CN116712118A - Tongue traction device - Google Patents

Abstract

The application relates to a tongue traction device, which comprises a tongue implant, a traction wire, a traction mechanism and an adjusting mechanism, wherein the tongue implant is used for being implanted into a tongue body of a patient, and one end of the traction wire is connected with the tongue implant. The traction mechanism is used for being implanted into the chin of the patient and comprises a first shell and a winding shaft rotatably arranged in the first shell, and the winding shaft is connected with the traction wire. The adjusting mechanism is used for driving the winding shaft to rotate relative to the first shell so as to enable the winding shaft to wind or release the traction wire. The tongue traction device can adjust the tension degree of tongue traction after operation, and improves the postoperative curative effect.

Description

Tongue traction device

Technical Field

The application relates to the technical field of medical appliances, in particular to a tongue traction device.

Background

OSAHS (Obstructive sleep apnea-hypopnea syndrome ) is a sleep disordered breathing disease characterized clinically by snoring, apnea, intermittent hypoxia and sleep disturbances due to collapse and blockage of the upper airway during sleep. OSAHS can cause damage to heart and cerebral vessels, endocrine and other organs, is an independent risk factor and source disease of various systemic diseases such as hypertension, coronary heart disease, diabetes, cerebrovascular accident and the like, and is closely related to sudden sleep death.

The important etiology of OSAHS is the laxity and collapse of the planar soft tissues of the palatopharyngea and glossopharynga, which are caused by the hyperplasia of the soft palate prolapse mucosa, the relaxation of the glossoche body, the falling back or the decline of the neuromuscular regulating function in the sleeping process, resulting in the stenosis or obstruction of the airway. The treatments for OSAHS are numerous, but most treatments are not ideal and are very invasive. The search for a minimally invasive and effective surgical method is an important subject of the current sleep medical research. Tongue root pulling is a relatively minimally invasive treatment method, but in the related art, the instruments used for the tongue root pulling are complex, so that the operation wound is large, and the pulling tightness is difficult to adjust after the operation, so that the treatment effect is poor.

Disclosure of Invention

Accordingly, it is necessary to provide a tongue traction device which has a simple structure and can adjust the tightness of tongue traction according to the requirement, thereby achieving a better therapeutic effect.

A tongue pulling device comprising:

a tongue implant for implanting a tongue body;

a pull wire, one end of which is connected to the tongue implant;

the traction mechanism comprises a first shell and a winding shaft rotatably arranged in the first shell, and the winding shaft is connected with the traction wire; and

and the adjusting mechanism is used for driving the winding shaft to rotate so as to enable the winding shaft to wind or release the traction wire.

The technical scheme is further described as follows:

in one embodiment, the winding shaft includes:

a clamping groove is formed in one end of the rotating shaft, the clamping groove extends along the axial direction of the rotating shaft and penetrates through two sides of the rotating shaft along the radial direction of the rotating shaft, and one end, far away from the tongue implant, of the traction wire is connected into the clamping groove; and

the fastening sleeve is detachably connected to one end of the rotating shaft, which is provided with the clamping groove.

In one embodiment, the first housing is provided with a containing groove with an opening, the winding shaft is movably arranged in the containing groove, one end, close to the opening, of the winding shaft is provided with a first matching part, the adjusting mechanism comprises a screwdriver piece, one end of the screwdriver piece is provided with a second matching part, the second matching part can penetrate through the opening and is detachably connected with the first matching part, and the winding shaft can be driven to rotate by rotating the screwdriver piece.

In one embodiment, one of the first mating portion and the second mating portion is provided with a mating groove for the other to insert, a groove wall of the mating groove is provided with an internal thread, and the other is provided with an external thread matched with the internal thread.

In one embodiment, the winding shaft is provided with a first anti-reverse tooth, a second anti-reverse tooth matched with the first anti-reverse tooth is arranged in the accommodating groove, the winding shaft is provided with a unidirectional rotation state when the first anti-reverse tooth is clamped with the second anti-reverse tooth, and a bidirectional rotation state when the first anti-reverse tooth is separated from the second anti-reverse tooth, and the screwdriver piece can drive the winding shaft to move along the axial direction so as to enable the winding shaft to be converted between the unidirectional rotation state and the bidirectional rotation state.

In one embodiment, the pulling mechanism further includes an in-vivo magnetic control disc and a first transmission assembly, the in-vivo magnetic control disc is rotatably arranged in the first housing, a first magnet is arranged on the in-vivo magnetic control disc, the first transmission assembly is connected with the in-vivo magnetic control disc and the winding shaft, and the first transmission assembly is used for driving the winding shaft to rotate when the in-vivo magnetic control disc rotates; the adjusting mechanism comprises a body surface magnetic control disc, the body surface magnetic control disc is provided with a second magnet which can attract the first magnet, and the body surface magnetic control disc can be rotated to drive the in-vivo magnetic control disc to rotate.

In one embodiment, the first transmission assembly includes:

the first output shaft penetrates through the center of the internal magnetic control disc and can synchronously rotate with the internal magnetic control disc, and a first gear is connected with the first output shaft;

the second gear is meshed with the first gear;

the first worm is coaxially arranged with the second gear; and

and the first worm wheel is connected with the winding shaft and meshed with the first worm.

In one embodiment, the adjustment mechanism comprises:

a motor disposed within the first housing; and

the second transmission assembly is connected with the rotating shaft of the motor and the winding shaft, so that the winding shaft is driven to rotate when the rotating shaft of the motor rotates.

In one embodiment, the second transmission assembly includes:

the output gear is connected with the rotating shaft of the motor;

a third gear meshed with the output gear;

a fourth gear meshed with the third gear;

the second worm is coaxially arranged with the fourth gear; and

and the second worm wheel is connected with the winding shaft and meshed with the second worm.

