WO2014117631A1 - 舌背弹性牵引装置、夹持钳、安装钳、引线器及植入方法 - Google Patents

舌背弹性牵引装置、夹持钳、安装钳、引线器及植入方法 Download PDF

Info

Publication number
WO2014117631A1
WO2014117631A1 PCT/CN2013/091266 CN2013091266W WO2014117631A1 WO 2014117631 A1 WO2014117631 A1 WO 2014117631A1 CN 2013091266 W CN2013091266 W CN 2013091266W WO 2014117631 A1 WO2014117631 A1 WO 2014117631A1
Authority
WO
WIPO (PCT)
Prior art keywords
tongue
elastic traction
flank
elastic
lingual
Prior art date
Application number
PCT/CN2013/091266
Other languages
English (en)
French (fr)
Inventor
张湘民
周星
Original Assignee
Zhang Xiangmin
Zhou Xing
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Priority claimed from CN201320063137.2U external-priority patent/CN203370010U/zh
Priority claimed from CN201310043949.5A external-priority patent/CN103961201B/zh
Priority claimed from CN201310423353.8A external-priority patent/CN104434377B/zh
Priority claimed from CN201310423258.8A external-priority patent/CN104434374B/zh
Priority claimed from CN201310423355.7A external-priority patent/CN104434378B/zh
Priority claimed from CN201310423417.4A external-priority patent/CN104434379B/zh
Priority claimed from CN201310423315.2A external-priority patent/CN104434376B/zh
Priority claimed from CN201310423312.9A external-priority patent/CN104434375B/zh
Priority claimed from CN201310733988.8A external-priority patent/CN104739564A/zh
Priority claimed from CN201310738009.8A external-priority patent/CN104739565B/zh
Priority to JP2015555560A priority Critical patent/JP6430405B2/ja
Priority to EP13873591.5A priority patent/EP2952161B1/en
Priority to US14/384,367 priority patent/US9675494B2/en
Priority to CA2876027A priority patent/CA2876027A1/en
Application filed by Zhang Xiangmin, Zhou Xing filed Critical Zhang Xiangmin
Priority to KR1020147024858A priority patent/KR20150135049A/ko
Priority to IN10199DEN2014 priority patent/IN2014DN10199A/en
Priority to SG11201500044WA priority patent/SG11201500044WA/en
Priority to AU2013376536A priority patent/AU2013376536A1/en
Publication of WO2014117631A1 publication Critical patent/WO2014117631A1/zh
Priority to HK15112646.6A priority patent/HK1211827A1/zh
Priority to AU2016259356A priority patent/AU2016259356B2/en

Links

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
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C3/00—Dental tools or instruments
    • A61C3/10—Tooth pincettes or the like

