WO2022136372A1 - Dispositif d'aspiration pour aspiration extra-orale d'aérosols - Google Patents

Dispositif d'aspiration pour aspiration extra-orale d'aérosols Download PDF

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Publication number
WO2022136372A1
WO2022136372A1 PCT/EP2021/086995 EP2021086995W WO2022136372A1 WO 2022136372 A1 WO2022136372 A1 WO 2022136372A1 EP 2021086995 W EP2021086995 W EP 2021086995W WO 2022136372 A1 WO2022136372 A1 WO 2022136372A1
Authority
WO
WIPO (PCT)
Prior art keywords
suction
suction device
hose
aerosols
patient
Prior art date
Application number
PCT/EP2021/086995
Other languages
German (de)
English (en)
Inventor
Wolfgang Winkelmann
Original Assignee
Wolfgang Winkelmann
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 Wolfgang Winkelmann filed Critical Wolfgang Winkelmann
Publication of WO2022136372A1 publication Critical patent/WO2022136372A1/fr

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C17/00Devices for cleaning, polishing, rinsing or drying teeth, teeth cavities or prostheses; Saliva removers; Dental appliances for receiving spittle
    • A61C17/06Saliva removers; Accessories therefor
    • 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
    • A61B90/05Splash shields for protection of the surgeon, e.g. splash guards connected to the apparatus
    • 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
    • A61B90/40Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
    • A61B2090/401Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment using air flow

