JP2009072581A - Obstructive sleep apnea syndrome dissolving tube - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an obstructive sleep apnea syndrome dissolving implement which is more inexpensive and easier to use than a conventional obstructive sleep apnea syndrome dissolving implement. <P>SOLUTION: This invention is the obstructive sleep apnea syndrome dissolving tubes 1, 11, 31 and 41. The obstructive sleep apnea syndrome dissolving tube is inserted from a nostril through a nasal cavity so as to push and widen the airway of a pharyngeal region. Thus, the obstructive sleep apnea syndrome dissolving tube can be very easily mounted since it is extremely simply configured. Thus, the obstructive sleep apnea syndrome dissolving tube is more inexpensive and easier to use than a conventional obstructive sleep apnea syndrome dissolving implement. <P>COPYRIGHT: (C)2009,JPO&amp;INPIT

Description

  The present invention relates to an obstructive sleep apnea syndrome elimination tube that prevents the pharynx of the upper respiratory tract from becoming obstructed during sleep.

  In patients with obstructive sleep apnea syndrome, the pharynx of the upper respiratory tract is obstructed by complications such as muscle relaxation and obesity during sleep, and intermittent choking (apnea, hypopnea) is repeated intermittently. . For this reason, patients with obstructive sleep apnea syndrome suffer from hypertension or cerebrovascular and cardiovascular disorders, and as a result, the awakening reaction repeats after apnea or hypopnea. As a result, patients with obstructive sleep apnea syndrome may not be able to sleep adequately, and may become drowsy during the day or lack concentration or vitality during the day. In addition, when a patient with obstructive sleep apnea syndrome drives a car, the patient is likely to cause an accident or a serious accident or the like due to drowsy driving.

  Thus, in recent years, various proposals have been made to treat or eliminate obstructive sleep apnea syndrome. For example, in the past, a method of “sending air of appropriate pressure from the outside to the pharynx via the nostril and expanding the blockage portion with air pressure to secure an airway for inspiration” (see, for example, Patent Document 1) or “ A method of “wearing a mouthpiece” has been proposed.

  In order to carry out the treatment method of the air pressurization method like the former, an air pressurization apparatus is required. However, the air pressurizing apparatus is not only relatively large but also heavy, and is not suitable for carrying on travel. Air pressurizers are also generally expensive and impose a significant economic burden on patients with obstructive sleep apnea syndrome. When a patient with obstructive sleep apnea syndrome uses an air pressurization device, the patient completely covers the nostril portion with a mask so that the pressurized air sent from the air pressurization device does not leak. At the same time, the mask and the air delivery pipe must be fixed to the head with a headband so that the mask and the air delivery pipe do not come off. Wearing these components during sleep is painful for the patient. In addition, the air pressurizing device is noisy and may disturb sleep of not only the patient but also the surrounding people. Furthermore, when the room temperature decreases during winter use, the moisture in the breath aggregates in the mask to form water droplets, which may hit the patient's face and interfere with the patient's sleep.

  On the other hand, the latter treatment method can achieve a certain effect when the patient's symptoms are minor, but cannot often be expected for a severe patient.

In such a situation, recently, “a flexible tube having a length from the pharynx to the nostril, a flexible guide wire inserted into the tube, and an elastically deformable provided at one end of the guide wire. An obstructive sleep apnea syndrome canceller composed of a reticulated cylinder and a stopper provided at the other end of the guide wire has been proposed (see, for example, Patent Document 2). In order for the patient to wear this obstructive sleep apnea syndrome canceller, the patient first pulls the stopper to place the reticulated cylinder in the tube, and then the obstructive sleep apnea syndrome in that state The device is inserted through its nostril and the obstructive sleep apnea syndrome canceller is passed through the nasal cavity so that the end on the stopper side of the obstructive sleep apnea syndrome device is slightly protruding from the nostril. Thereafter, the patient holds the end of the tube on the stopper side with one hand, and pushes the guide wire into the tube until the stopper comes into contact with the end of the tube with the other hand. Then, the reticular cylinder housed in the tube is pushed out of the tube, and the reticular cylinder is deployed in the patient's pharynx to widen the airway of the pharynx. As described above, the obstructive sleep apnea syndrome canceller can secure a reliable airway, is easy to wear, does not interfere with the sleep of the patient and those around him, and is small, light and inexpensive to carry. It is also easy and very good.
JP-A-8-332226 JP 2006-204630 A

  An object of the present invention is to provide an obstructive sleep apnea syndrome eliminating device that is cheaper and easier to use than conventional obstructive sleep apnea syndrome resolving devices.

  The first invention is an obstructive sleep apnea syndrome elimination tube. The obstructive sleep apnea syndrome elimination tube preferably has a tapered tip.

  The obstructive sleep apnea syndrome elimination tube is inserted so as to spread the airway of the pharynx from the nostril through the nasal cavity. For this reason, this obstructive sleep apnea syndrome elimination tube can be mounted very easily while having a very simple configuration. Therefore, the obstructive sleep apnea syndrome elimination tube is cheaper and easier to use than the conventional obstructive sleep apnea syndrome elimination device.

  The obstructive sleep apnea syndrome elimination tube according to the second invention is the obstruction sleep apnea syndrome elimination tube according to the first invention, and the gel substance is applied to the whole or a part of the outer peripheral surface. Here, the “gel substance” means a crosslinked polymer substance including a liquid, particularly water. The gel substance is preferably applied to the tip of the obstructive sleep apnea syndrome elimination tube.

  In this obstructive sleep apnea syndrome elimination tube, a gel substance is applied to the whole or a part of the outer peripheral surface. For this reason, this obstructive sleep apnea syndrome elimination tube can reduce the foreign body feeling (discomfort) felt by the patient with obstructive sleep apnea syndrome when worn.

  The obstructive sleep apnea syndrome elimination tube according to the third invention is the obstruction sleep apnea syndrome elimination tube according to the first invention, and a soft rubber is applied to the whole or a part of the outer peripheral surface.

  In this obstructive sleep apnea syndrome elimination tube, soft rubber is applied to the whole or a part of the outer peripheral surface. For this reason, this obstructive sleep apnea syndrome elimination tube can reduce the foreign body feeling (discomfort) felt by the patient with obstructive sleep apnea syndrome when worn.

  An obstructive sleep apnea syndrome elimination tube according to a fourth aspect of the present invention is the obstructive sleep apnea syndrome elimination tube according to any one of the first to third aspects of the invention, and includes a protrusion. The protrusion extends outward from the outer peripheral surface of the obstructive sleep apnea syndrome elimination tube. The “protrusions” here are for preventing the obstructive sleep apnea syndrome elimination tube from being buried in the nostrils when the obstruction sleep apnea syndrome elimination tube is attached. Moreover, it is preferable that a projection part is provided in the base end side of an obstruction type sleep apnea syndrome elimination tube. Further, the protrusion may be in a state where it does not protrude from the outer peripheral surface.

  This obstructive sleep apnea syndrome elimination tube is provided with a protrusion. For this reason, it is possible to avoid the obstructive sleep apnea syndrome elimination tube being buried in the patient's nostril during the patient's sleep.

  An obstructive sleep apnea syndrome elimination tube according to a fifth aspect of the present invention is the obstructive sleep apnea syndrome elimination tube according to any of the first to fourth aspects of the invention, all or part of which is curved. . In such a case, it is preferable that the obstructive sleep apnea syndrome elimination tube is curved along the shape of the human nasal cavity.

  This obstructive sleep apnea syndrome elimination tube is curved in whole or in part. For this reason, if the curved shape is made to conform to the shape in the human nasal cavity, this obstructive sleep apnea syndrome elimination tube will feel a foreign body feeling (discomfort) felt by a patient with obstructive sleep apnea syndrome when worn. ) Can be reduced.

  An obstructive sleep apnea syndrome elimination tube according to a sixth aspect of the present invention is the obstructive sleep apnea syndrome elimination tube according to any of the first to fifth aspects of the invention, and includes a through-hole penetrating the side wall. This through hole is preferably provided on the distal end side of the obstructive sleep apnea syndrome elimination tube. Further, the more through holes, the better the air permeability, but conversely the strength decreases. For this reason, it is necessary to examine the size and number of through holes from the viewpoints of air permeability and strength.

  The obstructive sleep apnea syndrome elimination tube includes a through-hole penetrating the side wall. For this reason, this obstructive sleep apnea syndrome elimination tube can reduce the difficulty of breathing in patients with obstructive sleep apnea syndrome when worn.

  An obstructive sleep apnea syndrome elimination tube according to a seventh aspect of the present invention is the obstructive sleep apnea syndrome elimination tube according to any of the first to sixth aspects of the invention, and includes a guide portion. The guide part has a flat shape and extends so as to protrude from the distal end of the obstructive sleep apnea syndrome elimination tube. The guide portion is preferably thin.

  By the way, in patients with obstructive sleep apnea syndrome, the air pressure on the lung side is reduced when the airway is blocked. Therefore, if a patient with obstructive sleep apnea syndrome puts the obstructive sleep apnea syndrome elimination tube through the nostril and inserts the guide part into the pharynx before putting it to sleep, the patient with obstructive sleep apnea syndrome sleeps When the airway is blocked and the airway is blocked, the guide part is automatically aspirated to the lungs due to the pressure difference between the internal and external spaces that sandwich the pharynx, and the obstructive sleep apnea syndrome elimination tube is automatically Inserted into. For this reason, this obstructive sleep apnea syndrome elimination tube is a foreign body sensation during swallowing before the patient with obstructive sleep apnea syndrome enters sleep state (Discomfort) can be reduced.

  An obstructive sleep apnea syndrome elimination tube according to an eighth aspect of the present invention is the obstructive sleep apnea syndrome elimination tube according to any of the first to sixth aspects of the invention, and includes a form deforming portion and a guide portion. The shape deformable portion can be deformed in the longitudinal direction and the radial direction, and is provided at the distal end of the obstructive sleep apnea syndrome elimination tube. In addition, the “form deforming portion” referred to here is, for example, a balloon formed so as to fall to the proximal end side when not attached. The guide part has a flat shape and extends so as to protrude from the tip of the form deforming part. Moreover, it is preferable that a guide part is thin.

