CN203619751U - Tunnel type tongue dorsum connecting mechanism for tongue dorsum elastic traction apparatus - Google Patents

Tunnel type tongue dorsum connecting mechanism for tongue dorsum elastic traction apparatus Download PDF

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Publication number
CN203619751U
CN203619751U CN201320575299.4U CN201320575299U CN203619751U CN 203619751 U CN203619751 U CN 203619751U CN 201320575299 U CN201320575299 U CN 201320575299U CN 203619751 U CN203619751 U CN 203619751U
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China
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tunnel type
bindiny mechanism
type back
tongue dorsum
patient
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CN201320575299.4U
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Chinese (zh)
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张湘民
周星
罗丽飞
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Individual
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Abstract

The utility model discloses a tunnel type tongue dorsum connecting mechanism for a tongue dorsum elastic traction apparatus. The tunnel type tongue dorsum connecting mechanism comprises a thin-walled tubular implantation material made of medical flexible materials. Antislip positioning convex steps are arranged at two ends of the thin-walled tubular implantation material; smooth surfaces which are matched with the surface of a lingual mucous membrane of a patient are arranged on the positioning convex steps; an included angle beta between the two smooth surfaces of the positioning convex steps at the two ends of the thin-walled tubular implantation material ranges from 90 degrees to 180 degrees. The tunnel type tongue dorsum connecting mechanism has the advantages that the tunnel type tongue dorsum connecting mechanism can be effectively positioned and is not easy to slip after being implanted under the lingual mucous membrane of the tongue dorsum of the patient, the tongue dorsum of the patient can be conveniently subjected to elastic traction via a center hole of a tunnel, the rearwards dropping tongue root of the patient can be pulled up, the airway of the glossopharyngeal part of the patient can be enlarged, and accordingly the patient suffering from snore symptom and OSAHS (obstructive sleep apnea/hypopnea syndrome) can be treated.

