CN100579491C - 可摘舌位矫正止鼾装置 - Google Patents
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Abstract
一种舒适型可摘舌位矫正止鼾器,采用具有足够弹性和刚度的丝带状材料制成,至少包含有固位装置1,及与其相连的上施力件2和/或下施力件3,其特征在于,主要用于上颌,所说的上施力件2其施力端设计成止于上腭软腭腭帆之敏感位置前,与软腭腭帆部的正常形态相适应,能适当向上/后上抬高腭帆和悬雍垂(俗称″小舌头″)而不引起周围组织的不适和恶心;所说的下施力件3其施力端设计成止于大舌舌体的后半部之敏感位置前,与舌体后半部的正常形态相适应,能向下/前下足够压住大舌头而不发生不适和恶心。如此,得以扩大和疏通被堵塞的呼吸道,在相对舒适的前在提下,起到防止打鼾和缓解睡眠期呼吸暂停综合症的作用,真正让广大患者更容易接受和满意。
Description
所属技术领域
本发明涉及鼾症保健领域,可用来有效防止打鼾和缓解睡眠期呼吸暂停综合症.
背景技术
打鼾是一种令人讨厌却又很常见的生理现象,不但影响同屋或邻屋人的正常休息,还会使患者本人呼吸暂停造成缺氧甚至窒息,继而诱发多种疾病,危害身体健康,降低工作学习效率,甚至减少寿命.打鼾的基本原因是呼吸道受阻,临床发现是由于口腔的内部器官(主要是大舌根部和小舌头)过大过长过厚或松弛变形,造成堵塞或部分堵塞鼻咽腔所致.治疗鼾症的方法不外乎手术法,药物法,正压呼吸机辅助法及矫形法.其中矫形法因简单实用且无创伤后遗症无毒副作用而最有发展前途.
本人以前发明的实用新型专利(90215295),就介绍了一种属于矫形法的镍钛形状记忆合金止鼾器,它是用NiTi形状记忆合金丝或片材,做成与正常舌根部或软腭部形态相适应的施力件,作用于病人的患部(即大舌根部和小舌头),以起到止鼾的作用.附图1就是在先技术本人的中国专利CN90215295中的一示意图。它除了包括有塑料基托5、卡环7外,还有埋在基托5内的支杆6、施力件3及托板4。由图1可见,这是一种设计用于下颌的止鼾装置;下部的施力件3的一端连接着支杆6并与支杆6一起埋在塑料基托5内,另一端则先沿着舌后部弯向舌中线,然后转向舌根部,头部埋于下部的托板4中;上部的施力件3的一端亦埋于下部的托板4中,另一端先弯出半个圆弧后,顺势向后上方的小舌处延伸,头部被埋于上部的托板4中。然而在实际应用中,发现它有如下缺点:(1)由于主要是用于下颌,因此常受到由大舌根部所发出的向上的推力,这个力通过卡环传导到牙齿上,会产生犹如拔牙般的些许疼痛;(2)由于它是直接作用于患者的小舌部位,而经研究发现,小舌附近的其他组织(例如舌腭弓和腭扁桃体)较敏感,一不小心就容易被碰到会引起发痒和恶心;(3)由于它是直接作用于患者的大舌根部,而经研究发现,大舌的根部本身就特别敏感,更容易引起疼痛和恶心.以上这三个缺点,曾严重妨碍了上述发明的推广应用。
发明内容
本发明的目的就是为了克服以上在先技术的缺点,新提出一种可摘舌位矫正止鼾装置的可行技术解决方案,以便在让广大患者感到容易适应和接受的同时能真正达到消除打鼾和睡眠期憋气的理想效果。
本发明的措施如下:采用具有足够弹性和刚度的丝带状材料,做成主要用于上颌的相对舒适的可摘舌位矫正止鼾器,它至少由固位装置1,上施力件2和/或下施力件3组成,上下施力件2,3的各一端(非施力端)与固位装置1相连,其特征在于,所说的上施力件2,其另一端(施力端),设计成止于上腭软腭腭帆之敏感位置前,与软腭腭帆部的正常形态相适应,能适当向上/后上抬高腭帆连同悬雍垂(即俗称的″小舌头″),并且不致引起周围组织的不适和恶心;所说的下施力件3,其另一端(施力端),设计成止于大舌舌体的后半部之敏感位置前,与舌体后半部的正常形态相适应,能向下/前下足够压住大舌头而不致发生不适和恶心.如此,得以扩大和疏通被堵塞的呼吸道,在相对舒适的前提下,起到防止打鼾和缓解睡眠期呼吸暂停综合症的作用.
