Patent Application
20150230880
The statements in this section merely provide background information related to the present disclosure and may not constitute prior art.
In scaling and cleaning teeth, often clinicians depend on unpowered or hand operated scalers to scrape calculus from the teeth. Use of these instruments requires back and forth motion of the fingers, wrists and even the entire arm that may lead to fatigue, and if persisted, to potential nerve and tendon damage. To prevent fatigue, dental instruments have been made lighter to reduce the pressure of movement from the wrist area. There is a limit to weight reduction and furthermore, the need for the hand/arm movement still exists.
Other improvements have been directed to the use of powered dental instruments such as ultrasonic or vibrating scalers. This technology was first developed for drilling teeth and was later adapted to cleaning them. Use of powered instruments eliminates the need for the back and forth movement of the hand and/or entire arm. However, these instruments also require specialized training and are generally expensive and relatively heavy. Furthermore, ultrasonic instruments may adversely affect the teeth or comfort of the patient if improper power settings are used. The industry is desirous of a solution by which both the dexterity/control obtainable by an unpowered instrument, and fatigue relief obtainable by a powered instrument, may be realized.
Some embodiments are directed to motion-assisted dental treatment methods. Other embodiments include motion-assisted dental treatment tools and systems. Still other embodiments are directed to reducing fatigue of an operator by employing dental tips, dental instrument systems and methods for utilizing the dental instruments disclosed herein. Further embodiments, forms, objects, features, advantages, aspects, and benefits shall become apparent from the below description and drawings.
In an embodiment, a method, e.g., to reduce fatigue on a clinician, comprises engaging a dental tip into a receiving end of a handpiece, manipulating the handpiece in reciprocation adjacent a working surface, and automatically reciprocating the dental tip with respect to the handpiece in phase with the reciprocation of the handpiece to assist movement of the tip with respect to the working surface.
In some embodiments a method comprises manipulating a handpiece receiving a dental tip, to move the dental tip adjacent to a working surface, detecting movement of the handpiece with respect to the working surface, and in response to the detected movement of the handpiece, automatically moving the dental tip with respect to the handpiece in a direction of the detected movement, thereby amplifying the movement of the of the tip adjacent to the working surface relative to the movement of the handpiece.
In an embodiment a dental scaling tool comprises a handpiece and a dental tip, wherein the dental tip comprises a normally distal working end spaced away from a normally proximal mounting end generally along a central axis, the mounting end dimensioned and arranged to releasably engage a corresponding receiving end of the handpiece, a positioning element to move the engaged dental tip relative to the handpiece, such as, for example, a reciprocating element comprising a fixed electromagnet to reciprocate the dental tip relative to the handpiece, a motion sensor to detect movement of the handpiece relative to a working surface, and a control system to operate the positioning element to move the dental tip relative to the handpiece in a direction to amplify the detected movement of the handpiece relative to the working surface.
In an embodiment, a dental treatment system comprises at least one powered dental handpiece, a non-powered dental handpiece, and a tip comprising a (normally distal) working end longitudinally separated from a (normally proximal) mounting end, the mounting end dimensioned and arranged to releasably engage a corresponding receiving end of each of the powered dental handpiece and the non-powered dental handpiece, wherein the tip is interchangeable between the powered and non-powered handpieces.
In the development of any such actual embodiment disclosed herein, numerous implementation-specific decisions must be made to achieve the developer's specific goals, such as compliance with system related and business related constraints, which will vary from one implementation to another. Moreover, it will be appreciated that such a development effort might be complex and time consuming but would nevertheless be a routine undertaking for those of ordinary skill in the art having the benefit of this disclosure.
As used in the specification and claims, “adjacent” and “near” are inclusive of “against,” “at,” “on,” and “in.” For purposes herein, a powered dental instrument includes any dental instrument which requires, in addition to any power provided by motion of the operator, another power source for operation, such as electricity from batteries or externally supplied, a motive fluid such as pressurized air, water, hydraulic fluid, or the like, or a mechanical power input. Examples include ultrasonic scalers and scrapers, and powered cutting, grinding and polishing tools, and the like.
