JP5859446B2 - 閉塞性睡眠時無呼吸症を処置するための舌骨拡張装置を用いた舌懸架システム - Google Patents
閉塞性睡眠時無呼吸症を処置するための舌骨拡張装置を用いた舌懸架システム Download PDFInfo
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Description
(1) 閉塞性睡眠時無呼吸症を処置するためのシステムであって、
舌内にインプラント可能な第1のエレメントと、
前記第1のエレメントと連結されるように適合された第1の端と、舌骨と連結されるように適合された第2の端とを有する、第2のエレメントと、を備える、システム。
(2) 前記第1及び第2のインプラント可能なエレメントが、組織の内部成長に対して実質的に不透過性である外面を有する、実施態様1に記載のシステム。
(3) 前記第1及び第2のインプラント可能なエレメントが、生体適合性かつ非吸収性である、実施態様1に記載のシステム。
(4) 前記第1のインプラント可能なエレメントが、ポリテトラフルオロエチレン、ポリウレタン、ポリエチレン、テレフタレート(teraphthalate)、ポリプロピレン、及びシリコーンからなる群から選択される材料を備える、実施態様1に記載のシステム。
(5) 前記第2のインプラント可能なエレメントが、e−PTFE、Teflon(登録商標)、ポリプロピレン、シリコーン、ポリウレタン、ニチノール、ステンレス鋼、ポリエチレンテレフタレート、及びシルクからなる群から選択される材料を備える、実施態様1に記載のシステム。
(6) 前記第1のインプラント可能なエレメントが、細長であり、
第1の端と、第2の端と、前記第1の端と前記第2の端との間に位置する中央区画と、を備え、前記第1のインプラント可能なエレメントの断面積が、その長さに沿って実質的に一定である、実施態様1に記載のシステム。
(7) 前記第1のインプラント可能なエレメントの前記中央領域が、前記第1のインプラント可能なエレメントのより幅広の領域を画定するバットレスを備える、実施態様6に記載のシステム。
(8) 前記第1のエレメントが、前記バットレスが、前記舌の前方−後方軸を横断する軸に沿って延在するように、前記舌内にインプラント可能である、実施態様7に記載のシステム。
(9) 前記第2のインプラント可能なエレメントの前記第1の端が、前記第1のインプラント可能なエレメントの前記第1及び第2の端のうちの少なくとも1つを、前記第2のインプラント可能なエレメントに固着するための少なくとも1つの固定ポイントを備える、実施態様6に記載のシステム。
(10) 前記少なくとも1つの固定ポイントが、前記第1のインプラント可能なエレメントの前記第1及び第2の端のうちの少なくとも1つを受容するように適合されたループを備える、実施態様9に記載のシステム。
(12) 前記第2のインプラント可能なエレメントが、少なくとも一対の横方向に延在する安定化アームを備える、実施態様1に記載のシステム。
(13) 前記少なくとも一対の横方向に延在する安定化アームが、前記第2のインプラント可能なエレメントの前記第1の端に隣接して位置する、実施態様12に記載のシステム。
(14) 前記第2のインプラント可能なエレメントの前記第2の端が、舌骨の前面と一致し、かつそれを係合するように適合された、少なくとも1つの凹面を備える、実施態様1に記載のシステム。
(15) 前記第2のインプラント可能なエレメントの前記第2の端が、一対の離間されたアームを備え、前記離間されたアームのそれぞれが、前記第2のインプラント可能なエレメントを前記舌骨の前記前面と連結させるように適合された凹面を有する後方端を有する、実施態様14に記載のシステム。
(16) 前記第2のエレメントが更に、
頂面と底面とを有するディスクと、
前記第1のエレメントの下端を受容するための、前記ディスクの前方端に隣接して位置し、前記プレートの前記頂面から前記底面に延在する、少なくとも1つの貫通孔と、を備える、実施態様1に記載のシステム。
(17) 閉塞性睡眠時無呼吸症を処置するためのシステムであって、
舌内にインプラントされた上端と、前記舌下に延在する下端とを有する、第1のエレメントと、
前記舌下に位置する筋肉面の間にインプラントされた第2のエレメントであって、前記第2のエレメントが、前記第1のエレメントの前記下端と連結した前方端と、舌骨と連結された後方端とを有し、前記第1及び第2のエレメントが、組織の内部成長に対して実質的に不透過性である外面を有する、第2のエレメントと、を備える、システム。