  By the way, in patients with obstructive sleep apnea syndrome, the air pressure on the lung side is reduced when the airway is blocked. Therefore, if a patient with obstructive sleep apnea syndrome puts the obstructive sleep apnea syndrome elimination tube through the nostril and inserts the guide part into the pharynx before putting it to sleep, the patient with obstructive sleep apnea syndrome sleeps When the airway is blocked and the airway is blocked, the guide part is automatically sucked to the lungs due to the pressure difference between the internal and external spaces that sandwich the pharynx, and the deformed part is automatically inserted into the pharynx while deforming. Is done. For this reason, this obstructive sleep apnea syndrome elimination tube is a foreign body sensation during swallowing before the patient with obstructive sleep apnea syndrome enters sleep state (Uncomfortable feeling) can be reduced and the pharynx can be bitten, and even if the patient turns over during sleep, it becomes difficult to escape.

  The obstructive sleep apnea syndrome elimination tube according to the ninth aspect of the present invention is the obstructive sleep apnea syndrome elimination tube according to any of the first to seventh aspects of the present invention, wherein water is added to the whole or a part of the outer peripheral surface. A swelling resin is applied. In addition, when water swelling resin is apply | coated to a part of outer peripheral surface, it is necessary to determine the application position of water swelling resin in consideration of the position of a pharynx. Further, when the gel substance is applied to the entire outer peripheral surface of the obstructive sleep apnea syndrome elimination tube, the water swelling resin is not applied. However, when the gel substance is applied to a part of the outer peripheral surface of the obstructive sleep apnea syndrome elimination tube, the water swelling resin may be applied so as not to overlap the gel substance. In such a case, it is preferable that the gel substance is applied to the distal end portion of the obstructive sleep apnea syndrome elimination tube, and the water-swelling resin is applied to a proximal end portion slightly away from the distal end portion. Moreover, you may apply | coat a gel substance further to the part of a base end side from the application part of water swelling resin. When soft rubber is applied to the entire outer peripheral surface of the obstructive sleep apnea syndrome elimination tube, the water-swelling resin can be applied to the upper side (air side) of the soft rubber. Moreover, when a soft rubber is applied to a part of the outer peripheral surface of the obstructive sleep apnea syndrome elimination tube, the water-swelling resin may be applied so as not to overlap the soft rubber. In such a case, it is preferable that the soft rubber is applied to the distal end portion of the obstructive sleep apnea syndrome elimination tube, and the water swelling resin is applied to the vicinity of the distal end portion. Further, soft rubber may be further applied from the application part of the water-swelling resin to the part on the base end side.

  In this obstructive sleep apnea syndrome elimination tube, a water swelling resin is applied to the whole or a part of the outer peripheral surface. For this reason, when a patient with obstructive sleep apnea syndrome wears this obstructive sleep apnea syndrome elimination tube, the water-swelling resin absorbs moisture present near the patient's pharynx and swells. Therefore, this obstructive sleep apnea syndrome elimination tube can bite into the pharynx. As a result, the obstructive sleep apnea syndrome elimination tube is not easily removed even if the patient turns over during sleep.

  An obstructive sleep apnea syndrome elimination tube according to a tenth aspect of the invention includes a first tube and a second tube. The first tube has a first balloon portion that can expand and contract. The second tube is inserted into the first tube with a predetermined gap. The position where the first balloon part is provided needs to be determined in consideration of the position of the pharynx (particularly the distance from the hole in the nose to the pharynx).

  This obstructive sleep apnea syndrome elimination tube has a first balloon part. Therefore, the obstructive sleep apnea syndrome patient puts the first balloon part in a contracted state, and the obstructive sleep apnea syndrome elimination tube is inserted from the nostril so that the first balloon part is located in the pharynx. After attaching the sleep apnea syndrome elimination tube, for example, if the first balloon is inflated by a compressor, a blower, a water pump, etc., the patient places the obstructive sleep apnea syndrome elimination tube in the pharynx. Can be bitten. Therefore, if the patient uses the obstructive sleep apnea syndrome elimination tube in this manner, the obstruction sleep apnea syndrome elimination tube can be made difficult to come off even if the patient turns over during sleep. Thus, this obstructive sleep apnea syndrome elimination tube can be worn very easily while having a very simple configuration. Therefore, the obstructive sleep apnea syndrome elimination tube is cheaper and easier to use than the conventional obstructive sleep apnea syndrome elimination device.

  The obstructive sleep apnea syndrome elimination tube according to the eleventh invention is the obstruction sleep apnea syndrome elimination tube according to the tenth invention, wherein one end of the first tube and one end of the second tube are joined. Has been. In addition, the one end part of a 1st tube and the one end part of a 2nd tube may be joined directly, and may be joined via a closure member. At this time, the opening of the second tube is not blocked.

  In this obstructive sleep apnea syndrome elimination tube, one end of the first tube and one end of the second tube are joined. For this reason, patients with obstructive sleep apnea syndrome tend to inflate the balloon.

  The obstructive sleep apnea syndrome elimination tube according to the twelfth aspect of the invention is the obstructive sleep apnea syndrome elimination tube according to the tenth aspect of the invention or the eleventh aspect of the invention, further comprising a protrusion. The protrusion extends outward from the outer peripheral surface of the first tube. The “protrusions” here are for preventing the obstructive sleep apnea syndrome elimination tube from being buried in the nostrils when the obstruction sleep apnea syndrome elimination tube is attached. Moreover, it is preferable that a projection part is provided in the base end side of a 1st tube. Further, the protrusion may be in a state where it does not protrude from the outer peripheral surface.

  This obstructive sleep apnea syndrome elimination tube is provided with a protrusion. For this reason, it is possible to avoid the obstructive sleep apnea syndrome elimination tube being buried in the patient's nostril during the patient's sleep.

  An obstructive sleep apnea syndrome elimination tube according to a thirteenth aspect of the invention is an obstructive sleep apnea syndrome elimination tube according to any of the tenth to twelfth aspects of the invention, wherein the first balloon portion is the first tube. It is provided at the front end side. The first tube further includes a second balloon portion that can expand and contract on the proximal end side. The second balloon part must be larger in size than the nostril when inflated.

  This obstructive sleep apnea syndrome elimination tube further has a second balloon portion on the proximal end side. For this reason, the 2nd balloon part is inflated simultaneously with the 1st balloon part being inflated. For this reason, it is possible to avoid the obstructive sleep apnea syndrome elimination tube being buried in the patient's nostril during the patient's sleep. Moreover, if the 2nd balloon part is made into the contracted state, it can accommodate compactly.

  The obstructive sleep apnea syndrome elimination tube according to the fourteenth aspect of the present invention includes a tube, a wire, a first stopper, and a second stopper. The tube has a first shape deforming portion. The first form deformable portion is deformable in the longitudinal direction and the radial direction. The wire is inserted through the tube with a predetermined gap. Here, the “wire” is, for example, a metal wire (which may be coated with resin), a thread, a string, or the like. The first stopper has a ventilation part. And this 1st stopper is attached to the 1st end side of a wire. In addition, it is essential that the “first stopper” mentioned here has a size enough to pass through the nostril. The second stopper is attached to the second end side of the wire. Here, the “second end” is an end opposite to the first end. Moreover, it is preferable that the “second stopper” herein has such a size that the obstructive sleep apnea syndrome elimination tube is not buried in the nostril when the obstruction sleep apnea syndrome elimination tube is attached. Examples of the second stopper include a screw-fixed type and a knock-fixed type that can slide along the wire. In addition, when the cross-sectional shape of the hole on the second end side of the tube is an ellipse or a rectangle, a stopper extending from the wire in a direction perpendicular to the axis of the wire may be used. In such a case, the length of the second stopper is shorter than the long portion of the cross section of the hole and longer than the short portion of the cross section of the hole. Further, the second stopper having such a shape is in a state of being accommodated in the tube when the first form deforming portion is fully extended, and being exposed outside the tube when the first form deforming portion is fully contracted. It is formed in the position. And the 2nd stopper is rotated centering on the axis | shaft of a wire so that it may correspond with the long part of the hole of a tube. Then, a 2nd stopper is accommodated in a tube. And if a 1st form deformation | transformation part shrink | contracts in a longitudinal direction, a 2nd stopper will be exposed from a tube. In this state, the second stopper is rotated around the axis of the wire so as to coincide with the short portion of the hole of the tube. Then, a 2nd stopper maintains the state of the 1st form deformation | transformation part contracted.

  In this obstructive sleep apnea syndrome elimination tube, a wire is inserted through the tube with a predetermined gap. And the 1st stopper is attached to the 1st end side of a wire, and the 2nd stopper is attached to the 2nd end side. Moreover, the 1st form deformation | transformation part is provided in the tube. Therefore, the obstructive sleep apnea syndrome patient is in a state where the tube is fully extended, that is, the obstructed sleep apnea syndrome elimination tube is in the state where the first form deformed portion is extended in the longitudinal direction. After putting the obstructive sleep apnea syndrome elimination tube into the nostril from the side so that the first form deformed part is located in the pharynx, if the patient pushes the tube to the first end side while grasping the wire, One form deformation part shrinks in the longitudinal direction and projects radially outward. If this state is maintained by the second stopper, the patient can bite the obstructive sleep apnea syndrome elimination tube into the pharynx. Therefore, if the patient uses the obstructive sleep apnea syndrome elimination tube in this manner, the obstruction sleep apnea syndrome elimination tube can be made difficult to come off even if the patient turns over during sleep. Thus, this obstructive sleep apnea syndrome elimination tube can be worn very easily while having a very simple configuration. Therefore, the obstructive sleep apnea syndrome elimination tube is cheaper and easier to use than the conventional obstructive sleep apnea syndrome elimination device.

  The obstructive sleep apnea syndrome elimination tube according to the fifteenth aspect of the invention is the obstructive sleep apnea syndrome elimination tube according to the fourteenth aspect of the invention, and the second stopper has a vent. And this 2nd stopper is slidable along a wire.

