CN204863621U - Implanted tongue mesophragma manadesma tractive device - Google Patents
Implanted tongue mesophragma manadesma tractive device Download PDFInfo
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- CN204863621U CN204863621U CN201520090381.7U CN201520090381U CN204863621U CN 204863621 U CN204863621 U CN 204863621U CN 201520090381 U CN201520090381 U CN 201520090381U CN 204863621 U CN204863621 U CN 204863621U
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Abstract
The utility model discloses an implanted tongue mesophragma manadesma tractive device contains manadesma fixer, pull wire and inferior maxilla fixer. The manadesma fixer passes through fixation clamp or fixed hook or fixed loop to be fixed on tongue mesophragma manadesma, and the inferior maxilla fixer is fixed on the inferior maxilla. The one end of pull wire is connected on the manadesma fixer, and the other end is connected on the inferior maxilla fixer. Through the elasticity of adjusting the pull wire, can be with tongue mesophragma manadesma tractive forward to the root of the tongue pull -up forward of will the back weighing down, the open obstructed air flue of going up reaches the treatment because of weighing down the snore disease that arouses and OSA's purpose behind the tongue.
Description
Technical field
This utility model relates to a kind of being implanted in the pulling device of the root of the tongue and/or back pulled forward and method for implantation in human body tongue body, (Obstructivesleepapnea/hypopneasyndrome, hereinafter referred to as implanted septum of tongue fascia pulling device OSA) and method for implantation to be used for the treatment of snoring because glossoptosis causes or adult's obstruction sleep apnea-hypopnea syndrome.
Background technology
Adult's obstruction sleep apnea-hypopnea syndrome to occur subsiding blocking and a kind of sleep disordered breathing disease that is Clinical symptoms with snoring and asphyxia of causing due to epithelium healing during sleep.The main harm of OSA is the frequent sleep apnea that occurs and low ventilation, when causing long-term sleep, blood oxygen saturation declines, thus cause a series of pathological change of human body, become multiple general disease (diabetes, hypertension, coronary heart disease, cerebrovas-cularaccident etc.) source property disease.According to statistics, the prevalence of current OSA is high up to the 2%-4% in crowd, OSA sickness rate in middle age, has a strong impact on Health and Living quality.For this reason, WHO has been classified as the major disease of harm humans Health and Living quality.
For the pathogeny of OSA, it is generally acknowledged that main cause occurs that soft tissue subsides obstructions owing to maintaining epithelium healing open expansion pharynx muscle relaxation during sleep, glossopharyngeal part is that OSA patient occurs that soft tissue subsides an important plane of obstruction.
For the obstruction that glossopharyngeal part causes because of glossoptosis, current tongue tractive method is all carry out tractive with device to lingualis, and tongue is idiomuscular bears the limited in one's ability of pulling force, during long-term tractive, easily produces dissection to muscle.Therefore, although the treatment of these methods to OSA has certain effect, long-term treatment effects is all undesirable, still haves much room for improvement.
Anatomical study finds, at intrinsic lingual muscle and tongue, flesh is connected outward, attachment area exists the fascia that a horizontal shape is moved towards, hereinafter referred to as tongue fascia transversalis; At the connection of tongue center line left and right intrinsic lingual muscle, facies posterior hepatis, there is the septum of tongue fascia of a vertical shape trend, hereinafter referred to as septum of tongue fascia; Tongue fascia transversalis and septum of tongue fascia are that decussation distributes, and the intersection of these two kinds of fascias is obvious white tough and tensile tissue in dissection, hereinafter referred to as septum of tongue white line; In the intersection of these two kinds of fascias, i.e. septum of tongue white line, can bear larger traction force, and experiment shows that septum of tongue white line can bear the pulling force of 2Kg and not damage, referring to figs. 1 to Fig. 3.As passed through special instrument to tongue front lower place tractive septum of tongue fascia or septum of tongue white line, the traction action of genioglossus equidirectional can be played, effectively can open the air flue of tongue back zone and palate back zone, reach the object for the treatment of snoring and OSA.
This utility model is just according to the anatomical features of this human body tongue and the implantable medical device being exclusively used in tractive septum of tongue fascia designed, by to tongue front lower place tractive septum of tongue fascia or septum of tongue white line, the air flue of open tongue back zone and palate back zone, reaches the object for the treatment of snoring and OSA.
Summary of the invention
Core of the present utility model is: design a kind of implantable medical devices---implanted septum of tongue fascia pulling device 100, utilize septum of tongue fascia 200 can bear the feature of large traction force, fascia holder 1 is fixed on septum of tongue fascia 200, mandibular bone holder 3 is fixed on mandibular bone 300, described fascia holder 1 is connected by draught line 2 with between mandibular bone holder 3, one end of described draught line 2 is connected on described fascia holder 1, the other end is connected on mandibular bone holder 3, by regulating the length of described draught line 2, by septum of tongue fascia 200 pulled forward, by the pull-up forward of the root of the tongue of rear pendant, the open epithelium healing blocked, reach the object of snoring and the OSA treated because glossoptosis causes.
Implanted septum of tongue fascia pulling device, is characterized in that:
A, described implanted septum of tongue fascia pulling device 100 contain: fascia holder 1, draught line 2, mandibular bone holder 3; Described fascia holder 1 is that the fixation clamp 11 that can clamp septum of tongue fascia 200 maybe can maybe can through the retainer ring 13 of septum of tongue fascia 200 through the fixation hook 12 of septum of tongue fascia 200; Described draught line 2 is the thread-shaped bodies can implanted for a long time in human body; Described mandibular bone holder 3 to be fixed on the fixed mechanism on mandibular bone 300.
One end of B, described draught line 2 is connected on described fascia holder 1, and the other end is connected on described mandibular bone holder 3.
