JP2010505512A - 舌インプラント - Google Patents
舌インプラント Download PDFInfo
- Publication number
- JP2010505512A JP2010505512A JP2009531373A JP2009531373A JP2010505512A JP 2010505512 A JP2010505512 A JP 2010505512A JP 2009531373 A JP2009531373 A JP 2009531373A JP 2009531373 A JP2009531373 A JP 2009531373A JP 2010505512 A JP2010505512 A JP 2010505512A
- Authority
- JP
- Japan
- Prior art keywords
- tongue
- implant
- patient
- hyoid
- base
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 239000007943 implant Substances 0.000 title claims abstract description 104
- 210000003205 muscle Anatomy 0.000 claims abstract description 28
- 210000004373 mandible Anatomy 0.000 claims abstract description 25
- 208000001797 obstructive sleep apnea Diseases 0.000 claims abstract description 15
- 210000001519 tissue Anatomy 0.000 claims description 15
- 239000000463 material Substances 0.000 claims description 12
- 238000002513 implantation Methods 0.000 claims description 7
- 230000009747 swallowing Effects 0.000 claims description 5
- 230000004044 response Effects 0.000 claims description 3
- 229920001971 elastomer Polymers 0.000 claims 1
- 239000000806 elastomer Substances 0.000 claims 1
- 230000009791 fibrotic reaction Effects 0.000 claims 1
- 201000002859 sleep apnea Diseases 0.000 abstract description 14
- 230000035876 healing Effects 0.000 abstract description 4
- 210000001584 soft palate Anatomy 0.000 description 11
- 238000003780 insertion Methods 0.000 description 10
- 230000037431 insertion Effects 0.000 description 10
- 238000000034 method Methods 0.000 description 10
- 238000011282 treatment Methods 0.000 description 9
- 239000002775 capsule Substances 0.000 description 8
- 210000001087 myotubule Anatomy 0.000 description 8
- 239000000835 fiber Substances 0.000 description 6
- XUIMIQQOPSSXEZ-UHFFFAOYSA-N Silicon Chemical compound [Si] XUIMIQQOPSSXEZ-UHFFFAOYSA-N 0.000 description 5
- 210000002409 epiglottis Anatomy 0.000 description 5
- 229910052710 silicon Inorganic materials 0.000 description 5
- 239000010703 silicon Substances 0.000 description 5
- 206010016654 Fibrosis Diseases 0.000 description 4
- 230000009471 action Effects 0.000 description 4
- 230000004761 fibrosis Effects 0.000 description 4
- 206010041235 Snoring Diseases 0.000 description 3
- 230000015572 biosynthetic process Effects 0.000 description 3
- 210000001983 hard palate Anatomy 0.000 description 3
- 201000000615 hard palate cancer Diseases 0.000 description 3
- 210000003823 hyoid bone Anatomy 0.000 description 3
- 230000008602 contraction Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 239000013536 elastomeric material Substances 0.000 description 2
- 230000003176 fibrotic effect Effects 0.000 description 2
- 210000001847 jaw Anatomy 0.000 description 2
- 229920000728 polyester Polymers 0.000 description 2
- 230000009467 reduction Effects 0.000 description 2
- 231100000241 scar Toxicity 0.000 description 2
- 239000000725 suspension Substances 0.000 description 2
- 210000002435 tendon Anatomy 0.000 description 2
- 238000009941 weaving Methods 0.000 description 2
- 239000004743 Polypropylene Substances 0.000 description 1
- 238000003491 array Methods 0.000 description 1
- 230000003416 augmentation Effects 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 238000000576 coating method Methods 0.000 description 1
- 230000001010 compromised effect Effects 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 239000013013 elastic material Substances 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 210000001169 hypoglossal nerve Anatomy 0.000 description 1
- 230000001939 inductive effect Effects 0.000 description 1
- 235000012054 meals Nutrition 0.000 description 1
- 239000011325 microbead Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 230000007383 nerve stimulation Effects 0.000 description 1
- 230000035479 physiological effects, processes and functions Effects 0.000 description 1
- -1 polypropylene Polymers 0.000 description 1
- 229920001155 polypropylene Polymers 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 238000007674 radiofrequency ablation Methods 0.000 description 1
- 239000012783 reinforcing fiber Substances 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 239000003356 suture material Substances 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/56—Devices for preventing snoring
- A61F5/566—Intra-oral devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/56—Devices for preventing snoring
