WO2022131460A1 - Guide de forage vertical pour implant à conduction osseuse - Google Patents

Guide de forage vertical pour implant à conduction osseuse Download PDF

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Publication number
WO2022131460A1
WO2022131460A1 PCT/KR2021/006922 KR2021006922W WO2022131460A1 WO 2022131460 A1 WO2022131460 A1 WO 2022131460A1 KR 2021006922 W KR2021006922 W KR 2021006922W WO 2022131460 A1 WO2022131460 A1 WO 2022131460A1
Authority
WO
WIPO (PCT)
Prior art keywords
bone conduction
vertical drilling
conduction implant
guide device
lower support
Prior art date
Application number
PCT/KR2021/006922
Other languages
English (en)
Korean (ko)
Inventor
서영준
Original Assignee
연세대학교 원주산학협력단
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 연세대학교 원주산학협력단 filed Critical 연세대학교 원주산학협력단
Publication of WO2022131460A1 publication Critical patent/WO2022131460A1/fr

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Classifications

    • 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
    • A61C1/082—Positioning or guiding, e.g. of drills
    • A61C1/084—Positioning or guiding, e.g. of drills of implanting tools
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C3/00—Dental tools or instruments
    • A61C3/02—Tooth drilling or cutting instruments; Instruments acting like a sandblast machine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0089—Implanting tools or instruments