Definitions

  • Tongue back elastic traction device Tongue back elastic traction device, clamping clamp, mounting clamp, lead device and implantation method
  • the invention relates to a tongue back elastic traction device, a clamping clamp, a mounting clamp, a lead device and an implantation method, in particular for treating an Obstructive Sleep Apnea I Hypopnea Syndrome (hereinafter referred to as: OSAHS) tongue-back elastic traction device, matching tools: clamping pliers, mounting pliers, leading device, and implantation method.
  • OSAHS Obstructive Sleep Apnea I Hypopnea Syndrome
  • Obstructive sleep apnea hypopnea syndrome is a sleep-disordered breathing disorder characterized by snoring, apnea, and hypopnea caused by collapse and occlusion of the soft tissue of the upper airway during sleep.
  • OSAHS OSAHS
  • the main cause is the obstruction caused by soft tissue collapse due to relaxation of the pharyngeal muscle that maintains the upper airway during sleep.
  • Most of the obstruction sites are located in the pharyngeal and pharyngeal planes.
  • the present inventors have disclosed an implantable tongue root traction device in the Chinese patent application CN102198010 A, which has a good clinical effect, and is particularly suitable for the collapse of the tongue root. Surgical treatment of patients with moderate or severe OSAHS.
  • the prior art oral appliance mainly adopts a device in the oral cavity to advance the mandible or pull the tongue forward, enlarge the pharyngeal cavity, and relieve the airway obstruction during sleep.
  • This method There are many types of this method, which have certain effects, but most patients are difficult to adapt.
  • the oral appliance has a certain degree of irritability and foreign body sensation, which makes it impossible to sleep. Long-term use can also cause temporomandibular joint damage. Summary of the invention
  • the object of the present invention is to overcome the various drawbacks of the prior art oral appliance, and to provide a tongue-and-back traction device for treating patients with mild or moderate OSAHS caused by collapsing of the tongue, which has less trauma and more trauma. Comfortable, more convenient to use.
  • the tongue-back elastic traction device comprising a tongue-and-back connection mechanism 1, an elastic traction body 2 and a flank
  • the holder 3 wherein - the tongue-back connection mechanism 1 is a submucosal tunnel type traction connection mechanism 100 capable of preventing the tongue from falling backward or a connection body 101 disposed at the back of the tongue;
  • the elastic traction body 2 is made of a medical elastic material, and the elastic traction body 2 is an elastic band-like object that can be stretched under an external force and generates a restoring force, and can be restored to the original shape after the external force is removed, or An elastic filament-like object, or a spring-like object, or an elastic mechanism containing an elastic band-like object, or an elastic mechanism containing an elastic filament-like object, or an elastic mechanism containing a spring-like object;
  • the flank fixer 3 includes a support frame 31 capable of supporting the flank fixator 3, an elastic traction body flank connecting mechanism 32 capable of connecting the elastic traction body 2, and a shank holder 3 capable of being fixed on the tooth, or a tooth a rib attachment mechanism 33 on the trough bone, or on the upper jaw, or on the lower jaw, or on the upper and lower jaws; the elastic traction body flank connection mechanism 32 and the flank fastening mechanism 33 are disposed on the support frame 31;
  • flank fixator 3 as a bearing fulcrum is fixed to the tooth by the flank fixing mechanism 33, or the alveolar bone, or the flank fixator 3 is detachably fixed to the maxillary lip by the flank fixing mechanism 33.
  • one end of the elastic traction body 2 is connected to the elastic traction body flank connection mechanism 32 of the flank fixator 3, and the other end is connected to the tongue-back connection On agency 1.
  • the basic principle of the present invention is that the lingual fixator 3 is fixed on the tooth, or on the alveolar bone, or outside the upper and lower jaw lips after the tongue-back connection mechanism 1 is set in the lingual region of the tongue in front of the contour nipple of the tongue.
  • the back of the tongue is elastically pulled by the elastic traction body 2. Since the tongue-back connection mechanism 1 is established under the mucosa of the tongue and has a certain width in the lateral direction of the oral cavity, when the elastic traction body 2 is used to pull the back of the tongue, a groove can be formed at the base of the tongue.
  • the trough effect uses a relatively small pulling force to effectively pull up the base of the falling tongue to achieve the purpose of expanding the airway of the tongue and throat and treating OSAHS. It is particularly important to note that the stretched portion is not close to the thickness of the tongue in the direction of the thickness of the tongue, because the depth of the tongue is less than m, and the lateral width along the oral cavity is greater than 1
  • the .5cm tongue back range is elastically stretched with a certain lateral area, while the tongue root is effectively pulled up, and does not excessively limit and affect the movement of the tip and tongue.
  • the OSAHS orthosis is not able to be closed after opening, and is easy to drool, and maintains clear language function and moderate swallowing function, thereby improving patient comfort.
  • the tongue-back connecting mechanism 1 is disposed in front of the contour nipple of the tongue, with a longitudinal length L along the oral cavity of 0 cm to 5 cm, a lateral width W of 0.2 cm to 6 cm, and a depth H of 0 cm to 1.0 cm.
  • the tongue-back connecting mechanism 1 is set and fixed, and when the elastic tongue 2 is elastically pulled to the tongue-back connecting mechanism 1 established in the tongue-back region, a small elastic pulling force can be used. Effectively improve the airway obstruction of the tongue and throat caused by the collapse of the tongue root Plug, get better tongue root pull-up effect.
  • the tongue back region of the present invention is the optimal region for implanting the tongue-back connection mechanism 1, and the best tongue-pharyngeal airway enlargement effect can be obtained without excessively affecting the movement of the tongue, maintaining good pronunciation and For swallowing function, refer to Figure 33.
  • the elastic traction body 2 forms an elastic traction force between the flank fixator 3 and the tongue-back connecting mechanism 1 between 15g and 300g.
  • the range of elastic pull force mentioned above is the range of elastic pull force after optimization. According to the individual difference of the patient and the weight of the tongue, it can be selected under the guidance of the doctor, which can effectively pull the tongue back and improve the tongue.
  • the pharyngeal airway is narrowed and blocked due to collapse and collapse, and does not excessively affect the movement of the tongue, achieve better therapeutic effect, maintain good tongue movement function, can clearly speak, smoothly swallow, comfortably Sleep.
  • the submucosal tunnel type traction connection mechanism 100 of the tongue-and-loop connection mechanism 1 is a submucosal subepithelialized tunnel 100-1 which is left after the removal of the implant 100-2 capable of forming a submucosal tunnel of the tongue, or It is a submucosal tunnel 100-3 containing a thin-walled tubular implant formed under the mucosa of the tongue after implantation of the thin-walled tubular implant 100-4.
  • a structure of the tongue-and-groove joint mechanism 1 of the tongue-back elastic traction device of the present invention that is, a tunnel-type traction link mechanism 100.
  • the implant 100-2 capable of forming a submucosal tunnel under the tongue after the removal is made of a medical polymer material tube or a medical polymer spring tube, or a medical polymer material wire or a medical polymer material tape, Or medical metal material tube, or medical metal spring tube, or medical metal material wire, or medical metal material tape.
  • the thin-walled tubular implant 100-4 is made of a medical polymer material thin-walled tube, or a medical polymer spring tube, or a medical metal thin-wall tube, or a medical metal spring tube.
  • the tunnel type traction connection mechanism 100 is a thin-walled tubular implant 100-4, and the thin-walled tubular implant 100-4 is provided with a non-slip positioning positioning step 100-4-1.
  • the non-slip positioning cams 100-4-1 contain a smooth surface 100-4-2 that matches the surface of the tongue mucosa. Since the two ends of the thin-walled tubular implant 100-4 of the tunnel-type tongue-and-groove joint mechanism 100 are provided with non-slip positioning projections 100-4-1, when the thin-walled tubular implant 100- 4 When implanted under the tongue mucosa, the positioning protrusions 100-4-1 can prevent the thin-walled tubular implant 100-4 from sliding out of the tongue mucosa under the action of an external force. At the same time, since the positioning convex step 100-4-1 is in surface contact with the tongue mucosa, the stimulation of the surface of the tongue mucosa by the positioning convex step 100-4-1 is reduced, and the user's comfort can be increased.
  • the angle ⁇ between the two smooth faces 100-4-2 at both ends of the positioning convex step 100-4-1 is between 90° and 180°.
  • the angle ⁇ is preferably between 100° and 150°.
  • the biological shape of the tongue is an arch with a certain angle a shape structure, therefore, after forming an angle ⁇ between the two smooth faces 100-4-2 at both ends of the positioning convex step 100-4-1, the tongue is implanted in the thin-walled tubular implant 100-4 After the submucosa, the positioning protrusions 100-4-1 can better conform to the mucosa of the tongue surface, thereby increasing the comfort of the patient during use.
  • the tunnel type traction connection mechanism 100 is made of a medical flexible material and is selected from the group consisting of medical silica gel, or medical rubber, or medical latex, or medical polyurethane.
  • the tunnel tongue-and-loop connection mechanism 100 is made of a medical flexible material, especially when manufactured by medical silica gel or medical polyurethane.
  • the shape of the tunnel-type lingual attachment mechanism 100 is altered or automatically adjusted to accommodate the submucosal passage of the tongue.
  • the soft material also allows the positioning step 100-4-1 to have better compliance when in contact with the tongue mucosal tissue, slowing the stimulation of the tongue mucosal tissue, increasing patient comfort and improving the patient. Compliance.
  • the connecting body 101 of the tongue-back connecting mechanism 1 is a fully implantable connecting body 102 that can be completely implanted under the tongue mucosa; or a part of the implanted body is implanted under the tongue mucosa, and the rest is exposed to the outside of the tongue mucosa.
  • three different ways of connecting the connecting body 101 and the tongue of the tongue-back connecting mechanism 1 provided at the back of the tongue fully implantable, semi-implanted and surface bonded.
  • the fully implantable connector 102 is a flat object 102-1 having magnetic properties.
  • the magnetically flat object 102-1 of the fully implantable connector 102 includes a magnetic unit 1021-1 and a substrate 1021-2, and the magnetic unit 1021-1 is distributed on the substrate 1021-2.
  • the magnetic unit 1021 -1 is connected to the base 1021 -2 in a plurality of manners.
  • the magnetic unit 1021 - 1 may be completely covered by the base 1021 - 2 or may be embedded in the flexible base 1021 - 2 . It can also be connected together in a grid by the substrate 1021-2.
  • the magnetically flat object 102-1 of the fully implantable connector 102 is magnetically coupled to the elastic body 2.
  • the implanted portion of the fully implantable connector 102 or the semi-implantable connector 103 is provided with a through hole 106 or a convex step 105 that prevents displacement of the implant.
  • the semi-implanted connector 103 includes a support body 11 that can be implanted under the mucosa of the tongue for a long period of time, and an elastic traction body tongue and back connection mechanism 12 that can be connected to the elastic traction body 2 and exposed to the outer surface of the tongue.
  • the elastic traction body tongue and back connection mechanism 12 is disposed on the support body 11.
  • the elastic traction body tongue-and-groove joint mechanism 12 of the semi-implantable connecting body 103 is a connecting groove 12-1 that can be used to detachably connect the elastic traction body 2, or connect the convex step 12-2, or connect Hook 12-3, or connecting ring 12-6.
  • the support body 11 of the semi-implanted connector 103 may be an arcuate support, or a U-shaped support, or a circular support, or an elliptical ring support.
  • the tongue-back elastic connecting mechanism 1 is the semi-implanted connecting body 103
  • the elastic traction body tongue-back connecting mechanism 12 and the supporting body 11 of the semi-implanted connecting body 103 are a non-detachable integral structure.
  • the tongue-and-groove joint mechanism 1 is usually manufactured by a process such as numerical control machining, or precision casting, or injection molding.
  • the elastic traction body tongue-and-groove joint mechanism 12 of the semi-implanted connecting body 103 and the supporting body 11 are detachable combined structures.
  • the elastic traction body tongue-back connecting mechanism 12 and the supporting body 11 are detachable combined structures, which can facilitate the mounting and dismounting of the supporting body 11 through the submucosal epithelialized tunnel 100-1.
  • the elastic traction body tongue-and-groove joint mechanism 12 of the semi-implantable connector body 103 is mounted on the support body 11 by means of a screw connection, a bump-and-groove joint connection, an interference fit connection, or a bonding manner.
  • a screw connection a bump-and-groove joint connection, an interference fit connection, or a bonding manner.
  • a bump-and-groove joint connection a bump-and-groove joint connection
  • an interference fit connection or a bonding manner.
  • other forms of detachable construction are also possible.
  • the elastic traction body tongue-and-groove joint mechanism 12 is a connecting convex step 12-2 capable of fixing the elastic traction body 2 and capable of fixing the elastic traction body
  • the connecting groove 12-1 of the connecting groove 12-1; at least one connecting groove 12-1 of the connecting groove 12-1 is distributed on the connecting convex step 12-2.
  • the connecting groove 12-1 includes a transverse connecting groove 12-1 -1 perpendicular to the axial direction of the connecting convex step 12-2 and a longitudinal intersection with the lateral connecting groove 12-1 -1
  • the groove 12-1 -2 is connected.
  • the longitudinal connecting groove 12-1-2 forms an angle with the lateral connecting groove 12-1 -1 between 10 ° and 90 °.
  • the lateral connecting groove 12-1 -1 and the longitudinal connecting groove 12-1 - 2 can spatially fix the lingual attachment mechanism 21 of the elastic traction body 2 of the tongue-back elastic pulling device.
  • the elastic traction body 2 adopts a belt-like structure.
  • the lingual connection mechanism 21 of the elastic structure 2 of the belt structure is the lingual connection hole 21 -1, the lingual connection hole 21-1 is worn.
  • the connecting protrusion 12-2 After the connecting protrusion 12-2 is fixed, it is fixed in the lateral connecting groove 12-1 -1 under the connecting convex step 12-2, and at the same time, when the elasticity of the strip structure is tensioned to the flank When the body 2 is pulled, the edge of the lingual connection hole 21 - 1 is automatically caught in the longitudinal connection groove 12 - 2 on the connecting protrusion 12 - 2 to form a lateral connection groove 12 - 1 -1 And the combined fixing of the spatial intersection of the longitudinal connecting grooves 12-1 -2.
  • the longitudinal connecting grooves 12-1 - 2 are perpendicular to the lateral connecting grooves 12-1 -1 and are evenly distributed on the connecting convex steps 12-2.
  • the four longitudinal connecting grooves 12-1-2 are evenly distributed on the connecting projections 12-2 of the tongue-back connecting mechanism 1.
  • the four longitudinal connecting grooves 12-1 - 2 are evenly distributed on the connecting convex step 12 - 2 , and the mutual matching with the lateral connecting grooves 12 - 1-1 can play the elastic traction body 2 The space meets the fixed effect and does not fall off when the tongue moves.
  • the connecting projection 12-2 of the tongue-and-groove joint mechanism 1 is a hemispherical or tapered surface having a smooth surface.
  • the surface smoothing projections 12-2 referred to herein can be designed in various shapes, preferably hemispherical or conical, and have no sharp edges or abrupts on the surface.
  • the elastic traction body tongue-back connecting mechanism 12 of the tongue-back connecting mechanism 1 is disposed between the support body 11 and the support body 11 to slow down the A conical transition mechanism 12-4 of the edge of the elastic traction body tongue-and-groove joint 12 to the tongue surface mucosa, the conical transition mechanism 12-4 having a diameter d12 near the elastic traction body tongue-and-loop connection mechanism 12 More than the diameter d11 of the conical transition mechanism 12-4 near the support body 11; the elastic transition body 2 is fixed between the conical transition mechanism 12-4 and the connecting protrusion 12-2 The lateral connection groove 12-1 -1.
  • Setting the conical transition mechanism 12-4 on the tongue-and-loop connection mechanism of the present invention can achieve surface contact of the tongue-back connection mechanism 1 with the mucous membrane surface of the tongue, and slow the edge pair of the tongue-back connection mechanism 12 of the elastic traction body.
  • the mucous membrane of the tongue surface stimulates and improves comfort.
  • the mucous membrane surface-mounted connector 104 includes a support base 104-1 capable of bonding or adsorbing on the surface of the tongue-back mucosa, and a connection mechanism 104-2 connected to the elastic traction body 2, and the connection mechanism 104-2 is connected.
  • the groove 1042-1, or the connection protrusion 1042-2, or the connection hook 1042-3, the connection mechanism 104-2 is disposed on the support base 104-1.
  • the elastic traction body 2 includes a lingual attachment mechanism 21 that can be coupled to the lingual attachment mechanism 1.
  • the elastic traction body 2 comprises a flank connection mechanism 22 which is connectable to the flank holder 3.
  • the lingual connection mechanism 21 on the elastic traction body 2 forms a detachable connection with the lingual attachment mechanism 1, and the lingual connection mechanism 21 is a lingual connection hole 21-1 or a lingual connection convex step 21 -2, or a structure such as a lingual connection hook 21-3, or a lingual connection line 21-4.
  • flank connecting mechanism 22 on the elastic traction body 2 forms a detachable connection with the flank anchor 3, and the flank connecting mechanism 22 is a flank connecting hole 22-1, or a flank connecting convex step 22-2 , or the flank connection hook 22-3, or the flank connection line 22-4.
  • flank connecting mechanism 22 is a flank connecting hole 22-1, or a flank connecting convex step 22-2 , or the flank connection hook 22-3, or the flank connection line 22-4.
  • the elastic traction body 2 is a medical elastic film or an elastic band
  • the medical elastic film or elastic band is made of a medical silicone film, or a medical latex film, or a medical polyurethane film, or a medical rubber film, or an elastic layer.
  • the optimized film thickness of the elastic body 2 is disclosed herein, and the desired elastic pulling force, i.e., a pulling force of less than 300 g, can be obtained within the above thickness range.
  • the elastic traction body 2 is a medical elastic thread, and the medical elastic thread is made of medical silica gel, or medical latex, or medical polyurethane, or medical rubber, or elastic medical material braid.
  • the diameter of the object is between 0.05 mm and 5 mm.
  • the diameter of the optimized elastic traction body 2 is disclosed herein, and the desired elastic pulling force, i.e., a pulling force of less than 300 g, can be obtained within the above-mentioned diameter range.
  • the elastic traction body 2 includes a lingual side connecting mechanism 21, an elastic deformation mechanism 20 and a flank connecting mechanism 22; the lingual side connecting mechanism 21 and the flank connecting mechanism 22 are respectively disposed at both ends of the elastic pulling body 2
  • the lingual side connecting mechanism 21 is provided with one lingual side connecting hole 21 -1
  • the flank connecting mechanism 22 is provided with at least one flank connecting hole 22-1
  • the elastic deformation mechanism 20 is disposed at The lingual connection mechanism 21 is connected to the flank connection mechanism 22. Due to The flank connecting mechanism 22 is provided with a plurality of flank connecting holes 22-1, and the elastic deformation can be conveniently adjusted by using the flank connecting holes 22-1 at different positions in the flank connecting mechanism 22. The amount of elastic pulling force of the mechanism 20.
  • the elastic deformation amount of the elastic deformation mechanism 20 of the elastic traction body 2 is greater than the elastic deformation amount of the flank connection mechanism 22 or the lingual connection mechanism 21; when the elastic deformation When the mechanism 20 is elastically deformed, the lingual side connecting mechanism 21 or the flank connecting mechanism 22 hardly undergoes elastic deformation.
  • the amount of elastic deformation when the elastic deformation mechanism 20 is elastically deformed is preferably three times or more the elastic deformation amount of the lingual side connecting mechanism 21 or the flank connecting mechanism 22. .
  • the area of the cross section of the elastic deformation mechanism 20 is both smaller than the area of the cross section of the flank connecting mechanism 22 and smaller than that of the lingual connection mechanism 21.
  • the area of the cross section is only 30% or less of the area of the cross section of the flank joint mechanism 22 or the lingual connection mechanism 21.
  • the lingual side connecting hole 21 -1 provided in the lingual side connecting mechanism 21 of the elastic traction body 2 is provided with a convex edge 21 -1 -1 which can increase the tensile resistance.
  • the convex edge 21-1 -1 around the lingual connection hole 21 - 1 can effectively enclose the elastic traction body tongue-back connection mechanism 12 of the tongue-back connection mechanism 1 connecting the elastic traction body, preventing the The three-stage elastic traction body 2 is accidentally detached from the elastic traction body tongue-and-groove joint mechanism 12.
  • a convex edge 22-1-1 capable of increasing tensile resistance is provided around the flank connecting hole 22-1 provided in the flank connecting mechanism 22 of the elastic traction body 2.
  • the convex edge 22-1-1 around the flank connecting hole 22-1 can effectively surround the flank retainer 3, preventing the three-stage elastic traction body 2 from accidentally falling off the flank retainer 3. .
  • the tongue-and-groove joint mechanism 1 and the elastic traction body 2 may be integrally formed by an integral manufacturing technique to constitute an integral elastic traction mechanism 212, which includes a tongue-and-groove joint mechanism 1 and an elastic traction body 2.
  • the integrated elastic traction mechanism 212 includes a flank connection mechanism 22, an elastic deformation mechanism 20 and a lingual connection mechanism 21; the flank connection mechanism 22 is located at two ends of the integrated elastic traction mechanism 212, the flank The connecting mechanism 22 is provided with at least one flank connecting hole 22-1; the tongue-back connecting mechanism 1 is located at a middle portion of the integrated elastic traction mechanism 212; and the elastic deformation mechanism 20 is disposed at the tongue-back connecting mechanism 1 is connected to the flank connection mechanism 22; the elastic deformation mechanism 20 is connected to the tongue-back connection mechanism 1 by the lingual connection mechanism 21.
  • the elastic deformation amount of the elastic deformation mechanism 20 of the integrated elastic traction mechanism 212 when elastically deformed is larger than the elastic deformation amount generated by the tongue-back connection mechanism 1.
  • the elastic deformation amount of the elastic deformation mechanism 20 is preferably three times or more the elastic deformation amount of the tongue-and-groove joint mechanism 1.
  • the tongue-back connecting mechanism 1 has an elastic deformation resistance of at least three times that of the elastic deformation mechanism 20.
  • the elastic deformation amount of the elastic deformation mechanism 20 of the integrated elastic traction mechanism 212 when elastically deformed is larger than the elastic deformation amount of the flank connection mechanism 22.
  • the flank connecting mechanism 22 hardly undergoes elastic deformation.
  • the elastic deformation amount of the elastic deformation mechanism 20 is preferably three times or more the elastic deformation amount of the flank coupling mechanism 22. In other words, the elastic deformation resistance of the flank connecting mechanism 22 is at least three times higher than that of the elastic deformation mechanism 20.
  • the integrated elastic traction mechanism 212 is an elongated elastic body, and the flank connecting mechanism 22, the elastic deformation mechanism 20, the lingual side connecting mechanism 21 and the tongue-back connecting mechanism 1 are arranged in the following order:
  • Dental connection mechanism 22 elastic deformation mechanism 20 lingual connection mechanism 21 tongue-and-loop connection mechanism 1 lingual connection mechanism 21 elastic deformation mechanism 20 flank connection mechanism 22.
  • the flank connecting hole 22-1 provided in the flank connecting mechanism 22 of the integrated elastic traction mechanism 212 is provided with a convex edge 22-1 -1 capable of increasing tensile resistance.
  • the raised edge 22-1-1 can effectively enclose the flank holder 3 to prevent the integral elastic traction mechanism 212 from accidentally falling off the flank holder 3.
  • the area of the cross section of the elastic deformation mechanism 20 is smaller than the area of the cross section of the flank connection mechanism 22, and is smaller than the tongue-back connection mechanism.
  • the area of the cross section of the elastic deformation mechanism 20 is only 30% or less of the area of the cross section of the flank joint mechanism 22 or the lingual attachment mechanism 1.
  • the integral elastic traction mechanism 212 can be integrally manufactured by using an elastic material, and the deformation resistance of the elastic deformation mechanism 20 is smaller than the deformation resistance of the flank connection mechanism 22 or the tongue-back connection mechanism 1 by the change of the cross-sectional area. .
  • the elastic deformation mechanism 20 In the operating state in which the integral elastic traction mechanism 212 is applied with a pulling force of 300 g or less, the elastic deformation mechanism 20 is elastically deformed, and the flank connecting mechanism 22 or the tongue-back connecting mechanism 1 hardly undergoes elastic deformation. Further, the transition portion between the tongue-back connecting mechanism 1 and the elastic deformation mechanism 20 constitutes the lingual-side connecting mechanism 21.
  • the unitary elastic traction mechanism 212 can pass through the submucosal epithelialized tunnel 100-1; and the tongue-back connection mechanism 1 has a match with the submucosal epithelialized tunnel 100-1 The arc.
  • the integrated elastic traction mechanism 212 can pass through the submucosal epithelialized tunnel 100-1 of the tongue, which can effectively serve the submucosal epithelial tunnel 100-1.
  • Supporting fixation; 2 flank connection mechanisms 22 are located at both ends of the integrated elastic traction body 2 for convenient fixation on the flank holder 3; and the flank connection mechanism 22 and the tongue-back connection mechanism 1 are provided.
  • the elastic deformation mechanism 20 can apply an appropriate elastic pulling force to the tongue, which can pull the collapsed tongue root to the premise, avoiding the OSAHS caused by the tongue root collapse; and does not hinder the movement of the tongue, in the treatment of hysteria or OSAHS. At the same time, it retains good language skills and improves patient comfort.
  • the flank connection mechanism 22 on the elastic traction body 2 is connected to the flank holder 3 by magnetic connection.
  • the flank connecting mechanism 22 on the elastic traction body 2 is made of a medical silica gel-coated NdFeB magnetic material
  • the flank retainer 3 is made of a medical stainless steel material having ferromagnetism, and contains a magnetic material.
  • the upper flank connecting mechanism 22 of the elastic traction body 2 can be magnetically attracted to the flank holder 3.
  • other specific structural magnetic connection mechanisms can also be designed to implement the technical solution of the present invention.
  • the lingual attachment mechanism 21 on the elastic traction body 2 is connected to the lingual attachment mechanism 1 by magnetic connection.
  • the lingual attachment mechanism 21 on the elastic traction body 2 is made of a medical silica gel-coated NdFeB magnetic material
  • the tongue-back connection mechanism 1 is made of a medical stainless steel material having ferromagnetism
  • the tongue is The back connection mechanism 1 is implanted in the back of the tongue, and the lingual attachment mechanism 21 of the elastic traction body 2 containing magnetic material can be magnetically attracted to the tongue-back connection mechanism 1. It is of course also possible to design magnetic coupling mechanisms of other specific configurations to implement the technical solution of the present invention.
  • the support frame 31 of the flank fixator 3 is a flank fixed support frame 31 -1 fixed to the upper or lower teeth, or a dental bone nail type fixed support frame 31 - 2 fixed to the alveolar bone, or It is a braces type fixed support frame 31-3 which is detachably fitted to the upper or lower teeth, or an externally fixed support frame 31-4 which is detachably fitted to the outside of the upper and lower lips.
  • the four types of fixing of the flank fixator 3 in the oral cavity are exemplified: bonding to the teeth, implantation on the alveolar bone, over the teeth, and fixing to the upper and lower jaw lips.
  • a triangular lip external flank fixer 3 is exemplified, and the flank fixator 3 is characterized by:
  • the elastic traction body flank connecting mechanism 32 of the flank fixer 3 includes a positioning groove 32-1 and a positioning convex step 32-2 of the flank retainer capable of fixing the elastic traction body 2;
  • the flank fixer 3 has at least 3 externally fixed support frames 31 -4;
  • the external fixation support frame 31-4 is an arched structure; one end of the external fixation support frame 31-4 is connected to the elastic traction body flank connecting mechanism 32; a flank fixing mechanism 33; the flank retainer 3 is formed with a support leg centered on the elastic traction body flank connecting mechanism 32 and arched by the outer lip fixing support frame 31-4, and
  • the surface of the bottom of the flank fixing mechanism 33 that contacts the outer mandibular skin is a radial arch structure of the support point.
  • the external fixation support frame 31-4 adopts an arch structure, and when the elastic traction body 2 is fixed to the lip external shank holder 3, the outwardly convex arch of the support frame 31-4
  • the shape structure avoids direct contact between the external fixation support frame 31-4 and sensitive tissues such as the upper and lower lips, and the upper lip and the lower lip are not fixed with the outer lip even during the breathing or mouth breathing.
  • the frames 31 - 4 are in contact; only the smooth curved surface 33-1 of the bottom of the flank fixing mechanism 33 provided at the bottom of the support frame 31-4 and the skin outside the upper jaw, the skin outside the lower jaw, and the skin outside the lip corner Contact, and these support points have less movement during speech or mouth breathing, which improves the patient's comfort during wearing.
  • the flank fixer 3 comprises three externally fixed support frames 31-4, including a maxillary lip external fixation support frame 31-4-1, a lower jaw external fixation support frame 31-4-2 and a lip support frame 31- 4-3;
  • the angle ⁇ between the maxillary lip external fixation support frame 31 -4-1 and the lower jaw external fixation support frame 31 - 4 2 is not less than the upper jaw external fixation support frame 31 - 4-1
  • An angle ⁇ with the lip support frame 31-4-3; an angle ⁇ between the upper maxillary outer support frame 31-4-1 and the lower jaw outer support frame 31-4-2 is not less than The angle ⁇ between the lower jaw lip outer support frame 31-4-2 and the lip support frame 31-4-3.
  • the length of the maxillary lip external fixation support frame 31 -4-1 or the lower jaw external fixation support frame 31 - 4 is not less than the length of the lip support frame 31-4-3.
  • the maxillary lip external fixation support frame 31 -4-1, the lower jaw external fixation support frame 31-4-2, and the lip angle support frame 31-4-3 of the external lip holder 3 are respectively supported outside the maxilla Outside the mandibular lip and outside the lip angle, a triangular support structure is formed.
  • the triangular support structure of the lip-shaped external fixator of the present invention not only has a stable support but also is light in weight, so that the lip-type flank fixator of the present invention meets the biological requirements of the human body.
  • the surface of the flank fixing mechanism 33 that is in contact with the skin surface is a smooth curved surface 33-1.
  • the flank fixing structure 33 is in surface contact with the skin surface, and the unit surface area of the skin surface is weak;
  • the contact surface can reduce the stimulation of the skin surface by the flank fixing mechanism 33, and the user can improve the user's comfort by using the lip-side cusp holder 3.
  • the positioning convex step 32-2 is a smooth tapered structure.
  • the smooth tapered structure has a guiding effect.
  • the positioning convex step 32-2 is smooth.
  • the tapered structure can facilitate the fixing of the elastic traction body 2, and the smooth surface does not damage the flank connecting hole 22-1 of the elastic traction body 2, which enhances the use of the elastic traction body 2 during use. safety.
  • flank fixer 3 bonded to a tooth is illustrated, and the flank fixer 3 is characterized by:
  • the elastic traction body flank connecting mechanism 32, the support frame 31 and the flank fixing mechanism 33 constitute a flank holder 3 having a cross section of an I-shaped shape;
  • the elastic traction body flank connecting mechanism 32 of the edging holder 3 connected to the elastic traction body 2 is a spherical crown positioning convex step 32-2 having a smooth surface;
  • the support frame 31 is a smooth cylinder
  • the flank fixing mechanism 33 is a housing 33-1 having an arc corresponding to the surface of the tooth.
  • flank connecting mechanism 32 adopts a spherical crown design having a smooth surface
  • the contact between the flank connecting mechanism 32 and the mucous membrane inside the human oral cavity is smooth
  • the surface contact can minimize the stimulation of the human oral mucosa tissue and ensure the patient's comfort during long-term use.
  • the elastic traction body 2 establishes a connection with the flank fixator 3 via the flank connecting mechanism 22, the flank connecting hole 22-1 of the flank connecting mechanism 22 surrounds the support frame 31 and is embedded in Position the groove 32-1. Since the support frame 31 adopts a smooth cylindrical design, the smooth surface does not damage the flank connecting hole 22-1 of the elastic traction body 2, and the safety of the elastic traction body 2 during use is enhanced. Sex.
  • flank fixing mechanism 33 Since the portion of the flank fixing mechanism 33 that is bonded to the tooth has an arc corresponding to the surface of the tooth, the flank fixing mechanism 33 can be better fitted to the tooth surface, and the tooth is better ensured. The reliability of the adhesion between the side fixing mechanism 33 and the tooth surface enhances the safety during use of the flank holder 3.
  • the housing 33-1 of the flank fixing mechanism 33 having an arc corresponding to the surface of the tooth is provided with a plastic hole.
  • the housing 33-1 of the flank fixing mechanism 33 is provided with the adhesive hole 33-1-1, the bonding of the flank fixing mechanism 33 to the tooth surface can be increased.
  • the contact area of the agent with the flank fixing mechanism 33 is such that the adhesion of the flank fixing mechanism 33 to the tooth surface is stronger, and the safety of the flank fixator 3 during use is better ensured.
  • the flank retainer 3 includes a traction adjusting mechanism 34 capable of adjusting the amount of traction of the elastic traction body.
  • the traction adjusting mechanism 34 is a rotating mechanism 34-1 capable of rolling up the elastic traction body 2 by a rotational motion or capable of relaxing the elastic traction body 2.
  • the traction adjusting mechanism 34 is a sliding mechanism capable of tightening or relaxing the elastic traction body 2 by sliding
  • the elastic traction body 2 or the lingual attachment mechanism 1 or the flank anchor 3 has a color matching the body tissue.
  • the tongue-and-back connection mechanism 1 is transparent or has a color close to the tongue mucosa for the purpose of invisibility.
  • the medical elastic film as the elastic traction body 2 may also be transparent or have a match with the oral mucosa. Color, to achieve the purpose of invisibility.
  • the flank fixer 3 affixed to the flank may have a color close to the tooth
  • the flank fixer 3 fixed to the gum bed by the stud may have a color close to the gum of the gum. These colors are designed and changed to achieve invisibility and aesthetics.
  • the present invention also discloses a tool for mounting the tongue-back elastic traction device of the present invention, comprising a clamping jaw 400, a mounting jaw 500, and a leader 200.
  • a clamping jaw 400 for mounting a tongue-back elastic traction device is characterized in that -
  • the clamping jaw 400 includes a right arm 401, a left arm 402 and a rotating shaft 403;
  • the right arm 401 includes a right clamping head 401-1, a right arm tail 401-2, a right arm rotating shaft mounting convex step 401-3; and the right clamping head 401-1 has a right working groove 401-1- 1.
  • the left arm 402 includes a left clamping head 402-1, a left arm tail 402-2, and a left arm rotating shaft mounting convex step 402-3;
  • the left clamping head 402-1 includes a left working groove 402-1 -1, a left side anti-depression limit step 402-1 -3 and at least one left rotation limit step 402-1 -2;
  • the left arm shaft mounting convex step 402-3 is provided with a through hole 402-3-1 for mounting the rotating shaft;
  • the right arm pivot mounting convex step 401-3 is matched with the shape of the left arm rotating shaft mounting convex step 402-3; the right arm mounting rotating shaft through hole 401-3-1 is installed with the left arm
  • the center line of the through hole 402-3-1 of the rotating shaft is on the same straight line; the rotating shaft 403 can sequentially pass through the through hole 401 -3-1 on the convex step of the right arm rotating shaft and the convex step of the left arm rotating shaft
  • the upper through hole 402-3-1 enables the right arm 401 and the left arm 402 to be opened or closed depending on the rotating shaft 403.
  • the right working groove 401-1-1 and the left working groove 402-1 - 1 of the clamping jaw 400 can be accommodated in a space formed when the clamping jaw 400 is kept closed.
  • the connecting protrusion 12-2 of the tongue-and-groove joint mechanism 1 of the tongue-back elastic traction device; the right-side anti-detachment limit step 401-4-3 and the left side anti-detachment limit step 402-1 -3 can be Disassembledly embedded in the lateral connecting groove 12-1 -1 of the connecting convex step 12-2; the right rotating limit convex step 401 -1 -2 and the left rotating limit convex step 402-1- 2 can be detachably embedded in the longitudinal connecting groove 12-1 -2.
  • the clamping clamp 400 When the clamping clamp 400 is in the closed state, it can well surround the connecting protrusion 12-2 of the tongue-and-groove joint structure 1; the right side anti-detachment limit step 401-4-3 and the left side
  • the detachment preventing step 402-1-3 is embedded in the lateral connecting groove 12-1 -1 of the connecting convex step 12-2, and the connecting convex step 12-2 can be effectively prevented from being clamped The clamp 400 accidentally fell off.
  • the right rotation limit protrusion 401 -1-2 and the left rotation limit protrusion 402-1-2 are embedded in the longitudinal connection groove 12-1 -2 in the working state.
  • the connecting convex step 12-2 can be effectively performed by the right rotation limit step 401 -1 -2 and the left rotation limit step 402-1 -2. It is fixed in the clamping jaw 400 such that the connecting protrusion 12-2 and the clamping jaw 400 do not undergo relative rotational movement.
  • the connecting nut 12-7 of the connecting protrusion 12-2 of the tongue-back connecting mechanism 1 of the tongue-back elastic traction device can be conveniently screwed on the tongue-back elastic traction device.
  • the support body 11 of the tongue-and-groove joint mechanism 1 is connected to the connecting screw 11-7.
  • the connecting nut 12 of the connecting protrusion 12-2 can be avoided. 7 accidental slippage, falling into the human body, forming foreign bodies.
  • the clamping clamp 400 includes a return spring 404 disposed between the right arm tail portion 401-2 and the left arm tail portion 402-2, and one end supported at the right arm tail portion 401-2. The other end is supported on the left arm tail portion 402-2; or the return spring 404 is wound on the rotating shaft 403, one end is supported at the right arm tail portion 401-2, and the other end is supported at the left arm tail portion 402- 2;
  • the return spring 404 can apply a spreading force between the right arm tail 401-2 and the left arm tail 402-2.
  • the clamping jaw 400 includes a self-locking mechanism 405, which is characterized by:
  • the self-locking mechanism 405 is disposed on the right arm tail portion 401-2 and the left arm tail portion 402-2; the right arm tail portion 401-2 and the left arm tail portion 402-2 include the self-locking mechanism Installation slot 406;
  • the self-locking mechanism 405 includes a pin 405-1, a torsion spring 405-2 and a self-locking block 405-3;
  • the right arm tail portion 401-2 is provided with a pin hole 401-2-1 for mounting the self-locking mechanism 405;
  • the self-locking mechanism 405 is fixed at the tail of the right arm.
  • the self-locking block 405-3 includes a locking tooth 405-3-1, a self-locking switch 405-3-2, and a mounting through hole 405-3-3;
  • the locking tooth 405-3-1 is The positioning convex step 402-2-1 of the mounting groove 406 of the self-locking mechanism on the left arm tail portion 402-2 forms a concave-convex card fit;
  • the self-locking switch 405-3-2 is raised in the unlocking slot 401-2- 2, the pin 405-1 can pass through the mounting through hole 405-3-3, and the self-locking block 405-3 is movably mounted in the mounting groove 406 of the right arm 401.
  • the tongue-back connection mechanism of the tongue-back elastic traction device caused by the misalignment of the right jaw 401-1 and the left jaw 402-1 of the clamping jaw 400 can be effectively avoided.
  • the coupling nut 12-7 of the connecting boss 12-2 of 1 is accidentally detached from the clamping jaw 400.
  • An outer side of the right arm 401 of the clamp 400 and an outer side of the left arm 402 are provided with an anti-slip or anti-slip groove 407.
  • the anti-slip or anti-slip groove 407 can increase the friction between the operator and the right arm 401 and the left arm 402 of the clamping pliers 400, which can be effectively avoided during operation.
  • the clamping jaw 400 is slippery.
  • the right arm 401 of the clamping tongs 400 and the left arm 402 are provided with a pair of mutually cooperating positioning guiding blocks 402-1 - 4 and positioning guiding grooves 401 -1 -4 for guiding and positioning.
  • the positioning guide block 402-1 - 4 forms a concave-convex card fit with the positioning guide groove 401-4, which can ensure that the right arm 401 and the left arm 402 are closed. No misalignment occurs during the process, so that the right rotation limit step 401 -1 -2 and the left rotation limit step 402-1 -2 can be accurately embedded in the tongue back of the tongue-back elastic traction device
  • the longitudinal connection groove 12-1 - 2 on the connecting mechanism 1 ensures smooth operation.
  • the clamping jaw 400 includes a right arm 401, a left arm 402, and a rotating shaft 403.
  • the cavity formed by the right working groove 401-1-1 and the left working groove 402-1-1 can accommodate the connecting protrusion 12 of the tongue-and-groove joint structure 1 -2.
  • the right rotation limiting step 401 -1 -2 and the left detachment limiting step 402-1 -3 are embedded in the lateral connecting groove 12-1-1 of the tongue-back connecting mechanism 1;
  • the limiting protrusion 402-1-2 can be embedded in the longitudinal connecting groove 12-1 -2 of the tongue-back connecting mechanism 1; convenient to connect the tongue-and-groove joint mechanism 1 of the tongue-back elastic traction device
  • the coupling nut 12-7 of 12-2 is screwed onto the connecting screw 11-7 of the support body 11 of the tongue-back coupling mechanism 1.
  • the self-locking mechanism 405 of the clamping jaw 400 prevents the opening of the clamping jaw 400 when an erroneous operation occurs, preventing the connecting projection 12-2 from accidentally falling out of the clamping jaw 400.
  • a mounting pliers 500 for an elastic traction body for mounting a tongue-back elastic traction device is characterized in that -
  • the mounting pliers 500 includes a flared end 501 and a handle end 502;
  • the open end 501 includes at least one bracket 501 -1;
  • the object space 501-2 formed by the bracket 501 -1 can accommodate the connecting protrusion 12-2 on the tongue-back connecting mechanism 12 of the tongue-back elastic traction device.
  • the bracket 501-1 is provided with a recess 501 -1 -1 for preventing the lingual attachment mechanism 21 of the elastic traction body 2 from coming off.
  • the bracket 501-1 is provided with a recess 5011 -1 -1, so When the lingual attachment mechanism 21 of the elastic traction body 2 is placed on the bracket 501-1 of the mounting tong 500, during the movement of the mounting tong 500, due to the mounting on the bracket 5011 of the mounting tong 500 The positioning action of the groove 501-1 -1, the lingual connection mechanism 21 of the elastic traction body 2 does not fall off from the mounting pliers 500, so that the working process of the mounting pliers 500 is safer and more convenient.
  • two brackets 501-1 are symmetrically distributed on the opening end 501, and a distance d501 between the two symmetrically distributed brackets 501-1 is greater than a connecting protrusion 12 of the elastic traction body tongue-and-groove joint mechanism 12- The maximum diameter of 2.
  • the lingual side connecting hole 21 -1 of the elastic traction body 2 is enlarged and then sleeved on the two symmetrical brackets 501-1, and the connecting convex step 12-2 on the tongue-back connecting mechanism 1 is placed on the enlarged tongue.
  • the mounting pliers 500 are taken out, the elastic traction body 2 is detached from the bracket 5011, and the lingual side connecting hole 21-1 is embedded in the tongue-back connecting mechanism 1
  • the lateral connection groove 12-1 -1 of the convex step 12-2 is connected, thereby completing the connection of the elastic traction body 2 and the tongue-back connecting mechanism 1.
  • the surface of the handle end 502 has a non-slip groove, a non-slip rib or a non-slip pattern 502-1.
  • the non-slip groove on the surface of the handle end 502, or the anti-slip rib or the anti-slip pattern enhances the friction between the operator and the mounting pliers 500, and can effectively prevent the mounting pliers 500 from falling off the operator's hand during use. .
  • the mounting pliers 500 is made of a medical material that can be in direct contact with the human body, and includes: a medical metal material, or a medical polymer material, or a composite material of a medical metal material and a medical polymer material. Since the mounting pliers 500 is made of a medical polymer material that can be directly in contact with the human body, when the mounting pliers 500 is mounted with the elastic traction body 2, even if the bracket 500-1 of the mounting pliers 500 is in direct contact with the human tongue mucosa, It does not cause any adverse effects to the user.
  • the mounting clamp 500 includes a flared end 501 and a handle end 502.
  • the open end 501 includes at least one bracket 501-1, and the support space 501-2 formed by the bracket 501-1 can accommodate the tongue of the tongue-back elastic traction device 1.
  • the connection on the back connection mechanism 12 is convex 12-2.
  • the bracket 5011 is provided with a lingual attachment mechanism 21 that prevents the elastic traction body 2 from coming off Falling groove 501 -1 -1.
  • the surface of the handle end 502 has a non-slip groove, a non-slip rib or a non-slip pattern 502-1, which effectively prevents the mounting pliers 500 from slipping out of the operator during use.
  • the mounting pliers 500 is made of a medical polymer material, and does not adversely affect the human body even if it is in frequent contact with human tissues.
  • the lead wire 200 of the integrated elastic traction mechanism of the tongue-back elastic traction device is characterized in that -
  • the lead device 200 includes a lead rod 201 and a slider 202;
  • the lead rod 201 includes a smooth guide head 201-1, a mounting hook 201-2 for mounting the elastic traction body 2, and a limiting slot 201-3 for limiting the sliding distance of the slider 202;
  • the slider 202 includes a sliding convex step 202-1; the sliding convex step 202-1 of the slider 202 can slide in the limiting slot 201 -3 of the lead rod 201;
  • the limiting groove 201-3 has a circular cross section. Since the limiting slot 201-3 adopts a round rod-shaped structure with a smooth surface, the slider 202 is slid around the surface of the limiting slot 201-3, and no additional guiding mechanism is needed, and the structure is simple and effectively enhanced. The guiding action of the limiting slot 201 - 3 on the slider 202 is more stable on the surface of the limiting slot 201-3, and is less likely to occur during the leading process of the elastic traction body 2 The lead caused by the deviation is not smooth.
  • the slider 202 is a thin-walled tube provided with an inwardly turned edge near the end of the guiding head 201-1, and the inwardly turned edge constitutes the sliding convex step 202-1. Since the slider 202 is configured by the inwardly flanging structure to form the sliding protrusion 202-1, a smooth transition of the sliding protrusion 202-1 is achieved, so that the lead device 200 is in the process of working. It is in surface contact with the surface of the submucosal epithelialized tunnel 100-1, which slows the stimulation of the mucosa of the tongue surface, and can improve the comfort of the human body during the working process.
  • the mounting hook 201-2 is a U-shaped hook or a J-shaped hook. Further, a guiding design may be added at the tail of the mounting hook 201-2, and the integral elastic pulling mechanism 212 may be more conveniently placed into the mounting hook 201-2 during use of the leading device 200. .
  • the lead wire 200 includes a lead rod 201 and a slider 202.
  • the sliding protrusion 202-1 of the slider 202 can slide in the limiting slot 201 -3 of the lead rod 201; when the slider 202 The slider 202 cannot cover the mounting hook 201-2 when approaching the end of the guiding head 201 -1; when the slider 202 is close to the end of the mounting hook 201 - 2, the slider 202 can cover The mounting hook 201-2.
  • the lead wire 200 can drive the integrated elastic traction mechanism 212 to easily pass through the submucosal epithelium of the tongue. Tunnel 100-1.
  • the top end of the guiding head 201 - 1 is a cone having a smooth surface; therefore, in the process of the lead wire 200 implementing the lead wire to the integral elastic traction mechanism 212, the guiding head 201 - 1 and the submucosa of the tongue
  • the surface of the epithelialized tunnel 100-1 is in surface contact, which can effectively slow the stimulation of the mucosa on the surface of the tongue.
  • the guiding head 201-1 can well avoid the obstruction and realize the smooth progress of the lead process.
  • the slider 202 In the working state, the slider 202 is first slid to the end of the limiting slot 201-3 near the guiding head 201-1, and the flank connecting hole 22 of the integrated elastic traction mechanism 212 is- 1 is placed in the mounting hook 201-2. The slider 202 is then slid to the end of the limiting slot 201-3 near the mounting hook 201-2, and the mounting hook 201-2 is completely covered by the slider 202.
  • the lead device 200 to which the integrated elastic traction mechanism 212 is mounted is used to smoothly pull out the integrated elastic traction mechanism 212 through the tongue-and-submucosal epithelialized tunnel 100-1.
  • the mounting hook 201-2 can be completely covered by sliding the slider 202, and the integral elastic traction mechanism 212 is well fixed on the mounting hook 201-2.
  • the integral elastic traction mechanism 212 does not fall off from the mounting hook 201-2, and at the same time, since the mounting hook 201-2 does not Exposed to the outside of the slider 202, the direct contact and stimulation of the mounting hooks 201-2 with the surface of the tongue and mucous membrane are effectively avoided, and the comfort and smoothness of the lead process are greatly enhanced.
  • the implantation method of the tongue-back elastic traction device of the present invention is divided into five kinds according to the structure type of the specific product, including the implantation method of the tongue-back elastic traction device of the submucosal submucosal tunneling traction connection, and the submucosal whole planting Implantation method of the tongue-back elastic traction device of the input connector, implantation method of the tongue-back elastic traction device of the submucosal sub-implant connector, and implantation of the tongue-back elastic traction device of the mucous membrane surface fixed connector Into the method.
  • Implantation method 1 Implantation method of the tongue-back elastic traction device of the present invention for submucosal subepithelialized tunnel-type traction connection.
  • a submucosal tunnel type traction connection mechanism is established in front of the contour nipple of the tongue.
  • the implant 100-2 of the mechanism 1 capable of forming a submucosal tunnel of the tongue is implanted and fixed such that both ends of the implant 100-2 are exposed outside the tongue mucosa.
  • a medical silicone tube or a medical silicone tape is used as the implant 100-2 capable of forming a submucosal tunnel of the tongue implanted in the back of the tongue, and then the medical silicone tube or the medical silicone tape is exposed to the outside of the tongue.
  • the connection forms an annular fixing. 15 days to 60 days after the operation, the medical silicone tube or the medical silicone tape is removed, that is, an epithelialized tunnel 100-1 can be formed under the tongue mucosa, and the tongue submucosal epithelial tunnel 100-1 is used as the tongue of the present invention.
  • Submucosal tunnel traction connection mechanism 100 is used as the implant 100-2 capable of forming a submucosal tunnel of the tongue implanted in the back of the tongue, and then the medical silicone tube or the medical silicone tape is exposed to the outside of the tongue.
  • the connection forms an annular fixing. 15 days to 60 days after the operation, the medical silicone tube or the medical silicone tape is removed, that is, an epithelialized tunnel 100-1
  • the second step is to fix the flank holder 3.
  • the two flank holders 3 are fixed to the inner sides of the upper teeth of the left and right sides by a medical adhesive.
  • the fourth upper teeth from the front teeth to the left side, or the fourth upper teeth from the front teeth to the right side are selected as the adhesive fixing points of the flank retainer 3.
  • the flank fixator 3 of the present invention has different structural types and corresponding fixing methods thereof, respectively, as the support of the flank fixator 3 with the teeth, or the alveolar bone, or the upper jaw, or the lower jaw, or the upper and lower jaws, respectively. Fixed point, fixed for installation.
  • the tongue-back elastic traction device of the present invention is worn.
  • the elastic traction body 2 Before going to sleep, the elastic traction body 2 is passed through an auxiliary tool to pass through the submucosal epithelial tunnel 100-1 formed at the back of the tongue. After the elastic traction body 2 passes through the subcutaneous epithelialized tunnel 100-1 of the surgical tongue, the elastic traction body 2, or both ends of the integral elastic traction mechanism 212 are fixed to the flank holder 3, that is, the completion is completed. The installation and wearing process of the tongue-back elastic traction device of the present invention.
  • the tongue-back elastic traction device of the present invention is removed.
  • the elastic traction body 2, or the integral elastic traction mechanism 212, is removed from the flank holder 3 and extracted from the submucosal epithelialized tunnel 100-1 to release the traction of the tongue back.
  • Implantation method 2 Implantation method of the tongue-back elastic traction device of the present invention for the submucosal thin-walled tube tunnel type traction connection.
  • a submucosal tunnel type traction connection mechanism is established in front of the contour nipple of the tongue.
  • the thin-walled tubular implant 100-4 of the mechanism 1 is implanted, fixed such that the orifices at both ends of the thin-walled tubular implant 100-4 are just exposed outside the surface of the tongue mucosa.
  • the thin-walled tubular implant 100-4 implanted by surgery is pulled from 15 days to 60 days after the operation, and when the patient has no pain or discomfort, the back of the tongue can be pulled.
  • the thin-walled tubular implant 100-4 is implanted with a thin-walled tubular implant-containing submucosal tunnel 100-3 formed under the mucosa of the tongue as the submucosal tunnel-type traction link mechanism 100 of the present invention.
  • the flank holder 3 is fixed.
  • the two flank holders 3 are fixed to the inner sides of the upper teeth of the left and right sides by a medical adhesive.
  • the fourth upper teeth which are counted from the front teeth to the left side, or the fourth upper teeth which are counted from the front teeth to the right side are selected as the adhesion fixing points of the flank retainer 3.
  • other upper or lower teeth can be selected as the adhesive fixing points of the flank retainer 3 according to the actual situation of the patient.
  • the flank fixator 3 of the present invention has different structural types and corresponding fixing methods thereof, respectively, using the teeth, or the alveolar bone, or the upper jaw, or the lower jaw, or the upper and lower jaws as the supporting fixed points of the flank retainer 3. , install and fix.
  • the tongue-back elastic traction device of the present invention is worn.
  • the elastic traction body 2, or the integral elastic traction mechanism 212 Before going to sleep, the elastic traction body 2, or the integral elastic traction mechanism 212, is passed through an auxiliary tool to pass through the submucosal tunnel 100-3 of the thin-walled tubular implant formed at the back of the tongue.
  • the elastic traction body 2, or the integral elastic traction mechanism 212 passes through the tunnel 100-3, the elastic traction body 2, or both ends of the integrated elastic traction mechanism 212 are fixed to the flank holder 3, that is, the completion The installation and wearing process of the tongue-back elastic traction device of the present invention.
  • the tongue-back elastic traction device of the present invention is removed.
  • the elastic traction body 2 After waking up, the elastic traction body 2, or the integral elastic traction mechanism 212, is removed from the flank holder 3 and extracted from the submucosal tunnel 100-3 containing the thin-walled tubular implant. Traction of the back of the tongue.
  • Implantation Method 3 Implantation of the Tongue Elastic Traction Device of the Present Invention of the Submucosal Fully Implantable Connector
  • a fully implantable connector is implanted in front of the contoured nipple of the tongue.
  • At least one fully implantable connector 102 of the present invention is implanted on each side of the left and right sides of the midline of the tongue.
  • the fully implantable connector 102 of the present invention contains a magnetic material.
  • the second step is to fix the flank holder 3.
  • the two flank holders 3 are fixed to the inner sides of the upper teeth of the left and right sides by a medical adhesive.
  • the fourth upper teeth from the front teeth to the left side, or the fourth upper teeth from the front teeth to the right side are selected as the adhesive fixing points of the flank retainer 3.
  • the flank fixator 3 of the present invention has different structural types and corresponding fixing methods thereof, respectively, using the teeth, or the alveolar bone, or the upper jaw, or the lower jaw, or the upper and lower jaws as the supporting fixed points of the flank retainer 3. , install and fix.
  • the tongue-back elastic traction device of the present invention is worn.
  • one end of the elastic traction body 2 Before going to sleep, one end of the elastic traction body 2 is fixed on the flank holder 3, and the other end of the elastic traction body 2 containing the magnetic material extends into the back of the tongue, near the portion of the fully implantable connector 102 of the present invention, The magnetic material-containing end of the elastic traction body 2 is adsorbed to the fully implantable connector 102 having magnetic properties by a magnetic force.
  • the magnetic connection is made, and the tongue is pulled forward by the elastic restoring force of the elastic traction body 2, that is, the installation and wearing process of the tongue-back elastic traction device of the present invention is completed.
  • the tongue-back elastic traction device of the present invention is removed.
  • the elastic traction body 2 After waking up, the elastic traction body 2 is removed from the flank holder 3, and the end of the elastic traction body 2 containing the magnetic material is also separated and removed from the back of the tongue to release the traction of the tongue.
  • Implantation method 4 Implantation method of the tongue-back elastic traction device of the present invention for the submucosal sub-implantable connector.
  • a semi-implanted connector is implanted in front of the contoured nipple of the tongue.
  • the semi-implanted connector 103 of the connecting mechanism 1 is implanted and fixed such that the support 11 of the semi-implanted connector 103 is buried under the tongue mucosa, and the elastic traction body tongue-and-loop connecting mechanism 12 is exposed outside the surface of the tongue mucosa. .
  • the semi-implanted connection 103 implanted by the surgical procedure is performed 15 days to 60 days after the operation, and when the patient has no pain or discomfort, the back of the tongue can be pulled.
