CN106473781A

CN106473781A - Forward moving device and its using method are carried on tongue

Info

Publication number: CN106473781A
Application number: CN201610370053.1A
Authority: CN
Inventors: 许自立
Original assignee: Individual
Current assignee: Individual
Priority date: 2015-08-31
Filing date: 2016-05-30
Publication date: 2017-03-08
Anticipated expiration: 2036-05-30
Also published as: CN106473781B; CN205831842U

Abstract

The present invention provides a kind of tongue above to put forward forward moving device and its using method, and it includes：One shank；One carries tongue；Whereby, tongue can be made above to carry forward moving device and to reach root of the tongue portion along oral cavity rear wall, without pushing away tongue toward in oral cavity, and energy appropriateness catches on the root of the tongue and up carries, and tongue is drawn toward outside oral cavity by facility, increase the space in oral cavity and throat portion, and then reach use and above there is splendid cannula-assisted effect and convenience.

Description

Forward moving device and its using method are carried on tongue

Technical field

The present invention is generally to refer to a kind of medical instrument, particularly relates to one kind and can easily open oral cavity after reach by referring on tongue With the respiratory airway space of bottleneck throat, thus become the optimal tongue that tracheal intubation environment is provided and above put forward forward moving device and its using method.

Background technology

Endotracheal intubation is by endotracheal tube, and direct oral cavity or nasal cavity are inserted into the tracheal strips of patient, to practice artificial respiration whereby or Pressurization oxygen supply, to maintain respiratory passage unblocked.

Though endotracheal intubation plays critically important role in the problem processing respiratory tract, in intubation, often due to sufferer Obesity, structural anomaly and using method improper, increased degree of difficulty during intubation, or even the throat to sufferer, air flue cause Great bodily injury, it is particularly important for therefore allowing tracheal intubation operation become simply.

Existing endotracheal intubation is commonly used laryngoscope (Laryngoscope) to operate with visible laryngoscope (Videolaryngoscope), It opens the method for air flue is that its front end is put into root of the tongue portion as far as possible, then pushes down tongue and pushes away toward front upper place, pulls open temporomandibular joint and closes Knot (TMJ), opens bottleneck throat space with this.Though this grade laryngoscope usual can open respiratory tract, however, still with the presence of disappearance, For example, in little chin, the sufferer such as obesity and lisper, in this narrow oral cavity space, the length of laryngoscope and radian set Put and often cannot go deep into very much, add that laryngoscope itself is subject to the restriction of its thickness and volume so as to can be first by tongue when stretching in oral cavity Head elapses inside, causes bottleneck throat position change, and space is reduced, and then tries to pull open bottleneck throat, this has technical often again Limitation in difficulty and the visual field, even if experienced doctor once completes the ratio of intubation often less than 90%, need to repeatedly attempt 95% about success rate can be reached, the success rate of new hand is just lower.Catheterization procedure not smoothly when, except causing cavity interior Outside the injury of tissue, also jeopardize the safety of patients ' lives, especially serious in the situation of intubation defeat.

Separately, endotracheal intubation also has the visual hard tube mirror (Videostylet) of borrow and fibre bronchus mirror (Fiberoptic scope) to assist To carry out intubation.However, visual hard tube mirror is directly to be put in the middle part of oral cavity by camera lens in the case of not opening bottleneck throat, therefore only Can see local nearby, and when it moves ahead above tongue often can by it together toward in throat elapse, change the normal of bottleneck throat Construction, and because it does not first open the space in front, camera lens is subjected to the impact of saliva, causes image fog unclear, hold very much Orientation and direction are easily lost, so success rate is not high；And fibre bronchus mirror is big because of volume, fairly time consuming using process, price is again expensive, And fragile, but learning time is long, is generally only just adopted in difficult intubation, and also often need to repeatedly attempt just can success.Institute To borrow both (visual hard tube mirror and fibre bronchus mirrors) to carry out endotracheal intubation, also substantially lack with the presence of it, and have in the lump in addition The necessity improved.Therefore, how to improve the problem of existing endotracheal intubation operation this grade disappearance upper, should be industry should make great efforts to solve, The important directions overcoming.