Described fascia holder 1 is fixed on septum of tongue fascia 200 by described fixation clamp 11 or fixation hook 12 or retainer ring 13, one end of described draught line 2 is connected on described fascia holder 1, and the other end is fixed on mandibular bone 300 by mandibular bone holder 3.By regulating the degree of tightness of described draught line 2, just can by septum of tongue fascia 200 pulled forward, thus by the pull-up forward of the root of the tongue of rear pendant.
Described implanted septum of tongue fascia pulling device 100 is also containing excessive force protection mechanism 4; Described excessive force protection mechanism 4 is located at mandibular bone holder 3 end, and one end of described excessive force protection mechanism 4 connects mandibular bone holder 3, and the other end of described excessive force protection mechanism 4 is connected with described draught line 2; Or described excessive force protection mechanism 4 is located at described fascia holder 1 end, one end of described excessive force protection mechanism 4 connects described fascia holder 1, and the other end of described excessive force protection mechanism 4 is connected with described draught line 2; Or described excessive force protection mechanism 4 is located between described draught line 2, the two ends of described excessive force protection mechanism 4 are connected with described tow lead 2 respectively.
For the snoring caused because of glossoptosis and OSAS patient, usually with the traction force being less than 200g, tractive is carried out to the tongue body of rear pendant, just by glossopharyngeal part airway open to 10mm to 15mm, good therapeutic effect can be reached.And when swallowing saliva or carrying out other swallowing acts; tongue body motoricity is backward usually larger; often be greater than 500g; for preventing the discomfort that produces to the excessive influence of tongue body motion in the process of swallowing and restriction; thus need to design described excessive force protection mechanism 4, described excessive force protection mechanism 4 can play cushioning effect, and the motion of tongue body is cushioned; improve comfortableness, and protect tongue to organize not by accidental injury.
Described excessive force protection mechanism 4 is containing elastic mechanism 41.
Described elastic mechanism 41 adopts spring structure.
Further, described spring structure is helical spring structure.When swallowing saliva or carrying out other swallowing acts; tongue body motoricity is backward usually larger; when the power that swallowing act produces is greater than the deformation force of described elastic mechanism 41; described elastic mechanism 41 deforms; play cushioning effect; can comfortableness be improved, and protect tongue to organize not by accidental injury.
Described excessive force protection mechanism 4 is also containing housing 42.
The elastic mechanism 41 of described excessive force protection mechanism 4 is placed in the housing 42 of described excessive force protection mechanism 4.Described elastic mechanism 41 is placed in described housing 42, the impact on periphery biological tissue in camber of spring process can be reduced,
Embossed card fit structure is formed between the left arm 11-1 of the fixation clamp 11 of described fascia holder 1 and right arm 11-2.
Described fascia holder 1 can be connected on fascia 200 by the dentation embossed card fit structure formed between the left arm 11-1 of described fixation clamp 11 and right arm 11-2.During use, directly described fixation clamp 11 is clipped in fascia 200 can complete and is fixedly connected with, easy to use.
The fixation hook 12 of described fascia holder 1 is C shape hook or U-shaped hook.Described fixation hook 12 medical titanium tinsel manufactures, and the diameter of described fixation hook 12 is greater than 1mm, usually uses the titanium silk of 2.5mm diameter to manufacture.Adopt described fixation hook 12, can easily described fixation hook 12 is hooked on septum of tongue fascia 200, the compressing of septum of tongue fascia 200 can be avoided.And described fixation hook 12 is hooked on septum of tongue fascia 200, can move neatly, adapt to the irregular running of tongue body.For preventing the slippage from septum of tongue fascia 200 of described fixation hook 12, the shape of described fixation hook 12 can also be designed to U-shaped, or other more complicated shapes.
The retainer ring 13 of described fascia holder 1 is containing left arm 13-1 and right arm 13-2, described right arm 13-2 is provided with locating hole 13-2-1, described left arm 13-1 establishes puncturing lever 13-1-1, and described puncturing lever 13-1-1 coincide with described locating hole 13-2-1 through after fascia 200, forms closed loop configuration.
Described puncturing lever 13-1-1 can be provided with slotted eye 13-1-1-1, facilitate described puncturing lever 13-1-1 to insert to inlay in described locating hole 13-2-1 fixing.Described puncturing lever 13-1-1 can also be provided with convex rank 13-1-1-2, the height of described convex rank 13-1-1-2 is slightly larger than the thickness of septum of tongue fascia 200, usually at about 1mm, prevent the left arm 13-1 of described retainer ring 13 and right arm 13-2 formed closed after undue compressing to septum of tongue fascia 200, keep the biological activity of septum of tongue fascia 200.
Described retainer ring 13 can be circular annular form structure or elliptical annular structure or polygonal ring shape structure.
Described draught line 2 is the elastica or non-resilient line that can implant for a long time in human body.
Described mandibular bone holder 3 is nails 31.Described nail 31 can be threaded-structure, convenient fixing, and safer, reliable.
Described mandibular bone holder 3 is the fixed mechanisms 32 that can be fixed on mandibular bone 300, and described fixed mechanism 32 is containing the line fixed mechanism 32-2 of housing 32-1, energy fixed traction line.
Described fixed mechanism 32 is containing the adjusting device 32-3 that can regulate described draught line 2 elasticity, and described adjusting device 32-3 is threaded adjusting mechanism, or shaft type governor motion, or slider type governor motion.By regulating described adjusting device 32-3, the tightness of described draught line 2 can be adjusted, and then the implanted septum of tongue fascia pulling device of adjustment this utility model is to the traction action of septum of tongue fascia 200.
Described implanted septum of tongue fascia pulling device 100 is containing described fascia holder 1, draught line 2 and mandibular bone holder 3.Described fascia holder 1 is fixed on septum of tongue fascia 200 by described fixation clamp 11 or fixation hook 12 or retainer ring 13, and described mandibular bone holder 3 is fixed on mandibular bone 300 by described nail 31 or fixed mechanism 32.One end of described draught line 2 is connected on described fascia holder 1, and the other end is connected on described mandibular bone holder 3.By regulating the degree of tightness of described draught line 2, by septum of tongue fascia 200 pulled forward, thus by the pull-up forward of the root of the tongue of rear pendant, the epithelium healing blocked can be opened, reaching the object of snoring and the OSA treated because glossoptosis causes.