In one embodiment, the tongue traction device further comprises an in vivo regulatory mechanism comprising:

a second housing;

the battery is arranged in the second shell and is electrically connected with the motor; and

and the control module is electrically connected with the battery and the motor and is used for controlling the working state of the motor.

In one embodiment, the in-vivo regulation and control mechanism further comprises a communication module, the communication module is arranged in the second shell and is electrically connected with the control module, the tongue traction device further comprises an in-vitro remote controller, the in-vitro remote controller is in wireless communication connection with the communication module, and the in-vitro remote controller is used for sending a control signal to the control module so that the control module can control the working state of the motor.

In one embodiment, the in-vivo regulation mechanism further comprises a non-contact charging module, wherein the non-contact charging module is arranged in the second shell and is electrically connected with the battery; the tongue traction device further comprises an external charging device which can be electromagnetically induced with the non-contact charging module to charge the battery.

In one embodiment, the in-vivo regulation mechanism further comprises a monitoring module, wherein the monitoring module is arranged in the second shell and is electrically connected with the control module, and the monitoring module is used for monitoring physiological information of a target and controlling the working state of the motor according to the physiological information.

In one embodiment, the tongue traction device further comprises a pressure sensor, wherein the pressure sensor is connected with the traction wire and is used for acquiring the tightness of the traction wire; and/or the number of the groups of groups,

the tongue traction device further comprises an oxygen saturation sensor, wherein the oxygen saturation sensor is used for acquiring an oxygen saturation signal of a target; and/or the number of the groups of groups,

the tongue traction device further comprises a snore sensor, wherein the snore sensor is used for acquiring a snore signal of a target; and/or the number of the groups of groups,

the tongue traction device further comprises an electrocardio sensor, wherein the electrocardio sensor is used for acquiring an electrocardio signal of a target; and/or the number of the groups of groups,

the tongue traction device further comprises a body position sensor, wherein the body position sensor is used for acquiring a body position signal of a target; and/or the number of the groups of groups,

the tongue traction device further comprises a chest cavity pressure sensor, wherein the chest cavity pressure sensor is used for acquiring a chest cavity pressure signal of a target.

In one embodiment, the tongue traction device further comprises an electrical stimulation mechanism comprising:

an electrode for implantation into genioglossus muscle or hypoglossal nerve; and

and the electric stimulation module is electrically connected with the electrode and is used for controlling the electrode to release electric stimulation.

In one embodiment, the first housing is provided with a mounting hole for threading a fastener to fix the first housing; and/or, the first shell is provided with a closed channel for the traction wire to penetrate.

In one embodiment, the number of the tongue implants is plural, the plural tongue implants are used for being implanted in the tongue body at intervals, each tongue implant is connected with the traction wire, and one end of all the traction wires far away from the tongue implants is connected to the winding shaft.

When the tongue traction device is clinically used, a small incision is made on the skin of the chin of the lower jaw, a tongue implant connected with a traction wire is implanted into the back of the tongue and the submucosal of the tongue root of a patient through a special surgical instrument, a traction mechanism is implanted into the chin of the lower jaw of the patient, and the other end connected with the traction wire of the tongue implant is connected with a winding shaft of the traction mechanism, so that the tongue body can be pulled, the gap between the back air passages of the tongue is enlarged, and smooth breathing of the patient during sleeping is ensured. And the rolling shaft is rotatably arranged in the first shell, and the adjusting mechanism can drive the rolling shaft to rotate, so that when the postoperative reexamination is performed, if the curative effect cannot reach the expected effect, the rolling shaft is driven by the adjusting mechanism to rotate relative to the first shell, the rolling shaft can roll or release the traction wire, the tightness of tongue traction is adjusted, and the postoperative curative effect is improved.

Drawings

The accompanying drawings, which are included to provide a further understanding of the application and are incorporated in and constitute a part of this specification, illustrate embodiments of the application and together with the description serve to explain the application.

In order to more clearly illustrate the technical solutions of the embodiments of the present application, the drawings required for the description of the embodiments will be briefly described below, and it is apparent that the drawings in the following description are only some embodiments of the present application, and other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.

Moreover, the figures are not drawn to a 1:1 scale, and the relative sizes of various elements are merely exemplary in the figures, and are not necessarily drawn to true scale. In the drawings:

fig. 1 is a schematic structural view of a tongue pulling device of a first embodiment.

Fig. 2 is a schematic structural view of a pulling mechanism of the tongue pulling device shown in fig. 1.

FIG. 3 is an exploded view of the tongue pulling mechanism shown in FIG. 2.

Fig. 4 is a schematic diagram illustrating the cooperation between a winding shaft and a pulling wire according to an embodiment.

Fig. 5 is a schematic structural view of a screwdriver member according to an embodiment.

Fig. 6 is a schematic structural view of a first anti-reverse tooth and a second anti-reverse tooth according to an embodiment.

Fig. 7 is a schematic structural view of a tongue pulling device of a second embodiment.

Fig. 8 is a schematic structural view of a pulling mechanism of the tongue pulling device shown in fig. 7.

FIG. 9 is a side view of the pulling mechanism shown in FIG. 8.

Fig. 10 is a schematic structural view of an adjusting mechanism of the tongue pulling device shown in fig. 7.

Fig. 11 is a side view of the adjustment structure shown in fig. 10.

Fig. 12 is a schematic structural view of a tongue pulling device of a third embodiment.

Fig. 13 is a schematic structural view of a pulling mechanism of the tongue pulling device shown in fig. 12.

FIG. 14 is a side view of the pulling mechanism shown in FIG. 13.

