WO2022110495A1 - 根管治疗设备 - Google Patents

根管治疗设备 Download PDF

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Publication number
WO2022110495A1
WO2022110495A1 PCT/CN2020/141639 CN2020141639W WO2022110495A1 WO 2022110495 A1 WO2022110495 A1 WO 2022110495A1 CN 2020141639 W CN2020141639 W CN 2020141639W WO 2022110495 A1 WO2022110495 A1 WO 2022110495A1
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WIPO (PCT)
Prior art keywords
root canal
vibration
file
treatment device
connecting rod
Prior art date
Application number
PCT/CN2020/141639
Other languages
English (en)
French (fr)
Inventor
吴勋贤
寺内吉継
韦锋文
吴坤优
詹剑锋
冼星志
陈泽荣
Original Assignee
桂林市啄木鸟医疗器械有限公司
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
Priority claimed from CN202022805145.2U external-priority patent/CN214049137U/zh
Priority claimed from CN202011358766.9A external-priority patent/CN112353510A/zh
Application filed by 桂林市啄木鸟医疗器械有限公司 filed Critical 桂林市啄木鸟医疗器械有限公司
Priority to JP2022535937A priority Critical patent/JP7416949B2/ja
Priority to EP20963383.3A priority patent/EP4066776A4/en
Priority to US17/792,666 priority patent/US20230053221A1/en
Publication of WO2022110495A1 publication Critical patent/WO2022110495A1/zh

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C5/00—Filling or capping teeth
    • A61C5/40—Implements for surgical treatment of the roots or nerves of the teeth; Nerve needles; Methods or instruments for medication of the roots
    • A61C5/42—Files for root canals; Handgrips or guiding means therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • A61C1/02—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design characterised by the drive of the dental tools
    • A61C1/07—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design characterised by the drive of the dental tools with vibratory drive, e.g. ultrasonic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • A61C1/02—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design characterised by the drive of the dental tools
    • A61C1/06—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design characterised by the drive of the dental tools with electric drive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • A61C1/08—Machine parts specially adapted for dentistry
    • A61C1/12—Angle hand-pieces
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • A61C1/08—Machine parts specially adapted for dentistry
    • A61C1/14—Tool-holders, i.e. operating tool holders, e.g. burr holders
    • A61C1/148—Non-rotating tool holders, e.g. vibrating, oscillating, nutating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C5/00—Filling or capping teeth
    • A61C5/40—Implements for surgical treatment of the roots or nerves of the teeth; Nerve needles; Methods or instruments for medication of the roots

Definitions

  • the present disclosure relates to the technical field of dental treatment instruments, in particular to a root canal treatment device.
  • Root canal therapy also known as endodontic treatment, is a treatment method developed in recent years to protect the affected tooth. better treatment and protection.
  • Root canal treatment includes several main stages of treatment, including root canal preparation, disinfection, and root canal filling. Root canal preparation and disinfection are mechanical cutting and filing of the root canal to achieve the desired shape for subsequent root canal filling. Create better space conditions, remove the organic matter in the root canal and the infected tissue (bacteria) in the root canal by rinsing, and fill the root canal with drug materials after the root canal debridement is completed, so that the filled drug materials and the root canal wall fit.
  • Root canal preparation and disinfection are mechanical cutting and filing of the root canal to achieve the desired shape for subsequent root canal filling. Create better space conditions, remove the organic matter in the root canal and the infected tissue (bacteria) in the root canal by rinsing, and fill the root canal with drug materials after the root canal debridement is completed, so that the filled drug materials and the root canal wall fit.
  • the positive pressure flushing of the root canal in the prior art is difficult to ensure sufficient cleaning of the lower end of the root canal, which makes it difficult to fully remove some organic substances and infected tissues at the lower end of the root canal, and causes the root canal cleaning time to be too long and the patient's oral cavity to grow. The time is widened, which prolongs the painful time of the patient.
  • the drug material filled into the root canal after root canal cleaning is usually a paste material prepared by mixing powder and water, the drug material will inevitably be mixed in the process of mixing. Mixed with air bubbles, the method of ultrasonic washing is not good for the removal of air bubbles in the drug material, and the air bubbles mixed in the drug material will affect the tightness of the drug material and the root canal wall.
  • the purpose of the embodiments of the present disclosure is to provide a root canal treatment device, which can effectively improve the time-consuming of the cleaning process of the root canal treatment, and improve the efficiency and effect of cleaning the infected tissue and medicinal liquid in the root canal.
  • the embodiments of the present disclosure provide a root canal treatment device, including a contra-angle handpiece and a root canal file detachably connected to the contra-angle handpiece, and a drive module drivingly connected with the root canal file, where the drive module includes a rotary driver and a vibration generator
  • the rotary drive is configured to drive the file to rotate axially
  • the vibration generator is configured to drive the file to vibrate radially.
  • the root canal treatment device further includes a handle connected to the contra-angle handpiece, the rotary driver is arranged in the handle, and the rotary driver drives the root canal file to rotate through the contra-angle handpiece, and the vibration generator is arranged on the On the handle, the vibrating end of the vibrating generator acts on the root canal file.
  • the vibration generator is an ultrasonic transducer.
  • the ultrasonic transducer includes a casing and a transducer body disposed in the casing, and the casing and the handle are integrally formed, or the casing and the handle are fastened by a threaded connection member or a clip
  • the connector is detachable.
  • a vibration connector is further provided between the ultrasonic transducer and the root canal file, and the ultrasonic transducer is connected to the root canal file through the vibration connector.
  • a vibrating head is provided at one end of the vibration connector connected to the root canal file, and the vibrating head is configured as a concave arc surface on the end surface connected to the root canal file.
  • the diameter of the circular arc surface of the vibrating head is greater than or equal to the diameter of the root canal file.
  • the vibration connector includes a first connecting rod and a second connecting rod whose ends are sleeved with each other, and a fastener sleeved on the sleeved end of the first connecting rod, The fastener is configured to secure the socket ends of the first connecting rod and the second connecting rod.
  • the other end of the first connecting rod configured to be connected with the root canal file can be detachably connected with a connecting seat, and a fixing member is passed between the connecting seat and the first connecting rod .
  • a nickel-titanium connecting rod is further provided between the ultrasonic transducer and the root canal file, and the ultrasonic transducer is connected to the root canal file through the nickel-titanium connecting rod.
  • the vibration generator is a vibrator
  • the vibrator includes a plastic casing and a vibration motor arranged in the plastic casing, and the vibrator is fixed on the curved handpiece through the plastic casing;
  • the vibration output end of the motor is connected with a pressing block through an elastic piece, the pressing block protrudes out of the plastic casing through the opening opened on the plastic casing, and abuts the root canal file on the side wall of the root canal file.
  • a hook portion is formed on the jacking block, and the hook portion is configured to be engaged with the inner wall of the opening of the plastic housing to limit the length of the jacking block extending out of the opening.
  • the vibrator further includes a power supply disposed in the handle, the power supply is electrically connected to the vibration motor through a wire, and is configured to supply power to the vibration motor.
  • a shock-absorbing rubber pad is provided on the plastic casing, and the plastic casing and the contra-angle handpiece are clamped and fixed by the shock-absorbing rubber pad.
  • the root canal treatment device further includes a controller, which is electrically connected to the rotation driver and the vibration generator, respectively, and is configured to control the operations of the rotation driver and the vibration generator, respectively.
  • a root canal treatment device includes a contra-angle handpiece and a root canal file detachably connected to the contra-angle handpiece, and also includes a drive module drivingly connected to the root canal file.
  • the drive module includes a rotary driver and a vibration generator.
  • the rotary drive is configured to drive the file to rotate axially to mechanically cut and expand the root canal to shape the root canal
  • the vibration generator is configured to drive the file to vibrate radially
  • the file Vibration at a specific frequency can fully activate the activity of the drug material filled into the root canal, especially in the process of filling the root canal with the drug material
  • the vibration provided by the vibration generator is combined with the rotation of the root canal file. , can efficiently discharge the air bubbles in the drug material filled in the root canal, so that the drug material can fill the root canal tightly, providing a better environment for subsequent root canal treatment, improving the effect of root canal treatment, and reducing the pain of patients.