  For this reason, the patient can form easily the state which the 1st form deformation part contracted in the longitudinal direction.

  The obstructive sleep apnea syndrome elimination tube according to the sixteenth aspect of the invention is the obstructive sleep apnea syndrome elimination tube according to the fourteenth aspect of the invention, or the fifteenth aspect of the invention, wherein the first form deforming portion is on the distal end side of the tube. Is provided. And the tube further has a 2nd form deformation | transformation part in the base end side. The second form deformable portion can be deformed in the longitudinal direction and the radial direction. In addition, when this 2nd form deformation | transformation part deform | transforms so that it may protrude on a radial direction outer side, the magnitude | size of the radial direction must be larger than a nostril.

  This obstructive sleep apnea syndrome elimination tube has a second shape deformed portion on the proximal end side. For this reason, when the first form deforming part is in the state of being fully extended in the longitudinal direction, the second form deforming part is also in the state of being fully extended in the longitudinal direction. When projecting outward in the direction, the second shape deforming portion also contracts in the longitudinal direction and projects outward in the radial direction. For this reason, it is possible to avoid the obstructive sleep apnea syndrome elimination tube being buried in the patient's nostril during the patient's sleep. Moreover, if the 2nd form deformation | transformation part is made into the state extended, it can accommodate compactly.

  The obstructive sleep apnea syndrome elimination tube according to the first aspect of the invention can be worn very easily while having a very simple configuration. Therefore, this obstructive sleep apnea syndrome elimination tube is cheaper and easier to use than the conventional obstruction sleep apnea syndrome elimination tube.

  The obstructive sleep apnea syndrome elimination tube according to the second invention can reduce the foreign body feeling (discomfort) felt by a patient with obstructive sleep apnea syndrome when worn.

  The obstructive sleep apnea syndrome elimination tube according to the third aspect of the invention can reduce the foreign body feeling (discomfort) felt by a patient with obstructive sleep apnea syndrome when worn.

  The obstructive sleep apnea syndrome elimination tube according to the fourth aspect of the invention can avoid being buried in the patient's nostril during the patient's sleep.

  If the obstructive sleep apnea syndrome elimination tube according to the fifth invention is curved so as to follow the shape of the human nasal cavity, the foreign body feeling (discomfort) felt by the patient of the obstructive sleep apnea syndrome when worn ) Can be reduced.

  The obstructive sleep apnea syndrome elimination tube according to the sixth aspect of the invention can reduce the difficulty of breathing in patients with obstructive sleep apnea syndrome when worn.

  The obstructive sleep apnea syndrome elimination tube according to the seventh aspect of the invention can reduce a foreign object feeling (discomfort) during swallowing before the patient with the obstructive sleep apnea syndrome enters a sleep state.

  The obstructive sleep apnea syndrome elimination tube according to the eighth invention can reduce a foreign body feeling (discomfort) at the time of swallowing before the patient with the obstructive sleep apnea syndrome enters a sleep state, and the pharynx It is difficult to get out even if the patient rolls over while sleeping.

  When a patient with obstructive sleep apnea syndrome wears the obstructive sleep apnea syndrome elimination tube according to the ninth aspect of the invention, the water-swelling resin absorbs moisture present in the vicinity of the patient's throat and swells. Therefore, this obstructive sleep apnea syndrome elimination tube can bite into the pharynx. As a result, the obstructive sleep apnea syndrome elimination tube is not easily removed even if the patient turns over during sleep.

  A patient with obstructive sleep apnea syndrome puts the first balloon part in a contracted state, and the obstructive sleep apnea syndrome elimination tube according to the tenth invention is inserted from the nostril so that the first balloon part is located in the pharynx. After installing the obstructive sleep apnea syndrome elimination tube, for example, if the first balloon is inflated by a compressor, a blower, a water pump, etc., the patient will have an obstructive sleep apnea syndrome elimination tube. Can bite into the pharynx. Therefore, if the patient uses the obstructive sleep apnea syndrome elimination tube in this manner, the obstruction sleep apnea syndrome elimination tube can be made difficult to come off even if the patient turns over during sleep. Thus, this obstructive sleep apnea syndrome elimination tube can be worn very easily while having a very simple configuration. Therefore, the obstructive sleep apnea syndrome elimination tube is cheaper and easier to use than the conventional obstructive sleep apnea syndrome elimination device.

  In the obstructive sleep apnea syndrome elimination tube according to the eleventh invention, one end of the first tube and one end of the second tube are joined. For this reason, patients with obstructive sleep apnea syndrome tend to inflate the balloon.

  The obstructive sleep apnea syndrome elimination tube according to the twelfth invention can avoid being buried in the patient's nostril during the patient's sleep.

  The obstructive sleep apnea syndrome elimination tube according to the thirteenth invention can avoid being buried in the patient's nostril during the patient's sleep. Moreover, if the 2nd balloon part is made into the contracted state, it can accommodate compactly.

  The obstructive sleep apnea syndrome elimination tube according to the fourteenth aspect of the present invention is shown in a state in which the patient with obstructive sleep apnea syndrome has fully extended the tube, that is, the first form deformed portion has been extended in the longitudinal direction. 1 After putting the obstructive sleep apnea syndrome elimination tube into the nostril from the stopper side so that the first form deformed part is located in the pharynx, the patient pushes the tube to the first end side while grasping the wire. For example, the first form deforming portion contracts in the longitudinal direction and protrudes radially outward. If this state is maintained by the second stopper, the patient can bite the obstructive sleep apnea syndrome elimination tube into the pharynx. Therefore, if the patient uses the obstructive sleep apnea syndrome elimination tube in this manner, the obstruction sleep apnea syndrome elimination tube can be made difficult to come off even if the patient turns over during sleep. Thus, this obstructive sleep apnea syndrome elimination tube can be worn very easily while having a very simple configuration. Therefore, the obstructive sleep apnea syndrome elimination tube is cheaper and easier to use than the conventional obstructive sleep apnea syndrome elimination device.

  If the obstructive sleep apnea syndrome elimination tube according to the fifteenth aspect of the invention is used, the patient can easily form a state in which the first form deformed portion is contracted in the longitudinal direction.

  The obstructive sleep apnea syndrome elimination tube according to the sixteenth aspect of the invention can avoid being buried in the patient's nostril during the patient's sleep. Moreover, if the 2nd form deformation | transformation part is made into the state extended, it can accommodate compactly.

-First embodiment-
The obstructive sleep apnea syndrome elimination tube according to the first embodiment of the present invention is shown in FIG. The obstructive sleep apnea syndrome elimination tube 1 is made of a material having a low coefficient of friction, flexibility, and harmless to the human body, for example, a synthetic resin such as polyethylene, fluororesin, and silicon resin. The insertion resistance to the throat of the upper airway is small. In addition, the obstructive sleep apnea syndrome elimination tube 1 has such a length that when inserted, the distal end of the insertion side is located in the back of the pharynx and the proximal end slightly protrudes from the nostril. The inner diameter of the obstructive sleep apnea syndrome elimination tube 1 is appropriately set according to the patient's condition and the like. The inner diameter of the obstructive sleep apnea syndrome elimination tube 1 is preferably about 1 to 8 mm in consideration of insertion from the nostril. The wall thickness of the obstructive sleep apnea syndrome elimination tube 1 is preferably about 0.5 to 3 mm. The end face portion of the obstructive sleep apnea syndrome elimination tube 1 is preferably chamfered so that it can be easily inserted into the nasal cavity. A protrusion 2 is formed in the vicinity of the proximal end of the obstructive sleep apnea syndrome elimination tube 1 so that the obstruction sleep apnea syndrome elimination tube 1 is not buried in the patient's nostril. . The protrusion 2 is a ring-shaped protrusion extending outward from the outer peripheral surface of the obstructive sleep apnea syndrome elimination tube 1.

<How to use obstructive sleep apnea syndrome elimination tube>
(1) Wearing method As shown in FIG. 2 and FIG. 3, the patient passes the obstructive sleep apnea syndrome elimination tube 1 through the nostril 21 through the nasal cavity 22, and the basis of the obstruction sleep apnea syndrome elimination tube 1. The obstructive sleep apnea syndrome elimination tube 1 is pushed in until the end slightly protrudes from the nostril 21, for example, about 1 to 2 cm. In addition, it is preferable to apply lubricants such as petrolatum, jelly-like lubricant, and gel substance to the obstructive sleep apnea syndrome elimination tube 1, particularly the tip portion, before wearing. As a result, the distal end portion of the obstructive sleep apnea syndrome elimination tube 1 is inserted to the back of the patient's pharynx 23.

  Note that if this operation is performed when the patient is awake, the airway of the pharyngeal portion 23 of the patient is in an open state, so the patient can gently push the distal end of the obstructive sleep apnea syndrome elimination tube 1 with a slight force. It can be pushed into the part 23.

(2) Desorption method The patient pulls out the obstructive sleep apnea syndrome elimination tube 1 from the nostril 21, for example, when getting up.

  The patient can repeatedly use the obstructive sleep apnea syndrome eliminating tube 1 if the obstructed sleep apnea syndrome eliminating tube 1 is washed, disinfected, or the like. In addition, the inside of the obstructive sleep apnea syndrome elimination tube 1 can be easily cleaned by using an appropriate cleaning tool, and disinfection can be easily performed by using a disinfectant such as alcohol.

<Characteristics of the obstructive sleep apnea syndrome elimination tube according to the first embodiment>
(1)
The obstructive sleep apnea syndrome elimination tube 1 according to the first embodiment is inserted from the nostril 21 through the nasal cavity 22 to widen the airway of the pharynx 23. For this reason, this obstructive sleep apnea syndrome elimination tube 1 can be mounted very easily while having a very simple configuration. Therefore, this obstructive sleep apnea syndrome elimination tube 1 is cheaper and easier to use than the conventional obstructive sleep apnea syndrome elimination device.