Tongue cannot smoothly be processed for auxiliary implement needed for aforementioned endotracheal intubation to open bottleneck throat, its key issue is front Take off utensil and lack the effect with the effective constitution design that can above carry tongue and reach tongue and economic benefits and social benefits combination in operating process.And Operation due to above carrying tongue and reach tongue need to further consider to propose the force property design of tongue utensil, and suitable after force Degree micro-deformation considers, tongue just can be made above to carry forward moving device and reach action effect expected from it, therefore how to give on tongue in advance Move the simultaneously convenient emphasis combining the operation above carrying tongue and reach tongue, being the technical characteristic design of the present invention of device.

In view of auxiliary implement needed for existing endotracheal intubation, it does not attain ideal using in upper shortcoming and its structure design to the present inventor The fact, the present inventor is to set about researching and developing its solution according to clinical experience it would be desirable to develop a kind of more effective property, just Profit and meet human body operate engineering tongue above put forward forward moving device structure, to promote the development of this industry, then through many when design and have The generation of the present invention.

Content of the invention

The purpose of the present invention is to provide a kind of tongue above to put forward forward moving device and its using method, and it can be using its camber and appropriateness deformation Design, enables tongue above to carry forward moving device and reaches root of the tongue portion along oral cavity rear wall, without pushing away forward tongue, and appropriateness can catch on tongue Root, very convenient naturally tongue is pulled toward outside mouth, thus the space in oral cavity and throat portion is significantly increased, and its appropriate micro-deformation Design can coordinate human body operation engineering, make force direction be obedient to tongue muscle and naturally move towards, pulls up past for tongue, forward easily Move, and then reach use and above there is splendid cannula-assisted effect and convenience.

The present invention is to reach the technological means that above-mentioned purpose adopted to include：One shank, connects section including a shank, and this shank connects section tool There is a shank end；One carries tongue, and the tongue section that carries including a curved tabular has one and puies forward tongue origin or beginning, and one carries tongue end.

Described carry tongue section curved flat board strip and thickness is homogeneous.

The described width putting forward tongue section connects section more than this shank.

Described tongue above carries forward moving device and has further included a connecting portion, and this connecting portion has a linkage section, and this linkage section is provided with connection It is connected to this in the connection origin or beginning and that this shank connects section shank end and carry the connection end that tongue section puies forward tongue origin or beginning.

Described shank connects section and puies forward tongue section with this is integrally formed with this linkage section, for operating with.

The described tongue section width that carries is more than this linkage section.

The width of described linkage section connects section less than this shank and this puies forward tongue section.

The camber line distance of described linkage section carries the 1/3 of tongue section less than this.

Described connecting portion connect section by one first group and one second group connect section and combine, this first group connects section and is connected to this shank and connect Section, and this second group connects section and is connected to this and put forward tongue section.

Described this first group connects section and is formed with a convex fitting, and this second group connects section and be formed with a recessed fitting, and this first group connects section It is combined into this connecting portion so that this convex fitting is plugged with this second group recessed fitting connecing section.

Described linkage section is a curve, and the curvature that it puies forward tongue section with this is in the curve of contrary pass.

Described tongue above carries forward moving device and is provided with least one reinforced ribs in its back side, to strengthen its intensity.

Described connect this to put forward tongue origin or beginning and this line segment of carrying tongue end be a comparison string, and it is default that this shank connects section this comparison string relatively Bend to variously-shaped in the range of 60 degree to 210 degree, this comparison string has a perpendicular bisector, this perpendicular bisector passes through this comparison string and is somebody's turn to do Put forward the arc deep length that the longest distance between 2 points of tongue section is that this puies forward tongue section, the ratio set that this arc deep length compares string with this exists Between 1/4～1/2.

Described put forward tongue section there is a width include portion, the width that this width includes portion puies forward tongue section more than this, and this carries tongue Duan Yiyi and includes end even It is connected to this width and includes portion, this width includes portion and is provided with most convex grains in its arc concave surface.

Described put forward tongue section and include a width and connect the narrow of section less than this shank connect section, and this narrow meet Duan Yiyi and include end and connect this carry Other sections of tongue section.

The described tongue section that carries is provided with most convex grains.