Description

A kind of tunnel type back bindiny mechanism for back elastic traction device
Technical field
This utility model relates to a kind of tunnel type back bindiny mechanism for back elastic traction device, particularly being used for the treatment of snoring and obstructive sleep apnea low syndrome, (Obstructive Sleep Apnea/Hypopnea Syndrome, hereinafter to be referred as the tunnel type back bindiny mechanism of back elastic traction device OSAHS).
Background technology
Obstructive sleep apnea low syndrome (OSAHS) be due to when sleep upper air flue soft tissue there is subsiding, stopping up a kind of sleep disordered breathing disease take snoring, asphyxia and low ventilation as Clinical symptoms causing.
For the pathogeny of OSAHS, it is generally acknowledged multifactor combined effect.Except upper air flue anatomical structure is narrow, main cause is the expansion pharynx muscle relaxation that maintains upper airway open due to when sleep, occurs that soft tissue subsides, and the obstruction causing.Obstructive position multidigit is in palate pharynx plane or Glossopharyngeal plane.
Research shows: the OSAHS patient of 20%-25% causes because the soft tissue of simple palate pharynx plane subsides, the OSAHS patient of 15%-20% is that the soft tissue of simple Glossopharyngeal plane subsides and causes, the OSAHS patient of 50%-70% has the soft tissue of palate pharynx plane and Glossopharyngeal plane to subside simultaneously, i.e. mixed type OSAHS patient.
The Glossopharyngeal plane soft tissue causing in order to treat glossoptosis subside form OSAHS, this utility model people discloses a kind of root of the tongue traction apparatus of implanted in Chinese patent application CN102198010A, this invention has obtained good curative effect clinically, is particularly suitable for because of the root of the tongue the subside moderate that causes or moderate or severe OSAHS patient's operative treatment.
In addition, inventor of the present utility model is in Chinese patent application 201310043949.5, back elastic traction device and method for implantation are disclosed, provide a kind of and treated because of the subside slight or moderate OSAHS patient's who causes back traction apparatus of glossoptosis, have wound less, more comfortable, use advantage more easily.Present patent application is the further Improvement and perfection of the back bindiny mechanism to the back elastic traction device in this patent application.
Summary of the invention
For a tunnel type back bindiny mechanism for back elastic traction device, described tunnel type back bindiny mechanism (100) has following characteristics:
A, described tunnel type back bindiny mechanism 100 are thin-walled tubulose implant 100-4;
The two ends of B, described thin-walled tubulose implant 100-4 are provided with anti-slip convex rank 100-4-1;
The upper shiny surface 100-4-2 matching with periglottis surface that contains of C, described anti-slip convex rank 100-4-1.
Two ends at the thin-walled tubulose implant 100-4 of described tunnel type back bindiny mechanism 100 are equipped with anti-slip convex rank 100-4-1, when described thin-walled tubulose implant 100-4 implants periglottis lower time, described convex rank 100-4-1 can prevent that described thin-walled tubulose implant 100-4 skids off from periglottis under the effect of external force.Meanwhile, because described convex rank 100-4-1 is that face contacts with periglottis, reduce the stimulation of described convex rank 100-4-1 to periglottis surface, can increase the comfort level of user.
Further, the angle β between 2 shiny surface 100-4-2 at 100-4-1 two ends, described convex rank is between 90 °~180 °.Through optimizing, described angle β is good between 100 °~150 °.Owing to being shaped as the domes with certain angle the biology of tongue body, therefore, between 2 shiny surface 100-4-2 at 100-4-1 two ends, described convex rank, shape is in an angle after β, after described thin-walled tubulose implant 100-4 implants under periglottis, the described convex rank 100-4-1 tongue body surface mucosa of can better fitting, increases the comfortableness of patient's use procedure.
Described tunnel type back bindiny mechanism 100 adopts the medical material manufacture that can implant for a long time in human body.
Further, described medical material is metal material or medical macromolecular materials.
Described tunnel type back bindiny mechanism 100 adopts medical flexible material manufacture.
Further, described medical flexible material is selected from: medical silica-gel or medical grade rubber or medical latex or medical polyurethane.Described tunnel type back bindiny mechanism 100 adopts medical flexible material manufacture, while particularly adopting medical silica-gel or medical polyurethane to manufacture, after described tunnel type back bindiny mechanism 100 implants under periglottis, can carry out appropriate change or automatically adjust the shape of described tunnel type back bindiny mechanism 100 according to the motion of tongue, adapt to well periglottis lower channel.Soft material, also can make described convex rank 100-4-1 have better compliance in the time contacting with periglottis tissue, has slowed down the stimulation to periglottis tissue, has increased patient's comfort level and has improved patient's compliance.
A kind of tunnel type back bindiny mechanism for back elastic traction device of this utility model is thin-walled tubulose implant 100-4, adopts medical flexible material manufacture; The two ends of described thin-walled tubulose implant 100-4 are provided with anti-slip convex rank 100-4-1; The upper shiny surface 100-4-2 matching with periglottis surface that contains of described anti-slip convex rank 100-4-1.Angle β between 2 shiny surface 100-4-2 at 100-4-1 two ends, described convex rank is between 90 °~180 °.The tunnel type back bindiny mechanism of this flexible thin-walled tubulose not only has good positioning after implanting under back periglottis, is not easy to slide, and conveniently by centre bore 100-4-3, back is carried out to elasticity tractive, by the root of the tongue portion pull-up of rear pendant, expand glossopharyngeal part air flue, treatment snoring and OSAHS.
Accompanying drawing explanation
Fig. 1 is the structural representation of the tunnel type back bindiny mechanism of this utility model.
Fig. 1-1st, the top view of Fig. 1.
Fig. 1-2 is the cutaway view of Fig. 1.
Fig. 2 is the operation principle schematic diagram of the tunnel type back bindiny mechanism of this utility model.
in above-mentioned figure:
1 is that back bindiny mechanism, 2 is elastic traction body, and 3 is tooth side holder, and 4 is tongue, and 5 is tooth.
20 is strain mechanism, and 21 is the She Ce bindiny mechanism on the elastic traction body being connected with back bindiny mechanism, and 22 is the Ya Ce bindiny mechanism on the elastic traction body being connected with tooth side holder, and 22-1 is tooth side connecting hole.
100 is tunnel type back bindiny mechanism, and 212 is integral type elastic traction mechanism.