附图说明
以下结合附图,对本发明作进一步的描述.
图1为中国专利90215295介绍的镍钛形状记忆合金止鼾器示意图.
图2--图12均为本发明的舒适型可摘舌位矫正止鼾器及其主要部分的示意图.图中,1为固位装置,2为上施力件,3为下施力件,4为托板,5为基托(舌托/腭托/环托),6为连接杆(舌杆/腭杆/颊杆/唇杆),7为直接固位体(卡环/唇弓等),8为间接固位体(舌板/腭板/支托等),9为附加功能件(导板/牙合板/牙合垫等),10为环状固位体(带环/冠套等),11为连杆,12为连接体,13为调节曲,14为牙齿,15为夹卡,16为连接丝,17为卡组,18为抱轴卡,19为附着体/磁性种植体,20为全口义齿,21为隐形义齿,22为牙套。
具体实施方式
参照附图2所示,本发明的舒适型可摘舌位矫正止鼾器,主要用于上颌,由固位装置1,上施力件2和/或下施力件3组成,上施力件和下施力件3由具有足够弹性和适当强度的材料(最好如高弹性合金钢丝或钢带)制成.上施力件2的非施力端的连接体12埋于固位装置1,另一端即施力端设计到达患者的软腭腭帆部位之敏感位置前并稍稍顶住.这样,一方面能有效抬高患者的软腭腭帆连同悬雍垂(即俗称的″小舌头″)以扩大口腔通道;另一方面可给软腭腭帆一个外来的加固力,以防止它随呼吸振颤而产生鼾声.下施力件3的非施力端的连接体12同样埋于固位装置1,但另一端即施力端则一般先沿腭中缝弯向近中再向下弯向远中,设计成间接到达患者的舌体后部,给舌体一个向下/前下的力,这样,不但可有效牵制住舌根,防止其向后收缩过分压迫腭帆和悬雍垂而造成鼻腔堵塞发生窒息和打鼾,同时可显著扩大口腔内部空间,提高呼吸效率,为了使施力件所施加的力能均匀分布于作用部位,此外,在上下施力件2,3的施力端的顶部,还设计有托板4.托板4通常可用合成树脂(塑料等)和/或软性聚合体材料(硅橡胶等)制成,大小形状应适合于作用部位.
本发明的舒适型可摘舌位矫正止鼾器,其固位装置1可有多种形式.如附图2所示,只是一种常用的样式,适用于本身牙齿固位条件尚可的打鼾患者.该固位装置一般由基托5(塑料),连接杆6(腭杆),直接固位体7(卡环等)组成,将整个止鼾器固位于患者的上颌合适位置.根据需要,还可增加间接固位体8(腭板/支托等),以加强固位.
参照附图3所示,是本发明的至少由基托5,连接杆6(这里是唇杆)组成固位装置的舒适型可摘舌位矫正止鼾器.其基托一般可由塑料制成,之上还可复合软性聚合体材料(硅橡胶等)以增加与上腭接触的柔软型;根据需要,腭侧可加连接杆6(腭杆)以增加强度和/或减少基托面积;唇杆上可带垂直曲以便装卸.此种止鼾器适用于上腭牙列状况较理想的打鼾患者.
参照附图4所示,是本发明的至少由基托5(环托)和直接固位体7(夹卡15,连接丝16,卡组17,抱轴卡18等)组成固位装置的舒适型可摘舌位矫正止鼾器.其环托的唇颊侧和舌腭侧可分别使用部分连接杆(唇杆/舌腭杆)以增加强度和/或减少基托面积,还可增加间接固位体8(腭板/支托等)以加强固位,此种止鼾器适用于固位条件不太好的打鼾患者.
参照附图5所示,是本发明的至少由附加功能件9(这里是牙合垫)作固位装置的舒适型可摘舌位矫正止鼾器.要求牙合垫的牙合面有较深的沟窝覆盖牙尖及切缘.为了加强牢度,还可加连接杆(舌腭杆/唇杆),后堤区也可封闭.此种止鼾器适用于牙齿固位情况较好或牙合高度较小的打鼾患者.
参照附图6,是本发明的至少由全口义齿作固位装置的舒适型可摘舌位矫正止鼾器.其舌腭侧还可添加连接杆(舌腭杆)以减少基托面积.此种止鼾器适用于无牙颌打鼾患者.