(2)
In the obstructive sleep apnea syndrome elimination tube 1 according to the first embodiment, a protrusion 2 is formed near the proximal end. For this reason, it is possible to prevent the obstructive sleep apnea syndrome elimination tube 1 from being buried in the patient's nostril.

<Modification of First Embodiment>
(A)
In the obstructive sleep apnea syndrome elimination tube 1 according to the previous embodiment, the cross-sectional shape cut by the surface orthogonal to the longitudinal direction is circular, but the cross-sectional shape cut by the surface orthogonal to the longitudinal direction is particularly limited. It may be a polygon or the like.

(B)
In the obstructive sleep apnea syndrome elimination tube 1 according to the previous embodiment, the ring-shaped protrusion 2 is formed near the proximal end, but the shape of the protrusion 2 is not particularly limited, and is obstructive. As long as the sleep apnea syndrome elimination tube 1 is not buried in the patient's nostril, it can have any shape.

(C)
Although not particularly mentioned in the previous embodiment, the outer surface of the obstructive sleep apnea syndrome elimination tube 1 may be covered with a soft rubber. In this way, even if a lubricant is not used, it is possible to reduce the foreign body feeling (uncomfortable feeling) felt by the patient with obstructive sleep apnea syndrome elimination tube 1 when the obstructive sleep apnea syndrome elimination tube 1 is attached. it can.

(D)
Although not particularly mentioned in the previous embodiment, as shown in FIG. 22, the obstructive sleep apnea syndrome elimination tube 1 may be curved in advance along the shape of the human nasal cavity. . In this way, it is possible to reduce the foreign body feeling (uncomfortable feeling) felt by a patient with obstructive sleep apnea syndrome when the obstructive sleep apnea syndrome elimination tube 1 is attached.

(E)
Although not particularly mentioned in the previous embodiment, as shown in FIG. 23, a hole 3 may be formed in the side wall of the distal end portion of the obstructive sleep apnea syndrome elimination tube 1. If it does in this way, when the obstruction type sleep apnea syndrome elimination tube 1 is mounted | worn, it can reduce that the patient of obstruction type sleep apnea syndrome becomes difficult to breathe. Further, not only the side wall of the tip portion but also the side wall of the base end portion or the intermediate portion may be perforated.

(F)
Although not particularly mentioned in the previous embodiment, as shown in FIG. 24, a guide portion 4 may be provided at the tip of the obstructive sleep apnea syndrome elimination tube 1. In addition, this guide part 4 is extended so that it may protrude from the front-end | tip of obstruction type sleep apnea syndrome elimination tube 1, as FIG. 24 shows. The guide portion 4 has a thin flat shape.

  Thus, if the guide part 4 is provided in the front-end | tip of the obstruction type sleep apnea syndrome elimination tube 1, the patient of obstruction type sleep apnea syndrome cancellation tube 1 will be previously inserted from the nostril and guided. If the patient falls asleep after inserting the part 4 into the pharynx 23 (see FIG. 25), the space inside and outside the pharynx 23 when the patient with obstructive sleep apnea syndrome enters the sleep state and enters the airway obstruction state. The guide portion 4 is automatically sucked to the lung side by the pressure difference, and the obstructive sleep apnea syndrome eliminating tube 1 is automatically inserted into the pharynx 23 together with it (see FIG. 26). For this reason, this obstructive sleep apnea syndrome elimination tube 1 is a foreign object at the time of swallowing before the patient with obstructive sleep apnea syndrome enters the sleep state (the airway contracts when swallowing the spigot = collar). A feeling (discomfort) can be reduced.

(G)
Although not particularly mentioned in the previous embodiment, as shown in FIG. 27 and FIG. 28, the deformable portion 5 is provided at the tip of the obstructive sleep apnea syndrome elimination tube 1, and the guide portion is further provided at the tip. 4 may be provided. In addition, the form deformation | transformation part 5 is a part formed by the balloon-shaped part or the notch (refer to the notch part 244 of the modification (L) of 4th Embodiment), Comprising: As FIG. 27 shows, it shrinks | contracts Sometimes set to fall to the proximal side. Moreover, the guide part 4 is extended so that it may protrude from the front-end | tip of the form deformation | transformation part 5, as FIG. 27 and FIG. 28 shows. The guide portion 4 has a thin flat shape.

  Thus, if the shape deformation | transformation part 5 and the guide part 4 are provided in the front-end | tip of the obstruction type sleep apnea syndrome elimination tube 1, the patient of obstruction type sleep apnea syndrome elimination tube 1 will be previously shown. Is inserted through the nostril and the guide part 4 is inserted into the pharynx 23 and then sleeps (see FIG. 27), the patient with obstructive sleep apnea syndrome enters the sleep state and becomes airway obstructed. The guide portion 4 is automatically sucked to the lung side due to the pressure difference between the inner and outer spaces sandwiching the gap, and the morphological deformable portion 5 is automatically inserted into the pharynx while being expanded and deformed (see FIG. 28). For this reason, this obstructive sleep apnea syndrome elimination tube 1 can reduce the foreign body feeling (discomfort) during swallowing before the patient with obstructive sleep apnea syndrome enters the sleep state and the pharynx 23, and even if the patient turns over during sleep, it becomes difficult to escape.

(H)
In the obstructive sleep apnea syndrome elimination tube 1 according to the previous embodiment, the ring-shaped protrusion 2 is employed to prevent the nostril burial, but the third modification shown in the modified example (G) of the third embodiment. Two balloon parts 135 may be adopted for preventing nostril burial. In such a case, the structure on the proximal end side needs to be the same as the structure of the obstructive sleep apnea syndrome elimination tube 31 shown in the modified example (G) of the third embodiment.

-Second Embodiment-
As shown in FIGS. 4 and 5, the obstructive sleep apnea syndrome elimination tube 11 according to the second embodiment of the present invention mainly includes a tube 12, a water swelling (high water absorption) resin coating 13, and The protrusion 14 is configured. Hereinafter, each component of the obstructive sleep apnea syndrome elimination tube 11 will be described in detail.

<Configuration of obstructive sleep apnea syndrome elimination tube>
(1) Tube The tube 12 is made of a material having a low coefficient of friction and flexibility and harmless to the human body, for example, a synthetic resin such as polyethylene, fluororesin, and silicon resin. Insertion resistance up to is small. Further, the tube 12 has such a length that the distal end of the insertion side is located slightly in front of the pharynx and the proximal end slightly protrudes from the nostril when the obstructive sleep apnea syndrome elimination tube is mounted. . Further, the inner diameter of the tube 12 is appropriately set according to patient conditions and the like. In addition, the inner diameter of the tube 12 is preferably about 1 to 8 mm in consideration of insertion from the nostril. The wall thickness of the tube 12 is preferably about 0.5 to 3 mm. The end surface portion of the tube 12 is preferably chamfered so that it can be easily inserted into the nasal cavity.

(2) Water-swelling resin coating film The water-swelling resin coating film 13 is formed on the outer peripheral surface slightly before the tip of the tube 12. In addition, it is preferable that this water swelling resin coating film 13 is formed so that it may be located in a pharynx at the time of obstruction | occlusion type sleep apnea syndrome elimination tube mounting | wearing. Examples of the water-swelling resin include sodium polyacrylate, sodium polyacrylate crosslinked product, sodium polyacrylate-vinyl alcohol copolymer, polyvinyl alcohol crosslinked product, cellulose-acrylonitrile graft copolymer, and carboxymethyl cellulose crosslinked product. , Starch-acrylonitrile graft copolymer, starch-acrylic acid graft copolymer, starch-acrylamide graft copolymer, and the like.

(3) Protrusion The protrusion 14 is for preventing the obstructive sleep apnea syndrome elimination tube 11 from being buried in the patient's nostril, and is formed in the vicinity of the proximal end of the tube 12. The protrusion 14 is a ring-shaped protrusion that extends outward from the outer peripheral surface of the tube 12.

<How to use obstructive sleep apnea syndrome elimination tube>
(1) Wearing method As shown in FIGS. 6 and 7, the patient passes the obstructive sleep apnea syndrome elimination tube 11 from the nostril 21 through the nasal cavity 22, and the base of the obstruction sleep apnea syndrome elimination tube 1. The obstructive sleep apnea syndrome elimination tube 11 is pushed in until the end slightly protrudes from the nostril 21, for example, about 1 to 2 cm. Before wearing, a lubricant such as petrolatum, jelly-like lubricant, or gel substance is applied to portions other than the water-swelling resin coating film of the obstructive sleep apnea syndrome elimination tube 11, particularly the tip portion. preferable. As a result, the distal end portion of the obstructive sleep apnea syndrome elimination tube 11 is inserted to the back of the pharynx 23 of the patient.

  Note that if this operation is performed when the patient is awake, the airway of the pharyngeal portion 23 of the patient is in an open state, so that the patient can lightly push the tip of the obstructive sleep apnea syndrome elimination tube 11 (water swelling). (Including the resin coating 13) can be pushed into the pharynx 23. In this state, the water-swelling resin coating film 13 absorbs moisture near the pharynx and swells, and bites into the pharynx 23.

(2) Desorption method The patient pulls out the obstructive sleep apnea syndrome elimination tube 11 from the nostril 21, for example, when getting up.

  The patient can repeatedly use the obstructive sleep apnea syndrome eliminating tube 11 if the obstructed sleep apnea syndrome eliminating tube 11 is washed, disinfected, or dried. In addition, the inside of the obstructive sleep apnea syndrome elimination tube 11 can be easily cleaned by using an appropriate cleaning tool, and disinfection can be easily performed by using a disinfectant such as alcohol.

<Characteristics of the obstructive sleep apnea syndrome elimination tube according to the second embodiment>
(1)
The obstructive sleep apnea syndrome elimination tube 11 according to the second embodiment is inserted so as to spread the airway of the pharynx 23 from the nostril 21 through the nasal cavity 22. For this reason, this obstructive sleep apnea syndrome elimination tube 11 can be mounted very easily while having a very simple configuration. Therefore, the obstructive sleep apnea syndrome elimination tube 11 is cheaper and easier to use than the conventional obstructive sleep apnea syndrome elimination device.