  • FIG. 1 is one of the schematic structural diagrams of a root canal treatment device provided in some embodiments of the present disclosure
  • FIG. 2 is the second schematic structural diagram of a root canal treatment device provided in some embodiments of the present disclosure
  • FIG. 3 is a schematic structural diagram of a root canal treatment device provided in some embodiments of the present disclosure in which the vibration generator is an ultrasonic transducer;
  • FIG. 4 is a schematic structural diagram of the connection between the ultrasonic transducer and the root canal file in the root canal treatment device provided in some embodiments of the present disclosure through a vibration connector;
  • FIG 5 is one of the structural schematic diagrams of the vibration connector in the root canal treatment device provided in some embodiments of the present disclosure
  • FIG. 6 is the second schematic diagram of the structure of the vibration connector in the root canal treatment device provided in some embodiments of the present disclosure.
  • FIG. 7 is the third schematic diagram of the structure of the vibration connector in the root canal treatment device provided in some embodiments of the present disclosure.
  • FIG. 8 is a schematic structural diagram of the vibration generator in the root canal treatment device provided in some embodiments of the present disclosure as a vibrator;
  • Fig. 9 is a partial enlarged view of Fig. 8.
  • Fig. 10 is a partial enlarged view of area A in Fig. 9;
  • FIG. 11 is a schematic diagram of the control relationship of the root canal treatment device provided in some embodiments of the present disclosure.
  • Icon 10-angle handpiece; 20-root canal file; 30-drive module; 31-rotation driver; 32-vibration generator; 321-shell; 322-transducer body; 323-plastic shell; 324-vibration Motor; 325-elastic part; 326-tightening block; 3261-hook; 327-shock-absorbing rubber pad; 40-handle; 50-vibration connector; 501-vibration head; 51-first connecting rod; 52-th Two connecting rods; 53-fastener; 54-connector; 55-fixture; 60-controller.
  • orientation or positional relationship indicated by the terms “inside”, “outside”, etc. is based on the orientation or positional relationship shown in the accompanying drawings, or is usually placed when the product of the application is used.
  • the orientation or positional relationship is only for the convenience of describing the present disclosure and simplifying the description, rather than indicating or implying that the referred device or element must have a specific orientation, be constructed and operated in a specific orientation, and therefore should not be construed as a limitation of the present disclosure.
  • the terms “first”, “second”, etc. are only used to differentiate the description and should not be construed to indicate or imply relative importance.
  • connection should be understood in a broad sense, for example, it may be a fixed connection, a detachable connection, or an integral connection; it may be a direct connection
  • connection can also be indirectly connected through an intermediate medium, and it can be the internal communication of two elements.
  • Root canal pre-form is to provide accurate shaping effect and ensure the working space for subsequent treatment.
  • Root canal pre-form is mainly through The root canal file rotates at high speed in the root canal to grind the inner wall of the root canal. Washing and cleaning is to clean up the original diseased tissue and bacteria in the root canal.
  • the root canal is continuously irrigated by means of pressure, and it is difficult to effectively clean the lower part of the root canal.
  • the files of root canal washing equipment are usually stainless steel or titanium alloy files. The files of these materials are hard and can only effectively clean and wash the middle and lower positions of straight root canals or curved root canals.
  • the apical area of the complex curved root canal is not well cleaned. If positive pressure and negative pressure are used for flushing, the complexity of the structure and the cost of equipment will be increased. It is also possible to replace the working equipment and make the file in the equipment vibrate in the root canal at the ultrasonic frequency, through the acoustic flow effect and the cavitation effect, the air bubbles in the filled drug material can be effectively eliminated, but this method
  • the working equipment needs to be replaced multiple times.
  • the above processes in root canal treatment often need to be interspersed and exchanged according to the needs of the disease. Frequent replacement of the treatment working equipment makes the operation inconvenient and the operation efficiency is low.
  • FIG. 1 is one of the schematic structural diagrams of a root canal treatment device provided in some embodiments of the present disclosure.
  • the root canal treatment equipment includes a contra-angle handpiece 10 and a root canal file 20 detachably connected with the contra-angle handpiece 10, and also includes a drive module 30 that is drive-connected with the root canal file 20, and the drive module 30 includes a rotary driver 31 (in FIG. 1 ). (not shown) and a vibration generator 32, the rotary drive 31 is configured to drive the file 20 to rotate axially, and the vibration generator 32 is configured to drive the file 20 to vibrate radially.
  • the contra-angle handpiece 10 is configured to be disposed on the handle member, and necessary line connections are made to control the rotation driver 31 in the drive module 30 and the vibration generation through operation.
  • the operation of the device 32 causes the root canal file 20 to form a corresponding working mode, so as to perform corresponding operations on the root canal respectively.
  • the rotary driver 31 is configured to drive the root canal file 20 to rotate.
  • the head of the root canal file 20 is a tip and is configured to extend into the root canal.
  • the side wall of the root canal file 20 The touched inner wall of the root canal can be polished by the root canal file 20 to form a desired shape.
  • the rotating action of the rotary driver 31 is still required to drive the root canal.
  • the file 20 is rotated to achieve adequate flushing and filling.
  • the paste filling material is prepared by mixing chemical powder such as bioceramics or trioxymineral polymers with water. During the preparation process of the paste filling material, it is unavoidable that air will be mixed in to form air bubbles. When the material is filled into the root canal, it is also necessary to remove these air bubbles as much as possible, so that the drug material can be filled in the root canal as tightly as possible.
  • the vibration generator is controlled while the root canal file 20 is rotated. 32
  • the root canal file 20 is driven to vibrate at a preset frequency along the radial direction of the root canal file 20, and the rotation of the root canal file 20 combined with the vibration can help to stimulate the activity of the filling medicine and discharge air bubbles quickly and efficiently.
  • the vibration generator 32 can be independently controlled to drive the root canal file 20 to vibrate in the process of root canal washing or root canal filling, thereby diversifying the working modes of the root canal file 20 and reducing the damage caused by the replacement of working equipment during root canal treatment operations. The operation is inconvenient, and it can meet the needs of each step of root canal treatment, and effectively improve the efficiency and effect of root canal treatment.
  • the rotary driver 31 is usually disposed in the contra-angle handpiece 10, the position and structure of the rotary driver 31 are not shown in FIG.
  • the end acts on the rotating shaft of the head of the contra-angle handpiece 10, and the root canal file 20 is driven to rotate by the rotating shaft.
  • the rotation can be unidirectional or reciprocating, and the rotational speed can be set between 50-3000rpm as required.
  • This embodiment There is no specific limitation in the above, and those skilled in the art can perform corresponding settings and operations as required.
  • the specific implementation structure of the vibration generator 32 is not specifically limited in the embodiments of the present disclosure.
  • the vibration generator 32 as a part of the driving module 30, is configured to act on the root canal file 20, so that the root canal file 20 is driven by radial vibration, and since it is applied to the surgical operation of the root canal in the human oral cavity, the frequency of the vibration output by the vibration generator 32 is usually large and the amplitude is small, mainly to assist in the root canal treatment process.
  • the purpose is to clean the root canal and activate the medicinal solution.
  • the amplitude and frequency of the vibration are not limited in specific ranges in the embodiments of the present disclosure, and those skilled in the art can perform corresponding settings and operations according to actual work requirements as long as the above objectives can be met.
  • the root canal file 20 is configured to extend into the root canal for rotation or vibration grinding.
  • the root canal file 20 is made of nickel-titanium alloy material, which is relatively soft and flexible.
  • the canal file 20 When the canal file 20 is used, the root canal file 20 extends into the root canal whose shape may be irregular.
  • the root canal file 20 made of nickel-titanium alloy can be deformed to a certain extent to adapt to the actual shape of the root canal, so that the root canal file 20 can extend deep into the root canal to achieve better root canal shaping and cleaning effects.
  • the vibration generator 32 disposed on the outer wall of the contra-angle handpiece 10 is only an exemplary structural representation, which is not specifically limited in the embodiments of the present disclosure. inside, or on the structure of handle parts.
  • the detachable connection between the root canal file 20 and the contra-angle handpiece 10 may include magnetic attraction, snap setting and/or threaded fastening connection, etc.
  • the different working heads installed on the end of the contra-angle handpiece 10 can correspond to various operations related to dental operations. Therefore, the detachable connection mode facilitates the replacement of the working heads during use of the root canal treatment apparatus of the embodiment of the present disclosure.
