CN105030354B - A kind of memory elasticity silk braid pipe for peeling off mucous membrane of maxillary sinus - Google Patents

A kind of memory elasticity silk braid pipe for peeling off mucous membrane of maxillary sinus Download PDF

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CN105030354B
CN105030354B CN201510548208.1A CN201510548208A CN105030354B CN 105030354 B CN105030354 B CN 105030354B CN 201510548208 A CN201510548208 A CN 201510548208A CN 105030354 B CN105030354 B CN 105030354B
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elastic yarn
hollow sleeve
mucous membrane
silk braid
silk
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CN105030354A (en
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李岩峰
樊佳东
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Priority to CN201510548208.1A priority Critical patent/CN105030354B/en
Priority to DE112015006850.3T priority patent/DE112015006850B4/en
Priority to PCT/CN2015/089842 priority patent/WO2017035872A1/en
Priority to US15/755,992 priority patent/US10864000B2/en
Priority to JP2018529698A priority patent/JP6606781B2/en
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Abstract

The invention discloses a kind of memory elasticity silk braid pipe for peeling off mucous membrane of maxillary sinus, it is adaptable to plantation and (or) bone grafting operation apart from Sinus floor immediate area.Memory elasticity silk braid pipe of the invention includes primary lift-off structure and secondary lift-off structure, and its primary lift-off structure can tentatively peel off Sinus floor mucous membrane;Secondary lift-off structure is realized further peeling off Sinus floor mucous membrane.Memory elasticity silk braid pipe of the invention can complete five kinds of operations in implementation process, and mucous membrane of maxillary sinus can be safely and effectively peeled off on a large scale, at the same have both equipment it is simple compact the advantages of, with good clinical value.

