Titanium alloy intraosseous anesthesia delivery device

Information

  • Patent Grant
  • 6575745
  • Patent Number
    6,575,745
  • Date Filed
    Tuesday, December 5, 2000
    23 years ago
  • Date Issued
    Tuesday, June 10, 2003
    20 years ago
Abstract
An intraosseous delivery apparatus having a perforating member that is made of a titanium alloy whose flexibility, wearability and cutting ability is greater than that of conventional hardened stainless steel.
Description




BACKGROUND OF THE INVENTION




The present invention relates to an improved intraosseous anesthesia delivery device.




There exist a variety of intraosseous anesthesia delivery devices and methods, including those disclosed in U.S. Pat. No. 2,317,648 to Siqveland, U.S. Pat. No. 4,944,677 to Alexandre, U.S. Pat. No. 4,423,824 to Akerfeldt et al, U.S. Pat. No. 5,762,639 to Gibbs, U.S. Pat. No. 5,779,708 to Wu, U.S. Pat. No. 5,057,013 to Dillon, U.S. Pat. No. 5,173,050 to Dillon and U.S. Pat. No. 6,135,769 to Kwan.




Additional intraosseous anesthesia delivery devices and methods are disclosed in the Applicant's earlier U.S. application Ser. No. 09/165,010, PCT Application US99/07728, U.S. application Ser. No. 09/328,682, and U.S. application Ser. No. 09/329,022, the entire contents of each of which are incorporated herein by reference.




All known present day anesthesia delivery devices and methods, however, generally utilize a perforating member such as a hypodermic injection needle or drill bit member that is made of hardened stainless steel. Under poor conditions, such hardened stainless steel perforating members may cause significant burning of bone tissue and/or may break. And if either of these events occurs, there is a high risk of infection and/or other complications.




OBJECTS OF THE INVENTION




It is an object of the present invention to provide an intraosseous anesthesia delivery device whose perforating member has improved flexibility and wearability and improved cutting ability, and which thereby improves operability and reduces the risk of infection and/or other complications.











BRIEF DESCRIPTION OF THE DRAWINGS





FIG. 1

is a partial sectional view of an intraosseous anesthesia delivery device to which the present invention may be adapted.











DETAILED DESCRIPTION




In order to achieve the above mentioned objects, the present invention provides an anesthesia delivery apparatus which utilizes a bone perforating member made of a titanium alloy that comprises at least 10% titanium. Preferably, the perforating member is made of a titanium alloy that comprises at least 40% titanium. For example, according to a preferred embodiment, the present invention utilizes a perforating member made of a NITINOL alloy whose composition is typically 55%-56% nickel and 44%-45% titanium.




In one specific preferred embodiment, the alloy consists of 44% titanium and 56% nickel and no other appreciable amount of any other ingredient which could adversely effect the purity required for dental instruments.




Still more specifically, the perforating member of the present invention may be made, for example, from NITINOL Type 1, Part No. U-NW-015 available at www.smallparts.com.




The present invention, however, may utilize any material containing titanium whose flexibility, wearability and cutting ability is greater than that of conventional hardened stainless steel.




The use of a titanium alloy achieves numerous significant advantageous effects. First, the flexibility and wearability of the perforating member is increased, thereby reducing its chances of breakage. In fact, the use of a titanium alloy enables the perforating member of the present invention to change direction during drilling and to still hit its target, even if from the side-and to do so without breaking. Second, the cutting ability of a titanium alloy perforating member is much higher than that of a conventional stainless steel perforating member, and the friction between a titanium alloy perforating member and the bone tissue into which the perforating member is being drilled is significantly reduced. This reduces the temperatures generated during drilling and lowers the amount of bone tissue burning, thereby reducing the chances of infection and/or other complications. And third, the use of a titanium alloy perforating member enables drilling to be performed in a much wider range of speeds than is available when a conventional hardened stainless steel perforating member is used. More specifically, the use of a titanium alloy perforating member enables drilling to be performed at speeds between approximately 2000 rpm and approximately 20,000 rpm, with a preferred speed of approximately 10,000 rpm, whereas the use of a conventional hardened stainless steel perforating member typically requires higher speeds on the order of 15,000 rpm.