(18) 前記第1のエレメントの前記上端が、前記舌内にインプラントされた少なくとも1つのループを備え、前記第1のエレメントの前記下端が、前記第1のエレメントを前記第2のエレメントへ固定するように適合された、少なくとも1つの自由端を備える、実施態様17に記載のシステム。
(19) 前記第2のエレメントの前記前方端が、前記第1のエレメントの前記少なくとも1つの自由端を、前記第2のエレメントの前方端へ固定するための固定ポイントを備え、前記第2のエレメントの前記後方端が、前記舌骨の前面に係合するように適合された、少なくとも1つの凹面を備える、実施態様18に記載のシステム。
(20) 前記第2のエレメントが更に、
頂面と底面とを有するディスクと、
前記第1のエレメントの前記下端を受容するための、前記ディスクの前方端に隣接して位置し、前記プレートの前記頂面から前記底面に延在する少なくとも1つの貫通孔と、を備える、実施態様17に記載のシステム。
第1の区画と、
前記第1の区画から離間された第2の区画と、
前記第1及び第2のプレートが互いに対して移動することを可能にするように、前記第1及び第2の区画を共に連結する、少なくとも1つのバネエレメントと、を備える、実施態様17に記載のシステム。
(22) 前記第1及び第2のプレートのそれぞれの主要頂面の間に延在し、それらの上にある第1の可撓性フィルムと、
前記第1及び第2のプレートのそれぞれの主要底面の間に延在し、それらの上にある第2の可撓性フィルムと、を更に備え、前記第1及び第2の可撓性フィルムが、前記少なくとも1つのバネエレメントを被覆する、実施態様21に記載のシステム。
(23) 閉塞性睡眠時無呼吸症を処置するための方法であって、
2つの端と、組織の内部成長に対して実質的に不透過性である外面とを有する、舌懸架エレメントを提供することと、
前記舌懸架エレメントの少なくとも一部分を、舌内にインプラントすることと、
前記舌懸架エレメントの少なくとも1つの端を、前記舌下に位置付けることと、
前方端と、後方端と、組織の内部成長に対して実質的に不透過性である外面と、を有する、舌骨拡張装置を提供することと、
前記舌骨拡張装置を、前記舌下に位置する筋肉面の間にインプラントすることと、
前記舌懸架エレメントの少なくとも1つの端を、前記舌骨拡張装置の前記前方端と連結することと、
前記舌の後面を咽頭壁の反対面から離れて移動させるために、前記舌骨拡張装置の後方端を舌骨に連結することと、を含む、方法。
(24) 前記舌骨拡張装置の前記後方端が、少なくとも1つの凹面を備え、前記方法が更に、前記舌骨拡張装置の前記後方端における前記少なくとも1つの凹面を、前記舌骨の前面に対して連結することを含む、実施態様23に記載の方法。
(25) 前記舌骨拡張装置の前記後方端を前記舌骨に連結するために、縫合糸、クリップ、クランプ、ステープル、棘、又は接着剤を使用することを更に含む、実施態様23に記載の方法。
Claims (16)
- 閉塞性睡眠時無呼吸症を処置するためのシステムであって、
第1のインプラント可能なエレメントであって、前記第1のインプラント可能なエレメントは細長く、第1の端、第2の端、及び前記第1の端と第2の端との間に位置する中央区画を備え、前記中央区画は舌内にインプラント可能であり、前記第1および第2の端が舌下に位置する下顎下領域へと延びる、第1のインプラント可能なエレメントと、
第2のインプラント可能なエレメントであって、前記下顎下領域内の筋肉面と筋肉面との間にインプラント可能であり、前記第1のインプラント可能なエレメントの前記第1及び第2の端と連結されるように適合された前方端と、舌骨の前面と連結されるように適合された後方端とを有する、第2のインプラント可能なエレメントと、を備える、システム。 - 前記第1及び第2のインプラント可能なエレメントが、組織の内部成長に対して実質的に不透過性である外面を有する、請求項1に記載のシステム。
- 前記第1及び第2のインプラント可能なエレメントが、生体適合性かつ非吸収性である、請求項1に記載のシステム。
- 前記第1のインプラント可能なエレメントが、ポリテトラフルオロエチレン、ポリウレタン、ポリエチレン、テレフタレート、ポリプロピレン、及びシリコーンからなる群から選択される材料を備える、請求項1に記載のシステム。
- 前記第2のインプラント可能なエレメントが、e−PTFE、Teflon(登録商標)、ポリプロピレン、シリコーン、ポリウレタン、ニチノール、ステンレス鋼、ポリエチレンテレフタレート、及びシルクからなる群から選択される材料を備える、請求項1に記載のシステム。