For purposes herein, a non-powered dental instrument includes any dental instrument which is operated or engaged using only the power provided by operator manual manipulation. Examples include hand scalers, scrapers, picks, scalpels, probes (including sickle probes), scissors, clamps and the like.
In embodiments, a method to reduce fatigue on a clinician comay comprise engaging a dental tip into a receiving end of a handpiece, manipulating the handpiece in reciprocation adjacent a working surface, and automatically reciprocating the dental tip with respect to the handpiece in phase with the reciprocation of the handpiece to assist movement of the tip with respect to the working surface.
In embodiments, a dental treatment method may comprise: manipulating a handpiece receiving a dental tip, to move the dental tip adjacent to a working surface; detecting movement of the handpiece with respect to the working surface; and in response to the detected movement of the handpiece, automatically moving the dental tip with respect to the handpiece in a direction of the detected movement. In such manner, the movement of the of the tip adjacent to the working surface may be amplified relative to the movement of the handpiece, or stated differently, the motion required by the operator is attenuated.
In some embodiments, the detected movement is axial, radial, angular, etc. or any combination thereof.
In some embodiments, the handpiece is powered by electrical connection to a control unit.
In some embodiments, the dental tip comprises a working end spaced away from a mounting end generally along a central axis, wherein the handpiece comprises a powered handpiece, and further comprising releasably engaging the mounting end of the dental tip in a corresponding receiving end of the powered handpiece. In some embodiments, the method may further comprise releasing the dental tip from the powered handpiece, and releasably engaging the dental tip in a corresponding receiving end of a non-powered handpiece adapted to receive the tip, and/or contacting a working surface with the tip engaged in the non-powered handpiece.
In some embodiments, the movement detection comprises receiving a signal from a motion sensor, such as an accelerometer, gyroscope, digital compass, or the like, or a combination thereof, which may be located in the handpiece or otherwise in the tool or assembly.
In some embodiments, moving the dental tip with respect to the handpiece comprises actuating an electromagnet in the handpiece. Alternatively, motors or the like may be used.
In some embodiments, the amplification has a gain of at least 20% relative to the detected movement of the handpiece, e.g., a detected 10 mm movement in the axial direction extends the tip at least 12 mm (including 2 mm extension) and/or the method may also include adjusting the gain, e.g., for operator preference.
In some embodiments, the movement of the dental tip with respect to the handpiece is a fixed distance, and/or the method may also include adjusting the fixed distance, e.g., for operator preference.
In some embodiments, a motion-assisted dental scaling tool comprises a handpiece; a dental tip comprising a working end spaced away from a mounting end generally along a central axis, the mounting end dimensioned and arranged to releasably engage a corresponding receiving end of the handpiece; a positioning element to move the engaged dental tip relative to the handpiece; a motion sensor to detect movement of the handpiece relative to a working surface; and a control system to operate the positioning element to move the dental tip relative to the handpiece in a direction to amplify the detected movement of the handpiece relative to the working surface.
In some embodiments, the positioning element moves the engaged dental tip axially in response to the detection of axial movement of the handpiece, although other movement and/or detection may be rotational, angular, or the like, or any combination.
In some embodiments, the amplification has a gain of at least 20% of the movement of the movement of the handpiece, or additionally or alternatively the displacement may be a fixed distance. In some embodiments, the control system comprises a gain or distance adjustment.
In some embodiments, the motion-assisted dental scaling tool may further comprise a retaining cap comprising a channel slideably receiving a portion of the tip, the channel having a diameter equal to or larger than a diameter of the received portion of the tip and smaller than a diameter of a locking ring radially disposed about the tip and located distally from the retaining cap, the retaining cap releasably engaged with the receiving end of the dental handpiece to retain the tip in the handpiece.
In some embodiments, the positioning element comprises a momentum transferring element, the handpiece comprising an inner cavity formed in a body having a service end and a tip receiving end, a spring disposed in the inner cavity between an electromagnet and a momentum plug, the momentum plug slideably engaged within the inner cavity between the tip receiving end and the electromagnet, the momentum plug comprising a magnetically active portion adjacent the spring and a tip attachment end receiving the mounting end of the tip.