The present invention is to shift to an earlier date shifting method on the tongue reach above-mentioned purpose, and the method is above to carry forward moving device by means of a tongue to be operated, and This tongue above carries forward moving device one end and has a shank, and the other end has one and puies forward tongue section, and includes：This is made to carry tongue with this shank hand-held Section reaches the root of the tongue portion of tongue and so as to pushing down root of the tongue portion along oral cavity rear wall；This is put forward tongue section appropriateness and catches on root of the tongue portion, will with facility Tongue up carries and pulls toward outside oral cavity；Continuing, by this shank, toward outside oral cavity and past this carries tongue section direction and carries out force pull, to open And increase the space in oral cavity and throat portion.

Be hereby the technical characteristic making the present invention and the effect reached more have further understand and understanding, sincerely help with preferably real Apply illustration and cooperation detailed description, division as after.

Brief description

Fig. 1 is the schematic perspective view one of first embodiment of the invention；

Fig. 2 is the side schematic view of first embodiment of the invention；

Fig. 3 A is first embodiment of the invention, makes the schematic diagram of the first 180 degree angle aspect；

Fig. 3 B is first embodiment of the invention, makes the schematic diagram of 210 degree of angle aspects of second；

Fig. 3 C is first embodiment of the invention, makes the schematic diagram of the third 150 degree of angle aspects；

Fig. 3 D is first embodiment of the invention, makes the schematic diagram of the 4th kind of 135 degree of angle aspects；

Fig. 3 E is first embodiment of the invention, makes the schematic diagram of the 5th kind of 120 degree of angle aspects；

Fig. 3 F is first embodiment of the invention, makes the schematic diagram of the 6th kind of an angle of 90 degrees aspect；

Fig. 4 A to Fig. 4 E is the schematic diagram one to five of the clinical intubation step of first embodiment of the invention；

Fig. 5 makes the schematic diagram of 210 degree of angle aspect operation instructions for first embodiment of the invention；

Fig. 6 makes the schematic diagram of 60 degree of angle aspect operation instructions for first embodiment of the invention；

The clinical intubation that Fig. 7 A to Fig. 7 C makes intimate an angle of 90 degrees aspect for first embodiment of the invention simplifies step schematic diagram One to three；

Fig. 8 is the schematic perspective view of second embodiment of the invention；

Fig. 9 is the another schematic perspective view of second embodiment of the invention；

Figure 10 is the exploded perspective view of third embodiment of the invention；

Figure 11 is the combination stereogram of third embodiment of the invention；

Figure 12 is the axonometric chart of fourth embodiment of the invention；

Figure 13 is the another axonometric chart of fourth embodiment of the invention；

Figure 14 is the axonometric chart of fifth embodiment of the invention；

Figure 15 is the axonometric chart of sixth embodiment of the invention；

Figure 16 is the axonometric chart of seventh embodiment of the invention；

Figure 17 is the axonometric chart of eighth embodiment of the invention.

Specific embodiment

As shown in figure 1, being first embodiment of the invention axonometric chart, tongue carrying forward moving device and includes a shank 10, a connecting portion 20 And one carry tongue 30.

Shank 10 includes a shank and connects section 11, and connect the parallel shank side of section 11 with shank and prolongs section 13 and a shank bending segment 12, Shank bending segment 12 is to connect with both sides that shank connects section 11, shank side prolongs section 13 respectively.The shank of shank 10 connects the length of section 11 about For the length of operator's palm, and there is a shank end 111.

Shank 10 in the present embodiment at least includes pelmatozoa and connects section 11, and chooses whether according to need including shank bending segment 12 and handle Portion prolongs side section 13, and shank 10 can be available for, using other, the structure that suitably grips, does not limit shank 10 structure in the present embodiment.

Connecting portion 20 includes a curved linkage section 21, and linkage section 21 two ends are respectively one and connect origin or beginning 211 and a connection end 212, connect origin or beginning 211 and connect shank end 111；Connection end 212 is connected to and carries tongue 30.

The shape of the linkage section 21 in the present embodiment distinctly can individually make a curved section (as schemed according to the needs on actual job Shown in 3A～Fig. 3 E) or a straightway (as illustrated in Figure 3 F) or make in figure other feasible shapes not illustrated according to actually used demand Shape.