  • a root canal treatment device includes a contra-angle handpiece 10 and a root canal file 20 detachably connected to the contra-angle handpiece 10 , and also includes a drive module 30 that is drivingly connected to the root canal file 20 .
  • the drive module 30 It includes a rotary driver 31 and a vibration generator 32, the rotary driver 31 is configured to drive the root canal file 20 to rotate axially to mechanically cut and expand the root canal, thereby shaping the root canal, and the vibration generator 32 is configured to The root canal file 20 is driven to vibrate radially, and the root canal file 20 vibrates at a specific frequency, so that the root canal can be filled with medicinal liquid more tightly, especially in the process of washing the root canal to discharge the medicinal liquid, combined with the root canal.
  • the rotation and vibration of the file 20 are carried out together, which can efficiently discharge the medicine bubbles filled in the root canal, so that the medicine liquid fills the root canal tightly, providing a better environment for subsequent root canal treatment, improving the effect of root canal treatment, reducing patient's pain.
  • FIG. 2 is the second structural schematic diagram of a root canal treatment device provided in some embodiments of the present disclosure.
  • the root canal treatment device further includes a handle 40 connected to the contra-angle handpiece 10 , and a rotary driver. 31 is arranged in the handle 40 and the rotary driver 31 drives the root canal file 20 to rotate through the contra-angle handpiece 10 , the vibration generator 32 is arranged on the handle 40 , and the vibration end of the vibration generator 32 acts on the root canal file 20 .
  • the root canal treatment device usually includes a handle 40 connected to the contra-angle handpiece 10.
  • the handle 40 usually adopts a shape structure that is convenient for hand-held operation.
  • the line routing and functional devices required in the root canal treatment device are all arranged in the handle 40, and are located in the handle 40.
  • Corresponding control keys are provided on the handle 40, and during the operation, the root canal treatment device can perform corresponding work by manipulating the corresponding control keys on the handle 40, thereby simplifying the operation of the root canal treatment device in the embodiment of the present disclosure as much as possible. , making the operation more convenient.
  • the rotary driver 31 and the vibration generator 32 in the driving module 30 are both arranged at the handle 40, wherein the rotary driver 31 is arranged inside the hollow structure of the handle 40, and the rotary driver 31
  • the output end of the vibration generator 32 is transmitted to the rotating shaft in the contra-angle handpiece 10 to drive the root canal file 20 to rotate, the vibration generator 32 is arranged on the handle 40, and the vibration end of the vibration generator 32 directly acts on the root canal file 20, so as to accurately realize the Vibration drive.
  • the vibration generator 32 is an ultrasonic transducer.
  • Ultrasonic transducer is a device that converts electromagnetic energy into mechanical energy (sound energy), usually made of piezoelectric ceramics or other magnetostrictive materials. Vibration is continuously output with an amplitude of 15-120 microns.
  • the vibration generator 32 is an ultrasonic transducer, and the mechanical energy of the vibration of the root canal file 20 is provided by the ultrasonic transducer.
  • the operation of the ultrasonic transducer is stable, and the size of the ultrasonic transducer can also be matched with that of the embodiment of the present disclosure. For root canal treatment equipment, it is a better implementation form of the vibration generator 32 .
  • FIG. 3 is a schematic structural diagram of an ultrasonic transducer in the root canal treatment apparatus according to an embodiment of the present disclosure.
  • the transducer includes a casing 321 and a transducer body 322 disposed in the casing 321 , and the casing 321 and the handle 40 are integrally formed.
  • the shell 321 and the handle 40 of the ultrasonic transducer are integrally formed.
  • the shell 321 and the handle 40 are made of plastic materials and are integrally formed by injection molding, or, if the shell 321 and the handle 40 are made of metal materials, the two are passed through Welding and other methods are integrated, and the integrally formed connection method enables better structural stability between the handle 40 and the outer shell 321 of the ultrasonic transducer.
  • the integrally formed structure is not prone to cracks or cracks. The problem of fracture, and the transmission loss to vibration is also small.
  • the housing 321 and the handle 40 may also be detachably connected by means of threaded fasteners or clips. That is, the shell 321 and the handle 40 are separate shell structures, and the two are detachably connected.
  • the detachable connection can be threaded by selecting threaded fasteners as required, and the threaded connection is relatively stable. Alternatively, it is more convenient and quick to replace by the way of snap-fitting, or other detachable connection methods are also available.
  • a detachable connection is adopted between the handle 40 and the vibration generator 32 to facilitate the disassembly and adjustment of the vibration generator 32 and is convenient to use.
  • FIG. 4 is a schematic structural diagram of the connection between the ultrasonic transducer and the root canal file in the root canal treatment apparatus provided in some embodiments of the present disclosure through a vibration connector.
  • a vibration connector 50 is further provided between the ultrasonic transducer and the root canal file 20 , and the ultrasonic transducer is connected to the root canal file 20 through the vibration connector 50 .
  • the ultrasonic transducer Since the ultrasonic transducer is arranged on the handle 40 and has a certain distance from the root canal file 20, in order to improve the transmission efficiency of the vibration of the ultrasonic transducer and the parameter requirements for ensuring vibration during the transmission of the vibration, the ultrasonic transducer is A vibration connector 50 is arranged between the transducer and the root canal file 20, and the vibration connector 50 is configured to transmit the vibration output from the ultrasonic transducer to the root canal file 20 and directly act on the root canal file 20. Normally, In order to effectively transmit the vibration of the ultrasonic transducer to the root canal file 20, the vibration connector 50 is made of hard material.
  • a corresponding protection structure can be provided at one end of the vibration connector 50 acting on the root canal file 20.
  • the embodiment of the present disclosure does not specifically limit which protection structure is used.
  • a working surface as large as possible can be set with the root canal file 20, and an working surface that fits with the structure of the root canal file 20 can be set. Materials with a certain buffer capacity, etc.
  • the contra-angle handpiece 10 since the contra-angle handpiece 10 usually has a certain bending angle, the vibration of the ultrasonic transducer provided on the handle 40 is transmitted to the root canal file 20 through the vibration connector 50 to cause the root canal file 20 to vibrate radially, and a vibration connection can also be provided.
  • the device 50 has a matching bending configuration to ensure accurate transmission of the vibration force as much as possible.
  • FIG. 5 is one of the structural schematic diagrams of the vibration connector in the root canal treatment apparatus provided in some embodiments of the present disclosure. As shown in FIG. 5 , in an implementation manner of the embodiment of the present disclosure, the vibration connector 50 is connected to the vibration connector 50 .
  • a vibrating head 501 is provided at the connected end of the root canal file 20 , and the vibrating head 501 is configured as a concave arc surface on the end face connected to the root canal file 20 .
  • the root canal file 20 is usually cylindrical, and the side of the working end is a rough surface that is convenient for filing, and the end is a needle-point structure. Correspondingly, it needs to directly act on the side of the root canal file 20 to transmit the vibration of the vibration head of the vibration connector 50. 501, the end face connected to the root canal file 20 is a concave arc surface, so that when the vibration is transmitted, the contact surface between the two is relatively matched, and the contact area is larger, so as to avoid the transmitted vibration acting on the Therefore, the vibration strain of the root canal file 20 is reduced, and the service life of the root canal file 20 is improved.
  • the diameter of the arc surface of the vibrating head 501 is greater than or equal to the diameter of the root canal file 20 .
  • the circular arc surface can partially or half cover the root canal file 20, so that the vibration force can be transmitted more effectively and accurately.
  • FIG. 6 is the second schematic diagram of the structure of the vibration connector in the root canal treatment device provided in some embodiments of the present disclosure.
  • the vibration connector 50 includes The ends of the first connecting rod 51 and the second connecting rod 52 are socketed to each other, and the fastener 53 is socketed on the socket end of the first connecting rod 51, and the fastener 53 is configured to fix the first connecting rod 51 and the first connecting rod 51.
  • the socket ends of the two connecting rods 52 are the ends of the two connecting rods 52 .
  • the vibration connector 50 can be configured as a two-section adjustable structure.
  • the first connecting rod 51 and the second connecting rod 52 are sleeved with each other through the ends.
  • the first connecting rod 51 and the second connecting rod 52 are connected with each other through the inner and outer sleeves of the mutually matched threads, so that the The total length of the connecting rod 51 and the second connecting rod 52 is used to adjust the telescopic length of the vibration connector 50.