In some embodiments, a dental treatment system comprises a powered handpiece system comprising a dental tip comprising a working end spaced away from a mounting end generally along a central axis, the mounting end dimensioned and arranged to releasably engage a corresponding receiving end of the powered handpiece; a positioning element to move a dental tip engaged therein relative to the powered handpiece; a motion sensor to detect movement of the powered handpiece relative to a working surface; and a control system to operate the positioning element to move the dental tip relative to the handpiece in a direction to amplify the detected movement of the handpiece relative to a working surface; and a non-powered dental handpiece having a receiving end to releasably engage the mounting end of the dental tip, wherein the dental tip is interchangeable between the powered and non-powered handpieces.
With reference to the specific non-limiting embodiments shown the drawings, it is to be noted that any feature, or portion thereof, may be used in connection with any features or portions thereof shown in one or more other drawings, including any combinations and permutations thereof. In an embodiment, as shown in
In an embodiment, the working end 16 may comprise any number of shapes and/or arrangements for scaling and other dental practitioner tools, readily known to one of skill in the art. As used herein, dental practitioner refers not only to dental hygienists, but also to dentists, oral surgeons, their nurses, nurse practitioners, technicians and other assistants, and the like. Examples of suitable tip designs include the various “Gracey®” designs, Banhard® designs, McCall® designs, sickles, UC Rule® designs, US Ratcliff® designs, Moser® designs, Jacquettes® designs, Prichard® designs, Rhodes-Chisel® designs, Hirschfeld® designs, Younger-Good® designs, Goldman-Fox® designs, Morse® designs, and the like.
In an embodiment, the mounting end 18 comprises a “D” profile with a flat or planar portion 24 which is complimentary to a corresponding receiving end of a powered and/or non-powered dental handpiece in a tool assembly. In an embodiment, a diameter 26 of the shank 20 at the mounting end 18 may be dimensioned to provide frictional engagement with a corresponding receiving end of a powered or non-powered dental handpiece and/or a cross-sectional shape of the mounting end 18 may be dimensioned and arranged to provide both engagement and positioning of the dental tip 12 within a corresponding receiving end of a powered or non-powered dental handpiece. For example, in an embodiment, a portion of the mounting end 18 may have a “D” shaped cross-section as shown, although any non-circular profile may be used to maintain rotational alignment between the tip 12 and the handpiece, such as, for example, a triangular, square, pentagonal, hexagonal or other polygonal cross section, a spline or keyway, grooves or ridges, or the like, or any combination thereof. Additionally and/or alternatively, as best seen in
In an embodiment, the dental tip 12 may further comprise a stop element such as locking ring 34 which may be formed integrally with the tip 12 or may be received at least partially within a receiving element such as a radial groove 36 formed in a surface of the dental tip. In an embodiment, the dental tip 12 may be removably secured into a dental handpiece using a retaining element such as cone 14 having a distal bore 38 with an inside diameter 40 smaller than a diameter of the locking ring 34 to locate the locking ring proximally and the working end 16 distally with respect to the distal bore 38 of the cone. As used herein, “distal” refers to the end or direction of the tool or component at or toward the working end 16 of the tool away from the operator and/or near the patient or working element, and “proximal” refers to the end or direction of the tool or component near the operator and/or away from the patient or working element.
In an embodiment, the tip 12 is at least partially slideably received, e.g., the tip 12 is at least partially longitudinally and/or partially rotationally slideable within the bore 38, which may have a diameter 40 which is equal to or larger than the shank diameter 26 and smaller than an outside diameter of the locking ring 34. In this manner, the cone 14 may cooperate with the locking ring 34 to retain the tip 12 within a handpiece and/or limit the forward axial movement of the tip 12 with respect to the cone 14.
In an embodiment, the retaining cone 14 may further comprise an inner surface 32 dimensioned and arranged to releasably engage a complementary receiving end of various different handpieces, e.g., both the powered and non-powered dental handpieces described herein. In an embodiment, the inner surface 42 comprises threads for threaded engagement with, for example, one or more complementarily threaded dental handpieces.