  • the second step is to fix the flank holder 3.
  • the two flank holders 3 are fixed to the inner sides of the upper teeth of the left and right sides by a medical adhesive.
  • the fourth upper teeth from the front teeth to the left side, or the fourth upper teeth from the front teeth to the right side are selected as the adhesive fixing points of the flank retainer 3.
  • the flank fixator 3 of the present invention has different structural types and corresponding fixing methods thereof, respectively, using the teeth, or the alveolar bone, or the upper jaw, or the lower jaw, or the upper and lower jaws as the supporting fixed points of the flank retainer 3. , install and fix.
  • the tongue-back elastic traction device of the present invention is worn.
  • one end of the elastic traction body 2 is fixed on the flank fixer 3, and the other end is fixed on the elastic traction body tongue-back connecting mechanism 12 of the semi-implantable connecting body 103, and the elastic traction body 2 is flanked.
  • the holder 3 is a fulcrum, and an elastic pulling force is generated to the semi-implanted connector 103.
  • the tongue is pulled forward, that is, the installation and wearing process of the tongue-back elastic traction device of the present invention is completed.
  • the tongue-back elastic traction device of the present invention is removed.
  • the elastic traction body 2 After waking up, the elastic traction body 2 is removed from the edging holder 3, while the elastic traction body 2 is also attached to the elastic traction body tongue-back connection mechanism 12 of the semi-implanted connection body 103 of the lingual attachment mechanism 1. Separate, dismantle, and release traction on the back of the tongue.
  • Implantation Method 5 Implantation Method of the Tongue Elastic Traction Device of the Present Invention of the Mucosal Surface-Fixed Connector
  • the mucosal surface-attached connector of the present invention is adhered and fixed in front of the contour nipple of the tongue.
  • the patient operates himself in front of the mirror, opens the mouth, sticks the tongue, cleans the back surface of the tongue, blows it dry, and applies a medical adhesive.
  • Will The adhesive surface of the support base 104-1 of the mucosal external fixation connector 104 of the present invention is coated with a medical adhesive. Then, the mucosal externally-attached connecting body 104 of the present invention to which the medical adhesive is applied is adhered and fixed to the back surface of the tongue.
  • the second step is to fix the flank holder 3.
  • the two flank holders 3 are fixed to the inner sides of the upper teeth of the left and right sides by a medical adhesive.
  • the fourth upper teeth from the front teeth to the left side, or the fourth upper teeth from the front teeth to the right side are selected as the adhesive fixing points of the flank retainer 3.
  • the flank fixator 3 of the present invention has different structural types and corresponding fixing methods thereof, respectively, using the teeth, or the alveolar bone, or the upper jaw, or the lower jaw, or the upper and lower jaws as the supporting fixed points of the flank retainer 3. , install and fix.
  • the tongue-back elastic traction device of the present invention is worn.
  • one end of the elastic traction body 2 is fixed on the flank fixer 3, and the other end is connected and fixed on the elastic traction body tongue-back connecting mechanism 104-2 of the mucous membrane external fixed connecting body 104, and the elastic traction body 2 With the flank fixator 3 as a fulcrum, an elastic pulling force is generated to the mucosal externally fixed connecting body 104. Under the action of the elastic restoring force of the elastic traction body 2, the tongue is pulled forward, that is, the installation and wearing process of the tongue-back elastic traction device of the present invention is completed.
  • the tongue-back elastic traction device of the present invention is removed.
  • the elastic traction body 2 After waking up, the elastic traction body 2 is removed from the flank holder 3, and the elastic traction body 2 and the mucosal external fixation connector 104 of the present invention are separated and removed from the tongue back, and the tongue back can be released. Traction.
  • the tongue-back elastic traction device of the present invention comprises a tongue-and-loop connection mechanism 1, an elastic traction body 2 and a flank holder 3. One end of the elastic traction body 2 is fixed to the flank holder 3, and the other end is connected to the tongue-back connecting mechanism 1.
  • the elastic traction body 2 forms an elastic traction force between the tongue-back connecting mechanism 1 and the flank holder 3.
  • the tension of the elastic traction body 2 is between 15g and 300g.
  • the elastic traction of the elastic traction body 2 directly pulls the tongue back forward, preventing the tongue from falling back and expanding the airway of the tongue and throat. The purpose of treating snoring and OSAHS.
  • the tongue-back elastic traction device of the present invention with the traction adjustment mechanism 34 can adjust the traction force to the back of the tongue to an optimum size.
  • the tongue-back elastic traction device of the invention is simple to install, convenient to use, and convenient for cleaning and disinfecting.
  • FIG. 1 is a schematic view showing the structure of an intramedullary fixed type tongue-back elastic traction device according to the present invention.
  • Figure 1-1 is an enlarged view of A of Figure 1.
  • Figure 1 - 2 is an enlarged view of B in Figure 1.
  • Figure 1-3 is a schematic view of the structure of the tongue-back connection mechanism of Figure 1.
  • Figure 1-4 is a schematic view of the structure of the elastic traction body of Figure 1.
  • Figure 1 -5 is a schematic view of the structure of the flank retainer of Figure 1.
  • Fig. 1-6 is a schematic view showing the structure of the flank fixator of Fig. 1 bonded and fixed to the inner side of the upper teeth.
  • Figure 1-7 is a schematic view of the structure of the tongue-back connection mechanism of Figure 1 implanted on the back of the tongue.
  • Fig. 1-8 is a schematic view showing the position of the flank fixator of Fig. 1 fixed on the inner side of the upper teeth.
  • Fig. 2 is a schematic view showing the structure of the externally fixed and adhesive tongue-back elastic traction device of the present invention.
  • Fig. 3 is a structural schematic view of the intramedullary nail-fixing type tongue-back elastic traction device of the present invention.
  • Figure 3-1 is a schematic view showing the structure of the flank retainer and the elastic traction body of Fig. 3.
  • Fig. 3-2 is a schematic view showing the structure of the tongue-back elastic traction device of the present invention which is connected to the elliptical annular tongue-back connecting mechanism by a single film ribbon elastic body.
  • Fig. 4 is a structural schematic view showing the alveolar bone external fixation type tongue-back elastic traction device of the present invention.
  • Fig. 5 is a structural schematic view of the braces-fixed tongue-back elastic traction device of the present invention.
  • Fig. 6 is a structural schematic view of the silicone lip external fixation type tongue-back elastic traction device of the present invention.
  • Fig. 7 is a structural schematic view of the rotary adjusting lip external fixation type tongue-back elastic traction device of the present invention.
  • Figure 7-1 is the exploded view of Figure 7.
  • Fig. 8 is a structural schematic view of the sliding adjustment lip external fixation type tongue-back elastic traction device of the present invention.
  • Figure 8-1 is the exploded view of Figure 8.
  • Figure 9 is a schematic view showing the structure of the elastic traction body regulating type tongue-back elastic traction device of the present invention.
  • Figure 10 is a schematic view showing the structure of the submucosal epithelial tunnel type tongue-back elastic traction device of the present invention.
  • Figure 10-1 is a schematic illustration of the implantation of an implant capable of forming a submucosal tunnel of the tongue implanted on the tongue.
  • Figure 11 is a schematic view showing the structure of the submucosal tunnel type tongue-back elastic traction device of the thin-walled tubular body of the present invention.
  • Figure 11 -1 is a cross-sectional view of Figure 11.
  • Fig. 11-2 is a schematic view showing the structure of the submucosal tunnel of the thin-walled tubular body of the present invention on the tongue.
  • Figure 12 is a schematic view showing the structure of the spiral spring-like tongue submucosal tunnel type tongue back elastic traction device of the present invention.
  • Figure 13 is a schematic view showing the structure of the tongue-back elastic traction device of the magnetically connected fully implantable connector of the present invention.
  • Figure 13-1 is a schematic view of the structure of the fully implantable connector of Figure 13.
  • Figure 14 is a schematic view showing the structure of the magnetic tongue-back elastic traction device of the present invention.
  • Fig. 14-1 is an enlarged view of E at Fig. 14.
  • 14-2 is a schematic structural view of the magnetic full implant connector of FIG. 14.
  • Figure 14-3 is a cross-sectional view taken along line D-D of Figure 14-2.
  • FIG. 14-4 is a position of full distribution of the magnetic implant 14 is implanted at the connection at the back of the tongue.
  • Figure 15 is a schematic view showing the structure of the tongue-back adhesive type tongue-back elastic traction device of the present invention.
  • Figure 15-1 is a schematic view of the structure of Figure 15 when the connection groove is used instead.
  • Figure 15-2 is a schematic view of the structure of Figure 15 when the connection hook is used.
  • Figure 15-3 is a schematic view showing the structure of the tongue-back elastic traction device of the present invention in which the distal end of the elastic traction body is directly adhered to the back of the tongue.
  • Figure 16 is a schematic view showing the structure of the lip-adhesive tongue-back elastic traction device of the present invention.
  • Figure 17 is a schematic view showing the working principle of the tunnel type tongue-back connecting mechanism of the present invention.
  • Figure 17-1 is a schematic view showing the structure of the tunnel type tongue-back connecting mechanism of the present invention.
  • Figure 17-2 is a top view of Figure 17-1.
  • Figure 17-3 is a cross-sectional view of Figure 17-1.
  • Figure 18 is a schematic view showing the structure of the tongue-back elastic traction device provided with the longitudinal connecting groove on the connecting convex step of the present invention.
  • Fig. 18-1 is a structural schematic view showing the lateral connecting groove and the longitudinal connecting groove of the tongue-back connecting mechanism of the present invention for fixing the elastic traction body.
  • Figure 18-2 is a schematic view showing the structure of the detachable 4-groove thread type tongue-back connecting mechanism of the present invention.
  • the connecting protrusion 12-2 of one end of the support body 11 of the tongue-and-groove joint mechanism 1 adopts a thread-type detachable connection structure; at the other end of the support body 11, it is integrally manufactured.
  • Figure 18-3 is a split view of Figure 18-2.
  • Figure 18-4 is a cross-sectional view of Figure 18-2.
  • FIGS. 18-5 are schematic views showing the structure of the detachable 4 groove concave-convex card-fit type tongue-and-groove joint mechanism of the present invention.
  • Figure 18-6 is a split view of Figure 18-5.
  • Figure 18-7 is a cross-sectional view of Figure 18-5.
  • 18-8 is a schematic view showing the structure of the integrally formed 4-groove tongue-back connecting mechanism of the present invention.
  • four longitudinal connecting grooves 12-1 - 2 are evenly distributed on the connecting convex step 12-2 of the tongue-back connecting mechanism 1.
  • Figure 18-9 is a cross-sectional view of Figure 18-8.
  • FIGS. 18-10 are schematic views showing the structure of a tongue-and-groove joint mechanism of a groove type conical joint of the present invention.
  • the connecting convex step 12-2 adopts a tapered structure, and four longitudinal connecting grooves 12-1 - 2 are evenly distributed on the connecting convex step 12-2 of the tapered structure.
  • 18-11 are schematic views showing the structure of a 2-groove tongue-and-groove joint mechanism of the present invention.
  • the tongue is back
  • Two longitudinal connecting grooves 12-1 - 2 are evenly distributed on the connecting protrusions 12-2 of the connecting mechanism 1.
  • 18 to 12 are schematic views showing the structure of the groove type tongue-back connecting mechanism of the present invention.
  • three longitudinal connecting grooves 12-1 - 2 are evenly distributed on the connecting convex step 12-2 of the tongue-and-groove joint mechanism 1.
  • 18-13 are schematic views showing the structure of the 5-groove tongue-back connecting mechanism of the present invention.
  • five longitudinal connecting grooves 12-1 - 2 are evenly distributed on the connecting convex step 12-2 of the tongue-and-groove joint mechanism 1.
  • Figure 19 is a schematic view showing the structure of the three-stage elastic traction body of the present invention.
  • the three-stage elastic traction body 2 includes a flank connecting mechanism 22, a lingual side connecting mechanism 21 and an elastic deformation mechanism 20, and the flank connecting mechanism 22 is provided with four flank connecting holes 22- 1.
  • the lingual side connecting mechanism 21 is provided with only one lingual side connecting hole 21 -1.
  • Fig. 19-1 is a cross-sectional view of Fig. 19.
  • Figure 19-2 is a working principle diagram of the three-stage elastic traction body of the present invention.
  • Figure 20 is a schematic view showing the structure of an elastic type traction mechanism of the present invention.
  • the integrated elastic traction mechanism 212 includes two flank connection mechanisms 22, a tongue-back connection mechanism 1 and two elastic deformation mechanisms 20, and the flank connection mechanism 22 is provided with four teeth.
  • the side connecting holes 22-1 for adjusting the elastic restoring force of the elastic deformation mechanism 20, respectively.
  • Fig. 20-1 is a cross-sectional view taken along the line F-F of the flank connecting mechanism of Fig. 20.
  • Figure 20-2 is a cross-sectional view taken along the line G-G of the elastic deformation mechanism of Figure 20.
  • Figure 20-3 is a cross-sectional view of J J at the tongue-and-groove joint mechanism of Figure 20.
  • Figure 20-4 is a cross-sectional view taken along line K of Figure 20.
  • 20-5 is a working principle diagram of an elastic type traction mechanism of the present invention.
  • Figure 21 is a schematic view showing the structure of a tripod type lip externally fixed edging holder of the present invention.
  • Figure 21-1 is a bottom view of Figure 21.
  • Figure 21-2 is a top view of Figure 21.
  • Figure 21-3 is a side view of Figure 21-2.
  • Fig. 21-4 is a working principle diagram of the tripod type lip external fixation flank fixator of the present invention.
  • Figure 22 is a perspective view showing the structure of the I-shaped flank fixator of the present invention.
  • Figure 22-1 is a front elevational view of the flank retainer of the present invention.
  • Figure 22-2 is a cross-sectional view of Figure 22-1.
  • Fig. 22-3 is a working principle diagram of the I-shaped flank fixator of the present invention.
  • Figure 23 is a schematic view showing the structure of the clamp of the present invention in a closed state.
  • the return spring 404 of the clamping clamp 400 is disposed between the right arm tail portion 401-2 and the left arm tail portion 402-2, and one end is supported at the right arm tail portion 401-2, and One end is supported at the left arm tail 402-2.
  • Figure 23-1 is a schematic view showing the structure of the head of the clamp of Figure 23.
  • Figure 23-2 is a cross-sectional view of Figure 23.
  • Figure 23-3 is a schematic view showing the structure of the clamp of the present invention in an open state.
  • Figure 23-4 is a schematic view of the structure of the head of the clamp of Figure 23-3.
  • Figure 23-5 is a cross-sectional view of Figure 23-3.
  • Figure 23-6 is an exploded view of the clamp of the present invention.
  • Figure 23-7 is an exploded view of the clamp of the present invention.
  • 23-8 is a schematic view showing the structure of the right arm of the clamp of the present invention.
  • Figure 23-9 is a front view of Figure 23-8.
  • Figure 23-10 is a cross-sectional view of Figure 23-8.
  • 23-11 are schematic views showing the structure of the left arm of the clamp of the present invention.
  • Figures 23-12 are front views of Figures 23-11.
  • FIG. 23-13 are cross-sectional views of Figs. 23-11.
  • 23-14 are schematic views showing the structure of the self-locking block of the clamp of the present invention.
  • FIG. 23-15 are schematic views of the three-dimensional structure of Figs. 23-14.
  • FIGS. 23-16 are schematic diagrams showing the operation of the connecting knuckle of the tongue-and-groove joint mechanism after the jaws of the present invention are opened.
  • Fig. 23-17 is a schematic view showing the operation of the tongue-and-groove joint mechanism of Figs. 23-16 after being incorporated into the clamp of the present invention.
  • Fig. 23-18 is a view showing the operation of the support body of the tongue-back connection mechanism by screwing the joint projection of the tongue-back connecting mechanism by the clamp of the present invention.
  • Fig. 23-19 is a schematic view showing the operation of the tongue-and-groove joint mechanism after the self-locking switch is removed from the clamp of the present invention.
  • Figure 23-20 is an exploded view of the clamp of the present invention with the return spring mounted on the shaft.
  • FIGS. 23-21 are schematic perspective views of the right arm of Figs. 23-20.
  • the return spring 404 of the clamping jaw 400 is wound on the rotating shaft 403, and one end supports the right return spring of the right arm tail portion 401-2.
  • the mounting groove 401-2-3 is mounted on the left side return spring mounting groove 402-2-3 of the left arm tail portion 402-2.
  • Figure 24 is a schematic view showing the structure of the mounting pliers of the present invention.
  • Figure 24-1 is a front view of the mounting pliers of the present invention.
  • Figure 24-2 is a left side view of the mounting pliers of the present invention.
  • Figure 24-3 is a P-P cross-sectional view of Figure 24-2.
  • Figure 24-4 is a first step of the working principle of the mounting pliers of the present invention.
  • Figure 24-5 is a second step of the working principle of the mounting pliers of the present invention.
  • Figure 24-6 is the third step of the working principle of the mounting pliers of the present invention.
  • Figure 24-7 is the fourth step of the working principle of the mounting pliers of the present invention.
  • the tongue-back connection mechanism 1 includes a support body 11 and an elastic traction body tongue-back connection mechanism 12 connected to the elastic traction body, and the elastic traction body tongue-back connection mechanism 12 includes a connection protrusion 12-2, wherein the right side is The connecting bosses 12-2 are connected to the support body 11 by threads.
  • the upper end of the elastic traction body 2 includes a lingual connection hole 21 -1 , and the lingual connection hole 21-1 can be sleeved on the connection protrusion 12 - 2 , so that the elastic traction body 2 and A detachable connection is established between the tongue-and-groove joint mechanisms 1.
  • the mounting pliers of the present invention include a flared end 501 and a handle end 502.
  • the open end 501 includes a pair of brackets 501 -1, and the receiving space 501-2 formed by the brackets 501-1 can accommodate the connecting projections 12-2.
  • the lingual side connecting hole 21 - 1 on the elastic traction body 2 is stretched and can be sleeved on the groove 501 -1-1 of the bracket 5011 of the mounting tongs 500, and then the head sleeve is elastically pulled.
  • the mounting pliers 500 of the body 2 is sleeved on the connecting protrusion 12-2, and the mounting pliers are pulled out.
  • the lingual side connecting hole of the elastic traction body 2 is present due to the presence of the connecting convex step 12-2.
  • Figure 24-8 is a working principle diagram of mounting the elastic traction body on the tongue-back connecting mechanism with the mounting pliers of the present invention.
  • Figure 25 is a schematic view showing the structure of a lead type elastic traction mechanism of the present invention.
  • Figure 25-1 is a cross-sectional view of Figure 25.
  • Figure 25-2 is a partial enlarged view of X at Figure 25-1.
  • 25-3 is a schematic view showing the structure of the integrated elastic traction mechanism lead of the welded joint of the present invention.
  • the lead portion of the lead rod 201 and the mounting hook portion of the lead rod 201 are joined together by a soldering process.
  • Figure 25-4 is a partial enlarged view of T at 25-3.
  • 25-5 is a schematic view showing the structure of the integrally connected elastic traction mechanism lead of the threaded connection of the present invention.
  • the lead portion of the lead rod 201 and the mounting hook portion of the lead rod 201 are connected by a screwing process.
  • Figure 25-6 is a partial enlarged view of Z at 25-5.
  • 25-7 is a structural schematic view showing the attachment of the flank connecting hole on the flank connecting mechanism of the integrated elastic traction mechanism to the mounting hook of the elastic body guide of the present invention.
  • the slider 202 is adjacent to the end of the guiding head 201 -1, the mounting hook 201-2 is exposed outside the slider 202, and then the integrated type is The flank connecting hole 22-1 on the flank connecting mechanism 22 of the elastic traction mechanism 212 is placed in the mounting hook 201-2 of the integral elastic traction mechanism lead 200.
  • Fig. 25-8 is a structural schematic view showing the mounting hook of the one-piece elastic traction mechanism lead of the present invention and the partial end portion of the integral elastic traction mechanism being covered by the slider.
  • the flank connecting hole 22-1 on the flank connecting mechanism 22 of the integrated elastic traction mechanism 212 is placed in the mounting hook 201-2 of the integrated elastic traction mechanism lead 200.
  • the portion into which the mounting hooks 201 - 2 are placed is completely covered to complete the lead preparation of the elastic body guide 200.
  • Fig. 26 is a view showing the structure of a tongue-and-shoulder elastic traction device for the inner side of a spring-containing alveolar bone according to the present invention.
  • Fig. 27-1 is a schematic view showing the structure of the U-shaped tongue-back connecting mechanism of the present invention.
  • Figure 27-2 is a schematic view showing the structure of the elliptical ring type tongue-back connecting mechanism of the present invention.
  • Figure 27-3 is a schematic view showing the structure of the ring-shaped tongue-back connecting mechanism of the present invention.
  • Figure 27-4 is a schematic view showing the structure of the tongue-back connecting mechanism with the connecting groove of the present invention.
  • 27-5 is a schematic view showing the structure of the tongue-back connecting mechanism with a connecting hook of the present invention.
  • 27-6 is a schematic view showing the structure of the tongue-and-groove joint mechanism in which the connecting hook of the present invention is screwed.
  • Fig. 27-7 is a structural schematic view showing the connecting groove of the tongue-back connecting mechanism of the present invention and the lingual side connecting convex step on the elastic traction body matched thereto.
  • 27-8 is a schematic view showing the structure of the tongue-back connecting mechanism with a connecting ring of the present invention.
  • FIGS. 27-9 are schematic views showing the structure of the tongue-and-groove joint mechanism of the connecting ring of the present invention mounted on the strip-shaped support body.
  • Figure 28-1 is a schematic view showing the structure of the double hook type elastic traction body of the present invention.
  • Figure 28-2 is a schematic view showing the structure of the spring-containing double hook type elastic traction body of the present invention.
  • 28-3 is a schematic view showing the structure of the elastic traction body including the connecting wire of the present invention.
  • Figure 28-4 is a schematic view showing the structure of the spring-loaded four-hook type elastic traction body of the present invention.
  • 28-5 is a schematic view showing the structure of the three-hook Y-shaped elastic traction body of the present invention.
  • Figure 29-1 is a schematic view showing the structure of the flank retainer and the elastic puller of the present invention which are magnetically connected between the flank fixator and the elastic puller.
  • Figure 29-2 is an assembled view of Figure 29-1.
  • Figure 30-1 is a schematic view showing the structure of the connection between the elastic traction body and the flank retainer of the present invention.
  • Figure 30-2 is an exploded view of Figure 30-1.
  • Figure 31-1 is a schematic view showing the structure of the connection between the elastic traction body and the flank retainer of the present invention.
  • Figure 31-2 is an exploded view of Figure 31-1.
  • Figure 32-1 is a schematic view showing the structure of the connection between the elastic traction body and the flank retainer of the present invention.
  • Figure 32-2 is an exploded view of Figure 32-1.
  • Figure 33 is a view showing the distribution of the implanted region of the tongue-and-groove attachment mechanism of the tongue-back elastic traction device of the present invention.
  • 1 is a tongue-and-back connection mechanism
  • 2 is an elastic traction body
  • 3 is a flank fixator
  • 4 is a tongue
  • 5 is a tooth
  • 6 is a lip
  • 7 is an airway of the tongue and throat
  • 8 is a gum
  • 9 is a coil spring.
  • 4-1 is the contour nipple of the tongue
  • 4-2 is the midline of the tongue
  • 4-3 is the back of the tongue of the implanted tongue-back connection mechanism.
  • L is the length of the lingual region of the implanted lingual attachment mechanism
  • W is the width of the lingual region of the implanted tongue attachment mechanism
  • H is the depth of the lingual region of the implanted lingual attachment mechanism.
  • 100 is a tunnel type traction connection mechanism
  • 101 is a connector fixed to the tongue
  • 102 is a fully implantable connector
  • 103 is a semi-implanted connector
  • 104 is a mucosal surface fixed connector
  • 105 is for preventing implantation.
  • the convex displacement of the connector displacement, 106 is a through hole that prevents displacement of the implanted connector.
  • 100-1 is a submucosal submucosal tunnel
  • 100-2 is an implant capable of forming a submucosal tunnel of the tongue
  • 100-3 is a submucosal tunnel containing a thin-walled tubular implant
  • 100-4 is a thin wall.
  • Tubular implant is a submucosal submucosal tunnel.
  • 100-4-1 is a positioning convex step
  • 100-4-2 is a smooth surface matching the surface of the tongue mucosa on the bottom of the positioning convex step
  • 100-4-3 is the center of the thin-walled tubular implant hole.
  • 102-1 is a flat object.
  • 1021-1 is a magnetic unit, and 1021-2 is a base.
  • 104-1 is a support for the mucous membrane surface fixed connector
  • 104-2 is a connection mechanism for connecting the elastic traction body on the mucous membrane surface fixed connection body
  • 1042-1 is a connection groove
  • 1042-2 is a connection convex step.
  • 1042-3 is the connection hook.
  • 11 is the support body
  • 11 -5 is the mounting protrusion of the concave and convex card on the support body
  • 11 -6 is the slot on the support body
  • 11 -7 is the connection screw on the support body
  • 12 is an elastic traction body tongue-and-back connection mechanism for connecting the elastic traction body
  • 12-1 is a connecting groove
  • 12-2 is a connecting convex step
  • 12-3 is a connecting hook
  • 12-4 is a conical transition mechanism for relieving mucosal irritation of the edge to the tongue surface
  • 12-5 is a mounting groove for engaging the concave and convex card on the convex step
  • 12-6 is a connecting ring
  • 12-7 is a connecting convex step.
  • 20 is an elastic deformation mechanism
  • 21 is a lingual connection mechanism on the elastic traction body connected to the tongue-back connection mechanism
  • 22 is a flank connection mechanism on the elastic traction body connected to the flank holder
  • 212 is an integral elastic traction mechanism.
  • 21-1 is the lingual connection hole
  • 21-2 is the lingual connection convex step
  • 21-3 is the lingual connection hook
  • 21-4 is the lingual connection line.
  • 21- 5 is the lingual connection end
  • 22-1 is the flank connection hole
  • 22-2 is the flank connection convex step
  • 22-3 is the flank connection hook.
  • 21-1-1 is a convex edge on the lingual connection hole
  • 22-1-1 is a convex edge on the flank connection hole.
  • S1 is a lingual connection through hole formed on the lingual side end of the elastic traction body
  • S2 is a lingual connection through hole formed on the lingual side end of the elastic traction body
  • S3 is a lingual side opened on the lingual side end of the elastic traction body Connect the through holes.
  • Y1 is a flank connection through hole formed on the flank end of the elastic traction body
  • Y2 is a flank connection through hole formed on the flank end of the elastic traction body
  • Y3 is a flank opened on the flank end of the elastic traction body Connect the through holes.
  • 31 is a support frame
  • 32 is an elastic traction body flank connecting mechanism connecting the elastic traction body
  • 33 is a flank fixing mechanism for fixing the flank fixer
  • 34 is a traction adjusting mechanism
  • 31-1 is a flank fixed support frame
  • 31-2 is a dental bone nail type fixed support frame
  • 31-3 is a braces type fixed support frame.
  • 31- 4 is an external fixation bracket.
  • 32-1 is the positioning groove of the flank fixator, and 32-2 is the positioning convex step of the flank fixer.
  • 32-3 is a positioning hook of the flank fixator
  • 33-1 is a housing having a curvature corresponding to the surface of the tooth on the flank fixing mechanism
  • 34-1 is a rotating mechanism
  • 34-2 is a sliding mechanism
  • 31-1-1 is the flank bonding surface of the flank fixed support frame
  • 31-1-2 is the support seat of the flank fixed support frame
  • 31-2-1 is the tooth on the braces fixed type edging holder Groove
  • 31-4-1 is the external fixation of the maxillary and lip
  • 31-4-2 is the external fixation of the mandibular lip
  • 31-4-3 is the lip support
  • 33-1-1 is located in the housing.
  • the upper plastic hole, 3411 is the rotating shaft, 3411-1 is the positioning polygon on the rotating shaft, 3411-2 is the return spring, 3411-3 is the positioning nut, 3411-4 is the elastic traction body fixing groove, 3411-5 is the knob; 3412 is a positioning slot for the rotating shaft, 3412-1 is a positioning polygonal groove, 3412-2 is a return spring mounting hole, 3412-3 is a positioning nut mounting hole; 3421 is a sliding mechanism slider, 3422 is a sliding mechanism positioning block, 3421 -1 is the positioning slot of the slider, 3421-2 is the handle of the slider, and 3421-3 is the slider bracket.
  • ⁇ is the angle between the maxillary lip external fixation support frame 31-4-1 and the mandibular lip external fixation support frame 31-4-2; ⁇ is the maxillary and lip external fixation support frame 31-4-1 and the lip angle support frame 31 The angle between -4-3; ⁇ is the angle between the external fixation support frame 31-4-2 and the lip support frame 31-4-3.
  • 200 is a lead
  • 400 is a clamping pliers
  • 500 is a mounting pliers.
  • 200 is an integrated elastic traction mechanism lead
  • 212 is an integrated elastic traction mechanism.
  • 201 is a lead rod
  • 202 is a slider
  • 201-1 is a guiding head
  • 201-2 is a mounting hook
  • 201-3 is a limiting slot
  • 202-1 is a sliding convex step.
  • 400 is a clamping clamp
  • 401 is a right arm
  • 402 is a left arm
  • 403 is a rotating shaft
  • 404 is a return spring
  • 405 is a self-locking mechanism
  • 406 is a mounting groove of a self-locking mechanism
  • 407 is an anti-slip and anti-slip groove.
  • 401 - 1 is the right clamp head
  • 401 - 2 is the right arm tail
  • 401 -3 is the right arm rotation shaft mounting convex step.
  • 402-1 is the left clamp head
  • 402-2 is the left arm tail
  • 402-3 is the left arm rotation shaft mounting convex step.
  • 405-1 is a pin
  • 405-2 is a torsion spring
  • 405-3 is a self-locking block.
  • 401 - 1 -1 is the right working groove
  • 401 -1 -2 is the right rotation limit convex step
  • 401 -1-3 is the right anti-detachment limit convex step.
  • 401 - 1 -4 are positioning guide grooves
  • 401 -2-1 is the pin hole
  • 401 -2-2 is the unlocking groove
  • 401 -2-3 is the right return spring mounting groove
  • 401 -3-1 is the right shaft Install the through holes on the bumps.
  • 402- 1 -1 is the left working groove
  • 402-1 -2 is the left rotation limit convex step
  • 402-1-3 is the left anti-detachment limit convex step.
  • 402- 1 -4 is the positioning guide block
  • 402-2-1 is the positioning convex step
  • 402-2-3 is the left return spring mounting groove
  • 402-3-1 is the left-hand rotating shaft mounting the through hole on the convex step.
  • 405-3-1 is the locking tooth
  • 405-3-2 is the self-locking switch
  • 405-3-3 is the mounting through hole
  • 405-3-4 is the torsion spring mounting groove.
  • 501 is the open end and 502 is the handle end.
  • 501 -1 is the bracket
  • 501 -2 is the nano space
  • 502-1 is the non-slip groove
  • 501-1 -1 is the groove.
  • D501 is the distance between the brackets.
  • the principle of the present invention for treating OSAHS is as follows: using the teeth, or the gums, or the upper and lower jaws as a support point, fixing the flank fixator 3 to the teeth, or the gums, or the outside of the lips; setting the tongue-back connection mechanism 1 on the tongue; One end of the elastic traction body 2 is connected to the flank anchor 3, and the other end is connected to the lingual attachment mechanism 1; the elastic traction body 2 forms an elastic pulling force between the lingual attachment mechanism 1 and the flank holder 3. Pull up the falling tongue, which expands the space of the tongue and throat airway, and treats the snoring and OSAHS caused by the collapse of the tongue. See Figure 1.
  • elastic traction can be achieved between the flank fixator 3 and the tongue-back connecting mechanism 1, so that the tongue has sufficient freedom of movement, so that the tongue root is properly pulled up, but It affects the movement of the tip of the tongue and the tongue, which not only expands the airway of the tongue and throat, but also achieves the purpose of treating OSAHS. It also maintains good movement function of the tip of the tongue, retains clear language function and moderate swallowing function, and has good Comfort.
  • the traction adjusting mechanism 34 is provided on the lingual fixator 3, the traction force of the tongue back can be adjusted according to the actual needs of the patient, and the comfort and the curative effect are further improved.
  • Embodiment 1 Invisible fixed type tongue back elastic traction device of the present invention
  • this embodiment demonstrates a method for invisible fixed-back type tongue-back elastic traction device of the present invention.
  • the tongue-and-groove joint mechanism 1 is comprised of a support body 11 and an elastic traction body tongue-back connection mechanism 12.
  • the support body 11 is a curved metal wire made of medical titanium; at both ends of the support body 11, there are respectively connected connecting protrusions 12-2, and the size of the connecting protrusions 12-2 is larger than the arc
  • the diameter of the wire is shaped to facilitate the mounting and fixing of the elastic traction body 2; the connecting protrusion 12-2 constitutes the elastic traction body tongue-back connection mechanism 12 of the tongue-and-groove joint mechanism 1.
  • the connecting protrusion 12-2 and the end of the support body 11 may be fixed by a screw connection, or a concave-convex card, or an interference fit, or an adhesive bonding; 12-2 and the support body 11 may also be manufactured by machining the same piece of metal material. In the embodiment, the connecting protrusion 12-2 and the support body 11 are the same piece of metal material. Machining to manufacture.
  • the elastic traction body 2 is made of a medical elastic film, such as a medical silicone film or a medical latex film.
  • the thickness of the film is between 0.01 mm and 3 mm, and the thickness is usually 0.10 mm. Latex film.
  • the elastic traction body 2 has a rectangular strip-like structure on which a lingual side connecting hole 21 -1 and a flank connecting hole 22-1 are provided.
  • the lingual side connecting hole 21 - 1 can be mounted or fixed on the connecting convex step 12 - 2 or can be removed from the connecting convex step 12 - 2 , and the lingual side connecting hole 21 - 1 constitutes
  • the lingual attachment mechanism 21 on the elastic traction body 2 to which the tongue-back connection mechanism 1 is connected is referred to FIGS.
  • the flank connecting hole 22-1 can be attached or fixed to the positioning convex step 32-2 of the flank holder 3, or can be removed from the positioning convex step 32-2 of the flank holder 3.
  • the flank connecting hole 22-1 constitutes a flank connecting mechanism 22 on the elastic body 2 connected to the flank holder 3, with reference to Figs. 1-1 and Figs.
  • the flank retainer 3 is composed of a support frame 31, an elastic traction body flank connecting mechanism 32, and a flank fixing mechanism 33.
  • the support frame 31 is a flank fixed support frame 31-1.
  • the flank fixing support 31 -1 is composed of a flank bonding surface 31 -1 -1 and a support base 31 -1 -2 .
  • the flank bonding surface 31 -1 -1 has a shape matching the inner side surface of the upper teeth, and can be fixedly fixed to the inner surface of the upper teeth by a dental adhesive.
  • the flank bonding surface 31 -1 -1 constitutes a flank fixing mechanism 33 of the flank stopper, with reference to Figs.
  • the elastic traction body flank connection mechanism 32 is a positioning convex step 32-2.
  • the positioning protrusions 32-2 are connected to the support bases 31-1-2.
  • the flank connecting hole 22-1 on the elastic traction body 2 may be mounted on the positioning convex step 32-2 or may be removed from the positioning convex step 32-2, referring to FIG. 1-1 and FIG. 1 -6.
  • the tongue-back connection mechanism 1 is implanted at the back of the tongue by minimally invasive surgery, so that the back of the tongue is connected.
  • the support body 11 of the mechanism 1 is implanted under the mucosa of the back of the tongue, and the elastic traction body tongue-and-loop connection mechanism 12 of the tongue-and-loop connection mechanism 1 is exposed outside the back of the tongue. 15 days to 45 days after the operation, the support body 11 can be firmly fixed under the mucosa of the tongue.
  • the elastic traction body tongue-and-loop connection mechanism 12 exposed outside the tongue-back mucosa can be pulled, and the pendant can be lowered. Pull the tongue up, refer to Figure 1-7.
  • the two flank holders 3 are fixed to the inner sides of the upper teeth of the left and right sides by a medical adhesive.
  • the fourth upper teeth from the front teeth to the left side, or the fourth upper teeth from the front teeth to the right side are selected as the bonding fixing points of the flank retainer 3.
  • other upper or lower teeth can be selected as the bonding fixing points of the flank retainer 3, refer to Fig. 1-8.
  • one end of the elastic traction body 2 is detachably connected to the edging holder 3, and the other end is detachably coupled to the elastic traction body tongue-back connecting mechanism 12 of the lingual attachment mechanism 1;
  • the elastic pulling force is formed between the tongue-back connecting mechanism 1 and the flank-fixed device 3, and the falling tongue is pulled up, thereby expanding the space of the tongue and throat airway, and achieving the treatment of OSAHS caused by the collapse of the tongue.
  • the specific connection method is as follows:
  • the lingual side connecting hole 21 - 1 on the elastic traction body 2 of the rectangular strip structure is fixed on the connecting convex step 12 - 2 of the tongue-and-groove joint mechanism, that is, the elastic traction body 2 and the tongue-back connecting mechanism 1 are completed.
  • the flank connecting hole 22-1 on the elastic traction body 2 is fixed on the positioning convex step 32-2 on the flank holder 3, that is, the connection between the elastic traction body 2 and the flank holder 3 is formed.
  • Figure 1 -6 refer to Figure 1 -6.
  • the elastic traction body 2 is elastically pulled to the tongue-and-back connection mechanism 1, the tongue is properly pulled up, and the movement of the tongue is not affected, thereby expanding the airway of the tongue and throat and having good comfort. .
  • the two flank anchors 3 of the tongue-back elastic traction device of the present invention are respectively attached to the inner sides of the two upper and lower upper teeth, and have an invisible effect. If the patient does not open his mouth while sleeping, it is not seen that the tongue-back elastic traction device of the present invention has been built into the oral cavity, which greatly reduces the psychological burden on the patient and the family.
  • the intramedullary invisible fixed type tongue back elastic traction device of the present invention is not only simple to install, but also convenient to use, easy to clean, sterilized and beautiful and comfortable.
  • Embodiment 2 The external tooth bonding and fixing type tongue back elastic traction device of the present invention
  • this embodiment differs from the first embodiment in that: in the embodiment 1, the flank fixator 3 is adhesively fixed to the inner side of the upper teeth, and in the present embodiment, the two flank retainers 3 They are fixed on the outer sides of each of the upper teeth on the left and right sides, respectively.
  • the fourth upper teeth from the front teeth to the left side, or the fourth upper teeth from the front teeth to the right side are selected as the bonding fixing points of the flank retainer 3.
  • other upper teeth can be selected as the adhesive fixing points of the flank retainer 3 according to the actual situation of the patient.
  • the advantage of such an approach is that it is more convenient when the elastic traction body 2 is attached to the flank 3, but the flank 3 is sometimes exposed to the outside of the lips, affecting the appearance.
  • flank bonding surface 31 -1 -1 has a shape matching the outer surface of the upper teeth, and It can be fixed to the outer surface of the upper teeth by a dental adhesive.
  • Embodiment 3 The intra-dental fixed nail type elastic back traction device of the present invention
  • the difference between the embodiment and the embodiment 1 is that: the flank fixer 3 of the embodiment 1 is fixed to the tooth by a dental adhesive; and in the embodiment, the flank The holder 3 is a nail-type structure, and the flank holder 3 is fixed to the inner side of the upper gum bed by the dental nail-type fixing support frame 31-2 on the flank holder 3.
  • the shank holder 3 is constructed using a dental nail-type fixed support frame 31-2 that can be fixed to a gum bed.
  • the one flank fixator 3 is fixed to the inner side of the upper gum between the fourth tooth and the fifth tooth from the front teeth by the dental nail type fixed support frame 31-2.
  • the other flank fixator 3 is fixed to the inner side of the upper gum between the fourth tooth and the fifth tooth from the front teeth by the dental nail type fixed support frame 31-2, image 3.
  • the flank holder 3 is composed of a support frame 31, an elastic traction body flank connecting mechanism 32, and a flank fixing mechanism 33.
  • the support frame 31 is a dental nail-type fixed support frame 31-2 having a structure similar to that of a dental anchor.
  • the elastic traction body flank connecting mechanism 32 is a positioning convex step 32-2.
  • the flank fixing mechanism 33 is a titanium metal screw 33-1 which can be fixed to the dental bed.
  • the flank fixator 3 can be fixed on the gum bed by the titanium metal screw 33-1, and the flank connecting hole 22-1 of the elastic traction body 2 can be sleeved on the positioning convex step 32-2 and the support frame 31. In the groove formed therebetween, a connection fixed relationship between the flank anchor 3 and the elastic traction body 2 is established.
  • the tongue-back connecting mechanism 1 implanted in the back of the tongue can be changed from an arc-shaped support body to an elliptical annular support frame, see Fig. 3-2.
  • the tongue-back connecting mechanism 1 employs an elliptical annular support frame
  • a part of the elliptical annular support frame is implanted under the mucosa of the tongue to serve as the support body 11 of the tongue-and-groove joint mechanism 1.
  • Another portion of the elliptical annular support frame is exposed outside the tongue-back mucosa as an elastic traction body tongue-back attachment mechanism 12.
  • flank fixator 3 is fixed to the fourth tooth and the fifth tooth from the front teeth by the dental nail type fixed support frame 31-2.
  • another one of the flank fixators 3 is fixed to the right side of the fourth tooth and the fifth tooth from the front teeth by the dental nail type fixed support frame 31-2 On the outside of the upper gums between the teeth.
  • the flank fixator is a dentition-fixed flank 3 fixed to the inner side of the upper teeth, and in this embodiment, a braces fixed type flank holder 3 is used.
  • the support frame 31 of the flank fixator of the braces-fixing type flank fixator 3 includes an alveolar groove 31-2-1 that matches the shape of the upper teeth, and the alveolar groove 31-2-1 serves as a tooth.
  • the flank fixing mechanism 33 of the side holder enables the flank holder 3 to be detachably fitted on the upper teeth.
  • the braces-fixing type flank holder 3 can be made of a medical shape memory polymer material.
  • the braces-fixed edging holder 3 made of medical shape memory polymer material is immersed in hot water of about 45 ° C, and then placed in a tooth, and when the temperature drops to body temperature, the shape memory polymer material is automatically Forming, forming an alveolar groove 31-2-1 having a shape matching with the arrangement of the upper teeth, the alveolar groove 31-2-1 can be used as a flank fixing mechanism 33 for the flank fixator 3 or more
  • the teeth are fixed as support points.
  • the elastic traction body 2 is made of a medical elastic film, and the lingual connection end of the elastic traction body 2 is directly mounted and fixed on the upper sleeve 31-3 braces type holder, and the lingual side connection end is provided with a lingual side.
  • the connecting hole 21-1 is detachably fixed to the elastic traction body tongue-and-groove joint mechanism 12 of the tongue-and-groove joint mechanism 1.
  • Embodiment 6 The silicone lip external fixation type tongue back elastic traction device of the present invention
  • this embodiment differs from the first embodiment in that:
  • the flank retainer 3 is an occipital external fixator 3 which is integrally manufactured by medical silicone.
  • the flank fixator 3 is integrally manufactured using medical silicone rubber, and includes a support frame 31, an elastic traction body flank connecting mechanism 32, and a flank fixing mechanism 33.
  • the support frame 31 is an extra-lip fixed support frame 31-4.
  • the external fixation support frame 31-4 is an elliptical silicone ring as a bearing, which is equivalent to the support frame 31 of the flank fixator 3, and can be placed outside the lip, with the oral cavity as a support point, as the flank Fixing mechanism 33.
  • a transition zone with a through hole is formed between the elliptical silicone ring of the bearing force and the silicone film tape as the elastic traction body 2, and the transition zone connects the support frame 31 and the elastic traction body 2 to form an elastic Traction body flank connection mechanism 32.
  • the elastic traction body flank connection mechanism 32 connects the elastic traction body 2 with the extra-lip fixation support frame 31-4.
  • the other end of the elastic traction body 2 is provided with a lingual side connecting hole 21-1, and the back of the tongue
  • the connection mechanisms 1 are connected.
  • Embodiment 7 Rotary adjusting lip external fixation type tongue back elastic traction device of the present invention
  • this embodiment differs from the embodiment 6 in that: in the present embodiment, the flank retainer 3 is provided with a traction adjusting mechanism 34.
  • the traction adjusting mechanism 34 employs a rotational adjustment mode including a rotating mechanism 34-1.
  • the rotating mechanism 34-1 is constituted by a rotating shaft 3411 and a rotating shaft mounting positioning groove 3412.
  • the rotating shaft 3411 is provided with a positioning polygon 3411-1, a return spring 3411-2, a positioning nut 3411-3, an elastic traction body fixing groove 3411-4, and a knob 3411-5, with reference to FIG. 7_1.
  • the rotating shaft mounting positioning groove 3412 is provided with a positioning polygonal groove 3412-1, a return spring mounting hole 3412-2, and a positioning nut mounting hole 3412-3.
  • the rotating shaft 3411 is mounted in the rotating shaft mounting positioning groove 3412.
  • the return spring 3411-2 is installed in the return spring mounting hole 3412-2, and the return spring 3411-2 is fixed to the distal end of the rotating shaft 3411 by the positioning nut 3411-3. on.
  • the lingual connection end of the elastic traction body 2 is fixed to the elastic traction body fixing groove 3411-4 of the rotating shaft 3411.
  • the knob 3411-5 When the knob 3411-5 is pulled outward by force, the return spring 3411-2 is compressed and deformed, and the positioning polygon 3411-1 is released from the restriction of the positioning polygonal groove 3412-1, and the rotating shaft 3411 can be rotated. Since the elastic traction body 2 is coupled to the elastic traction body fixing groove 3411-4, the knob 3411-5 is rotated clockwise to rotate the rotating shaft 3411 clockwise, and the elastic traction body 2 can be rolled up to increase the traction force of the elastic traction body 2. Conversely, turning the knob 3411-5 counterclockwise causes the shaft 3411 to rotate counterclockwise to loosen the elastic body 2 and reduce the traction of the elastic body 2.
  • Embodiment 8 Sliding adjustment lip external fixation type tongue back elastic traction device of the present invention
  • this embodiment differs from the embodiment 7 in that a traction adjusting mechanism 34 is provided on the flank holder 3.
  • the traction adjustment mechanism 34 employs a slide adjustment method including a slide mechanism 34-2.
  • the slide mechanism 34-2 is composed of a slider 3421 and a positioning block 3422.
  • the slider 3421 includes a positioning socket 3421-1, a handle 3421-2, and a slider bracket 3421-3.
  • the slider bracket 3421-3 is a bracket of a U-shaped structure, and the handle 3421-2 is located at two ends of the U-shaped slider bracket 3421-3, and the handle 3421-2 is pressed inward, and the U-shaped slider bracket 3421- 3 is inwardly contracted, the positioning socket 3421-1 can be disengaged from the positioning block 3422, and the slider 3421 can be moved back and forth.
  • the pressure on the handle 3421-2 is relaxed, the U-shaped slider bracket 3421-3 is restored.
  • the shape of the positioning socket 3421-1 is caught on the positioning block 3422, and functions to restrict the back and forth movement of the slider 3421. Referring to FIG. 8-1.
  • Embodiment 9 Elastic traction body regulating type tongue back elastic traction device of the present invention
  • the difference in this embodiment is that: in this embodiment, more than one lingual connection hole 21 -1 or one or more flank connection holes 22 - 1 are provided at different positions on the elastic traction body 2, The different traction forces are obtained by fixing the lingual attachment holes 21 - 1 at different positions to the lingual attachment mechanism 1.
  • the elastic traction body 2 is made of a medical elastic film selected from the group consisting of medical elastic film, medical latex film, medical polyurethane film, medical rubber film and the like, and the medical elastic film.
  • the thickness is between 0.01 mm and 3 mm.
  • the elastic traction body 2 is usually made of a medical latex film or a medical silicone film of 0.10 mm to 0.30 mm.
  • the elastic traction body 2 can be manufactured in a Y shape.
  • the upper ends of the Y-shaped elastic traction body 2 serve as the connection ends of the elastic traction body 2 and the flank holder 3.
  • a through hole Y1, a through hole ⁇ 2, and a through hole ⁇ 3 are respectively disposed at different positions of the upper ends of the Y-shaped shape; the through hole ⁇ 1, or the through hole ⁇ 2, or the through hole ⁇ 3 constitutes a flank connecting hole 22-1,
  • the flank connecting hole 22-1 may be fitted over the positioning convex step 32-2 of the flank holder 3.
  • the lower end of the U-shaped elastic traction body 2 serves as a connection end of the elastic traction body 2 and the tongue-back connecting mechanism 1.
  • the through hole S1, the through hole S2, and the through hole S3 are respectively disposed at different positions of the lower end of the U-shaped elastic traction body 2; the through hole S1, or the through hole S2, or the through hole S3 is used as the lingual connection hole 21 -1, the lingual connection hole 21 - 1 can be detachably mounted on the connection protrusion 12-2 of the tongue-and-groove connection mechanism 1.
  • Example 10 The submucosal submucosal tunnel type tongue back elastic traction device of the present invention
  • the tongue-and-groove joint mechanism 1 employs a submucosal tunnel-type traction mechanism 100 that can pull up the falling tongue.
  • the submucosal tunnel traction mechanism 100 can be set up in the following manner: Under local anesthesia, through the minimally invasive surgery, in the front of the contoured nipple about ⁇ m ⁇ 4cm from the midline about ⁇ m ⁇ 3cm on both sides of the tongue submucosal will be able to form a submucosal tunnel implant 100-2, usually A medical silicone tube is implanted at the back of the tongue, so that most of the medical silicone tube is implanted under the mucosa of the back of the tongue, and both ends are exposed on the left and right sides of the mucous membrane of the tongue, and the ring is knotted and fixed.
  • the medical silicone tube is pulled up from 15 days to 45 days after the operation. If the patient has no pain or discomfort, the medical silicone tube implanted under the mucosa of the tongue can be pulled out. After the medical silicone tube is pulled out, an epithelialized tunnel 100-1 is formed at the back of the tongue of the medical silicone tube.
  • the submucosal subepithelial tunnel 100-1 can be used as the submucosal tunnel type traction mechanism 100 of the present invention, and the elastic traction body 2 is passed through the submucosal epithelialized tunnel 100-1, and the tongue is lowered. Pull forward, refer to Figure 10-1.
  • the advantage of this embodiment is that: After the tongue submucosal epithelialization tunnel 100-1 is established at the back of the tongue, there is no implant at the back of the tongue, and no foreign body sensation or discomfort is given to the patient.
  • the elastic traction body 2 Before the sleep, when the back of the tongue needs to be pulled, the elastic traction body 2 can be passed through the submucosal epithelialized tunnel 100-1, and fixed on the flank fixer 3, and the tongue can be lowered. Pull forward, enlarge the airway of the pharynx, and treat snoring and OSAHS. After waking up, the elastic traction body 2 can be removed from the flank holder 3, and the elastic traction body 2 is pulled out from the submucosal epithelialized tunnel 100-1 to restore the free movement of the tongue.
  • the elastic traction body 2 in this embodiment is usually made of a medically good latex film or a medical silicone film, and has a thickness of about 0.03 mm to 0.10 mm.
  • a medical latex tube or a medical silicone tube can be selected as the elastic traction body 2 .
  • the medical latex wire, or the medical silicone wire can also be used as the elastic traction body 2, and the linear elastic traction body 2 is easier to pass through the submucosal epithelialized tunnel 100-1 than the film-shaped elastic traction body 2, and is used. more convenient.
  • the disadvantage of this embodiment is that the submucosal subepithelial tunnel 100-1 lacks supporting force, and is usually in a collapsed state, and the strip elastic traction body 2 is more difficult to pass through the submucosal epithelialized tunnel 100-1. With the aid of the special tool lead 200, it is easy to pass through the submucosal epithelialized tunnel 100-1.
  • Embodiment 11 Thin-walled tubular tongue submucosal tunnel type tongue back elastic traction device of the present invention
  • this embodiment improves upon embodiment 10 by implanting a thin-walled tubular implant 100-4 under the tongue mucosa, which is a section of thin-walled tubular implant 100-4.
  • a medical titanium thin-walled tube bent into an arc. After the medical titanium thin-walled tube is implanted under the tongue mucosa for 15 days to 60 days, the medical titanium thin-walled tube is fixed in the tongue tissue under the tongue mucosa, and only the nozzles at both ends of the medical titanium thin-walled tube Leave it outside the tongue mucosa.
  • Such a submucosal tunnel with a thin-walled tube as a support constitutes the submucosal tunnel 100-3 of the thin-walled tubular implant of the present invention.
  • the submucosal tunnel 100-3 of the thin-walled tubular implant due to the support of the thin metal tube, does not collapse, facilitating the passage of the elastic traction body 2.
  • the disadvantage that the submucosal epithelialized tunnel 100-1 of the tongue 10 lacks the supporting force, is easily collapsed, and the elastic traction body 2 is not easily penetrated is overcome.
  • the thin-walled tubular implant 100-4 may be exposed to the nozzle portion outside the tongue mucosa, and may be provided. Step or bell mouth.
  • Embodiment 12 The spiral spring-like tongue submucosal tunnel type tongue back elastic traction device of the present invention
  • this embodiment further improves Embodiment 11.
  • the thin-walled tube implant 100-4 is a titanium-nickel shape memory alloy close-packed spiral tube having a shape memory function instead of the titanium alloy thin-walled tube used in the embodiment 11.
  • the medical close-packed coil spring tube is fixed in the tongue tissue under the tongue mucosa after being implanted under the tongue mucosa, and only the tube mouth of the close-packed spiral tube is exposed on both sides of the tongue mucosa.
  • a close-packed helical tube secured under the mucosa of the tongue constitutes a submucosal tunnel 100-3 of the present invention comprising a thin-walled tubular implant. Since the submucosal tunnel 100-3 of the thin-walled tubular implant has the support of the close-packed coil spring tube, it does not collapse, facilitating the passage of the elastic traction body 2. At the same time, the close-packed coil spring tube has good flexibility compared with the titanium thin-walled tube, which further improves the comfort of the tongue, see Fig. 12.
  • the close-packed coil spring tube is usually made of titanium-nickel shape memory alloy wire and subjected to shaping heat treatment.
  • the geometry of the close-packed coil spring tube conforms to the physiological requirement of the tongue-back implant, and a horn is arranged at the nozzle.
  • the mouth can facilitate the insertion and passage of the elastic traction body 2 on the one hand, and facilitate the fixation of the thin-walled tubular implant 100-4 on the other hand, preventing displacement and falling off, refer to FIG.
  • Embodiment 13 Tongue back elastic traction device of ferromagnetic full implantable connector of the present invention
  • the implant 101 attached to the tongue of the lingual attachment mechanism 1 of the tongue is a fully implantable connection completely implanted under the tongue mucosa.
  • the fully implantable connector 102 is a flat object 102-1.
  • the fully implantable connector 102 is fabricated from a medical metal material having ferromagnetism, for example, a ferromagnetic medical stainless steel plate having a thickness of 0.30 mm to 0.60 mm.
  • the ferromagnetic medical stainless steel plate is formed into a flat object 102-1 having a size of about 8 mm x 20 mm, and a fully implantable connector 102 as a tongue-and-loop connection mechanism 1 is implanted at the back of the tongue.
  • one of the flat objects 102-1 is implanted under the tongue mucosa of about ⁇ m ⁇ 2cm from the midline at about ⁇ m ⁇ 4cm in front of the contour nipple by minimally invasive surgery.
  • the flat object 102-1 is completely covered by the tongue mucosa.
  • the implanted ferromagnetic flat object 102-1 under the tongue mucosa After being completely fixed, the elastic pull of the back of the tongue can be performed.
  • the elastic body 2 containing the magnetic material is selected to elastically pull the ferromagnetic fully implantable connector 102.
  • the lingual attachment mechanism 21 of the elastic traction body 2 contains a magnetic material.
  • the elastic traction body 2 containing the magnetic material can be adsorbed on the fully implantable connector 102 having ferromagnetism, and the tongue mucosa tissue is interposed between the elastic traction body 2 and the fully implantable connector 102.
  • a magnetic connection is formed between the elastic traction body 2 and the fully implantable connector 102.
  • flank connecting mechanism 22 of the elastic traction body 2 is fixed to the flank holder 3, so that the flank anchor 3 is supported as the support point between the elastic traction body 2 and the tongue-back connecting mechanism 1.
  • the magnetic connection pulls up the falling tongue, enlarges the airway of the tongue and throat, and treats snoring and OSAHS.
  • a through hole 106 can be formed in the fully implantable connector 102.
  • the tongue tissue grows in the through hole 106 and adheres to prevent displacement of the fully implantable connector 102 in the tongue tissue, see Figure 13-1.
  • Embodiment 14 Magnetically connected tongue-back elastic traction device of the present invention
  • the embodiment 13 is further improved.
  • the magnetically fully implantable connector 102 is modified.
  • the fully implantable connector 102 as the tongue-back connecting mechanism 1 is a flat object 102-1.
  • the flat object 102-1 employs a composite structure in which the magnetic unit 1021-1 is completely coated on the base 1021-2, with reference to Figs. 14-2 and 14-3.
  • the medical silica gel is selected as the substrate 1021 -2, and other flexible medical materials which can be implanted in the human body for a long period of time, such as medical polyurethane, etc., can be selected as the raw material for the production of the substrate 1021-2, refer to Figs. 14-2 and 14-3.
  • a neodymium iron boron permanent magnet material was selected as the magnetic unit 1021 -1.
  • a neodymium iron boron magnetic sheet having a large contact area is usually used as the magnetic unit 1021 -1; a neodymium iron boron magnetic powder, or other permanent magnetic material particles or powder may be used as the magnetic unit 1021 -1, referring to Figs. 14-2 and 14 -3.
  • the magnetic unit 1021 -1 of the neodymium iron boron magnetic sheet is completely coated in the base body 1021 -2 of the medical silica gel to obtain a magnetic medical silicone belt, after cutting