  • the fasteners 53 are sleeved on the sleeves of the first connecting rod 51 and the second connecting rod 52.
  • the fixing of the end can not only adjust the length, but also facilitate fixing.
  • the vibrating head 501 is arranged at the end of the first connecting rod 51 of the vibrating connector 50 close to the root canal file 20 .
  • FIG. 7 is the third schematic diagram of the structure of the vibrating connector in the root canal treatment device provided in some embodiments of the present disclosure.
  • the first connecting rod 51 The other end configured to be connected with the root canal file 20 can also be detachably connected with a connecting seat 54 , and a fixing member 55 is passed between the connecting seat 54 and the first connecting rod 51 .
  • the first connecting rod 51 is also detachably provided with a connecting seat 54, the first connecting rod 51 and the connecting seat 54 are fixed by a fixing member 55, and the first connecting rod 51 and the connecting seat 54 are also sleeved with each other to adjust the distance.
  • the end of the first connecting rod 51 can be set as a through-slot structure, and correspondingly, the connecting seat 54 includes a part that extends into the through-slot, and the connecting seat 54 extends into the through-slot by adjusting the connecting seat 54
  • the length of the inner part can adjust the total length between the first connecting rod 51 and the connecting seat 54, and also can adjust the total length of the vibration connector 50. As shown in FIG.
  • the vibration connector 50 is usually matched with a curved handpiece
  • the bending structure formed by 10 therefore, both sides of the vibration connector 50 are provided with segmented structures that can adjust the length, and while the total length of the vibration connector 50 can be adjusted, the direction of vibration transmission can also be adjusted to a certain extent. , so as to provide a structure that can better adapt to various clinical needs.
  • a nickel-titanium connecting rod is further provided between the ultrasonic transducer and the root canal file 20 , and the ultrasonic transducer is connected to the root canal file 20 through the nickel-titanium connecting rod.
  • the nickel-titanium material is soft and flexible.
  • the nickel-titanium connecting rod made of the nickel-titanium material by a specific heat treatment process has a certain degree of plastic deformation ability, and is arranged between the ultrasonic transducer and the root canal file 20. , can effectively transmit the vibration force provided by the ultrasonic transducer in the state of abutting with the root canal file 20, and can manually bend and adjust the angle, connection position of the nickel-titanium connecting rod and the relationship with the root canal file 20 according to clinical needs. The tightness of the resistance.
  • the Nitinol connecting rod is not shown in the drawings, and its shape and structure can refer to the vibration connector 50 integrally provided in FIG.
  • FIG. 8 is a schematic structural diagram of the vibration generator in the root canal treatment apparatus provided in some embodiments of the present disclosure being a vibrator
  • FIG. 9 is a partial enlarged view of FIG.
  • the vibration generator 32 is a vibrator
  • the vibrator includes a plastic casing 323 and a vibration motor 324 arranged in the plastic casing 323 , and the vibrator is fixed on the contra-angle handpiece 10 through the plastic casing 323 .
  • the vibration output end of the vibration motor 324 is connected with a top tightening block 326 through the elastic member 325, and the top tightening block 326 extends out of the plastic casing 323 through the opening opened on the plastic casing 323, and is on the side wall of the root canal file 20. against the root canal file 20.
  • the vibration generator 32 is a vibrator, and the vibration power is provided by the vibration motor 324.
  • the vibration motor 324 is arranged in the plastic casing 323, and the plastic casing 323 has a certain deformation ability.
  • the plastic casing 323 is fixed on the On the contra-angle handpiece 10, for example, the vibration motor 324 and the plastic casing 323 can be pasted with glue, or fixed by means of interference fit, and the vibration force transmitted by the vibration output end of the vibration motor 324 can pass through the plastic casing 323. It is transmitted to the pressing block 326.
  • the pressing block 326 protrudes out of the plastic casing 323 through the opening on the plastic casing 323, and abuts against the side wall of the root canal file 20.
  • the elastic member 325 can be as shown in FIG. 9 .
  • the spring shown can also be other elastic connecting pieces. By the arrangement of the elastic piece 325, the vibration force transmitted to the root canal file 20 can be buffered to a certain extent. effective protection.
  • FIG. 10 is a partial enlarged view of area A in FIG. 9 .
  • the pressing block A hook portion 3261 is formed on the 326 , and the hook portion 3261 is configured to be engaged with the inner wall of the opening of the plastic housing 323 to limit the length of the top tightening block 326 extending out of the opening.
  • the clamping block 326 is clamped and limited by the hook portion 3261 and the inner wall of the opening of the plastic shell 323, so as to ensure that the clamping block 326 will not be blocked by the plastic shell.
  • the body 323 comes out, which ensures the safety of work.
  • a shock-absorbing rubber pad 327 is provided on the plastic housing 323 , and the shock-absorbing rubber pad 327 is used to clamp the plastic housing 323 and the contra-angle handpiece 10 . fixed.
  • the plastic casing 323 is also provided with a shock-absorbing rubber pad 327 to block the transmission of the vibration force on the plastic casing 323 to the contra-angle handpiece 10 .
  • the size of the shock-absorbing rubber pad 327 on the plastic housing 323 and the thickness of the shock-absorbing rubber pad 327 are not specifically limited in the embodiments of the present disclosure, and those skilled in the art can make corresponding settings as needed.
  • the vibrator further includes a power supply disposed in the handle 40 , the power supply is electrically connected to the vibration motor 324 through a wire, and is configured to supply power to the vibration motor 324 .
  • the power source is arranged in the handle 40, and the power source supplies power to the vibration motor 324 through the wire, so that the root canal therapy device of the embodiment of the present disclosure is more convenient to take and move when in use. Supplying power to the motor so as to avoid connecting multiple power sources results in a larger size of the root canal treatment apparatus in the embodiment of the present disclosure, redundant arrangement of internal components, and an insufficiently compact structure.
  • FIG. 11 is a schematic diagram of the control relationship of the root canal treatment device provided in some embodiments of the present disclosure.
  • the root canal treatment device of the embodiment of the present disclosure also further A controller 60 is included, and the controller 60 is electrically connected to the rotary driver 31 and the vibration generator 32, respectively, and is configured to control the operation of the rotary driver 31 and the vibration generator 32, respectively.
  • the root canal treatment apparatus when the root canal treatment apparatus according to the embodiment of the present disclosure further includes the controller 60, and the controller 60 is electrically connected to the rotation driver 31 and the vibration generator 32, respectively, the controller 60 can control the rotation driver 31 and the vibration generator 32 respectively.
  • the operation of the vibration generator 32. Cases corresponding to different control signals in the controller 60 can be set on the handle 40.
  • a rotation activation key, a vibration activation key, and a rotary vibration key are respectively set on the handle 40, and the root canal treatment apparatus according to the embodiment of the present disclosure is used.
  • the operator When performing root canal treatment, the operator only needs to press the corresponding buttons of the handle 40 in different treatment stages, so that the root canal treatment equipment only rotates the driver 31 to start the work, and the root canal file 20 only rotates to clean the root canal. and plastic work, or, make only the vibration generator 32 of the root canal treatment device work, showing that the root canal file 20 only vibrates to fully activate the medicinal liquid filled in the root canal, or, make the rotation in the root canal treatment device work
  • the driver 31 and the vibration generator 32 work at the same time, and the root canal file 20 is in a state of both rotating and vibrating, so as to fully clean and discharge the air bubbles generated by the medicinal solution filled in the root canal.
  • a root canal length measuring sensor may also be included, configured to measure the length of the root canal currently being treated, when the root canal file 20 rotates After reaching the root apex, the root canal length measuring sensor senses the corresponding signal and transmits it to the controller 60, and the controller 60 sends the corresponding reversal and stop to the rotary driver 31 according to the detection signal of the root canal length measuring sensor. or deceleration signal.

