1351267 [0001] [0002] [0003] [0004] 1100年06月21日修正脊换頁^發明說明： 【發明所屬之技術領域】 本發明是有關於一種上額辞脈竇移植手術的鑽孔器，其 適用於牙科移植手術中在骨頭上形成一孔以設置植入物 ’特別是有關於一種上額靜脈竇移植手術的鑽孔器，其 在扁平面形成一切割前端部以便用切割前端部及一切刃 對骨頭進行一快速切割操作，以形成一骨頭碎片。一上 額靜脈度的黏膜在鑽孔器與其接觸之前先被升起，因此 使上額靜脈賨移植手術容易且安全的完成，且在鑽孔器 上形成一錐形部使手術開始時鑽孔器容易進行。此鑽孔 器從最初傾斜邊往最後傾斜邊向下傾斜，以減少被切割 部的摩擦力，引此增進其切割速率。 【先前技術】 請參閱第1圖，其係為移植手術之傳統鑽孔器之透視圖。 傳統鑽孔器包含一切割部110，用於在骨頭上形成一孔以 設置植入物；以及一連接部120，其具有小於該切割部 110直徑之一直徑，且係從該切割部110之較低部分向下 延伸。其中，切割部11 0包含： 一突出面111，係以向上***該切割部之整體頂部表面之 一部分表面之形式形成於該切割部之頂部表面以形成一 梯狀鉗112，且該部分表面包含該切割部110之一外周； 一扁平面113，係以壓低該切割部11 0之整體頂部表面之 一部分表面之形式形成於該切割部之頂部表面，以根據 該突出面之形成與該突出面111相對，且扁平面113具有 與順時針方向相反的傾斜； 097124375 表單編號A0101 第3頁/共24頁 1003221546-0 1351267 [0005] [0006] [0007] [0008] [0009] 100年06月21日核:正替换頁 一切刃114，係以水平地形成於該梯狀鉗112及該突出面 111之間之一連接部，因此當該切刃114水平線接觸上額 靜脈竇的黏膜時能均勻地分散力量，即使切刃114接觸到 上額靜脈竇的黏膜，牙科醫生也能安全地進行切割工作 而不會使上額靜脈竇的黏膜受到損傷；以及 一排出通道115，係以切割一面積，範圍從一切割部110 的頂部表面的一部分表面，例如：在突出面111及扁平面 113之間的一預設部分，到略短於切割部110的下端的一 部分的方式，縱向地形成於該切割部110。 _ 這種用於移植手術之傳統鑽孔器已由與本案相同的發明 人於韓國專利申請案第1 0-2007-0070589號揭露。 根據此用於移植手術之傳統鑽孔器，當切刃114水平線接 觸待切割之部分時，以一安全的方式對骨頭進行切割手 術，但是可能會接觸到上額靜脈竇的黏膜。此外，既然 切割手術只靠切刃114而達成，切割速率也許是不令人滿 意的。 _ 此外，切割部10的較高的末端部分具有一錐形部116形成 於其外圓周，以便使切割手術容易進行，但是當切割部 110在軸的方向轉動時，錐形部116在360 °的任何方向都 有相同大小，因此在切割的時候，錐形部116的整體表面 受到待切割物體的摩擦力是相等的，因此使切割速率減 低。 【發明内容】 有鑑於上述習知技藝之問題，本發明之目的就是在提供 097124375 表單編號A0101 第4頁/共24頁 1003221546-0 [0010] 1351267 100年06月21日慘正替換頁 一種上額靜脈竇移植手術的鑽孔器，其去除待切割部分 與上額靜脈竇接觸的可能性，以便完全避免上額靜脈竇 受到損傷，其中切割前端部形成於扁平部上以便進行快 速切割。當一切刃進行切割手術時，藉切刃的上方加壓 力使骨頭沿切刃破碎，得到一完整切割結果，因此形成 一圓形的骨頭碎片，而在切割前端部或鑽孔器的切刃與 上額靜脈竇的黏膜接觸之前，此圓形骨頭碎片使上額靜 脈竇的黏膜與鑽孔器接觸之前能先被升起。 • [0011] 本發明之另一目的是在提供一種上額靜脈竇移植手術的 鑽孔器，其形成一錐形部從最初傾斜邊向最後傾斜邊向 下延伸，以便減少帶切割部分的摩擦力，因此使切割速 率增加，同時並藉無錐形部的切刃升起上額靜脈竇的黏 膜，而使上額靜脈竇的黏膜不受到損傷，而骨頭上的孔 便成形且延伸。 [0012] 為了達成上述目的，根據本發明之上額靜脈竇移植手術 的鑽孔器，其包含： ^ [0013] 一切割部，係用於骨頭上形成一孔以設置植入物；以及 [0014] 一連接部，其具有小於該切割部之一直徑，且係從該切 割部低部分向下延伸； [0015] 其中，該切割部包含： [0016] 一突出面，係以向上***該切割部之整體頂部表面之一 部分表面之形式形成於該切割部之頂部表面以形成一梯 狀鉗，且該部分表面包含該切割部之一外周； 097124375 表單編號A0101 第5頁/共24頁 1003221546-0 1351267 [0017] [0018] [0019] [0020] [0021] [0022] [0023] [0024] [0025] 1G0年06月21日接正替換頁 —扁平面’係以壓低該切割部之整體頂部表面之一部分 表面之形式形成於該切割部之頂部表面，以根據該突出 面之形成與該突出面相對。 一切刀，係以水平地形成於該梯狀鉗及該突出面之間之 一連接部；以及 排出通道，係以縱向地形成於該扁平面之側表面及該 突出面之間； 其中’該扁平面係朝該梯狀鉗之前端向上傾斜，且越往 南部之末端越窄’以便在該扁平面高部之末端形成一切 割前端部。 此外’切割部之該扁平部及該突出部以在排出通道及扁 平面之外圓周之間之邊界部形成一最初傾斜及在排出通 道及突出面之外圓周之間之邊界部形成一最後傾斜邊之 方式’環繞該切割部之外圓周形成一錐形部，當該圓錐 邠從該最初傾斜邊轉至該最後傾斜邊，在錢孔器之軸減 少一角度0且增加一寬度。 根據本發明之鑽孔器具有以下優點： 第一，藉切割前端部將圓形骨頭碎片形成於扁平面及切 刃，其安全地升高上額靜脈竇的黏膜，而功能性地避免 鑽孔器與上額靜脈竇的黏膜相互接觸。 第一，既然切割過程是藉由切割前端部及切刃連續地作 動來達成，可以得到對骨頭快速的切割速率。 第二，具有在起始步驟形成一孔的錐形部的鑽孔器對待 097124375 表單煸號A0101 第6頁/共24頁 1003221546-0 1351267 100年06月21日按正替換頁 切割部分具有一摩擦力，其逐漸由最初傾斜邊向最後傾 斜邊減少，因此改善了切割速率且得到快速的移植手術 速率。 【實施方式】 [0026] 第2圖係為本發明之上額靜脈竇移植手術的鑽孔器之一實 施例之透視圖，第3圖係為本發明之上額靜脈竇移植手術 的鑽孔器之一實施例之使用狀態之透視圖，第4圖係為本 發明之上額靜脈竇移植手術的鑽孔器之另一實施例之透 視圖，第5圖係為本發明之上額靜脈竇移植手術的鑽孔器 之另一實施例之背面之透視圖，第6圖係為本發明之上額 靜脈竇移植手術的鑽孔器之另一實施例之後視圖，第7圖 係為本發明之一實施例之鑽孔器之移植手術過程之流程 圖，以及第8圖係為本發明之一實施例之鑽孔器之主要手 術過程之流程圖。以下，根據本發明之上額靜脈竇移植 手術的鑽孔器特舉較佳實施例，並配合所附相關圖式， 作詳細說明如下。 [0027] 如第2圖及第3圖所示，根據本發明之上額靜脈竇移植手 術的鑽孔器，其包含一切割部10，用於在骨頭上形成一 孔以設置植入物；以及一連接部20，具有小於切割部10 直徑之一直徑，且從切割部10之較低部分向下延伸。其 中，切割部10包含一突出面11，以向上***該切割部1 0 之整體頂部表面之部分表面之形式形成於切割部之頂部 表面以形成一梯狀鉗12，且部分表面包含該切割部10之 一外周；一扁平面13，以壓低該切割部10之整體頂部表 面之部分表面之形式形成於該切割部之頂部表面，以根 097124375 表單編號A0101 第7頁/共24頁 1003221546-0 1351267 100年06月21日修正替换頁 據突出面11之形成與突出面11相對；以及一切刃14，水 平地形成於梯狀鉗12及突出面11之間之一連接部，其中 ，扁平面13具有一切割前端部17以旋轉進行一圓形切割 操作，在切割前端部17的圓形切割之後，切刃14進行内 部表面的切割。 [0028] 即，扁平面13朝該梯狀鉗之前端（如第二圖之箭頭方向） 向上傾斜，且越往高部之末端越窄，以便在該扁平面高 部之末端形成一切割前端部1 7。 [0029] 切割前端部17在其末端逐漸變細而呈錐形，以便使骨頭 32易於切割，同時根據要形成的骨頭碎片38的厚度，其 具有等於、長於或短於切刃14的高度。 [0030] 切割前端部17的高度與切刃14的高度不同的原因在於切 割一強壯的骨頭形成一相對薄的骨頭碎片38，相反地， 切割一脆弱的骨頭形成一相對厚的骨頭碎片38，因此無 論對任何骨頭，上額靜脈竇30的黏膜31可安全的切割並 升起。 [0031] 如切割前端部17以這種方式形成，骨頭32先由切割前端 部17進行切割，接著由切刃14切割，以此進行兩次的切 割。根據本發明之上額靜脈竇移植手術的鑽孔器，因此 骨頭碎片38形成於上額靜脈竇30的黏膜31及鑽孔器之間 ，所以上額靜脈竇30的黏膜31與本發明之鑽孔器之間沒 有接觸，且本發明之鑽孔器的切割力比只靠切刃14的傳 統鑽孔器優異。 [0032] 此外，由切刃14切割的骨頭碎片積聚在扁平面13上，且 1003221546-01 351 [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ The utility model is suitable for forming a hole in a bone in a dental implant surgery to set an implant, in particular to a drill for an upper frontal sinus transplant, which forms a cutting front end on a flat surface for cutting the front end The part and all the blades perform a rapid cutting operation on the bone to form a bone fragment. The mucosa of the upper venous venous is raised before the reamer comes into contact with it, so that the upper venous fistula graft is easily and safely completed, and a tapered portion is formed on the reamer to drill the hole at the beginning of the operation. The device is easy to carry out. The drill is inclined downward from the initial inclined side to the last inclined side to reduce the friction of the portion to be cut, thereby increasing the cutting rate. [Prior Art] Please refer to Fig. 1, which is a perspective view of a conventional drill for a transplant operation. The conventional drill includes a cutting portion 110 for forming a hole in the bone to set the implant, and a connecting portion 120 having a diameter smaller than a diameter of the cutting portion 110 and from the cutting portion 110 The lower part extends downwards. Wherein, the cutting portion 110 includes: a protruding surface 111 formed on a top surface of the cutting portion by upwardly bulging a part of the surface of the entire top surface of the cutting portion to form a ladder tong 112, and the portion of the surface includes a flat surface 113 is formed on the top surface of the cutting portion by lowering a part of the surface of the entire top surface of the cutting portion 110 to form the protruding surface according to the protruding surface 111 is opposite, and the flat surface 113 has a tilt opposite to the clockwise direction; 097124375 Form No. A0101 Page 3 / Total 24 Page 1003221546-0 1351267 [0005] [0007] [0008] [0009] 100 years June 21st core: the replacement page is 114, which is formed horizontally between the ladder clamp 112 and the protruding surface 111, so that when the cutting edge 114 is in horizontal contact with the mucosa of the frontal sinus Evenly dispersing the force, even if the cutting edge 114 contacts the mucosa of the superior frontal sinus, the dentist can safely perform the cutting work without damaging the mucosa of the superior frontal sinus; and a drainage channel 115, To cut an area from a portion of the surface of the top surface of the cutting portion 110, for example, a predetermined portion between the protruding surface 111 and the flat surface 113 to a portion slightly shorter than a portion of the lower end of the cutting portion 110, The cutting portion 110 is formed longitudinally. The conventional boring machine for the transplantation operation is disclosed by the same inventor as in the case of the Korean Patent Application No. 10-2007-0070589. According to this conventional drill for transplantation surgery, when the cutting edge 114 is horizontally contacted with the portion to be cut, the bone is cut in a safe manner, but the mucosa of the superior frontal sinus may be exposed. In addition, since the cutting operation is only achieved by the cutting edge 114, the cutting rate may be unsatisfactory. Further, the higher end portion of the cutting portion 10 has a tapered portion 116 formed on the outer circumference thereof to facilitate the cutting operation, but when the cutting portion 110 is rotated in the direction of the shaft, the tapered portion 116 is at 360 ° Any direction is the same size, so that at the time of cutting, the entire surface of the tapered portion 116 is equal to the frictional force of the object