WO2018111020A1 - Dispositif pour le traitement du ronflement et de l'apnée du sommeil - Google Patents

Dispositif pour le traitement du ronflement et de l'apnée du sommeil Download PDF

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Publication number
WO2018111020A1
WO2018111020A1 PCT/KR2017/014794 KR2017014794W WO2018111020A1 WO 2018111020 A1 WO2018111020 A1 WO 2018111020A1 KR 2017014794 W KR2017014794 W KR 2017014794W WO 2018111020 A1 WO2018111020 A1 WO 2018111020A1
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WO
WIPO (PCT)
Prior art keywords
snoring
sleep apnea
patient
power transmission
treatment apparatus
Prior art date
Application number
PCT/KR2017/014794
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English (en)
Korean (ko)
Inventor
김희진
김규학
김성택
김창훈
윤주헌
Original Assignee
연세대학교 산학협력단
지웰전자 주식회사
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Application filed by 연세대학교 산학협력단, 지웰전자 주식회사 filed Critical 연세대학교 산학협력단
Publication of WO2018111020A1 publication Critical patent/WO2018111020A1/fr

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/01—Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/1455—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters
    • 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

Definitions

  • the present invention relates to a snoring and sleep apnea treatment apparatus, specifically, by driving the fixing means connected to the upper teeth receiving portion or lower teeth receiving side back and forth, to move the maxillary or lower jaw to secure the airway of the patient snoring and sleep
  • the present invention relates to a device capable of treating apnea.
  • Snoring refers to a condition in which sound is generated by vibrating the soft palate (relatively lighter back part of the mouth ceiling), throat and surrounding mucous membranes when air passes through the narrowed oral cavity due to the increase of muscles during sleep.
  • Sleep apnea (Sleep Apnea) is a symptom that stops breathing by expanding tissues around the airway during sleep and closing the airway.Apnea of at least 10 seconds during sleep is expressed more than 5 times per hour or more than 30 times per 7 hours. Refers to symptoms of sleep disorders.
  • Snoring and sleep apnea can be caused by abnormal position of the temporomandibular joint, which is the jaw located between the facial and jaw bones as the jaw joint moves upwards as the body ages or the lower teeth wear out. It is caused by the articulation disc coming out and forming an unstable structure.
  • Sleep apnea can cause high blood pressure, arrhythmia, stroke, and myocardial infarction due to decreased concentration, decreased coral saturation in arterial blood, and in severe cases can cause heart attack and sudden death during sleep, preventing snoring and sleep apnea symptoms. And the development of methods, research and related technologies for treatment.
  • oral devices Conventional snoring and sleep apnea treatment methods have been largely proposed to medical treatment, surgical treatment, treatment by the use of a positive pressure supply device, treatment by the use of the oral device, among which there are less side effects and sequelae oral Wearable treatment devices (hereinafter referred to as "oral devices") are most commonly used.
  • the oral device that prevents snoring and sleep apnea is a device that prevents snoring and sleep apnea by moving the mandible forward and secures the airway, and secures the airway by pressing the soft palate and the neck upwards to secure the snoring and It is classified as a device to prevent sleep apnea.
  • the device for moving the mandible forward in the prior art because the device had to be continuously worn during sleep with the position fixed by manually adjusting the device, the patient often felt uncomfortable and frustrated.
  • the apparatus for pressing the soft palate and the neck upwards often caused severe rejection in the patient.
  • both devices deteriorate or improve the patient's condition, a new device suitable for the patient's condition needs to be manufactured. There is also a problem in that time and cost are additionally consumed.
  • the present invention operates the device only in snoring and sleep apnea to move the mandible forward, and if the snoring and sleep apnea does not occur, the device is not operated or the mandible is intact.
  • the present invention proposes a device for returning a patient so that the patient does not feel discomfort and frustration.
  • the patient can wear comfortably for a long time and at the same time, even if the patient's condition does not need to manufacture a new device snoring and sleep apnea treatment device I would like to suggest.
  • Korean Unexamined Patent Publication No. 10-2013-0029183 and Korean Unexamined Patent Publication No. 10-2015-0123808 disclose a snoring and sleep apnea treatment apparatus.