  • the cleaning and sterilization can be used as the fully implantable connector 102 of the tongue-and-loop connection mechanism 1.
  • the magnetic medical silicone tape has a magnetic unit 1021 -1 completely coated in the base 1021 -2 of the medical silica gel, and has magnetic properties due to the presence of the magnetic unit 1021 -1; due to the presence of the medical silica gel substrate 1021 - 2 Good Elastic and deformable; can be used as a fully implantable connector 102; it can also be used as an elastic traction body 2, in particular the lingual attachment mechanism 21 of the elastic traction body 2 can be manufactured using this material. Magnetic connections can be made, see Figure 14 and Figure 14-1.
  • the lingual connection mechanism 21 of the elastic traction body 2 can also be manufactured by using the magnetic medical material of the magnetic unit 1021 -1 completely covering the magnetic unit 1021 -1, so that the elastic traction
  • the lingual attachment mechanism 21 of the body 2 has magnetic properties.
  • the through hole 106 and the convex step 105 can be set on the flat object 102-1 adopted by the fully implantable connector 102.
  • the growth of the tongue tissue in the through hole 106 is adhered, and the convex step 105 prevents the implanted flat object 102-1 from being displaced, with reference to Figs. 14-1 and 14-2.
  • the magnetic flat objects 102 are implanted under the tongue mucosa of about ⁇ m ⁇ 2cm from the midline at about ⁇ m ⁇ 4cm in front of the contoured nipple. -1, the magnetic flat object 102-1 is completely covered by the tongue mucosa, see Fig. 14-4.
  • the implanted magnetic flat object 102-1 is completely fixed in the tongue tissue under the tongue mucosa, and elastic traction of the tongue can be performed.
  • the magnetically resilient traction body 2 is selected to pull the magnetically implantable connector 102 of the tongue-and-loop attachment mechanism 1.
  • the fully implantable connector 102 implanted under the mucosa of the tongue has magnetic properties, and one end of the elastic traction body 2 is fixed to the flank holder 3, and the lingual connection mechanism 21 on the other end is also magnetic; Therefore, it is only necessary to extend the lingual attachment mechanism 21 of the magnetic elastic traction body 2 into the vicinity of the implant implant of the tongue, and the magnetic poles are attracted to each other due to their opposite magnetic poles, thereby establishing a magnetic connection.
  • Figure 14 and Figure 14-1 In this way, the shank fixator 3 is used as a support point, and the magnetic connection between the elastic traction body 2 and the tongue-back connecting mechanism 1 is used to pull up the falling tongue and enlarge the airway of the pharynx. And OSAHS.
  • Embodiment 15 Tongue-back adhesive tongue-back elastic traction device of the present invention
  • the connecting body 101 of the tongue-back connecting mechanism 1 fixed to the tongue is a mucous surface-surface fixed connecting body 104.
  • the mucous membrane surface-mounted connector 104 includes a support base 104-1 capable of bonding or adsorbing on the surface of the tongue-back mucosa, and a connection mechanism 104-2 connected to the elastic traction body 2, and the connection mechanism 104-2 is connected.
  • the convex step 1042-2, the connecting mechanism 104-2 is disposed on the support base 104-1.
  • the mucosal surface-attachment connector 104 can be adhered to the mucosa surface of the tongue by a medical adhesive, see FIG.
  • the elastic traction body 2 can be sleeved on the connecting convex step 1042-2, and the pulling force of the elastic traction body 2 can realize the pulling of the tongue against the falling.
  • the connecting mechanism 104-2 may adopt a connecting groove 1042-1, refer to FIG. 15-1; or a connecting convex step 1042-2, refer to FIG. 15; or a connecting hook 1042-3, refer to FIG. 15-2.
  • the support base 104-1 of the tongue-back mucosal surface can be made of a soft medical silicone material, and the support seat 104-1 is adsorbed on the mucosa surface of the tongue by vacuum suction, refer to FIG.
  • a medical adhesive is applied to the surface of the end portion 21-5 which is in contact with the adhesive film of the tongue.
  • the ends 21 - 5 are directly bonded to the surface of the mucosa of the tongue.
  • the end portion 21 - 5 is a part of the elastic traction body 2 and corresponds to the adhesive film surface-mounted connecting body 104 of the tongue-and-groove joint mechanism 1.
  • Embodiment 16 The lip-adhesive tongue-back elastic traction device of the present invention
  • the tongue-and-groove joint mechanism 1 is semi-implanted and fixed on the back of the tongue by an elliptical ring-shaped connecting body 101.
  • a portion of the elliptical ring-shaped connector 101 is implanted under the tongue mucosa and the other portion is exposed outside the tongue.
  • the elastic traction body 2 is a strip-shaped elastic film strip made of a medical latex film, and a medical adhesive is applied to both ends of the strip-shaped elastic traction body 2 to form a medical adhesive-type structure.
  • Embodiment 17 The tongue-back elastic traction device of the present invention adopts a silicone tunnel tongue-back connection mechanism
  • the tongue-back connecting mechanism 1 adopts a tunnel type tongue-and-groove joint mechanism 100 made of medical silica gel; and the elastic traction body 2 adopts a plurality of flank connecting holes 22-1 at both ends.
  • a belt-shaped elastic traction body made of medical silica gel; the flank stopper 3 is a flank stopper 3 that can be bonded and fixed to a tooth surface.
  • Two of the flank fixators 3 are respectively attached to the outside of the teeth at appropriate positions on both sides of the incisors, and the traction body 2 passes through the center hole 100-4-3 of the tunnel tongue-and-loop connection mechanism 100.
  • the tunnel tongue-back connection mechanism 100 is a thin-walled tubular implant 100-4, which is made of medical silica gel. At both ends of the thin-walled tubular implant 100-4, a non-slip positioning projection 100-4-1 is provided, and the bottom of the non-slip positioning projection 100-4-1 contains a surface with the tongue mucosa Match the smooth surface 100-4-2.
  • the angle ⁇ between the two smooth faces 100-4-2 at both ends of the positioning convex step 100-4-1 is between 100° and 150°.
  • the smooth surface 100-4-2 under the positioning convex step 100-4-1 matching the surface of the tongue mucosa can be realized with the tongue mucosa
  • the face contact prevents the thin-walled tubular implant 100-4 from sliding out of the tongue mucosa.
  • the positioning convex step 100-4-1 since the positioning convex step 100-4-1 is in surface contact with the tongue mucosa, the stimulation of the positioning convex step 100-4-1 on the surface of the tongue mucosa is reduced, and the user's comfort can be increased.
  • An angle ⁇ between 100° and 150° is formed between the two smooth faces 100-4-2 at both ends of the positioning step 100-4-1. Since the biological shape of the tongue is an arched structure having an angle, after the thin-walled tubular implant 100-4 is implanted under the tongue mucosa, the angle ⁇ makes the positioning convex step 100-4- 1 It can better fit the mucous membrane of the tongue surface and increase the comfort of the patient during use.
  • the tunnel-type tongue-and-groove joint mechanism 100 is made of medical silica gel, when the tunnel-type tongue-and-groove joint mechanism 100 is implanted under the tongue mucosa, the shape can be arbitrarily changed, and the tongue submucosal passage can be well adapted.
  • the soft material also allows the positioning step 100-4-1 to have better compliance when in contact with the tongue mucosal tissue, slowing the stimulation of the tongue mucosal tissue and increasing patient compliance.
  • the thin-walled tubular implant 100-4 of the tunnel-type lingual attachment mechanism 100 is then implanted and fixed such that the locating steps 100-4-1 of the ends of the thin-walled tubular implant 100-4 are just right. Exposure to the surface of the tongue and mucous membranes.
  • the thin-walled tubular implant 100-4 is pulled 15 to 60 days after the operation, and when the patient has no pain or discomfort, the back of the tongue can be pulled.
  • the selected flank fixator 3 is used as the flank for the teeth, or the alveolar bone, or the upper jaw, or the lower jaw, or the upper and lower jaws.
  • the support point of the device 3 is fixed and fixed.
  • the flank stopper 3 used is bonded and fixed to the outside of the tooth, referring to Fig. 17.
  • the integrated elastic traction mechanism 212 is passed through the central hole 100-4-3 of the tunnel tongue-back connection mechanism of the present invention by an auxiliary tool, and the integrated elastic traction mechanism is further Both ends of the 212 are fixed to the flank holder 3.
  • the integral elastic traction mechanism 212 uses the flank anchor 3 as a fulcrum to generate an elastic pulling force to the tunnel tongue-and-groove joint mechanism 100 of the present invention. Under the elastic restoring force of the integrated elastic traction mechanism 212, the collapsed tongue root is pulled forward, so that the airway of the tongue and throat is expanded to reach the purpose of treating OSAHS, refer to FIG.
  • flank connecting hole 22-1 on the flank connecting mechanism 22 of the integrated elastic traction mechanism 212 needs to be selected first. .
  • the flank connecting hole 22-1 is selected in the flank connecting hole 21-1 of No. 1 to No. 4, the flank connecting hole 22-1 is selected.
  • the one-piece elastic traction mechanism 212 is then secured to the flank holder 3 by the selected flank attachment hole 22-1.
  • the tongue-back connection mechanism 1 of the integrated elastic traction mechanism 212 can be placed on the tunnel tongue.
  • the center hole 100-4-3 of the thin-walled tubular implant 100-4 of the back connection mechanism 100; and the position of the lingual connection mechanism 21 on both sides of the tongue-back traction mechanism 1 of the integrated elastic traction mechanism 212 is The position of the positioning convex steps 100-4-1 at both ends of the thin-walled tubular implant 100-4 of the tunnel type tongue-and-groove joint mechanism 100 of the present invention is substantially the same.
  • the elastic deformation mechanism 20 of the elastic traction body 2 of the integrated elastic traction mechanism 212 is exposed in a space between the positioning convex step 100-4-1 of the tunnel tongue-back connection mechanism 100 of the present invention and the flank holder 3. . As the tongue moves, the elastic deformation mechanism 20 is free to deform and always applies a suitable elastic pulling force to the back of the tongue.
  • Embodiment 18 The tongue-back elastic traction device provided with the longitudinal connection [H] groove on the connecting convex step of the tongue-back connection mechanism of the present invention refers to FIG. 18 to FIG. 18-13, and the difference of this embodiment lies in:
  • the elastic traction body tongue-and-groove joint mechanism 12 connected to the elastic traction body 2 on the tongue-back connecting mechanism 1 adopts a structure connecting the convex steps 12-2, and the connecting convex step 12-2 is longitudinally disposed.
  • the groove 12-1 -2 is connected. Establishing the longitudinal connecting groove 12-1-2 can increase the reliability of the connection between the elastic traction body 2 and the tongue-back connecting mechanism 1, even in the case of vigorous movement of the tongue, the elastic traction body 2 Nor will it slip off the connecting lug 12-2, see Figure 18-1.
  • the tongue-and-groove joint mechanism 1 includes a support body 11 and an elastic traction body tongue-back connection mechanism 12 coupled to the elastic traction body 2.
  • the support body 11 is an arcuate cylinder having a conical transition mechanism 12-4 at both ends of the arcuate cylinder.
  • the conical transition mechanism 12-4 causes the tongue-back connecting mechanism 1 to be in surface contact with the surface adhesive film of the tongue, which slows the stimulation of the mucosa of the tongue surface and improves the comfort of the implanted tongue-and-groove joint mechanism 1.
  • the elastic traction body tongue-and-groove joint mechanism 12 that connects the elastic traction bodies is composed of a connecting boss 12-2 and a connecting groove 12-1.
  • the connecting protrusion 12-2 of the tongue-and-groove joint mechanism 1 is hemispherical.
  • the connecting groove 12-1 of the tongue-and-groove joint mechanism 1 includes one transverse connecting groove 12-1-1 and four longitudinal connecting grooves 12-1-2; the four longitudinal connecting grooves 12-1 -2 is evenly distributed on the connecting protrusion 12-2 of the tongue-and-groove joint mechanism; the lateral connecting groove 12-1 -1 is connected to the bottom of the convex step 12-2 and the conical transition mechanism 12-4 Formed between the ends The groove is formed.
  • the connecting lugs 12-2, the transverse connecting grooves 12-1 -1, and the longitudinal connecting grooves 12-1 -2 together constitute a fixing of the elastic traction body 2.
  • the selected flank fixator 3 is used as the flank for the teeth, or the alveolar bone, or the upper jaw, or the lower jaw, or the upper and lower jaws.
  • the support point of the device 3 is fixed and fixed.
  • the flank holder 3 used is directly bonded and fixed to the outside of the tooth, with reference to Fig. 18.
  • one end of the elastic traction body 2 is first fixed on the elastic traction body tongue-back connecting mechanism 12 of the tongue-back connecting mechanism 1 of the present invention, and the other end of the elastic traction body 2 is fixed on the flank.
  • the elastic traction body 2 uses the flank anchor 3 as a fulcrum to generate an elastic pulling force to the tongue-back connecting mechanism 1 of the present invention.
  • the collapsed tongue root is pulled forward, so that the airway of the tongue and throat is expanded to reach the purpose of treating snoring or OSAHS, refer to FIG.
  • the flank connection hole 22-1 of the elastic traction body 2 is enlarged by the elasticity of the elastic traction body 2, and the elastic traction body 2 is removed from the flank holder 3.
  • the elastic traction body 2 is also separated from the elastic traction body tongue-back connecting mechanism 12 of the tongue-and-groove joint mechanism 1, and removed, and the pulling of the tongue back is released.
  • the lateral connecting groove 12-1 -1 and the longitudinal connecting groove 12-1 - 2 can be used for the lingual connection mechanism of the elastic traction body 2 of the tongue-back elastic pulling device in the lateral and longitudinal directions. 21 to fix.
  • the elastic traction body 2 adopts a belt-like structure.
  • the lingual connection mechanism 21 of the elastic body 2 of the belt structure is the lingual connection hole 21 -1, the lingual side connection hole 21 -1 is worn.
  • the connecting protrusion 12-2 After the connecting protrusion 12-2 is fixed, it is fixed in the lateral connecting groove 12-1 -1 under the connecting convex step 12-2, and at the same time, when the elastic force of the band structure is tightened to the flank When the body 2 is pulled, since the four longitudinal connecting grooves 12-1 - 2 are provided, the edge of the lingual side connecting hole 21 - 1 can be automatically caught on the connecting groove 12 - 2 In the case of 12-1 - 2, a combined fixing of the spatial intersection of the lateral connecting groove 12-1 -1 and the longitudinal connecting groove 12-1 - 2 is formed, with reference to Figs. 18-1 to 18-10.
  • longitudinal connecting groove 12-1 - 2 on the connecting protrusion 12-2 of the tongue-and-groove joint mechanism 1 can be set as two longitudinal connecting grooves 12-1 -2, or three longitudinal connecting grooves 12 -1 -2, or 5 longitudinal connection grooves 12-1 -2, can be selected according to the specific needs of the clinic, refer to Figures 18-11, 18-12, 18-13, respectively.
  • the longitudinal connecting groove 12-1 - 2 is of a form perpendicular to the lateral connecting groove 12-1 -1 according to the embodiment, It is also possible that the longitudinal connecting groove 12-1 - 2 and the lateral connecting groove 12-1 -1 form a certain spatial intersection angle, and the spatial intersection angle is usually between 10 ° and 90 °.
  • Embodiment 18-1 4-groove thread type tongue-and-back connection mechanism of the tongue-back elastic traction device of the present invention
  • the embodiment further adopts the tongue-and-groove joint mechanism 1 provided with four longitudinal connecting grooves on the connecting convex step optimized in Embodiment 18.
  • the joint protrusion 12-2, and the co-locating action of the longitudinal connecting groove 12-1 -2 and the lateral connecting groove 12-1 -1 achieve good fixing and connection to the elastic traction body 2;
  • the difference of the embodiment 18 is that the connecting protrusion 12-2 of the tongue-and-groove joint mechanism 1 of the present embodiment and the support body 11 are detachably threaded.
  • the tongue-and-groove joint mechanism 1 includes the support body 11 and the elastic traction body tongue-back connection mechanism 12 that connects the elastic traction bodies.
  • the support body 11 is an arcuate cylinder
  • the elastic puller tongue-and-groove joint mechanism 12 that connects the elastic traction bodies is composed of a connecting boss 12-2 and a connecting groove 12-1.
  • the connecting lugs 12-2 are screwed together with the ends of the support body 11.
  • the connecting nut 12-7 on the connecting protrusion 12-2 is screwed on the connecting screw 11 -7 at the end of the supporting body 11, that is, the elastic traction body tongue-back connecting mechanism 12 and the support are realized.
  • the coupling nut 12-7 is loosened from the connecting screw 11-7 by rotation, so that the connection between the elastic traction body tongue-and-groove joint mechanism 12 and the support body 11 can be released.
  • the detachable threaded-type tongue-back connecting mechanism is convenient for installation and disassembly under the mucosa of the tongue.
  • the left side of the tongue-back connecting mechanism 1 is detachably connected by a threaded connection structure to realize a combined connection between the elastic traction body tongue-back connecting mechanism 12 and the support body 11.
  • the right side of the tongue-back connecting mechanism 1 is integrally manufactured to facilitate the clamping and clamping of the clamping jaws.
  • Embodiment 18-2 4-groove concave-convex card-fitting tongue-and-groove joint mechanism of the tongue-back elastic traction device of the present invention Referring to Figs. 18-5, 18-6 and 18-7, this embodiment still adopts an embodiment.
  • the tongue-and-groove joint mechanism 1 is provided with four longitudinal connecting grooves on the connecting convex step optimized in 18, through the connecting convex step 12-2, and the longitudinal connecting groove 12-1 -2 and the lateral connecting concave
  • the co-locating action of the slot 12-1 -1 achieves a good fixation and connection to the elastic traction body 2; the difference from the embodiment 18 and the embodiment 18-1 is that the tongue-back connection mechanism of the embodiment
  • a connection between the connecting protrusion 12-2 and the support body 11 is a detachable concave-convex card-fit connection structure.
  • the mounting convex step 11-5 of the concave-convex card on the support body 11 is engaged with the concave-convex card-fit mounting recess of the connecting convex step 12-2 of the elastic traction body tongue-and-groove joint mechanism 12 of the elastic traction body Assembly can be completed in the slot 12-5.
  • the slot 11 -6 on the support body 11 is compressed inwardly, so that the slot 11 -6 is inwardly contracted, so that the mounting protrusion 11 -5 of the embossing card fits is concentrically contracted, and
  • the mounting convex step 11-5 of the concave-convex card is released from the mounting groove 12-5 of the concave-convex card, and the disassembly is completed.
  • Embodiment 19 Three-stage elastic traction body of the tongue-back elastic traction device of the present invention
  • an elastic traction body 2 for a tongue-back elastic stretching device is disclosed.
  • the elastic traction body 2 is made of a medical silica gel material and is integrally manufactured by a mold forming technique.
  • the three-stage elastic traction body 2 includes a lingual side connecting mechanism 21, a flank connecting mechanism 22, and an elastic deformation mechanism 20.
  • the lingual side connecting mechanism 21 and the flank connecting mechanism 22 are respectively disposed at two ends of the three-stage elastic traction body 2, and the lingual side connecting mechanism 21 is provided with one tongue.
  • the three-stage elastic body 2 is a long sheet-like elastic body.
  • the three-stage elastic traction body 2 integrally manufactured with the medical elastic material realizes that the lingual side connecting mechanism 21 or the flank connecting mechanism 22 hardly changes when the elastic deformation mechanism 20 is elastically deformed by a variable cross section. Elastic deformation occurs.
  • the lingual side connecting hole 21 -1 provided on the lingual side connecting mechanism 21 is provided with a convex edge 21-1 -1 which can increase the tensile resistance.
  • the raised edge 21-1-1 can effectively enclose the tongue-and-groove joint mechanism 2 to prevent the three-stage elastic traction body 2 from accidentally falling off the tongue-back connecting mechanism 1.
  • flank connecting holes 22-1 are provided on the flank connecting mechanism 22, and the distance between each flank connecting holes 22-1 is 5 mm, and the connecting holes are provided in each flank.
  • the vicinity of 22-1 is marked with a position number in Arabic numerals.
  • a convex edge 22-1 -1 capable of increasing tensile resistance is provided around each of the flank connecting holes 22-1, and the convex edge 22-1 -1 can be effectively hooped
  • the flank retainer 3 prevents the three-stage elastic traction body 2 from accidentally falling off the flank stopper 3.
  • the elastic deformation mechanism 20 is elastically deformed, and an elastic pulling force is applied to the tongue, which can pull the collapsed tongue root toward the premise, avoiding the OSAHS caused by the tongue root collapse; and does not hinder the movement of the tongue.
  • OSAHS retains good language skills and improves patient comfort.
  • the elastic traction force applied to the tongue by the elastic deformation mechanism 20 in the working state is generally less than 300 g, generally between 30 g and 200 g, according to individual differences of OSAHS patients and clinical treatment needs.
  • the magnitude of such elastic traction force of the elastic deformation mechanism 20 can be adjusted by using the flank connection holes 22-1 of different position numbers in the flank connection mechanism 22. Referring to Figure 19-2, in clinical use, first, the lingual attachment mechanism 1 is implanted in front of the contoured nipple of the tongue.
  • a minimally invasive surgical procedure is performed on the sides of the lingual mucosa of the tongue, about 0 cm to 5 cm in front of the midline, about 2 m to 3 cm from the midline, and a surgical instrument is used to penetrate the submucosa to form a tunnel.
  • the tongue-back connection mechanism 1 is then implanted and fixed such that the support body 11 of the tongue-back connection mechanism 1 is buried under the tongue mucosa, and the elastic-traction tongue-and-loop connection mechanism 12 is exposed outside the surface of the tongue mucosa.
  • the tongue-back connection mechanism implanted by hand is pulled from 15 days to 60 days after the operation. When the patient has no pain or discomfort, the back of the tongue can be pulled.
  • the second step is to fix the flank holder 3.
  • the two flank holders 3 are fixed to the inner sides of the upper teeth of the left and right sides by a medical adhesive.
  • the fourth upper teeth from the front teeth to the left side, or the fourth upper teeth from the front teeth to the right side are selected as the adhesive fixing points of the flank retainer 3.
  • the three-stage elastic traction body 2 is worn.
  • the lingual attachment mechanism 21 of the elastic traction body 2 is fixed on the tongue-back connection mechanism 1, and the flank connector 22 is fixed on the flank holder 3, and the elastic traction body 2 is
  • the flank fixator 3 is a fulcrum, and an elastic pulling force is generated to the tongue-back connecting mechanism 1. Under the elastic restoring force of the elastic traction body 2, the tongue is pulled forward.
  • the three-stage elastic traction body 2 is removed.
  • Embodiment 20 The integrated elastic traction mechanism of the tongue-back elastic traction device of the present invention
  • the tongue-back connecting mechanism 1 and the elastic traction body 2 of the tongue-back elastic traction mechanism of the present invention are formed as one integral member to constitute the integral elastic traction mechanism 212.
  • the integrated elastic traction mechanism 212 includes a tongue-and-groove joint mechanism 1 and an elastic traction body 2, which are integrally manufactured by a mold forming technique using medical silica gel.
  • an elastic traction mechanism 212 of the present invention includes a tongue-and-groove joint mechanism 1 and an elastic traction body 2.
  • the elastic traction body 2 includes a flank connecting mechanism 22, an elastic deformation mechanism 20, and a lingual connection mechanism 21.
  • the flank connecting mechanism 22, the elastic deformation mechanism 20, the lingual side connecting mechanism 21 and the tongue-back connecting mechanism 1 of the integrated elastic traction mechanism 212 are arranged in the following order:
  • the integrated elastic traction mechanism 212 adopts a design concept of variable cross-section to realize that each functional module of the elastic body has different elastic deformation under the same stress condition.
  • the area of the cross section of the elastic deformation mechanism 20 is both smaller than the area of the cross section of the flank connecting mechanism 22 and smaller than the area of the cross section of the lingual attachment mechanism 1. In the present embodiment, the area of the cross section of the elastic deformation mechanism 20 is only 30% or less of the area of the cross section of the flank joint mechanism 22 or the tongue-and-groove joint mechanism 1.
  • the elastic deformation amount of the elastic deformation mechanism 20 of the elastic deformation mechanism 20 of the present invention under the same stress condition reaches the elasticity of the flank connection mechanism 22 or the tongue-back connection mechanism 1 More than 3 times the amount of deformation. In other words, the deformation resistance of the elastic deformation mechanism 20 is smaller than the deformation resistance of the flank joint mechanism 22 or the tongue-and-groove joint mechanism 1.
  • the elastic deformation mechanism 20 In the operating state in which the integral elastic traction mechanism 212 applies a pulling force of 300 g or less, the elastic deformation mechanism 20 is elastically deformed, and the flank connecting mechanism 22 or the tongue-back connecting mechanism 1 hardly undergoes elastic deformation.
  • flank connecting holes 22-1 are provided on the flank connecting mechanism 22, and the distance between each flank connecting holes 22-1 is 5 mm, and the connecting hole 22-1 is connected to each flank. The location is marked with Arabic numerals nearby.
  • the elastic pulling force of the tongue by one of the elastic guiding mechanisms 212 of the present invention can be adjusted. The closer the flank connecting hole 22-1 is to the elastic deformation mechanism 20, the greater the elastic pulling force generated when it is fixed to the flank stopper 3. On the contrary, the farther the flank connecting hole 22-1 is away from the elastic deformation mechanism 20, the smaller the elastic pulling force generated when it is fixed to the flank stopper 3.
  • a convex edge 22-1-1 capable of increasing tensile resistance is provided around each of the flank connecting holes 22-1, and the convex edge 22-1 -1 can be effectively hooped
  • the flank holder 3 prevents the integral elastic traction mechanism 212 from accidentally falling off the flank holder 3.
  • the elastic deformation mechanism 20 is elastically deformed, and an elastic pulling force is applied to the tongue, so that the collapsed tongue root can be pulled toward the premise to avoid the OSAHS caused by the tongue root collapse. Due to the elastic pulling method, the tension of the integrated elastic traction mechanism 212 applied to the back of the tongue is soft and elastic, and does not hinder the movement of the tongue. While treating the OSAHS, it retains good language ability and improves the patient's Comfort.
  • the elastic traction force exerted on the tongue by the elastic deformation mechanism 20 in the working state is generally less than 300 g, generally between 30 g and 200 g, depending on the individual difference of the OSAHS patient and the need for clinical treatment.
  • the magnitude of such elastic traction of the elastic deformation mechanism 20 can be adjusted by using the flank connection holes 22-1 of different position numbers in the flank joint mechanism 22.
  • the tongue-and-groove joint mechanism 1 of the one-piece elastic traction mechanism 212 of the present invention is placed in the submucosal epithelialized tunnel 100-1 of the tongue, and has a tunnel 100-1 matching the submucosal epithelialization of the tongue.
  • the tongue-back connecting mechanism 1 hardly undergoes elastic deformation, and can effectively effectively perform the submucosal epithelial tunnel 100-1. Supporting fixation, ensuring the area of the back of the tongue when pulling, and improving the expansion of the airway of the tongue and throat.
  • a submucosal submucosal tunnel can be formed under the tongue mucosa that can withstand a certain tensile force.
  • the second step is to fix the flank holder 3.
  • the two flank fixators 3 are respectively fixed by a medical adhesive to the fourth upper teeth which are counted from the front teeth to the left side, and the fourth upper teeth which are counted from the front teeth to the right side.
  • one of the body type elastic traction bodies of the present invention is worn.
  • the integral elastic traction mechanism 212 Prior to falling asleep, the integral elastic traction mechanism 212 is passed through an adhesive subcutaneously tunnel 100-1 formed at the back of the tongue with an auxiliary tool.
  • the unitary elastic traction mechanism 212 is passed through the surgically submucosal epithelialized tunnel 100-1, different position numbers of the flank connecting holes 22-1 may be selected depending on individual patient differences.
  • the position number No. 2 of the flank connecting hole 22-1 is selected, and the position 3 and the position 4 of the flank position connecting hole 22-1 are set along the marking line of the position number No. 2 Cut off.
  • the flank connecting hole 22-1 fixes both ends of the elastic traction body 2 to the flank holder 3, that is, the installation and wearing process of the tongue-back elastic traction device of the present invention is completed.
  • Embodiment 21 Tripod-type lip external fixation flank fixator of the tongue-back elastic traction device of the present invention
  • a flank fixator 3 of the tongue-back elastic traction device of the present invention is disclosed, and the flank-fixed device 3 adopts a tripod structure and is fixed to the upper jaw and the lower jaw. At the corner of the intersection, it belongs to the lip-shaped edullary fixator 3.
  • the lip-shaped edging holder 3 includes a support frame 31 capable of supporting the lip-type flank holder 3, an elastic traction body flank connecting mechanism 32 capable of connecting the elastic traction body 2, and the outer lip
  • the flank fixator 3 is fixed to the flank fixing mechanism 33 outside the upper and lower jaws, and the surface of the flank fixing mechanism 33 that is in contact with the skin surface is a smooth curved surface.
  • the elastic traction body flank connecting mechanism 32 and the flank fixing mechanism 33 are disposed on the support frame 31.
  • the elastic traction body flank connecting mechanism 32 includes a positioning groove 32-1 and a positioning convex step 32-2 for fixing the flank holder of the elastic traction body 2, and the positioning convex step 32-2 adopts a smooth cone. Shape structure.
  • the lip-shaped edging holder 3 includes three externally fixed support frames 31-4, and the externally fixed support frames 31 -4 It is an arched structure. One end of the external fixation support frame 31-4 is joined to the elastic traction body flank connecting mechanism 32; the other end is provided with the flank fixing mechanism 33.
  • the lip-shaped flank holder 3 is formed with the elastic traction body flank connecting mechanism 32 as a center, and the lip outer fixing support frame 31-4 is an arch-shaped supporting leg to contact the skin of the upper and lower jaws.
  • the smooth curved surface 33-1 of the bottom of the flank fixing mechanism 33 is a radial arch structure of the support point.
  • the lip-shaped flank fixer 3 comprises three externally fixed support frames 31 -4: a maxillary lip external fixation support frame 31 -4-1 , a lower jaw external fixation support frame 31 -4-2 and a lip support frame 31-4-3.
  • the angle ⁇ between the maxillary lip external fixation support frame 31 -4-1 and the lower jaw external fixation support frame 31 -4-2 is greater than or equal to the upper jaw external fixation support frame 31 -4-1 and the lip angle support frame
  • the length of the maxillary lip outer support frame 31-4-1 or the mandibular lip outer support frame 31-4-2 is greater than or equal to the length of the lip support frame 31-4-3.
  • the elastic traction body 2 is fixed in the positioning groove 32-1 through the smooth tapered structure of the positioning convex step 32-2, and the lip outer lip holder 3 is outside the upper jaw lip.
  • the fixed support frame 31 -4-1, the lower jaw outer fixed support frame 31-4-2, and the lip support frame 31-4-3 are respectively supported outside the maxillary lip, outside the lower jaw lip and outside the lip corner to form a triangular support structure. Fixing the lip outer flank 3 to the outside of the patient's upper and lower jaws by the elastic pulling force applied by the elastic deformation mechanism 20 of the elastic traction body 2, completing the elastic traction body 2 outside the lip For the wearing process on the edging holder 3, refer to Fig. 21-4.
  • Embodiment 22 I-shaped flank anchor of the tongue-back elastic traction device of the present invention
  • the flank fixator 3 of the tongue-back elastic traction device of the present invention adopts an I-shaped flank fixator 3 which can be fixedly fixed to the teeth
  • the flank fixer 3 is composed of a support frame 31, an elastic traction body flank connecting mechanism 32 and a flank fixing mechanism 33, and the elastic traction body flank connecting mechanism 32 and the flank fixing mechanism 33 are disposed on the support frame 31 on.
  • the elastic traction body flank connecting mechanism 32, the support frame 31 and the flank fixing mechanism 33 are formed in a cross section.
  • the flank fixing mechanism 33 is fixed to the tooth surface in an adhesive manner.
  • the flank connecting mechanism 32 includes a positioning groove 32-1 capable of fixing the elastic traction body 2 and a spherical crown positioning convex step 32-2 having a smooth surface. Since the flank connecting mechanism 32 adopts a spherical crown design having a smooth surface, when the flank connecting mechanism 32 is fixed to the tooth surface, the contact between the flank connecting mechanism 32 and the mucosal tissue inside the human oral cavity is smooth. Face contact, can minimize the stimulation of human oral mucosal tissue, ensuring patients for a long time The comfort during use.
  • the support frame 31 is a smooth cylinder.
  • the flank connecting hole 22-1 of the flank connecting mechanism 22 surrounds the support frame 31 and is embedded in Position the groove 32-1. Since the support frame 31 adopts a smooth cylindrical design, the smooth surface does not damage the flank connecting hole 22-1 of the elastic traction body 2, and the safety of the elastic traction body 2 during use is enhanced. Sex.
  • the flank fixing mechanism 33 is a housing 33-1 having an arc conforming to the surface of the tooth. Since the portion where the flank fixing mechanism 33 is bonded to the tooth has an arc corresponding to the surface of the tooth, the flank fixing mechanism 33 can be better fitted to the tooth surface, and the tooth is better ensured. The reliability of the adhesion between the side fixing mechanism 33 and the tooth surface enhances the safety during use of the flank holder 3.
  • the housing 33-1 of the flank fixing mechanism 33 having an arc corresponding to the surface of the tooth is provided with a plastic-filling hole 33-1-1.
  • the housing 33-1 of the flank fixing mechanism 33 is provided.
  • the adhesive hole 33-1 -1 can increase the contact area between the adhesive and the flank fixing mechanism 33 during the bonding of the flank fixing mechanism 33 to the tooth surface, so that the flank fixing mechanism 33 The bonding with the tooth surface is stronger, and the safety of the flank fixator 3 during use is better ensured.
  • the flank fixer 3 is made of medical titanium alloy, which ensures the biological safety of the material, and does not have any adverse effects on the human body even if it is in contact with human tissues for a long time. On the other hand, the mechanical properties of the material can be ensured. It is required to ensure the safety of the edging holder 3 during long-term use of the patient.
  • the flank fixator 3 is first adhered to the tooth surface by the housing 33-1 having the curvature corresponding to the tooth surface of the flank fixing mechanism 33 thereon.
  • the elastic traction body 2 passes through the spherical crown positioning convex step 32-2 having a smooth surface, and surrounds the support frame 31 and is embedded in the positioning groove 32-1, that is, the elastic traction is completed.
  • Embodiment 23 A clamping plier for mounting the tongue-back elastic traction device of the present invention
  • a clamping plier for mounting a 4-groove thread type tongue-and-groove joint mechanism 1 of the tongue-back elastic traction device of the present invention.
  • the 400 can be used in conjunction with the 4-groove thread type tongue-and-groove joint mechanism 1 of the tongue-back elastic traction device disclosed in Embodiment 18-1.
  • the clamping jaw 400 includes a right arm 401, a left arm 402, a rotating shaft 403, a return spring 404, a self-locking mechanism 405, and a mounting groove 406 in which the self-locking mechanism 405 is mounted.
  • the right arm 401 includes a right jaw head 401-1, a right arm tail portion 401-2, and a right arm shaft mounting convex step 401-3.
  • the right clamping head 401-1 includes a right working groove 401-1 -1, a right side anti-detachment limit step 401 -1 -3 and a right side rotation limit step 401 - 1 - 2.
  • a through hole 401-3-1 for mounting the rotating shaft is provided on the right arm rotating shaft mounting boss 401-3.
  • the right arm tail portion 401-2 is provided with a right return spring mounting groove 401-2-3.
  • the clamping arm right arm 401 is further provided with positioning guiding grooves 401-4-4.
  • the mounting groove 406 is provided at the end of the right arm tail portion 401-2, with reference to FIGS. 4 to 4-2.
  • the left arm 402 includes a left clamping head 402-1, a left arm tail 402-2, and a left arm rotating shaft mounting convex step 402-3.
  • the left clamping head 402-1 includes a left working groove 402-1 -1, a left side anti-detachment limit step 402-1 -3 and a left side rotation limit step
  • a through hole 402-3-1 for mounting the rotating shaft is provided on the left arm rotating shaft mounting boss 402-3.
  • the left arm tail portion 402-2 is provided with a left return spring mounting groove 402-2-3.
  • the clamping arm left arm 402 is further provided with positioning guide blocks 402-1 - 4.
  • the mounting groove 406 is provided at the end of the left arm tail portion 402-2, with reference to Figs. 5 to 5-2.
  • the rotating shaft 403 is a cylinder whose diameter is capable of forming an interference fit with the through hole 401 -3-1 of the right shaft mounting convex step, and the rotating shaft 403 is fixed to the through hole 401-3-1.
  • the inner diameter of the through hole 402-3-1 of the left-hand shaft mounting convex step is larger than the diameter of the rotating shaft 403, and the left arm 402 can rotate around the rotating shaft 403 through the through hole 402-3-1.
  • the return spring 404 of the clamping jaw 400 employs a coil spring.
  • the return spring 404 is disposed between the right arm tail portion 401-2 and the left arm tail portion 402-2, and one end supports the right return spring mounting groove 401-2-3 of the right arm tail portion 401-2. The other end is supported in the left return spring mounting groove 402-2-3 of the left arm tail portion 402-2.
  • the return spring 404 applies an opening force to the right arm tail portion 401-2 and the left arm tail portion 402-2, so that the clamp head of the clamping clamp 400 remains closed, refer to FIG. 23-2 and FIG. 23-5. Figure 23-6, Figure 23-7.
  • the self-locking mechanism 405 of the clamping jaw 400 includes a pin 405-1, a torsion spring 405-2, and a self-locking block 405-3, and is mounted in a mounting groove 406 of the self-locking mechanism of the clamping jaw 400.
  • the pin 405-1 is a cylindrical body, which forms an interference fit with the pin hole 401 -2-1 and is firmly fixed.
  • the torsion spring 405-2 is wound around the pin 405-1, one end of the torsion spring 405-2 is supported on the right arm tail portion 401-2, and the other end is supported on the self-locking position block 405-3
  • the torsion spring mounting groove 405-3-4 provides a downward closing force to the locking teeth 405-3-1 of the self-locking block 405-3.
  • the self-locking block 405-3 includes a locking tooth 405-3-1, a self-locking switch 405-3-2, a mounting through hole 405-3-3, and a torsion spring mounting groove 405-3-4.
  • the self-locking block 405-3 is in an L-shaped plate-like structure, the locking teeth 405-3-1 are at the front end of the self-locking block 405-3, and the self-locking switch 405-3-2 is in the Described from the tail of the locking block 405-3, the mounting through hole 405-3-3 is at the corner of the L-shape of the self-locking block 405-3, and the torsion spring mounting groove 405-3-4 is The mounting is in the vicinity of the through hole 405-3-3.
  • the locking tooth 405-3-1 forms a concave-convex card fit with the positioning convex step 402-2-1 of the mounting groove 406 of the self-locking mechanism on the left arm tail portion 402-2; the self-locking switch 405- 3-2 is raised on the unlocking groove 401-2-2, and the pin 405-1 can pass through the mounting through hole 405-3-3, and the self-locking block 405-3 is movably mounted In the mounting groove 406 of the right arm 401, refer to FIG. 23-2, FIG. 23-5, FIG. 23-6, FIG. 23-7, Figure 23-14, Figure 23-15.
  • the assembly of the clamping jaw 400 is divided into two steps of mounting the body of the clamping jaw 400 and mounting the self-locking mechanism 405.
  • the mounting of the main body of the clamp 400 is first performed. Inserting the return spring 404 end into the right return spring mounting groove 401 -2-3 of the right arm tail portion 401-2, and then mounting the right arm 401 and the left arm 402 with the right arm pivot mounting convex step 401-3 is assembled with the concave-convex card of the left-hand shaft mounting convex step 402-3, and the other end of the return spring 404 is placed into the left-side return spring mounting groove 402-2 of the left-arm tail portion 402-2. -3 inside.
  • the rotating shaft 403 is sequentially passed through the through hole 401 -3-1 on the convex shaft of the right rotating shaft, and the through hole is mounted on the convex side of the left rotating shaft. 402-3-1, and then enter the through hole 401-3-1 on the convex shaft of the right shaft; fix the rotating shaft 403 to the through hole 401-3 on the convex step of the right shaft by an interference fit
  • the inner diameter of the through hole 402-3-1 on the left-hand shaft mounting convex step is larger than the diameter of the rotating shaft 403, so that the left arm 402 can rotate about the rotating shaft 403.
  • the right arm 401 and the left arm 402 are assembled by the rotating shaft 403, thus assembling the body of the clamping jaw 400.
  • the assembly of the self-locking mechanism 405 is performed. First, the pin 405-1 is inserted into the tail of the right arm.
  • the pin 405-1 is sequentially passed through the torsion spring 405-2, the mounting through hole 405-3-3 of the self-locking block 405-3, and the pin is re-entered.
  • the pin 405-1 has an interference fit with the pin hole 401 -2-1 to secure the pin 405-1. Since the inner diameter of the through hole 405-3-3 on the self-locking block 405-3 is larger than the diameter of the pin 405-1, the self-locking block 405-3 can surround the pin 405-1. Turn.
  • one end of the torsion spring 405-2 is placed in the torsion spring mounting groove 405-3-4 of the self-locking block 405-3, and the other end is supported on the right arm tail portion 401-2.
  • the locking teeth 405-3-1 of the self-locking block 405-3 are placed in the mounting groove 406 of the self-locking mechanism on the left arm tail portion 402-2.
  • the self-locking switch 405-3-2 of the self-locking block is first pressed, and the locking teeth of the self-locking block of the clamping clamp are 405-3. -1 is lifted from the positioning projection 402-2-1 of the mounting groove of the self-locking mechanism on the tail of the left arm to keep the jaw of the clamping jaw 400 in an open state.
  • the connecting protrusion 12-2 of the tongue-back connecting mechanism is incorporated into the cavity formed by the right working groove 401-1-1 of the clamping jaw and the left working groove 402-1-1;
  • the clamping clamp 400 is configured to gently rotate the connecting protrusion 12-2 of the tongue-back connecting mechanism, so that the right-side rotation limiting step 401 -1 -2 and the left-side rotation limiting step 402-1 -2 can be embedded in the longitudinal connecting groove 12-1-2 of the tongue-back connecting mechanism 1; the right-side anti-detachment limit step 401-1-3 and the left side anti-detachment limit step 402- 1 - 3 is embedded in the lateral connecting groove 12-1 -1 of the tongue-back connecting mechanism 1, thus completing the connection of the tongue-back connecting mechanism
  • the preparation of the support body of the tongue-and-loop connection mechanism is screwed by a screw connection.
  • the technical solution provided by the present invention can also carry out other specific designs, for example, changing the return spring 404 from a coil spring to a torsion spring, and winding a torsion spring type return spring 404 on the rotating shaft 403, one end supporting The spring mounting groove 401 -2-3 is reset on the right side of the right arm tail portion 401-2, and the other end is supported on the left return spring mounting groove 402-2-3 of the left arm tail portion 402-2.
  • Embodiment 24 Mounting pliers for mounting an elastic traction body of the tongue-back elastic traction device of the present invention
  • a mounting plier 500 for mounting an elastic traction body of a tongue-back elastic traction device is disclosed.
  • the mounting pliers 500 can be combined with the three-stage elastic traction in Embodiment 19.
  • the body is used in combination with the one-piece elastic traction mechanism of Embodiment 20.
  • the mounting pliers 500 includes a flared end 501 and a handle end 502.
  • the open end 501 includes two symmetrically distributed brackets 501-1, and the distance d501 between the two symmetrically distributed brackets 501-1 is greater than the elastic traction body tongue.
  • a groove 501-1-1 for preventing the lingual attachment mechanism 21 of the elastic traction body 2 from coming off is provided on the bracket 501-1. After the lingual attachment mechanism 21 of the elastic traction body 2 is placed on the bracket 5011 of the mounting tong 500, during the movement of the mounting tong 500, due to the groove on the bracket 5011 of the mounting tong 500 The positioning action of 501 -1 -1, the lingual connection mechanism 21 of the elastic traction body 2 does not fall off from the mounting tongs, so that the working process of the mounting tongs 500 is safer and more convenient.
  • the surface of the handle end 502 has a non-slip groove, or a non-slip rib or an anti-slip pattern 502-1, which can effectively prevent the mounting pliers from slipping out of the operator during use.
  • the mounting pliers 500 is made of a medical polymer material. When the mounting pliers 500 is mounted with the elastic traction body 2, even if the bracket 500-1 of the mounting pliers 500 is in direct contact with the human tongue and mucous membrane tissue, it will not be generated by the user. Any adverse effects.
  • the lingual connection hole 21 -1 of the sexual traction body 2 is elastically stretched, enlarged and sleeved on two symmetrical brackets 5011, holding the handle end 502 of the mounting tong 500, and moving the mounting tongs 500 to the elastic
  • the lingual attachment mechanism 21 of the traction body 2 is adjacent to the connection projection 12-2 of the elastic traction body lingual attachment mechanism 12, and the connection projection 12-2 on the lingual attachment mechanism 1 is placed in the enlarged lingual connection hole 21 -1, the mounting jaw 500 is taken out, and the lingual connection hole 21 -1 of the elastic traction body 2 is detached from the bracket 5011, and is inserted in the connecting protrusion 12 of the tongue-back connecting mechanism 1
  • the lateral connection of the 2 is in the groove 12-1-1, thereby completing the connection of the elastic traction body 2 to the tongue-back connecting mechanism 1.
  • Embodiment 25 A lead device for an integrated elastic traction mechanism for mounting a tongue-back elastic traction device of the present invention. Referring to Figures 25 to 25-8, in this embodiment, a tongue-back elastic traction of the present invention is disclosed.
  • the lead device 200 of the unitary elastic traction mechanism of the device can be used in conjunction with the integral elastic traction mechanism 212 of the lingual elastic traction device of the embodiment 20.
  • the one-piece elastic traction mechanism lead 200 includes a lead rod 201 and a slider 202.
  • the lead rod 201 includes a smooth guide head 201-1, a mounting hook 201-2 for mounting the elastic traction body 2, and a limiting slot 201-3 for limiting the sliding distance of the slider 202; the slider 202 has a smooth transition
  • the sliding convex step 202-1, the sliding convex step 202-1 of the slider 202 can slide in the limiting groove 201 -3 of the lead rod 201.
  • the slider 202 cannot cover the mounting hook 201-2; when the sliding convex When the step 202-1 is located near the end of the mounting hook 201 - 2 of the limiting slot 201 - 3 , the slider 202 can completely cover the mounting hook 201 - 2 .
  • the slider 202 In the working state, the slider 202 is first slid to the end of the limiting slot 201-3 near the guiding head 201-1, and the flank connecting hole 22 of the integrated elastic traction mechanism 212 is- 1 is placed in the mounting hook 201-2. The slider 202 is then slid to the end of the limiting slot 201-3 near the mounting hook 201-2, and the mounting hook 201-2 is completely covered by the slider 202.
  • the lead wire 200 of the integrated elastic traction mechanism 212 will be installed, and the integrated elastic traction mechanism 212 will be smoothly passed through the tongue and submucosalized tunnel 100-1 by the guide head 201-1.
  • the slider 202 is slid to the end of the limiting slot 201 - 3 near the guiding head 201 -1 to expose the mounting hook 201 - 2, and then the integrated elastic traction mechanism The flank connecting hole 22-1 of the 212 is taken out from the mounting hook 201-2, that is, the lead process of the lead wire 200 to the integral elastic pulling mechanism 212 is completed.
  • the slider 202 adopts the structure of the inwardly flanging to form the sliding convex step 202-1, the smooth transition of the sliding convex step 202-1 is realized, and the stimulation of the mucous membrane on the tongue surface is slowed down.
  • the comfort of the leader 200 during operation is improved.
  • the top end of the guiding head 201 - 1 is a cone having a smooth surface; therefore, in the process of the lead wire 200 implementing the lead wire to the integral elastic traction mechanism 212, the guiding head 201 - 1 and the submucosa of the tongue
  • the surface of the epithelialized tunnel 100-1 is in surface contact, which can effectively slow the stimulation of the mucosa on the surface of the tongue.
  • the guiding head 201-1 can well bypass the obstruction, and the wire process can be smoothly performed.
  • the mounting hook 201-2 can be completely covered by sliding the slider 202, and the integral elastic traction mechanism 212 is well fixed on the mounting hook 201-2.
  • the integral elastic traction mechanism 212 does not fall off from the mounting hook 201-2; meanwhile, since the mounting hook 201-2 does not Exposed to the outside of the slider 202, the direct contact and stimulation of the mounting hooks 201-2 with the surface of the tongue and mucous membrane are effectively avoided, and the comfort and smoothness of the lead process are greatly enhanced.
  • the embodiments described above are not the only structures that implement the invention. Those skilled in the art will be aware that these embodiments are merely illustrative and that numerous changes, modifications and substitutions may be made by those skilled in the art without departing from the invention.
  • a tongue-and-shoulder elastic traction device of the present invention is disclosed in the present invention.
  • the elastic traction body 2 is made of medical titanium-nickel shape memory alloy wire, and the elastic traction body 2 is used. Contains a coil spring 9.
  • the lingual attachment mechanism 21 of the elastic traction body 2 employs a lingual attachment hook 21-3.
  • the flank connecting mechanism 22 of the elastic traction body 2 also employs a flank connecting hook 22-3.
  • the tongue-back connecting mechanism 1 is an elliptical annular support frame, and the lingual side connecting hooks 21-3 can conveniently hook the tongue-and-groove joint mechanism 1.
  • the tongue-back elastic traction device of the present invention of this structure is particularly convenient to use. In the following embodiments, some variations of the tongue-back connection mechanism 1 are shown:
  • FIG. 27-1 there is shown a tongue-back connecting mechanism 1 of a U-shaped support body of the tongue-back pulling device of the present invention, and the support body 11 of the U-shaped support tongue-back connecting mechanism 1 is U-shaped.
  • the elastic traction body tongue and back connection mechanism 12 is connected to the convex step 12-2.
  • the connecting boss 12-2 and the support 11 are integrally manufactured.
  • the connecting protrusions 12-2 may be separately manufactured into one part, and then fixed to the U-shaped two of the support body 11 by a screw connection method, a bump card engagement connection manner, or an interference fit manner, or a bonding manner. end.
  • FIG. 27-2 there is shown a tongue-and-loop connection mechanism 1 of an elliptical ring support body of the tongue-and-back traction device of the present invention, which is formed by bending the same titanium wire and implanting
  • the elliptical ring portion of the tongue submucosa constitutes the support body 11 of the tongue-back connecting mechanism 1
  • the portion of the elliptical ring exposed outside the tongue mucosa constitutes the elastic traction body tongue-back connecting mechanism 12 of the tongue-back connecting mechanism 1. .
  • a tongue-and-groove joint mechanism 1 of a ring-shaped support body of the tongue-back pull device of the present invention which is formed by bending the same titanium wire and implanting
  • the annular portion of the tongue submucosa constitutes the support body 11 of the tongue-back connection mechanism 1
  • the portion of the ring that is exposed outside the tongue mucosa constitutes the elastic traction body tongue-back connection mechanism 12 of the tongue-back connection mechanism 1.
  • this embodiment differs from the embodiment of Fig. 27-1 in that: the elastic traction body tongue-back connecting mechanism 12 of the tongue-back connecting mechanism 1 employs a coupling groove 12-1.
  • the connecting groove 12-1 can conveniently fix the strip-shaped elastic traction body 2 made of a medical film to the connecting groove 12-1, and can also be easily removed from the connecting groove 12-1.
  • this embodiment differs from the embodiment of Figures 27-1 in that the resilient tow tongue-and-loop attachment mechanism 12 of the tongue-back attachment mechanism 1 employs a connecting hook 12-3.
  • the tongue-back connecting mechanism 1 is formed by bending a single titanium wire, and the curved support body 11 is implanted under the tongue mucosa, and the connecting hooks 12-3 at both ends are exposed outside the tongue mucosa.
  • the connecting hook 12-3 can conveniently fix the belt-shaped elastic traction body 2 made of a medical film to the connecting hook 12-3, and can also be easily removed from the connecting hook 12-3.
  • this embodiment differs from the embodiment of Figures 27-5 in that the resilient tow tongue-and-loop attachment mechanism 12 of the tongue-back attachment mechanism 1 employs a connecting hook 12-3.
  • the curved support body 11 of the tongue-back connection mechanism 1 is bent by a single titanium wire and implanted under the tongue mucosa; the connecting hooks 12-3 at both ends are connected to the support body 11 by screws, and are exposed outside the tongue mucosa. .
  • the elastic traction body tongue-back connecting mechanism 12 of the tongue-back connecting mechanism 1 employs a coupling groove 12-1.
  • the lingual attachment mechanism 21 on the elastic traction body 2 employs a lingual connection convex step 21-2.
  • the tongue-side connecting projections 21 - 2 are fitted in the grooves of the coupling groove 12-1 of the lingual holder, that is, a detachable fixed connection is formed.
  • the elastic traction body tongue-and-loop connection mechanism 12 of the tongue-back connecting mechanism 1 employs a connecting ring 12-6.
  • the connecting ring 12-6 is disposed at both ends of the supporting body 11, and the connecting ring 12-6 and the supporting body 11 may be integrally formed or screwed together, or the concave and convex card may be coupled together.
  • the elastic traction body tongue-back connecting mechanism 12 of the tongue-back connecting mechanism 1 employs a connecting ring 12-6.
  • the support body 11 is in the form of a strip having a smooth transition.
  • the two ends of the support body 11 are provided with threaded holes, and the connecting ring 12-6 passes through the threaded rod at the lower end of the connecting ring 12-6.
  • the threaded holes of the support body 11 are joined together such that the connecting ring 12-6 is exposed outside the tongue-back mucosa, and the support body 11 and the screw of the connecting ring 12-6 are implanted under the tongue-back mucosa.
  • the support body 11 adopts an elongated structure having a smooth transition, the contact between the support body and the tongue tissue is increased, and the contact area is increased; therefore, when the elastic traction body 2 is passed over the tongue back When the connecting mechanism 1 applies an elastic pulling force to pull the tongue, the supporting body 11 does not cause a cutting action on the tongue tissue.
  • the safety and comfort of the long-term use of the tongue-back elastic traction device of the present invention is ensured.
  • some variations of the elastic traction body 2 are shown:
  • both ends of the elastic traction body 2 are a flank connecting hook 22-3 and a lingual side connecting hook 21-3.
  • the elastic traction body 2 is made of a single medical spring wire and contains two spiral springs 9. The two ends are a flank connecting hook 22-3 and a lingual connecting hook 21 -3, respectively.
  • one end of the elastic traction body 2 is provided with a lingual side connecting line 21-4, and the other end is provided with a flank connecting line 22-4.
  • the lingual side connecting line 21-4 can be easily wound around the connecting groove 12-1 of the tongue-and-groove joint mechanism 1, or the connecting convex step 12-2, or the connecting hook 12-3.
  • the flank connecting line 22-4 can be easily wound around the connecting groove 32-1 of the flank fixator 3, or the connecting convex step 32-2, or the connecting hook 32-3.
  • the lingual side connecting line 21-4 and the flank connecting line 22-4 are integrally formed using a medical latex film or medical silicone.
  • the middle portion of the elastic traction body 2 includes a coil spring 9, and the flank end of the elastic traction body 2 includes two flank connecting hooks 22-3;
  • the lingual end of the traction body 2 contains two lingual attachment hooks 21-3.
  • the flank connecting hook 22-3 and the lingual connecting hook 21-3 are fixed to the coil spring 9 by riveting.
  • the elastic traction body 2 includes three elastic filament-like objects; wherein one end of the two elastic filament-like objects and the flank connecting hook 22-3 are riveted or glued.
  • the connection manner is connected together, and one end of the third elastic filament-like object and the lingual connection hooks 21 - 3 are connected by riveting or bonding, and one end of the three elastic filament-like objects is riveted or bonded.
  • the entire elastic body 2 constitutes a Y shape.
  • the flank holder 3 contains a dental nail type
  • the support frame 31-2 is fixed, and the dental nail type fixed support frame 31-2 is made of medical stainless steel having ferromagnetism.
  • the elastic traction body flank connecting mechanism 32 employs a positioning convex step 32-2 of the flank retainer, and the positioning convex step 32-2 has ferromagnetism.
  • the flank connection mechanism 22 on the elastic traction body 2 is made of a magnetic material, and the flank connection mechanism 22 on the elastic traction body 2 forms a pair with the elastic traction body flank connection mechanism 32 on the flank holder 3.
  • the lingual positioning hole 22-1 on the elastic traction body 2 can also form a concave-convex card engagement connection with the positioning convex step 32-2 on the flank holder 3.
  • the flank holder 3 includes a dental nail-type fixed support frame 31-2, and the elastic traction body flank connection mechanism 32 employs a positioning convex step 32 of the flank holder.
  • the flank on the elastic traction body 2 The connecting hole 22-1 is sleeved on the groove formed between the two positioning convex steps 32-2 to form a connecting structure.
  • the flank holder 3 includes a dental nail-type fixed support frame 31-2, and the elastic traction body flank connection mechanism 32 employs a positioning hook 32- of the flank holder. 3.
  • the flank connecting hole 22-1 on the elastic traction body 2 is sleeved on the positioning hook 32-3 of the flank retainer to form a connecting structure.
  • the flank fixer 3 includes a dental nail-type fixed support frame 31-2, and the elastic traction body flank connection mechanism 32 adopts a flank fixator. Positioning groove 32-1.
  • the flank connecting mechanism 22 on the elastic traction body 2 employs a flank coupling step 22-2.
  • the flank joint projection 22-2 is fitted in the recess of the positioning recess 32-1 of the flank retainer to form a detachable fixed joint.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Otolaryngology (AREA)
  • Vascular Medicine (AREA)
  • Biomedical Technology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Nursing (AREA)
  • Pulmonology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
  • Labeling Devices (AREA)
  • Package Frames And Binding Bands (AREA)
  • Clamps And Clips (AREA)