The method for implantation of this utility model:
When selecting mandibular bone 300 lower edge to implant the implanted septum of tongue fascia pulling device of this utility model as inlet point, described method for implantation contains:
The first step: under local anaesthesia or general anesthesia, before mandibular bone, horizontal skin and subcutaneous tissue otch are done along dermatoglyph in lower edge center.
Second step: after hemostasis, is separated subcutaneous tissue, is separated left and right geniohyoid 400 and left and right genioglossus 500 along median line mosquito forceps or other separators, to left and right genioglossus 500 junction, and the visible white septum of tongue fascia (200) in vertical shape trend.For ease of installing described fascia holder 1, advise the isolated white septum of tongue fascia 200 being about 4cm.
3rd step: the described fascia holder 1 being connected with described draught line 2 is incorporated into septum of tongue fascia 200 place through the otch of mandibular bone 300 lower edge with specific purpose tool.
4th step: by the fixation clamp 11 on described fascia holder 1, or fixation hook 12, or described implanted septum of tongue fascia pulling device 100 is fixed on septum of tongue fascia 200 by retainer ring 13.
5th step: the fixed mechanism 32 that described mandibular bone holder 3 maybe can be fixed on mandibular bone 300 by described nail 31 is fixed on mandibular bone 300.
6th step: be connected to by described draught line 2 on described mandibular bone holder 3, regulates the tightness of draught line, sews up the incision, namely complete the implantation of described implanted septum of tongue fascia pulling device 100.
When selecting direct oral cavity to carry out the implanted septum of tongue fascia pulling device of implantation this utility model, described method for implantation contains:
The first step: under local anaesthesia or general anesthesia, walk crosswise mucosal membrane incisions at lower labiogingival groove.
Second step: the front sclerotin being separated, exposing mandibular bone, extremely bores a through hole with the midpoint of lower alveolus with instrument at mandibular bone 300 lower edge.
3rd step: after hemostasis, is incorporated into septum of tongue fascia 200 place with specific purpose tool by described fascia holder 1 via through holes being connected with described draught line 2.
4th step: by the fixation clamp 11 on described fascia holder 1, or fixation hook 12, or described implanted septum of tongue fascia pulling device 100 is fixed on septum of tongue fascia 200 by retainer ring 13.
5th step: the fixed mechanism 32 that described mandibular bone holder 3 maybe can be fixed on mandibular bone 300 by described nail 31 is fixed on mandibular bone 300.
6th step: be connected to by described draught line 2 on described mandibular bone holder 3, regulates the tightness of draught line, sews up the incision, namely complete the implantation of described implanted septum of tongue fascia pulling device 100.
Accompanying drawing explanation
The septum of tongue fascia of the Coronal of Fig. 1 tongue and the distribution schematic diagram of tongue fascia transversalis.
The septum of tongue fascia of the sagittal plain of Fig. 2 tongue and the distribution schematic diagram of tongue fascia transversalis.
The septum of tongue fascia of the three-dimensional cutaway view of Fig. 3 tongue and the distribution schematic diagram of tongue fascia transversalis.
Fig. 4 is the structural representation of the fixing clip-type implanted septum of tongue fascia pulling device of this utility model.
Fig. 4-1 is the structural representation of the implanted septum of tongue fascia pulling device of Fig. 4 when closing.
Fig. 4-2 is sectional views of Fig. 4-1.
Fig. 4-3 is fundamental diagrams of Fig. 4.
Fig. 5 is the structural representation that hook implanted septum of tongue fascia pulling device fixed by the C type of this utility model.
Fig. 5-1 is the sectional view of Fig. 5.
Fig. 5-2 is fundamental diagrams of Fig. 5.
Fig. 6 is the structural representation of the U-shaped fixing hook implanted septum of tongue fascia pulling device of this utility model.
Fig. 6-1 is the sectional view of Fig. 6.
Fig. 7 is the structural representation of the fixing ring-like implanted septum of tongue fascia pulling device of this utility model.
Fig. 7-1 is the structural representation of the implanted septum of tongue fascia pulling device of Fig. 7 when closing.
Fig. 7-2 is sectional views of Fig. 7-1.
Fig. 7-3 is fundamental diagrams of Fig. 7.
Fig. 8 is the structural representation that the excessive force protection mechanism of this utility model is located at the implanted septum of tongue fascia pulling device of fascia holder end.
Fig. 8-1 is the structural representation of the implanted septum of tongue fascia pulling device of Fig. 7 when closing.
Fig. 8-2 is sectional views of Fig. 7-1.
Fig. 9 is the structural representation that the excessive force protection mechanism of this utility model is located at the implanted septum of tongue fascia pulling device in the middle of draught line.
Fig. 9-1 is the structural representation of the implanted septum of tongue fascia pulling device of Fig. 9 when closing.
Fig. 9-2 is sectional views of Fig. 9-1.
Figure 10 is the structural representation of the implanted septum of tongue fascia pulling device of the adjustable type mandibular bone holder of this utility model.
Figure 10-1 is the structural representation of the implanted septum of tongue fascia pulling device of Figure 10 when closing.
Figure 10-2 is fundamental diagrams of the implanted septum of tongue fascia pulling device of Figure 10.
Figure 11 is structural representation and the fundamental diagram of the implanted septum of tongue fascia pulling device of the hanging type mandibular bone holder of this utility model.
Figure 12 is the structural representation of the implanted septum of tongue fascia pulling device of the adjustable type mandibular bone holder containing excessive force protection mechanism of this utility model.
Figure 12-1 is the structural representation of the implanted septum of tongue fascia pulling device of Figure 12 when closing.