  • an oral device for forward / backward driving of the upper or lower teeth receiving portion is provided on the outside of the upper or lower teeth receiving portion to occupy a considerable space.
  • the oral device is inserted into the oral cavity of the human body, the patient is pressed near the molars and there is a problem of making the patient feel uncomfortable and frustrated when worn for a long time.
  • 16 is a view showing a mask-type snoring and sleep apnea treatment apparatus according to the prior art.
  • the prior art illustrated in FIG. 16 is a snoring and sleep apnea treatment apparatus, which uses a shape of a conventional mask to cover a part of a user's face, and arranges a main body and a controller of the treatment apparatus in a central portion of the mask.
  • the invention seeks to improve snoring and sleep apnea symptoms.
  • FIG. 16 since the patient always wears a mask during sleep, the patient interferes with the face. In addition, there is a problem that the patient feels discomfort and frustration when worn for a long time.
  • An object of the present invention is to provide a snoring and sleep apnea treatment apparatus that can be worn by the patient comfortably for a long time by operating the device only in the snoring and sleep apnea state to move the mandible forward or to secure the airway.
  • an object of the present invention is to provide a new design of the oral device to reduce the discomfort to the patient who must wear the oral device for a long time during sleep.
  • a main body portion located on the face of the patient; and an actuator portion in the main body portion; and extending from the actuator portion or connected to the actuator portion Power transmission shaft; And an action unit connected to the power transmission shaft and receiving a driving force of the actuator to move the maxilla or mandible forward or backward of the patient, thereby providing a snoring and sleep apnea treatment apparatus.
  • the main body portion and the acting portion are coupled to each other so as to be removable through the power transmission shaft.
  • the present invention may further include a connector for fixing the connection between the main body portion and the acting portion at a predetermined position, and to prevent free wheeling when the actuator portion is driven.
  • the position fixing connector extends from the main body portion, and the position fixing connector is connected to a support plate fixed to the acting portion.
  • a magnetic material may be provided inside the position fixing connector.
  • the cross section of the position fixing connector may have a quadrangular shape in which at least one pair of opposite sides does not form a parallel.
  • the power transmission shaft extends from the acting portion, the acting portion is provided with the position fixing connector which is fastened to the main body portion around the power transmission shaft.
  • the position fixing connector is composed of a pair of position fixing rods formed with a fastening hook at its free end, the body portion may be formed with a fixing groove for the fastening hook is elastically fitted.
  • the actuator portion drives the power transmission shaft to rotate, and the power transmission shaft rotates the spindle provided inside the acting portion.
  • the actuator unit a worm wheel sharing the rotation shaft and the power transmission shaft; and a worm shaft driven to rotate by the rotational force of the motor; And a screw part formed at one side of the worm shaft and engaged with the worm wheel.
  • the power transmission shaft may further include a side support means for supporting the side so as not to deviate.
  • the acting portion includes a latch portion that is screwed with respect to the spindle and thus moves forward or backward linearly in accordance with the rotational movement of the spindle.
  • the action portion, the front frame and the rear frame fixed from one side and the other side of the spindle; And a guide bar connected between the front frame and the rear frame to guide linear movement of the clasp.
  • the present invention is detachably mounted to the clasp portion "C" type support that is fixedly connected to the upper teeth receiving portion or lower teeth receiving portion of the patient.
  • the snoring and sleep apnea treatment apparatus may be configured to determine whether snoring or sleep apnea is treated by sensing, sensing vibration and noise generated from a patient or sensing oxygen saturation concentration.
  • the present invention provides a snoring and sleep apnea treatment device.
  • the device operates only in the state of snoring and sleep apnea, thereby moving the mandible forward or securing the airway, so that the patient can comfortably wear the snoring and sleep apnea treatment device for a long time. If snoring and sleep apnea do not occur, the device may not be operated, or the mandible may be returned to its original state so that the patient may not feel discomfort and frustration.
  • the power unit (actuator) for securing the airway is mounted on the main body, and the relative position adjustment of the upper teeth receiving portion and the lower teeth receiving portion positioned inside the patient's mouth during sleep (hereinafter referred to as "tuning") There is an advantage to facilitate this.
  • the main body portion is configured to be detachable from the action portion of the sleep apnea treatment apparatus, so that the user can more conveniently reach the sleeping state.