Abstract

一种治疗睡眠呼吸暂停低通气综合征或鼾症（OSAHS）的舌背弹性牵引装置，包括舌背连接机构（1）、弹性牵引体（2）和牙侧固定器（3）。舌背连接机构（1）设在舌背部；牙侧固定器（3）固定在牙（5）或牙槽骨或上下颌唇外；弹性牵引体（2）一端与牙侧固定器（3）连接，另一端与舌背连接机构（1）连接，形成了以牙侧固定器（3）为支点的弹性牵拉装置。该装置将后坠的舌（4）向前拉起，防止舌咽部气道狭窄阻塞，起到治疗鼾症和OSAHS的作用。因弹性牵引体对舌背部施加的是弹性牵引力，在舌根适度拉起的同时，并不影响舌尖的运动，可保持较清晰的语言功能和适度的吞咽功能，既扩大了舌咽部的气道，又具有良好的舒适性。还公开了与舌背弹性牵引装置配套使用的夹持钳（400）、安装钳（500）、引线器（200），以及舌背弹性牵引装置的植入方法。

Description

舌背弹性牵引装置、 夹持钳、 安装钳、 引线器及植入方法
技术领域
本发明涉及一种舌背弹性牵引装置、 夹持钳、 安装钳、 引线器及植入方法， 特别是用于 治疗阻塞性睡眠呼吸暂停低通气综合征 （Obstructive Sleep Apnea I Hypopnea Syndrome, 以下简称： OSAHS) 的舌背弹性牵引装置， 配套使用的工具： 夹持钳、 安装钳、 引线器， 及植入方法。 背景技术
阻塞性睡眠呼吸暂停低通气综合征（OSAHS)是由于睡眠时上气道的软组织出现塌陷、 堵塞而引起的一种以打鼾、 呼吸暂停和低通气为临床特征的睡眠呼吸障碍性疾病。
对于 OSAHS的发病机理，一般认为有多因素共同作用。除了上气道解剖结构狭窄外， 主要原因是由于睡眠时维持上气道开放的扩咽肌松弛出现软组织塌陷， 而导致的阻塞。 阻 塞部位多位于腭咽和舌咽平面。
研究表明： 20%-25%的 OSAHS 患者是由于单纯的腭咽平面塌陷导致， 15%-20%的 OSAHS患者是单纯的舌咽平面塌陷导致， 50%-70%的 OSAHS患者同时有腭咽和舌咽平 面塌陷， 即混合型 OSAHS患者。
为了治疗舌后坠塌陷导致的 OSAHS,本发明人在中国专利申请 CN102198010 A中公 开了一种植入式的舌根牵引装置， 该发明在临床上获得了较好的疗效， 特别适合于因舌根 塌陷而导致的中度或重度 OSAHS患者的手术治疗。
此外， 现有技术中还有各种口腔矫治器， 用于治疗鼾症和 OSAHS。 现有技术的口腔 矫治器， 主要通过在口腔内安放一种装置， 使下颌前移或者舌体前拉， 扩大咽腔， 解除睡 眠时气道阻塞。 该方法有多种类型， 有一定的效果， 但多数患者难以适应。 口腔矫治器有 一定的剌激性和异物感， 令人无法入眠， 长期使用还可引起颞颌关节损伤。 发明内容
本发明的目的在于克服现有技术的口腔矫治器存在的各种缺陷， 提供一种治疗因舌后 坠塌陷而导致的轻度或中度 OSAHS患者的舌背牵引装置， 具有创伤更小、 更舒适、 使用 更方便的优点。
舌背弹性牵引装置， 所述舌背弹性牵引装置含舌背连接机构 1、 弹性牵引体 2及牙侧 固定器 3， 其中- 所述舌背连接机构 1是能防止舌后坠的舌粘膜下隧道式牵引连接机构 100或设在舌背 处的连接体 101 ;
所述弹性牵引体 2采用医用弹性材料制造，所述弹性牵引体 2是在外力作用下能伸长， 并产生恢复力， 当外力卸除后，又能恢复到原始形状的弹性带状物体，或者弹性丝状物体， 或者弹簧状物体， 或者含弹性带状物体的弹性机构， 或者含弹性丝状物体的弹性机构， 或 者含弹簧状物体的弹性机构；
所述牙侧固定器 3含能支撑牙侧固定器 3的支撑架 31、能连接弹性牵引体 2的弹性牵 引体牙侧连接机构 32及能将牙侧固定器 3固定在牙上，或牙槽骨上，或上颌上，或下颌上， 或上下颌上的牙侧固定机构 33;所述弹性牵引体牙侧连接机构 32和牙侧固定机构 33设置 在所述支撑架 31上；
作为承力支点的所述牙侧固定器 3通过牙侧固定机构 33固定在牙上， 或者牙槽骨上， 或者所述牙侧固定器 3通过牙侧固定机构 33可拆卸地固定在上颌唇外，或下颌唇外，或上 下颌唇外； 所述弹性牵引体 2的一端连接在所述牙侧固定器 3的弹性牵引体牙侧连接机构 32上， 另一端连接在所述舌背连接机构 1上。
本发明的基本原理在于：在舌的轮廓乳头前方的舌背区域设立所述舌背连接机构 1后， 以固定在牙上、 或牙槽骨上、 或上下颌唇外的牙侧固定器 3为支点， 通过弹性牵引体 2对 舌背区域进行弹性牵拉。 由于所述舌背连接机构 1 设立在舌背粘膜层下、 且在沿口腔横向 有一定的宽度， 因此在利用所述弹性牵引体 2对舌背区域进行牵拉时， 可在舌根部形成沟 槽效果， 用比较小的牵拉力将后坠的舌根部有效地拉起， 达到扩大舌咽部气道， 进而治疗 OSAHS 的目的。 特别需要注意的是， 由于牵拉的部位是接近舌根的轮廓乳头前方的舌背 区域， 沿舌体的厚度方向没有贯穿， 仅仅在舌背粘膜下深度小于 m处， 沿口腔的横向宽 度大于 1 .5cm 的舌背范围， 进行有一定横向面积的弹性牵拉， 在舌根部有效拉起的同时， 并不过分限制和影响舌尖和舌体的运动。 利用本发明之舌背弹性牵引装置进行舌牵拉时， 在对舌根部保持适度的牵拉力、 防止舌根后坠的同时， 又不过分影响舌尖和舌体的运动， 患者可以闭口呼吸， 克服了现有技术中 OSAHS矫形器佩戴后口腔不能闭合、 容易流口水 的缺点， 并保持了清晰的语言功能和适度的吞咽功能， 提高了患者的舒适性。
进一步， 所述舌背连接机构 1设在舌的轮廓乳头前方， 沿口腔的纵向长度 L在 0cm〜 5cm, 横向宽度 W在 0.2cm〜6cm， 深度 H在 0cm〜1 .0cm的舌背区域。 在上述舌背区域 内设立、固定舌背连接机构 1， 当用弹性牵引体 2对设立在上述舌背区域的舌背连接机构 1 进行弹性牵拉时， 能用较小的弹性牵拉力， 有效地改善舌根后坠塌陷引起的舌咽部气道阻 塞， 获得较佳的舌根前拉效果。 在舌根得到有效拉起， 舌咽部的气道得到有效扩大时， 使 用的牵引力越小， 则对舌的运动干扰越小， 舌被牵拉后的舒适性越佳。 如果超越所述舌背 牵引区域， 向舌根部靠近， 则异物感强， 不适感剧增， 患者难易适应、 承受。 如果向舌尖 部靠近， 进行牵拉时， 不仅需要的牵拉力大， 而且由于舌尖部良好的伸缩性， 对舌尖部的 牵拉难以有效地前拉起舌根部， 舌咽部的气道难以扩大， 难以改善舌后坠塌陷导致的舌咽 部气道阻塞， 同时， 舌尖部的运动受阻， 影响发音和吞咽。 因而， 本发明所述的舌背区域 是植入舌背连接机构 1 的最佳区域， 可以获得最好的舌咽部气道扩大效果， 而且不会过度 影响舌的运动， 保持良好的发音和吞咽功能， 参考图 33。
所述弹性牵引体 2在牙侧固定器 3和舌背连接机构 1之间形成的弹性牵引力在 15g〜 300g之间。 上述弹性牵拉力的范围是优化后的弹性牵拉力范围， 依据患者个体差异， 以及 舌头重量的大小， 在医生的指导下选择使用， 既能有效的将舌后坠前拉， 改善因舌后坠塌 陷而导致的舌咽部气道狭窄、 阻塞， 而且不会过度影响舌的运动， 获得较佳的治疗效果， 又保持良好的舌运动功能， 能清晰地说话， 流畅地吞咽， 舒适地睡眠。
进一步， 舌背连接机构 1的舌粘膜下隧道式牵引连接机构 100是取出后能形成舌粘膜 下隧道的植入体 100-2在拆除后留下的舌粘膜下上皮化隧道 100-1， 或者是植入薄壁管状 植入物 100-4后在舌粘膜下形成的含薄壁管状植入物的舌粘膜下隧道 100-3。 这里公开的 是本发明之舌背弹性牵引装置的舌背连接机构 1的一种结构，即隧道式牵引连接机构 100。
所述取出后在舌背处能形成舌粘膜下隧道的植入体 100-2采用医用高分子材料管、 或 医用高分子材料弹簧管，或医用高分子材料丝、或医用高分子材料带、或医用金属材料管、 或医用金属弹簧管， 或医用金属材料丝、 或医用金属材料带。
所述薄壁管状植入物 100-4采用医用高分子材料薄壁管、 或医用高分子弹簧管、 或医 用金属薄壁管、 或医用金属弹簧管。
进一步， 所述隧道式牵引连接机构 100是薄壁管状植入物 100-4， 所述薄壁管状植入 物 100-4两端设有防滑脱的定位凸阶 100-4-1，所述防滑脱的定位凸阶 100-4-1上含与舌粘 膜表面相匹配的光滑面 100-4-2。 由于在所述隧道式舌背连接机构 100的薄壁管状植入物 100-4的两端均设有防滑脱的定位凸阶 100-4-1，当所述薄壁管状植入物 100-4植入舌粘膜 下时， 所述定位凸阶 100-4-1可以防止在外力的作用下所述薄壁管状植入物 100-4从舌粘 膜下滑出。 同时， 由于所述定位凸阶 100-4-1 与舌粘膜为面接触， 减少了所述定位凸阶 100-4-1对舌粘膜表面的剌激， 可以增加使用者的舒适度。
所述定位凸阶 100-4-1两端的 2个光滑面 100-4-2之间的夹角 β在 90°~180°之间。经 过优化， 所述夹角 β在 100°~150°之间为佳。 由于舌体的生物学形状为具有一定角度的拱 形结构，因此，所述定位凸阶 100-4-1两端的 2个光滑面 100-4-2之间形成一个夹角 β后， 在所述薄壁管状植入物 100-4植入舌粘膜下后， 所述定位凸阶 100-4-1可以更好的贴合舌 体表面粘膜， 增加患者使用过程的舒适性。
所述隧道式牵引连接机构 100采用医用柔性材料制造，选自：医用硅胶、或医用橡胶、 或医用乳胶、 或医用聚氨酯。 所述隧道式舌背连接机构 100采用医用柔性材料制造， 特别 是采用医用硅胶或医用聚氨酯制造时， 当所述隧道式舌背连接机构 100植入舌粘膜下后， 可以依据舌的运动来适度改变或自动调整所述隧道式舌背连接机构 100的形状， 很好地适 应舌粘膜下通道。 柔软的材质也会使得所述定位凸阶 100-4-1 在与舌粘膜组织接触时具有 更好的柔顺性，减缓了对舌粘膜组织的剌激，增加了患者的舒适度和提高了患者的依从性。
进一步， 所述舌背连接机构 1的连接体 101是能全部植入在舌粘膜下的全植入式连接 体 102; 或者一部分植入在舌粘膜下， 其余部分暴露在舌粘膜外的半植入式连接体 103; 或者是能固定在舌背粘膜上的粘膜表面固定式连接体 104。 这里公开了设在舌背处的舌背 连接机构 1的连接体 101与舌之间三种不同连接方式：全植入式、半植入式和表面粘接式。
所述全植入式连接体 102是具有磁性的扁平状物体 102-1。
所述全植入式连接体 102的具有磁性的扁平状物体 102-1含磁性单元 1021 -1及基体 1021-2，所述磁性单元 1021 -1分布在基体 1021 -2上。所述磁性单元 1021 -1与基体 1021 -2 的连接方式有多种， 所述磁性单元 1021 -1可以完全被基体 1021 -2所包覆， 也可以是镶嵌 在柔软的基体 1021 -2上， 还可以被基体 1021-2以网格方式连接在一起。
所述全植入式连接体 102的具有磁性的扁平状物体 102-1与所述弹性牵引体 2之间是 磁性连接。
所述全植入式连接体 102上或者半植入式连接体 103的植入部分上设有能防止植入物 移位的通孔 106或凸阶 105。
所述半植入式连接体 103含可长期植入在舌背粘膜下的支撑体 11和能与弹性牵引体 2 相连接的暴露在舌背粘膜外的弹性牵引体舌背连接机构 12， 所述弹性牵引体舌背连接机构 12设置在支撑体 11上。
所述半植入式连接体 103的弹性牵引体舌背连接机构 12是能用于可拆卸地连接所述 弹性牵引体 2的连接凹槽 12-1， 或连接凸阶 12-2， 或连接钩 12-3， 或连接环 12-6。
所述半植入式连接体 103的支撑体 11可以是弧形支撑体、 或 U型支撑体、 或圆环支 撑体、 或椭圆环支撑体。
进一步，所述舌背弹性连接机构 1是半植入式连接体 103时，所述半植入式连接体 103 的弹性牵引体舌背连接机构 12与支撑体 11是不可拆卸的整体结构。依据不同的材料特性， 所述舌背连接机构 1通常通过数控加工、 或精密铸造、 或注塑成型等工艺制造。
所述舌背弹性连接机构 1是半植入式连接体 103时， 所述半植入式连接体 103的弹性 牵引体舌背连接机构 12与支撑体 11是可拆卸的组合式结构。 这种弹性牵引体舌背连接机 构 12与支撑体 11是可拆卸的组合式结构，可以方便支撑体 11穿过舌粘膜下上皮化的隧道 100-1 , 进行安装与拆卸。
所述半植入式连接体 103的弹性牵引体舌背连接机构 12通过螺纹连接， 或凹凸卡配 合连接， 或过盈配合连接， 或粘接的方式等方式安装在支撑体 11上。 当然， 还可以采用其 他形式的可拆卸结构。
进一步， 所述舌背连接机构 1是半植入式连接体 103时， 所述弹性牵引体舌背连接机 构 12是含能固定弹性牵引体 2的连接凸阶 12-2和能固定弹性牵引体 2的连接凹槽 12-1； 所述连接凹槽 12-1中至少有 1个连接凹槽 12-1分布在所述连接凸阶 12-2上。
所述连接凹槽 12-1含与所述连接凸阶 12-2的轴向垂直的横向连接凹槽 12-1 -1及与所 述横向连接凹槽 12-1 -1 形成空间交汇的纵向连接凹槽 12-1 -2。 通常， 所述纵向连接凹槽 12-1-2与所述横向连接凹槽 12-1 -1形成的角度在 10°~90°之间。
所述横向连接凹槽 12-1 -1 以及所述纵向连接凹槽 12-1 -2能对所述舌背弹性牵拉装置 的弹性牵引体 2的舌侧连接机构 21进行空间定位固定。 通常， 所述弹性牵引体 2采用带 状结构， 当所述带状结构的弹性牵引体 2的舌侧连接机构 21是舌侧连接孔 21 -1时， 所述 舌侧连接孔 21-1穿过所述连接凸阶 12-2后，固定于所述连接凸阶 12-2下的所述横向连接 凹槽 12-1 -1 内， 同时当向牙侧拉紧所述带状结构的弹性牵引体 2时，所述舌侧连接孔 21 -1 的边缘自动卡在所述连接凸阶 12-2上的纵向连接凹槽 12-1 -2内，形成横向连接凹槽 12-1 -1 及纵向连接凹槽 12-1 -2的空间交汇的组合式固定。
所述纵向连接凹槽 12-1 -2垂直于所述横向连接凹槽 12-1 -1，并均匀分布在所述连接凸 阶 12-2上。
在所述舌背连接机构 1 的连接凸阶 12-2上均匀分布了 4个纵向连接凹槽 12-1-2。 这 种 4个纵向连接凹槽 12-1 -2均匀分布在连接凸阶 12-2 上的结构， 与所述横向连接凹槽 12-1-1的相互配合， 能起到对弹性牵引体 2的空间交汇固定作用， 在舌运动时不会发生脱 落现象。
所述舌背连接机构 1的连接凸阶 12-2是表面光滑的半球形或锥形。这里所说的表面光 滑的连接凸阶 12-2可以设计成各种形状， 以半球形或锥形为佳， 其表面没有锋利的边缘或 突剌。
所述舌背连接机构 1的弹性牵引体舌背连接机构 12与支撑体 11之间设有能减缓所述 弹性牵引体舌背连接机构 12的边缘对舌表面粘膜剌激的圆锥形过渡机构 12-4， 所述圆锥 形过渡机构 12-4在接近所述弹性牵引体舌背连接机构 12处的直径 d12大于所述圆锥形过 渡机构 12-4在接近所述支撑体 11处的直径 d11； 所述圆锥形过渡机构 12-4与所述连接凸 阶 12-2之间设有能固定弹性牵引体 2的横向连接凹槽 12-1 -1。在本发明之舌背连接机构上 设立所述圆锥形过渡机构 12-4可以实现所述舌背连接机构 1与舌表面粘膜的面接触，减缓 所述弹性牵引体舌背连接机构 12的边缘对舌表面粘膜的剌激， 提高舒适性。
所述粘膜表面固定式连接体 104含能粘接或吸附在舌背粘膜表面的支撑座 104-1， 及 与弹性牵引体 2连接的连接机构 104-2， 所述连接机构 104-2是连接凹槽 1042-1， 或连接 凸阶 1042-2， 或连接钩 1042-3， 所述连接机构 104-2设在所述支撑座 104-1上。
所述弹性牵引体 2含能与舌背连接机构 1形成连接的舌侧连接机构 21。
所述弹性牵引体 2含能与牙侧固定器 3形成连接的牙侧连接机构 22。
进一步， 所述弹性牵引体 2上的舌侧连接机构 21与舌背连接机构 1形成可拆卸的连 接，所述舌侧连接机构 21是舌侧连接孔 21-1，或舌侧连接凸阶 21-2，或舌侧连接钩 21-3， 或舌侧连接线 21-4等结构。这里公开了所述弹性牵引体 2与舌背连接机构 1之间的几种具 体连接方式。
所述弹性牵引体 2上的牙侧连接机构 22与牙侧固定器 3形成可拆卸的连接， 所述牙 侧连接机构 22是牙侧连接孔 22-1， 或牙侧连接凸阶 22-2， 或牙侧连接钩 22-3， 或牙侧连 接线 22-4等结构。这里公开了所述弹性牵引体 2与牙侧固定器 3之间的几种具体连接方式。
进一步， 所述弹性牵引体 2是医用弹性薄膜或弹性带状物， 所述医用弹性薄膜或弹性 带状物采用医用硅胶薄膜、 或医用乳胶薄膜、 或医用聚氨酯薄膜、 或医用橡胶薄膜、 或弹 性医用材料编织物制造， 所述医用弹性薄膜或弹性带状物的厚度在 0.01 mm〜3mm之间。 这里公开了优化后的所述弹性牵引体 2的薄膜厚度， 在上述厚度范围内可以获得需要的弹 性牵拉力， 即小于 300g的牵拉力。
所述弹性牵引体 2是医用弹性线状物， 所述医用弹性线状物采用医用硅胶、 或医用乳 胶、 或医用聚氨酯、 或医用橡胶、 或弹性医用材料编织物制造， 所述医用弹性线状物的直 径在 0.05mm〜5mm之间。 这里公开了优化后的所述弹性牵引体 2的直径， 在上述直径范 围内可以获得需要的弹性牵拉力， 即小于 300g的牵拉力。
进一步，所述弹性牵引体 2含舌侧连接机构 21、弹性变形机构 20及牙侧连接机构 22; 所述舌侧连接机构 21与牙侧连接机构 22分设于所述弹性牵引体 2的两端， 所述舌侧连接 机构 21上设有 1个舌侧连接孔 21 -1， 所述牙侧连接机构 22上设有至少 1个牙侧连接孔 22-1； 所述弹性变形机构 20设在所述舌侧连接机构 21与牙侧连接机构 22之间。 由于在 所述牙侧连接机构 22上设有多个牙侧连接孔 22-1，通过使用所述牙侧连接机构 22中的不 同位置的牙侧连接孔 22-1， 可以方便地调节所述弹性变形机构 20的弹性牵拉力的大小。
在同等受力条件下，所述弹性牵引体 2的弹性变形机构 20发生弹性变形的弹性变形量 大于所述牙侧连接机构 22或舌侧连接机构 21发生的弹性变形量；当所述弹性变形机构 20 发生弹性变形时， 所述舌侧连接机构 21或所述牙侧连接机构 22几乎不发生弹性变形。 通 常，在同等受力条件下，所述弹性变形机构 20发生弹性变形时的弹性变形量是所述舌侧连 接机构 21或所述牙侧连接机构 22发生的弹性变形量的 3倍以上为佳。
采用同种性能的弹性材料制造所述弹性牵引体 2时，所述弹性变形机构 20的横截面的 面积既小于所述牙侧连接机构 22的横截面的面积， 也小于舌侧连接机构 21的横截面的面 积。 通常， 所述弹性变形机构 20的横截面的面积仅为所述牙侧连接机构 22或舌侧连接机 构 21的横截面的面积的 30%或更小。
所述弹性牵引体 2的舌侧连接机构 21上设的舌侧连接孔 21 -1的周围设有能增加拉伸 抗力的凸起棱边 21 -1 -1。 所述舌侧连接孔 21 -1 周围的凸起棱边 21-1 -1， 能有效环抱住所 述舌背连接机构 1上的连接弹性牵引体的弹性牵引体舌背连接机构 12， 防止所述三段式弹 性牵引体 2从所述弹性牵引体舌背连接机构 12上意外脱落。
所述弹性牵引体 2的牙侧连接机构 22上设的牙侧连接孔 22-1的周围设有能增加拉伸 抗力的凸起棱边 22-1-1。 所述牙侧连接孔 22-1周围的凸起棱边 22-1-1能有效环抱住牙侧 固定器 3， 防止所述三段式弹性牵引体 2从牙侧固定器 3上意外脱落。
所述舌背连接机构 1和弹性牵引体 2可以通过整体制造技术形成一个整体， 构成一体 式弹性牵引机构 212，所述一体式弹性牵引机构 212上含舌背连接机构 1和弹性牵引体 2。
所述一体式弹性牵引机构 212含牙侧连接机构 22、 弹性变形机构 20及舌侧连接机构 21 ; 所述牙侧连接机构 22位于所述一体式弹性牵引机构 212的两端， 所述牙侧连接机构 22上设有至少 1个牙侧连接孔 22-1 ; 所述舌背连接机构 1位于所述一体式弹性牵引机构 212的中部； 所述弹性变形机构 20设在所述舌背连接机构 1与牙侧连接机构 22之间； 所 述弹性变形机构 20通过所述舌侧连接机构 21与所述舌背连接机构 1相连接。
在同等受力条件下， 所述一体式弹性牵引机构 212的弹性变形机构 20发生弹性变形 时的弹性变形量大于所述舌背连接机构 1发生的弹性变形量。当所述弹性变形机构 20发生 弹性变形时， 所述舌背连接机构 1几乎不发生弹性变形。 通常， 在同等受力条件下， 所述 弹性变形机构 20发生弹性变形的弹性变形量是所述舌背连接机构 1发生的弹性变形量的 3 倍以上为佳。 或者说， 所述舌背连接机构 1 的弹性变形抗力至少是所述弹性变形机构 20 的 3倍以上。 在同等受力条件下， 所述一体式弹性牵引机构 212的弹性变形机构 20发生弹性变形 时的弹性变形量大于所述牙侧连接机构 22的弹性变形量。 当所述弹性变形机构 20发生弹 性变形时， 所述牙侧连接机构 22几乎不发生弹性变形。 通常， 在同等受力条件下， 所述弹 性变形机构 20发生弹性变形的弹性变形量是所述牙侧连接机构 22发生的弹性变形量的 3 倍以上为佳。 或者说， 所述牙侧连接机构 22的弹性变形抗力至少是所述弹性变形机构 20 的 3倍以上。
所述一体式弹性牵引机构 212是长条状弹性物体， 所述牙侧连接机构 22、弹性变形机 构 20、 舌侧连接机构 21及舌背连接机构 1按照以下顺序排列：
牙侧连接机构 22 弹性变形机构 20 舌侧连接机构 21 舌背连接机构 1 舌侧连接机构 21 弹性变形机构 20 牙侧连接机构 22。
所述一体式弹性牵引机构 212的牙侧连接机构 22上设的牙侧连接孔 22-1的周围设有 能增加拉伸抗力的凸起棱边 22-1 -1。 所述凸起棱边 22-1-1能有效环抱住牙侧固定器 3， 防 止所述一体式弹性牵引机构 212从牙侧固定器 3上意外脱落。
采用同种性能的弹性材料制造所述一体式弹性牵引机构 212时，所述弹性变形机构 20 的横截面的面积既小于所述牙侧连接机构 22的横截面的面积，也小于舌背连接机构 1的横 截面的面积。 通常， 所述弹性变形机构 20的横截面的面积仅为所述牙侧连接机构 22或舌 背连接机构 1的横截面的面积的 30%或更小。所述一体式弹性牵引机构 212可以采用弹性 材料整体制造，通过横截面积的变化， 来实现所述弹性变形机构 20的变形抗力小于所述牙 侧连接机构 22或舌背连接机构 1的变形抗力。在对所述一体式弹性牵引机构 212施加 300g 以下拉力的工作状态下， 所述弹性变形机构 20发生弹性变形， 而所述牙侧连接机构 22或 舌背连接机构 1几乎不发生弹性变形。此外， 所述舌背连接机构 1与所述弹性变形机构 20 之间的过渡区即构成了所述舌侧连接机构 21。
所述一体式弹性牵引机构 212能从所述舌粘膜下上皮化的隧道 100-1中穿过； 而且所 述舌背连接机构 1具有与所述舌粘膜下上皮化的隧道 100-1相匹配的弧段。
所述一体式弹性牵引机构 212能从舌背的舌粘膜下上皮化的隧道 100-1中穿过， 所述 舌背连接机构 1能对舌粘膜下上皮化的隧道 100-1起到有效的支撑固定作用； 2个牙侧连 接机构 22位于所述一体式弹性牵引体 2的两端， 方便将其固定在牙侧固定器 3上； 而设 立在牙侧连接机构 22与舌背连接机构 1之间的弹性变形机构 20能对舌施加适当的弹性牵 拉力， 既可以将塌陷的舌根向前提拉， 避免舌根塌陷导致的 OSAHS; 又不会妨碍舌的运 动， 在治疗鼾症或 OSAHS的同时， 保留了良好的语言能力， 提高了患者的舒适性。
所述弹性牵引体 2上的牙侧连接机构 22通过磁性连接方式连接在牙侧固定器 3上。 例如， 所述弹性牵引体 2上的牙侧连接机构 22采用医用硅胶包覆的钕铁硼磁性材料制造， 而所述牙侧固定器 3采用具有铁磁性的医用不锈钢材料制造， 则含磁性材料的所述弹性牵 引体 2上牙侧连接机构 22可以通过磁性吸附在所述牙侧固定器 3上。 当然还可以设计其 他具体结构的磁连接机构来实现本发明的技术方案。
所述弹性牵引体 2上的舌侧连接机构 21通过磁性连接方式连接在舌背连接机构 1上。 例如， 所述弹性牵引体 2上的舌侧连接机构 21采用医用硅胶包覆的钕铁硼磁性材料制造， 而所述舌背连接机构 1采用具有铁磁性的医用不锈钢材料制造， 将所述舌背连接机构 1植 入在舌背区域，则含磁性材料的所述弹性牵引体 2上舌侧连接机构 21可以通过磁性吸附在 所述舌背连接机构 1上。 当然还可以设计其他具体结构的磁连接机构来实现本发明的技术 方案。
所述牙侧固定器 3的支撑架 31是固定于上牙或下牙的牙侧固定支撑架 31 -1， 或者是 固定于牙槽骨上的牙科骨钉型固定支撑架 31 -2， 或者是可拆卸地吻合于上牙或下牙的牙套 型固定支撑架 31-3， 或者是可拆卸地吻合于上下唇外的唇外固定支撑架 31 -4。这里举例说 明了所述牙侧固定器 3在口腔部的 4大类固定方式： 粘接在牙上、 植入在牙槽骨上、 套在 牙上、 固定于上下颌唇外。
进一步， 依据本发明的技术方案， 举例说明了一种三角形唇外牙侧固定器 3， 所述牙 侧固定器 3的特征在于：
A、所述牙侧固定器 3的弹性牵引体牙侧连接机构 32上含能固定弹性牵引体 2的牙侧 固定器的定位凹槽 32-1及定位凸阶 32-2;
B、 所述牙侧固定器 3上至少含 3个唇外固定支撑架 31 -4;
C、 所述唇外固定支撑架 31 -4为拱形结构； 所述唇外固定支撑架 31 -4的一端交汇连 接在所述弹性牵引体牙侧连接机构 32上； 另一端上设有所述牙侧固定机构 33; 所述牙侧 固定器 3形成以所述弹性牵引体牙侧连接机构 32为中心、 以所述唇外固定支撑架 31 -4为 拱形的支撑腿、以与上下颌外皮肤接触的所述牙侧固定机构 33的底部的表面为支撑点的放 射状拱形结构。
所述唇外固定支撑架 31 -4采用拱形结构，将所述弹性牵引体 2固定于所述唇外式牙侧 固定器 3时， 所述支撑架 31 -4的向外凸起的拱形结构避免了所述唇外固定支撑架 31 -4与 上、 下唇等敏感组织的直接接触， 即便是在说话或张口呼吸的过程中， 上唇与下唇也不与 所述唇外固定支撑架 31 -4相接触；仅仅是设在所述支撑架 31 -4底部的牙侧固定机构 33的 底部的光滑曲面 33-1与上颌外的皮肤、 下颌外的皮肤、 及唇角外的皮肤相接触， 而这些支 撑点在说话或张口呼吸时的运动幅度较小， 提高了患者在佩戴使用过程中的舒适度。 所述牙侧固定器 3含 3个唇外固定支撑架 31-4， 包括上颌唇外固定支撑架 31-4-1、 下 颌唇外固定支撑架 31 -4-2及唇角支撑架 31 -4-3; 所述上颌唇外固定支撑架 31 -4-1与下颌 唇外固定支撑架 31 -4-2之间的夹角 γ不小于所述上颌唇外固定支撑架 31 -4-1与唇角支撑 架 31-4-3之间的夹角 ε; 所述上颌唇外固定支撑架 31 -4-1 与下颌唇外固定支撑架 31-4-2 之间的夹角 γ不小于所述下颌唇外固定支撑架 31 -4-2与唇角支撑架 31 -4-3之间的夹角 θ。
所述上颌唇外固定支撑架 31 -4-1 或下颌唇外固定支撑架 31 -4-2的长度不小于所述唇 角支撑架 31-4-3的长度。
所述唇外式牙侧固定器 3的上颌唇外固定支撑架 31 -4-1、下颌唇外固定支撑架 31-4-2、 唇角支撑架 31-4-3分别支撑在上颌唇外、 下颌唇外及唇角外， 形成三角形支撑结构。 本发 明之唇外式牙侧固定器采用的这种三角形支撑结构， 不仅固定支撑平稳， 而且重量轻， 使 得本发明之唇外式牙侧固定器符合人体生物学要求。
所述牙侧固定机构 33与皮肤表面接触的表面为光滑曲面 33-1。 当所述唇外式牙侧固 定器 3通过弹性牵引体 2固定于上下颌外时， 所述牙侧固定结构 33与皮肤表面为面接触 方式， 皮肤表面的单位面积受力小； 此外， 光滑的接触曲面可以减小所述牙侧固定机构 33 对皮肤表面的剌激， 使用者采用所述唇外式牙侧固定器 3可以提高使用者的舒适程度。
所述定位凸阶 32-2是光滑的锥形结构。所述光滑的锥形结构具有导向作用， 当将所述 弹性牵引体 2通过所述定位凸阶 32-2固定于所述定位凹槽 32-1时，所述定位凸阶 32-2的 光滑的锥形结构可以方便所述弹性牵引体 2的固定， 光滑的表面不会对所述弹性牵引体 2 的牙侧连接孔 22-1产生损害， 增强了所述弹性牵引体 2使用过程中的安全性。
进一步， 依据本发明的技术方案， 举例说明了一种粘接在牙齿上的工字型牙侧固定器 3， 所述牙侧固定器 3的特征在于：
Α、 所述弹性牵引体牙侧连接机构 32、 所述支撑架 31及所述牙侧固定机构 33构成横 截面为工字型的牙侧固定器 3;
Β、所述牙侧固定器 3的与弹性牵引体 2相连接的弹性牵引体牙侧连接机构 32是具有 光滑表面的球冠形定位凸阶 32-2;
C、 所述支撑架 31为光滑的柱体；
D、 所述牙侧固定机构 33是具有与牙齿表面相适应的弧度的壳体 33-1。
由于所述牙侧连接机构 32 采用了具有光滑表面的球冠形设计， 当所述牙侧连接机构 32固定于牙齿表面时， 所述牙侧连接机构 32与人体口腔内部粘膜组织的接触为圆滑的面 接触， 可以最大可能地减少对人体口腔粘膜组织的剌激， 保证患者在长时间的使用过程中 的舒适性。 当所述弹性牵引体 2通过牙侧连接机构 22建立与所述牙侧固定器 3的连接时， 所述 牙侧连接机构 22的牙侧连接孔 22-1环抱住所述支撑架 31并镶嵌在定位凹槽 32-1 内。 由 于所述支撑架 31采用光滑的柱体设计，因此光滑的表面不会对所述弹性牵引体 2的牙侧连 接孔 22-1产生损害， 增强了所述弹性牵引体 2使用过程中的安全性。
由于所述牙侧固定机构 33与牙齿粘接的部位具有与牙齿表面相适应的弧度，可以使得 所述牙侧固定机构 33与牙齿表面可以更好地贴合， 更好地保证了所述牙侧固定机构 33与 牙齿表面之间粘接的可靠性， 增强了所述牙侧固定器 3使用过程中的安全性。
所述牙侧固定机构 33 的具有与牙齿表面相适应的弧度的壳体 33-1 上设有容胶孔
33- 1-1 由于所述牙侧固定机构 33的壳体 33-1上设有容胶孔 33-1 -1， 可以增大所述牙侧 固定机构 33与牙齿表面粘接过程中粘接剂与所述牙侧固定机构 33的接触面积， 从而使得 所述牙侧固定机构 33与牙齿表面的粘接更加牢固，更好地保证了所述牙侧固定器 3使用过 程中的安全性。
进一步，所述牙侧固定器 3含有能调节弹性牵引体的牵引力大小的牵引力调节机构 34。 所述牵引力调节机构 34是能通过旋转运动卷起所述弹性牵引体 2或能松弛所述弹性牵 引体 2的转动机构 34-1。
所述牵引力调节机构 34 是能通过滑动来拉紧或松弛所述弹性牵引体 2 的滑动机构
34- 2。
所述弹性牵引体 2或舌背连接机构 1或牙侧固定器 3具有与人体组织相匹配的颜色。 如舌背连接机构 1是透明的， 或具有与舌粘膜接近的颜色， 达到的隐形的目的， 同样， 作 为弹性牵引体 2的医用弹性薄膜也可以是透明的， 或具有与口腔粘膜相匹配的颜色， 达到 隐形的目的。 此外， 粘贴固定在牙侧的牙侧固定器 3可以具有与牙相接近的颜色， 而通过 牙钉固定在牙床上的牙侧固定器 3则具有与牙床粘膜相接近的颜色。 这些颜色的设计与变 化是为了达到隐形和美观的效果。
本发明还公开了安装本发明之舌背弹性牵引装置的工具，含夹持钳 400、安装钳 500、 引线器 200。
进一步， 一种安装舌背弹性牵引装置的夹持钳 400， 其特征在于-
A、 所述夹持钳 400含右臂 401、 左臂 402和转轴 403;
B、 所述右臂 401含右钳头 401 -1、 右臂尾部 401 -2、 右臂转轴安装凸阶 401 -3; 所述 右钳头 401 -1上含右工作凹槽 401 -1 -1、 右侧防脱限位凸阶 401-1 -3及至少 1个右侧转动 限位凸阶 401 -1 -2; 所述右臂转轴安装凸阶 401 -3上设有用于安装转轴的通孔 401 -3-1；
C、 所述左臂 402含左钳头 402-1、 左臂尾部 402-2、 左臂转轴安装凸阶 402-3; 所述 左钳头 402-1上含左工作凹槽 402-1 -1、 左侧防脱限位凸阶 402-1 -3及至少 1个左侧转动 限位凸阶 402-1 -2; 所述左臂转轴安装凸阶 402-3上设有用于安装转轴的通孔 402-3-1；
D、 所述右臂转轴安装凸阶 401 -3与所述左臂转轴安装凸阶 402-3的形状相互匹配； 所述右臂安装转轴的通孔 401 -3-1与所述左臂安装转轴的通孔 402-3-1 的中线在同一直线 上； 所述转轴 403能够依次穿过所述右臂转轴安装凸阶上的通孔 401 -3-1和所述左臂转轴 安装凸阶上的通孔 402-3-1， 使得所述右臂 401及所述左臂 402能依托转轴 403进行张开 或闭合运动。
进一步， 所述夹持钳 400的所述右工作凹槽 401 -1 -1及所述左工作凹槽 402-1 -1在所 述夹持钳 400保持闭合状态时所形成的空间内能容纳舌背弹性牵引装置的舌背连接机构 1 的连接凸阶 12-2; 所述右侧防脱限位凸阶 401 -1 -3及左侧防脱限位凸阶 402-1 -3能可拆卸 地镶嵌在所述连接凸阶 12-2的横向连接凹槽 12-1 -1 内； 所述右侧转动限位凸阶 401 -1 -2 及左侧转动限位凸阶 402-1-2能可拆卸地镶嵌在所述纵向连接凹槽 12-1 -2内。
所述夹持钳 400在保持闭合状态时， 能很好的环抱住所述舌背连接结构 1的连接凸阶 12-2； 所述右侧防脱限位凸阶 401 -1 -3及左侧防脱限位凸阶 402-1-3镶嵌在所述连接凸阶 12-2的横向连接凹槽 12-1 -1 内， 可以有效地避免所述连接凸阶 12-2从所述夹持钳 400中 意外脱落。 此外， 所述右侧转动限位凸阶 401 -1-2及左侧转动限位凸阶 402-1-2在工作状 态时镶嵌在所述纵向连接凹槽 12-1 -2内， 在所述夹持钳 400旋转的过程中， 可以通过所述 右侧转动限位凸阶 401 -1 -2及左侧转动限位凸阶 402-1 -2将所述连接凸阶 12-2有效地固定 在所述夹持钳 400内， 使得所述连接凸阶 12-2与所述夹持钳 400不发生相对旋转运动。 通过所述夹持钳 400的旋转， 可以方便地将所述舌背弹性牵引装置的舌背连接机构 1的连 接凸阶 12-2的连接螺母 12-7拧在所述舌背弹性牵引装置的舌背连接机构 1的支撑体 11的 连接螺杆 11-7上。同时，由于所述右侧防脱限位凸阶 401 -1-3及左侧防脱限位凸阶 402-1 -3 的存在， 可以避免所述连接凸阶 12-2的连接螺母 12-7意外滑脱， 坠入人体， 形成异物。
所述夹持钳 400含复位弹簧 404， 所述复位弹簧 404设在所述右臂尾部 401 -2与所述 左臂尾部 402-2之间，一端支撑在所述右臂尾部 401 -2，另一端支撑在所述左臂尾部 402-2； 或者所述复位弹簧 404缠绕在所述转轴 403上， 一端支撑在所述右臂尾部 401 -2， 另一端 支撑在所述左臂尾部 402-2; 所述复位弹簧 404能在所述右臂尾部 401-2与所述左臂尾部 402-2之间施加张开力。
所述夹持钳 400含自锁机构 405， 所述自锁机构 405的特征在于：
A、所述自锁机构 405设于所述右臂尾部 401 -2和所述左臂尾部 402-2;所述右臂尾部 401 -2和左臂尾部 402-2上含所述自锁机构的安装槽 406; B、 所述自锁机构 405含销钉 405-1、 扭簧 405-2和自锁定位块 405-3;
C、 所述右臂尾部 401 -2上设有用于安装所述自锁机构 405的销钉孔 401 -2-1；
D、所述销钉 405-1依次穿过所述销钉孔 401 -2-1、扭簧 405-2、自锁定位块 405-3后， 将所述自锁机构 405固定在所述右臂尾部 401-2的安装槽 406内；所述扭簧 405-2置于所 述自锁定位块 405-3上的扭簧安装槽 405-3-4内， 其一端支撑在所述右臂尾部 401 -2， 另 一端支撑在所述自锁定位块 405-3上， 对所述自锁定位块 405-3形成闭合力；
E、 所述自锁定位块 405-3含锁牙 405-3-1、 自锁开关 405-3-2和安装通孔 405-3-3; 所述锁牙 405-3-1 与所述左臂尾部 402-2 上的所述自锁机构的安装槽 406 的定位凸阶 402-2-1形成凹凸卡配合;所述自锁开关 405-3-2凸起在开锁槽 401-2-2上，所述销钉 405-1 能从所述安装通孔 405-3-3中通过，将所述自锁定位块 405-3可运动地安装在所述右臂 401 的安装槽 406内。
当所述自锁定位块 405-3上的锁牙 405-3-1置于所述左臂 402上的自锁机构的安装槽 406的定位凸阶 402-2-1上时， 可以保证所述夹持钳 400的右钳头 401 -1与左钳头 402-1 保持闭合状态。只有操作者有意识地按下所述自锁定位块 405-3上的自锁开关 405-3-2时， 才能将所述锁牙 405-3-1从定位凸阶 402-2-1上移除， 从而打开所述夹持钳 400的右钳头 401 -1 与左钳头 402-1。 在工作过程中， 可以有效地避免由于误操作导致所述夹持钳 400 的右钳头 401 -1与左钳头 402-1张开而造成的所述舌背弹性牵引装置的舌背连接机构 1的 连接凸阶 12-2的连接螺母 12-7从所述夹持钳 400中意外脱落。
所述夹持钳 400的右臂 401 的外侧以及左臂 402的外侧设有防滑纹或防滑凹槽 407。 在工作状态时， 所述防滑纹或防滑凹槽 407可以增大操作者与所述夹持钳 400的右臂 401 与左臂 402之间的摩擦力， 在工作过程中可以有效地避免所述夹持钳 400出现滑脱现象。
所述夹持钳 400的右臂 401上与左臂 402上设有起导向作用和定位作用的一对相互配 合的定位导向块 402-1 -4和定位导向槽 401 -1 -4。 当所述右臂 401与左臂 402闭合时， 所 述定位导向块 402-1 -4与定位导向槽 401 -1-4形成凹凸卡配合， 可以保证所述右臂 401与 左臂 402在闭合过程中不会发生错位， 使得所述右侧转动限位凸阶 401 -1 -2及左侧转动限 位凸阶 402-1 -2可以准确的镶嵌到所述舌背弹性牵引装置的舌背连接机构 1上的纵向连接 凹槽 12-1 -2内， 保证了操作的顺畅性。
所述夹持钳 400， 含右臂 401、 左臂 402及转轴 403。 所述夹持钳 400保持闭合状态 时，所述右工作凹槽 401 -1 -1与左工作凹槽 402-1 -1形成的空腔能容纳所述舌背连接结构 1 的连接凸阶 12-2。 所述右侧转动限位凸阶 401 -1 -2与左侧防脱限位凸阶 402-1 -3镶嵌在所 述舌背连接机构 1的横向连接凹槽 12-1-1 内； 所述右侧转动限位凸阶 401 -1 -2及左侧转动 限位凸阶 402-1 -2能镶嵌在所述舌背连接机构 1的纵向连接凹槽 12-1 -2内； 方便将所述舌 背弹性牵引装置的舌背连接机构 1的连接凸阶 12-2的连接螺母 12-7拧在所述舌背连接机 构 1的支撑体 11的连接螺杆 11 -7上。所述夹持钳 400的自锁机构 405能在发生误操作时， 阻止所述夹持钳 400的张开， 防止所述连接凸阶 12-2从所述夹持钳 400中意外脱落。
进一步， 一种安装舌背弹性牵引装置的弹性牵引体的安装钳 500， 其特征在于-
A、 所述安装钳 500含张开端 501和手柄端 502;
B、 所述张开端 501至少含一个支架 501 -1 ;
C、 所述支架 501 -1 形成的纳物空间 501 -2能容纳所述舌背弹性牵引装置的舌背连接 机构 12上的连接凸阶 12-2。
进一步， 所述支架 501 -1上设有能防止弹性牵引体 2的舌侧连接机构 21脱落的凹槽 501 -1 -1 所述支架 501-1上设计有凹槽 501 -1 -1， 因此， 当将所述弹性牵引体 2的舌侧连 接机构 21置于安装钳 500的支架 501-1上时， 在安装钳 500移动的过程中， 由于所述安 装钳 500的支架 501 -1上的凹槽 501-1 -1 的定位作用， 弹性牵引体 2的舌侧连接机构 21 不会从安装钳 500上脱落， 使得所述安装钳 500工作过程更加安全、 便捷。
进一步， 所述张开端 501 上对称分布了两个支架 501 -1， 所述两个对称分布的支架 501 -1之间的距离 d501大于所述弹性牵引体舌背连接机构 12的连接凸阶 12-2的最大直径。 操作时，将弹性牵引体 2的舌侧连接孔 21 -1扩大后套在两个对称的支架 501-1上，将舌背 连接机构 1上的连接凸阶 12-2置于扩大了的舌侧连接孔 21-1 内， 取出所述安装钳 500， 所述弹性牵引体 2从所述支架 501 -1上滑脱，所述舌侧连接孔 21-1镶嵌在所述舌背连接机 构 1 的连接凸阶 12-2的横向连接凹槽 12-1 -1 内， 从而完成弹性牵引体 2与舌背连接机构 1的连接。
所述手柄端 502的表面有防滑凹槽、 防滑凸棱或防滑花纹 502-1。 所述手柄端 502表 面的防滑凹槽、 或防滑凸棱或防滑花纹增强了操作者与所述安装钳 500之间的摩擦力， 可 以有效地防止使用过程中安装钳 500从操作者手上脱落。
所述安装钳 500由可与人体直接接触的医用材料制造， 包括： 医用金属材料、 或医用 高分子材料、 或医用金属材料与医用高分子材料的复合材料。 由于所述安装钳 500选用了 可直接与人体接触的医用高分子材料制成， 当安装钳 500在安装弹性牵引体 2时， 即使安 装钳 500的支架 500-1与人体舌粘膜经常直接接触， 也不会对使用者产生任何不良作用。
所述安装钳 500， 含张开端 501和手柄端 502， 张开端 501含至少一个支架 501 -1， 所述支架 501 -1形成的纳物空间 501 -2能容纳所述舌背弹性牵引装置 1的舌背连接机构 12 上的连接凸阶 12-2。 在所述支架 501 -1上设有能防止弹性牵引体 2的舌侧连接机构 21脱 落的凹槽 501 -1 -1。在所述手柄端 502的表面有防滑凹槽、 防滑凸棱或防滑花纹 502-1， 有 效地防止了所述安装钳 500在使用过程中从操作者手中滑脱。所述安装钳 500由医用高分 子材料制成， 即使与人体组织频繁接触， 也不会对人体造成不良影响。
进一步， 安装舌背弹性牵引装置的一体式弹性牵引机构的引线器 200， 其特征在于-
A、 所述引线器 200含引线杆 201和滑块 202;
B、 所述引线杆 201 含光滑的导向头 201-1、 用于安装弹性牵引体 2的安装钩 201 -2 和限制滑块 202滑动距离的限位槽 201-3;
C、 所述滑块 202含滑动凸阶 202-1 ; 所述滑块 202的滑动凸阶 202-1能在所述引线 杆 201的限位槽 201 -3中滑动；
D、 当所述滑动凸阶 202-1位于所述限位槽 201 -3的近所述导向头 201 -1端时， 所述 滑块 202不能覆盖所述安装钩 201 -2; 当所述滑动凸阶 202-1位于所述限位槽 201 -3的近 所述安装钩 201 -2端时， 所述滑块 202能覆盖所述安装钩 201 -2。
进一步， 所述限位槽 201 -3的横截面是圆形。 由于所述限位槽 201 -3采用表面光滑的 圆杆形结构， 所述滑块 202环抱在限位槽 201 -3表面进行滑动， 不需要设计额外的导向机 构，结构简单，而且有效地增强了所述限位槽 201 -3对滑块 202的导向作用，所述滑块 202 在限位槽 201-3表面的滑动更加平稳， 在弹性牵引体 2的引线过程中更不容易出现由于导 向偏差造成的引线不顺畅现象。
所述滑块 202是在近所述导向头 201 -1端设有向内翻边的薄壁管， 所述向内翻边构成 所述滑动凸阶 202-1。由于所述滑块 202采用的是向内翻边的结构构成所述滑动凸阶 202-1， 实现了所述滑动凸阶 202-1的圆滑过渡， 使得所述引线器 200在工作的过程中与舌粘膜下 上皮化的隧道 100-1表面为面接触，减缓了对舌表面粘膜的剌激，可以提高所述引线器 200 在工作过程中人体的舒适性。
所述安装钩 201 -2是 U形钩或 J形钩。 进一步， 可以在所述安装钩 201 -2的尾部增加 导向设计， 可以在使用所述引线器 200的过程中更方便地将所述一体式弹性牵引机构 212 置入所述安装钩 201 -2内。
所述引线器 200， 含引线杆 201和滑块 202， 所述滑块 202的滑动凸阶 202-1能在所 述引线杆 201的限位槽 201 -3中滑动； 当所述滑块 202靠近所述导向头 201 -1端时，所述 滑块 202不能覆盖所述安装钩 201-2; 当所述滑块 202靠近所述安装钩 201 -2端时， 所述 滑块 202能覆盖所述安装钩 201 -2。 当将所述舌背弹性牵引装置 1 的一体式弹性牵引机构 212连接在本发明之引线器上时， 所述引线器 200能带动所述一体式弹性牵引机构 212方 便地穿过舌粘膜下上皮化的隧道 100-1。 所述导向头 201 -1的顶端是表面圆滑的锥体； 因此， 在所述引线器 200对所述一体式 弹性牵引机构 212实现引线的过程中， 所述导向头 201 -1与舌粘膜下上皮化的隧道 100-1 表面为面接触， 可以有效地减缓对舌表面粘膜的剌激。 同时， 所述引线器 200在对所述一 体式弹性牵引机构 212实现引线的过程中受到阻碍时， 所述导向头 201 -1能很好地避过阻 碍物， 实现引线过程的平稳进行。
在工作状态时， 首先将所述滑块 202滑动到所述限位槽 201-3靠近所述导向头 201 -1 的端部， 将所述一体式弹性牵引机构 212的牙侧连接孔 22-1置入所述安装钩 201 -2内。 然后将所述滑块 202滑动到所述限位槽 201 -3靠近所述安装钩 201 -2的端部， 将所述安装 钩 201 -2通过所述滑块 202完全覆盖住。将安装好了所述一体式弹性牵引机构 212的所述 引线器 200利用所述导向头 201 -1平稳的通过舌粘膜下上皮化的隧道 100-1将所述一体式 弹性牵引机构 212引出后，将所述滑块 202滑动到所述限位槽 201 -3靠近所述导向头 201 -1 的端部， 露出所述安装钩 201-2， 然后将所述一体式弹性牵引机构 212的牙侧连接孔 22-1 从所述安装钩 201 -2内取出， 即完成所述引线器 200对所述一体式弹性牵引机构 212的引 线过程。
在工作状态时， 通过对所述滑块 202的滑动， 可以将所述安装钩 201-2完全覆盖住， 并且很好地将一体式弹性牵引机构 212固定在所述安装钩 201 -2上， 在所述引线器 200通 过舌粘膜下上皮化的隧道 100-1时， 所述一体式弹性牵引机构 212不会从安装钩 201 -2上 脱落，同时，由于所述安装钩 201 -2不会暴露在滑块 202外，有效地避免了所述安装钩 201 -2 与舌粘膜表面的直接接触与剌激， 大大增强了引线过程的舒适性与顺畅性。
本发明之植入方法：
本发明之舌背弹性牵引装置的植入方法依据具体产品的结构类型， 分成 5种， 包括- 舌粘膜下上皮化隧道式牵引连接的舌背弹性牵引装置的植入方法， 舌粘膜下全植入式连接 体的舌背弹性牵引装置的植入方法， 舌粘膜下半植入式连接体的舌背弹性牵引装置的植入 方法， 以及粘膜表面固定式连接体的舌背弹性牵引装置的植入方法。
植入方法一： 舌粘膜下上皮化隧道式牵引连接的本发明之舌背弹性牵引装置的植入方法 第一步， 在舌的轮廓乳头前方设立粘膜下隧道式牵引连接机构。
局麻下， 通过微创手术方式， 在舌背粘膜表面轮廓乳头前方约 0cm~5cm处距中线约 ^m~3cm的两侧， 用手术器械贯穿舌粘膜下， 形成隧道， 然后将舌背连接机构 1的能形成 舌粘膜下隧道的植入体 100-2植入、固定，使得所述植入体 100-2的两端暴露在舌粘膜外。
手术后 15天 -60天， 拆除所述植入体 100-2后， 在舌背粘膜下形成了可以承受一定拉 力的舌粘膜下上皮化隧道 100-1， 所述舌粘膜下上皮化隧道 100-1 作为本发明之舌粘膜下 隧道式牵引连接机构 100。
如， 采用医用硅胶管或医用硅胶带作为本发明之能形成舌粘膜下隧道的植入体 100-2 植入在舌背处， 然后将医用硅胶管或医用硅胶带的暴露在舌背粘膜外的两端， 连接形成环 状固定。 手术后 15天 -60天， 将医用硅胶管或医用硅胶带拆除， 即可以在舌粘膜下形成了 上皮化的隧道 100-1， 所述舌粘膜下上皮化隧道 100-1 作为本发明之舌粘膜下隧道式牵引 连接机构 100。
第二步， 固定牙侧固定器 3。
通过医用粘胶剂将两个牙侧固定器 3，分别固定在左边和右边的各一颗上牙的内侧上。 通常选择从门牙向左侧计起的第 4颗上牙， 或从门牙向右侧计起的第 4颗上牙， 作为牙侧 固定器 3的粘接固定点。 当然， 还可以根据患者的实际情况， 选择其他上牙或下牙作为牙 侧固定器 3的粘接固定点。 此外， 本发明之牙侧固定器 3有不同的结构类型及其相应的固 定方法， 分别以牙， 或牙槽骨， 或上颌， 或下颌， 或上下颌唇外作为牙侧固定器 3的支撑 固定点， 进行安装固定。
第三步， 睡眠前， 佩戴本发明之舌背弹性牵引装置。
入睡前，用辅助工具将弹性牵引体 2穿过在舌背处形成的舌粘膜下上皮化的隧道 100-1。 当所述弹性牵引体 2从手术舌粘膜下上皮化的隧道 100-1 穿过后， 将弹性牵引体 2， 或者 一体式弹性牵引机构 212的两端固定在牙侧固定器 3上， 即完成了本发明之舌背弹性牵引 装置的安装佩戴过程。
第四步， 起床后， 拆除本发明之舌背弹性牵引装置。
将所述弹性牵引体 2， 或者一体式弹性牵引机构 212从牙侧固定器 3上取下， 并从舌 粘膜下上皮化的隧道 100-1抽出， 即可解除对舌背的牵引。
植入方法二： 舌粘膜下薄壁管隧道式牵引连接的本发明之舌背弹性牵引装置的植入方法 第一步， 在舌的轮廓乳头前方设立粘膜下隧道式牵引连接机构。
局麻下， 通过微创手术方式， 在舌背粘膜表面轮廓乳头前方约 0cm~5cm处距中线约 ^m~3cm的两侧， 用手术器械贯穿舌粘膜下， 形成隧道， 然后将舌背连接机构 1的薄壁管 状植入物 100-4植入、 固定， 使得所述薄壁管状植入物 100-4的两端的管口恰好暴露在舌 粘膜表面外。 手术后 15天至 60天， 牵拉手术植入的所述薄壁管状植入物 100-4， 患者无 疼痛和不适感时， 即可以进行舌背牵拉。 所述含薄壁管状植入物 100-4植入固定在舌粘膜 下形成的含薄壁管状植入物的舌粘膜下隧道 100-3作为本发明之舌粘膜下隧道式牵引连接 机构 100。
第二步， 固定牙侧固定器 3。 通过医用粘胶剂将两个牙侧固定器 3，分别固定在左边和右边的各一颗上牙的内侧上。 通常选择从门牙向左侧计起的第 4颗上牙， 或从门牙向右侧计起的第 4颗上牙， 作为牙侧 固定器 3的粘接固定点。 当然， 还可以根据患者的实际情况， 选择其他上牙或下牙作为牙 侧固定器 3的粘接固定点。 此外， 本发明之牙侧固定器 3有不同的结构类型及其相应的固 定方法， 分别以牙， 或牙槽骨， 或上颌， 或下颌， 或上下颌作为牙侧固定器 3的支撑固定 点， 进行安装固定。
第三步， 睡眠前， 佩戴本发明之舌背弹性牵引装置。
入睡前， 用辅助工具将弹性牵引体 2， 或者一体式弹性牵引机构 212穿过在舌背处形 成的含薄壁管状植入物的舌粘膜下隧道 100-3。当弹性牵引体 2， 或者一体式弹性牵引机构 212从所述隧道 100-3穿过后， 将弹性牵引体 2， 或者一体式弹性牵引机构 212的两端固 定在牙侧固定器 3上， 即完成了本发明之舌背弹性牵引装置的安装佩戴过程。
第四步， 起床后， 拆除本发明之舌背弹性牵引装置。
起床后，将所述弹性牵引体 2，或者一体式弹性牵引机构 212从牙侧固定器 3上取下， 并从含薄壁管状植入物的舌粘膜下隧道 100-3抽出， 即可解除对舌背的牵引。
植入方法三： 舌粘膜下全植入式连接体的本发明之舌背弹性牵引装置的植入方法 第一步， 在舌的轮廓乳头前方植入全植入式连接体。
在局麻下， 通过微创手术方式， 在舌背粘膜表面轮廓乳头前方约 0cm~5cm处， 距中 线约 0.5cm~2cm的两侧， 用手术器械在舌粘膜上横行切开约 0.5cm宽的切口， 然后用专 用器械将全植入式连接体 102由前向后植入到舌粘膜下。 在舌中线的左右两侧每侧至少植 入一个本发明之全植入式连接体 102。 所述本发明之全植入式连接体 102含有磁性材料。
第二步， 固定牙侧固定器 3。
通过医用粘胶剂将两个牙侧固定器 3，分别固定在左边和右边的各一颗上牙的内侧上。 通常选择从门牙向左侧计起的第 4颗上牙， 或从门牙向右侧计起的第 4颗上牙， 作为牙侧 固定器 3的粘接固定点。 当然， 还可以根据患者的实际情况， 选择其他上牙或下牙作为牙 侧固定器 3的粘接固定点。 此外， 本发明之牙侧固定器 3有不同的结构类型及其相应的固 定方法， 分别以牙， 或牙槽骨， 或上颌， 或下颌， 或上下颌作为牙侧固定器 3的支撑固定 点， 进行安装固定。
第三步， 睡眠前， 佩戴本发明之舌背弹性牵引装置。
入睡前， 将弹性牵引体 2的一端固定在牙侧固定器 3上， 弹性牵引体 2的含有磁性材 料的另一端伸入舌背部， 靠近本发明之全植入式连接体 102的部分， 在磁力的作用下， 所 述弹性牵引体 2的含有磁性材料端与具有磁性的所述全植入式连接体 102吸附在一起， 构 成了磁性连接， 在弹性牵引体 2的弹性恢复力的作用下， 将舌向前拉起， 即完成了本发明 之舌背弹性牵引装置的安装佩戴过程。
第四步， 起床后， 拆除本发明之舌背弹性牵引装置。
起床后， 将所述弹性牵引体 2从牙侧固定器 3上取下， 同时也从舌背部将弹性牵引体 2含有磁性材料的一端分离、 拆除， 即可解除对舌背的牵引。