参照附图7,是本发明的至少由覆合义齿或磁性种植义齿作固位装置的舒适型可摘舌位矫正止鼾器,特点是其上带有与牙床上的附着体/钮扣栓道或磁性种植体19配套的部件.适用于牙列缺省较多固位要求较高的打鼾患者.其后堤区同样可以封闭,也可以加连接杆(舌腭杆等)或网状支架以提高强度.
参照附图8,是本发明的至少由隐形义齿作固位装置的舒适型可摘舌位矫正止鼾器.为了便于提高牢度和埋连接杆(舌腭杆等),在舌腭侧可增加基托(塑料),且后堤区可封闭.此种止鼾器适用于有较高品位要求的无牙颌或缺失牙较多的打鼾患者.
参照附图9,是本发明的至少由连接杆6(舌腭杆)和环状固位体10(带环/冠套等)作固位装置的舒适型可摘舌位矫正止鼾器.其施力件的非施力端通过适当方式连接在环状固位体10上.此种止鼾器适用于牙弓整齐备有牙间隙的打鼾患者.
参照附图10,是本发明的至少由上下颌牙套和颊侧连杆11作固位装置的舒适型可摘舌位矫正止鼾器.其舌腭侧可适当添加基托(塑料),塑料基托中可埋连接杆(舌腭杆).此种止鼾器适用于由于下颌后缩复合舌位不正常共同引起打鼾的患者.
值得指出的是,上施力件2和下施力件3作为止鼾器的最特殊的部件,其足够的弹性和适当的强度是极其重要的,二者缺一不可.此外,适当尺寸的宽厚度或直径也很重要,可直接影响弹力的大小.设计上,施力件2,3可以与连接杆6连为一体,也可以灵活分开,如附图12所示;可以用同一种材料及截面尺寸,也可以用不同的材料及截面尺寸.施力件的施力端可以直接指向最终作用处(如附图11和附图4所示),也可以间接指向最终作用处(如附图5和附图8所示);中间还可以至少带一个调节曲13以便于调整长度和位置,如附图12所示.
上述舒适型可摘舌位矫正止鼾器,经临床试验证明,能达到良好的预计效果.
Claims (14)
1.一种可摘舌位矫正止鼾装置,其特征在于,至少包含有一个固位装置(1)、及与固位装置(1)相连的一个上施力件(2)和一个下施力件(3),所说的固位装置(1)主要放置于上颌或者上下颌上一起放置,所说的上施力件(2)的施力端设计成与软腭腭帆部的正常形态相适应,其头部设计成止限于软腭腭帆的敏感位置前,能向上/后上适当抬起软腭腭帆连同悬雍垂而不引起周围组织的不适和恶心;所说的下施力件(3)的施力端设计成与舌体后半部的正常形态相适应,其头部设计成止限于大舌舌体后半部的敏感位置前,能向前下足够压住大舌头而不引起不适和恶心;所述的上、下施力件(2、3)由具有适当弹性和刚度的丝带状材料制成,该丝带状材料具有适当尺寸的宽厚度或直径,所述的上、下施力件(2、3)互相之间形成一间距,共同作用以扩大口腔内部空间即口腔通道,提高呼吸的效率。
2.如权利要求1所述的可摘舌位矫正止鼾装置,其特征在于,所说的下施力件(3)被设计成沿腭中缝先弯向前唇,然后再向下后方弯离前唇。
3.如权利要求1或2所述的可摘舌位矫正止鼾装置,其特征在于,所说的上施力件(2)和/或下施力件(3)由弹性钢丝和/或弹性钢带构成。
4.如权利要求1或2所述的可摘舌位矫正止鼾装置,其特征在于,所说的上施力件(2)和/或下施力件(3)其施力端的头部可带一个形状尺寸适合于作用部位的托板(4)。
5.如权利要求4所述的可摘舌位矫正止鼾装置,其特征在于,所述的托板(4)可由合成树脂和/或软性聚合体材料制成。
6.如权利要求1所述的可摘舌位矫正止鼾装置,其特征在于,所述固位装置(1)至少由牙合垫组成。
7.如权利要求6所述的可摘舌位矫正止鼾装置,其特征在于,所述固位装置(1)还包括连接杆,所述连接杆为舌腭杆或唇杆。
8.如权利要求1所述的可摘舌位矫正止鼾装置,其特征在于,所述固位装置(1)由基托(5)单独构成,或者由连接杆(6)、直接固位体(7)、间接固位体(8)这几项中的至少一项与基托(5)共同构成,其中所述基托是舌托、腭托或环托,所述连接杆是舌杆、腭杆、颊杆或唇杆,所述直接固位体是卡环、夹卡、连接丝、卡组、抱轴卡或唇弓,所述间接固位体是舌板、腭板或支托。
9.如权利要求1所述的可摘舌位矫正止鼾装置,其特征在于,所述固位装置(1)至少由环状固位体(10)和连接杆(6)组成,所述的环状固位体是带环或冠套,所述连接杆是舌腭杆。
10.如权利要求6-9中任一项所述的可摘舌位矫正止鼾装置,其特征在于,所述固位装置(1)的材料由合成树脂、金属、软性聚合体材料、隐形义齿材料这几种中至少一种构成。
11.如权利要求1所述的可摘舌位矫正止鼾装置,其特征在于,所说的固位装置既可由覆盖义齿或磁性种植义齿构成,也可至少由连接杆(6)及与连接杆(6)连接的环状固位体(10)构成。
12.如权利要求1所述的可摘舌位矫正止鼾装置,其特征在于,所说的固位装置(1)上下颌上同时放置时,其颊侧可各带一个起移颌作用的连杆(11)。
13.如权利要求1所述的可摘舌位矫正止鼾装置,其特征在于,所述固位装置(1)包括基托(5)和连接杆(6),所说的上、下施力件(2,3)其非施力端的延伸部分即连接体(12)可与连接杆(6)连为一体,也可以灵活分开;为同一种材料和截面尺寸,或者为不同的材料和截面尺寸;所说的上、下施力件,其施力端设计成直接到达最终作用处,或者间接到达最终作用处。