Carry tongue 30 and include one and put forward tongue section 31, putting forward tongue section 31 is the arc component made with flat board strip material, have one and carry tongue and rise End 311 and one carries tongue end 312, puies forward tongue origin or beginning 311 and is connected to connection end 212.

Put forward tongue section 31 and be shaped to that one is curved and the flat board long ribbon shape of consistency of thickness, the short end 316 of its both sides is two parallel lines, and carries Tongue section 31 two ends respectively one put forward tongue origin or beginning 311 and and carry tongue end 312, and can put forward the structure of flat board long ribbon shape of tongue section 31 itself Required angle (as shown in Figure 2) is given tacit consent in bending out of the ordinary.

Put forward tongue section 31 and be connected to connection end 212 to put forward tongue origin or beginning 311, and carrying tongue end 312 is an open end (as Fig. 1 and Fig. 2 Shown).Linkage section 21 is a curved section, and the curvature of linkage section 21 is in contrary setting with the curvature carrying tongue 30.

Furthermore, connect the line segment carrying tongue section 31 two ends, i.e. connection carries tongue end 312 and is formed with a comparison to putting forward 311 two points of tongue origin or beginning String X.Comparison string X can and shank connect between the shank end 111 of section 11 default bend to 60-210 degree scope variously-shaped (such as Shown in Fig. 3 A～Fig. 3 F, Fig. 5, Fig. 6).

Putting forward tongue section 31 to the longest vertical dimension between comparison string X is arc deep length Y carrying tongue 30.Linkage section 21 and shank connect Section 11, put forward tongue section 31 and be connected.

In the present embodiment, carry the circular arc carrying the circular arc that tongue section 31 is circle or ellipse of tongue 30, string X is than corresponding circle for comparison Diameter circular arc or than corresponding transverse circular arc length be little.Through inventor's implementation and result of the test, the curve of linkage section 21 Section is to be preferred less than carrying the 1/3 of tongue section 31 length.Arc deep length Y carrying tongue 30 and the ratio (Y/X) compareing string X, because making The difference with object is different, its difference value is to be preferred between 1/4～1/2.In general, the length of comparison string X is used for baby About 5～7 centimeters of youngster, for about 7～9 centimeters of child, and is used for adult and is about 9～13 centimeters.

Refer to Fig. 3 A～Fig. 3 E and Fig. 4 A～Fig. 4 E, be that in first embodiment of the invention, tongue above carries forward moving device first to the 5th Plant the schematic diagram of aspect, that is, the linkage section 21 of first to the 5th kind of aspect is to be configured to curvilinear lengths, make on each tool tongue in advance Move device linkage section 21 when making, its prefabricated bending angle scope can distinctly shape between the angle of an angle of 90 degrees～210 degree, i.e. this angle In the range of each of distinctly make the tongue of angle and above carry forward moving device and all belong to feasible.

When carrying out operation application, the hand-held shank of operator 10 (shank connects section 11) makes to carry tongue end 312 (putting forward tongue section 31) along disease The oral cavity rear wall suffering from P reaches the root of the tongue portion (as shown in Figure 4 A) of tongue P1, can borrow put forward tongue section 31 to carry tongue end in its operating process Hold appropriateness at 312 to catch on the root of the tongue, and tongue P1 is pulled (as shown in Figure 4 B) toward outside oral cavity by facility.

Continuing, toward outside oral cavity and the past recessed direction of arc carrying tongue 30 carries out force and draws for the hand-held shank of operator 10 (shank connects section 11) When drawing (as shown in Figure 4 C), put forward the natural trend that tongue section 31 can make force direction be compliance tongue muscle, and easily that tongue is past Pull-up, toward reach, so can open and increase the space in oral cavity and throat portion, make an endoscope conduit A can smoothly insert oral cavity Interior, and so that the front-end A 1 of endoscope conduit A is advantageously inserted and be placed in desired tram (as shown in Figure 4 E).