植入方法四： 舌粘膜下半植入式连接体的本发明之舌背弹性牵引装置的植入方法 第一步， 在舌的轮廓乳头前方植入半植入式连接体。
在局部麻醉下， 通过微创手术方式， 在舌背粘膜表面轮廓乳头前方约 0cm~5cm处距 中线约 ^m~3cm 的两侧， 用手术器械贯穿舌粘膜下， 形成隧道， 然后将舌背连接机构 1 的半植入式连接体 103植入、 固定， 使得所述半植入式连接体 103的支撑体 11埋在舌粘 膜下， 弹性牵引体舌背连接机构 12暴露在舌粘膜表面外。 手术后 15天至 60天， 牵拉手 术植入的所述半植入式连接 103， 患者无疼痛和不适感时， 即可以进行舌背牵拉。
第二步， 固定牙侧固定器 3。
通过医用粘胶剂将两个牙侧固定器 3，分别固定在左边和右边的各一颗上牙的内侧上。 通常选择从门牙向左侧计起的第 4颗上牙， 或从门牙向右侧计起的第 4颗上牙， 作为牙侧 固定器 3的粘接固定点。 当然， 还可以根据患者的实际情况， 选择其他上牙或下牙作为牙 侧固定器 3的粘接固定点。 此外， 本发明之牙侧固定器 3有不同的结构类型及其相应的固 定方法， 分别以牙， 或牙槽骨， 或上颌， 或下颌， 或上下颌作为牙侧固定器 3的支撑固定 点， 进行安装固定。
第三步， 睡眠前， 佩戴本发明之舌背弹性牵引装置。
入睡前， 将弹性牵引体 2的一端固定在牙侧固定器 3上， 另一端固定在所述半植入式 连接体 103的弹性牵引体舌背连接机构 12上， 弹性牵引体 2以牙侧固定器 3为支点， 对 所述半植入式连接体 103产生弹性拉力。 在弹性牵引体 2的弹性恢复力的作用下， 将舌向 前拉起， 即完成了本发明之舌背弹性牵引装置的安装佩戴过程。
第四步， 起床后， 拆除本发明之舌背弹性牵引装置。
起床后， 将所述弹性牵引体 2从牙侧固定器 3上取下， 同时弹性牵引体 2也从舌背连 接机构 1 的半植入式连接体 103的弹性牵引体舌背连接机构 12上分离、 拆除， 解除对舌 背的牵引。
植入方法五： 粘膜表面固定式连接体的本发明之舌背弹性牵引装置的植入方法 第一步， 在舌的轮廓乳头前方粘接固定本发明之粘膜表面固定式连接体。
患者在镜前自行操作， 张口， 伸舌， 将舌背表面清洁， 吹干， 涂抹医用粘接剂。 再将 本发明之粘膜外固定式连接体 104的支撑座 104-1的粘接面涂抹医用粘接剂。 然后， 将涂 抹了医用粘接剂的本发明之粘膜外固定式连接体 104粘接固定在舌背表面上， 即可。
第二步， 固定牙侧固定器 3。
通过医用粘胶剂将两个牙侧固定器 3，分别固定在左边和右边的各一颗上牙的内侧上。 通常选择从门牙向左侧计起的第 4颗上牙， 或从门牙向右侧计起的第 4颗上牙， 作为牙侧 固定器 3的粘接固定点。 当然， 还可以根据患者的实际情况， 选择其他上牙或下牙作为牙 侧固定器 3的粘接固定点。 此外， 本发明之牙侧固定器 3有不同的结构类型及其相应的固 定方法， 分别以牙， 或牙槽骨， 或上颌， 或下颌， 或上下颌作为牙侧固定器 3的支撑固定 点， 进行安装固定。
第三步， 睡眠前， 佩戴本发明之舌背弹性牵引装置。
入睡前， 将弹性牵引体 2的一端固定在牙侧固定器 3上， 另一端连接固定在所述粘膜 外固定式连接体 104的弹性牵引体舌背连接机构 104-2上， 弹性牵引体 2以牙侧固定器 3 为支点， 对所述粘膜外固定式连接体 104产生弹性拉力。 在弹性牵引体 2的弹性恢复力的 作用下， 将舌向前拉起， 即完成了本发明之舌背弹性牵引装置的安装佩戴过程。
第四步， 起床后， 拆除本发明之舌背弹性牵引装置。
起床后， 将所述弹性牵引体 2从牙侧固定器 3上取下， 同时弹性牵引体 2和本发明之 粘膜外固定式连接体 104从舌背上分离、 拆除， 即可解除对舌背的牵引。
本发明之优点- 本发明之舌背弹性牵引装置， 含有舌背连接机构 1、弹性牵引体 2和牙侧固定器 3。所 述弹性牵引体 2的一端固定在牙侧固定器 3上， 另一端连接在舌背连接机构 1上。 弹性牵 引体 2在舌背连接机构 1与牙侧固定器 3之间形成弹性牵引力。 所述弹性牵引体 2产生的 拉力在 15g至 300g之间， 通过弹性牵引体 2的弹性牵拉， 直接将舌背向前拉起， 防止舌 后坠， 扩大了舌咽部的气道， 达到治疗鼾症和 OSAHS的目的。
因为弹性牵引体 2对舌背连接机构 1是弹性牵引， 在舌背适度拉起的同时， 并不影响 舌的运动， 可保持一定的吞咽和说话功能， 因而既扩大了舌咽部的气道， 又具有良好的舒 适性； 特别是， 带有牵引力调节机构 34的本发明之舌背弹性牵引装置， 能将对舌背部的牵 引力调至最佳大小。 此外， 本发明之舌背弹性牵引装置安装简单， 使用方便， 便于清洗、 消毒。 附图说明
图 1 是本发明之上牙内侧固定型舌背弹性牵引装置的结构示意图。 图 1 -1 是图 1的 A处放大图。
图 1 -2 是图 1的 B处放大图。
图 1 -3 是图 1之舌背连接机构的结构示意图。
图 1 -4 是图 1之弹性牵引体的结构示意图。
图 1 -5 是图 1之牙侧固定器的结构示意图。
图 1 -6 是图 1之牙侧固定器粘接固定于上牙内侧的结构示意图。
图 1 -7 是 图 1之舌背连接机构植入在舌背上的结构示意图。
图 1 -8 是图 1之牙侧固定器固定在上牙内侧的位置示意图。
图 2 是本发明之牙外侧粘接固定型舌背弹性牵引装置的结构示意图。
图 3 是本发明之牙槽骨内侧牙钉固定型舌背弹性牵引装置的结构示意图。
图 3-1 是图 3之牙侧固定器及弹性牵引体的结构示意图。
图 3-2 是用单根薄膜带状弹性牵引体连接椭圆环形舌背连接机构的本发明之舌背弹性牵引装 置的结构示意图。
图 4 是本发明之牙槽骨外侧牙钉固定型舌背弹性牵引装置的结构示意图。
图 5 是本发明之牙套固定型舌背弹性牵引装置的结构示意图。
图 6 是本发明之硅胶唇外固定型舌背弹性牵引装置的结构示意图。
图 7 是本发明之旋转调节唇外固定型舌背弹性牵引装置的结构示意图。
图 7-1 是图 7的爆炸图。
图 8 是本发明之滑动调节唇外固定型舌背弹性牵引装置的结构示意图。
图 8-1 是图 8的爆炸图。
图 9 是本发明之弹性牵引体调节型舌背弹性牵引装置的结构示意图。
图 10 是本发明之舌粘膜下上皮化隧道式舌背弹性牵引装置的结构示意图。
图 10-1是能形成舌粘膜下隧道的植入体植入在舌上的结构示意图。
图 11 是本发明之含薄壁管状物的舌粘膜下隧道式舌背弹性牵引装置的结构示意图。 图 11 -1 是图 11的剖视图。
图 11 -2 是本发明之含薄壁管状物的舌粘膜下隧道在舌上的结构示意图。
图 12 是本发明之螺旋弹簧状舌粘膜下隧道式舌背弹性牵引装置的结构示意图。 图 13 是本发明之磁连接的全植入式连接体的舌背弹性牵引装置的结构示意图。 图 13-1 是图 13之全植入式连接体的结构示意图。
图 14 是本发明之磁连接的舌背弹性牵引装置的结构示意图。
图 14-1 是图 14的 E处放大图。 图 14-2 是图 14的磁性全植入式连接体的结构示意图。
图 14-3 是图 14-2的 D-D剖视图。
图 14-4 是图 14的磁性全植入式连接体在舌背处植入的位置分布图。
图 15 是本发明之舌背粘接型舌背弹性牵引装置的结构示意图。
图 15-1 是图 15之改用连接凹槽时的结构示意图。
图 15-2 是图 15之改用连接钩时的结构示意图。
图 15-3是弹性牵引体远端直接粘在舌背上的本发明之舌背弹性牵引装置结构示意图。 图 16 是本发明之唇外粘接型舌背弹性牵引装置的结构示意图。
图 17 是本发明之隧道式舌背连接机构的工作原理示意图。
图 17-1 是本发明之隧道式舌背连接机构的结构示意图。
图 17-2 是图 17-1的俯视图。
图 17-3 是图 17-1的剖视图。
图 18 是本发明之连接凸阶上设有纵向连接凹槽的舌背弹性牵引装置的结构示意图。 图 18-1 是本发明之舌背连接机构的横向连接凹槽及纵向连接凹槽对弹性牵引体进行 固定的结构示意图。
图 18-2 是本发明之可拆卸的 4凹槽螺纹型舌背连接机构的结构示意图。 在本实施例 中， 所述舌背连接机构 1的支撑体 11 的一端的所述连接凸阶 12-2采用螺纹型可拆卸连接 结构； 在所述支撑体 11 的另一端则是整体制造的不可拆卸的 4凹槽型连接凸阶 12-2; 这 种结构可以方便螺纹的装卸。
图 18-3 是图 18-2的分拆图。
图 18-4 是图 18-2的剖视图。
图 18-5 是本发明之可拆卸的 4凹槽凹凸卡配合型舌背连接机构的结构示意图。 图 18-6 是图 18-5的分拆图。
图 18-7 是图 18-5的剖视图。
图 18-8 是本发明之整体成型的 4凹槽型舌背连接机构的结构示意图。 本实施例中， 所述舌背连接机构 1的连接凸阶 12-2上均匀分布有 4个纵向连接凹槽 12-1 -2。
图 18-9 是图 18-8的剖视图。
图 18-10 是本发明之 4凹槽型锥形连接凸阶的舌背连接机构的结构示意图。 在本实 施例中， 所述连接凸阶 12-2采用了锥形结构， 在锥形结构的连接凸阶 12-2上均匀分布有 4个纵向连接凹槽 12-1 -2。
图 18-11 是本发明之 2凹槽型舌背连接机构的结构示意图。 本实施例中， 所述舌背 连接机构 1的连接凸阶 12-2上均匀分布有 2个纵向连接凹槽 12-1 -2。
图 18-12 是本发明之 3凹槽型舌背连接机构的结构示意图。 本实施例中， 所述舌背 连接机构 1的连接凸阶 12-2上均匀分布有 3个纵向连接凹槽 12-1 -2。
图 18-13 是本发明之 5凹槽型舌背连接机构的结构示意图。 本实施例中， 所述舌背 连接机构 1的连接凸阶 12-2上均匀分布有 5个纵向连接凹槽 12-1 -2。
图 19 是本发明之三段式弹性牵引体的结构示意图。 本实施例中， 所述三段式弹 性牵引体 2含牙侧连接机构 22、 舌侧连接机构 21及弹性变形机构 20， 所述牙侧连接机构 22上设有 4个牙侧连接孔 22-1， 所述舌侧连接机构 21上仅设有 1个舌侧连接孔 21 -1 图 19-1 是图 19的剖视图。
图 19-2 是本发明之三段式弹性牵引体的工作原理图。
图 20 是本发明之一体式弹性牵引机构的结构示意图。 本实施例中， 所述一体式弹 性牵引机构 212含 2个牙侧连接机构 22、 1个舌背连接机构 1及 2个弹性变形机构 20， 所述牙侧连接机构 22上设有 4个牙侧连接孔 22-1，所述 4个牙侧连接孔 22-1分别用来调 节所述弹性变形机构 20的弹性恢复力。
图 20-1 是图 20的牙侧连接机构处的 F— F剖视图。
图 20-2 是图 20的弹性变形机构处的 G— G剖视图。
图 20-3 是图 20的舌背连接机构处的 J J剖视图。
图 20-4 是图 20的 K K剖视图。
图 20-5 是本发明之一体式弹性牵引机构的工作原理图。
图 21 是本发明之三脚架型唇外固定式牙侧固定器的结构示意图。
图 21-1 是图 21的仰视图。
图 21-2 是图 21的俯视图。
图 21-3 是图 21 -2的侧视图。
图 21-4 是本发明之三脚架型唇外固定式牙侧固定器的工作原理图。
图 22 是本发明之工字型牙侧固定器的立体结构示意图。
图 22-1 是本发明之牙侧固定器的主视图。
图 22-2 是图 22-1的剖视图。
图 22-3 是本发明之工字型牙侧固定器的工作原理图。
图 23 是本发明之夹持钳闭合状态时的结构示意图。 本实施例中， 所述夹持钳 400 的复位弹簧 404设在所述右臂尾部 401-2与所述左臂尾部 402-2之间， 一端支撑在所述右 臂尾部 401 -2， 另一端支撑在所述左臂尾部 402-2。 图 23-1 是图 23所述夹持钳的头部的结构示意图。
图 23-2 是图 23的剖视图。
图 23-3 是本发明之夹持钳张开状态时的结构示意图。
图 23-4 是图 23-3所述夹持钳的头部的结构示意图。
图 23-5 是图 23-3的剖视图。
图 23-6 是本发明之夹持钳的爆炸图。
图 23-7 是本发明之夹持钳的爆炸图。
图 23-8 是本发明之夹持钳的右臂的结构示意图。
图 23-9 是图 23-8的正视图。
图 23-10是图 23-8的剖视图。
图 23-11 是本发明之夹持钳的左臂的结构示意图。
图 23-12是图 23-11的正视图。
图 23-13是图 23-11的剖视图。
图 23-14是本发明之夹持钳的自锁定位块的结构示意图。
图 23-15是图 23-14的立体结构示意图。
图 23-16是本发明之夹持钳张开后拟纳入舌背连接机构的连接凸阶时的工作原理图。 图 23-17是图 23-16的舌背连接机构的连接凸阶纳入本发明之夹持钳后的工作原理图。 图 23-18是通过本发明之夹持钳将舌背连接机构的连接凸阶通过螺纹连接旋入舌背连 接机构的支撑体的工作原理图。
图 23-19是压下自锁开关后将舌背连接机构的连接凸阶从本发明之夹持钳上取出时的 工作原理图。
图 23-20 是复位弹簧安装在转轴上的本发明之夹持钳的爆炸图。
图 23-21是图 23-20的右臂的立体结构示意图。 在图 23-20、 图 23-21展示的实施例 中， 所述夹持钳 400的复位弹簧 404缠绕在所述转轴 403上， 一端支撑在所述右臂尾部 401 -2的右侧复位弹簧安装槽 401-2-3，另一端支撑在所述左臂尾部 402-2的左侧复位弹簧 安装槽 402-2-3上。
图 24 是本发明之安装钳的结构示意图。
图 24-1 是本发明之安装钳的主视图。
图 24-2 是本发明之安装钳的左视图。
图 24-3 是图 24-2的 P— P剖视图。
图 24-4是本发明之安装钳工作原理图步骤一。 图 24-5是本发明之安装钳工作原理图步骤二。
图 24-6是本发明之安装钳工作原理图步骤三。
图 24-7是本发明之安装钳工作原理图步骤四。
在上述图 24-4至图 24-7中， 从左向右依次排列有舌背连接机构 1、弹性牵引体 2、本 发明之安装钳 500。所述舌背连接机构 1含支撑体 11和连接弹性牵引体的弹性牵引体舌背 连接机构 12， 所述弹性牵引体舌背连接机构 12含连接凸阶 12-2， 其中右侧的所述连接凸 阶 12-2通过螺纹与支撑体 11连接在一起。 所述弹性牵引体 2的上端含有 1个舌侧连接孔 21 -1， 所述舌侧连接孔 21-1可以套在所述连接凸阶 12-2上， 从而在所述弹性牵引体 2与 舌背连接机构 1之间建立可拆卸的连接。 本发明之安装钳含张开端 501与手柄端 502， 所 述张开端 501含一对支架 501 -1， 所述支架 501 -1形成的纳物空间 501-2能容纳所述连接 凸阶 12-2。 所述弹性牵引体 2上的舌侧连接孔 21 -1拉伸扩大后能套在所述安装钳 500的 支架 501 -1的凹槽 501 -1-1处， 然后将头部套有弹性牵引体 2的所述安装钳 500套在所述 连接凸阶 12-2上， 拔出所述安装钳， 因所述连接凸阶 12-2的存在， 所述弹性牵引体 2的 舌侧连接孔 21 -1收缩并镶套在支撑体 11上，镶嵌在所述舌背连接机构 12的连接凸阶 12-2 下的横向连接凹槽 12-1 -1 内，即完成了所述弹性牵引体 2与舌背连接机构 1上的弹性牵引 体舌背连接机构 12的连接。
图 24-8 是用本发明之安装钳将弹性牵引体安装在舌背连接机构上的工作原理图。 图 25 是本发明之一体式弹性牵引机构引线器的结构示意图。
图 25-1 是图 25的剖视图。
图 25-2 是图 25-1的 X处的局部放大图。
图 25-3 是本发明之焊接连接的一体式弹性牵引机构引线器的结构示意图。 在本实施 例中， 所述引线杆 201的导向头部分与引线杆 201的安装钩部分之间通过焊接工艺连接在 一起。
图 25-4 是图 25-3的 T处的局部放大图。
图 25-5 是本发明之螺纹连接的一体式弹性牵引机构引线器的结构示意图。 在本实施 例中， 所述引线杆 201的导向头部分与引线杆 201的安装钩部分之间通过螺纹连接工艺连 接在一起。
图 25-6 是图 25-5的 Z处的局部放大图。
图 25-7 是将所述一体式弹性牵引机构的牙侧连接机构上的牙侧连接孔置入本发明之 弹性牵引体引线器的安装钩时的结构示意图。 在本实施例中， 首先， 将所述滑块 202靠近 所述导向头 201 -1端， 将所述安装钩 201-2暴露在所述滑块 202外， 然后， 将所述一体式 弹性牵引机构 212的牙侧连接机构 22上的牙侧连接孔 22-1置入在所述一体式弹性牵引机 构引线器 200的安装钩 201 -2内。
图 25-8 是本发明之一体式弹性牵引机构引线器的安装钩和所述一体式弹性牵引机构 的部分端部被滑块包覆住时的结构示意图。在本实施例中，将所述一体式弹性牵引机构 212 的牙侧连接机构 22上的牙侧连接孔 22-1置入所述一体式弹性牵引机构引线器 200的安装 钩 201 -2内后， 向所述安装钩 201 -2端滑动所述滑块 202， 将所述安装钩 201 -2、 及所述 一体式弹性牵引机构 212的牙侧连接机构 22上的牙侧连接孔 22-1置入所述安装钩 201 -2 的部分， 完全包覆住， 完成所述弹性牵引体引线器 200的引线前准备。
图 26 是本发明之含弹簧的牙槽骨内侧用牙钉固定型的舌背弹性牵引装置的结构示 意图。
图 27-1 是本发明之 U型舌背连接机构的结构示意图。
图 27-2 是本发明之椭圆环型舌背连接机构的结构示意图。
图 27-3 是本发明之圆环型舌背连接机构的结构示意图。
图 27-4 是本发明之带连接凹槽的舌背连接机构的结构示意图。
图 27-5 是本发明之带连接钩的舌背连接机构的结构示意图。
图 27-6 是本发明之连接钩为螺纹连接的舌背连接机构的结构示意图。
图 27-7 是本发明之舌背连接机构的连接凹槽及与之匹配的弹性牵引体上的舌侧连接 凸阶的结构示意图。
图 27-8 是本发明之带连接环的舌背连接机构的结构示意图。
图 27-9 是本发明之连接环安装在条状支撑体上的舌背连接机构的结构示意图。 图 28-1 是本发明之双钩型弹性牵引体的结构示意图。
图 28-2 是本发明之含弹簧的双钩型弹性牵引体的结构示意图。
图 28-3 是本发明之含连接线的弹性牵引体的结构示意图。
图 28-4 是本发明之含弹簧的四钩型弹性牵引体的结构示意图。
图 28-5 是本发明之三钩 Y字型弹性牵引体的结构示意图。
图 29-1 是牙侧固定器与弹性牵引体之间是磁性连接的本发明之牙侧固定器与弹性牵 引体的结构示意图。
图 29-2 是图 29-1的组装图。
图 30-1 是本发明之弹性牵引体与牙侧固定器之间的连接方式的结构示意图。
图 30-2 是图 30-1的爆炸图。
图 31-1 是本发明之弹性牵引体与牙侧固定器之间的连接方式的结构示意图。 图 31-2 是图 31 -1的爆炸图。
图 32-1 是本发明之弹性牵引体与牙侧固定器之间的连接方式的结构示意图。
图 32-2 是图 32-1的爆炸图。
图 33 是本发明之舌背弹性牵引装置的舌背连接机构的植入区域分布图。
上述图中：
1为舌背连接机构， 2为弹性牵引体， 3为牙侧固定器， 4为舌， 5为牙， 6为唇， 7 为舌咽部的气道， 8为牙床， 9为螺旋弹簧。 4-1为舌的轮廓乳头， 4-2为舌中线， 4-3为植 入式舌背连接机构的舌背区域。 L为植入舌背连接机构的舌背区域的长度， W为植入舌背 连接机构的舌背区域的宽度， H为植入舌背连接机构的舌背区域的深度。
在舌背连接机构 1上：
100为隧道式牵引连接机构， 101 为固定于舌上的连接体， 102为全植入式连接体， 103为半植入式连接体， 104为粘膜表面固定式连接体， 105为防止植入的连接体移位的 凸阶， 106为防止植入的连接体移位的通孔。
100-1为舌粘膜下上皮化的隧道， 100-2为能形成舌粘膜下隧道的植入体， 100-3为含 薄壁管状植入物的舌粘膜下隧道， 100-4为薄壁管状植入物。
100-4-1为定位凸阶， 100-4-2为与所述定位凸阶底部上与舌粘膜表面相匹配的光滑面， 100-4-3为所述薄壁管状植入物的中心孔。
102-1为扁平状物体。 1021-1为磁性单元， 1021-2为基体。
104-1为粘膜表面固定式连接体的支撑座， 104-2为粘膜表面固定式连接体上的与弹性 牵引体连接的连接机构， 1042-1为连接凹槽， 1042-2为连接凸阶， 1042-3为连接钩。
11为支撑体， 11 -5为支撑体上的凹凸卡配合的安装凸阶， 11 -6为支撑体上的槽孔， 11 -7 为支撑体上的连接螺杆，
12为连接弹性牵引体的弹性牵引体舌背连接机构， 12-1为连接凹槽， 12-2为连接凸 阶， 12-3为连接钩。 12-4为减缓边缘对舌表面粘膜剌激的圆锥形过渡机构， 12-5为连接 凸阶上的凹凸卡配合的安装凹槽， 12-6为连接环， 12-7为连接凸阶上的连接螺母。 12-1 -1 为横向连接凹槽； 12-1 -2为纵向连接凹槽。
d12为圆锥形过渡机构在接近弹性牵引体舌背连接机构处的直径； d11 为圆锥形过渡 机构在接近支撑体处的直径； β为隧道式舌背连接机构上的定位凸阶两端的 2个光滑面之 间的夹角。
在弹性牵引体 2上：
20为弹性变形机构， 21 为与舌背连接机构相连接的弹性牵引体上的舌侧连接机构， 22为与牙侧固定器相连接的弹性牵引体上的牙侧连接机构， 212为一体式弹性牵引机构。 21-1为舌侧连接孔， 21-2为舌侧连接凸阶， 21-3为舌侧连接钩， 21-4为舌侧连接线，
21- 5为舌侧连接端部， 22-1为牙侧连接孔， 22-2为牙侧连接凸阶， 22-3为牙侧连接钩，
22- 4为牙侧连接线。
21-1-1为舌侧连接孔上的凸起棱边， 22-1-1为牙侧连接孔上的凸起棱边。
S1为弹性牵引体的舌侧端上开设的舌侧连接通孔， S2为弹性牵引体的舌侧端上开设 的舌侧连接通孔， S3为弹性牵引体的舌侧端上开设的舌侧连接通孔。 Y1为弹性牵引体的 牙侧端上开设的牙侧连接通孔， Y2为弹性牵引体的牙侧端上开设的牙侧连接通孔， Y3为 弹性牵引体的牙侧端上开设的牙侧连接通孔。
在牙侧固定器 3上：
31为支撑架， 32为连接弹性牵引体的弹性牵引体牙侧连接机构， 33为固定牙侧固定 器的牙侧固定机构， 34为牵引力调节机构；
31-1为牙侧固定支撑架， 31-2为牙科骨钉型固定支撑架， 31-3为牙套型固定支撑架，
31- 4为唇外固定支撑架。 32-1为牙侧固定器的定位凹槽， 32-2为牙侧固定器的定位凸阶，
32- 3为牙侧固定器的定位钩， 33-1为牙侧固定机构上具有与牙齿表面相适应的弧度的壳体， 34-1为转动机构， 34-2为滑动机构；
31-1-1为牙侧固定支撑架的牙侧粘接面， 31-1-2为牙侧固定支撑架的的支撑座， 31-2-1 为牙套固定型牙侧固定器上的牙槽沟， 31-4-1为上颌唇外固定支撑架， 31-4-2为下颌唇外 固定支撑架， 31-4-3为唇角支撑架， 33-1-1为设在壳体上的容胶孔， 3411为转轴， 3411-1 为转轴上的定位多边形， 3411-2为复位弹簧， 3411-3为定位螺母， 3411-4为弹性牵引体 固定槽， 3411-5为旋钮； 3412为转轴安装定位槽， 3412-1为定位多边形槽， 3412-2为复 位弹簧安装孔， 3412-3为定位螺母安装孔； 3421为滑动机构的滑块， 3422为滑动机构的 定位块， 3421-1为滑块的定位牙槽， 3421-2为滑块的手柄， 3421-3为滑块支架。
γ为上颌唇外固定支撑架 31-4-1与下颌唇外固定支撑架 31-4-2之间的夹角； ε为上颌 唇外固定支撑架 31-4-1与唇角支撑架 31-4-3之间的夹角； Θ为下颌唇外固定支撑架 31-4-2 与唇角支撑架 31-4-3之间的夹角。
200为引线器， 400为夹持钳， 500为安装钳。
在引线器 200上：
200为一体式弹性牵引机构引线器， 212为一体式弹性牵引机构。
201为引线杆， 202为滑块。
201-1为导向头， 201-2为安装钩， 201-3为限位槽； 202-1为滑动凸阶。
在夹持钳 400上：
400为夹持钳， 401为右臂， 402为左臂， 403为转轴， 404为复位弹簧， 405为自锁 机构， 406为自锁机构的安装槽， 407为防滑纹及防滑凹槽。
401 - 1为右钳头， 401 -2为右臂尾部， 401 -3为右臂转轴安装凸阶。
402- 1为左钳头， 402-2为左臂尾部， 402-3为左臂转轴安装凸阶。
405-1为销钉， 405-2为扭簧， 405-3为自锁定位块。
401 - 1 -1为右工作凹槽，401 -1 -2为右侧转动限位凸阶，401 -1-3为右侧防脱限位凸阶，
401 - 1 -4为定位导向槽， 401 -2-1为销钉孔， 401 -2-2为开锁槽， 401 -2-3为右侧复位弹簧 安装槽， 401 -3-1为右侧转轴安装凸阶上的通孔。
402- 1 -1为左工作凹槽，402-1 -2为左侧转动限位凸阶， 402-1-3为左侧防脱限位凸阶，
402- 1 -4为定位导向块， 402-2-1 为定位凸阶、 402-2-3为左侧复位弹簧安装槽， 402-3-1 为左侧转轴安装凸阶上的通孔。
405-3-1为锁牙、 405-3-2为自锁开关， 405-3-3为安装通孔， 405-3-4为扭簧安装槽。 在安装钳 500上：
501为张开端， 502为手柄端。 501 -1为支架， 501 -2为纳物空间， 502-1为防滑凹槽、 或防滑凸棱及防滑花纹， 501-1 -1为凹槽。
d501为支架之间的距离。 具体实施方式
本发明治疗 OSAHS的原理在于： 以牙， 或牙床， 或上下颌唇外作为支撑点， 将牙侧 固定器 3固定于牙齿， 或牙床， 或唇外； 在舌上设立舌背连接机构 1 ; 弹性牵引体 2的一 端连接在牙侧固定器 3上， 另一端连接在舌背连接机构 1上； 弹性牵引体 2在舌背连接机 构 1与牙侧固定器 3之间形成弹性牵拉力， 将后坠的舌拉起， 从而扩大了舌咽部气道的空 间， 治疗因舌后坠塌陷导致的鼾症和 OSAHS, 参考图 1。
由于弹性牵引体 2有非常好的弹性， 可以在牙侧固定器 3与舌背连接机构 1之间实现 弹性牵拉， 使得舌有足够的运动自由， 从而在舌根适度拉起的同时， 并不过分影响舌尖和 舌体的运动， 既扩大了舌咽部的气道， 达到治疗 OSAHS的目的； 又保持了舌尖部良好的 运动功能， 保留了清晰的语言功能和适度的吞咽功能， 具有良好的舒适性。 当舌侧固定器 3上设有牵引力调节机构 34时， 能依据患者的实际需要来调节舌背部的牵引力的大小， 进 一步改善了舒适性和疗效。此外，当牙侧固定器 3固定在牙内侧时，具有很好的隐形效果， 患者如不张嘴呼吸， 则见不到本发明之舌背弹性牵引装置， 大幅度减轻了患者和家属的心 理负担。 实施例 1 : 本发明之牙内侧隐形固定型舌背弹性牵引装置
参考图 1， 本实施例展示了一种本发明之牙内侧隐形固定型舌背弹性牵引装置。
参考图 1 -3， 所述舌背连接机构 1 由支撑体 11和弹性牵引体舌背连接机构 12构成。 所述支撑体 11是医用钛金属制造的弧形金属丝； 在所述支撑体 11 的两端， 分别设有连接 凸阶 12-2， 所述连接凸阶 12-2 的尺寸大于所述弧形金属丝的直径， 以方便弹性牵引体 2 的安装固定； 所述连接凸阶 12-2构成了舌背连接机构 1的弹性牵引体舌背连接机构 12。
所述连接凸阶 12-2与所述支撑体 11 的端部可以通过螺纹连接固定、 或凹凸卡配合连 接固定、 或过盈配合连接固定、 或粘接剂粘接固定； 所述连接凸阶 12-2与所述支撑体 11 的还可以是通过同一块金属料通过机加工方式来制造， 如本实施例中， 所述连接凸阶 12-2 和支撑体 11， 就是同一块金属料通过机械加工来制造的。
参考图 1-4， 所述弹性牵引体 2采用医用弹性薄膜制造， 如选择医用硅胶薄膜， 或医 用乳胶薄膜， 所述薄膜的厚度在 0.01 mm至 3mm之间， 通常选择厚度为 0.10mm的应用 乳胶薄膜。所述弹性牵引体 2采用长方形带状结构， 其上设有舌侧连接孔 21 -1和牙侧连接 孔 22-1。 所述舌侧连接孔 21 -1既可以安装固定在所述连接凸阶 12-2上， 也可以从所述连 接凸阶 12-2上拆除， 所述舌侧连接孔 21 -1构成了与舌背连接机构 1相连接的弹性牵引体 2上的舌侧连接机构 21， 参考图 1 -2和图 1 -7。 所述牙侧连接孔 22-1既可以安装固定在牙 侧固定器 3的定位凸阶 32-2上， 也可以从牙侧固定器 3的定位凸阶 32-2上拆除。 所述牙 侧连接孔 22-1构成了与牙侧固定器 3相连接的弹性牵引体 2上的牙侧连接机构 22， 参考 图 1 -1和图 1 -6。
参考图 1 -5， 所述牙侧固定器 3由支撑架 31、 弹性牵引体牙侧连接机构 32和牙侧固 定机构 33构成。 所述支撑架 31是牙侧固定支撑架 31 -1。 所述牙侧固定支撑架 31 -1 由牙 侧粘接面 31 -1 -1和支撑座 31 -1 -2构成。 所述牙侧粘接面 31 -1 -1具有与上牙的内侧表面相 匹配的形状， 并能通过齿科粘胶剂粘接固定在上牙的内表面上。 所述牙侧粘接面 31 -1 -1构 成了牙侧固定器的牙侧固定机构 33，参考图 1 -6。所述弹性牵引体牙侧连接机构 32是定位 凸阶 32-2。 所述定位凸阶 32-2与所述支撑座 31 -1-2相连接。 所述弹性牵引体 2上的牙侧 连接孔 22-1可以安装固定在所述定位凸阶 32-2上， 也可以从所述定位凸阶 32-2上拆除， 参考图 1 -1和图 1 -6。
临床使用时， 首先， 通过微创手术方式将舌背连接机构 1植入在舌背处， 使舌背连接 机构 1 的支撑体 11植入在舌背的粘膜下， 而舌背连接机构 1 的弹性牵引体舌背连接机构 12暴露在舌背粘膜外。手术后 15天 -45天，所述支撑体 11可以牢固地固定在舌背粘膜下， 这时， 拉动暴露在舌背粘膜外的所述弹性牵引体舌背连接机构 12， 可以将后坠的舌拉起， 参考图 1 -7。
其次， 通过医用粘胶剂将两个牙侧固定器 3， 分别固定在左边和右边的各一颗上牙的 内侧上。 通常选择从门牙向左侧计起的第 4颗上牙， 或从门牙向右侧计起的第 4颗上牙， 作为牙侧固定器 3的粘接固定点。 当然， 还可以根据患者的实际情况， 选择其他上牙或下 牙作为牙侧固定器 3的粘接固定点， 参考图 1 -8。
入睡前， 将所述弹性牵引体 2的一端可拆卸地连接在牙侧固定器 3上， 另一端可拆卸 地连接在舌背连接机构 1 的弹性牵引体舌背连接机构 12上； 弹性牵引体 2在舌背连接机 构 1与牙侧固定器 3之间形成弹性牵拉力， 将后坠的舌拉起， 从而扩大了舌咽部气道的空 间， 达到治疗因舌后坠塌陷导致的 OSAHS, 参考图 1。 具体连接方式如下：
将长方形带状结构的所述弹性牵引体 2上的舌侧连接孔 21 -1固定在舌背连接机构的连 接凸阶 12-2上，即完成了弹性牵引体 2与舌背连接机构 1之间的连接，参考图 1 -7。然后， 将弹性牵引体 2上的牙侧连接孔 22-1固定在牙侧固定器 3上的定位凸阶 32-2上， 即形成 了弹性牵引体 2与牙侧固定器 3之间的连接， 参考图 1 -6。
因为弹性牵引体 2对舌背连接机构 1的是弹性牵引， 适度拉起后坠的舌的同时， 并不 影响舌的运动， 因而既扩大了舌咽部的气道， 又具有良好的舒适性。
此外， 本发明之舌背弹性牵引装置的 2个牙侧固定器 3分别安装固定左右 2个上牙齿 的内侧， 具有隐形的效果。 如果患者睡眠时， 不张开嘴， 则看不到本发明之舌背弹性牵引 装置已经内置在口腔内， 大幅度减轻了患者和家属的心理负担。 本发明所述的这种牙内侧 隐形固定型舌背弹性牵引装置， 不仅安装简单，使用方便， 便于清洗， 消毒而且美观舒适。 实施例 2 : 本发明之牙外侧粘接固定型舌背弹性牵引装置
参考图 2， 本实施例与实施例 1 的不同点在于： 在实施例 1 中牙侧固定器 3是粘接固 定在上牙的内侧， 而在本实施例中， 两个牙侧固定器 3是分别固定在左边和右边的各一颗 上牙的外侧上。 通常选择从门牙向左侧计起的第 4颗上牙， 或从门牙向右侧计起的第 4颗 上牙， 作为牙侧固定器 3的粘接固定点。 当然， 还可以根据患者的实际情况， 选择其他上 牙作为牙侧固定器 3的粘接固定点。 这样的做法的优点是在牙侧固定器 3上安装弹性牵引 体 2时， 更加方便， 但牙侧固定器 3有时会暴露在唇外， 影响美观。
另外的不同点在于， 所述牙侧粘接面 31 -1 -1具有与上牙的外侧表面相匹配的形状， 并 能通过齿科粘胶剂粘接固定在上牙的外表面上。 实施例 3 : 本发明之牙床内侧牙钉固定型舌背弹性牵引装置
参考图 3， 本实施例与实施例 1 的不同点在于： 实施例 1中所述牙侧固定器 3是通过 牙科粘接剂粘接固定在牙上； 而本实施例中， 所述牙侧固定器 3是牙钉型结构， 通过所述 牙侧固定器 3上的牙科骨钉型固定支撑架 31 -2，将所述牙侧固定器 3固定在上牙床的内侧。
所述牙侧固定器 3的结构采用的是能固定在牙床上的牙科骨钉型固定支撑架 31-2。 将 所述的一个牙侧固定器 3通过所述牙科骨钉型固定支撑架 31-2固定在左侧从门牙计起的第 4颗牙和第 5颗牙之间的上牙床的内侧上， 另一个所述牙侧固定器 3通过所述牙科骨钉型 固定支撑架 31-2固定在右侧从门牙计起的第 4颗牙和第 5颗牙之间的上牙床的内侧上，参 考图 3。
参考图 3-1， 所述牙侧固定器 3由支撑架 31、弹性牵引体牙侧连接机构 32和牙侧固定 机构 33构成。所述支撑架 31是牙科骨钉型固定支撑架 31-2，其结构类似于牙科的支抗钉。 所述弹性牵引体牙侧连接机构 32是定位凸阶 32-2。 所述牙侧固定机构 33是可以固定在牙 床上的钛金属螺钉 33-1。所述牙侧固定器 3可以通过所述钛金属螺钉 33-1固定在牙床上， 弹性牵引体 2的牙侧连接孔 22-1可以套在所述定位凸阶 32-2与支撑架 31之间形成的凹槽 中， 建立牙侧固定器 3与弹性牵引体 2之间的连接固定关系。
作为本实施例的一种变化， 可以将植入在舌背的舌背连接机构 1 由弧形支撑体， 改成 椭圆环形支撑架， 参考图 3-2。 当舌背连接机构 1采用的是椭圆环形支撑架时， 所述椭圆 环形支撑架的一部分植入在舌背粘膜下， 作为舌背连接机构 1的支撑体 11。 所述椭圆环形 支撑架的另一部分暴露在舌背粘膜外， 作为弹性牵引体舌背连接机构 12。 将弹性牵引体 2 穿过暴露在舌背粘膜外的椭圆环形支撑架后，所述弹性牵引体 2的一端上的定位孔 22-1套 在上牙左侧牙床上的牙侧固定器 3上，所述弹性牵引体 2的另一端上的定位孔 22-1套在上 牙右侧牙床上的牙侧固定器 3上， 即形成了弹性牵引体 2对舌背连接机构 1的弹性牵拉， 这种对舌的弹性牵引方式只采用了一条弹性牵引体 2， 参考图 3-2。 实施例 4 : 本发明之牙床外侧牙钉固定型舌背弹性牵引装置
参考图 4， 本实施例与实施例 3的不同点在于： 所述牙侧固定器 3通过牙科骨钉型固 定支撑架 31-2固定在左侧从门牙计起的第 4颗牙和第 5颗牙之间的上牙床的外侧上，另外 一个所述牙侧固定器 3通过所述牙科骨钉型固定支撑架 31-2固定在右侧从门牙计起的第 4 颗牙和第 5颗牙之间的上牙床的外侧上。 将舌背连接机构 1半植入式地固定在舌背部， 使 得舌背连接机构 1上的支撑体 11植入在舌粘膜下，而舌背连接机构 1的弹性牵引体舌背连 接机构 12暴露舌背粘膜外； 弹性牵引体 2的一端连接在牙侧固定器 3上， 另一端可拆卸 地连接在舌背连接机构 1 的弹性牵引体舌背连接机构 12上； 弹性牵引体 2在舌背连接机 构 1与牙侧固定器 3之间形成弹性牵拉力， 将后坠的舌拉起， 从而扩大了舌咽部气道的空 间， 治疗因舌后坠塌陷导致的 OSAHS。 实施例 5 : 本发明之牙套固定型舌背弹性牵引装置
参考图 5， 本实施例与实施例 1 的不同点在于： 在实施例 1 中牙侧固定器是粘接固定 在上牙内侧的牙内侧固定型牙侧固定器 3， 而在本实施例中， 则采用了牙套固定型牙侧固 定器 3。 所述牙套固定型牙侧固定器 3的牙侧固定器的支撑架 31含有与上牙排列的形状相 匹配的牙槽沟 31-2-1， 所述牙槽沟 31-2-1作为牙侧固定器的牙侧固定机构 33， 使得所述 牙侧固定器 3能可拆卸地镶嵌在上牙上。
所述牙套固定型牙侧固定器 3可以采用医用形状记忆高分子材料制造。 先将医用形状 记忆高分子材料制造的牙套固定型牙侧固定器 3在 45°C左右的热水中浸泡， 然后置于牙中 咬合， 当温度下降时至体温时， 形状记忆高分子材料自动定型， 形成了与具有与上牙排列 的形状相匹配的牙槽沟 31-2-1， 所述牙槽沟 31-2-1可以作为牙侧固定机构 33， 用于牙侧 固定器 3以上牙作为支撑点的固定。
本实施例中， 弹性牵引体 2采用医用弹性薄膜制造， 所述弹性牵引体 2的舌侧连接端 直接安装固定在上牙套 31-3牙套型固定器上， 舌侧连接端上设有舌侧连接孔 21-1， 所述 舌侧连接孔 21-1可以可拆卸地固定在舌背连接机构 1的弹性牵引体舌背连接机构 12上。
实施例 6 : 本发明之硅胶唇外固定型舌背弹性牵引装置
参考图 6， 本实施例与实施例 1 的不同点在于： 本实施例中， 牙侧固定器 3采用了医 用硅胶整体制造的唇外固定型牙侧固定器 3。
所述牙侧固定器 3采用医用硅橡胶整体制造， 含有支撑架 31、 弹性牵引体牙侧连接机 构 32和牙侧固定机构 33。 所述支撑架 31是唇外固定支撑架 31-4。 所述唇外固定支撑架 31-4是作为承力的椭圆形的硅胶环，既相当于牙侧固定器 3的支撑架 31 ;又可以置于唇外， 以口腔作为支撑点， 作为牙侧固定机构 33。 所述承力的椭圆形的硅胶环与作为弹性牵引体 2的硅胶薄膜带之间设有带通孔的过渡区，所述过渡区将支撑架 31和弹性牵引体 2相连接， 构成了弹性牵引体牙侧连接机构 32。 所述弹性牵引体牙侧连接机构 32将弹性牵引体 2与 唇外固定支撑架 31-4连接在一起。 弹性牵引体 2的另一端设有舌侧连接孔 21-1， 与舌背 连接机构 1相连接。
所述牙侧固定器 3置于唇外， 以口腔作为支撑点， 通过弹性牵引体 2对舌背连接机构 1的牵拉，将后坠的舌拉起，扩大了舌咽部气道的空间，治疗因舌后坠塌陷导致的 OSAHS。 实施例 7: 本发明之旋转调节唇外固定型舌背弹性牵引装置
参考图 7， 本实施例与实施例 6的不同点在于： 本实施例中， 牙侧固定器 3上设有牵 引力调节机构 34。 所述牵引力调节机构 34采用了旋转调节方式， 含转动机构 34-1。
所述转动机构 34-1由转轴 3411和转轴安装定位槽 3412构成。
所述转轴 3411上设有定位多边形 3411-1、 复位弹簧 3411-2、 定位螺母 3411-3、 弹性 牵引体固定槽 3411-4、 旋钮 3411-5， 参考图 7_1。
所述转轴安装定位槽 3412上设有定位多边形槽 3412-1、 复位弹簧安装孔 3412-2、 定 位螺母安装孔 3412-3。
所述转轴 3411安装在转轴安装定位槽 3412内，所述复位弹簧 3411-2安装在复位弹簧 安装孔 3412-2内， 用定位螺母 3411-3将复位弹簧 3411-2固定在转轴 3411的远端上。 弹 性牵引体 2的舌侧连接端固定在转轴 3411的弹性牵引体固定槽 3411-4上。
当用力将旋钮 3411-5向外侧拉， 复位弹簧 3411-2发生压缩变形， 定位多边形 3411-1 脱离定位多边形槽 3412-1的限制， 可以将转轴 3411转动。 由于弹性牵引体 2连接在弹性 牵引体固定槽 3411-4上， 顺时针旋转旋钮 3411-5， 使得转轴 3411顺时针转动， 可以卷起 弹性牵引体 2，增加弹性牵引体 2的牵引力。反之，逆时针旋转旋钮 3411-5，使得转轴 3411 逆时针转动， 可以松弛弹性牵引体 2， 减小弹性牵引体 2 的牵引力。 当牵引力调节到适当 大小后， 松弛旋钮 3411-5， 在复位弹簧 3411-2的弹力作用下， 定位多边形 3411-1滑入定 位多边形槽 3412-1内，起到限制转轴 3411转动的作用。牵引力调节机构 34的旋钮 3411-5 设置在口腔外， 方便手动调节。 实施例 8 : 本发明之滑动调节唇外固定型舌背弹性牵引装置
参考图 8， 本实施例与实施例 7的不同点在于： 牙侧固定器 3上设有牵引力调节机构 34。 所述牵引力调节机构 34采用了滑动调节方式， 含滑动机构 34-2。
所述滑动机构 34-2由滑块 3421和定位块 3422构成。
所述滑块 3421 含定位牙槽 3421-1、 手柄 3421-2、 滑块支架 3421-3。 所述滑块支架 3421-3为 U型结构的支架， 所述手柄 3421-2位于 U型滑块支架 3421-3的两端， 向内侧压 动手柄 3421-2， U型滑块支架 3421-3向内收缩，定位牙槽 3421-1可以脱离所述定位块 3422， 滑块 3421可以前后移动。 当松弛手柄 3421-2上的压力时， 在 U型滑块支架 3421-3恢复原 来的形状，所述定位牙槽 3421-1卡在定位块 3422上，起到限制滑块 3421前后运动的作用， 参考图 8-1。
所述弹性牵引体 2的舌侧连接端固定在所述 U型滑块架 3421 -3上，滑块 3421向前拉 动时， 可以增加弹性牵引体 2的拉力； 反之， 滑块 3421 向后运动时， 可以减小弹性牵引 体 2的拉力。 实施例 9: 本发明之弹性牵引体调节型舌背弹性牵引装置
参考图 9， 本实施例的不同点在于： 在本实施例中， 弹性牵引体 2上的不同位置设有 一个以上的舌侧连接孔 21 -1 或一个以上的牙侧连接孔 22-1， 通过将不同位置的舌侧连接 孔 21 -1固定在舌背连接机构 1上， 以获得不同的牵引力。
本实施例中， 所述弹性牵引体 2采用医用弹性薄膜制造， 所述医用弹性薄膜选自： 医 用硅胶薄膜、 医用乳胶薄膜、 医用聚氨酯薄膜、 医用橡胶薄膜等医用弹性材料， 所述医用 弹性薄膜的厚度在 0.01 mm〜3mm之间。 所述弹性牵引体 2通常选择 0.10mm〜0.30mm 的医用乳胶薄膜或医用硅胶薄膜制造。
所述弹性牵引体 2可以制造成 Y字型。
所述 Y字型弹性牵引体 2的上两端作为弹性牵引体 2与牙侧固定器 3的连接端。 Y字 型的上两端的不同位置上分别设有通孔 Y1，通孔 Υ2，通孔 Υ3;所述通孔 Υ1，或通孔 Υ2， 或通孔 Υ3构成了牙侧连接孔 22-1，所述牙侧连接孔 22-1可以套在牙侧固定器 3的定位凸 阶 32-2上。
所述 Υ字型弹性牵引体 2的下端作为弹性牵引体 2与舌背连接机构 1的连接端。所述 Υ字型弹性牵引体 2的下端的不同位置上分别设有通孔 S1， 通孔 S2， 通孔 S3; 所述通孔 S1， 或通孔 S2， 或通孔 S3作为舌侧连接孔 21 -1， 所述舌侧连接孔 21 -1可以可拆卸地安 装在舌背连接机构 1的连接凸阶 12-2上。
使用不同的舌侧连接孔 21 -1与舌背连接机构 1相连接时，弹性牵引体 2有不同的弹性 变形量， 从而可以获得不同大小的牵引力。 同样， 使用不同的牙侧连接孔 22-1与牙侧固定 器 3相连接时， 也可以获得不同大小的牵引力。 这样， 就得到了弹性牵引体调节型的本发 明之舌背弹性牵引装置。 实施例 10 : 本发明之舌粘膜下上皮化隧道式舌背弹性牵引装置
参考图 10和图 10-1， 在本实施例中， 舌背连接机构 1采用了能将后坠的舌拉起的舌 粘膜下隧道式牵引机构 100。 所述舌粘膜下隧道式牵引机构 100可以按照以下方式设立： 局麻下， 通过微创手术方式， 在轮廓乳头前方约 ^m~4cm处距中线约 ^m~3cm两 侧贯穿舌粘膜下将能形成舌粘膜下隧道的植入体 100-2， 通常是采用一段医用硅胶管， 植 入在舌背处， 使所述医用硅胶管的大部分植入在舌背的粘膜下， 两端暴露在舌背粘膜上左 右两侧， 环形打结固定。 手术后 15天 -45天， 提拉所述医用硅胶管， 如果患者无疼痛感或 不适感， 则可以拔出植入在舌背粘膜下的所述医用硅胶管。 拔出所述医用硅胶管后， 在医 用硅胶管植入的舌背处形成上皮化隧道 100-1。 所述舌粘膜下上皮化隧道 100-1 可以作为 本发明之舌粘膜下隧道式牵引机构 100， 让弹性牵引体 2从舌粘膜下上皮化隧道 100-1 中 穿过， 将后坠的舌向前拉起， 参考图 10-1。
本实施例的优点在于： 在舌背处设立了舌粘膜下上皮化隧道 100-1后， 在舌背处无任 何植入物， 不会给患者带来异物感或不适感。 睡眠前， 需要对舌背进行牵引时， 可以将所 述弹性牵引体 2从所述舌粘膜下上皮化隧道 100-1 中穿过， 固定在牙侧固定器 3上， 能将 后坠的舌向前拉起， 扩大舌咽部的气道， 治疗鼾症和 OSAHS。 起床后， 又可以将所述弹 性牵引体 2从牙侧固定器 3上拆除，同时将所述弹性牵引体 2从舌粘膜下上皮化隧道 100-1 拉出， 恢复舌的自由运动。
本实施例中的弹性牵引体 2通常采用弹性好的医用乳胶薄膜，或者医用硅胶薄膜制造， 厚度约在 0.03mm~0.10mm之间。 此外， 还可以选择医用乳胶管， 或医用硅胶管作为弹性 牵引体 2。 医用乳胶丝， 或医用硅胶丝也可以作为弹性牵引体 2， 这种线状的弹性牵引体 2 比薄膜带状的弹性牵引体 2更容易穿过舌粘膜下上皮化隧道 100-1， 使用起来更方便。
本实施例的缺点在于： 舌粘膜下上皮化隧道 100-1缺乏支撑力， 通常处于塌陷状态， 所述带状弹性牵引体 2比较难从舌粘膜下上皮化隧道 100-1 中穿过， 需要专用工具引线器 200的辅助， 才能轻易穿过舌粘膜下上皮化隧道 100-1。
实施例 11 : 本发明之薄壁管状舌粘膜下隧道式舌背弹性牵引装置
参考图 11和图 11-1， 本实施例对实施例 10进行了改进， 在舌粘膜下植入了薄壁管状 植入物 100-4， 所述薄壁管状植入物 100-4是一段弯曲成弧形的医用钛金属薄壁管。 所述 医用钛金属薄壁管在舌粘膜下植入 15天~60天后，所述医用钛金属薄壁管被固定在舌粘膜 下的舌组织中， 仅医用钛金属薄壁管两端的管口留在舌粘膜外。 这种有薄壁管作为支撑的 舌粘膜下隧道， 就构成了本发明所述的含薄壁管状植入物的舌粘膜下隧道 100-3。
所述含薄壁管状植入物的舌粘膜下隧道 100-3， 由于有金属薄壁管的支撑，不会塌陷， 方便弹性牵引体 2穿过。 克服了实施例 10中舌粘膜下上皮化隧道 100-1缺乏支撑力， 容 易塌陷， 弹性牵引体 2不易穿过的缺点。 为了进一步方便弹性牵引体 2穿过所述薄壁管状植入物的舌粘膜下隧道 100-3， 所述 薄壁管状植入物 100-4暴露在舌粘膜外的管口部分， 可以设有台阶或喇叭口。 一方面可以 方便弹性牵引体 2插入、 穿过， 另一方面有利于所述薄壁管状植入物 100-4固定， 防止移 位、 脱落， 参考图 11 -2。 实施例 12: 本发明之螺旋弹簧状舌粘膜下隧道式舌背弹性牵引装置
参考图 12， 本实施例对实施例 11 进行了进一步改进。 本实施例的不同点在于， 所述 薄壁管植入物 100-4是具有形状记忆功能的钛镍形状记忆合金密排螺旋管， 替代了实施例 11 中使用的钛合金薄壁管。
所述医用密排螺旋弹簧管在舌粘膜下植入后， 被固定在舌粘膜下的舌组织中， 仅密排 螺旋管的管口暴露在舌粘膜两侧。 固定在舌粘膜下的密排螺旋管构成了本发明之含薄壁管 状植入物的舌粘膜下隧道 100-3。 由于所述含薄壁管状植入物的舌粘膜下隧道 100-3有密 排螺旋弹簧管的支撑， 不会塌陷， 方便弹性牵引体 2穿过。 同时， 密排螺旋弹簧管与钛金 属薄壁管相比较， 具有良好的柔顺性， 进一步提高了舌的舒适性， 参考图 12。
所述密排螺旋弹簧管通常采用钛镍形状记忆合金丝制造， 并经过定型热处理， 所述密 排螺旋弹簧管的几何形状符合舌背植入处的生理要求， 并在管口处设有喇叭口， 一方面可 以方便弹性牵引体 2插入、 穿过， 另一方面有利于所述薄壁管状植入物 100-4固定， 防止 移位、 脱落， 参考图 12。 实施例 13: 本发明之铁磁性全植入式连接体的舌背弹性牵引装置
参考图 13和图 13-1， 在本实施例中， 植入在舌背的舌背连接机构 1 的固定于舌上的 植入体 101是完全植入在舌粘膜下的全植入式连接体 102。 所述全植入式连接体 102是扁 平状物体 102-1。
所述全植入式连接体 102 采用具有铁磁性的医用金属材料制造， 如， 采用厚度为 0.30mm~0.60mm 的铁磁性医用不锈钢板来制造。 将所述铁磁性医用不锈钢板制成尺寸约 为 8 mmx20 mm的扁平状物体 102-1， 作为舌背连接机构 1的全植入式连接体 102植入在 舌背处。
局麻下， 通过微创手术方式， 在轮廓乳头前方约 ^m~4cm处距中线约 ^m~2cm两 侧的舌粘膜下， 各植入一个所述扁平状物体 102-1， 使所述扁平状物体 102-1 完全被舌粘 膜覆盖。
手术后 15天 -60天， 植入的所述具有铁磁性的扁平状物体 102-1在舌粘膜下的舌组织 中完全固定后， 可以进行舌背的弹性牵拉。
选择含有磁性材料的弹性牵引体 2， 对所述具有铁磁性的全植入式连接体 102进行弹 性牵拉。
所述弹性牵引体 2的舌侧连接机构 21上含有磁性材料。这种含有磁性材料的所述弹性 牵引体 2， 能吸附在具有铁磁性的全植入式连接体 102上， 在弹性牵引体 2与全植入式连 接体 102之间间隔有舌粘膜组织， 弹性牵引体 2与所述全植入式连接体 102之间形成磁性 连接。
然后， 将弹性牵引体 2的牙侧连接机构 22固定在牙侧固定器 3上， 这样， 就实现了 以牙侧固定器 3为支撑点， 通过弹性牵引体 2与舌背连接机构 1之间的磁性连接， 将后坠 的舌拉起， 扩大舌咽部的气道， 治疗鼾症和 OSAHS。
为防止植入在舌粘膜下的全植入式连接体 102在舌组织中移位， 可以在所述全植入式 连接体 102上设立通孔 106。 舌组织在所述通孔 106内生长， 附着， 可以防止所述全植入 式连接体 102在舌组织中的移位， 参考图 13-1。 实施例 14 : 本发明之磁连接的舌背弹性牵引装置
参考图 14至图 14-4， 在本实施例中， 对实施例 13进行进一步的改进。
为了改善植入在舌背处的具有磁性的全植入式连接体 102对舌运动的顺应性， 对所述 具有磁性的全植入式连接体 102进行了改进。
在本实施例中， 作为舌背连接机构 1 的全植入式连接体 102是扁平状物体 102-1。 所 述扁平状物体 102-1采用了将磁性单元 1021 -1完全包覆在基体 1021 -2的复合结构， 参考 图 14-2和图 14-3。
选择医用硅胶作为基体 1021 -2， 也可以选择能在人体中长期植入的其他柔性医用材料， 如医用聚氨酯等， 作为基体 1021 -2的制造原料， 参考图 14-2和图 14-3。
选择钕铁硼永磁材料作为磁性单元 1021 -1。通常采用接触面积大的钕铁硼磁片作为磁 性单元 1021 -1 ; 也可以采用钕铁硼磁粉， 或者其他永磁材料颗粒或粉末， 作为磁性单元 1021 -1， 参考图 14-2和图 14-3。
在模具中， 按照医用硅胶包覆金属粉末的通用工艺， 将钕铁硼磁片的磁性单元 1021 -1 完全包覆在医用硅胶的基体 1021 -2中， 得到具有磁性的医用硅胶带， 剪裁后， 清洗灭菌， 可以作为舌背连接机构 1的全植入式连接体 102来使用。
所述磁性的医用硅胶带， 其磁性单元 1021 -1 完全包覆在医用硅胶的基体 1021 -2中， 由于磁性单元 1021 -1的存在， 具有磁性； 由于医用硅胶基体 1021 -2的存在， 具有良好的 弹性和变形能力； 既可以作为全植入式连接体 102来使用； 也可以作为弹性牵引体 2来使 用，特别是所述弹性牵引体 2的舌侧连接机构 21可以采用这种材料来制造，可以实现磁性 连接， 参考图 14和图 14-1。
本实施例中， 所述弹性牵引体 2的舌侧连接机构 21也可以采用这种基体 1021 -2完全 包覆磁性单元 1021 -1的具有磁性的医用硅胶材料来制造，从而使得所述弹性牵引体 2的舌 侧连接机构 21具有磁性。
由于医用硅胶材料制造的植入体不容易被舌组织附着、 固定， 所以可以在所述全植入 式连接体 102采用的扁平状物体 102-1上， 设立通孔 106和凸阶 105， 通过舌组织在通孔 106中的生长附着， 以及凸阶 105来防止植入的扁平状物体 102-1移位，参考图 14-1和图 14-2。
局麻下， 通过微创手术方式， 在轮廓乳头前方约 ^m~4cm处距中线约 ^m~2cm两 侧的舌粘膜下， 各植入 1 个以上的所述具有磁性的扁平状物体 102-1， 使所述具有磁性的 扁平状物体 102-1完全被舌粘膜覆盖， 参考图 14-4。
手术后 15天 -60天， 植入的所述具有磁性的扁平状物体 102-1在舌粘膜下的舌组织中 完全固定后， 可以进行舌背的弹性牵拉。
睡觉前， 选择所述具有磁性的弹性牵引体 2来牵拉舌背连接机构 1的具有磁性的全植 入式连接体 102。
因植入在舌背粘膜下的全植入式连接体 102具有磁性， 而所述弹性牵引体 2的一端固 定在牙侧固定器 3上，另一端上的舌侧连接机构 21也具有磁性；所以仅需将所述具有磁性 的弹性牵引体 2的舌侧连接机构 21伸入到舌背的植入体植入处附近， 因它们的磁极相反， 而相互吸引， 从而建立了磁性连接， 参考图 14和图 14-1。 这样， 就实现了以牙侧固定器 3 为支撑点， 通过弹性牵引体 2与舌背连接机构 1之间的磁性连接， 将后坠的舌拉起， 扩大 舌咽部的气道， 治疗鼾症和 OSAHS。
起床后，用力将所述具有磁性的弹性牵引体 2的舌侧连接机构 21从吸附的舌背处分离， 即可以解除磁性连接， 从而解除对舌的弹性牵引。 实施例 15 : 本发明之舌背粘接型舌背弹性牵引装置