to be cut, thus reducing the cutting rate. SUMMARY OF THE INVENTION In view of the above-mentioned problems of the prior art, the object of the present invention is to provide a 097124375 form number A0101 page 4 / a total of 24 pages 1003221546-0 [0010] 1351267 100 June 21 miserable replacement page A bursa for a frontal sinus surgery that removes the possibility of contact with the superior sinus to avoid damage to the superior frontal sinus, wherein the cutting tip is formed on the flat portion for rapid cutting. When all the cutting operations are performed, the pressure is applied above the cutting edge to break the bone along the cutting edge to obtain a complete cutting result, thereby forming a round bone fragment, and cutting the front end or the cutting edge of the drill Before the mucosal contact of the upper frontal sinus, the circular bone fragments can be raised before the mucosa of the superior frontal sinus contacts the reamer. [0011] Another object of the present invention is to provide a drill for an upper frontal sinus surgery which forms a tapered portion extending downward from an initially inclined side toward a last inclined side to reduce friction of the cut portion of the belt The force, therefore, increases the rate of cutting, while raising the mucosa of the superior sinus by a cutting edge without a tapered portion, so that the mucosa of the superior frontal sinus is not damaged, and the pores on the bone are shaped and extended. [0012] In order to achieve the above object, a drill for a superior frontal sinus surgery according to the present invention comprises: [0013] a cutting portion for forming a hole in a bone to set an implant; and [ a joint having a diameter smaller than a diameter of the cutting portion and extending downward from a lower portion of the cutting portion; wherein the cutting portion comprises: [0016] a protruding surface that is upwardly raised a portion of a surface of the entire top surface of the cutting portion is formed on a top surface of the cutting portion to form a stepped pliers, and the portion of the surface includes an outer circumference of the cutting portion; 097124375 Form No. A0101 Page 5 of 24 1003221546 [0018] [0019] [0019] [0020] [0024] [0024] [0025] [0025] On June 21, 1G0, the replacement page - flat surface is used to lower the cutting portion A portion of the surface of the integral top surface is formed on the top surface of the cutting portion to be opposed to the protruding surface according to the formation of the protruding surface. All of the knives are formed horizontally between the ladder tongs and the protruding portion; and the discharge passage is longitudinally formed between the side surface of the flat surface and the protruding surface; The flat surface is inclined upward toward the front end of the ladder tongs and narrower toward the south end to form a cutting front end at the end of the flat upper portion. Further, the flat portion of the cutting portion and the protruding portion form a final inclination at a boundary portion between the discharge passage and the outer circumference of the flat surface, and form a final inclination at a boundary portion between the discharge passage and the outer circumference of the projection surface. In a side mode, a tapered portion is formed around the outer circumference of the cutting portion, and when the conical shank is rotated from the initial inclined side to the last inclined side, the axis of the boring device is reduced by an angle of 0 and a width is increased. The drill according to the present invention has the following advantages: First, the circular bone fragments are formed on the flat surface and the cutting edge by cutting the front end portion, which safely raises the mucosa