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Abstract

一种根管治疗设备，涉及牙科治疗器械技术领域，该根管治疗设备包括弯手机（10）以及与弯手机（10）可拆卸连接的根管锉（20），还包括与根管锉（20）传动连接的驱动模组（30），驱动模组（30）包括旋转驱动器（31）以及振动发生器（32），旋转驱动器（31）配置成驱动根管锉（20）轴向转动，以对根管机械切割和扩锉，从而对根管塑形成形，振动发生器（32）配置成驱动根管锉（20）径向振动，根管锉（20）以特定的频率振动，能够充分的激活向根管内填充的药物材料的活性，特别是在向根管内填充药物材料的过程中，振动发生器（32）提供的震动作用结合根管锉（20）的旋转共同进行，能够高效的排出充填在根管中的药物材料中的气泡，使得药物材料能够紧密的充填根管，为后续根管治疗提供较佳的环境，提高根管治疗的效果，减轻患者的痛苦。

Description

根管治疗设备
相关申请的交叉引用
本公开要求于2020年11月27日提交中国专利局的申请号为202011358766.9、名称为“根管治疗设备”的中国专利申请的优先权，其全部内容通过引用结合在本公开中。
本公开要求于2020年11月27日提交中国专利局的申请号为202022805145.2、名称为“根管治疗设备”的中国专利申请的优先权，其全部内容通过引用结合在本公开中。
技术领域
本公开涉及牙科治疗器械技术领域，具体涉及一种根管治疗设备。
背景技术
人的牙齿中包含有牙髓腔，还有1-4个根管，通过根管导出牙神经和营养神经的血管，当牙髓中因为各种情况发生感染都会导致牙齿的功能性损伤，并且会造成疼痛以及颌骨感染等病痛。根管治疗又称为牙髓治疗，是近年来发展起来的一种保护患牙的治疗方法，对于慢性牙髓炎、慢性根尖周炎、牙周牙髓联合病变以及外伤牙等牙科问题有较好的治疗和保护作用。
根管治疗包括根管预备、消毒以及根管充填等几个主要的治疗阶段，根管预备和消毒是对牙根管进行机械切割和扩锉以达到所需的塑形，为后续根管充填创造较好的空间条件，通过冲洗去除根管内的有机物质和根管的感染组织(细菌)，完成根管清创后，向根管内填充药物材料，使填充的药物材料与根管壁贴合。
现有技术中对于根管的正压冲洗难以保证对根管下端的充分清理，导致根管下端的部分有机物质和感染组织难以充分的清出，而且导致根管清洗时间过长，患者口腔长时间张开，延长了患者的痛苦时间，而且，由于根管清洗后向根管内填充的药物材料通常是粉末和水调和而成的糊状材料，药物材料在调和的过程中难以避免的会混入气泡，通过超声荡洗器荡洗的方式对于药物材料中气泡的排除效果不佳，混在药物材料中的气泡会影响到药物材料与根管壁贴合的紧密性。
发明内容
本公开实施例的目的在于提供一种根管治疗设备，能够有效的提高根管治疗的清洗过程的耗时，并提高对于根管内感染组织和药液清理的效率和效果。
本公开实施例提供了一种根管治疗设备，包括弯手机以及与弯手机可拆卸连接的根管锉，还包括与根管锉传动连接的驱动模组，驱动模组包括旋转驱动器以及振动发生器，旋转驱动器配置成驱动根管锉轴向转动，振动发生器配置成驱动根管锉径向振动。
在本公开实施例的一种可实现的方式中，根管治疗设备还包括与弯手机连接的手柄，旋转驱动器设置在手柄内且旋转驱动器通过弯手机驱动根管锉旋转，振动发生器设置在手柄上，振动发生器的振动端作用于根管锉。
在本公开实施例的一种可实现的方式中，振动发生器为超声换能器。
在本公开实施例的一种可实现的方式中，超声换能器包括外壳以及设置在外壳内的换能器本体，外壳与手柄一体成型，或者，外壳与手柄通过螺纹紧固连接件或卡接件可拆卸连接。
在本公开实施例的一种可实现的方式中，在超声换能器与根管锉之间还设置有振动连接器，超声换能器通过振动连接器与根管锉连接。
在本公开实施例的一种可实现的方式中，振动连接器与根管锉连接的一端设置有振动头，振动头配置成与根管锉连接的端面呈内凹的圆弧面。
在本公开实施例的一种可实现的方式中，振动头的圆弧面直径大于或等于根管锉的直径。
在本公开实施例的一种可实现的方式中，振动连接器包括端部相互套接的第一连接杆和第二连接杆，以及套接在第一连接杆的套接端的紧固件，紧固件配置成固定第一连接杆和第二连接杆的套接端。
在本公开实施例的一种可实现的方式中，第一连接杆配置成与根管锉连接的另一端还可拆卸连接有连接座，连接座与第一连接杆之间穿设有固定件。
在本公开实施例的一种可实现的方式中，在超声换能器与根管锉之间还设置有镍钛连接杆，超声换能器通过镍钛连接杆与根管锉连接。
在本公开实施例的一种可实现的方式中，振动发生器为震动器，震动器包括塑性壳体以及设置在塑性壳体内的震动马达，震动器通过塑性壳体固定于弯手机上；震动马达的震动输出端通过弹性件连接有顶紧块，顶紧块通过塑性壳体上开设的开口伸出于塑性壳体外，且在根管锉的侧壁与根管锉抵持。
在本公开实施例的一种可实现的方式中，顶紧块上形成有勾部，勾部配置成与塑性壳体的开口的内壁卡接，以限制顶紧块伸出开口的长度。
在本公开实施例的一种可实现的方式中，震动器还包括设置在手柄内的电源，电源通过导线与震动马达电连接，配置成为震动马达供电。
在本公开实施例的一种可实现的方式中，塑性壳体上设置有减震橡胶垫，塑性壳体与弯手机之间通过减震橡胶垫卡接固定。
在本公开实施例的一种可实现的方式中，根管治疗设备还包括控制器，控制器分别与旋转驱动器和振动发生器电连接，配置成分别控制旋转驱动器和振动发生器的工作。
本公开实施例提供的一种根管治疗设备，包括弯手机以及与弯手机可拆卸连接的根管锉，还包括与根管锉传动连接的驱动模组，驱动模组包括旋转驱动器以及振动发生器，旋转驱动器配置成驱动根管锉轴向转动，以对根管进行机械切割和扩锉，从而对根管进行塑形成形，振动发生器配置成驱动根管锉径向振动，根管锉以特定的频率振动，能够充分的激活向根管内填充的药物材料的活性，特别是在向根管内填充药物材料的过程中，振动发生器提供的震动作用结合根管锉的旋转共同进行，能够高效的排出充填在根管中的药物材料中的气泡，使得药物材料能够紧密的充填根管，为后续根管治疗提供较佳的环境，提高根管治疗的效果，减轻患者的痛苦。
附图说明
为了更清楚地说明本公开实施例的技术方案，下面将对本公开实施例中所需要使用的附图作简单地介绍，应当理解，以下附图仅示出了本公开的某些实施例，因此不应被看作是对范围的限定，对于本领域普通技术人员来讲，在不付出创造性劳动的前提下，还可以根据这些附图获得其他相关的附图。
图1是本公开一些实施例中提供的一种根管治疗设备的结构示意图之一；
图2是本公开一些实施例中提供的一种根管治疗设备的结构示意图之二；
图3是本公开一些实施例中提供的根管治疗设备中振动发生器为超声换能器的结构示意图；
图4是本公开一些实施例中提供的根管治疗设备中超声换能器与根管锉之间通过振动连接器连接的结构示意图；
图5是本公开一些实施例中提供的根管治疗设备中振动连接器的结构示意图之一；
图6是本公开一些实施例中提供的根管治疗设备中振动连接器的结构示意图之二；
图7是本公开一些实施例中提供的根管治疗设备中振动连接器的结构示意图之三；
图8是本公开一些实施例中提供的根管治疗设备中振动发生器为震动器的结构示意图；
图9是图8的局部放大图；
图10是图9中区域A的局部放大图；
图11是本公开一些实施例中提供的根管治疗设备的控制关系示意图。
图标：10-弯手机；20-根管锉；30-驱动模组；31-旋转驱动器；32-振动发生器；321-外壳；322-换能器本体；323-塑性壳体；324-震动马达；325-弹性件；326-顶紧块；3261-勾部；327-减震橡胶垫；40-手柄；50-振动连接器；501-振动头；51-第一连接杆；52-第二连接杆；53-紧固件；54-连接座；55-固定件；60-控制器。