100-4 is thin-walled tubulose implant, and 100-4-1 is convex rank, and 100-4-2 is shiny surface upper with bottom, described convex rank and that periglottis surface matches, and 100-4-3 is the centre bore of described thin-walled tubulose implant.
The specific embodiment
Embodiment: the tunnel type back bindiny mechanism of this utility model
Referring to figs. 1 to Fig. 2, in the present embodiment, described tunnel type back bindiny mechanism 100 is thin-walled tubulose implant 100-4, adopts medical silica-gel to make.Be provided with anti-slip convex rank 100-4-1 at the two ends of described thin-walled tubulose implant 100-4, on the bottom of described anti-slip convex rank 100-4-1, contain the shiny surface 100-4-2 matching with periglottis surface.Angle β between 2 shiny surface 100-4-2 at 100-4-1 two ends, described convex rank is between 100 °~150 °.
When described thin-walled tubulose implant 100-4 implants periglottis lower time, the shiny surface 100-4-2 matching with periglottis surface under described convex rank 100-4-1 can realize face with periglottis and contact, and prevents that described thin-walled tubulose implant 100-4 from skidding off from periglottis.Meanwhile, because described convex rank 100-4-1 is that face contacts with periglottis, reduce the stimulation of described convex rank 100-4-1 to periglottis surface, can increase the comfort level of user.
Between 2 shiny surface 100-4-2 at 100-4-1 two ends, described convex rank, can form an angle β between 100 °~150 °.Owing to being shaped as the domes with certain angle the biology of tongue body, after described thin-walled tubulose implant 100-4 implants under periglottis, described angle β makes the described convex rank 100-4-1 tongue body surface mucosa of can better fitting, and increases the comfortableness of patient's use procedure.
In addition,, because described tunnel type back bindiny mechanism 100 has adopted medical silica-gel manufacture, while implanting under periglottis in described tunnel type back bindiny mechanism 100, change shape that can be random, adapts to periglottis lower channel well.Soft material, also can make described convex rank 100-4-1 have better compliance in the time contacting with periglottis tissue, has slowed down the stimulation to periglottis tissue, has increased patient's compliance.
When clinical use, first under local anaesthesia, by Minimally Invasive Surgery mode, both sides at about 0cm~5cm place, back mucomembranous surface vallate papillae front apart from the about 1cm~3cm of center line, run through under periglottis by operating theater instruments, form tunnel, then the thin-walled tubulose implant 100-4 of described tunnel type back bindiny mechanism 100 is implanted, fixing, the convex rank 100-4-1 at the two ends of described thin-walled tubulose implant 100-4 is exposed to outside periglottis surface just.Hands 15 days after operation to 60 day, thin-walled tubulose implant 100-4 described in tractive, patient during without pain and sense of discomfort, can carry out back tractive.
Second step, according to intending the different concrete structure of tooth side holder 3 selected, by the tooth side holder 3 of selecting, with tooth, or alveolar bone, or the upper jaw, or lower jaw, or the outer support fixing point as tooth side holder 3 of maxillomandibular lip, installs and fixes.In this enforcement example, the tooth side holder 3 of employing is adhesively fixed on the outside of tooth, with reference to figure 2.
The 3rd step, before falling asleep, described integrated elastic haulage gear 212 is passed from the centre bore 100-4-3 of the tunnel type back bindiny mechanism of this utility model with aid, then the two ends of described integrated elastic haulage gear 212 are fixed on tooth side holder 3.Described integrated elastic haulage gear 212, take tooth side holder 3 as fulcrum, produces elastic pulling force to the tunnel type back bindiny mechanism 100 of this utility model.Under the effect of the elastic restoring force of described integrated elastic haulage gear 212, by the root of the tongue portion pull-up forward of subsiding, make the Airway dilation of glossopharyngeal part, arrive the object for the treatment of OSAHS, with reference to figure 2.
While described integrated elastic haulage gear 212 being installed by the tunnel type back bindiny mechanism 100 of this utility model, pay special attention to following main points:
For regulating the size of elasticity traction force of strain mechanism 20 of described integrated elastic haulage gear 212, need to first choose the tooth side connecting hole 22-1 in the Ya Ce bindiny mechanism 22 of described integrated elastic haulage gear 212.In the present embodiment, in No. 1 to No. 4 tooth side connecting hole 22-1, selected tooth side connecting hole 22-1 No. 2.Then by selected described tooth side connecting hole 22-1, described integrated elastic haulage gear 212 is fixed on tooth side holder 3.[0034], in guaranteeing the suitable elasticity traction force of strain mechanism 20 of described integrated elastic haulage gear 212, can make the back bindiny mechanism 1 of described integrated elastic haulage gear 212 just in time put to stay in the centre bore 100-4-3 of thin-walled tubulose implant 100-4 of described tunnel type back bindiny mechanism 100; And the position at the 100-4-1 place, convex rank at the thin-walled tubulose implant 100-4 two ends of the position of the She Ce bindiny mechanism 21 of back haulage gear 1 both sides of described integrated elastic haulage gear 212 and the tunnel type back bindiny mechanism 100 of this utility model is basically identical.The strain mechanism 20 of the elastic traction body 2 of described integrated elastic haulage gear 212 is exposed in the space between convex rank 100-4-1 and the tooth side holder 3 of tunnel type back bindiny mechanism 100 of this utility model.Along with the motion of tongue, described strain mechanism 20 can Free Transforms, and apply suitable elasticity traction force to back all the time.
The 4th step, after getting up, takes off described integrated elastic haulage gear 212 from tooth side holder 3, and extracts out from the centre bore 100-4-3 of the tunnel type back bindiny mechanism of this utility model, removes the tractive to back, with reference to figure 2.
Should be noted that the open structure with illustrating can replace by the identical structure of other effect herein, the embodiment that this utility model is introduced simultaneously not realizes unique structure of the present utility model.Although preferential embodiment of the present utility model is introduced in this article and is illustrated; but those skilled in the art all know know these embodiment be only illustrate and oneself; those skilled in the art can make countless variations, improvement and replacement; and can not depart from this utility model; that therefore, should come according to the spirit and scope of this utility model appending claims defines protection domain of the present utility model.

