CN101352383B - Adjustable oral cavity orthopedic appliance - Google Patents

Adjustable oral cavity orthopedic appliance Download PDF

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Publication number
CN101352383B
CN101352383B CN2008101206646A CN200810120664A CN101352383B CN 101352383 B CN101352383 B CN 101352383B CN 2008101206646 A CN2008101206646 A CN 2008101206646A CN 200810120664 A CN200810120664 A CN 200810120664A CN 101352383 B CN101352383 B CN 101352383B
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hold
sleeve
nut
oral cavity
stator
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CN101352383A (en
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朱敏
沈国成
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Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Individual
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Abstract

The invention relates to an adjustable nonnasality appliance, comprising a movable rod (1), a sleeve (2), an adjusting nut (3) and an adjusting screw (4); the sleeve movably passes through the axial perforation (11) of the movable rod (1); furthermore, mutual position limit of the sleeve (2) and the axial perforation (11) is carried out by the external convex shoulder (21) at the internal end of the sleeve (2) and the internal shoulder blade (111) at the end of the perforation (11); the adjusting nut (3) is fixed at the external end of the sleeve (2); the adjusting screw (4) is inserted into the sleeve (2) and connected with the adjusting nut by screw thread; the external end of the movable rod (1) is provided with a first connecting head (12); the external end of the adjusting screw (4) is provided with a second connecting head (41). When in use, the connecting heads of the movable rod and the adjusting screw are respectively fixed with tooth sockets which are sheathed on the upper teeth and the lower teeth; the appliance of the invention supports the upper teeth and the lower teeth, ensures the nonnasality to have a certain opening angle, adjusts the length of the adjusting screw extending into the sleeve by adjusting the relative rotation of the adjusting screw and the sleeve, and realizes the adjustment on the minimum opening angle of the patient.