具体实施方式
下面将结合本公开实施例中的附图，对本公开实施例中的技术方案进行清楚、完整地描述。
在本公开的描述中，需要说明的是，术语“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系，或者是该申请产品使用时惯常摆放的方位或位置关系，仅是为了便于描述本公开和简化描述，而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作，因此不能理解为对本公开的限制。此外，术语“第一”、“第二”等仅用于区分描述，而不能理解为指示或暗示相对重要性。
还需要说明的是，除非另有明确的规定和限定，术语“设置”、“连接”应做广义理解，例如，可以是固定连接，也可以是可拆卸连接，或一体地连接；可以是直接相连，也可以通过中间媒介间接相连，可以是两个元件内部的连通。对于本领域的普通技术人员而言，可以具体情况理解上述术语在本公开中的具体含义。
在进行牙根管治疗手术的过程中，需要首先对牙根管进行预备成型和荡洗清理，预备成型是为了提供准确的塑形效果，保证后续处理的工作空间，根管预备成型主要是通过根管锉在根管中高速转动，削磨根管的内壁达到的。荡洗清理则是为了将根管内原先的病变组织以及细菌等物质进行清理，通常是通过加压的方式对根管进行持续冲洗，难以对根管下段进行有效的清洗，而且，现有的根管荡洗设备的锉针通常是不锈钢或钛合金锉针，这些材质的锉针质地较硬，往往只能对直根管或弯曲根管中部及偏下位置进行有效的清洁荡洗，对复杂弯曲根管的根尖部位清洁效果不佳。若采用正压和负压联动的方式冲洗，又会增加结构的复杂性以及设备成本。还可以采用更换工作设备并使设备中的挫针以超声频率在根管中振动的方式，通过声流效应和空穴效应，对充填的药物材料中的气泡进行有效的排除，但是这种方式需要对工作设备进行多次更换，根管治疗中上述的过程往往需要根据病情需要相互穿插调换使用，频繁的更换治疗工作设备，使得操作不便，且手术效率低。
基于此，本公开实施例提供了一种根管治疗设备，图1为本公开一些实施例中提供的一种根管治疗设备的结构示意图之一，如图1所示，本公开实施例提供的根管治疗设备包括弯手机10以及与弯手机10可拆卸连接的根管锉20，还包括与根管锉20传动连接的驱 动模组30，驱动模组30包括旋转驱动器31(图1中未示出)以及振动发生器32，旋转驱动器31配置成驱动根管锉20轴向转动，振动发生器32配置成驱动根管锉20径向振动。
如图1所示，本公开实施例提供的根管治疗设备，弯手机10配置成设置在手柄件上，并且进行必要的线路连接，通过操作控制驱动模组30中的旋转驱动器31以及振动发生器32的工作，使得根管锉20形成相应的工作模式，以分别对根管进行对应操作。其中，旋转驱动器31配置成驱动根管锉20旋转，根管锉20头部为尖端，配置成伸入根管内部，当根管锉20以一定的速度自转旋转时，根管锉20侧壁触碰的根管内壁即能够通过根管锉20的打磨形成所需的形状。而且，在根管中注入如次氯酸钠等的溶液进行根管荡洗的过程中，以及在荡洗后向根管中充填糊状填充材料的过程中，都仍需要旋转驱动器31的旋转作用驱动根管锉20转动，来实现充分的荡洗和充填。通常，糊状填充材料是采用如生物陶瓷或者三氧矿物聚合物的药剂粉末与水混合制备而成，在糊状填充材料的制备过程中难以避免的会混入空气形成气泡，在将糊状填充材料填充至根管中时，还需要尽可能对这些气泡进行清除，以使得药物材料能够尽可能的在根管中紧密填充，这种情况下在根管锉20转动的同时，控制振动发生器32驱动根管锉20沿根管锉20的径向以预设频率振动，根管锉20转动结合振动，能够有助于填充药物的活性激发，并快速高效的排出气泡。或者还可以在根管荡洗或者根管充填的过程中单独控制振动发生器32驱动根管锉20振动，从而使得根管锉20的工作方式多样化，减少根管治疗手术中工作设备更换造成的操作不便，能够配合根管治疗的各个步骤所需，有效的提高根管治疗的效率和效果。
需要说明的是，第一，由于旋转驱动器31通常设置于弯手机10内，在图1中未示出旋转驱动器31的位置及结构，示例的，旋转驱动器31可以为旋转电机，旋转电机的输出端作用于弯手机10头部的转动轴上，通过转动轴带动根管锉20转动，转动可以是单向也可以是往复转动，转速可在50-3000rpm之间根据需要进行设置，本实施例中均不作具体限定，本领域技术人员可根据需要进行相应的设置和操作。
第二，本公开实施例中对于振动发生器32的具体实现结构形式也不做具体限定，振动发生器32作为驱动模组30的一部分，配置成作用于根管锉20，以使根管锉20受驱径向振动，而且，由于是应用于人体口腔内牙根管的手术操作，振动发生器32输出的振动的频率通常较大，振幅较小，主要以能够在根管治疗过程中辅助根管内的清理和药液的激活为目的。振动的振幅和频率在本公开实施例中未进行具体的范围限定，只要是在能够满足上述目的基础上，本领域技术人员可以根据实际工作需要进行相应的设置和操作。
根管锉20配置成伸入牙根管内进行旋转或者还包括振动的削磨，示例的，根管锉20采用镍钛合金材质制作，镍钛合金的材质相对柔软且柔韧性好，当加工为根管锉20时，根 管锉20伸入形状可能不规则的根管中，镍钛合金制作的根管锉20能够在一定程度范围内形变以适应于根管的实际形状，从而使得根管锉20能够伸入根管深处，实现更好的根管塑形和清洗效果。
而且，图1中，振动发生器32设置在弯手机10的外壁上仅为一种示例性的结构示意，本公开实施例中对此并不做具体限定，例如，也可以设置在弯手机10内，或者手柄件等结构上。
根管锉20与弯手机10之间可拆卸连接，根管锉20与弯手机10之间的可拆卸连接方式可以包括磁性吸合、卡接设置和/或螺纹紧固连接件连接等，由于弯手机10端部安装不同的工作头能够对应进行多种牙科手术的相关操作，因此，可拆卸连接方式，有助于本公开实施例的根管治疗设备在使用中进行工作头的更换使用。
本公开实施例提供的一种根管治疗设备，包括弯手机10以及与弯手机10可拆卸连接的根管锉20，还包括与根管锉20传动连接的驱动模组30，驱动模组30包括旋转驱动器31以及振动发生器32，旋转驱动器31配置成驱动根管锉20轴向转动，以对根管进行机械切割和扩锉，从而对根管进行塑形成形，振动发生器32配置成驱动根管锉20径向振动，根管锉20以特定的频率振动，能够使根管内药液填充的更紧密，特别是在对根管荡洗以排出药液的过程中，结合根管锉20的旋转与振动共同进行，能够高效的排出充填在根管中的药剂气泡，使得药液紧密的充填根管，为后续根管治疗提供较佳的环境，提高根管治疗的效果，减轻患者的痛苦。
图2为本公开一些实施例中提供的一种根管治疗设备的结构示意图之二，如图2所示，可选的，根管治疗设备还包括与弯手机10连接的手柄40，旋转驱动器31设置在手柄40内且旋转驱动器31通过弯手机10驱动根管锉20旋转，振动发生器32设置在手柄40上，振动发生器32的振动端作用于根管锉20。
根管治疗设备通常包括与弯手机10连接的手柄40，手柄40通常采用便于手持操作的外形结构，根管治疗设备中所需的线路走线以及功能器件均设置于手柄40内，并且在手柄40上设置相应的控制键，手术时，便可通过对手柄40上相应控制键的操控，使得根管治疗设备执行相应的工作，从而尽可能的简化本公开实施例的根管治疗设备的操作，使得操作更方便。
在设置有手柄40的根管治疗设备中，驱动模组30中的旋转驱动器31和振动发生器32均设置于手柄40处，其中，旋转驱动器31设置在手柄40的中空结构内部，旋转驱动器31的输出端传动至弯手机10内的转动轴，以带动根管锉20转动，振动发生器32设置在手柄40上，振动发生器32的振动端直接作用于根管锉20，以便准确的实现振动的驱动。
示例的，如图2所示，本公开实施例的一种可实现的方式中，振动发生器32为超声换能器。