Claims (6)

1. for a tunnel type back bindiny mechanism for back elastic traction device, described tunnel type back bindiny mechanism (100) is characterised in that:
A, described tunnel type back bindiny mechanism (100) are thin-walled tubulose implants (100-4);
The two ends of B, described thin-walled tubulose implant (100-4) are provided with anti-slip convex rank (100-4-1);
C, the upper shiny surface (100-4-2) matching with periglottis surface that contains in described anti-slip convex rank (100-4-1).
2. tunnel type back bindiny mechanism according to claim 1, is characterized in that: the angle β between 2 shiny surfaces (100-4-2) at two ends, described convex rank (100-4-1) is between 90 °~180 °.
3. tunnel type back bindiny mechanism according to claim 1, is characterized in that: described tunnel type back bindiny mechanism (100) adopts the medical material manufacture that can implant for a long time in human body.
4. tunnel type back bindiny mechanism according to claim 3, is characterized in that: described medical material is metal material or medical macromolecular materials.
5. tunnel type back bindiny mechanism according to claim 3, is characterized in that: described tunnel type back bindiny mechanism (100) adopts medical flexible material manufacture.
6. tunnel type back bindiny mechanism according to claim 5, is characterized in that: described medical flexible material is selected from: medical silica-gel or medical grade rubber or medical latex or medical polyurethane.
CN201320575299.4U 2013-09-16 2013-09-16 Tunnel type tongue dorsum connecting mechanism for tongue dorsum elastic traction apparatus Expired - Lifetime CN203619751U (en)

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Application Number Priority Date Filing Date Title
CN201320575299.4U CN203619751U (en) 2013-09-16 2013-09-16 Tunnel type tongue dorsum connecting mechanism for tongue dorsum elastic traction apparatus

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201320575299.4U CN203619751U (en) 2013-09-16 2013-09-16 Tunnel type tongue dorsum connecting mechanism for tongue dorsum elastic traction apparatus

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104434379A (en) * 2013-09-16 2015-03-25 张湘民 Tunnel type tongue back connecting mechanism applied to tongue-back elastic traction device
CN105476741A (en) * 2014-09-14 2016-04-13 张湘民 Implant used for building tunnel under dorsum mucous membrane

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104434379A (en) * 2013-09-16 2015-03-25 张湘民 Tunnel type tongue back connecting mechanism applied to tongue-back elastic traction device
CN105476741A (en) * 2014-09-14 2016-04-13 张湘民 Implant used for building tunnel under dorsum mucous membrane

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