- 前記第1のインプラント可能なエレメントの断面積が、その長さに沿って実質的に一定である、請求項1に記載のシステム。
- 前記第1のインプラント可能なエレメントの前記中央区画が、前記第1のインプラント可能なエレメントのより幅広の領域を画定するバットレスを備える、請求項1〜6のいずれかに記載のシステム。
- 前記第1のインプラント可能なエレメントが、前記バットレスが、前記舌の前方−後方軸を横断する軸に沿って延在するように、前記舌内にインプラント可能である、請求項7に記載のシステム。
- 前記第2のインプラント可能なエレメントの前記前方端が、前記第1のインプラント可能なエレメントの前記第1及び第2の端のうちの少なくとも1つを、前記第2のインプラント可能なエレメントに固着するための少なくとも1つの固定ポイントを備える、請求項6に記載のシステム。
- 前記少なくとも1つの固定ポイントが、前記第1のインプラント可能なエレメントの前記第1及び第2の端のうちの少なくとも1つを受容するように適合されたループを備える、請求項9に記載のシステム。
- 前記第1のインプラント可能なエレメントが、細長い可撓性のリボン、又は細長い縫合糸を備える、請求項1に記載のシステム。
- 前記第2のインプラント可能なエレメントが、少なくとも一対の横方向に延在する安定化アームを備える、請求項1に記載のシステム。
- 前記少なくとも一対の横方向に延在する安定化アームが、前記第2のインプラント可能なエレメントの前記前方端に隣接して位置する、請求項12に記載のシステム。
- 前記第2のインプラント可能なエレメントの前記後方端が、舌骨の前面と一致し、かつそれを係合するように適合された、少なくとも1つの凹面を備える、請求項1に記載のシステム。
- 前記第2のインプラント可能なエレメントの前記後方端が、一対の離間されたアームを備え、前記離間されたアームのそれぞれが、前記第2のインプラント可能なエレメントを前記舌骨の前記前面と連結させるように適合された凹面を有する後方端を有する、請求項14に記載のシステム。
- 前記第2のインプラント可能なエレメントが更に、
頂面と底面とを有するディスクと、
前記第1のインプラント可能なエレメントの下端を受容するための、前記ディスクの前方端に隣接して位置し、前記プレートの前記頂面から前記底面に延在する、少なくとも1つの貫通孔と、を備える、請求項1に記載のシステム。
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US12/608,168 US9877862B2 (en) | 2009-10-29 | 2009-10-29 | Tongue suspension system with hyoid-extender for treating obstructive sleep apnea |
US12/608,168 | 2009-10-29 | ||
PCT/US2010/052649 WO2011059629A1 (en) | 2009-10-29 | 2010-10-14 | Tongue suspension system with hyoid-extender for treating obstructive sleep apnea |
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EP (1) | EP2493437B1 (ja) |
JP (1) | JP5859446B2 (ja) |
AU (1) | AU2010318567A1 (ja) |
CA (1) | CA2778788C (ja) |
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EP2493437B1 (en) | 2016-08-31 |
JP2013509242A (ja) | 2013-03-14 |
CA2778788A1 (en) | 2011-05-19 |
US20110100377A1 (en) | 2011-05-05 |
EP2493437A1 (en) | 2012-09-05 |
CA2778788C (en) | 2018-05-22 |
WO2011059629A1 (en) | 2011-05-19 |
US9877862B2 (en) | 2018-01-30 |
AU2010318567A1 (en) | 2012-05-31 |
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