Definitions

  • the present invention relates to a suction device for extraoral suction of aerosols, comprising a suction funnel element and a hose located on the suction funnel element, characterized in that the suction device, in particular the suction funnel element, has a fastening element, particularly suitable for fastening the suction device to a holding element that can be placed on a patient , the use of such a suction device and methods for suctioning off aerosols.
  • suction is always performed with two different, standardized suction cannulas with different diameters.
  • Both suction hoses lead to two connections on the assistant's side of the treatment chair on the side of the so-called spittoon and from there they are first passed on inside the chair via pre-filters for suction lines, which are concealed in the floor of the treatment room to a central system usually located in side rooms of the practice lead, which usually takes over the suction of several treatment rooms together.
  • Aerosols are created both during normal exhalation and, in particular, with many dental treatment measures, such as the use of water-cooled or air-powered handpieces and contra-angles, turbines, multifunctional syringes and air/water-powered powder jet devices, etc., which expel the aerosol clouds and thus germs out of the patient's mouth into the surrounding air, where, in contrast to droplets, which quickly fall to the ground, they remain in the air as the smallest floating particles, sometimes for several hours hover and thus pose a significant risk of infection for both the treatment staff and other patients in the practice.
  • dental treatment measures such as the use of water-cooled or air-powered handpieces and contra-angles, turbines, multifunctional syringes and air/water-powered powder jet devices, etc.
  • stand-alone suction systems which are set up like a conventional vertical vacuum cleaner as a single device with a separate power connection next to the treatment chair, preferably on the left side of the patient due to the design and space, without integrated or other Connection to the chair's own suction system.
  • stand-alone systems There are essentially two known types of stand-alone systems, one with an individually adjustable pipe system and the other with hand-held intake funnels. Disadvantages of these stand-alone systems are insufficient suction power, relatively high noise levels, the sucked-in and filtered air being returned to the treatment room, regular maintenance required, separate control and disruptive cable connections, and positioning that is disruptive during treatment.
  • the suction funnel In order to have an approximately sufficient suction capacity, the suction funnel must be positioned close to the patient's mouth, which at the same time interferes with the freedom of movement during treatment.
  • the technical problem on which the present invention is based is to improve the suction devices from the prior art and to overcome the disadvantages mentioned, in particular to provide a suction device which at the same time has a sufficiently high suction power for removing aerosols and still allows access to the mouth and the tooth to be treated is not spatially affected to any great extent or at all.
  • the present invention solves the technical problem on which it is based with a suction device for extraoral suction of aerosols, comprising a suction funnel element and a hose located on the suction funnel element, characterized in that the suction device, in particular the suction funnel element, has a fastening element, particularly suitable for fastening From the suction device to a support element that can be placed on a patient.
  • a suction device with a suction funnel element and a tube can advantageously be attached to holding elements that can be placed on a patient, such as Have glasses, headbands or drip trays attached so that they suck off the aerosols particularly well and do not get in the way of the treatment.
  • the device according to the invention makes it possible to dispense with articulated arms for positioning the suction funnel that stand in the way or with manual holding by the treatment personnel.
  • the suction device in particular the suction funnel element, has a fastening element suitable for fastening the suction device to glasses, a headband or a drip tray.
  • the holding element can be fastened above the mouth, for example in the form of a spectacle frame or a headband. This allows the intake funnel to be positioned above the mouth opening.
  • the suction device can be attached to a holding element that can be placed underneath the oral cavity, for example to a collecting tray.
  • the drip tray is preferably a non-deformable drip tray, for example made of plastic. Such an advantageous drip tray is described, for example, in EP 2 609 889 A1.
  • the drip tray is a drip tray as described in EP 2 609 889 A1, i.e.
  • a drip tray that includes a tray base designed as a storage surface that is surrounded by a peripheral edge
  • the drip tray has a receiving recess which extends from a partial area of the peripheral edge in the direction of a central area of the shell and is shaped in such a way that it surrounds the neck of a patient lying on his back at a small distance from the patient on both sides, approximately up to the area of the ears, wherein the central area of the collecting tray adjoining the receiving recess extends at least over a part of the patient's chest when the tray is in place, with the receiving recess being delimited by two arms which extend to the left and right of the patient lying on both sides when the tray is in place neck s, with the extensions forming a storage surface in an area between the receiving recess and the edge of the shell facing away from the patient, with the trough-like contact area formed by the base of the tray and the peripheral edge resting against the two extensions when the shell is in place
  • the region adjacent to the patient's shoulders has its greatest depth
  • the suction funnel element of the suction device is preferably attached to the edge of the collecting tray.
  • the suction device from, in particular the suction funnel element of the suction device preferably has a fastening element which has a groove into which the edge of the collecting tray can be inserted.
  • the fastening element is a clip, a groove, a snap fastener, a screw connection or a Velcro connection. Suitable fasteners are known to those skilled in the art.
  • the suction device in particular the intake funnel element, can be plugged, screwed, velcroed, glued or otherwise fastened to the holding element.
  • the attachment is preferably reversible.
  • the hose can be connected to the suction element of a treatment chair, in particular it is connected.
  • the suction device can advantageously be connected directly to the suction system already present in every dental treatment chair, for example by means of an associated hose switch, whereby simultaneous use with the conventional large suction device is ensured by the preferred hose switch .
  • the sucked-in aerosols are then conveyed with the other suction products from the oral cavity into the central suction system, which is usually located in side or basement rooms in the practice, and disposed of. A recirculation of the filtered air into the treatment room is therefore impossible.
  • the hose can be connected to a separate suction element, in particular it is connected to it.
  • the suction device according to the invention can also be provided as a “stand-alone” device and can therefore be connected to a separate suction element or be connected to this. Suitable suction elements are known to those skilled in the art.
  • the suction device according to the invention and the suction element, which sucks in the air like a vacuum cleaner can be present as a unit.
  • This unit allows suction separately from the dental treatment chair and, for example, transport of the suction device from one treatment unit to another.
  • the hose has a hose switch.
  • An integrated hose also allows the suction device according to the invention to be connected to a treatment unit in a preferred manner without great effort.
  • the suction device is associated with glasses, a headband or a collecting tray.
  • the present invention thus also relates to a suction device comprising an intake funnel element, a hose located on the intake funnel element, a fastening element which is assigned either to the intake funnel element or to the hose, and a holding element which is assigned to the fastening element, the holding element preferably being a drip tray, glasses or a headband is.
  • the holding element in particular the glasses, the headband or the collecting tray, has a protective shield. It was found that the holding element is not only suitable for fastening the suction device according to the invention, but that the holding element can also have a protective shield at the same time or as an alternative, which acts as a splash guard.
  • the holding element has a web that can be adjusted in length, height and inclination, to which a preferably exchangeable and/or transparent protective shield can be attached.
  • An individually adjustable additional splash guard can thus advantageously be provided for the treatment team at a distance of about 10 to 20 cm above the patient's mouth, which can intercept aerosols escaping from the patient's mouth as soon as possible after exiting the mouth so that they do not get into the facial area of the practitioner or his assistant.