(2)
When the obstructive sleep apnea syndrome elimination tube 11 according to the second embodiment is attached, the water-swelling resin coating film 13 absorbs water around the pharynx and swells and bites into the pharynx 23. . For this reason, the obstructive sleep apnea syndrome elimination tube 11 is not easily removed even if the patient rolls over.

(3)
In the obstructive sleep apnea syndrome elimination tube 11 according to the second embodiment, a protrusion 14 is formed near the proximal end of the tube 12. For this reason, it is possible to prevent the obstructive sleep apnea syndrome elimination tube 11 from being buried in the patient's nostril.

<Modification of Second Embodiment>
(A)
In the obstructive sleep apnea syndrome elimination tube 11 according to the previous embodiment, the cross-sectional shape cut by the surface orthogonal to the longitudinal direction is circular, but the cross-sectional shape cut by the surface orthogonal to the longitudinal direction is particularly limited. It may be a polygon or the like.

(B)
In the obstructive sleep apnea syndrome elimination tube 11 according to the previous embodiment, the water-swelled resin coating 13 is formed on the outer peripheral surface slightly before the tip of the tube 12. 12 may be formed on the entire outer peripheral surface.

(C)
In the obstructive sleep apnea syndrome elimination tube 11 according to the previous embodiment, the ring-shaped protrusion 14 is formed near the proximal end of the tube 12, but the shape of the protrusion 14 is not particularly limited. As long as the obstructive sleep apnea syndrome elimination tube 11 is not buried in the patient's nostril, it can have any shape.

(D)
Although not particularly mentioned in the previous embodiment, the outer surface of the obstructive sleep apnea syndrome elimination tube 11 may be covered with soft rubber. In this way, even when a lubricant is not used, the foreign body feeling (discomfort) felt by the patient with obstructive sleep apnea syndrome when the obstructive sleep apnea syndrome elimination tube 11 is attached can be reduced. it can. In this case, the soft rubber may be formed so as to cover the outer surface of the portion other than the water-swelling resin coating film 13, and the whole or a part of the obstructive sleep apnea syndrome elimination tube 11 may be soft. After covering with rubber, the water-swelling resin coating film 13 may be partially formed on the soft rubber.

(E)
Although not particularly mentioned in the previous embodiment, as shown in the modified example (D) of the first embodiment, the obstructive sleep apnea syndrome elimination tube 11 is previously arranged along the shape in the human nasal cavity. It can be curved. In this way, when the obstructive sleep apnea syndrome elimination tube 11 is attached, the foreign object feeling (uncomfortable feeling) felt by the patient with obstructive sleep apnea syndrome can be reduced.

(F)
Although not particularly mentioned in the previous embodiment, as shown in the modified example (E) of the first embodiment, the portion other than the water swelling resin coating 13 of the obstructive sleep apnea syndrome elimination tube 11 You can make holes in the side walls. If it does in this way, when the obstruction type sleep apnea syndrome elimination tube 11 is mounted | worn, it can reduce that the patient of obstruction type sleep apnea syndrome becomes difficult to breathe.

(G)
Although not particularly mentioned in the previous embodiment, as shown in the modified example (F) of the first embodiment, a guide portion may be provided at the tip of the obstructive sleep apnea syndrome elimination tube 11. . In this way, the obstructive sleep apnea syndrome elimination tube 11 is swallowed before the patient with the obstructive sleep apnea syndrome enters the sleep state (the airway contracts when swallowing the spider = brimm). It is possible to reduce the foreign object feeling (discomfort) at the time.

(H)
In the obstructive sleep apnea syndrome elimination tube 11 according to the previous embodiment, the ring-shaped protrusion 14 is employed to prevent nasal burial, but the third modification shown in the variation (G) of the third embodiment. Two balloon parts 135 may be adopted for preventing nostril burial. In such a case, the structure on the proximal end side needs to be the same as the structure of the obstructive sleep apnea syndrome elimination tube 31 shown in the modified example (G) of the third embodiment.

-Third embodiment-
As shown in FIGS. 8 and 9, the obstructive sleep apnea syndrome elimination tube 31 according to the third embodiment of the present invention mainly includes a large diameter tube 32a, a small diameter tube 32b, an air introduction tube section 34, and The protrusion 35 is configured. Hereinafter, each component of the obstructive sleep apnea syndrome elimination tube 31 will be described in detail.

<Configuration of obstructive sleep apnea syndrome elimination tube>
(1) Large-diameter tube The large-diameter tube 32a is formed of a material having a low coefficient of friction and flexibility and is harmless to the human body, for example, a synthetic resin such as polyethylene, fluororesin, or silicon resin. The insertion resistance to the throat of the airway is small. As shown in FIGS. 8 and 9, a balloon portion 33 is formed near the tip of the large diameter tube 32a. The balloon portion 33 is formed integrally with the large diameter tube 32a. The balloon portion 33 can be expanded / contracted by air pressure, water pressure, or the like. The large-diameter tube 32a has such a length that the balloon 33 is located on the pharynx and the proximal end slightly protrudes from the nostril when the obstructive sleep apnea syndrome elimination tube is attached. Moreover, although the internal diameter of the large diameter tube 32a is suitably set according to a patient's condition etc., when insertion from a nostril is considered, about 5-8 mm is preferable. The wall thickness of the large diameter tube 32a is preferably about 0.5 to 2 mm.

  And the front-end | tip of this large diameter tube 32a is joined to the front-end | tip of the small diameter tube 32b via the 1st coating | coated part 35a, as FIG. 10 shows. Further, as shown in FIG. 11, the base end of the large diameter tube 32a is joined to the base end of the small diameter tube 32b via the second covering portion 35b. That is, the opening of the small diameter tube 32b is in an open state, but the opening between the small diameter tube 32b and the large diameter tube 32a is in a closed state.

(2) Small-diameter tube The small-diameter tube 32b is a tube inserted through the large-diameter tube 32a, and its length is made equal to the length of the large-diameter tube 32a. In addition, although the internal diameter of the small diameter tube 32b is suitably set according to a patient's condition etc., about 1-5 mm is preferable from the relationship with the internal diameter of the large diameter tube 32a. The wall thickness of the large diameter tube 32a is preferably about 0.5 to 2 mm.

  And the front-end | tip of this small diameter tube 32b is joined to the front-end | tip of the large diameter tube 32a via the 1st coating | coated part 35a, as FIG. 10 shows. Further, as shown in FIG. 11, the proximal end of the small diameter tube 32b is joined to the proximal end of the large diameter tube 32a via the second covering portion 35b. The first covering portion 35a is preferably curved so that it can be easily inserted into the nasal cavity.

(3) Air introduction tube part The air introduction tube part 34 is provided so that the 2nd coating | coated part 35b may be penetrated. When air is blown from the air introduction tube portion 34, the balloon portion 33 expands, and the space sandwiched between the outer peripheral surface of the small diameter tube 32b and the inner peripheral surface of the large diameter tube 32a via the air introduction tube portion 34. When the air present in the air is extracted, the balloon portion 33 contracts.

(4) Protrusion The protrusion 35 is for preventing the obstructive sleep apnea syndrome elimination tube 31 from being buried in the patient's nostril, and is formed in the vicinity of the proximal end of the large-diameter tube 32a. . In addition, this protrusion part 35 is a ring-shaped protrusion extended toward an outer side from the outer peripheral surface of the large diameter tube 32a.

<How to use obstructive sleep apnea syndrome elimination tube>
(1) Wearing method In order for the patient to wear the obstructive sleep apnea syndrome elimination tube 31, the patient first holds the air introduction tube part 34 in his / her mouth between the small diameter tube 32b and the large diameter tube 32a. The air existing in the space is sucked, and the balloon 33 of the obstructive sleep apnea syndrome elimination tube 31 is contracted as shown in FIG. Next, the patient passes the obstructive sleep apnea syndrome elimination tube 31 in this state from the nostril 21 through the nasal cavity 22, and the proximal end of the obstructive sleep apnea syndrome elimination tube 31 slightly extends from the nostril 21, for example, 1 The obstructive sleep apnea syndrome elimination tube 31 is pushed in until approximately 2 cm has come out. It is preferable that a lubricant such as petrolatum, a jelly-like lubricant, or a gel substance is applied to the obstructive sleep apnea syndrome eliminating tube 31, particularly the distal end portion, before wearing. As a result, the balloon portion 33 is inserted into the patient's pharynx 23.

  And a patient blows air in the space between the small diameter tube 32b and the large diameter tube 32a with the air introduction tube portion 34 in his mouth, and as shown in FIG. 13, the obstructive sleep apnea syndrome elimination tube 31 balloon parts 33 are inflated. As a result, the balloon part 33 bites into the pharynx 23. In this state, the patient holds the air introduction tube portion 34 with a clip or the like so that air does not leak from the air introduction tube portion 34.

  If this operation is performed when the patient is awake, the airway of the pharynx 23 of the patient is in an open state, so that the patient can lightly push the tip of the obstructive sleep apnea syndrome elimination tube 31 (water swelling). (Including the resin coating 13) can be pushed into the pharynx 23.

(2) Desorption method When the patient gets up, for example, after removing a clip or the like, the patient sucks air existing in the space between the small-diameter tube 32b and the large-diameter tube 32a by closing the air introduction tube portion 34 with the mouth and closes The balloon portion 33 of the tube type sleep apnea syndrome elimination tube 31 is contracted. Then, the patient pulls out the obstructive sleep apnea syndrome elimination tube 31 in that state from the nostril 21.

  The patient can repeatedly use the obstructive sleep apnea syndrome elimination tube 31 if the obstructed sleep apnea syndrome elimination tube 31 is washed, disinfected, or the like. The inside of the small diameter tube 32b can be easily cleaned by using an appropriate cleaning tool, and disinfection can be easily performed by using a disinfectant such as alcohol.