参考图 15， 本实施例中， 所述舌背连接机构 1的固定于舌上的连接体 101是粘膜表面 固定式连接体 104。 所述粘膜表面固定式连接体 104含能粘接或吸附在舌背粘膜表面的支 撑座 104-1， 及与弹性牵引体 2连接的连接机构 104-2， 所述连接机构 104-2是连接凸阶 1042-2， 所述连接机构 104-2设在所述支撑座 104-1上。 所述粘膜表面固定式连接体 104可以通过医用粘接剂粘贴在舌背粘膜表面，参考图 15。 弹性牵引体 2可以套在所述连接凸阶 1042-2上， 通过弹性牵引体 2的拉力， 可以实现对 对后坠的舌牵拉。
所述连接机构 104-2 可以采用连接凹槽 1042-1， 参考图 15-1 ; 或者采用连接凸阶 1042-2， 参考图 15; 或者采用连接钩 1042-3， 参考图 15-2。
此外， 所述舌背粘膜表面的支撑座 104-1可以采用柔软的医用硅胶材料制造， 并通过 负压吸引将支撑座 104-1吸附在舌背粘膜表面， 参考图 15。
参考图 15-3， 在弹性牵引体 2 的远端， 即靠近舌侧的一端的端部 21 -5， 在所述端部 21 -5与舌背粘膜接触的表面上涂抹医用粘接剂， 直接将所述端部 21 -5粘接在舌背粘膜的 表面上。这时， 所述端部 21 -5既是弹性牵引体 2的一部分， 又相当于舌背连接机构 1的粘 膜表面固定式连接体 104。 实施例 16 : 本发明之唇外粘接型舌背弹性牵引装置
参考图 16， 在本实施例中， 舌背连接机构 1采用椭圆环型连接体 101半植入式的固定 在舌背上。 所述椭圆环型连接体 101 的一部分植入在舌粘膜下， 另一部分暴露在舌背粘膜 外。
所述弹性牵引体 2采用医用乳胶薄膜制造的长条型弹性薄膜带， 在所述带状弹性牵引 体 2的两端， 分别涂抹医用粘接剂， 制成医用胶贴型结构。
将所述带状弹性牵引体 2穿过椭圆环型连接体 101后， 撕掉保护膜， 将所述带状弹性 牵引体 2的两端分别粘贴在唇外的脸颊上， 即可实现对舌背的弹性牵拉， 扩大舌咽部的气 道， 治疗鼾症和 OSAHS。 这时， 涂有医用粘接剂的弹性牵引体 2的两端部分相当于牙侧 固定器 3， 参考图 16。 实施例 17 : 本发明之采用硅胶隧道式舌背连接机构的舌背弹性牵引装置
参考图 17， 本实施例中， 所述舌背连接机构 1采用医用硅胶制造的隧道式舌背连接机 构 100;所述弹性牵引体 2采用两端带有多个牙侧连接孔 22-1的医用硅胶制造的带状弹性 牵引体； 所述牙侧固定器 3是能粘接固定在牙表面的牙侧固定器 3。 2个所述牙侧固定器 3 分别粘接固定在门牙的两侧的适当位置的牙齿外侧， 所述牵引体 2从所述隧道式舌背连接 机构 100的中心孔 100-4-3中通过后，所述牵引体 2的两端分别通过所述牙侧连接孔 22-1 固定在牙侧固定器 3上； 即构成了本发明之采用硅胶隧道式舌背连接机构的舌背弹性牵引 装置。 参考图 17-1至图 17-3， 本实施例中， 所述隧道式舌背连接机构 100是薄壁管状植入 物 100-4， 采用医用硅胶制成。 在所述薄壁管状植入物 100-4的两端设有防滑脱的定位凸 阶 100-4-1， 所述防滑脱的定位凸阶 100-4-1 的底部上含有与舌粘膜表面相匹配的光滑面 100-4-2。 所述定位凸阶 100-4-1两端的 2个光滑面 100-4-2之间的夹角 β在 100°~150° 之间。
当所述薄壁管状植入物 100-4植入舌粘膜下时， 所述定位凸阶 100-4-1下的与舌粘膜 表面相匹配的光滑面 100-4-2可以与舌粘膜实现面接触， 防止所述薄壁管状植入物 100-4 从舌粘膜下滑出。 同时， 由于所述定位凸阶 100-4-1 与舌粘膜为面接触， 减少了所述定位 凸阶 100-4-1对舌粘膜表面的剌激， 可以增加使用者的舒适度。
在所述定位凸阶 100-4-1两端的 2个光滑面 100-4-2之间会形成一个在 100°~150°之 间的夹角 β。 由于舌体的生物学形状为具有一定角度的拱形结构， 在所述薄壁管状植入物 100-4植入舌粘膜下后， 所述夹角 β使得所述定位凸阶 100-4-1 可以更好的贴合舌体表面 粘膜， 增加患者使用过程的舒适性。
此外， 由于所述隧道式舌背连接机构 100采用了医用硅胶制造， 在所述隧道式舌背连 接机构 100植入舌粘膜下时， 可以随意的改变形状， 很好地适应舌粘膜下通道。 柔软的材 质， 也会使得所述定位凸阶 100-4-1 在与舌粘膜组织接触时具有更好的柔顺性， 减缓了对 舌粘膜组织的剌激， 增加了患者的依从性。
临床使用时， 首先在局麻下， 通过微创手术方式， 在舌背粘膜表面轮廓乳头前方约 0cm~5cm处距中线约 m~3cm的两侧， 用手术器械贯穿舌粘膜下， 形成隧道， 然后将所 述隧道式舌背连接机构 100的薄壁管状植入物 100-4植入、 固定， 使得所述薄壁管状植入 物 100-4的两端的定位凸阶 100-4-1恰好暴露在舌粘膜表面外。 手术后 15天至 60天， 牵 拉所述薄壁管状植入物 100-4， 患者无疼痛和不适感时， 即可以进行舌背牵拉。
第二步， 依据拟选用的牙侧固定器 3不同的具体构造， 将选用的牙侧固定器 3以牙， 或牙槽骨， 或上颌， 或下颌， 或上下颌的唇外作为牙侧固定器 3的支撑固定点， 进行安装 固定。 本实施事例中， 采用的牙侧固定器 3粘接固定在牙齿的外侧， 参考图 17。
第三步， 入睡前， 用辅助工具将所述一体式弹性牵引机构 212从本发明之隧道式舌背 连接机构的中心孔 100-4-3中穿过， 再将所述一体式弹性牵引机构 212的两端固定在牙侧 固定器 3上。 所述一体式弹性牵引机构 212以牙侧固定器 3为支点， 对本发明之隧道式舌 背连接机构 100产生弹性拉力。 在所述一体式弹性牵引机构 212的弹性恢复力的作用下， 将塌陷的舌根部向前拉起，使得舌咽部的气道扩张，到达治疗 OSAHS的目的，参考图 17。
通过本发明之隧道式舌背连接机构 100安装所述一体式弹性牵引机构 212时， 要特别 注意以下要点：
为调节所述一体式弹性牵引机构 212的弹性变形机构 20的弹性牵拉力的大小， 需要 先选择好所述一体式弹性牵引机构 212的牙侧连接机构 22上的牙侧连接孔 22-1。 在本实 施例中， 在 1号至 4号牙侧连接孔 22-1 中， 选择了 2号牙侧连接孔 22-1。 然后通过所选 择的所述牙侧连接孔 22-1将所述一体式弹性牵引机构 212固定在牙侧固定器 3上。
在保证所述一体式弹性牵引机构 212的弹性变形机构 20的适当的弹性牵拉力的同时， 可以使得所述一体式弹性牵引机构 212的舌背连接机构 1正好置留在所述隧道式舌背连接 机构 100的薄壁管状植入物 100-4的中心孔 100-4-3内；并且所述一体式弹性牵引机构 212 的舌背牵引机构 1两侧的舌侧连接机构 21 的位置与本发明之隧道式舌背连接机构 100的 薄壁管状植入物 100-4两端的定位凸阶 100-4-1处的位置基本一致。 所述一体式弹性牵引 机构 212的弹性牵引体 2的弹性变形机构 20暴露在本发明之隧道式舌背连接机构 100的 定位凸阶 100-4-1与牙侧固定器 3之间的空间中。随着舌的运动，所述弹性变形机构 20能 自由变形， 并始终给舌背施加适当的弹性牵拉力。
第四步， 起床后， 将所述一体式弹性牵引机构 212从牙侧固定器 3上取下， 并从本发 明之隧道式舌背连接机构的中心孔 100-4-3中抽出， 解除对舌背的牵拉， 参考图 17。 实施例 18 : 本发明之舌背连接机构的连接凸阶上设有纵向连接 [H]槽的舌背弹性牵引装置 参考图 18至图 18-13， 本实施例的不同点在于： 在本实施例中， 所述舌背连接机构 1 上与弹性牵引体 2相连接的弹性牵引体舌背连接机构 12采用连接凸阶 12-2的结构， 在所 述连接凸阶 12-2上设有纵向连接凹槽 12-1 -2。 设立所述纵向连接凹槽 12-1 -2， 能增加弹 性牵引体 2与所述舌背连接机构 1之间连接的可靠性， 即便是在舌剧烈运动的状况下， 所 述弹性牵引体 2也不会从所述连接凸阶 12-2上滑脱， 参考图 18-1。
参考图 18-8至 18-13，所述舌背连接机构 1含有支撑体 11、及与弹性牵引体 2连接的 弹性牵引体舌背连接机构 12。 所述支撑体 11 是弧形的圆柱体， 在弧形圆柱体的两端设有 圆锥形过渡机构 12-4。 所述圆锥形过渡机构 12-4使得所述舌背连接机构 1与舌的表面粘 膜为面接触， 减缓了对舌表面粘膜的剌激， 可以提高植入的舌背连接机构 1的舒适性。
参考图 18-1至图 18-10， 所述连接弹性牵引体的弹性牵引体舌背连接机构 12由连接 凸阶 12-2和连接凹槽 12-1构成。所述舌背连接机构 1的连接凸阶 12-2是半球形。所述舌 背连接机构 1的连接凹槽 12-1包含 1个横向连接凹槽 12-1-1和 4个纵向连接凹槽 12-1-2; 所述 4个纵向连接凹槽 12-1 -2均匀分布在所述舌背连接机构的连接凸阶 12-2上； 所述横 向连接凹槽 12-1 -1由连接凸阶 12-2的底部与所述圆锥形过渡机构 12-4的端部之间形成的 凹槽构成。 所述连接凸阶 12-2、 横向连接凹槽 12-1 -1、 纵向连接凹槽 12-1 -2共同构成对 弹性牵引体 2的固定。
参考图 18， 临床使用时， 先在局部麻醉下， 通过微创手术方式， 在舌背粘膜表面轮廓 乳头前方约 0cm~5cm处距中线约 ^m~3cm的两侧， 用手术器械贯穿舌粘膜下， 形成隧 道， 然后将舌背连接机构 1的支撑体 11埋在舌粘膜下， 弹性牵引体舌背连接机构 12暴露 在舌粘膜表面外。 手术后 15天至 60天， 用手牵拉舌背连接机构 1， 患者无疼痛和不适感 时， 即可以进行舌背牵拉。
第二步， 依据拟选用的牙侧固定器 3不同的具体构造， 将选用的牙侧固定器 3以牙， 或牙槽骨， 或上颌， 或下颌， 或上下颌的唇外作为牙侧固定器 3的支撑固定点， 进行安装 固定。 本实施事例中， 采用的牙侧固定器 3直接粘接固定在牙齿的外侧， 参考图 18。
第三步， 入睡前， 先将弹性牵引体 2的一端固定在本发明之舌背连接机构 1的弹性牵 引体舌背连接机构 12上， 再将弹性牵引体 2的另外一端固定在牙侧固定器 3上； 弹性牵 引体 2以牙侧固定器 3为支点， 对本发明之舌背连接机构 1产生弹性拉力。 在弹性牵引体 2 的弹性恢复力的作用下， 将塌陷的舌根部向前拉起， 使得舌咽部的气道扩张， 到达治疗 鼾症或 OSAHS的目的， 参考图 18。
第四步， 起床后， 利用所述弹性牵引体 2的弹性， 将所述弹性牵引体 2的牙侧连接孔 22-1扩大， 将所述弹性牵引体 2从牙侧固定器 3上取下； 同理， 将所述弹性牵引体 2也从 舌背连接机构 1的弹性牵引体舌背连接机构 12上分离， 拆除， 解除对舌背的牵拉， 参考图 18。
本实施例中， 所述横向连接凹槽 12-1 -1 以及所述纵向连接凹槽 12-1 -2能在横向和纵 向对舌背弹性牵拉装置的弹性牵引体 2的舌侧连接机构 21进行固定。通常，所述弹性牵引 体 2采用带状结构，当所述带状结构的弹性牵引体 2的舌侧连接机构 21是舌侧连接孔 21 -1 时， 所述舌侧连接孔 21 -1穿过所述连接凸阶 12-2后， 固定于所述连接凸阶 12-2下的所述 横向连接凹槽 12-1 -1 内， 同时当向牙侧拉紧所述带状结构的弹性牵引体 2时， 由于设置了 4个纵向连接凹槽 12-1 -2，所以所述舌侧连接孔 21 -1的边缘能自动卡在所述连接凸阶 12-2 上的纵向连接凹槽 12-1 -2内， 形成横向连接凹槽 12-1 -1及纵向连接凹槽 12-1 -2的空间交 汇的组合式固定， 参考图 18-1至图 18-10。
此外， 所述舌背连接机构 1的连接凸阶 12-2上的纵向连接凹槽 12-1 -2可以设为 2个 纵向连接凹槽 12-1 -2， 或 3个纵向连接凹槽 12-1 -2， 或 5个纵向连接凹槽 12-1 -2， 可以依 据临床的具体需要来选择， 分别参考图 18-11、 图 18-12、 图 18-13。
所述纵向连接凹槽 12-1 -2除了按照本实施例垂直于横向连接凹槽 12-1 -1 这种形式， 也可以是所述纵向连接凹槽 12-1 -2与横向连接凹槽 12-1 -1 构成一定的空间交汇角， 这种 空间交汇角通常在 10°~90°之间。 实施例 18-1： 本发明之舌背弹性牵引装置的 4凹槽螺纹型舌背连接机构
参考图 18-2、 图 18-3及图 18-4， 本实施例仍然采用了实施例 18中优化出的连接凸阶 上设有 4个纵向连接凹槽的舌背连接机构 1， 通过所述连接凸阶 12-2、 以及所述纵向连接 凹槽 12-1 -2与横向连接凹槽 12-1 -1 的共同定位作用， 实现对所述弹性牵引体 2的良好固 定、 连接； 与实施例 18的不同点在于： 本实施例的所述舌背连接机构 1 的连接凸阶 12-2 与所述支撑体 11之间是可拆卸的螺纹连接结构。
在本实施例中，所述舌背连接机构 1含有所述支撑体 11和所述连接弹性牵引体的弹性 牵引体舌背连接机构 12。 所述支撑体 11 是弧形的圆柱体， 所述连接弹性牵引体的弹性牵 引体舌背连接机构 12由连接凸阶 12-2和连接凹槽 12-1构成。 所述连接凸阶 12-2与支撑 体 11的端部通过螺纹连接在一起。将所述连接凸阶 12-2上的连接螺母 12-7拧在所述支撑 体 11 端部的连接螺杆 11 -7上， 即实现了所述弹性牵引体舌背连接机构 12与所述支撑体 11之间的连接。 反之， 通过旋转将所述连接螺母 12-7从所述连接螺杆 11 -7上松弛， 即可 解脱所述弹性牵引体舌背连接机构 12与所述支撑体 11之间的连接。 所述可拆卸的螺纹连 接型舌背连接机构在舌背粘膜下安装和拆卸时都较为方便。
本实施例中， 所述舌背连接机构 1 的左侧采用螺纹连接结构的可拆卸方式实现所述弹 性牵引体舌背连接机构 12与所述支撑体 11之间的组合式连接。 所述舌背连接机构 1的右 侧采用整体制造方式， 方便夹持钳夹持安装。 实施例 18-2 : 本发明之舌背弹性牵引装置的 4凹槽凹凸卡配合式舌背连接机构 参考图 18-5、 图 18-6及图 18-7， 本实施例仍然采用了实施例 18中优化出的连接凸阶 上设有 4个纵向连接凹槽的舌背连接机构 1， 通过所述连接凸阶 12-2、 以及所述纵向连接 凹槽 12-1 -2与横向连接凹槽 12-1 -1 的共同定位作用， 实现对所述弹性牵引体 2的良好固 定、 连接； 与实施例 18和实施例 18-1的不同点在于： 本实施例的所述舌背连接机构 1的 连接凸阶 12-2与所述支撑体 11之间是可拆卸的凹凸卡配合连接结构。
将所述支撑体 11上的凹凸卡配合的安装凸阶 11 -5卡入所述连接弹性牵引体的弹性牵 引体舌背连接机构 12的连接凸阶 12-2上的凹凸卡配合的安装凹槽 12-5内即可完成组装。 需要解脱时， 向内压缩所述支撑体 11上的槽孔 11 -6， 使得槽孔 11 -6向内收缩， 从而使得 所述凹凸卡配合的安装凸阶 11 -5向心收缩， 可以将所述凹凸卡配合的安装凸阶 11 -5从所 述凹凸卡配合的安装凹槽 12-5中解脱出来， 即可完成拆卸。 实施例 19 : 本发明之舌背弹性牵引装置的三段式弹性牵引体
参考图 19至图 19-2， 本实施例中公开了一种用于舌背弹性牵拉装置的弹性牵引体 2， 所述弹性牵引体 2采用医用硅胶材料， 通过模具成型技术， 整体制造。
所述三段式弹性牵引体 2含舌侧连接机构 21、 牙侧连接机构 22及弹性变形机构 20。 参考图 19至图 19-1， 所述舌侧连接机构 21与牙侧连接机构 22分设于所述三段式弹 性牵引体 2的两端， 所述舌侧连接机构 21上设有 1个舌侧连接孔 21 -1， 所述牙侧连接机 构 22上设有 4个牙侧连接孔 22-1， 每个牙侧连接孔 22-1之间的间隔距离约为 3~5mm， 用于调节所述三段式弹性牵引体的牵拉力的大小；所述弹性变形机构 20设在所述舌侧连接 机构 21与牙侧连接机构 22之间。
所述三段式弹性牵引体 2是长条片状弹性物体。 用医用弹性材料整体制造的所述三段 式弹性牵引体 2通过变截面的方式实现了在所述弹性变形机构 20发生弹性变形时，所述舌 侧连接机构 21或牙侧连接机构 22几乎不发生弹性变形。
进一步， 所述舌侧连接机构 21上设的舌侧连接孔 21 -1的周围设有能增加拉伸抗力的 凸起棱边 21-1 -1。 所述凸起棱边 21 -1-1能有效环抱住舌背连接机构 2， 防止所述三段式弹 性牵引体 2从舌背连接机构 1上意外脱落。
本实施例中， 在所述牙侧连接机构 22上设有 4个牙侧连接孔 22-1， 每个牙侧连接孔 22-1之间间隔距离为 5mm，而且在每个牙侧连接孔 22-1的附近用阿拉伯数字标有位置号。 将不同位置号的牙侧连接孔 22-1固定在牙侧固定器 3上时，可以调节本发明之三段式弹性 牵引体 2对舌的弹性牵拉力的大小。 所述牙侧连接孔 22-1越靠近所述弹性变形机构 20， 固定在牙侧固定器 3上时产生的弹性牵拉力越大。反之， 所述牙侧连接孔 22-1越远离所述 弹性变形机构 20， 固定在牙侧固定器 3上时产生的弹性牵拉力越小。 进一步， 在每个所述牙侧连接孔 22-1的周围设有能增加拉伸抗力的凸起棱边 22-1 -1， 所述凸起棱边 22-1 -1能有效环抱住牙侧固定器 3， 防止所述三段式弹性牵引体 2从牙侧固 定器 3上意外脱落。
在工作状态时， 所述弹性变形机构 20发生弹性变形， 对舌施加弹性牵拉力， 既可以将 塌陷的舌根向前提拉，避免舌根塌陷导致的 OSAHS;又不会妨碍舌的运动，在治疗 OSAHS 的同时， 保留了良好的语言能力， 提高了患者的舒适性。
进一步，所述弹性变形机构 20在工作状态下对舌施加的弹性牵引力，依据 OSAHS患 者的个体差别及临床治疗的需要，这种弹性牵引力通常小于 300g，一般在 30g~200g之间。 通过使用所述牙侧连接机构 22中的不同位置号的牙侧连接孔 22-1， 可以调节所述弹性变 形机构 20的这种弹性牵引力的大小。 参考图 19-2， 临床使用时， 首先， 在舌的轮廓乳头前方植入舌背连接机构 1。
在局部麻醉下， 通过微创手术方式， 在舌背粘膜表面轮廓乳头前方约 0cm~5cm处距 中线约 ^m~3cm 的两侧， 用手术器械贯穿舌粘膜下， 形成隧道。 然后将舌背连接机构 1 植入、 固定， 使得所述舌背连接机构 1的支撑体 11埋在舌粘膜下， 所述弹性牵引体舌背连 接机构 12暴露在舌粘膜表面外。 手术后 15天至 60天， 用手牵拉手术植入的所述舌背连 接机构 1， 患者无疼痛和不适感时， 即可以进行舌背牵拉。
第二步， 固定牙侧固定器 3。
通过医用粘胶剂将两个牙侧固定器 3，分别固定在左边和右边的各一颗上牙的内侧上。 通常选择从门牙向左侧计起的第 4颗上牙， 或从门牙向右侧计起的第 4颗上牙， 作为牙侧 固定器 3的粘接固定点。
第三步， 睡眠前， 佩戴所述三段式弹性牵引体 2。
入睡前， 将所述弹性牵引体 2的舌侧连接机构 21 固定在所述舌背连接机构 1上， 所 述牙侧连接器 22固定在牙侧固定器 3上， 所述弹性牵引体 2以牙侧固定器 3为支点， 对 所述舌背连接机构 1产生弹性拉力。 在弹性牵引体 2的弹性恢复力的作用下， 将舌向前拉 起。
第四步， 起床后， 拆除所述三段式弹性牵引体 2。
起床后， 将所述三段式弹性牵引体 2从牙侧固定器 3上取下， 同时三段式弹性牵引体 2也从舌背连接机构 1上分离、 拆除， 解除对舌背的牵引。 实施例 20 : 本发明之舌背弹性牵引装置的一体式弹性牵引机构
参考图 20至图 20-5， 本实施例中， 将本发明之舌背弹性牵引机构的舌背连接机构 1 和弹性牵引体 2形成一个整体部件， 构成所述一体式弹性牵引机构 212。 所述一体式弹性 牵引机构 212含舌背连接机构 1和弹性牵引体 2， 采用医用硅胶通过模具成型技术整体制 造。
参考图 20至图 20-4， 本发明之一体式弹性牵引机构 212， 含有舌背连接机构 1与弹 性牵引体 2。所述弹性牵引体 2含牙侧连接机构 22、弹性变形机构 20、舌侧连接机构 21。 所述一体式弹性牵引机构 212的牙侧连接机构 22、弹性变形机构 20、舌侧连接机构 21及 舌背连接机构 1按照以下顺序排列：
牙侧连接机构 22 弹性变形机构 20 舌侧连接机构 21 舌背连接机构 1 舌侧连接机构 21 弹性变形机构 20 牙侧连接机构 22。 所述一体式弹性牵引机构 212采用变截面的设计思路， 来实现在同等受力条件下， 弹 性体的各个功能模块， 具有不同的弹性变形量。
所述弹性变形机构 20的横截面的面积既小于所述牙侧连接机构 22的横截面的面积， 也小于舌背连接机构 1的横截面的面积。本实施例中，所述弹性变形机构 20的横截面的面 积仅为所述牙侧连接机构 22或舌背连接机构 1 的横截面的面积的 30%或更小。 本实施例 的本发明之一体式弹性牵引机构 212在同等受力条件下， 所述弹性变形机构 20发生弹性 变形的弹性变形量达到所述牙侧连接机构 22或舌背连接机构 1发生的弹性变形量的 3倍 以上。 换个角度说， 所述弹性变形机构 20的变形抗力小于所述牙侧连接机构 22或舌背连 接机构 1的变形抗力。
在所述一体式弹性牵引机构 212施加 300g 以下拉力的工作状态下， 所述弹性变形机 构 20发生弹性变形， 而所述牙侧连接机构 22或舌背连接机构 1几乎不发生弹性变形。
进一步， 在所述牙侧连接机构 22上设有 4个牙侧连接孔 22-1， 每个牙侧连接孔 22-1 之间间隔距离为 5mm， 而且在每个牙侧连接孔 22-1 的附近用阿拉伯数字标有位置号。 将 不同位置号的牙侧连接孔 22-1固定在牙侧固定器 3上时，可以调节本发明之一体式弹性牵 引机构 212对舌的弹性牵拉力的大小。所述牙侧连接孔 22-1越靠近所述弹性变形机构 20， 固定在牙侧固定器 3上时产生的弹性牵拉力越大。反之， 所述牙侧连接孔 22-1越远离所述 弹性变形机构 20， 固定在牙侧固定器 3上时产生的弹性牵拉力越小。
此外，在每个所述牙侧连接孔 22-1的周围设有能增加拉伸抗力的凸起棱边 22-1-1，所 述凸起棱边 22-1 -1能有效环抱住牙侧固定器 3， 防止所述一体式弹性牵引机构 212从牙侧 固定器 3上意外脱落。
在工作状态时， 所述弹性变形机构 20发生弹性变形， 对舌施加弹性牵拉力， 既可以将 塌陷的舌根向前提拉， 避免舌根塌陷导致的 OSAHS。 由于采用弹性牵拉方式， 所述一体 式弹性牵引机构 212 对舌背施加的拉力柔和而富有弹性， 不会妨碍舌的运动， 在治疗 OSAHS的同时， 保留了良好的语言能力， 提高了患者的舒适性。
进一步，所述弹性变形机构 20在工作状态下对舌施加的弹性牵引力，依据 OSAHS患 者的个体差别及临床治疗的需要，这种弹性牵引力通常小于 300g，一般在 30g~200g之间。 通过使用所述牙侧连接机构 22中的不同位置号的牙侧连接孔 22-1， 可以调节所述弹性变 形机构 20的这种弹性牵引力的大小。
本发明之一体式弹性牵引机构 212的舌背连接机构 1， 置留在舌背的舌粘膜下上皮化 的隧道 100-1 内， 具有与所述舌粘膜下上皮化的隧道 100-1相匹配的弧段。 工作状态时， 所述舌背连接机构 1几乎不发生弹性变形， 能对舌粘膜下上皮化的隧道 100-1起到有效地 支撑固定作用， 保证牵拉时的舌背受力面积， 提高舌咽部气道的扩张效果。
临床使用时， 首先， 在舌背的舌粘膜下形成可以承受一定拉力的舌粘膜下上皮化隧道
100-1
局麻下， 通过微创手术方式， 在舌背粘膜表面轮廓乳头前方约 0cm~5cm处距中线约 ^m~3cm的两侧， 用手术器械贯穿舌粘膜下， 形成隧道， 然后将能形成舌粘膜下隧道的植 入体植入、 固定， 使得所述植入体的两端暴露在舌粘膜外。 手术后 15天 -60天， 拆除所述 植入体后， 即可在舌背粘膜下形成可以承受一定拉力的舌粘膜下上皮化隧道 100-1。
第二步， 固定牙侧固定器 3。
通过医用粘胶剂将两个所述牙侧固定器 3， 分别固定在从门牙向左侧计起的第 4颗上 牙， 与从门牙向右侧计起的第 4颗上牙上。
第三步， 睡眠前， 佩戴本发明之一体式弹性牵引体。
入睡前， 用辅助工具将所述一体式弹性牵引机构 212穿过在舌背处形成的舌粘膜下上 皮化的隧道 100-1。 当所述一体式弹性牵引机构 212从手术舌粘膜下上皮化的隧道 100-1 穿过后， 根据患者个体差异， 可选择所述牙侧连接孔 22-1的不同位置号。 本实施例中， 选 择了所述牙侧连接孔 22-1的 2号位置号，并沿 2号位置号的标识线将所述牙侧位置连接孔 22-1的 3号位置与 4号位置剪除。 所述牙侧连接孔 22-1将所述弹性牵引体 2的两端固定 在牙侧固定器 3上， 即完成了本发明之舌背弹性牵引装置的安装佩戴过程。
第四步， 起床后， 拆除本发明之一体式弹性牵引体。
将所述一体式弹性牵引机构 212从牙侧固定器 3上取下， 并从舌粘膜下上皮化的隧道 100-1抽出， 即可解除对舌背的牵引。 实施例 21： 本发明之舌背弹性牵引装置的三脚架型唇外固定式牙侧固定器
参考图 21 至图 21 -4， 本实施例中， 公开了一种本发明之舌背弹性牵引装置的牙侧固 定器 3， 所述牙侧固定器 3采用三脚架式结构， 固定于上颌、 下颌交汇的嘴角处， 属于唇 外式牙侧固定器 3。 所述唇外式牙侧固定器 3含能支撑所述唇外式牙侧固定器 3的支撑架 31、 能连接弹性牵引体 2的弹性牵引体牙侧连接机构 32及能将所述唇外式牙侧固定器 3 固定在上下颌外的牙侧固定机构 33， 所述牙侧固定机构 33与皮肤表面接触的表面为光滑 曲面。 所述弹性牵引体牙侧连接机构 32和牙侧固定机构 33设置在所述支撑架 31上。
所述弹性牵引体牙侧连接机构 32上含能固定弹性牵引体 2的牙侧固定器的定位凹槽 32-1及定位凸阶 32-2， 所述定位凸阶 32-2采用光滑的锥形结构。
所述唇外式牙侧固定器 3上含 3个唇外固定支撑架 31-4， 所述唇外固定支撑架 31 -4 为拱形结构。 所述唇外固定支撑架 31 -4 的一端交汇连接在所述弹性牵引体牙侧连接机构 32上； 另一端上设有所述牙侧固定机构 33。 所述唇外式牙侧固定器 3形成以所述弹性牵 引体牙侧连接机构 32为中心、 所述唇外固定支撑架 31 -4为拱形支撑腿、 以与上下颌外皮 肤接触的所述牙侧固定机构 33的底部的光滑曲面 33-1为支撑点的放射状拱形结构。
所述唇外式牙侧固定器 3含 3个唇外固定支撑架 31 -4: 上颌唇外固定支撑架 31 -4-1、 下颌唇外固定支撑架 31 -4-2及唇角支撑架 31-4-3。 所述上颌唇外固定支撑架 31 -4-1与下 颌唇外固定支撑架 31 -4-2之间的夹角 γ大于或等于上颌唇外固定支撑架 31 -4-1与唇角支 撑架 31-4-3之间的夹角 ε;所述上颌唇外固定支撑架 31 -4-1与下颌唇外固定支撑架 31 -4-2 之间的夹角 γ大于或等于所述下颌唇外固定支撑架 31 -4-2与唇角支撑架 31-4-3之间的夹 角6。
所述上颌唇外固定支撑架 31 -4-1 或下颌唇外固定支撑架 31 -4-2的长度大于或等于所 述唇角支撑架 31-4-3的长度。
工作状态时，所述弹性牵引体 2通过所述定位凸阶 32-2的光滑锥形结构固定于所述定 位凹槽 32-1 内，所述唇外式牙侧固定器 3的上颌唇外固定支撑架 31 -4-1、下颌唇外固定支 撑架 31-4-2、 唇角支撑架 31 -4-3分别支撑在上颌唇外、 下颌唇外及唇角外， 形成三角形支 撑结构，通过所述弹性牵引体 2的弹性变形机构 20所施加的弹性牵拉力将所述唇外式牙侧 固定器 3固定于患者上下颌外处， 完成所述弹性牵引体 2在所述唇外式牙侧固定器 3上的 佩戴过程， 参考图 21 -4。
实施例 22: 本发明之舌背弹性牵引装置的工字型牙侧固定器
参考图 22至图 22-2， 本实施例中， 本发明之一种舌背弹性牵引装置的牙侧固定器 3 采用能粘接固定在牙上的工字型牙侧固定器 3， 所述牙侧固定器 3由支撑架 31、 弹性牵引 体牙侧连接机构 32及牙侧固定机构 33构成， 所述弹性牵引体牙侧连接机构 32和所述牙 侧固定机构 33设置在所述支撑架 31 上。 所述弹性牵引体牙侧连接机构 32、 所述支撑架 31及所述牙侧固定机构 33构成的横截面为工字型。所述牙侧固定机构 33以粘接的方式固 定于牙齿表面。
所述牙侧连接机构 32含能固定弹性牵引体 2的定位凹槽 32-1及具有光滑表面的球冠 形定位凸阶 32-2。 由于所述牙侧连接机构 32采用了具有光滑表面的球冠形设计， 当所述 牙侧连接机构 32固定于牙齿表面时， 所述牙侧连接机构 32与人体口腔内部粘膜组织的接 触为圆滑的面接触， 可以最大可能地减少对人体口腔粘膜组织的剌激， 保证患者在长时间 的使用过程中的舒适性。
所述支撑架 31是光滑的柱体。 当所述弹性牵引体 2通过牙侧连接机构 22建立与所述 牙侧固定器 3的连接时， 所述牙侧连接机构 22的牙侧连接孔 22-1环抱住所述支撑架 31 并镶嵌在定位凹槽 32-1 内。 由于所述支撑架 31采用光滑的柱体设计， 因此光滑的表面不 会对所述弹性牵引体 2的牙侧连接孔 22-1产生损害，增强了所述弹性牵引体 2使用过程中 的安全性。
所述牙侧固定机构 33是具有与牙齿表面相适应的弧度的壳体 33-1。 由于所述牙侧固 定机构 33 与牙齿粘接的部位具有与牙齿表面相适应的弧度， 可以使得所述牙侧固定机构 33与牙齿表面可以更好地贴合， 更好地保证了所述牙侧固定机构 33与牙齿表面之间粘接 的可靠性， 增强了所述牙侧固定器 3使用过程中的安全性。
所述牙侧固定机构 33 的具有与牙齿表面相适应的弧度的壳体 33-1 上设有容胶孔 33-1-1 由于所述牙侧固定机构 33的壳体 33-1上设有容胶孔 33-1 -1， 可以增大所述牙侧 固定机构 33与牙齿表面粘接过程中粘接剂与所述牙侧固定机构 33的接触面积， 从而使得 所述牙侧固定机构 33与牙齿表面的粘接更加牢固，更好地保证了所述牙侧固定器 3使用过 程中的安全性。
所述牙侧固定器 3采用医用钛合金制造， 一方面保证了材料的生物学安全性， 即使与 人体组织长期接触也不会对人体产生任何不良影响， 另一方面可以保证材料的力学性能满 足要求， 保证患者在长期使用过程中所述牙侧固定器 3的安全性。
参考图 22-3， 工作状态时， 首先将所述牙侧固定器 3通过其上的牙侧固定机构 33的 具有与牙齿表面相适应的弧度的壳体 33-1与牙齿表面粘接， 待粘接牢固后， 所述弹性牵引 体 2通过具有光滑表面的球冠形定位凸阶 32-2， 环抱住所述支撑架 31并镶嵌在定位凹槽 32-1 内， 即完成了所述弹性牵引体 2在所述牙侧固定器 3上的佩戴过程。 实施例 23: —种安装本发明之舌背弹性牵引装置的夹持钳
参考图 23至图 23-15， 本实施例中， 公开了一种用于安装本发明之舌背弹性牵引装置 的 4凹槽螺纹型舌背连接机构 1 的夹持钳， 所述夹持钳 400能与实施例 18-1 中公开的舌 背弹性牵引装置的 4凹槽螺纹型舌背连接机构 1配合使用。 所述夹持钳 400含右臂 401、 左臂 402、 转轴 403、 复位弹簧 404、 自锁机构 405及安装自锁机构 405的安装槽 406。
所述右臂 401含右钳头 401 -1、右臂尾部 401 -2、右臂转轴安装凸阶 401 -3。所述右钳 头 401-1上含右工作凹槽 401-1 -1、 右侧防脱限位凸阶 401 -1 -3及 1个右侧转动限位凸阶 401 - 1 -2。 在所述右臂转轴安装凸阶 401-3上设有用于安装转轴的通孔 401-3-1。 所述右臂 尾部 401 -2上设有右侧复位弹簧安装槽 401 -2-3。 所述夹持钳右臂 401上还设有定位导向 槽 401 -1 -4。 所述安装槽 406设在所述右臂尾部 401 -2的端部， 参考图 4至图 4-2。
所述左臂 402含左钳头 402-1、左臂尾部 402-2、 左臂转轴安装凸阶 402-3。所述左钳 头 402-1上含左工作凹槽 402-1 -1、 左侧防脱限位凸阶 402-1 -3及 1个左侧转动限位凸阶
402- 1 -2 在所述左臂转轴安装凸阶 402-3上设有用于安装转轴的通孔 402-3-1。 所述左臂 尾部 402-2上设有左侧复位弹簧安装槽 402-2-3。 所述夹持钳左臂 402上还设有定位导向 块 402-1 -4。 所述安装槽 406设在所述左臂尾部 402-2的端部， 参考图 5至图 5-2。
所述转轴 403为圆柱体， 其直径与右侧转轴安装凸阶上的通孔 401 -3-1能形成过盈配 合，将所述转轴 403固定在所述通孔 401-3-1上。所述左侧转轴安装凸阶上的通孔 402-3-1 的内径大于所述转轴 403的直径， 所述左臂 402能通过所述通孔 402-3-1绕所述转轴 403 旋转， 参考图 23-6和图 23-7。
所述夹持钳 400的复位弹簧 404采用螺旋弹簧。所述复位弹簧 404设在所述右臂尾部 401 -2与所述左臂尾部 402-2之间， 一端支撑在所述右臂尾部 401 -2的右侧复位弹簧安装 槽 401-2-3内， 另一端支撑在所述左臂尾部 402-2的左侧复位弹簧安装槽 402-2-3内。 所 述复位弹簧 404对所述右臂尾部 401-2与所述左臂尾部 402-2施加张开力， 使得所述夹持 钳 400的钳头保持闭合状态， 参考图 23-2、 图 23-5、 图 23-6、 图 23-7。
所述夹持钳 400的自锁机构 405含销钉 405-1、 扭簧 405-2和自锁定位块 405-3， 并 安装在所述夹持钳 400的自锁机构的安装槽 406内。
进一步， 所述销钉 405-1为圆柱体， 与销钉孔 401 -2-1形成过盈配合， 并固定牢固。 所述扭簧 405-2缠绕在所述销钉 405-1上， 所述扭簧 405-2的一端支撑在所述右臂尾 部 401 -2， 另一端支撑在所述自锁定位块 405-3的扭簧安装槽 405-3-4上， 向所述自锁定 位块 405-3的锁牙 405-3-1提供向下的闭合力。
所述自锁定位块 405-3含锁牙 405-3-1、 自锁开关 405-3-2、 安装通孔 405-3-3和扭簧 安装槽 405-3-4。 所述自锁定位块 405-3呈 L字形板状结构， 所述锁牙 405-3-1在所述自 锁定位块 405-3的前端， 所述自锁开关 405-3-2在所述自锁定位块 405-3的尾部， 所述安 装通孔 405-3-3在所述自锁定位块 405-3的 L字形的拐角处， 所述扭簧安装槽 405-3-4在 所述安装通孔 405-3-3的附近。 所述锁牙 405-3-1与所述左臂尾部 402-2上的所述自锁机 构的安装槽 406的定位凸阶 402-2-1形成凹凸卡配合； 所述自锁开关 405-3-2凸起在开锁 槽 401 -2-2上，所述销钉 405-1能从所述安装通孔 405-3-3中通过，将所述自锁定位块 405-3 可运动地安装在所述右臂 401的安装槽 406内，参考图 23-2、图 23-5、图 23-6、图 23-7、 图 23-14、 图 23-15。
所述夹持钳 400的装配分为所述夹持钳 400的主体的安装与所述自锁机构 405的安装 两个步骤。
装配时， 首先进行所述夹持钳 400主体的安装。 将所述复位弹簧 404—端置入所述右 臂尾部 401 -2的右侧复位弹簧安装槽 401 -2-3内， 然后将所述右臂 401与左臂 402利用右 臂转轴安装凸阶 401-3与左臂转轴安装凸阶 402-3的凹凸卡配合进行装配， 并将所述复位 弹簧 404的另一端置入所述左臂尾部 402-2的左侧复位弹簧安装槽 402-2-3内。 在所述右 臂 401 与左臂 402装配好后， 将所述转轴 403依次穿过所述右侧转轴安装凸阶上的通孔 401 -3-1、左侧转轴安装凸阶上的通孔 402-3-1、再进入右侧转轴安装凸阶上的通孔 401 -3-1； 通过过盈配合将所述转轴 403固定在所述右侧转轴安装凸阶上的通孔 401 -3-1上， 而左侧 转轴安装凸阶上的通孔 402-3-1的内径大于所述转轴 403的直径， 使得所述左臂 402能绕 所述转轴 403转动。 通过所述转轴 403， 将所述右臂 401与左臂 402装配好， 这样就装配 好了所述夹持钳 400的主体。
接下来， 进行所述自锁机构 405的装配。 首先， 将所述销钉 405-1插入所述右臂尾部
401 - 2的销钉孔 401-2-1 中， 使得所述销钉 405-1依次通过扭簧 405-2、 自锁定位块 405-3 的安装通孔 405-3-3，再次进入所述销钉孔 401 -2-1。所述销钉 405-1与所述销钉孔 401 -2-1 过盈配合， 将所述销钉 405-1固定牢固。 由于所述自锁定位块 405-3上的通孔 405-3-3的 内径大于所述销钉 405-1的直径，所以，所述自锁定位块 405-3能绕所述销钉 405-1转动。 最后将所述扭簧 405-2的一端置入所述自锁定位块 405-3的扭簧安装槽 405-3-4内， 另一 端支撑在所述右臂尾部 401 -2上。在所述扭簧 405-3的弹力作用下，使得自锁定位块 405-3 的锁牙 405-3-1 置入所述左臂尾部 402-2 上的所述自锁机构的安装槽 406 的定位凸阶
402- 2-1形成凹凸卡配合，并形成向下的闭合力。这样就完成了所述自锁机构 405的安装。 至此， 即完成了本发明之夹持钳的安装， 参考图 23-6、 图 23-7。
参考图 23-16至图 23-19， 使用时， 首先按下所述自锁定位块的自锁开关 405-3-2， 将 所述夹持钳的自锁定位块的锁牙 405-3-1 从所述左臂尾部上的自锁机构的安装槽的定位凸 阶 402-2-1上抬起， 保持所述夹持钳 400的钳头处于张开状态。 然后将所述舌背连接机构 的连接凸阶 12-2纳入所述夹持钳的右工作凹槽 401 -1 -1与左工作凹槽 402-1 -1形成的空腔 内； 一边闭合所述夹持钳 400， 一边轻轻转动所述舌背连接机构的连接凸阶 12-2， 使得所 述右侧转动限位凸阶 401 -1 -2及左侧转动限位凸阶 402-1 -2能镶嵌在所述舌背连接机构 1 的纵向连接凹槽 12-1-2内； 所述右侧防脱限位凸阶 401 -1 -3与左侧防脱限位凸阶 402-1 -3 镶嵌在所述舌背连接机构 1的横向连接凹槽 12-1 -1 内，这样就完成了将舌背连接机构的连 接凸阶通过螺纹连接旋入舌背连接机构的支撑体的准备工作。
旋转所述夹持钳 400， 将所述舌背连接机构 1 的连接凸阶 12-2的连接螺母 12-7通过 螺纹连接固定在所述舌背连接机构 1 的支撑体 11 的连接螺杆 11 -7上， 即完成了螺纹连接 安装工作。
压下所述自锁定位块的自锁开关 405-3-2， 将所述夹持钳的自锁定位块的锁牙 405-3-1 从所述左臂尾部上的自锁机构的安装槽的定位凸阶 402-2-1 上抬起， 保持所述夹持钳 400 的钳头处于张开状态， 将本发明之夹持钳退出。
此外，本发明提供的技术方案还可以进行其他的具体设计，例如，将所述复位弹簧 404 由螺旋弹簧改成扭簧， 将扭簧型的复位弹簧 404缠绕在所述转轴 403上， 一端支撑在所述 右臂尾部 401 -2的右侧复位弹簧安装槽 401 -2-3， 另一端支撑在所述左臂尾部 402-2的左 侧复位弹簧安装槽 402-2-3上， 也可以制造本发明之夹持钳， 参考图 23-20、 图 23-21。 实施例 24 : —种安装本发明之舌背弹性牵引装置的弹性牵引体的安装钳
参考图 24至图 24-3， 本实施例中， 公开了一种安装舌背弹性牵引装置的弹性牵引体 的安装钳 500， 所述安装钳 500能与实施例 19中的三段式弹性牵引体和实施例 20中的一 体式弹性牵引机构配合使用。
所述安装钳 500含张开端 501 与手柄端 502， 张开端 501 上含两个对称分布的支架 501 -1 , 所述两个对称分布的支架 501-1之间的距离 d501大于所述弹性牵引体舌背连接机 构 12的连接凸阶 12-2的最大直径。
在所述支架 501 -1上设有能防止弹性牵引体 2的舌侧连接机构 21脱落的凹槽 501-1 -1。 将所述弹性牵引体 2的舌侧连接机构 21置于安装钳 500的支架 501 -1上后，在安装钳 500 移动的过程中， 由于所述安装钳 500的支架 501 -1上的凹槽 501 -1 -1的定位作用， 弹性牵 引体 2的舌侧连接机构 21不会从安装钳上脱落，使得所述安装钳 500工作过程更加安全、 便捷。
在所述手柄端 502的表面有防滑凹槽、 或防滑凸棱或防滑花纹 502-1， 可以有效地防 止所述安装钳 500在使用过程中从操作者手中滑脱。
所述安装钳 500由医用高分子材料制成， 当安装钳 500在安装弹性牵引体 2时， 即使 安装钳 500的支架 500-1与人体舌粘膜组织经常直接接触， 也不会对使用者产生任何不良 作用。
参考图 24-4至图 24-8， 使用本发明之安装钳对所述弹性牵引体 2进行安装时， 将弹 性牵引体 2的舌侧连接孔 21 -1弹性拉伸、扩大后套在两个对称的支架 501 -1上，握住所述 安装钳 500的手柄端 502， 移动安装钳 500将所述弹性牵引体 2的舌侧连接机构 21靠近 弹性牵引体舌背连接机构 12的连接凸阶 12-2，将舌背连接机构 1上的连接凸阶 12-2置于 扩大了的舌侧连接孔 21 -1 内，取出所述安装钳 500，所述弹性牵引体 2的舌侧连接孔 21 -1 从所述支架 501 -1 上滑脱， 镶嵌在所述舌背连接机构 1 的连接凸阶 12-2的横向连接凹槽 12-1-1 内， 从而完成所述弹性牵引体 2与舌背连接机构 1的连接。
实施例 25 : —种安装本发明之舌背弹性牵引装置的一体式弹性牵引机构的引线器 参考图 25至图 25-8， 本实施例中， 公开了一种安装本发明之舌背弹性牵引装置的一 体式弹性牵引机构的引线器 200，所述引线器 200能与实施例 20中的舌背弹性牵引装置的 一体式弹性牵引机构 212配合使用。
所述一体式弹性牵引机构引线器 200含有引线杆 201和滑块 202。所述引线杆 201含 光滑的导向头 201 -1、 用于安装弹性牵引体 2的安装钩 201-2和限制滑块 202滑动距离的 限位槽 201 -3; 所述滑块 202含圆滑过渡的滑动凸阶 202-1， 所述滑块 202 的滑动凸阶 202-1能在所述引线杆 201的限位槽 201 -3中滑动。 当所述滑动凸阶 202-1位于所述限位 槽 201 -3的近所述导向头 201 -1端时， 所述滑块 202不能覆盖所述安装钩 201 -2; 当所述 滑动凸阶 202-1位于所述限位槽 201 -3的近所述安装钩 201 -2端时， 所述滑块 202能完全 覆盖所述安装钩 201 -2。
在工作状态时， 首先将所述滑块 202滑动到所述限位槽 201-3靠近所述导向头 201 -1 的端部， 将所述一体式弹性牵引机构 212的牙侧连接孔 22-1置入所述安装钩 201 -2内。 然后将所述滑块 202滑动到所述限位槽 201 -3靠近所述安装钩 201 -2的端部， 将所述安装 钩 201 -2通过所述滑块 202完全覆盖住。将安装好了所述一体式弹性牵引机构 212的所述 引线器 200， 利用所述导向头 201 -1 平稳的通过舌粘膜下上皮化的隧道 100-1， 将所述一 体式弹性牵引机构 212引出后， 再将所述滑块 202滑动到所述限位槽 201 -3靠近所述导向 头 201 -1 的端部， 露出所述安装钩 201 -2， 然后将所述一体式弹性牵引机构 212的牙侧连 接孔 22-1从所述安装钩 201 -2内取出， 即完成所述引线器 200对所述一体式弹性牵引机 构 212的引线过程。
由于所述滑块 202采用的是向内翻边的结构构成所述滑动凸阶 202-1， 实现了所述滑 动凸阶 202-1的圆滑过渡， 减缓了对舌表面粘膜的剌激， 可以提高所述引线器 200在工作 过程中的舒适性。 所述导向头 201 -1的顶端是表面圆滑的锥体； 因此， 在所述引线器 200对所述一体式 弹性牵引机构 212实现引线的过程中， 所述导向头 201 -1与舌粘膜下上皮化的隧道 100-1 表面为面接触， 可以有效地减缓对舌表面粘膜的剌激。 同时， 所述引线器 200在对所述一 体式弹性牵引机构 212实现引线的过程中受到阻碍时， 所述导向头 201 -1能很好地绕过阻 碍物， 实现引线过程的平稳进行。
在工作状态时， 通过对所述滑块 202的滑动， 可以将所述安装钩 201-2完全覆盖住， 并且很好地将一体式弹性牵引机构 212固定在所述安装钩 201 -2上， 在所述引线器 200通 过舌粘膜下上皮化的隧道 100-1时， 所述一体式弹性牵引机构 212不会从安装钩 201 -2上 脱落；同时，由于所述安装钩 201 -2不会暴露在滑块 202外，有效地避免了所述安装钩 201 -2 与舌粘膜表面的直接接触与剌激， 大大增强了引线过程的舒适性与顺畅性。 上述介绍的实施例， 并非实现本发明的唯一结构。 本领域内的技术人员都清楚知道这 些实施例不过是举例说明而己， 本领域内的技术人员可以做出无数的变化、 改进和代替， 而不会脱离本发明。
如在图 26中， 展示了本发明的一种在牙床内侧用牙钉固定型的舌背弹性牵引装置，所 述弹性牵引体 2采用医用钛镍形状记忆合金丝制造， 所述弹性牵引体 2含有螺旋弹簧 9。 所述弹性牵引体 2的舌侧连接机构 21采用了舌侧连接钩 21 -3。 所述弹性牵引体 2的牙侧 连接机构 22也采用了牙侧连接钩 22-3。 舌背连接机构 1为椭圆环形支撑架， 所述舌侧连 接钩 21-3可以方便地钩住舌背连接机构 1， 这种结构的本发明之舌背弹性牵引装置使用起 来特别方便。 在以下的实施例中， 展示了一些舌背连接机构 1的变化：
参考图 27-1，这里展示的是本发明之舌背牵引装置的一种 U型支撑体的舌背连接机构 1， 所述 U型支撑体舌背连接机构 1 的支撑体 11为 U字型， 弹性牵引体舌背连接机构 12 为连接凸阶 12-2。 所述连接凸阶 12-2和支撑体 11是整体制造的。 另外， 也可以将连接凸 阶 12-2单独制造成一个部件， 然后通过螺纹连接方式， 或凹凸卡配合连接方式， 或过盈配 合方式， 或粘接方式固定在支撑体 11的 U字型两端。
参考图 27-2， 这里展示的是本发明之舌背牵引装置的一种椭圆环支撑体的舌背连接机 构 1， 所述舌背连接机构 1 用同一根钛金属丝弯曲而成， 植入舌粘膜下的椭圆环部分构成 了所述舌背连接机构 1的支撑体 11， 而椭圆环的暴露在舌粘膜外的部分构成了所述舌背连 接机构 1的弹性牵引体舌背连接机构 12。 参考图 27-3， 这里展示的是本发明之舌背牵引装置的一种圆环支撑体的舌背连接机构 1，所述舌背连接机构 1用同一根钛金属丝弯曲而成，植入舌粘膜下的圆环部分构成了所述 舌背连接机构 1的支撑体 11， 而圆环的暴露在舌粘膜外的部分构成了所述舌背连接机构 1 的弹性牵引体舌背连接机构 12。
参考图 27-4， 本实施例与图 27-1 实施例的不同点在于： 所述舌背连接机构 1 的弹性 牵引体舌背连接机构 12采用了连接凹槽 12-1。所述连接凹槽 12-1可以方便地将医用薄膜 制造的带状弹性牵引体 2固定在所述连接凹槽 12-1上，也可以方便地从所述连接凹槽 12-1 上拆除。
参考图 27-5， 本实施例与图 27-1 实施例的不同点在于： 所述舌背连接机构 1 的弹性 牵引体舌背连接机构 12采用了连接钩 12-3。 所述舌背连接机构 1采用单根钛金属丝弯曲 而成，弧形支撑体 11植入舌粘膜下，两端的连接钩 12-3暴露在舌粘膜外。所述连接钩 12-3 可以方便地将医用薄膜制造的带状弹性牵引体 2固定在所述连接钩 12-3上，也可以方便地 从所述连接钩 12-3上拆除。
参考图 27-6， 本实施例与图 27-5实施例的不同点在于： 所述舌背连接机构 1 的弹性 牵引体舌背连接机构 12采用了连接钩 12-3。所述舌背连接机构 1的弧形支撑体 11用单根 钛金属丝弯曲而成， 植入舌粘膜下； 两端的连接钩 12-3通过螺丝连接在支撑体 11上， 暴 露在舌粘膜外。
参考图 27-7， 本实施例中， 所述舌背连接机构 1 的弹性牵引体舌背连接机构 12采用 连接凹槽 12-1。 所述弹性牵引体 2上的舌侧连接机构 21采用了舌侧连接凸阶 21 -2。 将所 述舌侧连接凸阶 21 -2镶嵌在所述舌侧固定器的连接凹槽 12-1 的凹槽中， 即形成了可拆卸 的固定连接。
参考图 27-8， 本实施例中， 所述舌背连接机构 1 的弹性牵引体舌背连接机构 12采用 连接环 12-6。 所述连接环 12-6设在支撑体 11的两端， 所述连接环 12-6和支撑体 11可以 通过整体制造成型， 或螺纹方式连接在一起， 或凹凸卡配合方式连接在一起。
参考图 27-9， 本实施例中， 所述舌背连接机构 1 的弹性牵引体舌背连接机构 12采用 连接环 12-6。 所述支撑体 11为具有圆滑过渡的长条状， 在所述支撑体 11的两个端部设有 螺纹孔，所述连接环 12-6通过所述连接环 12-6下端的螺纹杆与支撑体 11的螺纹孔连接在 一起， 使得所述连接环 12-6暴露在舌背粘膜外， 而所述支撑体 11和所述连接环 12-6的螺 杆植入在舌背粘膜下。 由于所述支撑体 11采用了具有圆滑过渡的长条状结构， 使得所述支 撑体与舌体组织之间为面接触， 接触面积增大； 因此， 当通过所述弹性牵引体 2对舌背连 接机构 1施加弹性牵拉力对舌进行牵拉时， 所述支撑体 11不会对舌体组织产生切割作用， 保证了本发明之舌背弹性牵引装置的长期使用过程的安全性和舒适性。 在以下的实施例中， 展示了弹性牵引体 2的一些变化：
参考图 28-1， 本实施例中， 所述弹性牵引体 2的两端为牙侧连接钩 22-3和舌侧连接 钩 21-3。
参考图 28-2， 在本实施例中， 所述弹性牵引体 2用单根医用弹簧丝制造， 含有两个螺 旋弹簧 9。 两端分别是牙侧连接钩 22-3和舌侧连接钩 21 -3。
参考图 28-3， 在本实施例中， 所述弹性牵引体 2的一端设有舌侧连接线 21-4， 另一端 设有牙侧连接线 22-4。 所述舌侧连接线 21 -4可以方便缠绕在舌背连接机构 1 的连接凹槽 12-1， 或连接凸阶 12-2， 或连接钩 12-3上。 所述牙侧连接线 22-4可以方便缠绕在牙侧固 定器 3的连接凹槽 32-1， 或连接凸阶 32-2， 或连接钩 32-3上。所述舌侧连接线 21 -4和牙 侧连接线 22-4采用医用乳胶薄膜或医用硅胶整体制造。
参考图 28-4， 在本实施例中， 所述弹性牵引体 2的中部含有一个螺旋弹簧 9， 所述弹 性牵引体 2的牙侧端含有两个牙侧连接钩 22-3; 所述弹性牵引体 2的舌侧端含有两个舌侧 连接钩 21-3。 所述牙侧连接钩 22-3和舌侧连接钩 21 -3通过铆接的方式与螺旋弹簧 9固定 在一起。
参考图 28-5， 在本实施例中， 所述弹性牵引体 2含 3个弹性丝状物体； 其中 2个所述 弹性丝状物体的一端与牙侧连接钩 22-3通过铆接方式或粘接方式连接在一起，第 3个弹性 丝状物体的一端与舌侧连接钩 21 -3通过铆接方式或粘接方式连接在一起， 3个弹性丝状物 体的一端通过铆接方式或是粘接方式连接在一起， 整个所述弹性牵引体 2构成 Y字型。 在以下的实施例中， 展示了弹性牵引体 2与牙侧固定器 3之间连接方式的一些变化： 参考图 29-1和图 29-2， 所述牙侧固定器 3含有牙科骨钉型固定支撑架 31 -2， 所述牙 科骨钉型固定支撑架 31 -2采用具有铁磁性的医用不锈钢制造。所述弹性牵引体牙侧连接机 构 32采用了牙侧固定器的定位凸阶 32-2， 所述定位凸阶 32-2具有铁磁性。 所述弹性牵引 体 2上的牙侧连接机构 22采用磁性材料制造， 所述弹性牵引体 2上的牙侧连接机构 22与 牙侧固定器 3上的弹性牵引体牙侧连接机构 32形成一对相互吸引的磁连接，方便安装定位。 同时， 所述弹性牵引体 2上的舌侧定位孔 22-1还可以与牙侧固定器 3上的定位凸阶 32-2 形成凹凸卡配合连接。
参考图 30-1和图 30-2， 所述牙侧固定器 3含有牙科骨钉型固定支撑架 31 -2， 其弹性 牵引体牙侧连接机构 32采用了牙侧固定器的定位凸阶 32-2， 所述弹性牵引体 2上的牙侧 连接孔 22-1套在两个定位凸阶 32-2之间形成的凹槽上， 形成了连接结构。
参考图 31 -1和图 32-2， 所述牙侧固定器 3含有牙科骨钉型固定支撑架 31 -2， 其弹性 牵引体牙侧连接机构 32采用了牙侧固定器的定位钩 32-3， 所述弹性牵引体 2上的牙侧连 接孔 22-1套在牙侧固定器的定位钩 32-3上， 形成了连接结构。
参考图 32-1和图 32-2， 本实施例中， 所述牙侧固定器 3含有牙科骨钉型固定支撑架 31 -2， 其弹性牵引体牙侧连接机构 32采用了牙侧固定器的定位凹槽 32-1。 所述弹性牵引 体 2上的牙侧连接机构 22采用了牙侧连接凸阶 22-2。将所述牙侧连接凸阶 22-2镶嵌在所 述牙侧固定器的定位凹槽 32-1的凹槽中， 即形成了可拆卸的固定连接。 应该注意， 本文中公开和说明的结构可以用其它效果相同的结构代替， 同时本发明所 介绍的实施例并非实现本发明的唯一结构。 虽然本发明的优先实施例已在本文中予以介绍 和说明， 但本领域内的技术人员都清楚知道这些实施例不过是举例说明而己， 本领域内的 技术人员可以做出无数的变化、 改进和代替， 而不会脱离本发明， 因此， 应按照本发明所 附的权利要求书的精神和范围来的界定本发明的保护范围。