Description

A kind of memory elasticity silk braid pipe for peeling off mucous membrane of maxillary sinus
Technical field
The present invention relates to a kind of medicine equipment, and in particular to a kind of memory elasticity silk braid pipe of stripping Sinus floor mucous membrane, Plantation and (or) bone grafting operation suitable for separating Sinus floor mucous membrane.
Background technology
Oral implantology is one of dentistry field with fastest developing speed, clinical common maxillary molar area crest of alveolar ridge in recent years Apart from Sinus floor it is nearer when, implantation implant often increase implant mortality because the bone combined with implant is very few.Vertical bone Measure the forbidden zone that not enough maxillary molar region had once been considered as once tooth-implanting.Maxillary Sinus technology is once proposition just in solution The problem of stating brings possibility.Maxillary Sinus are divided into the maxillary sinus disease of side wall windowing, i.e., lift art outside maxillary sinus (Tatum OH.Maxillary and sinus implant reconstruction[J].J Dent Clin North Am, 1986,30(2):207-229.) and through lifting art (Summers in the maxillary sinus disease of crest of alveolar ridge approach, i.e. maxillary sinus RB.The osteotome technique.Part 3:Less invasive met hods in elevation of the sinus floor[J].J Compendium of Continuous Education in Dentist ry,1994,15: 698-708.).The maxillary sinus disease of side wall windowing can in relatively large area peel off Sinus floor mucous membrane, reduce sinus bottom mucous membrane Tension force, implantable more bone meal effectively increases the bone at sinus bottom highly, expands plantation indication, but technology is more complicated, application Existing tool operation is time-consuming more long, and when dissection scope increases, punch can increase, and a fixed limit is subject in clinical application System.Have that operation wound is small, postoperative complications are few through the maxillary sinus disease of crest of alveolar ridge approach, shorten treatment time, expense Low advantage is used, in recent years by the attention and welcome of clinician, but is more than 5mm, mucous membrane of maxillary sinus tear when it lifts amplitude Risk substantially increases, and common complication has sinus mucous membrane to perforate, sequestrum is formed and maxillary sinusitis.In recent years sacculus, hydraulic pressure, ultrasonic bone The advanced technologies such as knife are used to increase hoisting depth through the maxillary sinus disease of crest of alveolar ridge approach, reduce mucous membrane of maxillary sinus perforation Danger, but hoisting depth is limited, and (Qiu Lixin, Hu Xiulian, Chen Bo wait can to lift 2-7mm height according to domestic and foreign literature report 122 clinical observation of agomphosis [J] Chinese Journal of Stomatology, 2006,41 are repaired in the plantation of Sinus floor punching press lift method: 136-139;Nedir R,Bischof M,Vazquez L,et al.Osteotome sinus floor elevation without grafting material:a 1-year prospective pilot study with ITI implants [J].J Clin.Oral Impl.Res,2006,17:679–686;Winter AA,Pollack AS,Odrich RB.Sinus/alveolar crest tenting (SACT):a new technique for implant placement in atrophic maxillary ridges without bone grafts or membranes[J].The International Journal of Periodontics & Restorative Dentistry,2003,23:557– 565).Main reason is that although interior lifting operation wound is smaller, it is smaller that apparatus peels off sinus bottom mucous membrane scope.
The present invention peels off a kind of creative medicine equipment of offer of the problem run into the mucous membrane of sinus bottom for current apparatus, both Sinus floor mucous membrane can be on a large scale peeled off through the windowing of side wall again through crest of alveolar ridge approach, safely and effectively, with good clinic Application value.
The content of the invention
It is an object of the invention to provide a kind of memory elasticity silk braid pipe for peeling off mucous membrane of maxillary sinus, including primary lift-off structure With secondary lift-off structure, the primary lift-off structure is by hollow sleeve (2) and stripping sword (1) group positioned at hollow sleeve top Be elastic yarn (4) into, the secondary lift-off structure, it is characterised in that the elastic yarn (4) with super-elasticity and/or Memorability, Elastic yarn (4) is penetrated from hollow sleeve (2) bottom, peels off the front lower place that sword (1) controls elastic yarn (4) towards hollow sleeve (2) Stretch out.
Further, elastic yarn (4) stretch out hollow sleeve (2) part be referred to as peel off silk (8), peel off silk (8) size, stretch out Direction, shape are variable.
Further, elastic yarn (4) be bent to form it is bifilar, the part that the elastic yarn (4) stretches out hollow sleeve (2) be referred to as stripping From silk (8).
Further, elastic yarn (4) is processed, is allowed to form the shape for being suitable to the stripping of Sinus floor mucous membrane, product group Elastic yarn (4) is penetrated in hollow sleeve (2) during dress.Preferably, it is described to be suitable to being shaped as Sinus floor mucous membrane stripping Arc or taper etc..
Further, silk (8) is peeled off in irregular roundness.
Further, peel off silk (8) to expand, stripping silk (8) is hidden in stripping sword (1);But it is hollow to continue indentation Sleeve pipe (2).
Further, the stripping sword (1) of hollow sleeve (2) holds end for the end of arc and/or hollow sleeve (2) has And/or there is stop plug (7) and/or hollow sleeve (2) to be marked with scale and/or elastic yarn (4) for the end of elastic yarn (4) (3) It is marked with scale.It is preferred that the distance between scale is 0.5-1mm.It is preferred that the size of end (3) is held to facilitate holding, it is more excellent Holding end (3) a diameter of more than 7mm of choosing.
When elastic yarn (4) is bent to form bifilar, there is a stop plug (7) per share end, during push-and-pull stop plug (7), Elastic yarn (4) is peeled off silk (8) size and is changed with flexible;When stop plug (7) rotates, elastic yarn (4) rotation is driven, peel off silk (8) overturn;When stop plug (7) keeps different motion, silk (8) alteration of form is peeled off;One stop plug (7) is motionless, and another stops When dynamic plug (7) is moved, silk (7) alteration of form is peeled off.Preferably, stop plug (7) can be mobile along elastic yarn (4) and be being specified Position at fix.It is furthermore preferred that at the beginning of mucous membrane of maxillary sinus is peeled off, it is when only with primary lift-off structure, stop plug (7) is mobile To elastic yarn (4) stage casing and fixed, so that peeling off silk (8), to be hidden in stripping sword (1) inner while indentation hollow sleeve can not be continued Pipe (2).
Further, the material of the memory elasticity silk is nonmetallic and/or metal alloy.
Further, hollow sleeve (2) a diameter of 1-4mm, elastic yarn (4) a diameter of 0.3-0.6mm, the length for peeling off sword (1) It is 1-5mm to spend.It is preferred that hollow sleeve (2) a diameter of 2-3mm, elastic yarn (4) a diameter of 0.3-0.46mm, the width for peeling off sword (1) It is 3-4mm to spend.
It is an object of the invention to provide a kind of external member of memory elasticity silk braid pipe, the external member by count set different model, Different size of memory elasticity silk braid pipe composition.Further, elastic yarn (4) a diameter of 0.3048mm (0.012 inch) in external member, 0.3556mm (0.014 inch), 0.4064mm (0.016 inch) etc..
In the present invention, primary lift-off structure can individually peel off mucous membrane of maxillary sinus, and secondary lift-off structure is needed by primary Lift-off structure can peel off mucous membrane of maxillary sinus.