Description

A kind of adjustable oral cavity orthopedic appliance
Technical field
The medical apparatus and instruments of snoring relates in particular to a kind of adjustable oral cavity orthopedic appliance when the present invention relates to a kind of prevention and treating the people sleep.
Background technology
The somebody breathes inhomogeneous night in bed, often send a burst of dark shallow a burst of snoring sound, have in addition can breathe temporarily and stop, the reason that snoring takes place mainly is that nasopharynx part is obstructed, or the central nervous system is cranky, and it mostly occurs on one's body some fat male and old people.Show that according to the study the hazardness of snoring is bigger, can cause the dysfunction and the illness of body multisystem, as cause lung or pulmonary hypertension, and cause or trigger pulmonary heart disease, hypertension, increase the weight of deficiency myocardial blood supply, severe patient even bring out arrhythmia causes sudden death.General at present operation and the drug treatment of adopting, operative treatment misery and expense height, then the course of treatment, long-acting fruit was slow for Drug therapy.
At above-mentioned reason, someone invents various snoring treatment apparatuses, treatment Primary snoring and light moderate obstructive sleep respiratory disorder, its principle is roughly the same, before sleep, apparatus is put into the oral cavity, make the oral cavity keep parting a little, enlarge respiratory air flow and pass through respiratory tract, avoid uvula and/or pharynx wall organizational slack to block respiratory airway, it is unimpeded to ensure respiration.
As a patent No. is a kind of medical sound of snoring therapeutic apparatus the Chinese utility model patent " sound of snoring therapeutic apparatus " of ZL98220766.2 (notification number is CN2320214Y) has disclosed, it comprises base, pad, snap ring, pad be positioned on the lateral surface of base and with the base one, snap ring is positioned on the facies occlusalis dentis up and down of pad.When this device was used for the front portion, oral cavity, base was an integral body, and its underpart is an arc, and top is two stretching, extensions that are wing, the bottom that pad position wing stretches; When this device was used for the rear portion, oral cavity, base was two parts, and was lamellar all, linked together by connecting rod, and pad is positioned at the middle part of base.
As a patent No. is a kind of support that prevents or treat snoring so the Chinese utility model patent " a kind of support that prevents or treat snoring " of ZL200720089807.2 (notification number is CN201005840Y) has disclosed, contain hollow elasticity body with certain-length, it is characterized in that: described hollow elasticity tubular form and the pharyngeal respiratory tract of human body are complementary, and having certain pliability and flexibility, the hollow pipe external surface has one deck anti-inflammation drugs coating.
As a patent No. is a kind of snore stopper the Chinese utility model patent " snore stopper " of ZL200720032721.6 (notification number is CN201076542Y) has disclosed, and it is characterized in that being made of facing circle and tongue bed board; The facing circle has with the similar arc of tooth and divides up and down that two facing circles are combined as a whole, and is shaped on the groove that can place tooth on the facing circle; The tongue bed board is positioned at facing circle centre position and links to each other with facing circle body.
As a patent No. is apparatus for placing in a kind of mouth for the treatment of snoring and sleep apnea so the Chinese utility model patent " apparatus for placing in the mouth of treatment snoring and sleep apnea " of ZL200720188201.4 (notification number is CN201098246Y) has disclosed, it is characterized in that: comprise base, described base comprises left border line and right border line, makes bent projection upwards at left border line and right border line connecting place.
The apparatus that aforementioned patent relates to all exist the oral cavity to dehisce problem that minimum angles can not regulate, according to the degree of different patients' the degree of lip-rounding, snoring, and along with the process of treatment, it is to have certain requirements to the oral cavity minimum angles of dehiscing, certainly this needs the doctor to set according to practical situation, and aforementioned various apparatus has only the fixed angle of dehiscing, so the suitability is not strong, also have it finely not carry out adapt, so treatment snoring effect is relatively poor at treatment process difference.
Summary of the invention
Technical problem to be solved by this invention is that a kind of patient is provided at above-mentioned prior art present situation the minimum angles scalable adjustable oral cavity orthopedic appliance of dehiscing, and it also has advantage simple in structure, easy to use.
The present invention solves the problems of the technologies described above the technical scheme that is adopted: a kind of adjustable oral cavity orthopedic appliance, it is characterized in that this appliance includes motion bar, sleeve, adjusting nut and adjusting screw(rod), wherein, described sleeve activity is located in the axial through bore of motion bar, and the interior omoplate of the outer convex shoulder by sleeve the inner and the axial through bore inner end of described motion bar keep off mutually join spacing, described adjusting nut is fixed on telescopic outer end, described adjusting screw(rod) inserts in the described sleeve and with adjusting nut and is threaded, the outer end of described motion bar has first union joint, and the outer end of adjusting screw(rod) has second union joint.