Reference numerals illustrate:

10. a tongue implant; 20. a pulling mechanism; 21. a first housing; 211. a receiving groove; 212. a second anti-reverse tooth; 213. a mounting hole; 22. a winding shaft; 221. a rotation shaft; 2211. a clamping groove; 2212. a first mating portion; 2213. a mating groove; 2214. a first anti-reverse tooth; 222. a fastening sleeve; 23. an in-vivo magnetic control disc; 231. a first magnet; 241. a first output shaft; 242. a first gear; 243. a second gear; 244. a first worm; 245. a first worm wheel; 25. a motor; 261. an output gear; 262. a third gear; 263. a fourth gear; 264. a second worm; 265. a second worm wheel; 30. a traction wire; 31. a clamping piece; 40. an adjusting mechanism; 41. a screwdriver piece; 411. a second mating portion; 412. a handle; 42. a body surface magnetic control disk; 421. a second magnet; 423. a knob; 43. an in vivo regulation mechanism; 431. a second housing; 50. an external remote controller; 61. an electrode; 62. a connecting wire; 71. a pressure sensor; 91. a tongue body; 92. chin portion of lower jaw.

Detailed Description

In order that the above objects, features and advantages of the application will be readily understood, a more particular description of the application will be rendered by reference to the appended drawings. In the following description, numerous specific details are set forth in order to provide a thorough understanding of the present application. The present application may be embodied in many other forms than described herein and similarly modified by those skilled in the art without departing from the spirit of the application, whereby the application is not limited to the specific embodiments disclosed below.

In the description of the present application, it should be understood that, if any, these terms "center", "longitudinal", "transverse", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "clockwise", "counterclockwise", "axial", "radial", "circumferential", etc., are used herein with respect to the orientation or positional relationship shown in the drawings, these terms refer to the orientation or positional relationship for convenience of description and simplicity of description only, and do not indicate or imply that the apparatus or element referred to must have a particular orientation, be constructed and operated in a particular orientation, and therefore should not be construed as limiting the application.

Furthermore, the terms "first," "second," and the like, if any, are used for descriptive purposes only and are not to be construed as indicating or implying a relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defining "a first" or "a second" may explicitly or implicitly include at least one such feature. In the description of the present application, the terms "plurality" and "a plurality" if any, mean at least two, such as two, three, etc., unless specifically defined otherwise.

In the present application, unless explicitly stated and limited otherwise, the terms "mounted," "connected," "secured," and the like are to be construed broadly. For example, the two parts can be fixedly connected, detachably connected or integrated; can be mechanically or electrically connected; either directly or indirectly, through intermediaries, or both, may be in communication with each other or in interaction with each other, unless expressly defined otherwise. The specific meaning of the above terms in the present application can be understood by those of ordinary skill in the art according to the specific circumstances.

In the present application, unless expressly stated or limited otherwise, the meaning of a first feature being "on" or "off" a second feature, and the like, is that the first and second features are either in direct contact or in indirect contact through an intervening medium. Moreover, a first feature being "above," "over" and "on" a second feature may be a first feature being directly above or obliquely above the second feature, or simply indicating that the first feature is level higher than the second feature. The first feature being "under", "below" and "beneath" the second feature may be the first feature being directly under or obliquely below the second feature, or simply indicating that the first feature is less level than the second feature.

It will be understood that if an element is referred to as being "fixed" or "disposed" on another element, it can be directly on the other element or intervening elements may also be present. If an element is referred to as being "connected" to another element, it can be directly connected to the other element or intervening elements may also be present. The terms "vertical," "horizontal," "upper," "lower," "left," "right," and the like as used herein, if any, are for descriptive purposes only and do not represent a unique embodiment.

Specifically, an embodiment of the present application provides a tongue pulling device for pulling on the tongue 91 to treat OSAHS. Specifically, referring to fig. 1 and 2, a tongue pulling device of an embodiment includes a tongue implant 10, a pull wire 30, a pulling mechanism 20, and an adjustment mechanism 40, wherein the tongue implant 10 is used for implanting a tongue 91 of a patient, and one end of the pull wire 30 is connected to the tongue implant 10. The pulling mechanism 20 is used for implanting the chin 92 of the patient, and the pulling mechanism 20 comprises a first shell 21 and a winding shaft 22 rotatably arranged in the first shell 21, wherein the winding shaft 22 is connected with the pulling wire 30. The adjusting mechanism 40 is used for driving the winding shaft 22 to rotate relative to the first housing 21, so that the winding shaft 22 winds or releases the traction wire 30.

Specifically, when the tongue traction device is clinically used, the tongue implant 10 connected with the traction wire 30 is implanted into the tongue body 91 of a patient, the traction mechanism 20 is implanted into the chin 92 of the patient, and the tongue body 91 can be pulled by connecting the other end of the traction wire 30 with the winding shaft 22 of the traction mechanism 20, so that the gap between the back air passages of the tongue is enlarged, and smooth breathing of the patient during sleeping is ensured. And through making the roll-up axle 22 rotationally set up in first casing 21, adjustment mechanism 40 can drive roll-up axle 22 rotation to when the postoperative review, if the curative effect can not reach the expected effect, drive roll-up axle 22 through adjustment mechanism 40 and rotate relative first casing 21, can make roll-up axle 22 roll up or release haulage wire 30, in order to adjust the elasticity of tongue traction, and then improved postoperative curative effect.

Referring to fig. 3 and 4, optionally, in an embodiment, a clamping groove 2211 is formed at one end of the rotation shaft 221, the clamping groove 2211 extends along the axial direction of the rotation shaft 221 and penetrates through two sides of the rotation shaft 221 along the radial direction of the rotation shaft 221, and one end of the traction wire 30, which is far away from the tongue implant 10, is connected in the clamping groove 2211. Preferably, in one embodiment, the rotating shaft 221 is made of a non-toxic corrosion-resistant metallic material, such as pure titanium. The outer diameter of the rotating shaft 221 is 2.5 mm-3.5 mm, and the width of the clamping groove 2211 is matched with the diameter of the traction wire 30, preferably, the width of the clamping groove 2211 is 0.3 mm-0.5 mm.