  • the protective shield can be mounted on the holding element, in particular on a spectacle frame or a headband, but also on a collecting tray, in particular via the preferred web, even without the suction device according to the invention.
  • the present invention also relates to the use of a suction device according to the invention for sucking off aerosols during a medical or cosmetic treatment in the head area of a person, in particular during a dental treatment.
  • the present invention also relates to a method for sucking off aerosols in the head area of a person, with a suction device according to the invention being fastened with the fastening element to a holding element placed on a patient, in particular to a collecting tray or to a headband or spectacle frame.
  • the uses and methods according to the invention concern the protection of the treatment personnel from aerosols, ie they do not concern the treatment itself and are therefore not medical treatment methods.
  • FIGS. 1 to 4 are not to be understood as limiting.
  • FIG. 1 shows a suction device according to the invention, which is assigned to a collecting tray.
  • FIG. 2 shows a suction device according to the invention, which is assigned to a spectacle frame.
  • FIG. 3 shows two different embodiments of the suction device according to the invention in a side view.
  • FIG. 4 shows a mounting element according to the invention with a protective shield.
  • FIG. 1 shows a patient (P) with a collecting tray (20) serving as a holding element.
  • the drip tray (20) is a drip tray as described in EP 2 609 889 A1.
  • the drip tray (20) has a border (21).
  • the suction device (10) according to the invention is attached to this via a non-visible groove.
  • the suction device (10) comprises a suction funnel element (11), a hose (12) and a hose sleeve (13).
  • a generally known intraoral suction device (30) can be connected through the flexible tube (13).
  • the intake funnel element (11) is reversibly connected to the drip tray (20) at its edge (21). This simple connection option results in a positioning of the suction funnel element (11) which on the one hand enables good suction of aerosols in the area of the patient's (P) mouth and on the other hand allows good access to the mouth for the treating person.
  • an “integrated” version of the suction device according to the invention is therefore shown, which is connected to a treatment unit.
  • the suction device according to the invention can be connected directly to the suction system already present in every dental treatment chair, usually on the side below the so-called spittoon on the assistant's side, using the hose switch (13) supplied on each chair with a few simple steps connected to the "normal” large suction cup and automatically switched on and off when the "normal” suction cup is removed from its holder.
  • the aspirated air/spray mist/aerosols are transported together with the other suction products from the oral cavity from the "normal" suction hoses into the central suction system, which is usually located in the adjoining or basement rooms of the practice, and disposed of.
  • a recirculation of the filtered air into the treatment room, as with the motor-driven, separate "vacuum cleaner-like" stand-alone systems, with the risk of ejecting any unfiltered residual germs into the treatment room is thus ruled out.
  • FIG. 2 shows an alternative embodiment of the suction device (10a) according to the invention.
  • a patient (P) with a drip tray (20) lying next to it and its border (21) can be seen again.
  • the suction device (10a) is not attached to the collecting tray (20) here, but via an alternative suction funnel element (11a) to a spectacle frame (40).
  • the hose (12) is connected to the conventional intraoral suction device (30) at a hose switch (13) as in FIG integrated suction element can be used.
  • the positioning of the alternative embodiment of the suction funnel element (11a) also allows good suction of aerosols and good accessibility to the oral cavity.
  • FIG. 3 shows two alternative embodiments of the suction device (10, 10b) according to the invention in a side view.
  • a collecting tray (20) with a border (21) is again placed on the patient (P).
  • a suction device (10) according to the invention with an intake funnel element (11) and hose (12) is attached to the border (21), specifically via a fastening element (14) designed as a groove, the border (21) of the collecting tray (20) being in the groove (14) is inserted.
  • a simple and reversible possibility of attachment of the suction device (10) is given, which allows an ideal positioning of the intake funnel element (11).
  • the suction device (10b) with suction funnel element (11b) and hose (12b) is attached to a headband (50) via the suction funnel element (11b).
  • This also enables ideal positioning of the intake funnel element (11b), the positioning being reversible on the one hand and being easily positionable on the other via a rotatable counter-mounting element (51) of the headband (50).
  • the two suction devices (10) and (10b) can be used alternatively, but also together.
  • the suction device according to the invention therefore has several variants of differently placed and differently shaped suction funnels, which can be operated simultaneously or alternatively, and which can both suck in the aerosols escaping from the patient's mouth from the shortest possible distance above the mouth or in front of the mouth.
  • the suction funnel is preferably placed in front of the patient's mouth on a collecting tray (Dentotray®) resting on the neck and chest area of the lying patient and fixed by a plug connection.
  • a collecting tray (Dentotray®) resting on the neck and chest area of the lying patient and fixed by a plug connection.
  • the aerosols escaping from the patient's mouth can thus be sucked in from a very short distance and disposed of in the central suction system.
  • the attachment of the suction funnels which can be provided in different sizes and widths, to the drip tray provides a stable base that works hands-free, i.e. no other hand is required as with other systems.
  • the "lower" suction funnels can also be used on the so-called “floating table” of a treatment chair in the area in front of the head or chest area of the patient, or on another attachment in the area in front of the mouth or on the chest and neck area of the patient.
  • the shapes of the "lower” velocity stacks can be different.
  • the "front” suction funnels have an approx. 15-25 cm wide and, for example, 5-10 mm narrow suction opening on the front side.
  • On the back of the suction funnel there is a plug connection to a normal, standardized suction hose (approx.
  • the suction hose can also be routed to a free-standing "stand-alone" suction system with its own filtering and power supply (see above) instead of to the connection piece of the chair's own suction system.
  • the attached suction hose can also be routed to a suction system that directs the sucked-in aerosol - with or without filtering/disinfection - through a window or a wall opening directly out of the treatment room to the outside.
  • a specially shaped suction funnel adapted to the anatomy of the face is preferably positioned above the patient's mouth on the patient's face, with different attachment options.
  • This flat suction funnel which runs from the area above the patient's mouth towards the forehead, also ends in a suction hose that is either directly connected to the stool suction system or, in another version, can be connected to a separate "stand-alone" system.
  • the upper suction funnel(s) can be attached to the patient's head with various holding systems.
  • this "upper intake funnel” is either attached to a “glasses frame”, ie with support on the bridge of the nose and with side brackets, which - similar to a glasses frame - are supported behind the ears.
  • the same "upper” suction funnel is attached to a headband.
  • the suction hose attached to the suction funnel is routed backwards over the patient's head, as with the "lower” suction funnel, either to the connection piece of the suction system, or to a free-standing, separate so-called “stand-alone” extraction system, or in a third Execution of a suction system that leads the aerosol sucked in - with or without filtering/disinfection - through a window or a wall opening directly out of the treatment room to the outside.
  • the "upper” as well as the “lower” suction funnels are preferably connected to the suction hose by a plug connection, and can thus be detached after each treatment in a few simple steps, exchanged and together with the other treatment instruments and suction cannulas the disinfection and Sterilization cycle are supplied to the practice.
  • FIG. 4 shows a spectacle frame (40) to which a movably mounted connecting element (41), which can be designed as a bridge adjustable in length, height and inclination, is attached
  • Protective shield (42) is connected.
  • the protective shield (42) can be reversibly connected to the connecting element (41) so that it can be replaced.
  • protective shields of different sizes can be used and the protective shields can be removed for cleaning.
  • a suction device (10a) according to the invention, as shown in FIG. 2, can advantageously be attached to the spectacle frame (40) in addition to or as an alternative to the protective shield (42).