Definitions

  • the present invention relates to a vertical drilling guide device and a vertical drilling device used in bone conduction implant surgery.
  • the bone conduction implant is a medical device that transmits sound directly to the inner ear through the bone without passing through the outer and middle ear.
  • the bone conduction implant system consists of an implant (Bone Conduction Implant-BCI) and an external device (sound processor).
  • the bone conduction implant system converts the sound captured by the sound processor, an external device, into an electrical signal, and transmits the electrical signal converted from the internal device to the coil of the internal implant inserted into the subcutaneous layer. It works on the principle that sound energy delivered to the inner ear is converted into a nerve signal and transmitted to the auditory nerve for listening.
  • Internal device implant surgery involves injecting a local anesthetic into the surgical site, making a C-shaped incision in the skin for insertion, drilling with a guide drill using a 3mm drill bit, removing the drill bit and drilling to a depth of 4mm Step, placing the implant perpendicular to the bone surface, fixing the implant by tightening, fixing the bone bed indicator to the implant, rotating the bone bed indicator to measure flatness Step, if there is a protruding part, grinding and removing the soft tissue and bone, fixing the implant magnet to the implant, and sealing the surgical site.
  • the implant fixing the implant magnet is inserted vertically, and the surgical site is removed by flat grinding so that the implant magnet does not touch the surface of the insert or too far apart. It is important to maintain and place it. Nevertheless, since the vertical fixation of the implant is made depending on the operator's vision through the upper vertical chim rod of the drill, there is a problem that the accuracy may be lowered. As such, in bone conduction implant surgery, implants used in the dental field such as Republic of Korea Patent Registration No. 10-1763763 despite the fact that vertical fixation of the implant, which is a premise for the implantation process so that the magnet is spaced apart from the skin at regular intervals, is relatively more important. Only the Republic of Korea Patent Registration No. 10-1095245, which is used for the production of instruments for guiding the implantation position and parts for the space industry, is disclosed, and there is no technology disclosed for a vertical guide device for bone conduction implants.
  • An object of the present invention for solving these problems is to provide a bone conduction implant vertical guide device.
  • Another object of the present invention is to provide a vertical drilling guide device capable of manual operation in the form of a driver that can be manufactured at a relatively low cost.
  • the present invention is supported on the perforated surface of the bone conduction implant and has a through hole formed in the center perpendicular to the perforated surface of the bone conduction implant, the lower surface of which is provided in a flat shape. It is supported on and provides a vertical drilling guide device for bone conduction implants including an upper guide member having a through-hole formed in the center perpendicular to the perforation surface of the bone conduction implant.
  • a through hole perpendicular to the perforation surface of the bone conduction implant is formed in the center, and the lower surface is provided in a flat shape, a plurality of lower portions having different through-hole diameters
  • a bone conduction implant comprising a set of support members, a set of a plurality of lower support members having different diameters of the through holes in the upper guide member supported on the upper surface of the lower support member and having a through hole in the center formed perpendicular to the perforation surface of the bone conduction bone conduction implant.
  • the present invention includes a driver handle that can perform vertical drilling according to a user's manual rotation operation through the guide of the bone conduction implant vertical drilling guide device manually by fixing the bone conduction implant vertical drilling guide device and the drill blade.
  • a vertical drilling device for bone conduction implants is provided.
  • part or all of the device of the present invention in a transparent color, it is possible to secure the operator's view, and since a plurality of members having different through-holes can be selectively used, vertical drilling guides of drills having different diameters can be performed.
  • 1 is a view showing the external shape of the vertical drilling guide device of the present invention.
  • FIG. 2 is a diagram showing the shape of a drill bit used for a bone conduction implant.
  • Figure 3 is a view showing a vertical drilling guide device of the present invention viewed from the bottom.
  • FIG 4 is a view showing a state in which the drill bit is coupled to the vertical drilling guide device.
  • FIG. 5 is a diagram showing a state in which an electric drill and a vertical drilling guide device are combined and used.
  • FIG. 6 is a diagram showing a manual screwdriver handle.
  • FIG. 7 is a photograph showing a drill bit used for a bone conduction implant.
  • the term “and/or” should be understood to include all possible combinations of one or more related items.
  • the meaning of “the first item, the second item, and/or the third item” means to be presented from the first, second, or third item as well as two or more of the first, second, or third items. A combination of all possible items.
  • the present invention is supported on the perforated surface of the bone conduction implant, the through hole 15 perpendicular to the perforated surface of the bone conduction implant is formed in the center, and the lower support member is provided with a flat lower surface.
  • a bone conduction implant vertical drilling guide device including an upper guide member (10) supported on the upper surface of the lower support member (20) and having a through hole (15) formed in the center perpendicular to the perforation surface of the bone conduction implant do.
  • the lower support member 20 and the upper guide member 10 are mutually detachable, and a through hole 15 is formed in the center to allow the drill bit 50 to be inserted.
  • the lower support member 20 is provided in the form of an open central portion, the lower surface is supported on the perforated surface, and the lower surface may be provided in a flat form, but according to the movement such as rotation or movement during the operation, the surgical site It is preferable that the outer surface is provided in a circular shape to minimize damage to the device.
  • the upper guide member 10 of the bone conduction implant vertical drilling guide device of the present invention may be made of a transparent color, which is for the purpose of securing the operator's field of view and transmits the light used in the surgical procedure to the surgical site to protect the surgical site. In order to be able to observe accurately.
  • a locking member 30 is formed on the upper guide member 10 and the lower support member 20 of the bone conduction implant vertical drilling guide device of the present invention so that the upper member and the upper member rotate together according to any one rotation.
  • a method of coupling the upper member and the lower support member 20 various well-known methods such as a form of forming a screw line may be used, but the drill bit 50 as it is in a state where the lower support member 20 is left on the perforation surface during the operation. )
  • the upper guide member 10 or the lower support member 20 is rotated or moved by forming a coupling means with the engaging member 30 for relatively easy detachment, the upper guide member 10 or the lower support member 20 is rotated or moved together while allowing easy detachment.
  • the locking member 30 is formed in plural of 2 to 4 so that the upper guide member 10 and the lower support member 20 are coupled together to rotate and move not only during position movement but also during rotation.
  • the lower surface of the engaging member 30 may be provided to be positioned on the same plane as the lower surface of the lower support member 20. In this case, when the vertical drilling guide device is rotated, the engaging member 30 is perforated while rotating together. If there is a part caught in the surface (not flat, but protruding surface), it can perform the role of flatness detection so that it can be found and polished.
  • one of the upper guide member 10 and the lower support member 20 of the bone conduction implant vertical drilling guide device is made of a magnetic material, and the other is made of a metal or a magnetic material.
  • a metal body made of By providing to include a metal body made of, it is possible to perform a certain auxiliary fixing role through magnetic force.
  • the operator holds the upper guide member 10 of the drilling guide device and proceeds with the operation in a fixed form, but the magnet serves to guide the accurate bonding position in the initial stage. Since the drilling position should not be changed during the replacement process of the drill bit 50, such an accurate coupling position guide is very important.
  • the reason that the upper guide member 10 and the lower support member 20 are provided in each shape rather than in one shape is the bone conduction implant drill used in bone conduction implant surgery.
  • the through hole 15 of the upper guide member 10 after coupling the drill bit 50 to the wide lower member Inserting one end of the drill bit 50 into (15) and moving the upper guide member 10 down to make surface contact with the lower support member 20 to fix it. This is to replace the upper guide member 10 or the lower support member 20 having the through hole 15 .
  • the diameter of the drill bit 50 is different depending on the use.
  • a through hole 15 supported on the perforation surface of the bone conduction implant and perpendicular to the perforation surface of the bone conduction implant is formed in the center, and the lower surface is a through hole 15 in the lower support member 20 provided in a flat shape.
  • a set of a plurality of lower support members 20 having different diameters, a through hole 15 supported on the upper surface of the lower support member and perpendicular to the perforation surface of the bone conduction bone conduction implant is penetrated in the upper guide member 10 formed in the center
  • a bone conduction implant vertical drilling guide device including a set of a plurality of upper guide members 10 having different diameters of the balls 15, select and use the upper guide member 10 or the lower support member 20 of the required size By doing so, it can be applied to the drill bit 50 of various diameters.
  • the diameter of the through hole 15 of the lower support member is larger than that of the through hole 15 of the upper guide member 10 .
  • the diameter of one end fixed to the drill chuck is smaller than the diameter of the other end, after coupling the drill bit 50 to the lower member having a wide through hole 15 This is for inserting and fixing one end of the drill bit 50 into the through hole 15 of the upper guide member.
  • the present invention provides vertical drilling according to the user's manual rotation operation through the guide of the bone conduction implant vertical drilling guide device by fixing the bone conduction implant vertical drilling guide device and the drill bit 50 manually. It provides a bone conduction implant vertical drilling device comprising a driver handle portion (60) that can.
  • the screwdriver handle unit 60 has a structure in which the drill bit 50 is fixed at one end and the user grips and rotates the drilling by hand, and a plurality of protrusions are formed to prevent slipping.
  • a method of fixing the drill bit 50 by pressing the drill bit 50 while the inner diameter of the chuck decreases as a member surrounding the outside of the chuck is rotated with a chuck like an electric drill It is not limited.
  • the present invention can be used in bone conduction surgery as a vertical drilling guide device that can be used in bone conduction implant surgery.