Alternatively, referring to fig. 4, in an embodiment, the end of the traction wire 30 away from the tongue implant 10 is provided with a clamping member 31, and the clamping member 31 is larger than the width of the clamping groove 2211, so that the end of the traction wire 30 away from the tongue implant 10 can be fixed in the clamping groove 2211 through the clamping engagement of the clamping member 31 and the clamping groove 2211. Further, the outer circumferential surface of the rotating shaft 221 is provided with a V-shaped groove communicating with the clamping groove 2211, and the clamping member 31 can be accommodated in the V-shaped groove.

Referring to fig. 3, optionally, in an embodiment, the winding shaft 22 further includes a fastening sleeve 222, and the fastening sleeve 222 is detachably connected to an end of the rotation shaft 221 provided with the clamping groove 2211. The fastening sleeve 222 is used for closing the notch of the clamping groove 2211 and reducing the width of the clamping groove 2211, so as to prevent the traction wire 30 from falling out of the opening of the clamping groove 2211.

Referring to fig. 2, optionally, in an embodiment, the first housing 21 is provided with mounting holes 213, the mounting holes 213 being used to pass fasteners to secure the first housing 21 to the chin portion 92 of the patient. Preferably, the number of the mounting holes 213 is plural, for example, 2 to 4, etc., and the plurality of mounting holes 213 are spaced apart along the edge of the first housing 21, thereby improving the fixing effect. Further, the first housing 21 is further provided with a closed channel (not shown) through which the traction wire 30 penetrates, so that the traction wire 30 can penetrate into the first housing 21 through the closed channel to connect with the winding shaft 22. Preferably, the sealing channel is in sealing engagement with the pull wire 30, thereby preventing body fluid from entering the first housing 21. Preferably, the first housing 21 is made of a nontoxic corrosion resistant metallic material, such as pure titanium or the like.

With continued reference to fig. 1, in one embodiment, the number of tongue implants 10 is plural, with plural tongue implants 10 being used to implant the tongue body 91 at intervals, each tongue implant 10 having a traction wire 30 attached thereto, and all of the ends of the traction wires 30 remote from the tongue implants 10 being attached to the roll-up shaft 22. For example, the number of the tongue implants 10 may be 2-5, etc., so that the stress of the tongue body 91 is more uniform and the therapeutic effect is improved.

It should be noted that, in many ways, for example, referring to fig. 2 to 3, the first housing 21 is provided with a receiving groove 211 having an opening, and in particular, the receiving groove 211 has a cylindrical structure in the first embodiment, the adjusting mechanism 40 drives the winding shaft 22 to rotate. The winding shaft 22 is movably disposed in the accommodating groove 211, and a first mating portion 2212 is disposed at an end of the winding shaft 22 near the opening. Referring to fig. 5, the adjusting mechanism 40 includes a screwdriver piece 41, one end of the screwdriver piece 41 is provided with a second matching portion 411, the second matching portion 411 can pass through the opening and be detachably connected with the first matching portion 2212, and rotating the screwdriver piece 41 can drive the winding shaft 22 to rotate synchronously, so as to adjust the tightness of the traction wire 30.

Further, when the tightness of the traction wire 30 needs to be adjusted after operation, a minimally invasive incision is formed on the skin of the chin portion 92 of the patient, the second matching portion 411 of the screwdriver 41 penetrates the skin of the chin portion 92 through the minimally invasive incision and is connected with the first matching portion 2212 of the winding shaft 22, and the tightness of the traction wire 30 can be adjusted by rotating the screwdriver 41 to drive the winding shaft 22 to rotate forward or reverse. The whole adjusting operation is simple, the trauma to the patient is small, and meanwhile, the mucous membrane injury and infection can be avoided due to the fact that the minimally invasive incision is small and is positioned on the outer skin of the mouth.

Optionally, in an embodiment, one of the first engaging portion 2212 and the second engaging portion 411 is provided with an engaging groove 2213 for inserting the other, a groove wall of the engaging groove 2213 is provided with an internal thread, and the other is provided with an external thread matching the internal thread. For example, in the present embodiment, the first engaging portion 2212 is provided with an engaging groove 2213 for inserting the second engaging portion 411, and a groove wall of the engaging groove 2213 is provided with an internal thread. Referring to fig. 5, the second fitting part 411 is provided with external threads that match the internal threads. Thus, the second fitting portion 411 is inserted into the fitting groove 2213, and the screw driver 41 and the winding shaft 22 can be connected by the external thread and the internal thread, so that the winding shaft 22 can be driven to rotate synchronously by rotating the screw driver 41. Preferably, the engaging groove 2213 is a tapered groove, and the second engaging portion 411 of the screwdriver 41 is a tapered structure matching the engaging groove 2213, so that the second engaging portion 411 is easier to be inserted into the engaging groove 2213. It should be appreciated that in other embodiments, the engaging groove 2213 may also be formed in the second engaging portion 411, and correspondingly, the first engaging portion 2212 is provided with an external thread matching with the internal thread of the engaging groove 2213, so that the driving of the rotation of the winding shaft 22 by the screwdriver member 41 can be also achieved.

