Device for Exposing an Implant Base Body

20210259802 · 2021-08-26

    Inventors

    Cpc classification

    International classification

    Abstract

    Device (1) for exposing an implant base body (2), in particular wherein the dental implant (2) is fixed in a person's jaw and is covered by gum. During exposure, the gum covering the implant base body is cut open to expose the implant base body, in particular it is removed in the shape of a hole circle. The device (1) comprises a sensor (22) for determining the position of the implant base body (91) covered by the gum (82), characterized in that the device (1) comprises a blade (32) for cutting the gum (82).

    Claims

    1. A device (1) for exposing an implant base body (2), in particular wherein the dental implant (2) is fixed in a jaw of a person and is covered by gum and wherein, during exposure, the gum covering the implant base body is cut to expose the implant base body, in particular is removed in the shape of a circular hole, the device (1) comprises a sensor (22) for determining the position of the implant base body (91) covered by the gum (82), characterized in that the device (1) comprises a blade (32) for cutting the gum (82).

    2. The device (1) according to claim 1, characterized in that the sensor is set up to record ambient information in terms of information technology, in particular the sensor is a capacitive and/or magnetic sensor.

    3. The device (1) according to claim 1, characterized in, that the cutter (32) and the sensor (22) are mounted in locally defined relation to each other on the device (1), in particular on a base frame (11).

    4. The device (1) according to claim 1, characterized in that the device is transferable between a detection mode and a cutting mode.

    5. The device (1) according to claim 1, characterized in, in that, in the detection mode, the sensor (22) is arranged on the base frame (11) in such a way as to determine the position of the implant base body (91) arranged under the gum (82).

    6. The device (1) according to claim 4, characterized in that in the detection mode, the blade (32) is arranged on the base body (11) in such a way that cutting of the gum (82) by the blade (32) is prevented, in particular the blade (32) is secured with a blade securing device (22G).

    7. The device (1) according to claim 4, characterized in that the blade (32) and the sensor (22) are arranged on the base frame in such a way that the blade (32) and the sensor (22) are displaced relative to each other for transfer from the detection mode to the cutting mode.

    8. The device (1) according to claim 1, characterized in that the blade (32) and the sensor (22) are aligned centered to a common axis (A), in particular wherein the blade (32) and/or the sensor (22) is movable along the axis (A) for transfer from the detection mode to the cutting mode.

    9. The device (1) according to claim 1, characterized in that a sterility barrier (40) is arranged between the blade (32) and the sensor (22), in particular that the sterility barrier (40) completely surrounds the sensor, in particular that the sterility barrier (40) is open on one side and is slipped over the sensor with the side open on one side, or in that the sterility barrier (40) is connected to a blade holder (31), in particular in a sterile manner, or is guided through a blade holder (31).

    10. A method, in particular for positioning a device according to one of the previous claims, in particular for the purpose of a subsequent exposure of an implant base body (91), the method comprising the following method steps: Providing the device according to claim 1 in a detection mode; determining the position of the implant base body (91), thereby positioning the sensor at a first position (P1) on the gum, wherein the blade (32) is in particular spaced apart from the gum (82), transferring the device from the detection mode to the cutting mode, in particular wherein by transferring the device from the detection mode to the cutting mode the blade (32) is brought into contact with the gum (82) at the first position or is not brought into contact with the gum.

    11. The method according to claim 10, wherein after transferring the device (1) from the detection mode to the cutting mode, the gum (82) is cut with the blade (32), and wherein the implant base body (91) is exposed.

    12. The method according to claim 10, further comprising the following method steps: Attaching a first sterility barrier (40) and attaching a first blade (32) to the base frame (11); wherein the first sterility barrier (40) is disposed between the sensor (22) and the first blade (32).