Landscapes

  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgical Instruments (AREA)
  • Dental Prosthetics (AREA)

Abstract

La présente invention concerne un dispositif qui guide le forage vertical pendant une opération chirurgicale d'implant à conduction osseuse, qui peut guider de manière stable et précise le forage vertical sans dépendre de la vue d'un chirurgien. Pendant le processus de remplacement d'une mèche, un élément de guidage supérieur peut être facilement remplacé tandis qu'un élément de support inférieur est dans un état fixe.
PCT/KR2021/006922 2020-12-15 2021-06-03 Guide de forage vertical pour implant à conduction osseuse WO2022131460A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR10-2020-0175266 2020-12-15
KR1020200175266A KR102440539B1 (ko) 2020-12-15 2020-12-15 골전도 임플란트 수직 드릴링 가이드 장치

Publications (1)

Publication Number Publication Date
WO2022131460A1 true WO2022131460A1 (fr) 2022-06-23

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ID=82057744

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/KR2021/006922 WO2022131460A1 (fr) 2020-12-15 2021-06-03 Guide de forage vertical pour implant à conduction osseuse

Country Status (2)

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KR (2) KR102440539B1 (fr)
WO (1) WO2022131460A1 (fr)

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080124672A1 (en) * 2006-11-29 2008-05-29 Sussman Harold I Dental implant drill guide with handle
EP2160985A1 (fr) * 2003-03-10 2010-03-10 Tornier Canon de perçage pour le positionnement d'un implant glénoidien
US20100173259A1 (en) * 2008-08-29 2010-07-08 Zimmer Dental, Inc. Dental drill guide system
KR20130113776A (ko) * 2012-04-06 2013-10-16 오상훈 치과용 임플란트 고정구 천공 가이드 장치 및 이를 이용한 천공 방법
US9113982B1 (en) * 2014-03-19 2015-08-25 GRS Guide System, Inc. Positioning and installing surgical drilling devices and related devices and systems

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR101095245B1 (ko) 2009-01-13 2011-12-20 한국항공우주산업 주식회사 직각 홀 가공 치공구 및 이를 이용한 직각 홀 가공 방법
KR101763763B1 (ko) 2015-09-14 2017-08-01 임익준 임플란트 식립위치 가이드기구

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2160985A1 (fr) * 2003-03-10 2010-03-10 Tornier Canon de perçage pour le positionnement d'un implant glénoidien
US20080124672A1 (en) * 2006-11-29 2008-05-29 Sussman Harold I Dental implant drill guide with handle
US20100173259A1 (en) * 2008-08-29 2010-07-08 Zimmer Dental, Inc. Dental drill guide system
KR20130113776A (ko) * 2012-04-06 2013-10-16 오상훈 치과용 임플란트 고정구 천공 가이드 장치 및 이를 이용한 천공 방법
US9113982B1 (en) * 2014-03-19 2015-08-25 GRS Guide System, Inc. Positioning and installing surgical drilling devices and related devices and systems

Also Published As

Publication number Publication date
KR102440539B1 (ko) 2022-09-06
KR20220124131A (ko) 2022-09-13
KR102482771B1 (ko) 2022-12-29
KR20220085877A (ko) 2022-06-23

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