Because endoscope conduit or endotracheal intubation need to can be only achieved smoothly intubation effect by referring to reach on tongue, and in tongue Above carry forward moving device on refer to and can make linkage section 21 in reach operating process and put forward tongue section 31 naturally produce denier because of material appropriate Elastic deformation, operates engineering and the muscle of tongue P1 naturally to move towards to adapt to human body, enables and reach splendid using effect.

As shown in Fig. 3 E, Fig. 6 and Fig. 7 A～Fig. 7 C, it is the 6th kind of aspect that in first embodiment of the invention, tongue above carries forward moving device Schematic diagram, that is, its linkage section 21 make straightway, make each tool tongue above carry forward moving device linkage section 21 make when, its bending angle Various different single angle in the range of 60 degree of angle～an angle of 90 degrees for the predeterminable one-tenth of degree scope, makes on made each tool tongue The angle carrying forward moving device all belongs to feasible in this angular range.Thus, carry out operation application when, its operational scenario, step and Its human body is operated engineering and the muscle to tongue P1 naturally move towards produced by effect, in addition to angle change scope is different, its Remaining explanation is all identical with the first angle change scope above-mentioned, and for the sake of simplifying explanation, relevant explanation is omitted.

Refer to Fig. 8, be the axonometric chart of second embodiment of the invention, its primary structure is all identical with first embodiment and is marked with identical Symbol and the description thereof will be omitted.

It is to be formed with reinforced ribs 40 on the back side of its shank 10 overbending direction that the tongue of second embodiment above carries forward moving device, or As shown in Figure 9, overleaf both sides are respectively provided with reinforced ribs 40, above put forward the intensity when operating with for the forward moving device in order to strengthen tongue.

Refer to Figure 10, Figure 11, be exploded perspective view and the combination stereogram of third embodiment of the invention, its primary structure all with First embodiment is identical and is marked with same-sign and the description thereof will be omitted.

Connecting portion 20A, compared with the connecting portion 20 of first embodiment, is to meet section 221A by be divided into two sections first group to connect with second group Section 222A is formed, and first group connects section 221A and second group and connect and be connected to shank on section 222A and connect section 11 and put forward tongue section 31.

First group meets a section 221A and is formed with a convex fitting 231A, and second group meets a section 222A and be formed with a recessed fitting 232A, convex fitting 231A can plug with recessed fitting 232A and be combined into one, so that first group is met section 221A and connect with second group with convex fitting 231A The recessed fitting 232A of end section 222A plugs and is combined into connecting portion 20A, make to move in advance on the tongue in the present embodiment utensil has can Convenient manufacture, packed and transported or the using effect disassemble, assembling.

Refer to Figure 12, be the axonometric chart that tongue of the present invention above puies forward forward moving device fourth embodiment, its primary structure is all implemented with first Example is identical and is marked with same-sign and the description thereof will be omitted.

In fourth embodiment carry tongue 30A carry that tongue section 31A is wider than first embodiment put forward tongue section 31, and put forward tongue section 31A and carrying It is formed with one at tongue origin or beginning 311 and includes end 314A, to be connected to the connection end 212 of connecting portion 20, and carry the width of tongue section 31A Width also greater than linkage section 21.

The end 314A that includes in the present embodiment removes as shown in Figure 12 slightly in flat segments it is also possible to slightly incline in one as shown in Figure 13 Tiltedly section.

Refer to Figure 14, be the axonometric chart that tongue of the present invention above puies forward forward moving device the 5th embodiment, its primary structure is all implemented with first Example is identical and is marked with same-sign and the description thereof will be omitted.The tongue 30B that carries of the present embodiment carries the arc concave surface 313B of tongue section 31B in it It is provided with most convex grain 32B, in order to prevent tongue from producing sliding phenomenon in operation.

Refer to Figure 15, be the axonometric chart of sixth embodiment of the invention, its primary structure is all identical with the 5th embodiment and is marked with phase With symbol and the description thereof will be omitted.

In the present embodiment carry tongue 30C carry tongue section 31C near its carry the back segment of tongue end 312 to both sides extend be formed with one Width includes portion 33C, makes the width that width includes portion 33C be more than other sections putting forward tongue section 31C.Putting forward tongue section 31C is to include end 314C with one It is connected to width and includes portion 33C, and width includes the arc concave surface 330C of portion 33C and is provided with most convex grain 32C.