In above-mentioned accompanying drawing:
100 is implanted septum of tongue fascia pulling device; 200 is septum of tongue fascia, and 201 is tongue fascia transversalis, and 202 is septum of tongue white line; 300 is mandibular bone, and 400 is geniohyoid, and 500 is genioglossus, and 600 is vertical flesh, and 601 is transverse muscle of tongue, and 602 is protrusion of the tongue flesh; 700 is hyoid bone, and 800 is soft palate, and 900 is tongue.
1 is fascia holder, and 2 is draught line, and 3 is mandibular bone holder.
11 is fixing clip-type fascia holder; 11-0 is through hole, and 11-1 is the left arm of fixation clamp, and 11-1-1 is the convex rank/hole on fixation clamp left arm; 11-2 is the right arm of fixation clamp, and 11-2-1 is the convex rank/hole on fixation clamp right arm; 11-3 is line fixed mechanism, and 11-3-1 is line fixing head, and 11-3-2 is housing, and 11-3-3 is connecting bolt.
12 is fixing hook fascia holder; 12-1 is the line fixed mechanism of fixation hook, and 12-1-1 is fixing head, and 12-1-2 is housing.
13 is fixing ring-like fascia holder; 13-0 is through hole; 13-1 is the left arm of retainer ring, and 13-1-1 is the puncturing lever on retainer ring left arm, and 13-1-2 is the convex rank/hole on retainer ring left arm, and 13-1-1-1 is the slotted eye on puncturing lever, and 13-1-1-2 is the convex rank on puncturing lever; 13-2 is the right arm of retainer ring, and 13-2-1 is the locating hole on retainer ring right arm, and 13-2-2 is the convex rank/hole on retainer ring right arm; 13-3 is line bindiny mechanism, and 13-3-1 is line fixing head, and 13-3-2 is housing, and 13-3-3 is connecting bolt.
31 is nail type mandibular bone holder, and 32 is fixing machine configuration mandibular bone holder, and 33 is line fixed mechanism.
31-1 is mounting groove, and 31-2 is spacer, and 31-3 is line fixing head.
32-1 is the housing of fixing machine configuration mandibular bone holder, and 32-1-1 is the end cap of housing, and 32-1-2 is the main body of housing; 32-2 is draught line fixed mechanism, and 32-2-1 is line fixing head; 32-3 is the tensity governor motion of draught line, and 32-3-1 is rotating screw bolt, and 32-3-2 is screw rod slide block.
33-1 is line fixing head.
4 is excessive force protection mechanism; 41 is the elastic mechanism of excessive force protection mechanism; 42 is the housing of excessive force protection mechanism, and 42-1 is through hole, and 42-2 is detent; 43 is slide block; 44 is line fixing head.
Detailed description of the invention
The fixing clip-type implanted septum of tongue fascia pulling device of embodiment 1 this utility model
With reference to figure 4 to Fig. 4-3, the septum of tongue of implanted described in the present embodiment fascia pulling device 100 is containing fascia holder 1, draught line 2, mandibular bone holder 3.In the present embodiment; described implanted septum of tongue fascia pulling device 100 is also containing excessive force protection mechanism 4; described excessive force protection mechanism 4 is located at mandibular bone holder 3 end, and one end of described excessive force protection mechanism 4 is connected with mandibular bone holder 3, and the other end is connected with described draught line 2.
For the snoring caused because of glossoptosis and OSAS patient, usually with the traction force being less than 200g, tractive is carried out to the tongue body of rear pendant, just by glossopharyngeal part airway open to 10mm to 15mm, good therapeutic effect can be reached.And when swallowing saliva or carrying out other swallowing acts; tongue body motoricity is backward usually larger; often be greater than 500g; for preventing the discomfort that produces to the excessive influence of tongue body motion in the process of swallowing and restriction; thus need to design described excessive force protection mechanism 4, described excessive force protection mechanism 4 can play cushioning effect, and the motion of tongue body is cushioned; improve comfortableness, and protect tongue to organize not by accidental injury.
In the present embodiment, described fascia holder 1 is fixation clamp 11.Described fixation clamp 11 is containing left arm 11-1, right arm 11-2.Dentation embossed card fit structure is formed, for clamping septum of tongue fascia 200, with reference to figure 4-1 to Fig. 4-3 between described left arm 11-1 and right arm 11-2.
For convenience of the connection between described draught line 2 and described fascia holder 1, in the present embodiment, also be provided with through hole 11-0 and the draught line fixed mechanism 11-3 for fixing described draught line 2 in the intersection of described left arm 11-1 and described right arm 11-2, described draught line fixed mechanism 11-3 is containing line fixing head 11-3-1, housing 11-3-2, connecting bolt 11-3-3.The end of described draught line 2, through after the through hole of described housing 11-3-2, is fixed on by riveted joint on the line fixing head 11-3-1 of metal manufacture.Described connecting bolt 11-3-3 is through after described through hole 11-0, and the mode be threaded connection with described housing 11-3-2 links together.The benefit of such connection is that the spherical line fixing head 11-3-1 of described metal manufacture in the direction adjusting tractive more neatly, can adapt to the irregular movement of tongue body, with reference to figure 4-2 and Fig. 4-3.
In addition, for convenience of the fixation clamp 11 of described fascia holder 1 is delivered to septum of tongue fascia 200 place, described left arm 11-1 and right arm 11-2 is respectively equipped with convex rank/hole 11-1-1 and convex rank/hole 11-2-1, is used for coincideing with Special surgical delivery device, locating.Described fixation clamp 11 is first kept to be in open configuration, then after described left arm 11-1 and right arm 11-2 passes tongue fascia transversalis 201, described left arm 11-1 and right arm 11-2 is placed in the both sides of septum of tongue fascia 200, keep septum of tongue fascia 200 between described left arm 11-1 and right arm 11-2, then coincide Special surgical delivery device, described left arm 11-1 and right arm 11-2 is closed up, is clamped on septum of tongue fascia 200.Finally exit operation delivery device, described delivery device is departed from from described convex rank/hole 11-1-1 and convex rank/hole 11-2-1, described fixation clamp 11 is discharged.