<Characteristics of obstructive sleep apnea syndrome elimination tube>
(1)
The obstructive sleep apnea syndrome elimination tube 31 according to the third embodiment is inserted from the nostril 21 through the nasal cavity 2 to widen the airway of the pharynx 23. For this reason, this obstructive sleep apnea syndrome elimination tube 31 can be mounted very easily while having a very simple configuration. Therefore, the obstructive sleep apnea syndrome elimination tube 31 is cheaper and easier to use than the conventional obstructive sleep apnea syndrome elimination device.

(2)
In the obstructive sleep apnea syndrome elimination tube 31 according to the third embodiment, the balloon portion 33 expands when air is blown from the air introduction tube portion 34 into the space between the small diameter tube 32b and the large diameter tube 32a by the patient. To do. As a result, the balloon part 33 bites into the pharynx 23. For this reason, the obstructive sleep apnea syndrome elimination tube 31 is not easily removed even if the patient rolls over.

(3)
In the obstructive sleep apnea syndrome elimination tube 31 according to the third embodiment, a protrusion 35 is formed in the vicinity of the proximal end of the large-diameter tube 32a. For this reason, it is possible to prevent the obstructive sleep apnea syndrome elimination tube 31 from being buried in the patient's nostril.

<Modification of Third Embodiment>
(A)
In the obstructive sleep apnea syndrome elimination tube 31 according to the previous embodiment, the cross-sectional shape cut by the surface orthogonal to the longitudinal direction is circular, but the cross-sectional shape cut by the surface orthogonal to the longitudinal direction is particularly limited. It may be a polygon or the like.

(B)
In the previous embodiment, the patient grips the air introduction tube portion 34 with a clip or the like after the balloon portion 33 is inflated so that air does not leak from the air introduction tube portion 34. Etc. may be connected.

(C)
In the obstructive sleep apnea syndrome elimination tube 31 according to the previous embodiment, the ring-shaped protrusion 35 is formed near the proximal end of the large-diameter tube 32a, but the shape of the protrusion 35 is particularly limited. No, as long as the obstructive sleep apnea syndrome elimination tube 31 is not buried in the patient's nostril, it can have any shape.

(D)
Although not particularly mentioned in the previous embodiment, the outer surface of the obstructive sleep apnea syndrome elimination tube 31 (including the outer surface of the balloon portion 33) may be covered with soft rubber. In this way, when the obstructive sleep apnea syndrome elimination tube 31 is attached, it is possible to reduce the foreign body feeling (uncomfortable feeling) felt by the patient with the obstructive sleep apnea syndrome.

(E)
Although not particularly mentioned in the previous embodiment, as shown in the modified example (D) of the first embodiment, the obstructive sleep apnea syndrome elimination tube 31 is previously arranged along the shape in the human nasal cavity. It can be curved. In this way, when the obstructive sleep apnea syndrome elimination tube 31 is attached, it is possible to reduce the foreign body feeling (uncomfortable feeling) felt by the patient with the obstructive sleep apnea syndrome.

(F)
Although not particularly mentioned in the previous embodiment, as shown in the modification (E) of the first embodiment, the distal end portion (including the balloon portion 33) of the obstructive sleep apnea syndrome elimination tube 31 is shown. You can make holes in the side walls. In this way, it is possible to reduce the difficulty of breathing in patients with obstructive sleep apnea syndrome when the obstructive sleep apnea syndrome elimination tube 31 is attached. Further, not only the side wall of the tip portion but also the side wall of the base end portion or the intermediate portion may be perforated. However, the number and size of the holes must be such that the balloon 33 can be inflated.

(G)
In the obstructive sleep apnea syndrome elimination tube 31 according to the previous embodiment, the ring-shaped protrusion 2 is employed to prevent the nostril burial, but the second balloon 135 shown in FIGS. It may be used to prevent nasal burial. The second balloon part 135 expands simultaneously with the expansion of the balloon part 33 (see FIG. 30) and contracts simultaneously with the contraction of the balloon part 33 (see FIG. 29). In this way, the obstructive sleep apnea syndrome elimination tube 31 can be stored compactly when not worn.

-Fourth embodiment-
As shown in FIGS. 14 and 15, the obstructive sleep apnea syndrome elimination tube 41 according to the fourth embodiment of the present invention mainly includes a wire 43, a tube 42, a fixed stopper 45, and a movable stopper 46. Has been. Hereinafter, each component of the obstructive sleep apnea syndrome elimination tube 41 will be described in detail.

<Configuration of obstructive sleep apnea syndrome elimination tube>
(1) Wire rod The wire rod 43 has a diameter smaller than the inner diameter of the tube 42 and can reciprocate within the tube 42. In the present embodiment, a metal wire is used as the wire 43.

(2) Tube The tube 42 is made of a material having a low coefficient of friction and flexibility and is harmless to the human body, for example, a synthetic resin such as polyethylene, fluororesin, or silicon resin. Insertion resistance up to is small. And as this tube 42 is shown by FIG.14 and FIG.15, the expansion-contraction part 44 is formed in the tip vicinity. The stretchable portion 44 is formed integrally with the tube 42. When the stretchable portion 44 is compressed by the movable stopper 46, it contracts in the longitudinal direction and projects outward in the radial direction. In addition, the tube 42 has such a length that the telescopic portion 44 is located on the pharynx and the proximal end slightly protrudes from the nostril when the obstructive sleep apnea syndrome elimination tube is mounted. Further, the inner diameter of the tube 42 is appropriately set according to the patient's condition and the like. The inner diameter of the tube 42 is preferably about 1 to 8 mm in consideration of insertion from the nostril. Further, the thickness of the tube 42 is preferably about 0.5 to 3 mm. The end face portion of the tube 42 is preferably chamfered so that it can be easily inserted into the nasal cavity.

(3) Fixed stopper The fixed stopper 45 is being fixed to the front-end | tip of the wire 43, as FIG.14 and FIG.15 shows. The fixed stopper 45 is a hollow spherical metal net and has air permeability. For this reason, even if the tip of the tube 42 comes into contact with the fixed stopper 45, the external space of the fixed stopper 45 communicates with the internal space of the tube 42.

(4) Movable stopper The movable stopper 46 is a slide-type stopper having a screw-type fixing mechanism, and includes a disc body 46a and a stopper main body 46b.

  The disc body 46 a has a diameter larger than the outer diameter of the tube 42. The disc body 46a is formed to have a diameter larger than that of the nostril in order to prevent the obstructive sleep apnea syndrome elimination tube 41 from entering the nostril. Moreover, the center part of this disk body 46a is exhibiting the cylindrical shape, and the internal thread is cut | disconnected by the inner side. Further, as shown in FIG. 14, the disc body 46 a is formed with six through holes penetrating in the thickness direction in a portion excluding the central portion. The central portion of the disk body 46a is formed so that the inner diameter is smaller than the inner diameter of the tube 42, and the through hole of the disk body 46a is aligned with the central axis of the disk body 46a and the central axis of the tube 42. When in contact with each other, the inner space of the tube 42 is communicated.

  The stopper main body 46b has a truncated cone shape and has a through hole extending along the axis. The wire 43 is inserted through the through hole. The stopper main body 46b is formed with four through grooves formed along the longitudinal direction at the tip. The through groove extends radially from the through hole when viewed along the axis of the stopper main body 46b. A male screw is formed at the tip end portion (the portion where the groove is formed) of the stopper main body 46b.

  When the male threaded portion of the stopper main body 46b is screwed into the female threaded portion of the disk body 46a with the wire 43 passing through the through hole of the stopper main body 46b, the tip of the stopper main body 46b is gradually pinched. Thus, the wire 43 is clamped (fixed state). On the other hand, when the male screw portion is turned in the direction opposite to the screwing direction, the tip end portion of the stopper main body 46b is released, and the wire 43 can be freely slid (released state).

<How to use obstructive sleep apnea syndrome elimination tube>
(1) Wearing method In order for the patient to wear the obstructive sleep apnea syndrome elimination tube 41, the patient first loosens the movable stopper 46 and opens the tube 42, as shown in FIG. Let it be the state extended to the longitudinal direction. Next, the patient passes the obstructive sleep apnea syndrome elimination tube 41 in this state from the nostril 21 through the nasal cavity 22, and the proximal end of the obstruction sleep apnea syndrome elimination tube 41 is slightly from the nostril 21, for example, 1 The obstructive sleep apnea syndrome elimination tube 41 is pushed in until approximately 2 cm has come out. At this time, it is preferable that a petroleum jelly, a jelly-like lubricant, a lubricant such as a gel substance, or the like is applied to the outer peripheral surface of the tube 42, particularly the outer peripheral surface of the tip portion thereof. As a result, the telescopic part 44 is inserted into the patient's pharynx 23.

  Then, the patient holds the proximal end of the wire 43 with one hand, pushes the movable stopper 46 toward the tube with the other hand, compresses the tube 42, and puts the movable stopper 46 in a fixed state. Then, as shown in FIG. 17, the telescopic portion 44 protrudes radially outward and bites into the pharynx 23.

  Note that if this operation is performed when the patient is awake, the airway of the patient's pharynx 23 is open, so that the patient can lightly force the distal end of the obstructive sleep apnea syndrome elimination tube 41 (the telescopic part). 44) can be pushed into the pharynx 23.

(2) Desorption method When the patient wakes up, for example, the movable stopper 46 is loosened so that the tube 42 is fully extended. Then, the patient pulls out the obstructive sleep apnea syndrome elimination tube 41 in that state from the nostril 21.

  The patient can repeatedly use the obstructive sleep apnea syndrome eliminating tube 41 if the obstructed sleep apnea syndrome eliminating tube 41 that has been pulled out is washed, disinfected, or the like. At this time, if the patient removes the movable stopper 46 from the wire 43, the patient can easily pull out the wire 43 from the tube 42. Moreover, the inside of the tube 42 can be easily cleaned by using an appropriate cleaning tool, and each part can be easily disinfected by using a disinfectant such as alcohol.

<Characteristics of obstructive sleep apnea syndrome canceller>
(1)
The obstructive sleep apnea syndrome elimination tube 41 according to the fourth embodiment is inserted so as to spread the airway of the pharynx 23 from the nostril 21 through the nasal cavity 2. For this reason, this obstructive sleep apnea syndrome elimination tube 41 can be mounted very easily while having a very simple configuration. Therefore, this obstructive sleep apnea syndrome elimination tube 41 is cheaper and easier to use than the conventional obstructive sleep apnea syndrome elimination device.