Refer to Figure 16, be seventh embodiment of the invention axonometric chart, its primary structure is all identical with sixth embodiment and is marked with identical Symbol and the description thereof will be omitted.

The tongue 30D that carries of the present embodiment has and includes portion 33C with sixth embodiment identical width, and carries tongue 30D and include portion 33C in width In addition carry tongue section 31D other parts all reduce so as to width be less than sixth embodiment put forward tongue section 31C.

Tongue section 31D that carries carrying tongue 30D to reduce is connected to connecting portion 20D, and the linkage section 21D of connecting portion 20D has and puies forward tongue section 31D identical width.Shank 10D is met section 11D with its shank and is connected with linkage section 21D, and meets section 11D and linkage section in shank 21D junction can also reduce width to linkage section 21D, to put forward tongue section 31D identical, makes tongue of the present invention above carry forward moving device more Lightly it is easy to operate with.

Refer to Figure 17, be eighth embodiment of the invention axonometric chart, its primary structure is all identical with first embodiment and is marked with identical Symbol and the description thereof will be omitted.

The tongue 30E that carries in the present embodiment connects section carrying the leading portion of tongue origin or beginning 311 and be inwardly reduced to the narrow of narrower width near it 315E, the narrow section 315E width that connects connects section 11 and linkage section 21 less than shank, and the narrow section 315E that connects includes end 314E connection and handle with one The linkage section 21 of portion 10 same widths and carry other sections of tongue section 31E, makes tongue of the present invention above carry forward moving device and is more lightly easy to operate Use.

Tongue of the present invention above carries forward moving device by above-mentioned composition, tongue can be enable above to carry forward moving device edge using the design of its special shape Oral cavity rear wall reaches root of the tongue portion, without promoting tongue toward in oral cavity, and appropriateness can catch on root of the tongue portion, and facility is past by tongue Draw outside mouthful, increase the space in oral cavity and throat portion, and the design of its special shape can coordinate human body operation engineering, makes on tongue of the present invention Put forward the natural trend that forward moving device force direction is obedient to tongue muscle, easily by tongue toward pull-up, toward reach, and then reach using upper There is splendid cannula-assisted effect and convenience.

Shifting method is shifted to an earlier date on tongue of the present invention, the method is that have a shank by means of one and tongue that arc recess is connected above carries forward moving device Operated, and included：(1) first tongue is made above to carry forward moving device front end arc recess along the oral cavity rear wall arrival of sufferer with hand-held shank The root of the tongue portion of tongue, and push down root of the tongue portion by means of moving arc recess in advance on tongue；(2) secondary tongue is above carried forward moving device front end arc recess Appropriateness catches on root of the tongue portion, is up carried tongue and is pulled toward outside oral cavity with convenient；(3) continue shank toward outside oral cavity and toward on tongue Carry forward moving device arc recess direction and carry out force pull, increase the space in oral cavity and throat portion to open.

The above is only the preferred embodiment of the present invention it is noted that for those skilled in the art, Without departing from the principles of the invention, some improvements and modifications can also be made, these improvements and modifications also should be regarded as the present invention Protection domain.

Claims

1. a kind of tongue above carries forward moving device, and it includes：

One shank (10), connects section (11) including a shank, and this shank connects section (11) and has a shank end (111)；

One carries tongue (30), and the tongue section (31) that carries including a curved tabular has one and puies forward tongue origin or beginning (311), and one carries tongue end (312).

2. tongue according to claim 1 above carry forward moving device it is characterised in that：This puies forward the curved flat board strip of tongue section (31) and thickness Degree is homogeneous.

3. tongue according to claim 1 above carry forward moving device it is characterised in that：The width that this puies forward tongue section (31) connects more than this shank Section (11).

4. tongue according to claim 1 above carry forward moving device it is characterised in that：This tongue above carries forward moving device and has further included one even Socket part (20), this connecting portion (20) has a linkage section (21), this linkage section (21) be provided be connected to this shank connect section (11) shank end The connection origin or beginning (211) and one at end (111) is connected to this and carries the connection end (212) that tongue section (31) puies forward tongue origin or beginning (311).