For ease of this oral appliance is fixed with oral cavity upper tooth and lower tooth respectively, has first installing hole on the first above-mentioned union joint, have second installing hole on described second union joint, be separately installed with first coupling assembling and second coupling assembling in described first installing hole and second installing hole.Certainly, we also can be directly or indirectly fixing with upper tooth and lower tooth respectively with first union joint and second union joint, be generally indirect securement, promptly on upper tooth and lower tooth, be with a upper shell and lower shell respectively, then with first union joint and second union joint directly and upper shell and lower shell fix.
The first above-mentioned coupling assembling comprises first stator, first hold-down nut and first hold-down screw, described first hold-down nut is fixed on the outer face of described first stator, the first hold-down nut activity is located in described first installing hole, described first hold-down screw is threaded with first hold-down nut, and the maximum outside diameter of first hold-down screw is greater than the aperture of first installing hole; Described second coupling assembling comprises second stator, second hold-down nut and second hold-down screw, described second hold-down nut is fixed on the outer face of described second stator, the second hold-down nut activity is located in described second installing hole, described second hold-down screw is threaded with second hold-down nut, and the maximum outside diameter of second hold-down screw is greater than the aperture of second installing hole.This coupling assembling can be fixed with upper shell and lower shell by stator is convenient, but and rotation of installing hole relative fixed nut and moving axially to a certain degree, so can not influence the oral cavity opening and closing.
The first above-mentioned stator is the U type, first edge that turns in first stator, two downward straight flange lower ends have; Described second stator is the U type, second edge that turns in second stator, two downward straight flange lower ends have.The design of this stator is by the buckle of edge, and it is firm to guarantee that stator combines with facing.
Above-mentioned telescopic right-hand member internal fixation has a cushion block that sleeve is closed.Cushion block can be strengthened telescopic intensity, prevents the sleeve distortion.
Because after this appliance is installed in the oral cavity in, inconveniently be arranged in the adjusting nut in oral cavity with the hands straightforward manipulation, with the minimum angles that adjustment is dehisced, at this reason, above-mentioned adjusting nut perisporium has a plurality of adjustment holes along its circle spacing.Like this, can insert in the described adjustment hole by the spanner pin during operation, pull the spanner pin then, realize adjustment, because the spanner pin exposes the outside, oral cavity in use, so adjust easy to operate this appliance minimum length to rotate adjusting nut.
This appliance in use, because oral cavity opening and closing extruding, being threaded between adjusting screw(rod) and the adjusting nut can be loosening, adjusting screw(rod) moves relative to sleeve, cause and to cause the appliance minimum length to shorten, influence therapeutic effect, at above-mentioned reason, a locking nut has been threaded on the above-mentioned adjusting screw(rod).By the locking of locking nut to adjusting nut, can prevent effectively that adjusting screw(rod) from moving relative to sleeve, make this appliance work process reliable and stable.
In like manner for ease of the operable lock jack panel, above-mentioned locking nut perisporium has a plurality of adjustment holes along its circle spacing.
Compared with prior art, the invention has the advantages that: during use the union joint on motion bar and the adjusting screw(rod) is fixed with the facing that is enclosed within on upper tooth and the lower tooth respectively, motion bar, the movable supporting that sleeve and adjusting screw(rod) are formed, upper tooth and lower tooth are supported, because their support, make and have a minimum clearance between upper tooth and the lower tooth at least, guarantee that promptly necessarily there is the angle of dehiscing in the oral cavity, and by adjusting screw(rod) and telescopic relatively rotating, can adjust adjusting screw(rod) and stretch into the interior length of sleeve, stretch into long more, then the minimum length of this appliance integral body is short more, and the minimum angles of dehiscing is more little, otherwise, the length of this appliance integral body is long more, and the minimum angles of dehiscing is big more.
Description of drawings
Fig. 1 is the perspective view of the embodiment of the invention;
Fig. 2 is the cutaway view of the embodiment of the invention;
Fig. 3 is a coupling assembling cutaway view in the embodiment of the invention;
Fig. 4 is the schematic perspective view of motion bar in the embodiment of the invention;
Fig. 5 is for being equipped with the sleeve schematic perspective view of adjusting nut in the embodiment of the invention;
The facing schematic perspective view that Fig. 6 in use uses for the embodiment of the invention;
The spanner pin schematic perspective view that Fig. 7 in use uses for the embodiment of the invention.
The specific embodiment
Embodiment describes in further detail the present invention below in conjunction with accompanying drawing.
Shown in 1~5, be a preferred embodiment of the present invention as shown in the figure.
A kind of adjustable oral cavity orthopedic appliance is characterized in that: this appliance includes motion bar 1, sleeve 2, adjusting nut 3 and adjusting screw(rod) 4, and these parts are generally made by titanium alloy or rustless steel.