  • FIG. 1 is a view showing a snoring and sleep apnea treatment apparatus according to an embodiment of the present invention.
  • FIG. 2 is a view showing the upper teeth receiving portion and the lower teeth receiving portion according to an embodiment of the present invention.
  • Figure 3 is a top view showing the overall configuration of the snoring and sleep apnea treatment apparatus according to an embodiment of the present invention.
  • Figure 4 is a perspective view showing the overall configuration of the snoring and sleep apnea treatment apparatus according to an embodiment of the present invention.
  • FIG. 5 is a view showing the actuator portion and the action of the snoring and sleep apnea treatment apparatus according to an embodiment of the present invention.
  • Figure 6 is a side view showing an application example of the snoring and sleep apnea treatment apparatus according to an embodiment of the present invention.
  • FIG. 7 is a view showing a state of the support plate connected to the position fixing connector and the position fixing connector according to an embodiment of the present invention.
  • FIG. 8 is a view showing the arrangement of the magnetic material inside the position fixing connector according to an embodiment of the present invention.
  • Figure 9 is a view showing a departure prevention guide ball pin for supporting the side of the power transmission shaft and the power transmission shaft according to an embodiment of the present invention.
  • FIG. 10 is a view showing a play damper for aligning the power transmission shaft and the spindle according to an embodiment of the present invention.
  • FIG. 11 is a view showing a chest band according to an embodiment of the present invention.
  • FIG. 12 is a conceptual diagram illustrating a state in which a snoring and sleep apnea treatment device according to an embodiment of the present invention is mounted on a patient lying down.
  • FIG. 13 is a view showing a snoring and sleep apnea treatment apparatus according to another embodiment of the present invention.
  • FIG. 14 is a view illustrating a state in which a main body portion and an action portion of the snoring and sleep apnea treatment device according to another embodiment of the present invention are combined.
  • FIG. 14 is a view illustrating a state in which a main body portion and an action portion of the snoring and sleep apnea treatment device according to another embodiment of the present invention are combined.
  • 15 is a view showing a structure for transmitting the power of the motor to the power transmission shaft in the snoring and sleep apnea treatment apparatus according to another embodiment of the present invention.
  • 16 is a view showing a mask-type snoring and sleep apnea treatment apparatus according to the prior art.
  • the Z direction refers to a direction parallel to the height direction of the snoring and sleep apnea treatment apparatus of the present invention
  • the X direction refers to a direction parallel to the longitudinal direction of the power transmission shaft or the spindle (or the rotation axis direction of the spindle).
  • the Y direction means a direction parallel to the longitudinal direction of the worm shaft (or the rotation axis direction of the worm shaft).
  • 1 is a view showing the overall configuration of the snoring and sleep apnea treatment apparatus 1 according to an embodiment of the present invention.
  • 2 is a view showing the upper teeth receiving portion 100 and the lower teeth receiving portion 200 according to an embodiment of the present invention.
  • the snoring and sleep apnea treatment apparatus 1 of the present invention includes a main body portion 10, an actuator portion 20, a power transmission shaft 24, a spindle 30, an action portion 40, a support plate 50. can do.
  • the snoring and sleep apnea treatment apparatus is the main body portion 10 that can be worn on the face of the patient, the actuator portion 20 is installed in the body portion 10, and the actuator portion ( An actuating portion 40 connected to the power transmission shaft 24 extending from the 20 and the power transmission shaft 24 and receiving the driving force of the actuator 20 to move the maxilla or mandible of the patient forward or backward. ) And a support plate 50 fixedly connected to the acting portion 40 and a position fixing connector 25 extending from the main body portion 10 and connected to the support plate 50.
  • the upper teeth receiving portion 100 and the lower teeth receiving portion 200 may be further included, and the upper teeth receiving portion 100 and the lower teeth receiving portion 200 perform the forward / backward movement of the action part 40 with the upper and lower extremities of the patient. It is a member for acting on the mandible.
  • the upper teeth receiving portion 100 is formed to fit the upper teeth arrangement of the patient to receive the upper teeth
  • the lower teeth receiving portion 200 is formed to fit the lower teeth arrangement of the patient to receive the lower teeth.
