科技有限公司 一种带有副钻头的牙科种植手术钻头
CN109330658A (zh) * 2018-10-19 2019-02-15 中国人民解放军第二军医大学第二附属医院 液冷式骨钻
CN112754590A (zh) * 2020-12-28 2021-05-07 中南大学湘雅医院 一种骨科用钻头

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102010056307A1 (de) * 2010-07-26 2012-01-26 Adeor Medical Technologies Gmbh Multisystem Bohr- und Fräseinsatz

Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2730227A1 (de) 1976-12-22 1978-06-29 Roland Leuenberger Vorrichtung zur bearbeitung von harten koerperteilen, insbesondere knochen
DE2331023C3 (de) 1973-06-18 1978-08-17 Horst Prof. Dr.Med.Dent. 6300 Giessen Kirschner Bohr- bzw. Fräsapparat für die Zahnheilkunde
DE29504857U1 (de) 1995-03-22 1995-05-18 Aesculap Ag, 78532 Tuttlingen Bohrlehre für chirurgische Bohrwerkzeuge
DE69326397T2 (de) 1992-06-17 2000-05-11 Makino Milling Machine Ein Verfahren und ein Gerät zum Bearbeiten eines Werkstückes
US6325806B1 (en) * 1995-10-30 2001-12-04 Biomedical Enterprises, Inc. Materials collection system and uses thereof
US6332886B1 (en) * 1999-02-03 2001-12-25 Synthes (Usa) Surgical reamer and method of using same
DE19955026B4 (de) 1999-11-16 2004-07-15 Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. Elektromotorisch betreibbare Handbohrmaschine zum Einbringen einer länglich ausgebildeten Fixierhilfe unter sterilen Bedingungen in einen Knochen oder in Knochenteile
DE10302873B3 (de) 2003-01-22 2004-07-22 Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. Nichtmagnetisches Bohrersystem mit keramischen Schneiden
WO2007065978A1 (fr) * 2005-12-08 2007-06-14 Georges Antoine Creps Dispositif et procede de forage pour l' insertion d'un implant dentaire
DE102006016290A1 (de) 2006-04-06 2007-10-11 Gühring Ohg Mehrteiliges Schaftwerkzeug, insbesondere Feinbearbeitungswerkzeug
DE102006058937A1 (de) 2006-12-12 2008-06-19 Gottfried Wilhelm Leibniz Universität Hannover Bohrmaschine für chirurgische Zwecke

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2331023C3 (de) 1973-06-18 1978-08-17 Horst Prof. Dr.Med.Dent. 6300 Giessen Kirschner Bohr- bzw. Fräsapparat für die Zahnheilkunde
DE2730227A1 (de) 1976-12-22 1978-06-29 Roland Leuenberger Vorrichtung zur bearbeitung von harten koerperteilen, insbesondere knochen
DE69326397T2 (de) 1992-06-17 2000-05-11 Makino Milling Machine Ein Verfahren und ein Gerät zum Bearbeiten eines Werkstückes
DE29504857U1 (de) 1995-03-22 1995-05-18 Aesculap Ag, 78532 Tuttlingen Bohrlehre für chirurgische Bohrwerkzeuge
US6325806B1 (en) * 1995-10-30 2001-12-04 Biomedical Enterprises, Inc. Materials collection system and uses thereof
US6332886B1 (en) * 1999-02-03 2001-12-25 Synthes (Usa) Surgical reamer and method of using same
DE19955026B4 (de) 1999-11-16 2004-07-15 Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. Elektromotorisch betreibbare Handbohrmaschine zum Einbringen einer länglich ausgebildeten Fixierhilfe unter sterilen Bedingungen in einen Knochen oder in Knochenteile
DE10302873B3 (de) 2003-01-22 2004-07-22 Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. Nichtmagnetisches Bohrersystem mit keramischen Schneiden
WO2007065978A1 (fr) * 2005-12-08 2007-06-14 Georges Antoine Creps Dispositif et procede de forage pour l' insertion d'un implant dentaire
DE102006016290A1 (de) 2006-04-06 2007-10-11 Gühring Ohg Mehrteiliges Schaftwerkzeug, insbesondere Feinbearbeitungswerkzeug
DE102006058937A1 (de) 2006-12-12 2008-06-19 Gottfried Wilhelm Leibniz Universität Hannover Bohrmaschine für chirurgische Zwecke

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102015121779B4 (de) 2015-12-15 2018-03-29 Gottfried Wilhelm Leibniz Universität Hannover Revisionsfähige Endoprothese
CN108272518A (zh) * 2018-02-09 2018-07-13 广州市健齿生物科技有限公司 一种带有副钻头的牙科种植手术钻头
CN108272518B (zh) * 2018-02-09 2023-10-31 广东健齿生物科技有限公司 一种带有副钻头的牙科种植手术钻头
CN109330658A (zh) * 2018-10-19 2019-02-15 中国人民解放军第二军医大学第二附属医院 液冷式骨钻
CN112754590A (zh) * 2020-12-28 2021-05-07 中南大学湘雅医院 一种骨科用钻头

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