The present invention relates to the general field of lanyards and tethers used in connection with hand tools, and more particularly to the field of lanyard/tether systems used to prevent the accidental ingestion or aspiration of small dental tools.
With the introduction of implant dentistry and the associated use of small-machined parts and devices, the incidence of a practitioner accidentally dropping a device into a patient's oral cavity has increased. If the patient swallows or aspirates the device, emergency surgical intervention is often necessary, with potentially life-threatening consequences. Screwdrivers used to loosen or tighten abutments to implant fixtures pose a particular hazard, because the dentist must use one hand to both stabilize and turn the driver in the restricted and slippery environment of a patient's mouth. Existing dental isolation measures which block the back of the patient's throat, such as rubber dams and gauze throat screens, have several disadvantages, including patient discomfort and gagging response.
Various lanyard/tether systems have been proposed to mitigate these hazards. Most of these systems involve directly attaching a ligature, such as a string or dental floss, to the screwdrivers head/handle, either by tying it on or inserting it in a bore. But tying is inherently insecure, especially in the slippery environment of an oral cavity, and bores in the driver head require a specially manufactured tool. Moreover, these systems do not offer a good solution to the problem of how to restrain the driver head without interfering with its rotation. As the dentist turns the driver head, the tether wraps around the screwdriver, requiring frequent disentanglement, during which the ligature is apt to shred or detach from the tool.
In response to the entanglement issues with direct attachment ligature systems, some systems interpose a swivel mechanism between the ligature and the driver head. But this measure only further adds to the overall length and bulk of the lanyard, which increases the difficulty of retrieving the tool once it has been dropped into the oral cavity. A long tether/lanyard allows the screwdriver to fall into the throat opening, so that the tool must then be pulled out, thereby injuring the soft tissues of the throat and esophagus.
Therefore, the existing systems are flawed insofar as they merely enable the dentist to retrieve the implant screwdriver once he/she has dropped it—with the retrieval involving potentially traumatic effects. On the other hand, the present invention provides a device which prevents the dentist from losing control of the screwdriver and allowing it to drop into the patient's oral cavity.
The design of the present invention enables the dentist to restrain and stabilize an implant screwdriver, while simultaneously turning the driver head using only one hand. Instead of tethering to the driver head directly or through a swivel, the tether connects to a stepped socket assembly, comprising multiple driver sockets which seat driver heads of several standard diameters. Attached to one side of the socket assembly is a flexible, perforated driver shaft strap, which wraps over the shaft of the screwdriver and holds the driver head down against its seat in the driver socket.
The combined restraints of the socket and the driver strap secure the screwdriver in place while allowing the driver head to rotate freely, so that the dentist can easily turn it as he/she tightens or loosens an implant abutment. Because the stepped driver sockets comprise opposing circular arcs that are open on both sides, the sockets do not completely encompass the driver head, so that there is ample space for the dentist's fingers to engage the driver head in order to turn it.
Since the driver head is restrained on both ends and cannot become entangled with the tether as it rotates, the tether of the present invention can be shorter than tethers/lanyards that connect directly or through swivels to the driver head. Consequently, even when the dentist's fingers slip off the driver head, the screwdriver cannot fall into the patient's throat, thus obviating the traumatic retrieval process required by the prior art devices.
The foregoing summarizes the general design features of the present invention. In the following sections, specific embodiments of the present invention will be described in some detail. These specific embodiments are intended to demonstrate the feasibility of implementing the present invention in accordance with the general design features discussed above. Therefore, the detailed descriptions of these embodiments are offered for illustrative and exemplary purposes only, and they are not intended to limit the scope either of the foregoing summary description or of the claims which follow.
Referring to
The driver socket assembly 11 comprises a central socket base 15, which in these embodiments is substantially disk-shaped, and two opposing sets of multiple stepped socket flanges 16 on opposite longitudinal sides of the central socket base 15. The socket flanges 16 are shaped as circular arcs which are concentric with the central socket base 15 and which subtend an acute flange angle 17.
Preferably, the flange angle 17 is greater than 60° and less than 90°. In these embodiments, the flange angle 17 is 80°, so that the driver socket assembly has openings of 100° on either lateral side, through which the dentist can grasp and turn the head of a screwdriver seated in the driver socket assembly 11.
The socket flanges 16 form a series of horizontal, circular arcuate flange steps 18, alternating with vertical, circular arcuate flange risers 19, as best seen in
The driver shaft strap 12 is sufficiently flexible to bend over the top of the driver head 23, as shown in
In this shaft harnessing position 28, as shown in
In the first embodiment of the present invention, as shown in
In the second and third embodiments of the present invention, as depicted in
Extending from the distal side of the strap locking mechanism 13, is the flexible tether member 14, which terminates at its distal end in a split ring 33, best seen in
The dental screwdriver harness device 10 can be made of a plastic material, and it can optionally be made sterilizable and reusable. Preferably the device 10 would have limited reuse and would be replaced after a number of users.
Although the preferred embodiments of the present invention have been disclosed for illustrative purposes, those skilled in the art will appreciate that many additions, modifications and substitutions are possible, without departing from the scope and spirit of the present invention as defined by the accompanying claims.
This application is a continuation-in-part of U.S. patent application Ser. No. 15/808,210, filed Nov. 9, 2017.
Number | Name | Date | Kind |
---|---|---|---|
4558495 | Olsen | Dec 1985 | A |
4643674 | Zdarsky | Feb 1987 | A |
5016795 | Porteous | May 1991 | A |
5429289 | Lamson et al. | Jul 1995 | A |
RE36797 | Eggert et al. | Aug 2000 | E |
6216319 | Elkins | Apr 2001 | B1 |
20050087044 | Risolio | Apr 2005 | A1 |
20100000381 | Takahashi | Jan 2010 | A1 |
20110132944 | Gravitis | Jun 2011 | A1 |
Number | Date | Country |
---|---|---|
202010002860 | Dec 2010 | DE |
842103 | Jun 1939 | FR |
2221114 | Oct 1974 | FR |
2415454 | Aug 1979 | FR |
Entry |
---|
A. Ratnaditya et al., “A simplified method of preventing implant hex drive from aspiration or accidental swallowing during stage two implant recovery,” Journal of International Society of Preventive and Community Dentistry 2014; 4, Suppl S1:23-5. Available from http://www.jispcd.org/text.asp?2014/4/4/23/144572. |
Number | Date | Country | |
---|---|---|---|
20190133715 A1 | May 2019 | US |
Number | Date | Country | |
---|---|---|---|
Parent | 15808210 | Nov 2017 | US |
Child | 15920542 | US |