超声换能器是一种将电磁能转化为机械能(声能)的装置，通常由压电陶瓷或其它磁致伸缩材料制成，超声换能器输出的超声振动能够在20-60KHZ的频率下以15-120微米的振幅持续输出振动。在本实施例中，振动发生器32为超声换能器，通过超声换能器提供根管锉20振动的机械能，超声换能器的工作稳定，且尺寸大小也能够匹配于本公开实施例的根管治疗设备上，是振动发生器32的一种较好的实现形式。
具体的，图3为本公开实施例的根管治疗设备中振动发生器为超声换能器的结构示意图，在本公开实施例的一种可实现的方式中，如图3所示，超声换能器包括外壳321以及设置在外壳321内的换能器本体322，外壳321与手柄40一体成型。
超声换能器的外壳321与手柄40之间一体成型制作，例如，外壳321与手柄40均采用塑性材料，通过注塑成型为一体，或者，若外壳321与手柄40采用金属材料，将二者通过焊接等方式连为一体，一体成型的连接方式使得手柄40与超声换能器的外壳321之间具有更好的结构稳定性，超声换能器启动产生振动时，一体成型的结构不易发生裂缝或断裂的问题，且对于振动的传递损失也较小。
又例如，外壳321与手柄40还可以通过螺纹紧固连接件或卡接件可拆卸连接。即，外壳321与手柄40为分别的壳体结构，两者之间可拆卸连接，其中可拆卸连接的方式可以根据需要选择螺纹紧固连接件进行螺纹连接，螺纹连接的方式进行固定较为稳定，或者，选择过盈配合的方式卡接，选择卡扣连接的方式卡接等，用卡接的方式更换起来更加方便快捷，再或者，还可以是其他的可拆卸连接方式，总之，对于外壳321和手柄40之间采用可拆卸连接的方式，便于对振动发生器32的拆卸和调整，使用方便。
图4为本公开一些实施例中提供的根管治疗设备中超声换能器与根管锉之间通过振动连接器连接的结构示意图，如图4所示，在本公开实施例的一种可实现的方式中，在超声换能器与根管锉20之间还设置有振动连接器50，超声换能器通过振动连接器50与根管锉20连接。
由于超声换能器设置在手柄40上，与根管锉20之间具有一定的距离，为了提高超声换能器的振动的传递效率，以及的振动的传递过程中保证振动的参数要求，在超声换能器与根管锉20之间设置振动连接器50，振动连接器50配置成将超声换能器中输出的振动传递至根管锉20并直接作用于根管锉20，通常情况下，为了有效的将超声换能器的振动传递给根管锉20，振动连接器50为硬质材料制备加工而成，但是，考虑到振动直接作用于根管锉20上，为了尽可能的避免振动作用于根管锉20对于根管锉20的损伤，可以在振动 连接器50作用于根管锉20的一端设置相应的保护结构，本公开实施例中对于采用何种保护结构不做具体限定，示例的，结构方面，可以设置与根管锉20之间尽可能大的作用表面，可以设置与根管锉20的结构相贴合的作用表面，材料方面，也可以为将作用面设置为具有一定缓冲能力的材料等。而且，由于弯手机10通常具有一定的弯曲角度，通过振动连接器50将手柄40上设置的超声换能器的振动传递至根管锉20使根管锉20径向振动，还能够设置振动连接器50具有相配合的弯曲形态，从而尽可能保证振动力的准确传递。
图5为本公开一些实施例中提供的根管治疗设备中振动连接器的结构示意图之一，如图5所示，在本公开实施例的一种可实现的方式中，振动连接器50与根管锉20连接的一端设置有振动头501，振动头501配置成与根管锉20连接的端面呈内凹的圆弧面。
根管锉20通常为圆柱形且工作端侧面为便于挫磨的粗糙表面，端部为针尖结构，与之对应的，需要直接作用于根管锉20侧面以传递振动振动连接器50的振动头501，其与根管锉20连接的端面呈内凹的圆弧面，这样一来，传递振动时，二者之间的接触面较为匹配，且接触面积大一些，避免传递的振动作用于很小的区域，从而减轻根管锉20的振动劳损，提高根管锉20的使用寿命。
具体的，振动头501的圆弧面直径大于或等于根管锉20的直径。这样一来，振动头501在传递振动力时，圆弧面能够将根管锉20部分包覆或者半包覆，更加有效且准确的传递振动力。
图6为本公开一些实施例中提供的根管治疗设备中振动连接器的结构示意图之二，在本公开实施例的一种可实现的方式中，如图6所示，振动连接器50包括端部相互套接的第一连接杆51和第二连接杆52，以及套接在第一连接杆51的套接端的紧固件53，紧固件53配置成固定第一连接杆51和第二连接杆52的套接端。
为了提高振动连接器50对于不同型号根管治疗设备的实用性，以及在使用根管治疗设备进行手术操作时，可能需要的尺寸调整，振动连接器50可以设置为两段可调节式的结构。第一连接杆51和第二连接杆52通过端部相互套接，如图6所示，第一连接杆51和第二连接杆52通过相互配合的螺纹内外套接，从而能够通过改变第一连接杆51和第二连接杆52的总长度来调节振动连接器50的伸缩长度，调节至合适的长度后，通过紧固件53套接在第一连接杆51和第二连接杆52的套接端进行固定，既能够调节长度，又能够便于固定，其中，振动头501设置在振动连接器50靠近根管锉20的第一连接杆51端部。示例的，当使用本公开实施例的根管治疗设备进行其他治疗时，可以不必将振动连接器50整体拆卸，只松去紧固件53后，去除第一连接杆51即可。
图7为本公开一些实施例中提供的根管治疗设备中振动连接器的结构示意图之三，在 本公开实施例的一种可实现的方式中，如图7所示，第一连接杆51配置成与根管锉20连接的另一端还可拆卸连接有连接座54，连接座54与第一连接杆51之间穿设有固定件55。
第一连接杆51还可拆卸的设置有连接座54，第一连接杆51和连接座54之间通过固定件55固定，第一连接杆51和连接座54之间也相互套接可调节距离，如图7所示，可以将第一连接杆51的端部设置为通槽的结构，与之对应的，连接座54包括伸入通槽内的部分，通过调节连接座54伸入通槽内部分的长度，能够调节第一连接杆51和连接座54之间的总长度，也便能够调节振动连接器50的总长度，如图7所示，振动连接器50通常是配合于弯手机10形成的弯折结构，因此，在振动连接器50的两侧均设置能够调节长度的分段结构，在能够调节振动连接器50的总长度的同时，还能够一定程度上调节振动传递的方向，从而提供更能够适应各种临床需要的结构。同样的，在使用本实施例的根管治疗设备进行其他治疗时，可以不必将振动连接器50整体拆卸，只松去紧固件53后，去除第一连接杆51即可。
在本公开实施例的一种可实现的方式中，在超声换能器与根管锉20之间还设置有镍钛连接杆，超声换能器通过镍钛连接杆与根管锉20连接。
镍钛材料的材质较软，且柔韧性较好，将镍钛材料采用特定的热处理工艺制备的镍钛连接杆具有一定程度的塑性形变能力，设置在超声换能器与根管锉20之间，能够在与根管锉20抵持的状态下有效的传递超声换能器提供的振动力，且能够根据临床需求手动弯曲调整镍钛连接杆的角度、连接位置和与根管锉20之间抵持的松紧程度。本公开实施例中对于镍钛连接杆未示出附图，其形状结构可以参照如图4中一体设置的振动连接器50，只是材料选用前述的镍钛材料既能够实现前述功能。
图8为本公开一些实施例中提供的根管治疗设备中振动发生器为震动器的结构示意图，图9为图8的局部放大图，在本公开实施例的一种可实现的方式中，如图8和图9所示，振动发生器32为震动器，震动器包括塑性壳体323以及设置在塑性壳体323内的震动马达324，震动器通过塑性壳体323固定于弯手机10上；震动马达324的震动输出端通过弹性件325连接有顶紧块326，顶紧块326通过塑性壳体323上开设的开口伸出于塑性壳体323外，且在根管锉20的侧壁与根管锉20抵持。