Referring to fig. 3 and 6, in an embodiment, the winding shaft 22 is provided with a first anti-reverse tooth 2214, a second anti-reverse tooth 212 matched with the first anti-reverse tooth 2214 is disposed in the accommodating groove 211, the winding shaft 22 has a unidirectional rotation state and a bidirectional rotation state, specifically, when the first anti-reverse tooth 2214 is clamped with the second anti-reverse tooth 212, the winding shaft 22 is in the unidirectional rotation state, and at this time, the winding shaft 22 can only rotate in one direction, for example, only rotate forward to tighten the traction wire 30, and the reverse rotation is limited. When the first reverse-stopping teeth 2214 are separated from the second reverse-stopping teeth 212, the winding shaft 22 is in a bidirectional rotation state, and the winding shaft 22 can freely rotate in both directions. Further, the screwdriver piece 41 can drive the winding shaft 22 to move along the axial direction, so that the first anti-reverse tooth 2214 is clamped or separated from the second anti-reverse tooth 212, and the winding shaft 22 is further converted between a unidirectional rotation state and a bidirectional rotation state.

Specifically, when the traction wire 30 needs to be tightened, the screwdriver piece 41 compresses the winding shaft 22, so that the first anti-reverse tooth 2214 of the winding shaft 22 is clamped with the second anti-reverse tooth 212 in the accommodating groove 211, at this time, the winding shaft 22 is driven to rotate forward by the screwdriver piece 41 to tighten the traction wire 30, at this time, the reverse rotation of the winding shaft 22 is limited, and after the screwdriver piece 41 is separated from the winding shaft 22 after the adjustment is completed, the winding shaft 22 cannot be reversed, so that the tightened traction wire 30 is prevented from loosening again due to the reverse rotation of the winding shaft 22. When the traction wire 30 needs to be loosened, the rolling shaft 22 is pulled out through the screwdriver piece 41, so that the first anti-reversion teeth 2214 of the rolling shaft 22 are separated from the second anti-reversion teeth 212 in the accommodating groove 211, at the moment, the rolling shaft 22 can freely rotate bidirectionally, the rolling shaft 22 is driven to rotate reversely through the screwdriver piece 41, the traction wire 30 can be loosened, after the traction wire 30 is adjusted to a proper tightness, the rolling shaft 22 is tightly pressed through the screwdriver piece 41, and the first anti-reversion teeth 2214 of the rolling shaft 22 are clamped with the second anti-reversion teeth 212 in the accommodating groove 211, so that the rolling shaft 22 can be limited to rotate, and the tightness of the traction wire 30 at the moment can be fixed.

Referring to fig. 5, alternatively, the end of the driver 41 remote from the second fitting portion 411 is provided with a handle 412, and the handle 412 is used for the operator to grasp, thereby facilitating the operation.

Referring to fig. 7 to 9, in the second embodiment, the pulling mechanism 20 further includes an in-vivo magnetic control disc 23 and a first transmission assembly, wherein the in-vivo magnetic control disc 23 is rotatably disposed in the first housing 21, the in-vivo magnetic control disc 23 is provided with a first magnet 231, the first transmission assembly is connected with the in-vivo magnetic control disc 23 and the winding shaft 22, and the first transmission assembly is used for driving the winding shaft 22 to rotate when the in-vivo magnetic control disc 23 rotates. Referring to fig. 10 to 11, the adjusting mechanism 40 includes a body surface magnetic control disk 42, the body surface magnetic control disk 42 is provided with a second magnet 421 capable of attracting with the first magnet 231, and the body surface magnetic control disk 42 is rotated to drive the body surface magnetic control disk 23 to rotate.

In this way, the body surface magnetic control disc 42 is pressed close to the chin 92 of the patient, so that the first magnet 231 and the second magnet 421 attract each other, and the body surface magnetic control disc 42 can be rotated to drive the inner magnetic control disc 23 to rotate, so as to drive the winding shaft 22 to rotate, and tighten or loosen the traction wire 30. In this embodiment, the magnetic attraction mode is used to control the rotation of the winding shaft 22, so that the wound on the patient after the operation is avoided, the tightness of the non-invasive tongue traction adjustment is realized, the pain of the patient is relieved, and the infection risk is reduced.

Preferably, the number of the first magnets 231 is a plurality, for example, 2-4, etc., and the plurality of the first magnets 231 are disposed at intervals along the circumferential direction of the in-vivo magnetic control disk 23 at the edge of the in-vivo magnetic control disk 23, and further, the diameter of the in-vivo magnetic control disk 23 is 15-20 mm. Correspondingly, the number of the second magnets 421 is also plural, for example, 2-4, and the plural second magnets 421 are disposed at intervals along the circumferential direction of the body surface magnetic control disk 42 at the edge of the body surface magnetic control disk 42. Preferably, the body surface magnetic control disk 42 has a diameter of 15 mm-20 mm. Further, a knob 423 is further connected to the center of the body surface magnetic control disc 42, and the knob 423 can be manually or electrically rotated to drive the body surface magnetic control disc 42 to rotate.

Further, with continued reference to fig. 8 and 9, the first transmission assembly includes a first output shaft 241, a first gear 242, a second gear 243, a first worm 244, and a first worm gear 245. The first output shaft 241 is disposed through the center of the in-vivo magnetic control disk 23 and can rotate synchronously with the in-vivo magnetic control disk 23, and the first output shaft 241 is connected with a first gear 242. The second gear 243 is in meshing engagement with the first gear 242. The first worm 244 is disposed coaxially with the second gear 243. The first worm wheel 245 is coupled to the roll-up shaft 22 and is in meshing engagement with the first worm 244.

In this way, the inner magnetic control disc 23 is driven to rotate by the rotator magnetic control disc 42, the first output shaft 241 and the first gear 242 can be driven to rotate synchronously, the first gear 242 drives the second gear 243 and the first worm 244 to rotate synchronously, and the first worm 244 drives the winding shaft 22 to rotate through the first worm wheel 245, so that the tightness of the traction wire 30 is adjusted.