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/24—Surgical instruments, devices or methods, e.g. tourniquets for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
- A61B2017/248—Operations for treatment of snoring, e.g. uvulopalatoplasty
Abstract
Description
図1は、患者の上気道の概略図である。図1は、舌基部TBが咽頭壁PWに対向する状態である舌Tを示す。硬口蓋HP及び軟口蓋SPは、軟口蓋SPが舌基部TBと咽頭壁PWとの間で後方部を終端TEへ延在している状態で、舌Tの上部に亘って存在する。
図19〜23は、本発明の代替的な実施形態を図示する。図19〜23において、インプラント100は、遠位部分110及び近位部分120を含む。遠位部分110は、好ましくは、繊維増加又は組織の内植を促進するための介在空間を有する、編物(braid)又は編物(knit)などのメッシュ構造である。遠位部分110は、好ましくは、前述されたインプラント10と同一に構成される。図19は、遠位部分110が折り畳まれた状態であるインプラント110を示す一方、図21は、遠位部分110が完全に伸張された状態であるインプラント110を示す。遠位部分110は、前述された切開形成ツール40の剪刀動作ブレード44、46を受容するためのスライドスリット115を含む。近位部分120は、シリコン又は同様のものなどのエラストマー材料である。シリコンは、オーバーモールド部170(図19)を画定するために、遠位部分110の第1の端部111をオーバーモールドされる。
10’ インプラント
10” インプラント
12 近位端部
12’ 近位端部
12” 近位端部
14 遠位端部
14’ 遠位端部
14” 遠位端部
20 ツール
22 湾曲ハンドル
24 剪刀端部
27 縁部
28 剪刀刃部
29 先端部
30 剪刀刃部
30 先端部
33 縁部
40 挿入ツール
42 湾曲ハンドル
44 剪刀動作ブレード
46 剪刀動作ブレード
100 インプラント
110 遠位部分
111 第1の端部
115 スライドスリット
120 近位部分
130 補強された領域
140 孔
150 非補強領域(取付ねじ)
160 領域
170 オーバーモールド部
A ライン(筋繊維の方向)
B 筋繊維
E 喉頭蓋
FC 線維性カプセル
GH 頤舌骨筋
GG 頤舌筋
HB 舌骨
HP 硬口蓋
JB 下顎骨
PW 咽頭壁
SP 軟口蓋
T 舌
TB 舌基部
TE 終端
Claims (7)
- 患者の閉塞性睡眠時無呼吸を治療する装置であって、
前記装置は、前記患者の舌内に配置されるように寸法決めされたインプラントを備え
前記インプラントは、近位部分及び遠位部分を有し、
前記遠位部分は、前記舌の基部に隣接する舌に移植されるように寸法決めされ、
前記遠位部分は、前記舌における移植に続いて、繊維化反応を生み出すための材料で選択され
前記近位部分は、前記舌の下顎―頤舌骨筋接合面に隣接して固着させるように適合されることを特徴とする装置。 - 前記近位部分は、前記患者の下顎骨に固着されるように適合されることを特徴とする請求項1に記載の装置。
- 前記近位部分の少なくとも1部がエラストマーであることを特徴とする請求項1に記載の装置。
- 前記エラストマー部分は、会話及び飲み込みに応じて舌の移動とともに伸張し、且つ収縮するように選択されることを特徴とする請求項3に記載の装置。
- 前記遠位部分は、組織の内植のための介在空間を有する材料であることを特徴とする請求項1に記載の装置。
- 前記材料がメッシュであることを特徴とする請求項5に記載の装置。
- 前記メッシュは、貫通するように折り畳まれ、切開し、舌内で伸張可能であることを特徴とする請求項6に記載の装置。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/542,455 | 2006-10-03 | ||
US11/542,455 US20080078411A1 (en) | 2006-10-03 | 2006-10-03 | Tongue implant for sleep apnea |
US11/706,729 | 2007-02-15 | ||
US11/706,729 US20080078412A1 (en) | 2006-10-03 | 2007-02-15 | Tongue implant |
PCT/US2007/018778 WO2008042058A1 (en) | 2006-10-03 | 2007-08-24 | Tongue implant |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2010505512A true JP2010505512A (ja) | 2010-02-25 |
JP5254981B2 JP5254981B2 (ja) | 2013-08-07 |
Family
ID=38719489
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2009531373A Active JP5254981B2 (ja) | 2006-10-03 | 2007-08-24 | 舌インプラント |
Country Status (7)
Country | Link |
---|---|
US (2) | US20080078412A1 (ja) |
EP (1) | EP2091477A1 (ja) |
JP (1) | JP5254981B2 (ja) |
KR (1) | KR101411075B1 (ja) |
CN (1) | CN101677871B (ja) |
CA (1) | CA2665525C (ja) |
WO (1) | WO2008042058A1 (ja) |
Families Citing this family (48)
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US8074655B2 (en) | 2004-02-26 | 2011-12-13 | Linguaflex, Inc. | Methods and devices for treating sleep apnea and snoring |
EP2617457A3 (en) * | 2004-02-26 | 2013-11-20 | Linguaflex, Inc. | A method and device for the treatment of obstructive sleep apnea and snoring |
US8186355B2 (en) * | 2005-11-09 | 2012-05-29 | Koninklijke Philips Electronics N.V. | Glossoplasty using tissue anchor glossopexy with volumetric tongue reduction |
US7780730B2 (en) | 2006-09-25 | 2010-08-24 | Iyad Saidi | Nasal implant introduced through a non-surgical injection technique |
US8167787B2 (en) | 2008-01-03 | 2012-05-01 | Revent Medical, Inc. | Partially erodable systems for treatment of obstructive sleep apnea |
JP5834337B2 (ja) | 2008-05-12 | 2015-12-16 | レベント メディカル インコーポレイテッド | 閉塞性睡眠時無呼吸の治療のための部分的侵食性システム |
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- 2007-08-24 JP JP2009531373A patent/JP5254981B2/ja active Active
- 2007-08-24 CN CN200780042589XA patent/CN101677871B/zh not_active Expired - Fee Related
- 2007-08-24 WO PCT/US2007/018778 patent/WO2008042058A1/en active Application Filing
- 2007-08-24 EP EP07837335A patent/EP2091477A1/en not_active Withdrawn
- 2007-08-24 CA CA2665525A patent/CA2665525C/en not_active Expired - Fee Related
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KR20090076959A (ko) | 2009-07-13 |
US20100059066A1 (en) | 2010-03-11 |
CN101677871A (zh) | 2010-03-24 |
US20080078412A1 (en) | 2008-04-03 |
KR101411075B1 (ko) | 2014-06-27 |
EP2091477A1 (en) | 2009-08-26 |
CA2665525A1 (en) | 2008-04-10 |
JP5254981B2 (ja) | 2013-08-07 |
CN101677871B (zh) | 2012-03-28 |
CA2665525C (en) | 2014-10-14 |
WO2008042058A1 (en) | 2008-04-10 |
US8381735B2 (en) | 2013-02-26 |
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