of the superior frontal sinus, and functionally avoids drilling The device is in contact with the mucosa of the superior frontal sinus. First, since the cutting process is achieved by continuously cutting the front end portion and the cutting edge, a fast cutting rate for the bone can be obtained. Second, the drill with the tapered portion forming a hole in the initial step treats 097124375 Form nickname A0101 Page 6 / Total 24 pages 1003221546-0 1351267 100 June 21 Press the positive replacement page cut portion has one The frictional force, which gradually decreases from the initial inclined side to the last inclined side, thus improves the cutting rate and results in a fast transplant surgery rate. [Embodiment] FIG. 2 is a perspective view showing an embodiment of a drill for a frontal sinus surgery according to the present invention, and FIG. 3 is a view of a forehead sinus surgery for the present invention. A perspective view of a state of use of one embodiment of the present invention, and Fig. 4 is a perspective view of another embodiment of the drill of the superior frontal sinus surgery of the present invention, and Fig. 5 is a superior vein of the present invention. A perspective view of the back side of another embodiment of the sinus surgery sinus surgery, and Fig. 6 is a rear view of another embodiment of the boring machine for the frontal sinus surgery of the present invention, and Fig. 7 is a view A flowchart of a transplant procedure of a drill of one embodiment of the invention, and FIG. 8 is a flow chart of a main surgical procedure of the drill of one embodiment of the present invention. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, a preferred embodiment of a drill for a superior frontal sinus surgery according to the present invention will be described in detail with reference to the accompanying drawings. [0027] As shown in FIGS. 2 and 3, a drill for a superior frontal sinus surgery according to the present invention includes a cutting portion 10 for forming a hole in the bone to set the implant; And a connecting portion 20 having a diameter smaller than a diameter of the cutting portion 10 and extending downward from a lower portion of the cutting portion 10. Wherein, the cutting portion 10 includes a protruding surface 11 formed on the top surface of the cutting portion in a manner of upwardly bulging a part of the surface of the entire top surface of the cutting portion 10 to form a ladder tong 12, and a part of the surface includes the cutting portion One of the outer circumferences; a flat surface 13 formed on the top surface of the cutting portion in a manner of lowering a part of the surface of the entire top surface of the cutting portion 10, with root 097124375 Form No. A0101 Page 7 / Total 24 Page 1003221546-0 1351267 On June 21, 100, the correction replacement page is formed so that the protrusion 11 is opposed to the protruding surface 11; and all the blades 14 are horizontally formed at one of the joints between the ladder 12 and the protruding surface 11, wherein the flat surface 13 has a cutting front end portion 17 for performing a circular cutting operation by rotation, and after cutting the circular cutting of the front end portion 17, the cutting edge 14 performs cutting of the inner surface. [0028] That is, the flat surface 13 is inclined upward toward the front end of the ladder clamp (in the direction of the arrow in the second figure), and the narrower the end toward the upper portion, so as to form a cutting front end at the end of the flat portion Department 1 7. The cutting front end portion 17 is tapered at its end to be tapered to facilitate the cutting of the bone 32 while having a height equal to, longer or shorter than the cutting edge 14, depending on the thickness of