Referring to fig. 12 to 14, in a third embodiment, the adjustment mechanism 40 includes a motor 25 and a second transmission assembly. Wherein the motor 25 is arranged within the first housing 21. The second transmission assembly is connected with the rotating shaft of the motor 25 and the winding shaft 22, so as to drive the winding shaft 22 to rotate when the rotating shaft of the motor 25 rotates. In this way, the motor 25 drives the winding shaft 22 to rotate, so that the tightness of the traction wire 30 can be adjusted noninvasively.

Further, referring to fig. 13 and 14, the second transmission assembly includes an output gear 261, a third gear 262, a fourth gear 263, a second worm 264, and a second worm gear 265. The output gear 261 is connected with the rotation shaft of the motor 25. The third gear 262 is meshed with the output gear 261. The fourth gear 263 is in meshing engagement with the third gear 262. The second worm 264 is disposed coaxially with the fourth gear 263. The second worm gear 265 is connected to the winding shaft 22 and is in meshing engagement with the second worm 264. Thereby drive output gear 261 through motor 25 and rotate, output gear 261 drives the rotation of third gear 262, and third gear 262 drives fourth gear 263 and the synchronous rotation of second worm 264 again, and second worm 264 passes through second worm wheel 265 again and drives the roll-up axle 22 rotation, and then realizes adjusting the elasticity of pull wire 30.

Referring to fig. 12, further, the tongue traction device further comprises an in-vivo regulatory mechanism 43, the in-vivo regulatory mechanism 43 being implantable subcutaneously in the chest of the patient for controlling the motor 25. Specifically, the in-vivo regulatory mechanism 43 includes a second housing 431, a battery, and a control module. Wherein the second casing 431 is used for being implanted under chest skin of a patient, the second casing 431 is made of nontoxic corrosion-resistant metal material, such as pure titanium, etc. The battery is disposed in the second housing 431, and the battery is electrically connected to the motor 25 through a connection wire 62 for supplying power to the motor 25. The control module is electrically connected with the battery and the motor 25, and is used for controlling the working state of the motor 25. Specifically, the control module controls the operating state of the motor 25 by controlling the current output from the battery, wherein the operating state of the motor 25 includes, but is not limited to, forward rotation, reverse rotation, start-stop, acceleration rotation, deceleration rotation, intermittent operation, and the like.

Referring to fig. 12, the in-vivo regulation mechanism 43 further includes a communication module disposed in the second housing 431 and electrically connected to the control module, and the tongue pulling device further includes an in-vitro remote controller 50, where the in-vitro remote controller 50 is connected to the communication module in a wireless communication manner, for example, the in-vitro remote controller 50 is connected to the communication module in a WiFi, bluetooth or radio frequency communication manner. The external remote control 50 is used to send a control signal to the control module to cause the control module to control the operating state of the motor 25. Therefore, the remote control motor 25 can drive the winding shaft 22 to rotate positively and negatively, so that the tightness of tongue traction is controlled, and the use convenience is improved.

Optionally, the in-vivo regulation mechanism 43 further includes a non-contact charging module disposed in the second housing 431 and electrically connected to the battery. The tongue traction device further comprises an external charging device, the external charging device can be in electromagnetic induction with the non-contact charging module, and the external charging device is used for charging the battery. The battery can be charged noninvasively by matching the external charging equipment with the non-contact charging module.

Referring to fig. 12, the in-vivo regulation mechanism 43 further includes a monitoring module disposed in the second housing 431 and electrically connected to the control module, wherein the monitoring module is configured to monitor physiological information of the patient and control an operating state of the motor 25 according to the physiological information. Specifically, the physiological information includes, but is not limited to, blood oxygen saturation, snore signals, electrocardiosignals, posture signals, chest pressure signals and other data signals. Further, the monitoring module can upload physiological signals of the patient to a designated server through a wireless network, for example, to a sleep medical center, and the sleep medical center monitors the physiological signals of the patient in real time and regulates the tongue traction device according to the physiological signals of the patient. The physiological signals of the patient are monitored in real time through the monitoring module, so that the tongue traction device can be dynamically adjusted, and the curative effect is further improved.

Optionally, in an embodiment, the tongue traction device further comprises an oxygen saturation sensor (not shown) for acquiring an oxygen saturation signal of the patient. Preferably, the blood oxygen saturation sensor is implanted subcutaneously in the chest of the patient and is electrically connected to the monitoring module.

In one embodiment, the tongue pulling device further comprises a snore sensor (not shown) for acquiring a patient's snore signal, such as a snore size, frequency, etc. Preferably, the snore sensor is implanted subcutaneously in the chest of the patient and is electrically connected to the monitoring module.

In one embodiment, the tongue traction device further comprises an electrocardiograph sensor (not shown) for acquiring electrocardiographic signals of the patient. Preferably, the electrocardio sensor can be implanted in the chest of the patient and is electrically connected with the monitoring module.

In one embodiment, the tongue traction device further comprises a posture sensor (not shown) for acquiring a posture signal of the patient, for example, monitoring whether the current posture of the patient is recumbent or recumbent information, etc. Preferably, the posture sensor is implanted subcutaneously in the chest of the patient and is electrically connected to the monitoring module.

In one embodiment, the tongue traction device further comprises a chest cavity pressure sensor (not shown) for acquiring a chest cavity pressure signal of the patient. Preferably, the chest cavity pressure sensor is implanted subcutaneously in the chest of the patient and is electrically connected to the monitoring module.

Further, the sealing shells of the blood oxygen saturation sensor, the snore sensor, the electrocardio sensor, the body position sensor, the chest cavity pressure sensor and the connecting wires thereof are all made of nontoxic and corrosion-resistant medical silica gel or Teflon materials.