Claims

禾 J ^ ^
1、 舌背弹性牵引装置， 其特征在于： 所述舌背弹性牵引装置含舌背连接机 构 （1 )、 弹性牵引体 （2) 及牙侧固定器 （3)， 其中- 所述舌背连接机构 （1 ) 是能防止舌后坠的舌粘膜下隧道式牵引连接机构 ( 100) 或设在舌背处的连接体 （101 );
所述弹性牵引体 （2) 采用医用弹性材料制造， 所述弹性牵引体 （2) 是在 外力作用下能伸长， 并产生恢复力， 当外力卸除后， 又能恢复到原始形状的弹性 带状物体， 或者弹性丝状物体， 或者弹簧状物体， 或者含弹性带状物体的弹性机 构， 或者含弹性丝状物体的弹性机构， 或者含弹簧状物体的弹性机构；
所述牙侧固定器 （3) 含能支撑牙侧固定器 （3) 的支撑架 （31 )、 能连接弹 性牵引体 （2) 的弹性牵引体牙侧连接机构 （32) 及能将牙侧固定器 （3) 固定 在牙上， 或牙槽骨上， 或上颌上，或下颌上， 或上下颌上的牙侧固定机构（33); 所述弹性牵引体牙侧连接机构 （32) 和牙侧固定机构 （33) 设置在所述支撑架 (31 ) 上；
作为承力支点的所述牙侧固定器（3)通过牙侧固定机构（33)固定在牙上， 或者牙槽骨上， 或者所述牙侧固定器 （3) 通过牙侧固定机构 （33) 可拆卸地固 定在上颌唇外， 或下颌唇外， 或上下颌唇外； 所述弹性牵引体 （2) 的一端连接 在所述牙侧固定器 （3) 的弹性牵引体牙侧连接机构 （32) 上， 另一端连接在所 述舌背连接机构 （1 ) 上。
2、 根据权利要求 1所述舌背弹性牵引装置， 其特征在于： 所述舌背连接机 构 （1 ) 设在舌的轮廓乳头前方， 沿口腔的纵向长度 L在 0cm〜5cm， 横向宽度 W在 0.2cm〜6cm， 深度 H在 0cm〜1.0cm的舌背区域。
3、 根据权利要求 1所述舌背弹性牵引装置， 其特征在于： 所述弹性牵引体 (2) 在牙侧固定器 （3) 和舌背连接机构 （1 ) 之间形成的弹性牵引力在 15g〜
300g之间。
4、 根据权利要求 1所述舌背弹性牵引装置， 其特征在于： 所述舌背连接机 构 （1 ) 的舌粘膜下隧道式牵引连接机构 （100) 是取出后能形成舌粘膜下隧道 的植入体 （100-2) 在拆除后留下的舌粘膜下上皮化隧道 （100-1 )， 或者是植入 薄壁管状植入物 （100-4) 后在舌粘膜下形成的含薄壁管状植入物的舌粘膜下隧 道 （100-3)。
5、 根据权利要求 4所述舌背弹性牵引装置， 其特征在于： 所述取出后在舌 背处能形成舌粘膜下隧道的植入体 （100-2) 采用医用高分子材料管、 或医用高 分子材料弹簧管， 或医用高分子材料丝、或医用高分子材料带、 或医用金属材料 管、 或医用金属弹簧管， 或医用金属材料丝、 或医用金属材料带。
6、 根据权利要求 4所述舌背弹性牵引装置， 其特征在于： 所述薄壁管状植 入物 （100-4) 采用医用高分子材料薄壁管、 或医用高分子弹簧管、 或医用金属 薄壁管、 或医用金属弹簧管。
7、 根据权利要求 4所述舌背弹性牵引装置， 其特征在于： 所述隧道式牵引 连接机构 （100) 是薄壁管状植入物 （100-4)， 所述薄壁管状植入物 （100-4) 两端设有防滑脱的定位凸阶 （100-4-1 )， 所述防滑脱的定位凸阶 （100-4-1 ) 上 含与舌粘膜表面相匹配的光滑面 （100-4-2)。
8、 根据权利要求 7 所述舌背弹性牵引装置， 其特征在于： 所述定位凸阶 ( 100-4-1 ) 两端的 2个光滑面 （100-4-2) 之间的夹角 β在 90°~180°之间。
9、 根据权利要求 7所述舌背弹性牵引装置， 其特征在于： 所述隧道式牵引 连接机构 （100) 采用医用柔性材料制造， 选自： 医用硅胶、 或医用橡胶、 或医 用乳胶、 或医用聚氨酯。
10、 根据权利要求 1 所述舌背弹性牵引装置， 其特征在于： 所述舌背连接 机构（1 )的连接体（101 )是能全部植入在舌粘膜下的全植入式连接体（102); 或者一部分植入在舌粘膜下，其余部分暴露在舌粘膜外的半植入式连接体（103); 或者是能固定在舌背粘膜上的粘膜表面固定式连接体 （104)。
11、 根据权利要求 10所述舌背弹性牵引装置， 其特征在于： 所述全植入式 连接体 （102) 是具有磁性的扁平状物体 （102-1 )。
12、 根据权利要求 11所述舌背弹性牵引装置， 其特征在于： 所述全植入式 连接体 （102) 的具有磁性的扁平状物体 （102-1 ) 含磁性单元 （1021-1 ) 及基 体 （1021-2)， 所述磁性单元 ( 1021-1 ) 分布在基体 ( 1021-2) 上。
13、 根据权利要求 11所述舌背弹性牵引装置， 其特征在于： 所述全植入式 连接体 （102) 的具有磁性的扁平状物体 （102-1 ) 与所述弹性牵引体 （2) 之间 是磁性连接。
14、 根据权利要求 10所述舌背弹性牵引装置， 其特征在于： 所述全植入式 连接体 （102) 上或者半植入式连接体 （103) 的植入部分上设有能防止植入物 移位的通孔 （106) 或凸阶 （105)。
15、 根据权利要求 10所述舌背弹性牵引装置， 其特征在于： 所述半植入式 连接体（103)含可长期植入在舌背粘膜下的支撑体（ 11 )和能与弹性牵引体（2) 相连接的暴露在舌背粘膜外的弹性牵引体舌背连接机构 （12)， 所述弹性牵引体 舌背连接机构 （12) 设置在支撑体 （11 ) 上。
16、 根据权利要求 15所述舌背弹性牵引装置， 其特征在于： 所述半植入式 连接体 （103) 的弹性牵引体舌背连接机构 （12) 是能用于可拆卸地连接所述弹 性牵引体（2) 的连接凹槽（12-1 )， 或连接凸阶（12-2)， 或连接钩 （12-3)， 或 连接环 ( 12-6)。
17、 根据权利要求 15所述舌背弹性牵引装置， 其特征在于： 所述半植入式 连接体（103) 的支撑体（11 )可以是弧形支撑体、 或 U型支撑体、 或圆环支撑 体、 或椭圆环支撑体。
18、 根据权利要求 15所述舌背弹性牵引装置， 其特征在于： 所述舌背弹性 连接机构 （1 ) 是半植入式连接体 （103) 时， 所述半植入式连接体 （103) 的弹 性牵引体舌背连接机构 （12) 与支撑体 （11 ) 是不可拆卸的整体结构。
19、 根据权利要求 15所述舌背弹性牵引装置， 其特征在于： 所述舌背弹性 连接机构 （1 ) 是半植入式连接体 （103) 时， 所述半植入式连接体 （103) 的弹 性牵引体舌背连接机构 （12) 与支撑体 （11 ) 是可拆卸的组合式结构。
20、 根据权利要求 19所述舌背弹性牵引装置， 其特征在于： 所述半植入式 连接体 （103) 的弹性牵引体舌背连接机构 （12)通过螺纹连接， 或凹凸卡配合 连接， 或过盈配合连接， 或粘接的方式安装在支撑体 （11 ) 上。
21、 根据权利要求 15所述舌背弹性牵引装置， 其特征在于： 所述舌背连接 机构 （1 ) 是半植入式连接体 （103) 时， 所述弹性牵引体舌背连接机构 （12) 是含能固定弹性牵引体 （2) 的连接凸阶 （12-2) 和能固定弹性牵引体 （2) 的 连接凹槽 （12-1 ); 所述连接凹槽 （12-1 ) 中至少有 1个连接凹槽 （12-1 ) 分布 在所述连接凸阶 （12-2) 上。
22、 根据权利要求 21所述舌背弹性牵引装置， 其特征在于： 所述连接凹槽 ( 12-1 )含与所述连接凸阶（12-2) 的轴向垂直的横向连接凹槽（12-1-1 )及与 所述横向连接凹槽 （12-1-1 ) 形成空间交汇的纵向连接凹槽 （12-1-2)。
23、 根据权利要求 21所述舌背弹性牵引装置， 其特征在于： 所述横向连接 凹槽 （12-1-1 ) 以及所述纵向连接凹槽（12-1-2) 能对所述舌背弹性牵拉装置的 弹性牵引体 （2) 的舌侧连接机构 （21 ) 进行空间定位固定。
24、 根据权利要求 22所述舌背弹性牵引装置， 其特征在于： 所述纵向连接 凹槽 （12-1-2) 垂直于所述横向连接凹槽 （12-1-1 )， 并均匀分布在所述连接凸 阶 ( 12-2) 上。
25、 根据权利要求 24所述舌背弹性牵引装置， 其特征在于： 在所述舌背连 接机构 （1 ) 的连接凸阶 （12-2) 上均匀分布了 4个纵向连接凹槽 （12-1-2)。
26、 根据权利要求 21所述舌背弹性牵引装置， 其特征在于： 所述舌背连接 机构 （1 ) 的连接凸阶 （12-2) 是表面光滑的半球形或锥形。
27、 根据权利要求 15所述舌背弹性牵引装置， 其特征在于： 所述舌背弹连 接机构 （1 ) 的弹性牵引体舌背连接机构 （12) 与支撑体 （11 ) 之间设有能减缓 所述弹性牵引体舌背连接机构 （12) 的边缘对舌表面粘膜剌激的圆锥形过渡机 构 （12-4)， 所述圆锥形过渡机构 （12-4) 在接近所述弹性牵引体舌背连接机构
( 12 )处的直径（ d 12 )大于所述圆锥形过渡机构（ 12-4 )在接近所述支撑体（11 ) 处的直径（d11 ); 所述圆锥形过渡机构 （12-4)与所述连接凸阶（12-2)之间设 有能固定弹性牵引体 （2) 的横向连接凹槽 （12-1-1 )。
28、 根据权利要求 10所述舌背弹性牵引装置， 其特征在于： 所述粘膜表面 固定式连接体 （104) 含能粘接或吸附在舌背粘膜表面的支撑座 （104-1 )， 及与 弹性牵引体 （2) 连接的连接机构 （104-2)， 所述连接机构 （104-2) 是连接凹 槽（1042-1 )，或连接凸阶（1042-2)，或连接钩（1042-3)，所述连接机构（ 104-2) 设在所述支撑座 （104-1 ) 上。
29、 根据权利要求 1 所述舌背弹性牵引装置， 其特征在于： 所述弹性牵引 体 （2) 含能与舌背连接机构 （1 ) 形成连接的舌侧连接机构 （21 )。
30、 根据权利要求 1 所述舌背弹性牵引装置， 其特征在于： 所述弹性牵引 体 （2) 含能与牙侧固定器 （3) 形成连接的牙侧连接机构 （22)。
31、 根据权利要求 29所述舌背弹性牵引装置， 其特征在于： 所述弹性牵引 体 （2) 上的舌侧连接机构 （21 ) 与舌背连接机构 （1 ) 形成可拆卸的连接， 所 述舌侧连接机构 （21 ) 是舌侧连接孔 （21-1 )， 或舌侧连接凸阶 （21-2)， 或舌 侧连接钩 (21-3)， 或舌侧连接线 (21-4)。
32、 根据权利要求 30所述舌背弹性牵引装置， 其特征在于： 所述弹性牵引 体 （2) 上的牙侧连接机构 （22 ) 与牙侧固定器 （3) 形成可拆卸的连接， 所述 牙侧连接机构 （22) 是牙侧连接孔 （22-1 )， 或牙侧连接凸阶 （22-2)， 或牙侧 连接钩 （22-3)， 或牙侧连接线 （22-4)。
33、 根据权利要求 1 所述舌背弹性牵引装置， 其特征在于： 所述弹性牵引 体 （2) 是医用弹性薄膜或弹性带状物， 所述医用弹性薄膜或弹性带状物采用医 用硅胶薄膜、 或医用乳胶薄膜、 或医用聚氨酯薄膜、 或医用橡胶薄膜、 或弹性医 用材料编织物制造， 所述医用弹性薄膜或弹性带状物的厚度在 0.01 mm〜3mm 之间。
34、 根据权利要求 1 所述舌背弹性牵引装置， 其特征在于： 所述弹性牵引 体 （2) 是医用弹性线状物， 所述医用弹性线状物采用医用硅胶、 或医用乳胶、 或医用聚氨酯、或医用橡胶、 或弹性医用材料编织物制造， 所述医用弹性线状物 的直径在 0.05mm〜5mm之间。
35、 根据权利要求 1 所述舌背弹性牵引装置， 其特征在于： 所述弹性牵引 体 （2)含舌侧连接机构 （21 )、 弹性变形机构 （20) 及牙侧连接机构 （22); 所 述舌侧连接机构 （21 ) 与牙侧连接机构 （22) 分设于所述弹性牵引体 （2) 的两 端， 所述舌侧连接机构 （21 ) 上设有 1个舌侧连接孔 （21 -1 )， 所述牙侧连接机 构 （22) 上设有至少 1个牙侧连接孔 （22-1 ); 所述弹性变形机构 （20) 设在所 述舌侧连接机构 （21 ) 与牙侧连接机构 （22) 之间。
36、 根据权利要求 35所述舌背弹性牵引装置， 其特征在于： 在同等受力条 件下， 所述弹性牵引体 （2) 的弹性变形机构 （20) 发生弹性变形的弹性变形量 大于所述牙侧连接机构 （22) 或舌侧连接机构 （21 ) 发生的弹性变形量； 当所 述弹性变形机构 （20 ) 发生弹性变形时， 所述舌侧连接机构 （21 ) 或所述牙侧 连接机构 （22) 几乎不发生弹性变形。
37、 根据权利要求 35所述舌背弹性牵引装置， 其特征在于： 采用同种性能 的弹性材料制造所述弹性牵引体 （2) 时， 所述弹性变形机构 （20) 的横截面的 面积既小于所述牙侧连接机构（22)的横截面的面积，也小于舌侧连接机构（21 ) 的横截面的面积。
38、 根据权利要求 35所述舌背弹性牵引装置， 其特征在于： 所述弹性牵引 体 （2) 的舌侧连接机构 （21 ) 上设的舌侧连接孔 （21 -1 ) 的周围设有能增加拉 伸抗力的凸起棱边 （21 -1 -1 )。
39、 根据权利要求 35所述舌背弹性牵引装置， 其特征在于： 所述弹性牵引 体 （2) 的牙侧连接机构 （22) 上设的牙侧连接孔 （22-1 ) 的周围设有能增加拉 伸抗力的凸起棱边 （22-1-1 )。
40、 根据权利要求 1 所述舌背弹性牵引装置， 其特征在于： 所述舌背连接 机构 （1 ) 和弹性牵引体 （2) 可以通过整体制造技术形成一个整体， 构成一体 式弹性牵引机构（212)，所述一体式弹性牵引机构（212)上含舌背连接机构（ 1 ) 和弹性牵引体 （2)。
41、 据权利要求 40所述舌背弹性牵引装置， 其特征在于： 所述一体式弹性 牵引机构 （212) 含牙侧连接机构 （22)、 弹性变形机构 （20) 及舌侧连接机构
(21 ); 所述牙侧连接机构（22)位于所述一体式弹性牵引机构（212)的两端， 所述牙侧连接机构 （22) 上设有至少 1个牙侧连接孔 （22-1 ); 所述舌背连接机 构（1 )位于所述一体式弹性牵引机构（212)的中部； 所述弹性变形机构（20) 设在所述舌背连接机构（ 1 )与牙侧连接机构（22)之间；所述弹性变形机构（20) 通过所述舌侧连接机构 （21 ) 与所述舌背连接机构 （1 ) 相连接。
42、 根据权利要求 40所述舌背弹性牵引装置， 其特征在于： 在同等受力条 件下， 所述一体式弹性牵引机构 （212) 的弹性变形机构 （20) 发生弹性变形时 的弹性变形量大于所述舌背连接机构 （1 ) 发生的弹性变形量。 当所述弹性变形 机构 （20) 发生弹性变形时， 所述舌背连接机构 （1 ) 几乎不发生弹性变形。
43、 根据权利要求 40所述舌背弹性牵引装置， 其特征在于： 在同等受力条 件下， 所述一体式弹性牵引机构 （212) 的弹性变形机构 （20) 发生弹性变形时 的弹性变形量大于所述牙侧连接机构 （22) 的弹性变形量。 当所述弹性变形机 构 （20) 发生弹性变形时， 所述牙侧连接机构 （22) 几乎不发生弹性变形。
44、 根据权利要求 40所述舌背弹性牵引装置， 其特征在于： 所述一体式弹 性牵引机构 （212) 是长条状弹性物体， 所述牙侧连接机构 （22)、 弹性变形机 构 （20)、 舌侧连接机构 （21 ) 及舌背连接机构 （1 ) 按照以下顺序排列： 牙侧连接机构 （22) 弹性变形机构 （20) 舌侧连接机构 （21 ) - 舌背连接机构 （1 ) 舌侧连接机构 （21 ) 弹性变形机构 （20) 牙 侧连接机构 （22)。
45、 根据权利要求 40所述舌背弹性牵引装置， 其特征在于： 所述一体式弹 性牵引机构 （212) 的牙侧连接机构 （22) 上设的牙侧连接孔 （22-1 ) 的周围设 有能增加拉伸抗力的凸起棱边 （22-1-1 )。
46、 根据权利要求 40所述舌背弹性牵引装置， 其特征在于： 采用同种性能 的弹性材料制造所述一体式弹性牵引机构 （212) 时， 所述弹性变形机构 （20) 的横截面的面积既小于所述牙侧连接机构 （22) 的横截面的面积， 也小于舌背 连接机构 （1 ) 的横截面的面积。
47、 根据权利要求 40所述舌背弹性牵引装置， 其特征在于： 所述一体式弹 性牵引机构 （212) 能从所述舌粘膜下上皮化的隧道 （100-1 ) 中穿过； 而且所 述舌背连接机构 （1 ) 具有与所述舌粘膜下上皮化的隧道 （100-1 ) 相匹配的弧 段。
48、 根据权利要求 1 所述舌背弹性牵引装置， 其特征在于： 所述弹性牵引 体（2)上的牙侧连接机构（22)通过磁性连接方式连接在牙侧固定器（3)上。
49、 根据权利要求 1 所述舌背弹性牵引装置， 其特征在于： 所述弹性牵引 体 （2) 上的舌侧连接机构 （21 ) 通过磁性连接方式连接在舌背连接机构 （1 ) 上。
50、 根据权利要求 1 所述舌背弹性牵引装置， 其特征在于： 所述牙侧固定 器 （3) 的支撑架 （31 ) 是固定于上牙或下牙的牙侧固定支撑架 （31-1 )， 或者 是固定于牙槽骨上的牙科骨钉型固定支撑架 （31-2)， 或者是可拆卸地吻合于上 牙或下牙的牙套型固定支撑架 （31-3)， 或者是可拆卸地吻合于上下唇外的唇外 固定支撑架 （31-4)。
51、 根据权利要求 1所述舌背弹性牵引装置， 所述牙侧固定器 （3) 的特征 在于-
A、 所述牙侧固定器 （3) 的弹性牵引体牙侧连接机构 （32) 上含能固定弹 性牵引体 （2) 的牙侧固定器的定位凹槽 （32-1 ) 及定位凸阶 （32-2);
B、 所述牙侧固定器 （3) 上至少含 3个唇外固定支撑架 （31-4);
C、所述唇外固定支撑架（31-4)为拱形结构；所述唇外固定支撑架（31-4) 的一端交汇连接在所述弹性牵引体牙侧连接机构 （32) 上； 另一端上设有所述 牙侧固定机构 （33); 所述牙侧固定器 （3) 形成以所述弹性牵引体牙侧连接机 构 （32) 为中心、 以所述唇外固定支撑架 （31-4) 为拱形的支撑腿、 以与上下 颌外皮肤接触的所述牙侧固定机构 （33) 的底部的表面为支撑点的放射状拱形 结构。
52、 根据权利要求 51所述舌背弹性牵引装置， 其特征在于： 所述牙侧固定 器 （3) 含 3个唇外固定支撑架 （31-4)， 包括上颌唇外固定支撑架 （31-4-1 )、 下颌唇外固定支撑架 （31-4-2) 及唇角支撑架 （31-4-3); 所述上颌唇外固定支 撑架 （31-4-1 ) 与下颌唇外固定支撑架 （31-4-2) 之间的夹角 γ不小于所述上颌 唇外固定支撑架 （31-4-1 ) 与唇角支撑架 （31-4-3) 之间的夹角 ε; 所述上颌唇 外固定支撑架 （31-4-1 ) 与下颌唇外固定支撑架 （31-4-2)之间的夹角 γ不小于 所述下颌唇外固定支撑架 （31-4-2) 与唇角支撑架 （31-4-3) 之间的夹角 θ。
53、 根据权利要求 51所述舌背弹性牵引装置， 其特征在于： 所述上颌唇外 固定支撑架 （31-4-1 ) 或下颌唇外固定支撑架 （31-4-2) 的长度不小于所述唇角 支撑架 （31-4-3) 的长度。
54、 根据权利要求 51所述舌背弹性牵引装置， 其特征在于： 所述牙侧固定 机构 （33) 与皮肤表面接触的表面为光滑曲面 （33-1 )。
55、 根据权利要求 51所述舌背弹性牵引装置， 其特征在于： 所述定位凸阶 (32-2) 是光滑的锥形结构。
56、 根据权利要求 1所述舌背弹性牵引装置， 所述牙侧固定器 （3) 的特征 在于-
Α、 所述弹性牵引体牙侧连接机构 （32)、 所述支撑架 （31 ) 及所述牙侧固 定机构 （33) 构成横截面为工字型的牙侧固定器 （3);
Β、 所述牙侧固定器 （3) 的与弹性牵引体 （2) 相连接的弹性牵引体牙侧连 接机构 （32) 是具有光滑表面的球冠形定位凸阶 （32-2);
C、 所述支撑架 （31 ) 为光滑的柱体；
D、所述牙侧固定机构（33)是具有与牙齿表面相适应的弧度的壳体（33-1 )。
57、 根据权利要求 56所述舌背弹性牵引装置， 其特征在于： 所述牙侧固定 机构（33)的具有与牙齿表面相适应的弧度的壳体 (33-1 )上设有容胶孔 (33-1-1 )。
58、 根据权利要求 1 所述舌背弹性牵引装置， 其特征在于： 所述牙侧固定 器 （3) 含有能调节弹性牵引体的牵引力大小的牵引力调节机构 （34)。
59、 根据权利要求 58所述舌背弹性牵引装置， 其特征在于： 所述牵引力调 节机构 （34) 是能通过旋转运动卷起所述弹性牵引体 （2) 或能松弛所述弹性牵 引体 (2) 的转动机构 (34-1 )。
60、 根据权利要求 58所述舌背弹性牵引装置， 其特征在于： 所述牵引力调 节机构（ 34 )是能通过滑动来拉紧或松弛所述弹性牵引体（ 2 )的滑动机构（ 34-2 )。
61、 根据权利要求 1 所述舌背弹性牵引装置， 其特征在于： 所述弹性牵引 体（2)或舌背连接机构（1 )或牙侧固定器（3)具有与人体组织相匹配的颜色。
62、 一种安装舌背弹性牵引装置的夹持钳， 其特征在于-
A、 所述夹持钳 （400) 含右臂 （401 )、 左臂 （402) 和转轴 （403);
B、 所述右臂 （401 ) 含右钳头 （401-1 )、 右臂尾部 （401-2)、 右臂转轴安 装凸阶 （401-3); 所述右钳头 （401-1 ) 上含右工作凹槽 （401-1-1 )、 右侧防脱 限位凸阶 （401-1-3) 及至少 1个右侧转动限位凸阶 （401-1-2); 所述右臂转轴 安装凸阶 （401-3) 上设有用于安装转轴的通孔 （401-3-1 );
C、 所述左臂 （402) 含左钳头 （402-1 )、 左臂尾部 （402-2)、 左臂转轴安 装凸阶 （402-3); 所述左钳头 （402-1 ) 上含左工作凹槽 （402-1-1 )、 左侧防脱 限位凸阶 （402-1-3) 及至少 1个左侧转动限位凸阶 （402-1-2); 所述左臂转轴 安装凸阶 （402-3) 上设有用于安装转轴的通孔 （402-3-1 );
D、 所述右臂转轴安装凸阶 （401-3)与所述左臂转轴安装凸阶 （402-3) 的 形状相互匹配； 所述右臂安装转轴的通孔 （401-3-1 ) 与所述左臂安装转轴的通 孔 （402-3-1 ) 的中线在同一直线上； 所述转轴 （403) 能够依次穿过所述右臂 转轴安装凸阶上的通孔（401-3-1 )和所述左臂转轴安装凸阶上的通孔（402-3-1 )， 使得所述右臂 （401 )及所述左臂 （402) 能依托转轴 （403)进行张开或闭合运 动。
63、 根据权利要求 62所述夹持钳， 其特征在于： 所述夹持钳 （400) 的所 述右工作凹槽 （401-1-1 ) 及所述左工作凹槽 （402-1-1 ) 在所述夹持钳 （400) 保持闭合状态时所形成的空间内能容纳舌背弹性牵引装置的舌背连接机构 （1 ) 的连接凸阶 （12-2); 所述右侧防脱限位凸阶 （401-1-3) 及左侧防脱限位凸阶
(402-1-3)能可拆卸地镶嵌在所述连接凸阶 ( 12-2)的横向连接凹槽 ( 12-1-1 ) 内； 所述右侧转动限位凸阶 (401-1-2)及左侧转动限位凸阶 (402-1-2) 能可拆 卸地镶嵌在所述纵向连接凹槽 （12-1-2) 内。
64、 根据权利要求 62所述夹持钳， 其特征在于： 所述夹持钳 （400) 含复 位弹簧 （404)， 所述复位弹簧 （404) 设在所述右臂尾部 （401-2) 与所述左臂 尾部 （402-2) 之间， 一端支撑在所述右臂尾部 （401-2)， 另一端支撑在所述左 臂尾部 （402-2); 或者所述复位弹簧 （404) 缠绕在所述转轴 （403) 上， 一端 支撑在所述右臂尾部 （401-2)， 另一端支撑在所述左臂尾部 （402-2); 所述复 位弹簧 （404) 能在所述右臂尾部 （401-2) 与所述左臂尾部 （402-2) 之间施加 张开力。
65、 根据权利要求 62所述夹持钳， 其特征在于所述夹持钳 （400) 含自锁 机构 （405)， 所述自锁机构 （405) 的特征在于：
A、所述自锁机构（405)设于所述右臂尾部 (401-2)和所述左臂尾部（402-2); 所述右臂尾部（401-2)和左臂尾部（402-2)上含所述自锁机构的安装槽（406);
B、所述自锁机构（ 405 )含销钉 ( 405-1 )、扭簧 ( 405-2 )和自锁定位块 ( 405-3)；
C、 所述右臂尾部 （401-2)上设有用于安装所述自锁机构 （405) 的销钉孔 (401-2-1 )；
D、 所述销钉 (405-1 ) 依次穿过所述销钉孔 （401-2-1 )、 扭簧 （405-2)、 自锁定位块（405-3)后，将所述自锁机构（405)固定在所述右臂尾部（401-2) 的安装槽（406) 内； 所述扭簧（405-2)的一端支撑在所述右臂尾部（401-2)， 另一端支撑在所述自锁定位块 （405-3) 上， 对所述自锁定位块 （405-3) 形成 闭合力；
E、 所述自锁定位块 (405-3) 含锁牙 （405-3-1 )、 自锁开关 (405-3-2) 和 安装通孔（405-3-3); 所述锁牙 （405-3-1 )与所述左臂尾部 （402-2)上的所述 自锁机构的安装槽 （406) 的定位凸阶 （402-2-1 ) 形成凹凸卡配合； 所述自锁 开关 （405-3-2) 凸起在开锁槽 （401-2-2) 上， 所述销钉 （405-1 ) 能从所述安 装通孔（405-3-3) 中通过， 将所述自锁定位块（405-3)可运动地安装在所述右 臂 （401 ) 的安装槽 （406) 内。
66、 根据权利要求 62所述夹持钳， 其特征在于： 所述夹持钳 （400) 的右 臂 （401 ) 的外侧以及左臂 （402) 的外侧设有防滑纹或防滑凹槽 （407)。
67、 根据权利要求 62所述夹持钳， 其特征在于： 所述夹持钳 （400) 的右 臂 （401 ) 上与左臂 （402) 上设有起导向作用和定位作用的一对相互配合的定 位导向块 (402-1-4) 和定位导向槽 （401-1-4)。
68、 一种安装舌背弹性牵引装置的弹性牵引体的安装钳， 其特征在于-
A、 所述安装钳 （500) 含张开端 （501) 和手柄端 （502);
B、 所述张开端 （501) 至少含一个支架 （501-1);
C、 所述支架 (501-1) 形成的纳物空间 (501-2) 能容纳所述舌背弹性牵引 装置的舌背连接机构 （12) 上的连接凸阶 （12-2)。
69、 根据权利要求 68所述安装钳， 其特征在于： 所述支架 （501-1) 上设 有能防止弹性牵引体 (2) 的舌侧连接机构 (21) 脱落的凹槽 （501-1-1)。
70、 根据权利要求 68所述安装钳， 其特征在于： 所述张开端 （501) 上对 称分布了两个支架（501-1 )，所述两个对称分布的支架（501-1 )之间的距离（d501 ) 大于所述弹性牵引体舌背连接机构 （12) 的连接凸阶 （12-2) 的最大直径。
71、 根据权利要求 68所述安装钳， 其特征在于： 所述手柄端 （502) 的表 面有防滑凹槽、 防滑凸棱或防滑花纹 （502-1)。
72、 根据权利要求 68所述安装钳， 其特征在于： 所述安装钳 （500) 由可 与人体直接接触的医用材料制造， 包括： 医用金属材料、 或医用高分子材料、 或 医用金属材料与医用高分子材料的复合材料。
73、 一种安装舌背弹性牵引装置的一体式弹性牵引机构的引线器， 其特征 在于-
A、 所述引线器 (200) 含引线杆 (201) 和滑块 (202)；
B、所述引线杆（201 )含光滑的导向头（201-1 )、用于安装弹性牵引体（2) 的安装钩 （201-2) 和限制滑块 （202) 滑动距离的限位槽 （201-3);
C、 所述滑块 （202) 含滑动凸阶 （202-1); 所述滑块 （202) 的滑动凸阶 (202-1) 能在所述引线杆 （201) 的限位槽 （201-3) 中滑动；
D、当所述滑动凸阶 (202-1)位于所述限位槽 (201-3)的近所述导向头 (201-1) 端时，所述滑块（202)不能覆盖所述安装钩（201-2); 当所述滑动凸阶（202-1) 位于所述限位槽 （201-3) 的近所述安装钩 （201-2) 端时， 所述滑块 （202) 能 覆盖所述安装钩 （201-2)。
74、 根据权利要求 73所述引线器， 其特征在于： 所述限位槽 （201-3) 的 横截面是圆形。
75、 根据权利要求 73所述引线器， 其特征在于： 所述滑块 （202) 是在近 所述导向头 （201 -1 ) 端设有向内翻边的薄壁管， 所述向内翻边构成所述滑动凸 阶 （202-1 )。
76、 根据权利要求 73所述引线器， 其特征在于： 所述安装钩 （201 -2) 是 U形钩或 J形钩。
77、 舌粘膜下上皮化隧道式牵引连接的本发明之舌背弹性牵引装置的植入 方法， 其特征在于， 所述植入方法包括以下步骤：
第一步， 局麻下， 通过微创手术方式， 在舌背粘膜表面轮廓乳头前方约 0cm~5cm处距中线约 1cm~3cm的两侧，用手术器械贯穿舌粘膜下，形成隧道， 然后将舌背连接机构 （1 ) 的能形成舌粘膜下隧道的植入体 （100-2) 植入、 固 定， 使得所述植入体 （100-2) 的两端暴露在舌粘膜外； 手术后 15天 -60天， 拆 除所述植入体 （100-2) 后， 在舌背粘膜下形成了可以承受一定拉力的舌粘膜下 上皮化隧道 ( 100-1 )；
第二步， 依据本发明之牙侧固定器 （3) 不同的具体构造， 将本发明之牙侧 固定器 （3) 以牙， 或牙槽骨， 或上颌， 或下颌， 或上下颌的唇外作为牙侧固定 器 （3) 的支撑固定点， 进行安装固定；
第三步， 入睡前， 用辅助工具将弹性牵引体（2)， 或者一体式弹性牵引机构 (212) 穿过在舌背处形成的舌粘膜下上皮化的隧道 （100-1 )， 再将弹性牵引体 (2)， 或者一体式弹性牵引机构 （212) 的两端固定在牙侧固定器 （3) 上； 第四步，起床后，将所述弹性牵引体（2)，或者一体式弹性牵引机构（212) 从牙侧固定器 （3) 上取下， 并从舌粘膜下的隧道 （100-1 ) 抽出， 拆除本发明 之舌背弹性牵引装置。
78、 舌粘膜下薄壁管隧道式牵引连接的本发明之舌背弹性牵引装置的植入 方法， 其特征在于， 所述植入方法包括以下步骤：
第一步， 局麻下， 通过微创手术方式， 在舌背粘膜表面轮廓乳头前方约 0cm~5cm处距中线约 1cm~3cm的两侧，用手术器械贯穿舌粘膜下，形成隧道， 然后将舌背连接机构 （1 ) 的薄壁管状植入物 （100-4 ) 植入、 固定， 使得所述 薄壁管状植入物 （100-4 ) 的两端的管口恰好暴露在舌粘膜表面外； 手术后 15 天至 60天， 牵拉所述薄壁管状植入物 （100-4)， 患者无疼痛和不适感时， 即可 以进行舌背牵拉； 第二步， 依据本发明之牙侧固定器 （3) 不同的具体构造， 将本发明之牙侧 固定器 （3) 以牙， 或牙槽骨， 或上颌， 或下颌， 或上下颌的唇外作为牙侧固定 器 （3) 的支撑固定点， 进行安装固定；
第三步， 入睡前， 用辅助工具将弹性牵引体（2)， 或者一体式弹性牵引机构 (212) 穿过在舌背处形成的含薄壁管状植入物的舌粘膜下隧道 （100-3)， 再将 弹性牵引体 （2) 的两端固定在牙侧固定器 （3) 上；
第四步，起床后，将所述弹性牵引体（2)，或者一体式弹性牵引机构（212) 从牙侧固定器 （3) 上取下， 并从含薄壁管状植入物的舌粘膜下隧道 （100-3) 抽出， 解除对舌背的牵引。
79、 舌粘膜下全植入式连接体的本发明之舌背弹性牵引装置的植入方法， 其特征在于， 所述植入方法包括以下步骤：
第一步， 局麻下， 通过微创手术方式， 在舌背粘膜表面轮廓乳头前方约 0cm~5cm处， 距中线约 0.5cm~2cm的两侧， 用手术器械在舌粘膜上横行切开 约 0.5cm宽的切口， 然后用专用器械将全植入式连接体（102) 由前向后植入到 舌粘膜下；在舌中线的左右两侧各至少植入一个本发明之含有磁性材料的全植入 式连接体 ( 102)；
第二步， 依据本发明之牙侧固定器 （3) 不同的具体构造， 将本发明之牙侧 固定器 （3) 以牙， 或牙槽骨， 或上颌， 或下颌， 或上下颌的唇外作为牙侧固定 器 （3) 的支撑固定点， 进行安装固定；
第三步， 入睡前， 将弹性牵引体 （2) 的一端固定在牙侧固定器 （3) 上， 弹性牵引体 （2) 的含有磁性材料的另一端伸入舌背部， 靠近本发明之全植入式 连接体 （102) 的部分， 构成磁性连接， 在弹性牵引体 （2) 的弹性恢复力的作 用下， 将舌向前拉起；
第四步， 起床后， 将所述弹性牵引体 （2) 从牙侧固定器 （3) 上取下， 同 时也从舌背部将弹性牵引体 （2) 含有磁性材料的一端分离、 拆除， 解除对舌背 的牵引。
80、 舌粘膜下半植入式连接体的本发明之舌背弹性牵引装置的植入方法， 其特征在于， 所述植入方法包括以下步骤：
第一步， 在局部麻醉下， 通过微创手术方式， 在舌背粘膜表面轮廓乳头前方 约 0cm~5cm处距中线约 ^m~3cm的两侧， 用手术器械贯穿舌粘膜下， 形成隧 道， 然后将舌背连接机构 （1 ) 的半植入式连接体 （103) 植入、 固定， 使得所 述半植入式连接体 （103) 的支撑体 （11 ) 埋在舌粘膜下， 弹性牵引体舌背连接 机构 （12) 暴露在舌粘膜表面外； 手术后 15天至 60天， 牵拉所述半植入式连 接 （103)， 患者无疼痛和不适感时， 即可以进行舌背牵拉；
第二步， 依据本发明之牙侧固定器 （3) 不同的具体构造， 将本发明之牙侧 固定器 （3) 以牙， 或牙槽骨， 或上颌， 或下颌， 或上下颌的唇外作为牙侧固定 器 （3) 的支撑固定点， 进行安装固定；
第三步， 入睡前， 将弹性牵引体 （2) 的一端固定在牙侧固定器 （3) 上， 另一端固定在所述半植入式连接体（103)的弹性牵引体舌背连接机构（12)上， 弹性牵引体 （2) 以牙侧固定器 （3) 为支点， 对所述半植入式连接体 （103) 产 生弹性拉力； 在弹性牵引体 （2) 的弹性恢复力的作用下， 将舌向前拉起。
第四步， 起床后， 将所述弹性牵引体 2从牙侧固定器 （3) 上取下， 同时弹 性牵引体 （2) 也从舌背连接机构 （1 ) 的半植入式连接体 （103) 的弹性牵引体 舌背连接机构 （12) 上分离， 拆除， 解除对舌背的牵引。
81、 粘膜表面固定式连接体的本发明之舌背弹性牵引装置的植入方法， 其 特征在于： 所述植入方法含有：
第一步， 患者在镜前自行操作， 张口， 伸舌， 将舌背表面清洁， 吹干， 涂抹 医用粘接剂； 再将本发明之粘膜外固定式连接体 （104) 的支撑座 （104-1 ) 的 粘接面涂抹医用粘接剂， 粘接固定在舌背表面上；
第二步， 依据本发明之牙侧固定器 （3) 不同的具体构造， 将本发明之牙侧 固定器 （3) 以牙， 或牙槽骨， 或上颌， 或下颌， 或上下颌的唇外作为牙侧固定 器 （3) 的支撑固定点， 进行安装固定；
第三步， 入睡前， 将弹性牵引体 （2) 的一端固定在牙侧固定器 （3) 上， 另一端连接固定在所述粘膜外固定式连接体 （104) 的弹性牵引体舌背连接机构 ( 104-2) 上， 弹性牵引体 （2) 以牙侧固定器 （3) 为支点， 对所述粘膜外固定 式连接体 （104) 产生弹性拉力， 将舌向前拉起；
第四步， 起床后， 将所述弹性牵引体 （2) 从牙侧固定器 （3) 上取下， 同 时弹性牵引体 （2) 和本发明之粘膜外固定式连接体 （104) 从舌背上分离、 拆 除， 解除对舌背的牵引。
PCT/CN2013/091266 2013-02-04 2013-12-31 舌背弹性牵引装置、夹持钳、安装钳、引线器及植入方法 WO2014117631A1 (zh)

Priority Applications (10)

Application Number Priority Date Filing Date Title
AU2013376536A AU2013376536A1 (en) 2013-02-04 2013-12-31 Tongue back elastic traction apparatus, holding clamp, mounting clamp, thread guiding apparatus, and implanting method
SG11201500044WA SG11201500044WA (en) 2013-02-04 2013-12-31 Elastic tongue- dorsum retraction device, clamping pliers, installation pliers, line guide, and implantation method
IN10199DEN2014 IN2014DN10199A (zh) 2013-02-04 2013-12-31
KR1020147024858A KR20150135049A (ko) 2013-02-04 2013-12-31 혓바닥 탄성견인장치, 클램핑 펜치, 장착 펜치, 실잡이 및 식립방법
JP2015555560A JP6430405B2 (ja) 2013-02-04 2013-12-31 舌背弾性牽引装置、はさみ鉗子、取付け鉗子、スレッドガイド、及び移植方法
CA2876027A CA2876027A1 (en) 2013-02-04 2013-12-31 Elastic tongue-dorsum retraction device, clamping pliers, installation pliers, line guide and implantation method
US14/384,367 US9675494B2 (en) 2013-02-04 2013-12-31 Elastic tongue-dorsum retraction device, clamping pliers, installation pliers, line guide and implantation method
EP13873591.5A EP2952161B1 (en) 2013-02-04 2013-12-31 Tongue back elastic traction apparatus, holding clamp, mounting clamp, thread guiding apparatus, and implanting method
HK15112646.6A HK1211827A1 (zh) 2013-02-04 2015-12-23 舌背彈性牽引裝置、夾持鉗、安裝鉗、引線器及植入方法
AU2016259356A AU2016259356B2 (en) 2013-02-04 2016-11-16 Elastic tongue-dorsum retraction device, clamping pliers, installation pliers, line guide and implantation method

Applications Claiming Priority (22)

Application Number Priority Date Filing Date Title
CN201320063137.2U CN203370010U (zh) 2013-02-04 2013-02-04 舌背弹性牵引装置
CN201310043949.5A CN103961201B (zh) 2013-02-04 2013-02-04 舌背弹性牵引装置及植入方法
CN201320063137.2 2013-02-04
CN201310043949.5 2013-02-04
CN201310423312.9A CN104434375B (zh) 2013-09-16 2013-09-16 一种用于舌背弹性牵引装置的三段式弹性牵引体
CN201310423315.2 2013-09-16
CN201310423312.9 2013-09-16
CN201310423258.8 2013-09-16
CN201310423315.2A CN104434376B (zh) 2013-09-16 2013-09-16 一种用于舌背弹性牵引装置的舌背连接机构
CN201310423417.4A CN104434379B (zh) 2013-09-16 2013-09-16 一种用于舌背弹性牵引装置的隧道式舌背连接机构
CN201310423353.8 2013-09-16
CN201310423351.9 2013-09-16
CN201310423417.4 2013-09-16
CN201310423351 2013-09-16
CN201310423355.7A CN104434378B (zh) 2013-09-16 2013-09-16 一种安装舌背弹性牵引装置的一体式弹性牵引机构的引线器
CN201310423258.8A CN104434374B (zh) 2013-09-16 2013-09-16 一种用于舌背弹性牵引装置的一体式弹性牵引机构
CN201310423355.7 2013-09-16
CN201310423353.8A CN104434377B (zh) 2013-09-16 2013-09-16 一种安装舌背弹性牵引装置的夹持钳
CN201310733988.8A CN104739564A (zh) 2013-12-26 2013-12-26 一种安装舌背弹性牵引装置的弹性牵引体的安装钳
CN201310733988.8 2013-12-26
CN201310738009.8A CN104739565B (zh) 2013-12-27 2013-12-27 一种舌背弹性牵引装置中使用的牙侧固定器
CN201310738009.8 2013-12-27

Publications (1)

Publication Number Publication Date
WO2014117631A1 true WO2014117631A1 (zh) 2014-08-07

Family

ID=51261457

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2013/091266 WO2014117631A1 (zh) 2013-02-04 2013-12-31 舌背弹性牵引装置、夹持钳、安装钳、引线器及植入方法

Country Status (11)

Country Link
US (1) US9675494B2 (zh)
EP (1) EP2952161B1 (zh)
JP (1) JP6430405B2 (zh)
KR (1) KR20150135049A (zh)
AU (2) AU2013376536A1 (zh)
CA (2) CA3002858A1 (zh)
HK (1) HK1211827A1 (zh)
IN (1) IN2014DN10199A (zh)
MY (1) MY167634A (zh)
SG (1) SG11201500044WA (zh)
WO (1) WO2014117631A1 (zh)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20170100571A (ko) * 2014-12-19 2017-09-04 싱 초우 인두 측벽 견인장치와 이식방법
KR20170117136A (ko) * 2015-02-09 2017-10-20 싱 초우 이식된 설중격 근막 뒤당김 장치 및 이식방법

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105050553A (zh) * 2013-03-15 2015-11-11 法比安·赫尔曼·乌尔班·富格利斯特 舌头变形植入物
US11026830B2 (en) 2014-12-12 2021-06-08 Koninklijke Philips N.V. Tongue advancer system for use in a tongue manipulation system
KR101959537B1 (ko) * 2017-04-21 2019-03-18 남관우 코골이 방지용 하악골 전방 견인 장치
CA3027088C (en) * 2017-12-12 2021-03-23 Cheng-Hsiang Hung Orthodontic correction device
CN111954507B (zh) * 2018-01-31 2023-03-24 奥丁睡眠有限责任公司 具有连接器的睡眠呼吸暂停口腔器具
CN109589200A (zh) * 2018-12-14 2019-04-09 厦门医学院附属口腔医院(厦门市口腔医院) 一种前导再定位式阻鼾器及其制作方法

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080053461A1 (en) * 2005-02-08 2008-03-06 Aspire Medical, Inc. Methods and devices for the treatment of airway obstruction, sleep apnea and snoring
US20080058584A1 (en) * 2006-06-13 2008-03-06 Aspire Medical, Inc. Glossopexy tension system and method
CN201271277Y (zh) * 2008-10-15 2009-07-15 张翠艳 多功能手术钳
CN101578080A (zh) * 2006-11-03 2009-11-11 皇家飞利浦电子股份有限公司 使用影响上气道中的舌或舌骨肌的磁力系统的设备、系统和方法
CN102198010A (zh) 2010-09-29 2011-09-28 周星 植入型舌牵拉装置、牵引板、牵引线、牵拉器及方法

Family Cites Families (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5052409A (en) * 1989-05-08 1991-10-01 Tepper Harry W Oral appliance for tongue thrust correction
US20030031980A1 (en) * 2001-08-07 2003-02-13 Owais Zaidoon Rakad Airways, lungs, and gastrointestinal tract protection system aginst aspiration and ingestion of foreign dental bodies in conscious and consciously sedated dental patients
EP1549267B1 (en) * 2002-09-06 2009-04-08 Koninklijke Philips Electronics N.V. Systems for moving and/or restraining tissue in the upper respiratory system
US10524954B2 (en) 2004-02-26 2020-01-07 Linguaflex, Inc. Methods and devices for treating sleep apnea and snoring
US20050287495A1 (en) * 2004-06-03 2005-12-29 Longley William H Dental appliance for weight management
US8096303B2 (en) 2005-02-08 2012-01-17 Koninklijke Philips Electronics N.V Airway implants and methods and devices for insertion and retrieval
US20070163603A1 (en) 2006-01-18 2007-07-19 Sikora Val J Tongue retention device and method of use
US7717707B2 (en) * 2006-03-31 2010-05-18 Under Dog Media, L.P. Orthodontic transpalatal intrusion arch assembly and method of use
US7607439B2 (en) 2006-06-19 2009-10-27 Li Kasey K Tongue retention system
US20080108008A1 (en) * 2006-11-08 2008-05-08 Kun Sung Chung Systems and methods for orthodontic treatments
US8882499B2 (en) * 2007-05-30 2014-11-11 Velton C. White Orthodontic appliance
US20100311008A1 (en) 2008-01-31 2010-12-09 Mikael Par Gellerfors Oral tongue positioning device
US20100015565A1 (en) * 2008-06-13 2010-01-21 Roberto J. Carrillo Gonzalez Orthodontic Devices
US8561617B2 (en) * 2008-10-30 2013-10-22 Ethicon, Inc. Implant systems and methods for treating obstructive sleep apnea
FR2942954B1 (fr) * 2009-03-11 2012-07-06 Remy Derbez Systeme de prevention de troubles respiratoires du sommeil
WO2011068952A1 (en) 2009-12-02 2011-06-09 Entrigue Surgical, Inc. Devices for tongue stabilization
CA2801902A1 (en) * 2010-06-07 2011-12-15 Sleepy, Inc. Tongue retaining oral appliance
EP2598091A4 (en) * 2010-07-26 2014-08-20 Revent Medical Inc SYSTEMS AND METHODS FOR TREATING SLEEP APNEA
US8656920B1 (en) * 2010-12-17 2014-02-25 Theresa Tannatt Device to alleviate snoring
US9204991B1 (en) * 2011-05-18 2015-12-08 Stephen J. Harkins Mandibular advancement device
US8875713B2 (en) * 2011-09-22 2014-11-04 James Metz Anti-obstructive airway dental orthotic
US9226866B2 (en) * 2012-10-10 2016-01-05 Susan Ann Haseley Speech therapy device
US9610009B2 (en) * 2013-11-15 2017-04-04 Shohreh Motamedi Dental retractor for protecting a patient's teeth from contact with the inner side of a patient's mouth and tongue

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080053461A1 (en) * 2005-02-08 2008-03-06 Aspire Medical, Inc. Methods and devices for the treatment of airway obstruction, sleep apnea and snoring
US20080058584A1 (en) * 2006-06-13 2008-03-06 Aspire Medical, Inc. Glossopexy tension system and method
CN101578080A (zh) * 2006-11-03 2009-11-11 皇家飞利浦电子股份有限公司 使用影响上气道中的舌或舌骨肌的磁力系统的设备、系统和方法
CN201271277Y (zh) * 2008-10-15 2009-07-15 张翠艳 多功能手术钳
CN102198010A (zh) 2010-09-29 2011-09-28 周星 植入型舌牵拉装置、牵引板、牵引线、牵拉器及方法

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP2952161A4 *

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20170100571A (ko) * 2014-12-19 2017-09-04 싱 초우 인두 측벽 견인장치와 이식방법
JP2017537745A (ja) * 2014-12-19 2017-12-21 チョウ, シンZHOU, Xing 咽頭側壁牽引装置及びその埋込方法
US10603206B2 (en) 2014-12-19 2020-03-31 Xing Zhou Lateral pharyngeal wall tractor and implantation method
KR20170117136A (ko) * 2015-02-09 2017-10-20 싱 초우 이식된 설중격 근막 뒤당김 장치 및 이식방법

Also Published As

Publication number Publication date
SG11201500044WA (en) 2015-08-28
MY167634A (en) 2018-09-21
EP2952161A1 (en) 2015-12-09
EP2952161B1 (en) 2018-04-04
US9675494B2 (en) 2017-06-13
IN2014DN10199A (zh) 2015-08-07
AU2013376536A1 (en) 2015-01-15
JP2016508772A (ja) 2016-03-24
US20150064651A1 (en) 2015-03-05
HK1211827A1 (zh) 2016-06-03
CA2876027A1 (en) 2014-08-07
CA3002858A1 (en) 2014-08-07
KR20150135049A (ko) 2015-12-02
JP6430405B2 (ja) 2018-11-28
AU2016259356B2 (en) 2018-02-01
EP2952161A4 (en) 2016-12-14
AU2016259356A1 (en) 2016-12-08

Similar Documents

Publication Publication Date Title
WO2014117631A1 (zh) 舌背弹性牵引装置、夹持钳、安装钳、引线器及植入方法
US10149783B2 (en) Negative pressure oral apparatus
CN103961201B (zh) 舌背弹性牵引装置及植入方法
US8347890B2 (en) Automated tissue retention system
US9545195B2 (en) Patient controlled dental device and method
US20080236597A1 (en) Appliance, system and method for preventing snoring
US20100311008A1 (en) Oral tongue positioning device
US20120040301A1 (en) Mandibular advancement
JP2006507038A (ja) 上気道系中の組織を移動および／または拘束するためのシステムおよび方法
US20120160249A1 (en) Tongue advancement device for reducing obstructive sleep apnea condition
MX2007008395A (es) Metodo y dispositivo para levantamiento mandibular.
WO2016095746A1 (zh) 咽侧壁牵引装置和植入方法
KR20170003180U (ko) 수면용 마우스피스
AU2005211314A1 (en) Methods and devices for relieving upper airway obstructions
US20150101615A1 (en) Systems, Devices, and Methods for Retaining Oral Devices for Airway Treatment
CN203370010U (zh) 舌背弹性牵引装置
KR20090077599A (ko) 코 성장촉진 및 상악골 전방 성장촉진 장치
KR101088300B1 (ko) 호흡구 필터 및 이를 구비하는 구강치료용 보조장치
RU210725U1 (ru) Устройство для устранения атрезии небно-глоточного кольца

Legal Events

Date Code Title Description
ENP Entry into the national phase

Ref document number: 2015555560

Country of ref document: JP

Kind code of ref document: A

ENP Entry into the national phase

Ref document number: 20147024858

Country of ref document: KR

Kind code of ref document: A

WWE Wipo information: entry into national phase

Ref document number: 14384367

Country of ref document: US

121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 13873591

Country of ref document: EP

Kind code of ref document: A1

WWE Wipo information: entry into national phase

Ref document number: 2013873591

Country of ref document: EP

ENP Entry into the national phase

Ref document number: 2876027

Country of ref document: CA

ENP Entry into the national phase

Ref document number: 2013376536

Country of ref document: AU

Date of ref document: 20131231

Kind code of ref document: A

NENP Non-entry into the national phase

Ref country code: DE