    13. The method according to claim 12, comprising the steps after cutting the gum: removing the first blade (32) and the first sterility barrier (40), providing a second blade and a second sterility barrier (40) and attaching the second sterility barrier (40) and attaching the second blade to the base frame (11), wherein the second sterility barrier (40) is located between the sensor (22) and the second blade (32); in particular the first sterility barrier is removed by pulling the film tube over the sensor.

    14. A method of preparing a device according to claim 1, in particular for the purpose of a subsequent exposure of an implant base body (91), the method comprises the following method steps: providing the device (11); Attaching a first sterility barrier (40) and attaching a first blade (32) to the base frame (11); wherein the first sterility barrier (40) is disposed between the sensor (22) and the first blade (32).

    15. The method according to claim 14, comprising the steps after cutting the gum: removing the first blade (32) and the first sterility barrier (40), providing a second blade and a second sterility barrier (40) and attaching the second sterility barrier (40) and attaching the second blade to the base frame (11), wherein the second sterility barrier (40) is located between the sensor (22) and the second blade (32); in particular the first sterility barrier is removed by pulling the film tube over the sensor.

    Description

    BRIEF DESCRIPTION OF THE DRAWINGS

    [0024] The invention is explained in more detail below with reference to the figures; herein shows:

    [0025] FIG. 1 a device according to the invention in cross-section [0026] A) in a detection mode, [0027] B) in a cutting mode;

    [0028] FIG. 2 a sensor holder of the device according to FIG. 1 with sensor and sterility barrier to be attached to it;

    [0029] FIG. 3 a dental implant [0030] A) inserted in a jaw bone in cross-sectional view, [0031] B) in exploded view;

    [0032] FIG. 4 a schematic enlarged view of a section of FIG. 1B.

    DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

    [0033] FIG. 1 shows a device 1 for exposing an implant base 91 of a dental implant 9.

    [0034] The device 11 comprises a base frame 11 with a battery holder 13 in which a battery for the power supply is inserted. The device can be switched on via a switch 14. The base frame 11 includes a handle 15 for being held and guided thereby by an attending physician. The base frame 11 is may be formed from a plurality of individual parts.

    [0035] The device 1 comprises a sensor 22 for detecting the position of the implant base body 91. The sensor 22 is held on the base frame 11 by means of a sensor holder 21. The sensor 22 can be moved along an axis A relative to the base frame 11. A sensor guide 12 is provided on the base frame 11, which holds the sensor holder 21 so that it can be moved in a defined manner relative to the base frame 11. The sensor 22 can be moved in a defined manner between an extended position (FIG. 1A) and a retracted position (FIG. 1B) along the axis A. In the detection mode and/or in the cutting mode, the axis A is in particular aligned with the axis B of the implant base body 91 when the position of the implant base body is detected by the sensor.

    [0036] The device 1 comprises a blade 32 which, together with the blade holder 31, is pushed over the sensor 22 until it comes into contact with the base frame 11 or the sterility barrier 40. The blade forms a sterile unit with the blade holder 31, which is intended for single use. The blade is therefore firmly connected to the blade holder 31. This means that during intended use, the blade 32 cannot be detached from the blade holder 31.

    [0037] The blade holder 31 is placed on the base frame 11 together with the blade 32 before use. The blade 32 can be made of metal, ceramic or plastic, for example.

    [0038] The blade 32 is annular. The ring diameter of the annular blade corresponds approximately to the diameter of the cover to be removed or the diameter of the implant abutment. This allows a hole to be created in the gum in a predetermined shape—as with a paper punch. The blade is very sharp and can quickly cause an injury in the oral cavity if not handled properly.

    [0039] A sterility barrier 40 is arranged between the blade and the sensor. The sterility barrier 40 is or comprises in particular a bag-shaped film tube and/or a dimensionally stable sleeve with an open end 41 and a closed end 42. The sterility barrier can also form a combination of dimensionally stable sleeve at the closed end and film tube at the open end. The open end 41, in particular of a bag-shaped film tube is slipped over in particular the entire arrangement and/or over sensor 22 as shown in FIG. 2. Subsequently the dimensionally stable sleeve is flipped over the film tube and the sensor 22, as shown in FIG. 2. The closed end 42 is placed between the closed end 32 and the gingiva 82 on the one hand and the sensor 22 on the other. This prevents the film tube from wrinkling between the sensor and the gum and the risk of the blade cutting the film tube.