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

Abstract

La présente invention se rapporte à un dispositif d'aspiration pour l'aspiration extra-orale d'aérosols, comprenant un élément entonnoir d'entrée et un tuyau présent sur l'élément entonnoir d'entrée, caractérisé en ce que le dispositif d'aspiration, en particulier l'élément d'entonnoir d'entrée, présente un élément de fixation, qui est conçu en particulier pour fixer le dispositif d'aspiration à un élément de retenue qui peut être placé sur un patient. L'invention se rapporte également à l'utilisation d'un tel élément d'aspiration et à un procédé d'aspiration d'aérosols.
PCT/EP2021/086995 2020-12-23 2021-12-21 Dispositif d'aspiration pour aspiration extra-orale d'aérosols WO2022136372A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102020216550.5A DE102020216550A1 (de) 2020-12-23 2020-12-23 Absaugvorrichtung zur extraoralen Absaugung von Aerosolen
DE102020216550.5 2020-12-23

Publications (1)

Publication Number Publication Date
WO2022136372A1 true WO2022136372A1 (fr) 2022-06-30

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PCT/EP2021/086995 WO2022136372A1 (fr) 2020-12-23 2021-12-21 Dispositif d'aspiration pour aspiration extra-orale d'aérosols

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DE (1) DE102020216550A1 (fr)
WO (1) WO2022136372A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20220265407A1 (en) * 2021-02-15 2022-08-25 Donaldson Company, Inc. Arrangements for capturing aerosol during dental procedures and methods

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2609889A1 (fr) 2011-12-29 2013-07-03 Wolfgang Winkelmann Plateau de collecteur
RO131094A2 (ro) * 2014-11-18 2016-05-30 Meda-Romana Simu Dispozitiv perinazal de îndepărtare a pulberilor şi aerosolilor
US20190381265A1 (en) * 2018-06-15 2019-12-19 Jose Banuelos Resuscitator mouth shield assembly
US20200360122A1 (en) * 2014-07-23 2020-11-19 Maycher Health Care Innovations Inc. Dental aerosol and liquid suction device

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2609889A1 (fr) 2011-12-29 2013-07-03 Wolfgang Winkelmann Plateau de collecteur
US20200360122A1 (en) * 2014-07-23 2020-11-19 Maycher Health Care Innovations Inc. Dental aerosol and liquid suction device
RO131094A2 (ro) * 2014-11-18 2016-05-30 Meda-Romana Simu Dispozitiv perinazal de îndepărtare a pulberilor şi aerosolilor
US20190381265A1 (en) * 2018-06-15 2019-12-19 Jose Banuelos Resuscitator mouth shield assembly

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20220265407A1 (en) * 2021-02-15 2022-08-25 Donaldson Company, Inc. Arrangements for capturing aerosol during dental procedures and methods

Also Published As

Publication number Publication date
DE102020216550A1 (de) 2022-06-23

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