(2)
In the obstructive sleep apnea syndrome elimination tube 41 according to the fourth embodiment, the movable stopper 46 is fixed after the movable stopper 46 is pushed into the tube side by the patient and the tube 42 is compressed along the longitudinal direction. The telescopic part 44 protrudes radially outward. As a result, the stretchable part 44 bites into the pharynx 23. For this reason, the obstructive sleep apnea syndrome elimination tube 41 is not easily removed even if the patient rolls over.

<Modification>
(A)
In the obstructive sleep apnea syndrome elimination tube 41 according to the previous embodiment, the fixed stopper 45 is a hollow spherical metal net, but the fixed stopper is a nail-shaped stopper 45a as shown in FIG. May be. In such a case, it should be noted that the shape of the nail should be such that it does not get caught on the patient's pharynx when the obstructive sleep apnea syndrome elimination tube 41 is attached or detached. .

(B)
In the obstructive sleep apnea syndrome elimination tube 41 according to the previous embodiment, a metal wire is adopted as the wire 43. However, when the patient has a metal allergy symptom, polyethylene, fluorine resin, or the like is used as the wire 43. A metal wire coated with, a stainless steel wire not containing pure titanium or nickel, a relatively rigid resin fiber, or the like is employed. In addition, when other diseases are observed in the patient, an appropriate optimal material is selected according to the symptoms.

(C)
In the obstructive sleep apnea syndrome elimination tube 41 according to the previous embodiment, a hollow spherical metal net is adopted as the fixed stopper 45. However, when the patient has symptoms of metal allergy, polyethylene or fluorine is used. A metal net covered with a resin or the like, or a metal net made of stainless steel wire not containing pure titanium or nickel is used. In addition, when other diseases are observed in the patient, an appropriate optimal material is selected according to the symptoms.

(D)
In the obstructive sleep apnea syndrome elimination tube 41 according to the previous embodiment, when the tube 42 is attached, the stretchable portion 44 is positioned on the pharynx 23 and the proximal end is a position slightly protruding from the nostril 21. However, when the tube 42 is attached, the tube 42 may have a length equal to or longer than the length at which the extensible portion 44 is positioned on the pharynx 23 and the proximal end slightly protrudes from the nostril 21. In such a case, the patient will not be confused about use if a mark is obtained at the position of the length of the tube 42 according to the previous embodiment.

(E)
In the previous embodiment, the obstructive sleep apnea syndrome elimination tube 41 is preferably disassembled and cleaned after use, but the obstructive sleep apnea syndrome elimination tube 41 is disposable. Good. In such a case, it is not necessary to consider the removal structure of the movable stopper 46. For example, a knock type structure or the like can be used, or a step can be provided on the wire.

(F)
In the obstructive sleep apnea syndrome elimination tube 41 according to the previous embodiment, a slide-type stopper having a screw-type fixing mechanism is employed as the movable stopper 46. However, the movable stopper is limited to this type. Instead, a stopper or the like having a fitting type fixing mechanism may be employed.

(G)
In the previous embodiment, the movable stopper 46 was adopted. However, when the cross-sectional shape of the hole of the tube is an ellipse or a rectangle, the movable stopper 46 is replaced by the wire 43 to the axis of the wire 43. A linear stopper extending in the vertical direction (hereinafter referred to as “linear stopper”) may be employed.

  FIG. 19 illustrates an obstructive sleep apnea syndrome elimination tube 141 that employs a linear stopper. In the figure, the same components as those in the obstructive sleep apnea syndrome elimination tube 41 according to the previous embodiment are indicated by the same reference numerals.

  As shown in FIG. 19, the linear stopper 146 is a wire that extends from the wire 43 in a direction perpendicular to the axis of the wire 43. The stopper 146 is formed integrally with the wire 43. In order to describe the linear stopper 146 in more detail, the obstructive sleep apnea syndrome elimination tube 141 in which the stretchable portion 44 is extended in the longitudinal direction in FIG. 20 is seen along the axis of the wire 43. FIG. 21 shows a view in which the obstructive sleep apnea syndrome elimination tube 141 in a state in which the stretchable portion 44 is contracted in the longitudinal direction is seen along the axis of the wire 43. The linear stopper 146 is accommodated in the hole of the tube 142 in FIG. 20 and is in contact with the rearmost end of the tube 142 in FIG.

  When the linear stopper 146 is rotated around the axis of the wire 43, the wire stopper 43 rotates together with the fixed stopper 45.

  In such a case, it is preferable that the stopper 2 as shown in the first embodiment is formed in the vicinity of the proximal end of the tube 142. This is to prevent the obstructive sleep apnea syndrome elimination tube 141 from being buried in the patient's nostril.

(H)
Although not particularly mentioned in the previous embodiment, the outer surface of the obstructive sleep apnea syndrome elimination tube 41 (including the outer surface of the stretchable part 44) may be covered with soft rubber. In this way, it is possible to reduce the foreign body feeling (uncomfortable feeling) felt by the patient with obstructive sleep apnea syndrome when the obstructive sleep apnea syndrome elimination tube 41 is attached.

(I)
Although not particularly mentioned in the previous embodiment, as shown in the modified example (D) of the first embodiment, the obstructive sleep apnea syndrome elimination tube 41 is previously arranged along the shape in the human nasal cavity. It can be curved. In this way, it is possible to reduce the foreign body feeling (uncomfortable feeling) felt by the patient with obstructive sleep apnea syndrome when the obstructive sleep apnea syndrome elimination tube 41 is attached.

(J)
Although not particularly mentioned in the previous embodiment, as shown in the modified example (E) of the first embodiment, a hole is formed in the side wall of the portion other than the telescopic portion 44 of the obstructive sleep apnea syndrome elimination tube 41. Can be opened. In this way, it is possible to reduce the difficulty of breathing in patients with obstructive sleep apnea syndrome when the obstructive sleep apnea syndrome elimination tube 41 is attached. In such a case, the through hole may not be formed in the disc body 46a and the stopper main body 46.

(K)
In the obstructive sleep apnea syndrome elimination tube 41 according to the previous embodiment, the movable stopper 46 is used to prevent nasal burial, but the second telescopic part 144 shown in FIGS. 31 and 32 is used to prevent nasal burial. It may be adopted for. In addition, when the expansion-contraction part 44 is the state extended to the longitudinal direction, the 2nd expansion-contraction part 144 is the state extended to the longitudinal direction similarly (refer FIG. 31), and the expansion-contraction part 44 is a radial direction outer side. At the same time as protruding in the radial direction (see FIG. 32). In this way, the obstructive sleep apnea syndrome elimination tube 41 can be stored compactly when not worn. In such a case, the movable stopper 46 may be smaller than the size of the nostril.

(L)
In the obstructive sleep apnea syndrome elimination tube 41 according to the previous embodiment, the movable stopper 46 is employed to prevent the nostril burial. However, the notch 244 shown in FIGS. 33 and 34 prevents the nostril burial. May be employed for this purpose. In addition, when the notch part 244 is the state which the expansion-contraction part 44 was fully extended in the longitudinal direction, it is the state extended to the longitudinal direction similarly (refer FIG. 33), and the expansion-contraction part 44 is a radial direction outer side. At the same time as protruding, it protrudes radially outward (in four directions in this modification) (see FIG. 34). In this way, the obstructive sleep apnea syndrome elimination tube 41 can be stored compactly when not worn.

  The notch 244 may be four notches (see FIG. 35) parallel to the axis of the tube 42, or a notch (see FIG. 36) that intersects (except orthogonally) the axis of the tube 42. There may be a curve cut (refer to Drawing 37 and Drawing 38). Further, the number of cuts is not particularly limited and may be arbitrarily determined. Further, the cut portion 244 may be formed by cutting the tube 42, or may be formed by joining a wire or a strip member as shown in FIG.

  Further, as shown in FIG. 40, a tube 542 having a small diameter may be inserted inside the tube 42 (double tube structure). In such a case, as shown in FIG. 40, the inner tube 542 is inserted into the outer tube 42 such that the cut position is shifted from the cut position of the outer tube 42. In the obstructive sleep apnea syndrome canceller employing such a double tube structure, when the movable stopper 46 is pushed into the tube side and both the tubes 42 and 542 are compressed, as shown in FIG. The cut pieces 42c of the outer tube 42 project radially outward, and the cut pieces 542c of the inner tube 542 also project radially outward through the gaps of the cut pieces 42c of the outer tube 42. To do. The cut length of the inner tube 542 (length of the cut piece 542c) is not particularly limited, but is preferably slightly shorter than the cut length of the outer tube 42 (length of the cut piece 42c). This is because the cut piece 542c of the inner tube 542 easily protrudes when compressed in the longitudinal direction.

  In addition, even if the short tube which has another notch part is joined inside or the outer side of the notch part 244, the effect | action similar to the above can be acquired. Moreover, even if a strip-shaped member or a wire is directly joined to the inside or the outside of the tube 42, the same action as described above can be obtained. In this case, it goes without saying that it is essential that the short tube is joined to the tube 42 so that the cut piece of the cut portion overlaps with the cut piece of the cut portion 244 of the tube 42 in the circumferential direction. Yes.

  Further, as illustrated in FIGS. 42 to 44, a joining portion 42 d that joins adjacent cut pieces 42 c may be provided. As shown in FIG. 42, the joining portion 42d joins adjacent notch pieces 42c in the longitudinal center portion of the notch piece 42c. The joint 42d is folded and stored inside the cut piece 42c as shown in FIG. 43 before the tube 42 is compressed in the longitudinal direction, but the tube 42 is compressed in the longitudinal direction. Then, as shown in FIG. 44, the adjacent adjacent cut pieces 42c are maintained at approximately the same distance.

  42 to 44, the joint portion 42d is drawn so as to be formed integrally with the cut piece 42c, but the joint portion 42d may be formed as a separate member from the cut piece 42c.