FIG. 1

shows an example of a disposable intraosseous anesthesia delivery device to which the present invention may be adapted. This disposable anesthesia delivery device is described in detail in each of U.S. application Ser. No. 09/328,682 now issued as U.S. Pat. No. 6,273,715, and U.S. application Ser. No. 09/329,022 now issued as U.S. Pat. No. 6,287,114, whose entire contents (as indicated hereinabove) are incorporated herein by reference.




The essential feature of the present invention is that the perforating member


1


(referred to as drill


5


in each of U.S. application Ser. No. 09/328,682, and U.S. application Ser. No. 09/329,022) is made of a material containing titanium whose flexibility, wearability and cutting ability is greater than that of conventional hardened stainless steel.




As shown in

FIG. 1

, the perforating member


1


is hollow, but the present invention also equally applies to the case where the perforating member is solid.




In addition, it is noted that outer sleeve


2


(referred to as hollow sleeve


8


in each of U.S. application Ser. No. 09/328,682, and U.S. application Ser. No. 09/329,022) may also be made of a titanium alloy, or may alternatively be made of conventional hardened stainless steel.




Still further, it is noted that the present invention is applicable to an intraosseous delivery device which utilizes a perforation member that is adapted to independently penetrate bone—i.e., without an outer sleeve thereon and/or without a stylet inserted therein.




Indeed, the essential feature of the present invention—namely, the use of a perforating member made of a titanium alloy—may be adapted to any of the devices shown in the Applicant's earlier U.S. application Ser. No. 09/165,010, PCT Application US99/07728, U.S. application Ser. No. 09/328,682, and U.S. application Ser. No. 09/329,022, and/or to any of the devices shown in U.S. Pat. No. 2,317,648 to Siqveland, U.S. Pat. No. 4,944,677 to Alexandre, U.S. Pat. No. 5,432,824 to Akerfeldt et al, U.S. Pat. No. 5,762,639 to Gibbs, U.S. Pat. No. 5,779,708 to Wu, U.S. Pat. No. 5,057,013 to Dillon, U.S. Pat. No. 5,173,050 to Dillon and U.S. Pat. No. 6,135,769 to Kwan.