The present invention can realize widely peeling off Sinus floor mucous membrane, be conducive to lifting bone highly.By sheep zoopery And clinical test, the strip length obtained at flat sinus bottom is 23.03 ± 4.92mm, is peeled off with 60 °~90 ° gradient sinus bottoms Length is 19.00 ± 5.06mm.
Advantages of the present invention has the following aspects:
1st, the present invention stripper stripping mucous membrane scope more single than tradition is wider.
2nd, secondary lift-off structure peels off mucous membrane using super-elasticity and/or Memorability elastic yarn as blunt sword, and peeling effect is good.
3rd, in implementation process, the present invention has two grades of lift-off structures (primary lift-off structure and secondary lift-off structure), energy Complete five kinds of operations:
(1) Sinus floor mucous membrane is tentatively peeled off using primary lift-off structure;
(2) secondary lift-off structure is enabled, silk is peeled off and is stretched out stripping sword, realize further peeling off Sinus floor mucous membrane;
(3) hollow sleeve is horizontally rotated, is driven and is peeled off silk horizontal rotation, peel off the mucous membrane around plane of inlet;
(4) fixed hollow sleeve, horizontally rotates elastic yarn or stop plug, makes stripping silk upset, peels off the viscous of the bone wall that skyrockets Film;
(5) fixed hollow sleeve, two ends elastic yarn or stop plug keep different motion, change and peel off silk shape, peel off viscous Film.
4th, the memory elasticity silk braid tube apparatus that the present invention is provided are simply compact.
5th, the invention provides the external member of memory elasticity silk braid pipe, different model can be selected according to the diameter of plantation socket bore Hollow sleeve, the elastic yarn of the tough Sexual behavior mode different-diameter according to mucous membrane, its high resilience and intensity, strength is soft, can be with Effectively reduce mucous membrane of maxillary sinus puncture probability, practical operation in convenient clinic.
Signified elastic yarn of the invention refers to by nonmetallic or two or more metal and metal (or nonmetallic) Through the material with super-elasticity and/or Memorability characteristic that certain method synthesizes.Super-elasticity refers to that material has an elastic potential Energy function, the function is the scalar function of strain tensor, and its derivative to the components of strain is the corresponding components of stress, in unloading The phenomenon that strain can recover automatically.Stress and strain is no longer linear corresponding relation, but in the form of playing performance function one One correspondence.Memorability refers to the performance that can recover after material deforms.
Signified elastic yarn section of the invention is not only limited as circle, can also be ellipse, quadrangle, polygon etc. It is variously-shaped.
It refers to the part that hollow sleeve top is located in primary lift-off structure to peel off sword, peel off sword can control elastic yarn to The front lower place for hollow sleeve is stretched out.It is preferred that it is arc to peel off sword.
Invention make use of the super-elasticity and/or Memorability of elastic yarn, at the beginning of prepared by product, elastic yarn be added first Work, is allowed to form the shape for being suitable to the stripping of Sinus floor mucous membrane, and elastic yarn is stretched into hollow sleeve during assembling product, is used When, peel off silk and still remain the shape for being suitable to the stripping of Sinus floor mucous membrane.Additionally, memory elasticity silk braid pipe is needed in use The super-elasticity and/or Memorability of elastic yarn is wanted to adapt to various complicated stripping situations.
Brief description of the drawings
Fig. 1 memory elasticity silk braid tubular construction sketches
The center section plan of Fig. 2 memory elasticity silk braid tubular construction sketches
Fig. 3 memory elasticity silk braids pipe peels off the schematic diagram of mucous membrane
Fig. 4 memory elasticity silk braids pipe peels off the schematic diagram of mucous membrane
Wherein, sword is 1. peeled off;2. hollow sleeve;3. end is held;4. elastic yarn;5. circular scale;6. scale;7. stop Plug;8. silk is peeled off;9. phatnoma bone height;10. bone hole;11. mucous membrane of maxillary sinus
Specific embodiment
With reference to specific embodiment, the present invention is expanded on further, is only used for explaining the present invention, and it is not intended that to this The limitation of invention.It will be understood by those skilled in the art that:Can in the case where principle of the invention and objective is not departed from So that these embodiments are carried out with various changes, modification, replacement and modification, the scope of the present invention is limited by claim and its equivalent It is fixed.
Embodiment 1
Primary lift-off structure peels off Sinus floor mucous membrane:Hollow sleeve 2 is slowly put into bone hole 10, hand-held hollow sleeve 2 hold end 3, and mucous membrane is peeled off with sword 1 is peeled off, and Sinus floor mucous membrane 11 is peeled off a circle, obtained by slow horizontal rotation hollow sleeve 2 Obtain about 3mm dissection scopes around reaming.
Embodiment 2
Secondary lift-off structure peels off Sinus floor mucous membrane:Hollow sleeve 2 is slowly put into bone hole 10 and (now peels off silk 8 It is hidden in stripping sword 1), operating flexibility silk 4 or stop plug 7 make stripping silk 8 be stretched out along the forward downward of sword 1 is peeled off.As needed The height of lifting selects suitable strip length.
Embodiment 3
Secondary lift-off structure peels off Sinus floor mucous membrane:Hollow sleeve 2 is slowly put into bone hole 10 and (now peels off silk 8 It is hidden in stripping sword 1), operating flexibility silk 4 or stop plug 7 make stripping silk 8 be stretched out along the forward downward of sword 1 is peeled off.And then, level Rotary hollow sleeve pipe 2 holds end 3 and drives stripping silk 8 to rotate, perpendicular to reaming Plane Rotation centered on reaming midpoint, can With the week of stripping aperture in a big way mucous membrane.
Embodiment 4
Secondary lift-off structure peels off Sinus floor mucous membrane:Hollow sleeve 2 is slowly put into bone hole 10 and (now peels off silk 8 It is hidden in stripping sword 1), operating flexibility silk 4 or stop plug 7 make stripping silk 8 be stretched out along the forward downward of sword 1 is peeled off.When reaming is remote Place's bone wall skyrockets, due to peel off the limitation of sword 1 peel off silk 8 can only forward downward stretch out so that peel off silk 8 and forward extend out and be obstructed, this When can fix hollow sleeve 2 or hold and end 3 and rotate elastic yarn 4 or stop plug 7 so that peel off silk 8 centered on peeling off sword 1 Overturn, then peel off the neighbouring mucous membrane of maxillary sinus 11 for skyrocketing, and further crawl to farther place.
Embodiment 5
Secondary lift-off structure peels off Sinus floor mucous membrane:Hollow sleeve 2 is slowly put into bone hole 10 and (now peels off silk 8 It is hidden in stripping sword 1), operating flexibility silk 4 or stop plug 7 make stripping silk 8 be stretched out along the forward downward of sword 1 is peeled off.Fixation is hollow Sleeve pipe 2, makes two stop plugs 7 keep different motion so as to peel off the alteration of form of silk 8, is peeled off with stripping silk 8 of different shapes viscous Film.Or fixed one end elastic yarn 4 or stop plug 7, stretch other end elastic yarn 4 or stop plug 7 so that peel off the shape of silk 8 and change Become, mucous membrane is peeled off with stripping silk 8 of different shapes.