The embodiment shown in
In an embodiment, the momentum plug 118 is elongated coaxially along central axis 20, comprising an enlarged proximal end 120 and a distal end 122 with a narrowed outside diameter for sliding longitudinally within the complementarily shaped cavity 112. In an embodiment, the momentum plug 118, or at least a portion thereof, may be made of a magnetically susceptible material for attraction to the electromagnet 116 when it is activated, and may alternatively and/or additionally comprise a magnet 124, e.g., in the proximal end 120 adjacent the electromagnet 112.
In an embodiment, the electromagnet 116, the spring 114 and the momentum plug 118 are dimensioned and arranged such that application of a current via circuit 126 from control unit 127 to the electromagnet 116, e.g., through conductors 128 and 130 arranged in a cable 132 through the end plug 108, energizes the electromagnet 116 to attracts the momentum plug 118 to compress the spring 114 and move the tip 10 longitudinally along the central axis 20. Upon termination and/or reversing of the current the spring 114 biases the momentum plug 118 back to a distally forward position. Accordingly, in an embodiment, supply of pulsed electric current and/or an alternating electric current to the electromagnet 116 results in a generally longitudinal oscillation or reciprocation 134 of the momentum plug 118 and by extension, the tip 10 with respect to the handpiece 102 of the tool assembly 100.
In an embodiment, the tip 10 has a linear motion range 136 that is limited distally by the cone 14 interengaging the locking ring 34 as mentioned above, and/or by the shoulder abutment 138 between the opposing annular surfaces of the momentum plug 118 and the cavity 112 at the transition between the enlarged and narrowed portions. The proximal extent of the motion range 136 may be limited by the extent of compression of the spring 114 against the electromagnet 116, and/or by the locking ring 34 against the handpiece body end 136. The range of motion 140 of the distal end and the delta of the spring compression 142 between
In some embodiments the range of motion 140 can also be adjusted to suit operator preference, e.g., via a control circuit (see
In an embodiment, the rate of oscillation of the tip 12, where the oscillation amplifies the motion of the tip 12 at a working surface relative to the handpiece 102, generally matches that of the operator in generating back and forth motion of the handpiece 102, i.e., the oscillation of the tip 12 is responsive in phase with the oscillation of the handpiece 102. If desired, a secondary oscillation or vibration may be imparted to the tip 12, where the frequency of the secondary oscillation is greater than that of the reciprocation of the handpiece 102, e.g., at least 10 times greater or 100 times greater, but the range of motion of the secondary oscillation is substantially less than the full range of motion 140 of the tip 12, e.g., less than 20%, less than 10% or less than 5% of the full range of motion. In an embodiment, the rate of secondary oscillation 134 is below the ultrasonic range of 10,000 Hz, e.g., infrasonic. In an embodiment, the rate of secondary oscillation of the tip is between about 0.1 and 100 Hz, or between about 0.5 and 20 Hz, or between about 1 and 10 Hz, or between about 2 and 8 Hz, or about 4 to about 5 Hz. Accordingly, the primary oscillation of the tip upon activation of the electromagnetic coil is similar to the motion and rate utilized by an entirely manual hand operated or non-powered dental handpiece. As such, the powered dental tool according to the instant disclosure may relieve a portion or a major portion of the strain and fatigue experienced by the operator employing the handpiece to clean a surface. By mimicking and/or slightly improving the range of motion and rate of oscillation employed by an operator utilizing a non-powered dental tool, the powered tool reduces some of the fine movement strain otherwise experienced by the operator.