In the present embodiment, described mandibular bone holder 3 is screw-type nails 31.Described excessive force protection mechanism 4 is provided with in the end of described nail 31.Described excessive force protection mechanism 4 is containing elastic mechanism 41, housing 42, slide block 43.The helical spring that described elastic mechanism 41 adopts elastic titanium metal to manufacture.Described housing 42 is provided with through hole 42-1, and locating slot 42-2.Described elastic mechanism 41 and slide block 43 are arranged in described housing 42.Described slide block 43 is arranged on described elastic mechanism 41 one end near described nail 31.The end of described mandibular bone holder 3 is also provided with the mounting groove 31-1 and spacer 31-2 that match with described housing 42.After described housing 42 inserts described mounting groove 31-1, described spacer 31-2 is embedded in described locating slot 42-2, is linked together by described excessive force protection mechanism 4 with described mandibular bone holder 3.Described mandibular bone holder 3 is also provided with the line fixed mechanism 33 be connected with described draught line 2.Described line fixed mechanism 33 is line fixing head 33-1 that the metal riveting fixing described draught line 2 manufactures.Be riveted on described line fixing head 33-1, with reference to figure 4-2 after the centre bore of one end that described draught line 2 is connected with described mandibular bone holder 3 successively through the centre bore of the through hole 42-1 of described housing 42, described elastic mechanism 41, slide block 43.
Referring to figs. 1 to Fig. 4-3, when selecting to implant the implanted septum of tongue fascia pulling device of this utility model as inlet point through mandibular bone 300 lower edge, clinical operation process is as follows:
The first step: under local anaesthesia or general anesthesia, before mandibular bone, horizontal skin and subcutaneous tissue otch are done along dermatoglyph in lower edge center.
Second step: after hemostasis, is separated subcutaneous tissue, is separated left and right geniohyoid 400 and left and right genioglossus 500 along median line mosquito forceps or other separators, to left and right genioglossus 500 junction, and the visible white septum of tongue fascia 200 in vertical shape trend.For ease of installing described fascia holder 1, isolate the white septum of tongue fascia 200 being about 4cm.
3rd step: the described fascia holder 1 being connected with described draught line 2 is incorporated into septum of tongue fascia 200 place through the otch of mandibular bone 300 lower edge with specific purpose tool.
4th step: by the fixation clamp 11 on described fascia holder 1, is fixed on described implanted septum of tongue fascia pulling device 100 on septum of tongue fascia 200.
5th step: described mandibular bone holder 3 is fixed on mandibular bone 300 by described nail 31.
6th step: the tightness regulating draught line, described draught line 2 is cut to appropriate length, to be riveted on described line fixing head 33-1 after the centre bore of described draught line 2 successively through the centre bore of the through hole 42-1 of described housing 42, described elastic mechanism 41, slide block 43, described line fixing head 33-1 is placed in described housing 42, is positioned at the top of described slide block 43.Then after described housing 42 being inserted described mounting groove 31-1, described spacer 31-2 is embedded in described locating slot 42-2, described excessive force protection mechanism 4 is linked together with described mandibular bone holder 3.Finally, sew up the incision, namely complete the implantation of described implanted septum of tongue fascia pulling device 100.
When selecting direct oral cavity to carry out the implanted septum of tongue fascia pulling device of implantation this utility model, described method for implantation contains:
The first step: under local anaesthesia or general anesthesia, walk crosswise mucosal membrane incisions at lower labiogingival groove.
Second step: be separated, expose the front sclerotin of mandibular bone, bores a through hole with instrument in mandibular bone 300 lower edge to the midpoint of lower alveolus.
3rd step: after hemostasis, is incorporated into septum of tongue fascia 200 place with specific purpose tool by described fascia holder 1 via through holes being connected with described draught line 2.
4th step: by the fixation clamp 11 on described fascia holder 1, is fixed on described implanted septum of tongue fascia pulling device 100 on septum of tongue fascia 200.
5th step: described mandibular bone holder 3 is fixed on mandibular bone 300 by described nail 31.
6th step: the tightness regulating draught line, described draught line 2 is cut to appropriate length, to be riveted on described line fixing head 33-1 after the centre bore of described draught line 2 successively through the centre bore of the through hole 42-1 of described housing 42, described elastic mechanism 41, slide block 43, described line fixing head 33-1 is placed in described housing 42, is positioned at the top of described slide block 43.Then after described housing 42 being inserted described mounting groove 31-1, described spacer 31-2 is embedded in described locating slot 42-2, described excessive force protection mechanism 4 is linked together with described mandibular bone holder 3.Finally, sew up the incision, namely complete the implantation of described implanted septum of tongue fascia pulling device 100.
After described implanted septum of tongue fascia pulling device 100 is implanted, by described draught line 2 by septum of tongue fascia 200 pulled forward, just can by the pull-up forward of the root of the tongue of rear pendant, the open epithelium healing blocked, reaches the object for the treatment of snoring and the OSA caused because of glossoptosis.
The fixing hook implanted septum of tongue fascia pulling device of embodiment 2 this utility model
With reference to figure 5 to Fig. 5-2, the present embodiment is from the different of embodiment 1, and the holder of fascia described in the present embodiment 1 is fixation hook 12.In the present embodiment, described fixation hook 12 is C shape hooks, and manufacture with medical titanium tinsel, the diameter of described C shape fixation hook 12 is greater than 1mm, usually uses the titanium silk of 2.5mm diameter to manufacture.Adopt described fixation hook 12, easily described fixation hook 12 can be hooked on septum of tongue fascia 200, avoid the compressing of the 11 pairs of septum of tongue fascias 200 of fixation clamp described in embodiment 1.And described fixation hook 12 is hooked on septum of tongue fascia 200, can move neatly, adapt to the irregular running of tongue body.