the bone fragments 38 to be formed. [0030] The reason why the height of the cutting front end portion 17 is different from the height of the cutting edge 14 is that a strong bone is cut to form a relatively thin bone fragment 38, and conversely, a weak bone is cut to form a relatively thick bone fragment 38. Therefore, the mucosa 31 of the superior frontal sinus 30 can be safely cut and raised for any bone. [0031] If the cutting front end portion 17 is formed in this manner, the bone 32 is first cut by the cutting front end portion 17, and then cut by the cutting edge 14, thereby performing two cuts. According to the drill of the superior frontal sinus surgery of the present invention, bone fragments 38 are formed between the mucosa 31 of the superior frontal sinus 30 and the drill, so the mucosa 31 of the superior frontal sinus 30 and the drill of the present invention There is no contact between the apertures, and the cutting force of the drill of the present invention is superior to conventional drills that rely only on the cutting edge 14. [0032] Furthermore, the bone fragments cut by the cutting edge 14 accumulate on the flat surface 13, and 1003221546-0
097124375 表單編號A0101 第8頁/共24頁 [0033] [0033] [0034] [0035] [0036] [0037] [0038] 097124375 表單編號Α0101 田、 月21日核正躲頁j 將頭碎片38升高’因此在升高的上額靜脈竇 3〇自然的進行骨頭移植。 、 如^移植手術的鑽孔器的切割部10具有—排出通道1 5 、 刀°】後骨頭32的無用廢棄物，且連接部2〇從 切割部10之較低部分向下延伸。 ^圖至第6圖顯示用以形成孔33的鑽孔器，其具有一錐 ^16/㈣割部1G的上部的外圓周形成，也就是沿著扁 平面13及突出面11的外圓周。 如第6圖所- 不’錐形部16以在排出通道15及扁平面13之外 三之間之邊界部形成-最初傾斜邊18及在排出通道15 大面11之外圓周之間之邊界部形成 一最後傾斜邊1 9 方式/σ著扁平面13及突出面11的外圓周周圍形成， Μ錐％當錐形部16從最初紐邊職至最後傾斜 邊19時，在错a 项札器之軸減少一角度0之方式，沿著扁平 面13及突出面11的外圓周向下傾斜形成》 換。之’當從最初傾斜邊18轉至最後傾斜邊19時，錐形 部16增加了—寬度。 ---L » ^5^1 ’根據用於移植手術之傳統鑽孔器，錐形部 水平面傾斜形成於扁平面13及突出面11的外圓周周圍 即對稱於鑽孔器的軸，在各自對面的兩邊’此錐形部 在切割過程中固定與骨頭32接觸，當對錐形部的摩擦力 相同時，會使向上切割的速率減慢。 在根據本發明之上額靜脈竇移植手術的鑽孔器中，然而 ，當切割部10的錐形部16從由扁平部13的外圓周形成的 第 9 頁/共 24 頁 1003221546-0 1351267 100年Οβ月21日接正替換頁 最初傾斜邊18轉至由^和科ϋ周形㈣最後傾斜 邊19時，在鑽孔器之軸減少_角度0，目此，與骨頭⑵ 接觸而產生的摩擦力在與鑽孔器之輛形成的角度$在切 割時最大的最初傾斜邊18最高，與骨觀接觸而產生的 摩擦力在與料器之轴形成的角度0逐漸變小的最後傾 斜邊19最低。這使得向上切㈣迷率提升，因此可在骨 頭32上得到具所需直徑的孔33的快速形成速率。 [0039] 如上所述’根據本發明之上額靜脈竇移植手術的錢孔器 ，切割前端面17形成於扁平面13以便對骨頭32的外表面 進行切割操作，接著，切刀14對骨頭32的内部表面進行 切割操作，藉此，當切割前端面17切割完後，剩餘的骨 頭32的量小於切刃14對内部表面的切割力，骨頭32破碎 成骨頭碎片38，因此，根本地避免了鑽孔器及上額靜脈 竇30的黏膜31互相接觸。此外，藉由切割前端面η及切 刃14兩次的切割改善了切割力，而當錐形部1 6從最初傾 斜邊18轉至最後傾斜邊19時，錐形部16以在錢孔器之軸 減少一角度Θ之方式形成於用於在初始步驟形成一孔33 ^ 的錢孔器上，因此改進切害]過程的進行速率。以下，根 據本發明之上額靜脈竇移植手術的鑽孔器之手術過程， 請配合所附相關圖式，作詳細說明如下。 [0040] 如第7圖所示，其係為本發明之一實施例之鑽孔器之移植 手術過程之流程圖，此移植手術過程與傳統鑽孔器之移 植手術過程相同。 ^ [0041] 手術過程如第7圖所示之箭頭方向進行。 097124375 表單编號Α0101 第10買/共24頁 1003221546-0 1351267 __ 100年06月21日梭正替换頁 [0042] 首先，牙科醫生以放射能照相測量至上額靜脈竇3 〇的距 離，接著，切割骨頭32至一***分且不傷害黏膜31， • 為了快速切割緻密骨35，從而用一常見鑽頭37形成一孔 33以設置植入物34。 [0043] 之後’牙科醫生由小至大將各種不同直徑之镄孔器*** 孔33以將孔33擴大及加深直到孔33的直徑變得適合設置 植入物34。當適合設置植入物34的孔33形成，牙科醫生 以不包含錐形部16的最後鑽孔器切割敏密骨35，並提高 • 上額靜脈竇30的黏膜31 » [0044] 當鑽孔器切割緻密骨35時，由病人體中抽取的自體植骨 及人工複合骨的混合物填滿了孔33，在上述狀態下，當 鑽孔器旋轉前進時，以向上提高骨頭的方式提高上額靜 脈竇30的黏膜31。 [〇〇45]將上述操作重複進行直到有足夠用作植入物34的移植骨 36，接著，經過一段預設時間之後，當移植骨％在足以 φ 使植入物34植入於其内的狀態下，植入物34被植入並固 定於形成於上額靜脈竇30的緻密骨35的孔33，由此，手 術完成》 [0046]如以上所述，本發明之鑽孔器可在非常安全及快迷的狀 況下進行上額靜脈竇移植手術，而以下將對移植手術過 程造成的影響作詳細說明如下。 _如第7圖所示’第一 ’當具有錐形部16的鑽孔器在骨頭犯 上旋轉形成一孔33，具有錐形形狀末端的切割前端部17 將骨頭32的外部切割成圓形，接著，切刃14進行骨頭内 097124375 表單编號Α0Ι0] 第II頁/共24頁 1003221546-0 1351267 100年06月21日隹正替換頁 侧的切割 [0048] 另外’既然切割過程是藉由切割前端部17及切刃14連續 地作動來達成’可以得到對骨頭32快速的切割速率，且 既然切割前端部17在其末端逐漸變細而呈錐形，本發明 之錢孔器的切割力比只靠切刃丨4的傳統錢孔器優異。 [0049] 如第7圖及第8圊所示，具有錐形部16的鑽孔器是用於在 骨頭碎片38形成前增加切割速率，而不具有錐形部16的 鑽孔器是用於在骨頭碎片38形成後進行安全移植手術。 _)]如第8圖所不，如果使用不具有錐形部16的錢孔器，上額 靜脈竇30的黏膜31可以非常安全的方式提高。 哪]換句話說，當切割前端面17切割完後，剩餘的骨頭因切 刃14提供的切割力而形成圓形骨頭碎片38，因此，基本 地避免了鑽孔器及上額靜脈㈣的黏膜31互相接觸，從 而安全地提高上額靜脈竇30的黏膜31。 [0052]此時*切5714切割的骨頭的内部的骨頭碎片積聚以將 在上額靜脈_㈣頭碎片38升高接著在上額靜脈 竇30自然的進行骨頭移植。 圃如上述般’當❹不具有錐形部㈣孔^，由切割前端 面17以圍繞錢孔器的輪旋轉切割敏密骨35，敏密骨35並 不被切割成複數破片’而是被切割成圓形骨頭碎片38。 _]如以上所述，既然'具有錐形部16的錢孔器及不具有雜形 部16的航⑼觀㈣，手術時間可因快速切割骨頭 32而減^使得病人的痛苦大幅地減輕，在上額靜脈寶 097124375 表單編號A0101 笫12頁/共24頁 1003221546-0 1351267 [0055]097124375 Form No. A0101 Page 8 of 24 [0033] [0034] [0038] [0038] 097124375 Form No. Α0101 Field, Month 21st, Nuclear Ready j, head fragment 38 Raise 'so the bone graft is naturally performed in the elevated upper sinus 3〇. The cutting portion 10 of the drill, such as the transplanting operation, has the waste of the discharge passage 15 and the rear bone 32, and the connecting portion 2 extends downward from the lower portion of the cutting portion 10. From Fig. to Fig. 6, there is shown a drill for forming a hole 33 which has an outer circumference of an upper portion of a taper/16/(four) cut portion 1G, that is, along the outer circumference of the flat plane 13 and the projecting surface 11. As shown in Fig. 6, the 'narrow portion 16 is formed at the boundary between the discharge passage 15 and the flat surface 13 and the boundary between the first inclined side 18 and the outer circumference of the large surface 11 of the discharge passage 15 is formed. The portion forms a final inclined side 1 9 way / σ is formed around the outer circumference of the flat surface 13 and the protruding surface 11 , and the Μ cone % is in the wrong item when the tapered portion 16 is from the initial position to the last inclined side 19 The shaft of the device is reduced by an angle of 0, and is inclined downward along the outer circumference of the flat surface 13 and the protruding surface 11 to form a change. When the first inclined side 18 is turned to the last inclined side 19, the tapered portion 16 is increased by - width. ---L » ^5^1 'According to the conventional drill for transplantation surgery, the horizontal plane of the taper is formed around the outer circumference of the flat surface 13 and the protruding surface 11, that is, the axis of the drill, which is symmetrical On both sides of the opposite side, this tapered portion is fixed in contact with the bone 32 during the cutting process, and when the frictional force to the tapered portion is the same, the rate of upward cutting is slowed down. In the drill for the frontal sinus surgery according to the present invention, however, when the tapered portion 16 of the cutting portion 10 is formed from the outer circumference of the flat portion 13, the page 9/24 pages 1003221546-0 1351267 100 Year Οβ月21日正正换页 The initial slanting edge 18 is turned to the last slanting edge 19 of the ^ and the ϋ ϋ (4), and the axis of the reamer is reduced by _ angle 0, which is the result of contact with the bone (2). The angle of friction formed at the angle with the driller is the highest at the first inclined edge 18 at the time of cutting, and the frictional force generated by contact with the bone is gradually reduced at the angle 0 formed with the axis of the hopper. 19 lowest. This results in an upward cut (four) increase in the volume, so that the rapid formation rate of the hole 33 having the desired diameter can be obtained on the bone 32. [0039] As described above, according to the money hole device of the superior frontal sinus surgery according to the present invention, the cutting front end face 17 is formed on the flat surface 13 to perform a cutting operation on the outer surface of the bone 32, and then the cutter 14 is opposed to the bone 32. The inner surface is subjected to a cutting operation whereby the amount of remaining bone 32 is smaller than the cutting force of the cutting edge 14 against the inner surface after the cutting front end face 17 is cut, and the bone 32 is broken into the bone fragments 38, thereby fundamentally avoiding The reamer and the mucosa 31 of the superior frontal sinus 30 are in contact with each other. Further, the cutting force is improved by