Claims
  • 1. An intraosseous fluid delivery apparatus comprising:a hollow sleeve; and a perforating member adapted to be coupled to a drill and to be fitted inside said hollow sleeve and to extend beyond a distal end of said hollow sleeve, wherein the perforating member is made of a titanium alloy comprising at least 10% titanium.
  • 2. The intraosseous fluid delivery apparatus according to claim 1, wherein the titanium alloy comprises at least 40% titanium.
  • 3. The intraosseous fluid delivery apparatus according to claim 1, wherein the titanium alloy is a NITINOL alloy comprising 55%-56% nickel and 44%-45% titanium.
  • 4. The intraosseous fluid delivery apparatus according to claim 1, wherein the titanium alloy consists of 44% titanium and 56% nickel and no other appreciable amount of any other ingredient.
  • 5. An intraosseous fluid delivery method comprising:removably coupling a perforating member to a drill; removably fitting the perforating member inside a hollow sleeve so as to extend beyond a distal end of said hollow sleeve; applying a bone penetration force from the drill to the perforating member so as to drill a hole in a bone; removing the perforating member from the hollow sleeve; and introducing a fluid directly into the hole drilled in the bone via the hollow sleeve; wherein the perforating member is made of a titanium alloy comprising at least 10% titanium.
  • 6. The intraosseous delivery method according to claim 5, wherein the bone penetration force is applied by rotating the perforating member at a speed between approximately 2000 rpm and approximately 20,000 rpm.
  • 7. The intraosseous delivery method according to claim 5, wherein the bone penetration force is applied by rotating the perforating member at a speed of approximately 10,000 rpm.
US Referenced Citations (59)
Number Name Date Kind
1123730 Greenfield Jan 1915 A
1539637 Bronner May 1925 A
2317648 Siqveland Apr 1943 A
2442033 Brantly et al. May 1948 A
3406685 May Oct 1968 A
3750667 Pshenichny et al. Aug 1973 A
3778904 Melde Dec 1973 A
RE27923 Bentov Feb 1974 E
3893445 Hofsess Jul 1975 A
4002169 Cupler, II Jan 1977 A
4021920 Kirschner et al. May 1977 A
4193197 Kuris et al. Mar 1980 A
4220446 Walker Sep 1980 A
4306570 Matthews Dec 1981 A
4513754 Lee Apr 1985 A
4678471 Noble et al. Jul 1987 A
4747824 Spinello May 1988 A
4787893 Villette Nov 1988 A
4869717 Adair Sep 1989 A
4944677 Alexandre Jul 1990 A
4973247 Varnes et al. Nov 1990 A
5049150 Cozad Sep 1991 A
5057013 Dillon Oct 1991 A
5085631 Leighton Feb 1992 A
5125838 Seigneurin Jun 1992 A
5173050 Dillon Dec 1992 A
5201656 Sicurelli Apr 1993 A
5203866 Islam Apr 1993 A
5261877 Fine et al. Nov 1993 A
5275563 Cohen et al. Jan 1994 A
5304140 Kugo et al. Apr 1994 A
5312345 Cole May 1994 A
5312375 Gurmarnik May 1994 A
5341816 Allen Aug 1994 A
5374270 McGuire et al. Dec 1994 A
5389070 Morell Feb 1995 A
5406940 Melzer et al. Apr 1995 A
5423823 Schmieding Jun 1995 A
5423824 Akerfeldt et al. Jun 1995 A
5429504 Peltier et al. Jul 1995 A
5431655 Melker et al. Jul 1995 A
5432824 Akerfeldt et al. Jul 1995 A
5484442 Melker et al. Jan 1996 A
5489208 Mandell Feb 1996 A
5527205 Heath et al. Jun 1996 A
5554154 Rosenberg Sep 1996 A
5601559 Melker et al. Feb 1997 A
5653590 Heath et al. Aug 1997 A
5762639 Gibbs Jun 1998 A
5779708 Wu Jul 1998 A
5814049 Pratt et al. Sep 1998 A
6042585 Norman Mar 2000 A
6135769 Kwan Oct 2000 A
6210376 Grayson Apr 2001 B1
6217561 Gibbs Apr 2001 B1
6241710 Van Tassel et al. Jun 2001 B1
6247928 Meller et al. Jun 2001 B1
6273715 Meller et al. Aug 2001 B1
6287114 Meller et al. Sep 2001 B1
Foreign Referenced Citations (1)
Number Date Country
1430092 Mar 1976 GB
Non-Patent Literature Citations (10)
Entry
Data Sheet: WIRE—NITINOL; p. 131; publication date unknown; www.smallparts.com; e-mail parts@smallparts.com.
Pearce, Jr. “Intraosseous Injection For Profound Anesthesia of the Lower Molar” (1 page).
Cannell et al “Intraosseous Injections of Lignocaine Local Anaesthetics” British Dental Journal, vol. 141, Jul. 20, 1976, pp. 48-50.
Liliental “A Clinical Appraisal of Intraosseous Dental Anesthesia”, Oral Surg. vol. 39, No. 5, May, 1975, pp. 692-697.
Bourke “Intra-Osseous Anaesthesia”, Dent. Anaesthesia And Sedation, vol. 3, No. 2, Jul. 1974, pp. 13-18.
Dorfman “Predictable and Effective Anesthesia Utilizing Intraosseous Injections” (3 pages).
Leonard “The Efficacy of an Intraosseous Injection System of Delivering Local Anesthetic”, JADA, vol. 126, Jan., 1995, pp. 81-86.
Magnes “Intraosseous Anesthesia”, Anesthesia Progress, Nov. 1968, pp. 264-267.
Garfunkel Et Al. “Intralignamentry-Intraosseous Anesthesia”, Int. J. Oral Surg. 1983; pp. 334-339.
Biddulph “Intraosseous Anesthesia For Dental Procedures”, The Arizona Dental Journal (2 pages).