5. tongue according to claim 4 above carry forward moving device it is characterised in that：This shank connects section (11) and puies forward tongue section (31) with this and is Integrally formed with this linkage section (21), for operating with.

6. tongue according to claim 5 above carry forward moving device it is characterised in that：This carries tongue section (31) width and is more than this linkage section (21).

7. tongue according to claim 5 above carry forward moving device it is characterised in that：The width of this linkage section (21) connects less than this shank Section (11) and this put forward tongue section (31).

8. tongue according to claim 5 above carry forward moving device it is characterised in that：The camber line distance of this linkage section (21) carries less than this The 1/3 of tongue section (31).

9. tongue according to claim 5 above carry forward moving device it is characterised in that：This connecting portion (20A) connects section by one first group (221A) and one second group connect section (222A) and combine, this first group connects section (221A) and is connected to this shank and connect section (11), and is somebody's turn to do Second group connects section (222A) and is connected to this and put forward tongue section (31).

10. tongue according to claim 9 above carry forward moving device it is characterised in that：This first group connects section (221A) to be formed with one convex Fitting (231A), this second group connects section (222A) and is formed with a recessed fitting (232A), and this first group is connect section (221A) and convex connect with this Part (231A) and this second group recessed fitting (232A) connecing section (222A) plug and are combined into this connecting portion (20A).

11. tongues according to claim 4 or 5 above carry forward moving device it is characterised in that：This linkage section (21) be a curve, its with The curvature that this puies forward tongue section (31) is in the curve of inverse relationship.

12. tongues according to claim 1 or 4 or 5 above carry forward moving device it is characterised in that：This tongue above carries forward moving device and carries on the back in it Face is provided with least one reinforced ribs (40), to strengthen its intensity.

13. according to claim 1 or 5 tongue above carry forward moving device it is characterised in that：Connect this to put forward tongue origin or beginning (311) and be somebody's turn to do The line segment carrying tongue end (312) is comparison string (X), and this shank connects section (11) relatively this comparison string (X) to be preset and bend to 60 degree Variously-shaped in the range of 210 degree.

14. tongues according to claim 13 above carry forward moving device it is characterised in that：This comparison string (X) has a perpendicular bisector, should Perpendicular bisector passes through this comparison string (X) and this puies forward longest distance between (31) two points of tongue section and puies forward the arc deep length of tongue section (31) for this (Y), this arc deep length (Y) compares the ratio set of string (X) between 1/4～1/2 with this.

15. according to claim 1 or 5 tongue above carry forward moving device it is characterised in that：This puies forward tongue section (31C) and has a width and includes portion (33C), this width includes the width in portion (33C) and puies forward tongue section (31C) more than this, and this puies forward tongue section (31C) and include end (314C) with one and connects Include portion (33C) in this width.

16. tongues according to claim 15 above carry forward moving device it is characterised in that：This width includes portion (33C) in its arc concave surface (330C) It is provided with most convex grains (32C).

17. according to claim 1 or 5 tongue above carry forward moving device it is characterised in that：This puies forward tongue section (31E) and includes a width Connect the narrow of section (11) less than this shank and connect section (315E), and this narrow connect section (315E) and include end (314E) with one and connect this put forward tongue section (31E) other sections.

18. according to claim 1 or 5 tongue above carry forward moving device it is characterised in that：This puies forward tongue section (31) and is provided with most convex grains (32B).

Shifting method is shifted to an earlier date on a kind of 19. tongues it is characterised in that the method is above to carry forward moving device by means of a tongue to be operated, and should Forward moving device one end is carried on tongue there is a shank (10), the other end has one and puies forward tongue section (31), and includes：

Make this put forward tongue section (31) with this shank hand-held and reach the root of the tongue portion of tongue (P1) and so as to pushing down root of the tongue portion along oral cavity rear wall；

This is put forward tongue section (31) appropriateness and catches on root of the tongue portion, tongue (P1) is up carried and pulls toward outside oral cavity with convenient；

Continuing, by this shank, toward outside oral cavity and past this carries tongue section (31) direction and carries out force pull, to open and to increase oral cavity and throat portion Space.