  • the upper teeth and lower teeth of the patient may be formed by hard or semi-rigid resin, and the upper teeth receiving part 100 and the lower teeth receiving part 200 may be formed in accordance with the tooth arrangement of the patient, and may be transparent or colored or other translucent. It may be formed in various colors. A typical mouthpiece may correspond to this.
  • the resin can be used a variety of materials that can be patterned according to the patient's teeth arrangement, of course.
  • the upper teeth receiving portion 100 and the lower teeth receiving portion 200 in conjunction with the snoring and sleep apnea treatment device (1) to adjust the relative position serves to prevent snoring and sleep apnea.
  • the upper teeth receiving portion 100 and the lower teeth receiving portion 200 may be formed to be connected to each other through a predetermined connecting means (not shown), the upper teeth receiving portion 100 and the lower teeth receiving portion 200 are not formed. ) Can be worn separately.
  • the main body 10 is configured to provide power and control while adjusting the relative positions of the upper teeth receiving portion 100 and the lower teeth receiving portion 200.
  • the body portion 10 may include a portion that covers the face from approximately under the nose of the patient to the lips.
  • unlike the covering the front of the lower mandible under the nose in the present invention covers the face of the patient in a narrower area, and also the relative position control of the upper teeth receiving portion 100 and lower teeth receiving portion 200 When completed, it is possible to remove the body portion 10 from the action portion 40 has the effect of reducing the discomfort of the patient.
  • Figure 3 is a top view showing the overall configuration of the snoring and sleep apnea treatment apparatus according to an embodiment of the present invention.
  • Figure 4 is a perspective view showing the overall configuration of the snoring and sleep apnea treatment apparatus according to an embodiment of the present invention.
  • 5 is a view showing the actuator portion and the acting portion of the snoring and sleep apnea treatment apparatus according to an embodiment of the present invention.
  • Figure 6 is a side view showing an application example of the snoring and sleep apnea treatment apparatus according to an embodiment of the present invention.
  • 7 is a view showing a state of the support plate connected to the position fixing connector and the position fixing connector according to an embodiment of the present invention.
  • 8 is a view showing the arrangement of the magnetic material inside the position fixing connector according to an embodiment of the present invention.
  • the main body 10 includes the power transmission shaft 24 and the position fixing connector 25 on the working part 40 and the support plate 50 fixedly connected to the working part. Each is connected through.
  • the body portion 10 may be formed to be detachable from the action portion 40.
  • the actuator portion 20 provided in the main body portion 10 is used to transmit power to the acting portion 40, and according to the state of the patient in the acting portion 40 that receives the power, the upper teeth receiving portion and the lower teeth receiving portion After adjusting the relative distance (hereinafter referred to as "tuning"), the body portion 10 can be separated from the acting portion 40. Therefore, only the configuration of the upper teeth receiving portion and the lower teeth receiving portion and the working portion 40 and the support plate 50 in the separated state of the main body 10 can be left in the oral cavity, thereby causing a feeling of frustration and feeling of irritation to the patient. You can get to sleep when minimized.
  • the actuator part 20 may be internal to the body part 10. As shown in FIG. 5, the housing 11 in which the actuator part 20 is accommodated may be formed at the rear side of the main body part 10 to protrude to a part where the user's lips are located. Unlike in the case shown in some cases may be formed on the front side of the body portion 10.
  • the power transmission shaft 24 which has a predetermined length is extended from the actuator part 20 to the inside of the patient's mouth.
  • the power transmission shaft 24 is connected to the working part 40 on the other side opposite to the one side to which the actuator part 20 is connected to transmit the driving force of the actuator part 20 to the working part 40. It is precisely connected to the spindle 30 included in the acting portion 40.
  • 'connection' may refer to all physical connections such as direct 'attachment', 'adhesion', 'bonding', 'fastening', and 'combining' of one member and another member, and indirect connection diagrams. Note that it is meant to include.
  • a screw thread may be formed on the outer edge of the spindle 30, and the fixing means (locking part, latch part) connected to the thread according to the rotation of the spindle 30 may move forward / reverse linearly.
  • the action part 40 is provided with the driving force of the actuator part 20 while being connected to the power transmission shaft 24 to move the patient's upper or lower jaw forward / backward.