  The obstructive sleep apnea syndrome elimination tube according to the present invention has a feature that it is cheaper and easier to use than conventional obstructive sleep apnea syndrome elimination devices, and eliminates obstructive sleep apnea syndrome. It is expected to be more useful for treatment. Moreover, this obstructive sleep apnea syndrome elimination tube can also be used as an airway securing device during emergency or surgery.

It is a perspective view which shows the obstruction type sleep apnea syndrome elimination tube which concerns on 1st Embodiment of this invention. It is explanatory drawing which shows the state before a patient wears the obstruction type sleep apnea syndrome elimination tube which concerns on 1st Embodiment. It is explanatory drawing which shows the state which the patient mounted | worn with the obstruction type sleep apnea syndrome elimination tube which concerns on 1st Embodiment, and ensured the airway. It is a perspective view which shows the state before a water swelling resin coating film swells in the obstruction type sleep apnea syndrome elimination tube which concerns on 2nd Embodiment of this invention. It is a perspective view which shows the state which the water swelling resin coating film swollen in the obstruction type sleep apnea syndrome elimination tube which concerns on 2nd Embodiment of this invention. It is explanatory drawing which shows the state before a patient wears the obstruction type sleep apnea syndrome elimination tube which concerns on 2nd Embodiment. It is explanatory drawing which shows the state which the patient equipped with the obstruction type sleep apnea syndrome elimination tube which concerns on 2nd Embodiment, and ensured the airway. It is a perspective view which shows the state which the balloon part has contracted in the obstruction type sleep apnea syndrome elimination tube which concerns on 3rd Embodiment of this invention. It is a perspective view which shows the state which the balloon part has expanded in the obstruction type sleep apnea syndrome elimination tube which concerns on 3rd Embodiment of this invention. It is a longitudinal cross-sectional view of the front-end | tip part of the obstruction type sleep apnea syndrome elimination tube which concerns on 3rd Embodiment of this invention. It is a longitudinal cross-sectional view of the base end part of the obstruction type sleep apnea syndrome elimination tube which concerns on 3rd Embodiment of this invention. It is explanatory drawing which shows the state before a patient wears the obstruction type sleep apnea syndrome elimination tube which concerns on 3rd Embodiment. It is explanatory drawing which shows the state which the patient mounted | worn with the obstruction type sleep apnea syndrome elimination tube which concerns on 3rd Embodiment, and ensured the airway. It is a perspective view which shows the state which the expansion-contraction part has extended in the longitudinal direction in the obstruction type sleep apnea syndrome elimination tube which concerns on 4th Embodiment of this invention. It is a perspective view which shows the state which the expansion-contraction part is extending in the radial direction outer side in the obstruction type sleep apnea syndrome elimination tube which concerns on 4th Embodiment of this invention. It is explanatory drawing which shows the state before a patient wears the obstruction type sleep apnea syndrome elimination tube which concerns on 4th Embodiment. It is explanatory drawing which shows the state which the patient mounted | worn with the obstruction type sleep apnea syndrome elimination tube which concerns on 4th Embodiment, and ensured the airway. It is a perspective view of the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (A) of 4th Embodiment. It is a perspective view of the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (G) of 4th Embodiment. It is the figure which looked at the obstruction type sleep apnea syndrome elimination tube in the state which the expansion-contraction part has extended in the longitudinal direction from the base end side along the axis | shaft of a wire (Modification (G) of 4th Embodiment). . It is the figure which looked at the obstruction type sleep apnea syndrome elimination tube in the state which the expansion-contraction part has shrunk in the longitudinal direction from the base end side along the axis | shaft of a wire. (Modification (G) of Fourth Embodiment) It is a perspective view which shows the obstruction | occlusion type sleep apnea syndrome elimination tube which concerns on the modification (D) of 1st Embodiment of this invention. It is a perspective view which shows the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (E) of 1st Embodiment of this invention. It is a perspective view which shows the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (F) of 1st Embodiment of this invention. It is explanatory drawing which shows a state when a patient inserts the guide part of the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (F) of 1st Embodiment in the pharynx. It is explanatory drawing which shows a state when the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (F) of 1st Embodiment moves to the lung side by the pressure difference. It is explanatory drawing which shows a state when a patient inserts the guide part of the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (G) of 1st Embodiment in the pharynx. It is explanatory drawing which shows a state when the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (G) of 1st Embodiment moves to the lung side by the pressure difference. It is a perspective view which shows the state which the balloon part and the 2nd balloon part are contracting in the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (G) of 3rd Embodiment of this invention. It is a perspective view which shows the state which the balloon part and the 2nd balloon part are inflating in the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (G) of 3rd Embodiment of this invention. It is a perspective view which shows the state which the expansion-contraction part and the 2nd expansion-contraction part extended in the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (K) of 4th Embodiment of this invention. It is a perspective view which shows the state which the expansion-contraction part and the 2nd expansion-contraction part protrude in the radial direction outer side in the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (K) of 4th Embodiment of this invention. It is a perspective view which shows the state which the expansion-contraction part and the cutting part have extended in the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (L) of 4th Embodiment of this invention. It is a perspective view which shows the state which the expansion-contraction part and the notch part protrude in the radial direction outer side in the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (L) of 4th Embodiment of this invention. It is an expanded view of the notch part of the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (L) of 4th Embodiment of this invention. It is the other expanded view of the notch part of the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (L) of 4th Embodiment of this invention. It is the other expanded view of the notch part of the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (L) of 4th Embodiment of this invention. It is the other expanded view of the notch part of the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (L) of 4th Embodiment of this invention. It is a perspective view which shows the other example of the notch part of the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (L) of 4th Embodiment of this invention. It is a cross-sectional view of the incision part before compressing the other example of the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (L) of 4th Embodiment of this invention to a longitudinal direction. Another example of the obstructive sleep apnea syndrome elimination tube according to the modified example (L) of the fourth embodiment of the present invention is obtained by compressing the cut portion after being compressed in the longitudinal direction from the proximal side along the axis of the wire. FIG. It is side surface perspective drawing of the notch part vicinity of the other example of the obstruction | occlusion type sleep apnea syndrome elimination tube which concerns on the modification (L) of 4th Embodiment of this invention. It is a cross-sectional view of the incision part before compressing the other example of the obstruction type sleep apnea syndrome elimination tube which concerns on the modification (L) of 4th Embodiment of this invention to a longitudinal direction. Another example of the obstructive sleep apnea syndrome elimination tube according to the modified example (L) of the fourth embodiment of the present invention is obtained by compressing the cut portion after being compressed in the longitudinal direction from the proximal side along the axis of the wire. FIG.

Explanation of symbols

1,11,31,41 Obstructive sleep apnea syndrome elimination tube 2,14,35 Protrusion 3 Hole (through hole)
4 Guide part 5 Shape deformation part 12, 42 Tube 13 Water swelling resin coating film 21 Nostril 22 Nasal cavity 23 Pharynx 32a Large diameter tube (first tube)
32b Small diameter tube (second tube)
33 Balloon part (first balloon part)
34 Air introduction tube part 35a 1st coating | coated part 35b 2nd coating | coated part 43 Wire material 44 Expansion-contraction part (1st form deformation | transformation part)
45, 45a Fixed stopper (first stopper)
46 Movable stopper (second stopper)
46a disk body 46b stopper main body 135 second balloon part 144 second telescopic part (second form deforming part)
146 Linear stopper 244 notch (second form deformed part)

Claims (16)

  Obstructive sleep apnea syndrome elimination tube. The obstructive sleep apnea syndrome elimination tube according to claim 1, wherein a gel substance is applied to all or a part of the outer peripheral surface. The obstructive sleep apnea syndrome elimination tube according to claim 1, wherein soft rubber is applied to all or a part of the outer peripheral surface. The obstructive sleep apnea syndrome elimination tube according to any one of claims 1 to 3, further comprising a protrusion extending outward from the outer peripheral surface. The obstructive sleep apnea syndrome elimination tube according to any one of claims 1 to 4, wherein all or part of the tube is curved. The obstructive sleep apnea syndrome elimination tube according to any one of claims 1 to 5, further comprising a through-hole penetrating the side wall. The obstructive sleep apnea syndrome elimination tube according to any one of claims 1 to 6, further comprising a flat guide portion extending so as to protrude from the tip. A shape deformable portion provided at the tip and deformable in the longitudinal direction and the radial direction;
The obstructive sleep apnea syndrome elimination tube according to any one of claims 1 to 6, further comprising a flat guide portion extending so as to protrude from a tip of the deformable portion. The obstructive sleep apnea syndrome elimination tube according to any one of claims 1 to 7, wherein a water swelling resin is applied to the whole or a part of the outer peripheral surface. A first tube having a first balloon portion that can be inflated and deflated;
An obstructive sleep apnea syndrome elimination tube comprising a second tube inserted into the first tube with a predetermined gap. The obstructive sleep apnea syndrome elimination tube according to claim 10, wherein one end of the first tube and one end of the second tube are joined. The obstructive sleep apnea syndrome elimination tube according to claim 10 or 11, further comprising a protrusion extending outward from an outer peripheral surface of the first tube. The first balloon part is provided on the tip side of the first tube,
The obstructive sleep apnea syndrome eliminating tube according to any one of claims 10 to 12, wherein the first tube further includes a second balloon portion that can expand and contract on a proximal end side. A tube having a first shape deformable portion deformable in the longitudinal direction and the radial direction;
A wire inserted through the tube with a predetermined gap;
A first stopper having a ventilation portion and attached to the first end of the wire;
An obstructive sleep apnea syndrome elimination tube comprising: a second stopper attached to a second end which is an end opposite to the first end of the wire. The obstructive sleep apnea syndrome elimination tube according to claim 14, wherein the second stopper has a ventilation portion and is slidable along the wire. The first form deforming portion is provided on the distal end side of the tube,
The obstructive sleep apnea syndrome eliminating tube according to claim 14 or 15, wherein the tube further has a second shape deformable portion deformable in a longitudinal direction and a radial direction on a proximal end side.

Images