如图9所示，振动发生器32为震动器，通过震动马达324提供振动的动力，震动马达324设置在塑性壳体323内，塑性壳体323具有一定的形变能力，塑性壳体323固定于弯手机10上，示例的，震动马达324与塑性壳体323之间可以通过胶水粘贴，或者通过过盈配合的卡接方式固定，震动马达324的震动输出端传输的振动力通过塑性壳体323向顶紧块326传递，顶紧块326通过塑性壳体323上开设的开口伸出至塑性壳体323之外，与根 管锉20的侧壁抵持，弹性件325可以为如图9中所示的弹簧，也可以为其他的具有弹性的连接件，通过弹性件325的设置，能够使得传输至根管锉20的振动力具有一定的缓冲，在传输振动力的同时对根管锉20进行有效的保护。
图10为图9中区域A的局部放大图，如图10所示，为了避免顶紧块326在震动马达324的振动力过大时可能由塑性壳体323中弹出的风险，在顶紧块326上形成有勾部3261，勾部3261配置成与塑性壳体323的开口的内壁卡接，以限制顶紧块326伸出开口的长度。这样一来，顶紧块326在伸出塑性壳体323的极限长度位置处，通过勾部3261与塑性壳体323的开口的内壁卡接限位，从而保证顶紧块326不会由塑性壳体323中脱出，保证了工作的安全性。
如图9所示，在本公开实施例的一种可实现的方式中，塑性壳体323上设置有减震橡胶垫327，塑性壳体323与弯手机10之间通过减震橡胶垫327卡接固定。
如图9所示，为了避免震动马达324的振动力直接传递到与塑性壳体323连接的弯手机10上，一方面导致振动力的无效损失，另一方面也会使得操作时握持本公开实施例的根管治疗设备的手承受不良的振动感，在塑性壳体323上还设置有减震橡胶垫327，用来阻隔塑性壳体323上的振动力向弯手机10的传递。其中，减震橡胶垫327在塑性壳体323上的设置尺寸，以及减震橡胶垫327的设置厚度在本公开实施例中均不作具体限定，本领域技术人员可以根据需要进行对应设置。
在本公开实施例的一种可实现的方式中，震动器还包括设置在手柄40内的电源，电源通过导线与震动马达324电连接，配置成为震动马达324供电。
电源设置于手柄40中，电源通过导线为震动马达324供电，使得本公开实施例的根管治疗设备在使用时更为方便拿取和移动，其中，当旋转驱动器31为电机时，电源也可以为电机供电，从而避免接入多个电源导致本公开实施例的根管治疗设备的尺寸较大，内部的部件设置冗余，结构不够紧凑。
需要说明的是，本公开实施例中对于电源的形式也不做具体限定，例如，可以是通过接口连接的市电交流电，可以是直流电，也可以是蓄电池等电量储存和输出部件。
图11为本公开一些实施例中提供的根管治疗设备的控制关系示意图，在本公开实施例的一种可实现的方式中，如图11所示，本公开实施例的根管治疗设备还包括控制器60，控制器60分别与旋转驱动器31和振动发生器32电连接，配置成分别控制旋转驱动器31和振动发生器32的工作。
这样一来，当本公开实施例的根管治疗设备中还包括控制器60，且控制器60分别与旋转驱动器31和振动发生器32电连接时，控制器60能过分别控制旋转驱动器31和振动 发生器32的工作。可以在手柄40上设置对应于控制器60中不同控制信号的案件，示例的，在手柄40上分别设置旋转启动键，振动启动键，以及旋转震动键，使用本公开实施例的根管治疗设备进行根管治疗手术时，操作者只需要在不同的治疗阶段，通过按动手柄40伤对应的按键，使得根管治疗设备仅旋转驱动器31启动工作，呈现根管锉20仅旋转进行根管清洗和塑性工作，或者，使得根管治疗设备仅振动发生器32工作，呈现根管锉20仅振动以对根管内填充的药液充分激活的工作，又或者，使得根管治疗设备中的旋转驱动器31和振动发生器32同时工作，呈现根管锉20既旋转也振动的状态，对根管内填充的药液产生的气泡进行充分的清洗和排出。
在此基础上，需要说明的是，在本公开实施例的根管治疗设备中，还可以包含有根管长度测量传感器，配置成测量当前治疗的根管的长度，当根管锉20旋转运动到根尖止点后，根管长度测量传感器感测到相应的信号并传输至控制器60中，控制器60根据根管长度测量传感器的检测信号向旋转驱动器31发出相应的反转、止停或者减速信号。
以及，本公开实施例的根管治疗设备中还可以集成其他的现有技术中根管治疗设备需要实现的其他结构以实现相应的功能。
以上所述仅为本公开的实施例而已，并不用于限制本公开的保护范围，对于本领域的技术人员来说，本公开可以有各种更改和变化。凡在本公开的精神和原则之内，所作的任何修改、等同替换和/或改进等，均应包含在本公开的保护范围之内。

Claims (15)

  1. 一种根管治疗设备，其特征在于，包括弯手机以及与所述弯手机可拆卸连接的根管锉；还包括与所述根管锉传动连接的驱动模组，所述驱动模组包括旋转驱动器以及振动发生器，所述旋转驱动器用于驱动所述根管锉轴向转动，所述振动发生器配置成驱动所述根管锉径向振动。
  2. 根据权利要求1所述的根管治疗设备，其特征在于，还包括与所述弯手机连接的手柄，所述旋转驱动器设置在所述手柄内且所述旋转驱动器通过所述弯手机驱动所述根管锉旋转，所述振动发生器设置在所述手柄上，所述振动发生器的振动端作用于所述根管锉。
  3. 根据权利要求2所述的根管治疗设备，其特征在于，所述振动发生器为超声换能器。
  4. 根据权利要求3所述的根管治疗设备，其特征在于，所述超声换能器包括外壳以及设置在所述外壳内的换能器本体，所述外壳与所述手柄一体成型，或者，所述外壳与所述手柄通过螺纹紧固连接件或卡接件可拆卸连接。
  5. 根据权利要求3所述的根管治疗设备，其特征在于，在所述超声换能器与所述根管锉之间还设置有振动连接器，所述超声换能器通过所述振动连接器与所述根管锉连接。
  6. 根据权利要求5所述的根管治疗设备，其特征在于，所述振动连接器与所述根管锉连接的一端设置有振动头，所述振动头配置成与所述根管锉连接的端面呈内凹的圆弧面。
  7. 根据权利要求6所述的根管治疗设备，其特征在于，所述振动头的圆弧面直径大于或等于所述根管锉的直径。
  8. 根据权利要求5-7任意一项所述的根管治疗设备，其特征在于，所述振动连接器包括端部相互套接的第一连接杆和第二连接杆，以及套接在所述第一连接杆的套接端的紧固件，所述紧固件配置成固定所述第一连接杆和所述第二连接杆的套接端。
  9. 根据权利要求8所述的根管治疗设备，其特征在于，所述第一连接杆配置成与所述根管锉连接的另一端还可拆卸连接有连接座，所述连接座与所述第一连接杆之间穿设有固定件。
  10. 根据权利要求3所述的根管治疗设备，其特征在于，在所述超声换能器与所述根管锉之间还设置有镍钛连接杆，所述超声换能器通过所述镍钛连接杆与所述根管锉连接。
  11. 根据权利要求2所述的根管治疗设备，其特征在于，所述振动发生器为震动器，所述震动器包括塑性壳体以及设置在所述塑性壳体内的震动马达，所述震动器通过所述塑性壳体固定于所述弯手机上；
    所述震动马达的震动输出端通过弹性件连接有顶紧块，所述顶紧块通过所述塑性壳体上开设的开口伸出于所述塑性壳体外，且在所述根管锉的侧壁与所述根管锉抵持。
  12. 根据权利要求11所述的根管治疗设备，其特征在于，所述顶紧块上形成有勾部，所述勾部配置成与所述塑性壳体的开口的内壁卡接，以限制所述顶紧块伸出所述开口的长度。
  13. 根据权利要求11所述的根管治疗设备，其特征在于，所述震动器还包括设置在所述手柄内的电源，所述电源通过导线与所述震动马达电连接，配置成为所述震动马达供电。
  14. 根据权利要求11所述的根管治疗设备，其特征在于，所述塑性壳体上设置有减震橡胶垫，所述塑性壳体与所述弯手机之间通过所述减震橡胶垫卡接固定。
  15. 根据权利要求1所述的根管治疗设备，其特征在于，还包括控制器，所述控制器分别与所述旋转驱动器和所述振动发生器电连接，配置成分别控制所述旋转驱动器和所述振动发生器的工作。
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