In some embodiments, the reciprocation of the tip 12 may be operatively linked in phase to the motion imparted by the clinician to the handpiece 102, thereby providing a motion assist to attenuate the movement needed by the clinician to effect the desired extent of travel of the tip adjacent the tooth or other work surface. For example, the reciprocation can be associated with a motion sensor (see
In some embodiments, the full length of reciprocation can be triggered by detecting a change in direction of movement of the handpiece 102, and if desired the speed of the reciprocation can be controlled, i.e., the time it takes the tip 12 to travel the full range of motion 140 can be determined by gradually or controllably changing the voltage to the electromagnet 116, employing a damper mechanism (not shown), or the like. In other embodiments, the reciprocation of the tip 12 can be advanced proportionally in response to the magnitude of motion of the handpiece 102 that is detected. In some embodiments, the displacement of the tip 12 can be at least 20% of the magnitude of detected motion of handpiece 102, i.e., the “gain” is at least 20%, e.g., 30% or more, 50% or more, 100% or more, or 200% or more.
If desired, rotational alignment and/or rotation of the plug 118 (and thus the tip 10) may be facilitated by a cooperating arrangement of a spline and channel and/or pin 144 and channel 146 between the plug 118 and an inner surface of the cavity 112, as seen in
Where the tip 12 is manufactured wholly or partially from a magnetically susceptible material, the magnetic susceptibility of at least the proximal end 18 and/or the shank 20 may facilitate retention of the tip 12 in the momentum plug 118 (or plug 314 in
In an embodiment as shown in
In an embodiment, one or more additional sensors 308 and/or 330, in electronic communication (including wireless, sonic, optical, etc.) with control unit 306 may be utilized. The sensor(s) 308 and/or 330 are shown located in an outer housing near the distal end of the handpiece 310 and approximately medially, respectively, but it is to be understood that one or more of the sensors 308 and/or 330 may be located anywhere in, on or proximate to the powered handpiece assembly 300.
In an embodiment, sensor(s) 308 and/or 330 may include a touch sensor for use in an embodiment in which a plurality of powered hand pieces are employed in cleaning a particular surface (see.
The touch sensor(s) 308 and/or 330 where provided may allow the control unit to sense which handpiece the operator is using, for example. When a multiplicity of powered hand pieces are each attached to the same base unit, only one handpiece should be energized at any given time. Accordingly, in an embodiment, a touch sensor(s) 308 and/or 330, which may be a capacitive sensing mechanism, a pressure sensitive switch, and/or the like, may be utilized to signal the base unit 306 as to which of the plurality of attached handpieces is being utilized and thus, which of the plurality of attached handpieces is to receive power and/or be monitored and/or controlled at any given moment.
In an embodiment, the sensor(s) 308 and/or 330 may include a thermocouple, chemical sensor, a motion sensor and/or the like. In an embodiment, sensor(s) 308 and/or 330 may include a motion sensor, such as an accelerometer, gyroscope, digital compass, or the like, or a combination thereof, in electronic communication with the control unit 306 to allow for monitoring of the directionality and acceleration of the handpiece in order to adjust operational conditions such as the oscillation frequency and/or power supplied to the handpiece which facilitates the operator and in-turn reduces fatigue and other operational concerns.
In an embodiment, tip 12 may further comprise an identification tag 340, readable by an electronic sensor in proximity thereto in direct or indirect communication with the control unit 306. In an embodiment, identification tag 340 may include an RFID or other electronically readable component. In an embodiment, the control unit 306 and/or sensor(s) 308 and/or 330 may further include a reader to sense the tag 340. In an embodiment, the reader may be utilized to identify the configuration of the working end of tip 12, and thereby to provide power to the electromagnet 312 and/or provide an appropriate amplitude (level of linear motion 328) and/or power based on predefined standards or algorithms. In an embodiment, the power provided to the electromagnet 312 and/or the appropriate level of linear motion 328 of tip 12 is based on predefined standards or algorithms which are further modified according to predefined standards of the particular operator conducting the cleaning as sensed by the control unit or as input into the control unit, and/or the particular needs of the particular patient receiving the cleaning or other procedure as sensed by the control unit or as input into the control unit.
In an embodiment, the sensing element 316 may be utilized in conjunction with the control unit 306 to provide a tip-based computer-controlled system for the powered handpiece as disclosed in U.S. Pat. No. 8,204,612, U.S. Patent publication 2013/0045456, and progeny, all of which are incorporated by reference herein.