Further, referring to fig. 4, the tongue traction device further includes a pressure sensor 71, the pressure sensor 71 is connected with the traction wire 30, the pressure sensor 71 is used for obtaining tightness of the traction wire 30, preferably, the pressure sensor 71 is electrically connected with the motor 25 and the control module, and the control module can dynamically adjust the working state of the motor 25 according to the tightness of the traction wire 30 detected by the pressure sensor 71, thereby improving the regulation precision.

Referring to fig. 12, in one embodiment, the in-vivo regulatory mechanism 43 further comprises an electrical stimulation mechanism comprising an electrode 61 and an electrical stimulation module, wherein the electrode 61 is used for implantation into the genioglossus muscle or hypoglossal nerve. The electric stimulation module is electrically connected with the electrode 61, and is used for controlling the electrode 61 to release electric stimulation. Further, in the present embodiment, an electro-stimulation module is disposed in the second housing 431, and the electro-stimulation module connects the battery and the electrode 61 through a low frequency generation circuit. The electric stimulation module is used for controlling the electrode 61 to release electric stimulation, so that genioglossus muscles or hypoglossal nerves can be stimulated, and the muscles around the electrode 61 are contracted, so that the gap between the back of the tongue and the airway is enlarged, and the curative effect is improved. Preferably, the number of the electrodes 61 is plural, and the plural electrodes 61 are arranged at intervals. Further, the electrode 61 may be bipolar or multipolar, and the shape of the electrode 61 may be spherical, sheet-like, or sleeve-like.

Another embodiment of the present application also provides a method of treating OSAHS using the tongue traction device of any of the embodiments described above. Specifically, taking as an example the case of OSAHS, which is mainly caused by glossopharyngeal plane stenosis due to glossomegaly and lax and falling, the method comprises the following steps:

the operation can be performed under local infiltration anesthesia, and local anesthesia adopts bilateral lingual nerve block anesthesia and ablation part infiltration anesthesia. The fine needle was used to insert the needle about 1cm at the site corresponding to the third molar in the mucosa of the inner side of the mouth of the third molar of the mandible or in the rim of the mandible outside the mouth or about 1.5cm in the rim of the mandible outside the mouth, and 2.5ml of 2% lidocaine was injected bilaterally. Then an elongated needle is used for injecting the needle into the middle dermatoglyph at the lower edge of the chin 92, and 1 percent of lidocaine, physiological saline and 5-8 ml of epinephrine are respectively injected into the tongue root and the tongue back tissues along the midline in a fan shape. In addition, 5ml to 10ml of injector is used for extracting 5ml to 10ml of 1 percent lidocaine and physiological saline, the proximal end of the injection needle tube connected to the handle of the radiofrequency ablation electrode is placed into the fixed cabin of the injection device, the transparent cover plate of the handle is covered, the movable push plate connected with the push rod of the injector is tried to be pushed, and the working end of the radiofrequency ablation electrode is seen to have liquid medicine flowing out.

The lower edge of the chin 92 was cut at about 1cm to reach the bone on the chin, the chin bone surface was exposed by a stripper, and a fanned surgical approach was separated by vascular clamps along the gaps between the two sides of the geniohyoid muscle and the midline of the geniohyoid muscle at the lower edge of the chin, approximately 2 to 3cm deep. Placing the mouth gag, pulling the tongue tip out of the mouth, and extending the left index finger of the operator into the mouth of the patient to reach the tongue root, nipple and blind tongue hole along the middle of the surface of the back of the tongue. The right hand holds the radiofrequency ablation electrode (ablation is set to be 5 blocks) connected with the host machine, the needle is inserted along the operation route in the middle of the lower jaw lower edge, the ablation is started to the edge of the left index finger tip, the needle is slowly inserted, and meanwhile, a movable pushing plate connected with a push rod of the injector is pushed to inject 1% lidocaine and normal saline until the needle tip is perceived to be close to the position of the left index finger tip. The injection of 1% lidocaine and normal saline aims at improving the efficiency of low-temperature plasma radiofrequency ablation, preventing adhesion, stopping bleeding and relieving pain. The ablation electrode is withdrawn, leaving the detachable penetration cannula.

The lingual implant 10 is inserted along the cannula and the lingual implant 10 is pushed into lingual tissue near the tip of the index finger of the left hand by the push rod, the puncture cannula and the push rod are withdrawn, and the pull wire 30 is retained. The left hand retreats by about 15mm and again punctures and ablates with the radiofrequency ablation electrode and pushes the implant tongue implant 10, repeating this until 3-5 tongue implants 10 are implanted in a fan-like manner along the midline of the tongue. And then all the traction wires 30 are pulled out of the operation incision, the tail ends of the traction wires 30 are fixed on the winding shaft 22 of the traction mechanism 20, the tightness of the traction wires 30 is adjusted, and the traction mechanism 20 is fixed on the chin of the mandible by using titanium screws.

Proper hemostasis, placement of drainage sheets when necessary, suturing of incision, and completion of operation.

The patients are ordered to review regularly for polysomnography. The tongue implant 10 is tightly combined with scar fiber tissue formed in the tongue after 3 to 6 months of operation, and can bear large pulling force, at the moment, the pulling tightness of the tongue can be readjusted through the adjusting mechanism 40, the pulling force is improved, the gap between the air passages behind the tongue is enlarged, and the curative effect is improved.

The technical features of the above-described embodiments may be arbitrarily combined, and all possible combinations of the technical features in the above-described embodiments are not described for brevity of description, however, as long as there is no contradiction between the combinations of the technical features, they should be considered as the scope of the description.

The above examples illustrate only a few embodiments of the application, which are described in detail and are not to be construed as limiting the scope of the claims. It should be noted that it will be apparent to those skilled in the art that several variations and modifications can be made without departing from the spirit of the application, which are all within the scope of the application. Accordingly, the scope of protection of the present application is to be determined by the appended claims.