Wherein, described motion bar 1 is shaft-like, and it axially has an axial through bore 11 along it, and the outer end of described motion bar 1 has first union joint 12, has first installing hole 121 on this first union joint 12.
Described sleeve 2 is cylindrical, and the inner of sleeve 2 has outer convex shoulder 21, and the internal fixation of sleeve 2 the inners has a cushion block 7 that sleeve 2 is closed, and this cushion block 7 is cylindric, and itself and sleeve 2 inwalls are fixed together by the mode of circumference welding; Described sleeve 2 inner activities are located in the motion bar 1, perforation 11 inner ends of described motion bar 1 have with described outside the convex shoulder 21 retainings interior omoplate 111 of joining, gear by outer convex shoulder 21 and interior omoplate 111 cooperates, and can prevent that sleeve 2 from skidding off from the left end of motion bar 1.
Described adjusting nut 3 is fixed on sleeve 2 left ends, and adjusting nut 3 perisporiums have a plurality of adjustment holes 31 along its circle spacing.
Described adjusting screw(rod) 4 outer ends have second union joint 41, have second installing hole 411 on this second union joint 41, and the threaded portion of adjusting screw(rod) 4 is inserted in the described sleeve 2 and with described adjusting nut 3 and is threaded; And the locking nut 8 that has been threaded on the adjusting screw(rod) 4 between second union joint 41 and the adjusting nut 3, and described locking nut 8 perisporiums have a plurality of adjustment holes 81 along its circle spacing.
In described first installing hole 121 first coupling assembling 5 is installed.Described first coupling assembling 5 comprises first stator 51, first hold-down nut 52 and first hold-down screw 53; Described first stator 51 roughly is the U type, first edge 511 that turns in 51 liang of downward straight flanges of first stator lower end has; Described first hold-down nut 52 is weldingly fixed on the outer face of described first stator 51,52 activities of first hold-down nut are located in described first installing hole 121, described first hold-down screw 53 is threaded with first hold-down nut 52, and the maximum outside diameter of first hold-down screw 53 is greater than the aperture of first installing hole 121.
In described second installing hole 411 second coupling assembling 6 is installed.Described second coupling assembling 6 comprises second stator 61, second hold-down nut 62 and second hold-down screw 63; Described second stator 61 roughly is the U type, second edge 611 that turns in 61 liang of downward straight flanges of second stator lower end has; Described second hold-down nut 62 is weldingly fixed on the outer face of described second stator 61,62 activities of second hold-down nut are located in described second installing hole 411, described second hold-down screw 63 is threaded with second hold-down nut 62, and the maximum outside diameter of second hold-down screw 62 is greater than the aperture of second installing hole 411.
The operation principle and the process of the embodiment of the invention are as follows.
Use comprises the steps:
1, prepare upper shell 9 and lower shell 10 according to patient's thread form, as shown in Figure 6, upper shell 9 and lower shell 10 are whole curved, and the cross section takes the shape of the letter U.
2, first stator 51 is fixing with upper shell 9, allow first hold-down nut 52 pass first installing hole 121 on the motion bar 1, first hold-down screw 53 being passed from the opposite side of first installing hole 121 tightens fixing with first hold-down nut 52 again, in like manner, second stator 61 is fixing with lower shell 10, allow second hold-down nut 62 pass second installing hole 411 on the adjusting screw(rod) 4, again second hold-down screw 63 is passed from the opposite side of second installing hole 411 and tighten fixing with second hold-down nut 62.Adjust adjusting nut 3, the length that adjusting screw(rod) 4 is entered in the sleeve 2 is satisfied the demand, and stops to regulate, and locking nut 8 is tightened towards adjusting nut 3 directions, locking relatively between adjusting screw(rod) 4 and the sleeve 2 again.
3, the upper shell 9 and the lower shell 10 that will be connected with this oral appliance is enclosed within respectively on upper teeth and the lower teeth.
Because the movable supporting that motion bar 1, sleeve 2 and adjusting screw(rod) 4 are formed supports upper tooth and lower tooth, because their support makes to have a minimum clearance between upper tooth and the lower tooth at least, guarantees that promptly necessarily there is the angle of dehiscing in the oral cavity.Also have since between sleeve 2 and the motion bar 1 for being slidingly connected, further do not open so do not influence the oral cavity, use this appliance neither to influence the normal opening and closing in oral cavity, the while makes the oral cavity that the opening angle of a minimum is necessarily arranged again.
When the minimum opening angle that will regulate the oral cavity, must unscrew locking nut 8 with spanner pin 13 earlier, as shown in Figure 7, insert adjustment hole 81 by spanner pin 13 again and rotate, make relatively rotating of adjusting screw(rod) 4 and sleeve 2, can adjust adjusting screw(rod) 4 and stretch into length in the sleeve 2, stretch into longly more, then the minimum length of this appliance integral body is short more, the minimum angles of dehiscing is more little, otherwise the length of this appliance integral body is long more, and the minimum angles of dehiscing is big more.
This appliance is particularly suitable for treating Primary snoring and light, moderate obstructive sleep respiratory disorder.