In addition, by allowing the operator to utilize the same tip in both powered and non-powered tools, the dental treatment system according to the instant disclosure enables the operator to select the desired mode for cleaning a particular surface according to the needs and conditions of the patient and/or clinician. In an embodiment, as shown in
Non-powered tool 200 may thus be provided with tips at either end, which may be mirror image tips, for example, for working on teeth in different areas of the patient's mouth or with different approaches to the teeth, e.g., top or bottom, forward or back teeth, on the left or right side and/or inside and outside surfaces. The operator can turn the tool around to use the opposite end and thus quickly prepare for differently oriented working surfaces. In an embodiment herein, a similar functionality may be provided by powering a plurality of the powered handpieces from one power supply or generator, e.g., a first handpiece fitted with a first tip and connected to the generator with a first power cable, a second handpiece fitted with a second tip and connected to the generator with a second power cable, and so on (see
In an embodiment as shown in
In an embodiment, a method comprises engaging a dental tip in a receiving end of a powered dental handpiece or a non-powered dental handpiece according to any one or combination of embodiments or systems disclosed herein, and contacting a surface with the dental tip thereby cleaning the surface, wherein the dental tip comprises a working end longitudinally separated from a mounting end, the mounting end dimensioned and arranged to releasably engage a corresponding receiving end of both the powered dental handpiece and the non-powered dental handpiece.
In an embodiment, a method to reduce fatigue on a clinician comprises engaging a dental tip in a receiving end of a powered dental handpiece or a non-powered dental handpiece according to any one or combination of embodiments or systems disclosed herein, and contacting a surface with the dental tip thereby cleaning the surface, wherein the dental tip comprises a working end longitudinally separated from a mounting end, the mounting end dimensioned and arranged to releasably engage a corresponding receiving end of both the powered dental handpiece and the non-powered dental handpiece.
In an embodiment, a method to reduce fatigue on a clinician comprises engaging a plurality of dental tips into a corresponding plurality of receiving ends of powered dental hand pieces or a non-powered dental hand pieces each according to any one or combination of embodiments or systems disclosed herein, and contacting a surface with at least one of the plurality of dental tips thereby cleaning the surface, wherein each of the dental tips comprise a working end longitudinally separated from a mounting end, the mounting end dimensioned and arranged to releasably engage a corresponding receiving end of both the powered dental handpiece and the non-powered dental handpiece.
Accordingly, the instant disclosure provides the following embodiments:
Accordingly, in an embodiment, the dental treatment system comprises a system to sense the conditions of operation and a control/feedback mechanism which adjusts the operation of the powered dental handpiece according to the environment to facilitate the operator and thus reduce the fatigue and stress required by the operator to perform the cleaning of the dental surface, while also allowing the operator to utilize the same tip or set of tips in a manual or hand-operated handpiece to further facilitate cleaning of the dental surface according to the requirements of the patient.
The foregoing disclosure and description of the invention is illustrative and explanatory thereof and it can be readily appreciated by those skilled in the art that various changes in the size, shape and materials, as well as in the details of the illustrated construction or combinations of the elements described herein can be made without departing from the spirit of the invention.
While the invention has been illustrated and described in detail in the drawings and foregoing description, the same is to be considered as illustrative and not restrictive in character, it being understood that only some embodiments have been shown and described and that all changes and modifications that come within the spirit of the inventions are desired to be protected. It should be understood that while the use of words such as preferable, preferably, preferred, more preferred or exemplary utilized in the description above indicate that the feature so described may be more desirable or characteristic, nonetheless may not be necessary and embodiments lacking the same may be contemplated as within the scope of the invention, the scope being defined by the claims that follow. In reading the claims, it is intended that when words such as “a,” “an,” “at least one,” or “at least one portion” are used there is no intention to limit the claim to only one item unless specifically stated to the contrary in the claim. When the language “at least a portion” and/or “a portion” is used the item can include a portion and/or the entire item unless specifically stated to the contrary.
This application is a nonprovisional of and claims the benefit of and priority to copending application U.S. 61/042,142, filed Feb. 20, 2014.
| Number | Date | Country | |
|---|---|---|---|
| 61942142 | Feb 2014 | US |