Claims (10)

1. a kind of memory elasticity silk braid pipe for peeling off mucous membrane of maxillary sinus, including primary lift-off structure and secondary lift-off structure, it is described Stripping sword (1) of the primary lift-off structure by hollow sleeve (2) and positioned at hollow sleeve top is constituted, the secondary lift-off structure It is elastic yarn (4), it is characterised in that with super-elasticity and/or Memorability, elastic yarn (4) is from hollow sleeve for the elastic yarn (4) (2) bottom penetrates, and peels off sword (1) and controls elastic yarn (4) to be stretched out towards the front lower place of hollow sleeve (2).
2. memory elasticity silk braid pipe according to claim 1, it is characterised in that the elastic yarn (4) stretches out hollow sleeve (2) part is referred to as peeling off silk (8), peels off silk (8) size, to stretch out direction, shape variable.
3. memory elasticity silk braid pipe according to claim 1, it is characterised in that the elastic yarn (4) is bent to form bifilar.
4. memory elasticity silk braid pipe according to claim 1, it is characterised in that be processed to elastic yarn (4), be allowed to shape Into the shape for being suitable to the stripping of Sinus floor mucous membrane, elastic yarn (4) is penetrated in hollow sleeve (2) during assembling product.
5. memory elasticity silk braid pipe according to claim 2, it is characterised in that peel off silk (8) in irregular roundness.
6. memory elasticity silk braid pipe according to claim 2, it is characterised in that stripping silk (8) is expanded, makes stripping silk (8) it is hidden in stripping sword (1), but indentation hollow sleeve (2) can not be continued.
7. memory elasticity silk braid pipe according to claim 1, it is characterised in that the stripping sword (1) of the hollow sleeve (2) Have only for the end of arc and/or described hollow sleeve (2) has the end for holding end (3) and/or described elastic yarn Move plug (7) and/or hollow sleeve (2) is marked with scale and/or elastic yarn (4) is marked with scale.
8. memory elasticity silk braid pipe according to claim 1, it is characterised in that the material of the elastic yarn for nonmetallic and The alloy or metal alloy of metal.
9. memory elasticity silk braid pipe according to claim 1, it is characterised in that hollow sleeve (2) a diameter of 1-4mm, bullet Sex pilus (4) a diameter of 0.3-0.6mm, the length of stripping sword (1) are 1-5mm.
10. a kind of external member of memory elasticity silk braid pipe, it is characterised in that the external member includes the memory described in claim 1-9 Elastic yarn sleeve pipe.
CN201510548208.1A 2015-08-31 2015-08-31 A kind of memory elasticity silk braid pipe for peeling off mucous membrane of maxillary sinus Active CN105030354B (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
CN201510548208.1A CN105030354B (en) 2015-08-31 2015-08-31 A kind of memory elasticity silk braid pipe for peeling off mucous membrane of maxillary sinus
DE112015006850.3T DE112015006850B4 (en) 2015-08-31 2015-09-17 Shape memory elastic filament cannula for ablating sinus floor mucosa and assembly of such shape memory elastic filament cannulas
PCT/CN2015/089842 WO2017035872A1 (en) 2015-08-31 2015-09-17 Memory elastic wire sleeve for peeling maxillary sinus mucous membrane
US15/755,992 US10864000B2 (en) 2015-08-31 2015-09-17 Memory elastic wire sleeve for peeling maxillary sinus membrane
JP2018529698A JP6606781B2 (en) 2015-08-31 2015-09-17 Memory elastic yarn sleeve for peeling maxillary sinus mucosa and kit of memory elastic yarn sleeve