    [0040] Alternatively, the sterility barrier 40 is designed as a film tube and is firmly connected to the cutter holder in the rear part. In the front part, the bag-shaped film tube is freely movable. This allows the film tube to be turned in during the cutting process and the sensor to spring in. At the same time, the separated gum can be accommodated in this sack-shaped bulge.

    [0041] Alternatively, the sterility barrier can also be designed as a fixed protective cover around the sensor, which is guided in the cutting holder and moves back upwards together with the sensor against the cutting movement during the cutting process.

    [0042] During use, the blade 32 and the sensor 22 are positioned relative to each other as follows. In a detection mode (FIG. 1A), the sensor 22 projects beyond the incisal edge 32 and can come into contact with the gum, in particular indirectly through the sterility barrier 40. Consequently, a housing 22G of the sensor 22 also represents a cutting safeguard.

    [0043] The distance between the implant base body and the sensor is as small as possible in order to achieve the best possible detection result. Once the correct position has been detected, the sensor is located immediately at the position where the incision is to be made. This is communicated to the physician by outputting a signal. In particular, the signal can be acoustic so as distract the physician as little as possible; alternatively, the signal can also be output visually or haptically.

    [0044] If the physician is now alerted to this by the corresponding signal, the physician initiates the transfer of the device from detection mode to cutting mode. In this case, the blade is brought into readiness to make the defined cut.

    [0045] In this case, the sensor is transferred from the extended position to the retracted position as a blade securing device. Now the blade is exposed.

    [0046] The blade 32 is positioned in relation to the sensor in such a way that immediately after this transfer of the sensor to the retracted position, the blade is located where the sensor is located during the extended position. The blade is thus automatically optimally positioned and the cut can be made.

    [0047] In the present example, the sensor 22 is held resiliently on the base frame 11. A spring 23 presses the sensor 22 into the extended state (detection mode) by default. To transfer it to the retracted state, the physician now presses the base frame along the axis A towards the gingiva 82. Pressed by the gingiva 82 itself, the sensor is now moved into the retracted state against the spring force (cutting mode). The blade 32 now projects beyond the sensor 22, which no longer prevents contact between the gum 82 and the blade 32. The blade 32 can now cut the gum at position P1.

    [0048] It is preferable to design the blade in such a way that it does not interfere with the sensor in determining the position. On the one hand, this can be achieved by selecting a suitable material, in particular ceramic or plastic. Alternatively, the influence on the sensor can be kept low by arranging the sensor as far away as possible from the blade in detection mode.

    [0049] If the sterility barrier comprises a film tube 40a, this film tube can be coaxially surrounded by a sleeve 40b (FIG. 4), in particular a dimensionally stable sleeve, in the area of the cutter and/or the cutter holder and/or the sensor. The sleeve 40b can then prevent the film tube 40a from wrinkling and can protect the film tube from damage by the cutting edge.

    LIST OF REFERENCE NUMERALS

    [0050] 1 device [0051] 11 base frame [0052] 12 sensor guide [0053] 13 battery holder [0054] 14 switch [0055] 15 handle [0056] 21 sensor holder [0057] 22 sensor [0058] 22G sensor housing [0059] 23 spring [0060] 31 blade holder [0061] 32 blade [0062] 40 sterility barrier [0063] 41 open end [0064] 42 closed end [0065] 81 jawbone [0066] 82 gums [0067] 9 dental implant [0068] 91 implant base body [0069] 92 implant abutment [0070] 93 Implant crown [0071] A axis [0072] B axis of the implant base body