In the present embodiment, the afterbody of described fixation hook 12 is provided with the line fixed mechanism 12-1 connecting described draught line 2, and described line fixed mechanism 12-1 is containing line fixing head 12-1-1, housing 12-1-2.Described housing 12-1-2 is threadingly connected to the afterbody of described fixation hook 12.The end of a thread of one end that described draught line 2 is connected with described fixation hook 12 is fixed on described line fixing head 12-1-1 through riveting after the through hole of described housing 12-1-2.
In the present embodiment, described draught line 2 is identical with embodiment 1 with the connected mode of described mandibular bone holder 3, with reference to figure 5-1.
In clinical operation, when implanting described implanted septum of tongue fascia pulling device 100, by described fascia holder 1 after the otch of mandibular bone 300 lower edge is incorporated into septum of tongue fascia 200 place, by the opening part of described fixation hook 12 through septum of tongue fascia 200, the fixation hook 12 of described fascia holder 1 and septum of tongue fascia 200 can be linked together, by described draught line 2 by septum of tongue fascia 200 pulled forward, thus can by the pull-up forward of the root of the tongue of rear pendant, the open epithelium healing blocked, reach the object for the treatment of snoring and OSA, with reference to figure 5-2.
For preventing the slippage from septum of tongue fascia 200 of described fixation hook 12, the shape of described fixation hook 12 can also be designed to U-shaped, with reference to figure 6 and Fig. 6-1, can also be designed to the shape that other are more complicated.
The fixing ring-like implanted septum of tongue fascia pulling device of embodiment 3 this utility model
With reference to figure 7 to Fig. 7-3, the difference of the present embodiment and embodiment 1 is, in the present embodiment, described fascia holder 1 is retainer ring 13.
Described retainer ring 13 is containing left arm 13-1, right arm 13-2, described right arm 13-2 is provided with locating hole 13-2-1, described left arm 13-1 establishes puncturing lever 13-1-1, described puncturing lever 13-1-1 coincide with described locating hole 13-2-1 through after septum of tongue fascia 200, form closed loop configuration, with reference to figure 7 to Fig. 7-3.
In the present embodiment, in described puncturing lever 13-1-1, be provided with slotted eye 13-1-1-1, facilitate described puncturing lever 13-1-1 to insert to inlay in described locating hole 13-2-1 fixing.Described puncturing lever 13-1-1 is also provided with convex rank 13-1-1-2, the height of described convex rank 13-1-1-2 is slightly larger than the thickness of septum of tongue fascia 200, usually at about 1mm, prevent the left arm 13-1 of described retainer ring 13 and right arm 13-2 formed closed after undue compressing to septum of tongue fascia 200, keep the biological activity of septum of tongue fascia 200.
The left arm 13-1 of described retainer ring 13 and the intersection of right arm 13-2, i.e. tail end, is provided with through hole 13-0.The tail end of described retainer ring 13 is provided with the line bindiny mechanism 13-3 be connected with described draught line 2.Described line bindiny mechanism 13-3 is containing line fixing head 13-3-1, housing 13-3-2, connecting bolt 13-3-3.Described retainer ring 13 is similar to Example 1 with the connected mode of described draught line 2, with reference to figure 7-2 and Fig. 4-2.
In the present embodiment, described draught line 2 is identical with embodiment 1 with the connected mode of described mandibular bone holder 3, with reference to figure 7-2, Fig. 4-2.
Described left arm 13-1 and right arm 13-2 is respectively equipped with convex rank/hole 13-1-2 and convex rank/hole 13-2-2, is used for coincideing with Special surgical delivery device, locating.Described retainer ring 13 is first kept to be in open configuration, then after described left arm 13-1 and right arm 13-2 passes tongue fascia transversalis 201, described left arm 13-1 and right arm 13-2 is placed in the both sides of septum of tongue fascia 200, keep septum of tongue fascia 200 between described left arm 13-1 and right arm 13-2, then coincide Special surgical delivery device, described left arm 13-1 and right arm 13-2 is closed up, described puncturing lever 13-1-1 coincide with described locating hole 13-2-1 through after septum of tongue fascia 200, forms closed loop configuration.Finally exit operation delivery device, described delivery device is departed from from described convex rank/hole 13-1-2 and convex rank/hole 13-2-2, described retainer ring 13 is discharged.
In clinical operation, when implanting described implanted septum of tongue fascia pulling device 100, by described fascia holder 1 after the otch of mandibular bone 300 lower edge is incorporated into septum of tongue fascia 200 place, described puncturing lever 13-1-1 is coincide with described locating hole 13-2-1 through after septum of tongue fascia 200, form closed loop configuration, the retainer ring 13 of described fascia holder 1 and septum of tongue fascia 200 are linked together, by described draught line 2 by septum of tongue fascia 200 pulled forward, thus can by the pull-up forward of the root of the tongue of rear pendant, the open epithelium healing blocked, reach the object for the treatment of snoring and OSA.
Only list the retainer ring 13 of rectangle annular closed structure in the present embodiment, the closing structure of other shapes such as circular annular form closing structure, elliptical annular closing structure, polygonal ring shape closing structure does not depart from protection domain of the present utility model yet.
The excessive force protection mechanism of embodiment 4 this utility model is located at the implanted septum of tongue fascia pulling device of fascia holder end
With reference to figure 8 to Fig. 8-2, the difference of the present embodiment and embodiment 3 is, in the present embodiment, described excessive force protection mechanism 4 is arranged on described fascia holder 1 end.The afterbody of described retainer ring 13 is provided with described excessive force protection mechanism 4.Described excessive force protection mechanism 4 is containing elastic mechanism 41, housing 42, slide block 43.The helical spring that described elastic mechanism 41 adopts elastic titanium metal to manufacture.Described housing 42 is provided with through hole 42-1.Described elastic mechanism 41 and slide block 43 are arranged in described housing 42.Described slide block 43 is arranged on described elastic mechanism 41 one end near described retainer ring 13.
The afterbody of described retainer ring 13 is provided with through hole 13-0, and described retainer ring 13 is together by a threaded connection by the described connecting bolt 13-3-3 of line bindiny mechanism 13-3 and the housing 42 of described excessive force protection mechanism 4.