cutting the front end face η and the cutting edge 14 twice, and when the tapered portion 16 is rotated from the initial inclined side 18 to the last inclined side 19, the tapered portion 16 is in the hole puncher The manner in which the axis is reduced by an angle is formed on the money hopper for forming a hole 33 ^ in the initial step, thereby improving the rate of progress of the process. Hereinafter, the surgical procedure of the drill for the superior frontal sinus surgery according to the present invention will be described in detail below in conjunction with the attached drawings. [0040] As shown in FIG. 7, it is a flow chart of a transplanting procedure of a drill according to an embodiment of the present invention, which is the same as the transplanting process of a conventional drill. ^ [0041] The surgical procedure is performed in the direction of the arrow shown in FIG. 097124375 Form No. 1010101 10th Buy/Total 24 Pages 1003221546-0 1351267 __ June 21st, 2001 Shuttle Replacement Page [0042] First, the dentist measured the distance to the upper frontal sinus 3 以 by radioactivity, and then The bone 32 is cut to a safe portion without damaging the mucosa 31. • To quickly cut the dense bone 35, a hole 33 is formed with a conventional drill bit 37 to provide the implant 34. [0043] Thereafter, the dentist inserts holes of various diameters from small to large to enlarge and deepen the holes 33 until the diameter of the holes 33 becomes suitable for setting the implant 34. When the hole 33 suitable for setting the implant 34 is formed, the dentist cuts the sensitive bone 35 with the last drill that does not include the tapered portion 16, and raises the mucosa of the upper frontal sinus 30. 31 [0044] When drilling When the compact bone 35 is cut, the mixture of the autogenous bone graft and the artificial composite bone extracted from the patient's body fills the hole 33. In the above state, when the drill rotates forward, the bone is raised upwards. The mucosa 31 of the frontal sinus 30. [〇〇45] The above procedure is repeated until there is sufficient graft bone 36 for use as the implant 34, and then, after a predetermined period of time, when the graft bone % is sufficient to φ implant the implant 34 therein In the state of the implant 34, the implant 34 is implanted and fixed to the hole 33 of the dense bone 35 formed in the superior frontal sinus 30, thereby completing the operation. [0046] As described above, the drill of the present invention can be The upper frontal sinus surgery is performed under very safe and fast conditions, and the following will explain the impact of the transplant procedure as follows. As shown in Fig. 7, the 'first' is drilled to form a hole 33 when the drill having the tapered portion 16 is rotated on the bone, and the cutting front end portion 17 having the tapered shape end cuts the outer portion of the bone 32 into a circular shape. Next, the cutting edge 14 is performed in the bone 097124375 Form number Α0Ι0] Page II / Total 24 pages 1003221546-0 1351267 100 June 21 隹 Replacement page side cutting [0048] Also 'Since the cutting process is by cutting The front end portion 17 and the cutting edge 14 are continuously actuated to achieve 'a rapid cutting rate for the bone 32, and since the cutting front end portion 17 tapers at its end to be tapered, the cutting force ratio of the money hole device of the present invention The traditional money hole device with only the cutting edge 丨 4 is excellent. [0049] As shown in FIGS. 7 and 8B, the drill having the tapered portion 16 is for increasing the cutting rate before the formation of the bone fragments 38, and the drill without the tapered portion 16 is used for A safe transplant operation is performed after the formation of the bone fragments 38. _)] As shown in Fig. 8, if a boring device having no tapered portion 16 is used, the mucosa 31 of the superior frontal sinus 30 can be improved in a very safe manner. In other words, when the cutting front end face 17 is cut, the remaining bone forms a circular bone fragment 38 due to the cutting force provided by the cutting edge 14, thereby substantially avoiding the mucosa of the drill and the superior frontal vein (4). 