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CN201510548208.1A CN105030354B (en) 2015-08-31 2015-08-31 A kind of memory elasticity silk braid pipe for peeling off mucous membrane of maxillary sinus

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CN105030354B true CN105030354B (en) 2017-06-06

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109276340A (en) * 2018-11-07 2019-01-29 重庆医科大学附属口腔医院 Lifting device for Sinus floor
CN113288478B (en) * 2021-04-29 2022-08-19 南方医科大学口腔医院 Maxillary sinus mucosa stripping pen
CN115531011A (en) * 2022-09-27 2022-12-30 中国人民解放军总医院第一医学中心 Stripping device for stripping mucosa of maxillary sinus and application thereof

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CN201160905Y (en) * 2008-03-12 2008-12-10 威海威高生物技术有限公司 Internal lifting mechanism for maxillary sinus
CN101828975A (en) * 2009-03-09 2010-09-15 温世政 Cutting device and method of alveolar bone
KR20100009974U (en) * 2009-04-02 2010-10-12 이달호 Maxillary remain bone final boring combined use maxillary sinus membrane seperator
CN102006836A (en) * 2008-04-22 2011-04-06 俞洋垠 Maxillary sinus membrane lifting device for dental implant
CN201814672U (en) * 2010-03-23 2011-05-04 常州华森生物科技有限公司 Maxillary sinus internal lifting surgery system
CN103607973A (en) * 2011-03-25 2014-02-26 因诺生物外科株式会社 Safety subantral membrane lift capable of directly adjusting a subantral membrane to safely lift the subantral membrane in a desired direction by a desired distance, and operating method using same
CN104605915A (en) * 2015-02-10 2015-05-13 楚德国 Bone chisel for interior lifting of maxillary sinus
CN205031376U (en) * 2015-08-31 2016-02-17 李岩峰 Stripper and external member with secondary structure

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201160905Y (en) * 2008-03-12 2008-12-10 威海威高生物技术有限公司 Internal lifting mechanism for maxillary sinus
CN102006836A (en) * 2008-04-22 2011-04-06 俞洋垠 Maxillary sinus membrane lifting device for dental implant
CN101828975A (en) * 2009-03-09 2010-09-15 温世政 Cutting device and method of alveolar bone
KR20100009974U (en) * 2009-04-02 2010-10-12 이달호 Maxillary remain bone final boring combined use maxillary sinus membrane seperator
CN201814672U (en) * 2010-03-23 2011-05-04 常州华森生物科技有限公司 Maxillary sinus internal lifting surgery system
CN103607973A (en) * 2011-03-25 2014-02-26 因诺生物外科株式会社 Safety subantral membrane lift capable of directly adjusting a subantral membrane to safely lift the subantral membrane in a desired direction by a desired distance, and operating method using same
CN104605915A (en) * 2015-02-10 2015-05-13 楚德国 Bone chisel for interior lifting of maxillary sinus
CN205031376U (en) * 2015-08-31 2016-02-17 李岩峰 Stripper and external member with secondary structure

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