Described draught line 2 be riveted on metal manufacture line fixing head 31-3 on after, be embedded in the mounting groove 31-1 of the afterbody of described nail 31.
The excessive force protection mechanism of embodiment 5 this utility model is located at the implanted septum of tongue fascia pulling device in the middle of draught line
With reference to figure 9 to Fig. 9-2, the difference of the present embodiment and embodiment 3 is, in the present embodiment, described excessive force protection mechanism 4 is arranged on the centre of described draught line 2.Described excessive force protection mechanism 4 is containing elastic mechanism 41, housing 42, slide block 43, line fixing head 44.The solid matter helical spring that described elastic mechanism 41 adopts elastic titanium metal to manufacture.Described housing 42 is provided with through hole 42-1.Described elastic mechanism 41 and slide block 43 are arranged in described housing 42.The line fixing head 44 that the metal spring silk at the two ends of described elastic mechanism 41 is all manufactured by described metal with described draught line 2 is riveted together.Described slide block 43, elastic mechanism 41, line fixing head 44 can be moved in described housing 42.One end of described draught line 2 is connected with described retainer ring 13, and connected mode is similar to Example 3, with reference to figure 9-2 and Fig. 7-2.The other end of described draught line 2 is connected with described nail 31, and connected mode is similar to Example 4, with reference to figure 9-2 and Fig. 8-2.
The implanted septum of tongue fascia pulling device of the adjustable type mandibular bone holder of embodiment 6 this utility model
With reference to figures 10 to Figure 10-2, the difference of the present embodiment and embodiment 3 is, in the present embodiment, described mandibular bone holder 3 is adjustable fixing machine configuration mandibular bone holders 32.Described fixing machine configuration mandibular bone holder 32 contains housing 32-1, draught line fixed mechanism 32-2, the tensity governor motion 32-3 of draught line.The tensity governor motion 32-3 of described draught line fixed mechanism 32-2 and described draught line is arranged in described housing 32-1.
The line fixing head 32-2-1 that described draught line fixed mechanism 32-2 adopts the metal riveting described draught line 2 to manufacture.
The tensity governor motion 32-3 of described draught line is containing rotating screw bolt 32-3-1, screw rod slide block 32-3-2.Described rotating screw bolt 32-3-1 is arranged on the axis of described housing 32-1, rotates described rotating screw bolt 32-3-1, drives described screw rod slide block 32-3-2 to move back and forth by helicitic texture.When described draught line 2 strained by needs, described rotating screw bolt 32-3-1 can be rotated clockwise, described screw rod slide block 32-3-2 moves to mandibular bone direction, Distance Shortened between described fascia holder 1 and described mandibular bone holder 3, traction force increases, and the traction action of septum of tongue fascia 200 strengthens.Otherwise, when the lax described draught line 2 of needs, counterclockwise rotate, described rotating screw bolt 32-3-1, described screw rod slide block 32-3-2 moves to root of the tongue direction, distance between described fascia holder 1 and described mandibular bone holder 3 increases, and traction force reduces, and the traction action of septum of tongue fascia 200 reduces.
During Clinical practice, the through hole that one runs through mandibular bone 300 is offered at the suitable position of mandibular bone 300, then described mandibular bone holder 3 is placed in the through hole offered, is fixed with nail, namely complete the installation of described mandibular bone holder 3 on mandibular bone 300.Reference example 3, is arranged on the different parts of the septum of tongue fascia 200 needing tractive successively by the retainer ring 13 of described fascia holder 1.Then, the other end of described draught line 2 is connected to described mandibular bone holder 3, namely completes the installation of the implanted septum of tongue fascia pulling device of this utility model.In the present embodiment, described mandibular bone holder 3 can draw multiple fascia holder 1 by many described draught lines 2, like this, can expand the tractive scope in root of the tongue portion, obtains better glossopharyngeum district airway open effect, with reference to figure 10-2.
The implanted septum of tongue fascia pulling device of the hanging type mandibular bone holder of embodiment 7 this utility model
With reference to Figure 11, in the present embodiment, the housing 32-1 of described fixing machine configuration mandibular bone holder 32 is different from embodiment 6, L-shaped structure.The fixing machine configuration mandibular bone holder 32 of this L shape structure can be suspended in the bottom of mandibular bone 300, carries out tractive to septum of tongue fascia 200.
The end cap 32-1-1 of described housing 32-1 can with nail nail in the front end of mandibular bone 300, and the main body 32-1-2 of described housing 32-1, can be suspended in the below of mandibular bone 300.
Embodiment 8 this utility model is containing the implanted septum of tongue fascia pulling device of the adjustable type mandibular bone holder of excessive force protection mechanism
With reference to Figure 12 and Figure 12-1, the difference of the present embodiment and embodiment 6 is, in the present embodiment, is also provided with excessive force protection mechanism 4 in the housing 32-1 of described mandibular bone holder 3.Described excessive force protection mechanism is containing elastic mechanism 41, slide block 43, line fixing head 44.Described slide block 43 is arranged on described elastic mechanism 41 near one end of mandibular bone; after the through hole of described draught line 2 successively through the through hole of the housing 32-1 of described mandibular bone holder 3, the described through hole of screw rod slide block 32-3-2, the slide block 43 of described excessive force protection mechanism 4, be riveted in described line fixing head 44.When sleep-respiratory, then the implanted septum of tongue fascia pulling device of this utility model has enough pulling force, and the pulling force produced the root of the tongue portion during opposing air-breathing, keeps the airway open of glossopharyngeal part, reaches the object for the treatment of snoring and OSA.When swallowing saliva or carrying out other swallowing acts; tongue body motoricity is backward usually larger; when the power that swallowing act produces is greater than the deformation force of described elastic mechanism 41; described elastic mechanism 41 deforms; play cushioning effect; can comfortableness be improved, and protect tongue to organize not by accidental injury.