Claims (10)

1. A tongue pulling device, comprising:

a tongue implant for implanting a tongue body;

a pull wire, one end of which is connected to the tongue implant;

the traction mechanism comprises a first shell and a winding shaft rotatably arranged in the first shell, and the winding shaft is connected with the traction wire; and

and the adjusting mechanism is used for driving the winding shaft to rotate so as to enable the winding shaft to wind or release the traction wire.

2. The tongue traction device according to claim 1, wherein the roll-up shaft comprises:

a clamping groove is formed in one end of the rotating shaft, the clamping groove extends along the axial direction of the rotating shaft and penetrates through two sides of the rotating shaft along the radial direction of the rotating shaft, and one end, far away from the tongue implant, of the traction wire is connected into the clamping groove; the method comprises the steps of,

the fastening sleeve is detachably connected to one end of the rotating shaft, which is provided with the clamping groove.

3. The tongue traction device according to claim 1, wherein the first housing is provided with a receiving groove having an opening, the winding shaft is movably disposed in the receiving groove, a first fitting portion is disposed at an end of the winding shaft near the opening, the adjusting mechanism comprises a screwdriver member, a second fitting portion is disposed at an end of the screwdriver member, the second fitting portion can penetrate through the opening and be detachably connected with the first fitting portion, and rotation of the screwdriver member can drive the winding shaft to rotate.

4. A tongue traction device according to claim 3, wherein one of the first and second mating parts is provided with a mating groove for the other to be inserted, a groove wall of the mating groove is provided with an internal thread, and the other is provided with an external thread matching the internal thread.

5. A tongue traction device according to claim 3, wherein the winding shaft is provided with a first anti-reverse tooth, a second anti-reverse tooth matched with the first anti-reverse tooth is arranged in the accommodating groove, the winding shaft has a unidirectional rotation state when the first anti-reverse tooth is clamped with the second anti-reverse tooth, and a bidirectional rotation state when the first anti-reverse tooth is separated from the second anti-reverse tooth, and the screwdriver piece can drive the winding shaft to move along the axial direction so as to enable the winding shaft to change between the unidirectional rotation state and the bidirectional rotation state.

6. The tongue pulling device according to claim 1, wherein the pulling mechanism further comprises an in-vivo magnetic control disc and a first transmission assembly, the in-vivo magnetic control disc is rotatably arranged in the first shell, a first magnet is arranged on the in-vivo magnetic control disc, the first transmission assembly is connected with the in-vivo magnetic control disc and the winding shaft, and the first transmission assembly is used for driving the winding shaft to rotate when the in-vivo magnetic control disc rotates; the adjusting mechanism comprises a body surface magnetic control disc, the body surface magnetic control disc is provided with a second magnet which can attract the first magnet, and the body surface magnetic control disc can be rotated to drive the in-vivo magnetic control disc to rotate.

7. The tongue traction device according to claim 1, wherein the adjustment mechanism comprises:

a motor disposed within the first housing; and

the second transmission assembly is connected with the rotating shaft of the motor and the winding shaft, so that the winding shaft is driven to rotate when the rotating shaft of the motor rotates.

8. The tongue traction device of claim 7, further comprising an in vivo regulatory mechanism comprising:

a second housing;

the battery is arranged in the second shell and is electrically connected with the motor; and

the control module is electrically connected with the battery and the motor, and is used for controlling the working state of the motor.

9. The tongue traction device according to claim 8, wherein,

the in-vivo regulation and control mechanism further comprises a communication module, the communication module is arranged in the second shell and is electrically connected with the control module, the tongue traction device further comprises an in-vitro remote controller, the in-vitro remote controller is in wireless communication connection with the communication module, and the in-vitro remote controller is used for sending a control signal to the control module so that the control module can control the working state of the motor; and/or the number of the groups of groups,

the in-vivo regulation and control mechanism further comprises a non-contact charging module, wherein the non-contact charging module is arranged in the second shell and is electrically connected with the battery; the tongue traction device further comprises an external charging device which can be electromagnetically induced with the non-contact charging module to charge the battery; and/or the number of the groups of groups,

the in-vivo regulation and control mechanism further comprises a monitoring module, wherein the monitoring module is arranged in the second shell and is electrically connected with the control module, and the monitoring module is used for monitoring physiological information of a target and controlling the working state of the motor according to the physiological information; and/or the number of the groups of groups,

the tongue traction device further comprises a pressure sensor, wherein the pressure sensor is connected with the traction wire and is used for acquiring the tightness of the traction wire; and/or the number of the groups of groups,

the tongue traction device further comprises an oxygen saturation sensor, wherein the oxygen saturation sensor is used for acquiring an oxygen saturation signal of a target; and/or the number of the groups of groups,

the tongue traction device further comprises a snore sensor, wherein the snore sensor is used for acquiring a snore signal of a target; and/or the number of the groups of groups,

the tongue traction device further comprises an electrocardio sensor, wherein the electrocardio sensor is used for acquiring an electrocardio signal of a target; and/or the number of the groups of groups,

the tongue traction device further comprises a body position sensor, wherein the body position sensor is used for acquiring a body position signal of a target; and/or the number of the groups of groups,

the tongue traction device further comprises a chest cavity pressure sensor, wherein the chest cavity pressure sensor is used for acquiring a chest cavity pressure signal of a target.

10. The tongue traction device of any one of claims 1-9, further comprising an electrical stimulation mechanism comprising:

an electrode for implantation into genioglossus muscle or hypoglossal nerve; and

and the electric stimulation module is electrically connected with the electrode and is used for controlling the electrode to release electric stimulation.