31 are in contact with each other to safely increase the mucosa 31 of the superior frontal sinus 30. At this time, the bone fragments inside the cut bone of the cut 5714 accumulate to raise the upper anterior vein _(four) head fragment 38 and then perform natural bone grafting in the upper frontal sinus 30. As described above, 'When the crucible does not have the tapered portion (four) hole ^, the cutting front end surface 17 is rotated to cut the sensitive bone 35 around the wheel of the money hole, and the sensitive bone 35 is not cut into a plurality of fragments" Cut into circular bone fragments 38. _] As described above, since the 'hole holder having the tapered portion 16 and the hang (9) view (4) having no shaped portion 16 can reduce the pain of the patient by the rapid cutting of the bone 32, the pain of the patient is greatly reduced. In the upper front vein treasure 097124375 Form No. A0101 笫 12 pages / Total 24 pages 1003221546-0 1351267 [0055]
[0056][0056]
年06月21日梭正替換頁I 30的移植手術能安全進行。 【圖式簡單說明】 第1圖係為本發明之係為移植手術之傳統鑽孔器之透視圖 第2圖係為本發明之上額靜脈竇移植手術的鑽孔器之一實 施例之透視圖， 第3圖係為本發明之上額靜脈竇移植手術的鑽孔器之一實 施例之使用狀態之透視圖； 第4圖係為本發明之上額靜脈f移植手術的鑽孔器之另一 實施例之透視圖； 第5圖係為本發明之上額靜脈竇移植手術的鑽孔器之另一 實施例之背面之透視圖； 第6圖係為本發明之上額靜脈竇移植手術的鑽孔器之另一 實施例之後視圖； 第7圖係為本發明之一實施例之鑽孔器之移植手術過程之 流程圖；以及 第8圖係為本發明之一實施例之鑽孔器之主要手術過程之 流程圖。 【主要元件符號說明】 10、 110 :切割部； 11、 111 :突出面； 12、 112 :梯狀鉗； 13、 113 :扁平面； 14、 114 :切刃； 15、 115 :排出通道； 097124375 表單編號A0101 第13頁/共24頁 1003221546-0 1351267 100年06月21日俊正替换頁 16、116 :錐形部； 17 :切割前端部； 18 :最初傾斜邊； 19 :最後傾斜邊； 20、120 :連接部； 30 :上額靜脈竇； 31 :黏膜； 32 :骨頭； 33 :孔； 34 :植入物； 3 5 :緻密骨； 36 :移植骨； 37 :鑽頭； 38 :骨頭碎片；以及 0 :角度。 097124375 表單編號A0101 第14頁/共24頁On June 21st, the transplant operation of the shuttle page I 30 can be safely carried out. BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a perspective view of a conventional drill for a transplant operation of the present invention. Fig. 2 is a perspective view of an embodiment of a drill for a superior frontal sinus surgery of the present invention. Figure 3 is a perspective view showing a state of use of an embodiment of a drill for a frontal sinus surgery according to the present invention; and Figure 4 is a view of a drill for a frontal f-transplant surgery of the present invention. A perspective view of another embodiment of the present invention is a perspective view of a back side of another embodiment of a prior art sinus surgery for a frontal sinus surgery; FIG. A rear view of another embodiment of a surgical drill; FIG. 7 is a flow chart of a transplant procedure of a drill according to an embodiment of the present invention; and FIG. 8 is a drill of an embodiment of the present invention Flow chart of the main surgical procedure of the hole device. [Description of main component symbols] 10, 110: cutting section; 11, 111: protruding surface; 12, 112: ladder clamp; 13, 113: flat surface; 14, 114: cutting edge; 15, 115: discharge passage; 097124375 Form No. A0101 Page 13 of 24 1003221546-0 1351267 June 21st, 2011, the replacement page 16, 116: tapered portion; 17: cutting front end; 18: initial inclined side; 19: last inclined side; 20 , 120: joint; 30: upper frontal sinus; 31: mucosa; 32: bone; 33: hole; 34: implant; 3 5: dense bone; 36: bone graft; 37: drill bit; 38: bone fragment ; and 0: angle. 097124375 Form Number A0101 Page 14 of 24
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