It should be noted that the open structure with illustrating can replace by the structure that other effect is identical herein, the embodiment that this utility model is introduced simultaneously not realizes exclusive architecture of the present utility model.Although preferred embodiments of the present utility model is introduced in this article and is illustrated; but those skilled in the art know and know that these embodiments are only illustrate; those skilled in the art can make countless changes, improvement and replacement; and this utility model can not be departed from; therefore, the restriction protection domain of the present utility model that should come according to the spirit and scope of this utility model appending claims.
Claims (15)
1. implanted septum of tongue fascia pulling device, is characterized in that:
A, described implanted septum of tongue fascia pulling device (100) contain: fascia holder (1), draught line (2), mandibular bone holder (3); Described fascia holder (1) is that the fixation clamp (11) that can clamp septum of tongue fascia (200) maybe can maybe can through the retainer ring (13) of septum of tongue fascia (200) through the fixation hook (12) of septum of tongue fascia (200); Described draught line (2) is the thread-shaped body can implanted for a long time in human body; Described mandibular bone holder (3) to be fixed on the fixed mechanism on mandibular bone (300).
One end of B, described draught line (2) is connected on described fascia holder (1), and the other end is connected on described mandibular bone holder (3).
2. implanted septum of tongue fascia pulling device according to claim 1, is characterized in that: described implanted septum of tongue fascia pulling device (100) is also containing excessive force protection mechanism (4); Described excessive force protection mechanism (4) is located at mandibular bone holder (3) end, and one end of described excessive force protection mechanism (4) connects mandibular bone holder (3), and the other end of described excessive force protection mechanism (4) is connected with described draught line (2); Or described excessive force protection mechanism (4) is located at described fascia holder (1) end, and one end of described excessive force protection mechanism (4) connects described fascia holder (1), and the other end of described excessive force protection mechanism (4) is connected with described draught line (2); Or described excessive force protection mechanism (4) is located between described draught line (2), the two ends of described excessive force protection mechanism (4) are connected with described tow lead (2) respectively.
3. implanted septum of tongue fascia pulling device according to claim 2, is characterized in that: described excessive force protection mechanism (4) is containing elastic mechanism (41).
4. implanted septum of tongue fascia pulling device according to claim 3, is characterized in that: described elastic mechanism (41) adopts spring structure.
5. implanted septum of tongue fascia pulling device according to claim 4, is characterized in that: described spring structure is helical spring structure.
6. implanted septum of tongue fascia pulling device according to claim 2, is characterized in that: described excessive force protection mechanism (4) is also containing housing (42).
7. implanted septum of tongue fascia pulling device according to claim 6, is characterized in that: the elastic mechanism (41) of described excessive force protection mechanism (4) is placed in the housing (42) of described excessive force protection mechanism (4).
8. implanted septum of tongue fascia pulling device according to claim 1, is characterized in that: form embossed card fit structure between the left arm (11-1) of the fixation clamp (11) of described fascia holder (1) and right arm (11-2).
9. implanted septum of tongue fascia pulling device according to claim 1, is characterized in that: the fixation hook (12) of described fascia holder (1) is C shape hook or U-shaped hook.
10. implanted septum of tongue fascia pulling device according to claim 1, it is characterized in that: the retainer ring (13) of described fascia holder (1) is containing left arm (13-1) and right arm (13-2), described right arm (13-2) is provided with locating hole (13-2-1), described left arm (13-1) establishes puncturing lever (13-1-1), described puncturing lever (13-1-1) coincide with described locating hole (13-2-1) afterwards through fascia (200), forms closed loop configuration.
11. implanted septum of tongue fascia pulling devices according to claim 10, is characterized in that: described retainer ring (13) can be circular annular form structure or elliptical annular structure or polygonal ring shape structure.
12. implanted septum of tongue fascia pulling devices according to claim 1, is characterized in that: described draught line (2) is the elastica or non-resilient line that can implant for a long time in human body.
13. implanted septum of tongue fascia pulling devices according to claim 1, is characterized in that: described mandibular bone holder (3) is nail (31).
14. implanted septum of tongue fascia pulling devices according to claim 1, it is characterized in that: described mandibular bone holder (3) is the fixed mechanism (32) that can be fixed on mandibular bone (300), described fixed mechanism (32) is containing the line fixed mechanism (32-2) of housing (32-1), energy fixed traction line.
15. according to implanted septum of tongue fascia pulling device described in claim 14, it is characterized in that: described fixed mechanism (32) is containing the adjusting device (32-3) that can regulate described draught line (2) elasticity, described adjusting device (32-3) is threaded adjusting mechanism, or shaft type governor motion, or slider type governor motion.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201520090381.7U CN204863621U (en) | 2015-02-09 | 2015-02-09 | Implanted tongue mesophragma manadesma tractive device |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201520090381.7U CN204863621U (en) | 2015-02-09 | 2015-02-09 | Implanted tongue mesophragma manadesma tractive device |
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| CN204863621U true CN204863621U (en) | 2015-12-16 |
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| CN201520090381.7U Expired - Fee Related CN204863621U (en) | 2015-02-09 | 2015-02-09 | Implanted tongue mesophragma manadesma tractive device |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2016127697A1 (en) * | 2015-02-09 | 2016-08-18 | 周星 | Implantable lingual septum fascia traction device and implantation method |
| CN110352046A (en) * | 2017-02-28 | 2019-10-18 | 凯斯西储大学 | Maintain the oropharynx utensil of respiratory passage unblocked |
-
2015
- 2015-02-09 CN CN201520090381.7U patent/CN204863621U/en not_active Expired - Fee Related
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2016127697A1 (en) * | 2015-02-09 | 2016-08-18 | 周星 | Implantable lingual septum fascia traction device and implantation method |
| CN105982777A (en) * | 2015-02-09 | 2016-10-05 | 张湘民 | Implanted tongue septum fascia pulling device and implanting method |
| CN110352046A (en) * | 2017-02-28 | 2019-10-18 | 凯斯西储大学 | Maintain the oropharynx utensil of respiratory passage unblocked |
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