Claims (8)

1. adjustable oral cavity orthopedic appliance, it is characterized in that this appliance includes motion bar (1), sleeve (2), adjusting nut (3) and adjusting screw(rod) (4), wherein, described sleeve (2) activity is located in the axial through bore (11) of motion bar (1), and the interior omoplate (111) of axial through bore (11) inner end by inner outer convex shoulder (21) of sleeve (2) and described motion bar keep off mutually join spacing, described adjusting nut (3) is fixed on the outer end of sleeve (2), described adjusting screw(rod) (4) inserts in the described sleeve (2) and with adjusting nut (3) and is threaded, the outer end of described motion bar (1) has first union joint (12), and the outer end of adjusting screw(rod) (4) has second union joint (41).
2. adjustable oral cavity orthopedic appliance according to claim 1, it is characterized in that: have first installing hole (121) on described first union joint (12), have second installing hole (411) on described second union joint (41), be separately installed with first coupling assembling (5) and second coupling assembling (6) in described first installing hole (121) and second installing hole (411).
3. adjustable oral cavity orthopedic appliance according to claim 2, it is characterized in that: described first coupling assembling (5) comprises first stator (51), first hold-down nut (52) and first hold-down screw (53), described first hold-down nut (52) is fixed on the outer face of described first stator (51), first hold-down nut (53) activity is located in described first installing hole (121), described first hold-down screw (53) is threaded with first hold-down nut (52), and the maximum outside diameter of first hold-down screw (53) is greater than the aperture of first installing hole (121);
Described second coupling assembling (6) comprises second stator (61), second hold-down nut (62) and second hold-down screw (63), described second hold-down nut (62) is fixed on the outer face of described second stator (61), second hold-down nut (62) activity is located in described second installing hole (411), described second hold-down screw (63) is threaded with second hold-down nut (62), and the maximum outside diameter of second hold-down screw (63) is greater than the aperture of second installing hole (411).
4. adjustable oral cavity orthopedic appliance according to claim 3 is characterized in that: described first stator (51) is the U type, first edge (511) that turns in first stator (51) two downward straight flange lower ends have; Described second stator (61) is the U type, second edge (611) that turns in second stator (61) two downward straight flange lower ends have.
5. adjustable oral cavity orthopedic appliance according to claim 1 is characterized in that: the inner internal fixation of described sleeve (2) has a cushion block (7) that sleeve (2) is closed.
6. adjustable oral cavity orthopedic appliance according to claim 1 is characterized in that: described adjusting nut (3) perisporium has a plurality of adjustment holes (31) along its circle spacing.
7. according to the described adjustable oral cavity orthopedic appliance of arbitrary claim in the claim 1~6, it is characterized in that: a locking nut (8) has been threaded on the described adjusting screw(rod) (4).
8. adjustable oral cavity orthopedic appliance according to claim 7 is characterized in that: described locking nut (8) perisporium has a plurality of adjustment holes (81) along its circle spacing.
CN2008101206646A 2008-08-29 2008-08-29 Adjustable oral cavity orthopedic appliance Active CN101352383B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN2008101206646A CN101352383B (en) 2008-08-29 2008-08-29 Adjustable oral cavity orthopedic appliance

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN2008101206646A CN101352383B (en) 2008-08-29 2008-08-29 Adjustable oral cavity orthopedic appliance

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CN101352383A CN101352383A (en) 2009-01-28
CN101352383B true CN101352383B (en) 2010-11-03

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Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105899177B (en) * 2013-11-29 2020-09-11 雷克斯生物有限公司 Walking aid
CN110076743B (en) * 2019-04-30 2020-10-02 上海外高桥造船有限公司 Lengthened marking pen clip

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C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
C14 Grant of patent or utility model
GR01 Patent grant
TR01 Transfer of patent right

Effective date of registration: 20221019

Address after: 200011 No. 639, manufacturing Bureau Road, Shanghai, Huangpu District

Patentee after: SHANGHAI NINTH PEOPLE'S HOSPITAL SHANGHAI JIAOTONG University SCHOOL OF MEDICINE

Address before: 200011 Ninth People's Hospital of Shanghai Jiao Tong University, 639 manufacturing Bureau Road, Shanghai, China

Patentee before: Zhu Min

Patentee before: Shen Guocheng

TR01 Transfer of patent right