14.如权利要求13所述的可摘舌位矫正止鼾装置,其特征在于,所说的上、下施力件(2,3),其中部可以至少带一个调节曲(13)以便临床上灵活调整长度和位置。
Priority Applications (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN03129136A CN100579491C (zh) | 2003-06-09 | 2003-06-09 | 可摘舌位矫正止鼾装置 |
PCT/CN2004/000621 WO2004108028A1 (fr) | 2003-06-09 | 2004-06-09 | Dispositif correcteur anti-ronflement intra-oral amovible |
JP2006515629A JP4567678B2 (ja) | 2003-06-09 | 2004-06-09 | 取外しが可能な口腔矯正鼾止窒息防止器 |
AT04738219T ATE545395T1 (de) | 2003-06-09 | 2004-06-09 | Entfernbare intraorale korrigierende anti- schnarch-vorrichtung |
EP04738219A EP1645252B1 (en) | 2003-06-09 | 2004-06-09 | Removable intra-oral corrective anti-snoring device |
US10/559,229 US7770582B2 (en) | 2003-06-09 | 2004-06-09 | Removable tongue position corrective anti-snoring and anti-suffocating device |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN03129136A CN100579491C (zh) | 2003-06-09 | 2003-06-09 | 可摘舌位矫正止鼾装置 |
Publications (2)
Publication Number | Publication Date |
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CN1565398A CN1565398A (zh) | 2005-01-19 |
CN100579491C true CN100579491C (zh) | 2010-01-13 |
Family
ID=33494602
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CN03129136A Expired - Fee Related CN100579491C (zh) | 2003-06-09 | 2003-06-09 | 可摘舌位矫正止鼾装置 |
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US (1) | US7770582B2 (zh) |
EP (1) | EP1645252B1 (zh) |
JP (1) | JP4567678B2 (zh) |
CN (1) | CN100579491C (zh) |
AT (1) | ATE545395T1 (zh) |
WO (1) | WO2004108028A1 (zh) |
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Also Published As
Publication number | Publication date |
---|---|
EP1645252B1 (en) | 2012-02-15 |
JP2006527031A (ja) | 2006-11-30 |
JP4567678B2 (ja) | 2010-10-20 |
EP1645252A1 (en) | 2006-04-12 |
EP1645252A4 (en) | 2007-10-31 |
WO2004108028A1 (fr) | 2004-12-16 |
CN1565398A (zh) | 2005-01-19 |
US7770582B2 (en) | 2010-08-10 |
ATE545395T1 (de) | 2012-03-15 |
US20060130850A1 (en) | 2006-06-22 |
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