  • the position fixing connector 25 extends from the housing of the main body portion 10, and more precisely, the housing of the main body portion 10, and has a rod-type configuration. 4 and 5, although the position of the position fixing connector 25 is shown to be biased on the edge side of the main body portion 10, but is not necessarily limited thereto.
  • the position fixing connector 25 may be integrally formed with the main body housing 11.
  • Position fixing connector 25 in the present invention is provided for the purpose of eliminating this inconvenience, serves to be worn more quickly in a predetermined position. In addition, it serves to prevent freewheeling when the actuator unit 20 is driven.
  • the cross section of the position fixing connector 25 may be formed to have a rectangular shape in which at least a pair of opposite sides do not form a parallel.
  • Fig. 7 shows an asymmetric trapezoidal cross-sectional shape in which a pair of sides are parallel, but the other pair of sides is not parallel to each other. More accurate position alignment is possible than with a rectangular cross section.
  • connection connector 51 of the support plate 50 when the connection connector 51 of the support plate 50 is formed with a groove having the same shape as the cross section of the position fixing connector 25 so that the position fixing connector 25 is connected to the support plate 50 side. May be fitted.
  • the position fixing connector 25 can be attached to or detached from the connection contact 51 at a time in a predetermined direction. Therefore, when the user connects the position fixing connector 25, the user can detachably and conveniently engage the one-touch method.
  • the magnetic body 25 is provided inside the position fixing connector 25 so as to be more quickly and accurately connected to the position of the contact point to which the position fixing connector 50 is connected.
  • the connection contact 51 of the support plate 50 may be formed of a metal material to pull each other by the magnetic material 25 and the attraction force.
  • the configuration is provided in the main body unit 10 to provide a driving force, may be a configuration including a motor, and functionally rotate the power transmission shaft 24 It acts as a driving force.
  • the actuator unit 20 includes a worm wheel 23 sharing a rotation shaft with the power transmission shaft 24, a worm shaft 21 and a worm shaft 21 that are rotationally driven by a motor (not shown). It is formed on one side of the worm wheel 23 may include a screw portion 22 is engaged with the gear.
  • the worm wheel 23 may be configured to be fixed to each other while sharing a rotation shaft with the power transmission shaft 24, may be formed integrally in some cases. Power transmitted through the worm wheel 23 of the actuator unit 20 rotates the power transmission shaft 24, and the power transmission shaft 24 again rotates the spindle 30 provided in the acting portion 40. Rotate
  • an opening hole (not shown) is provided so that a pin for use when a user manually manipulates the snoring and sleep apnea device of the present invention can be accommodated. It may be formed additionally. The user inserts a pin into the opening hole (not shown) and rotates the predetermined angle to manually move the upper or lower jaw forward / reverse linearly without providing a separate electric driving force by the motor.
  • the worm shaft 21 is provided with a screw portion 22 on one side to be engaged with the worm wheel 23 so as to transmit the rotational force by the motor to the worm wheel 23, but the rotation axis of the worm wheel 23 and the rotation axis of the angle 90 degrees It is installed to achieve.
  • the size and shape of the peaks and valleys in which the threaded portion 22 meshes with the worm wheel 23 is not limited to those illustrated in the drawings and may vary according to various embodiments.
  • the worm shaft 21 and the worm wheel 23 are preferably mounted therein without protruding from the outside of the main body 10 so as to be advantageous in terms of space efficiency.
  • the spindle 30 is disposed across the one end and the other end of the acting portion 40 at the inner center of the acting portion 40.
  • the acting portion 40 is the clasp portion 44 to move forward / backward linearly according to the rotational drive of the spindle 30, and the front frame 41 is fixed from one side and the other side of the spindle 30 and
  • the rear frame 42 may include a guide bar 43 connected between the front frame 41 and the rear frame 42 to guide the linear movement of the clasp 44.
  • the latch portion 44 is connected to contact with the outer diameter of the spindle 30, and is formed on the spindle 30 to move forward / backward linearly with rotation.
  • a hook-shaped latch is formed to substantially face the rear surface (X direction) of the main body portion 10.
  • the clasp 44 may have a female thread formed therein corresponding to the thread of the spindle 30.
  • the clasp 44 may be provided with a "C" type support 45 which is fixedly connected to the upper teeth receiving portion or the lower teeth receiving portion of the patient.
  • a connection method of the "C" type support 45 and the upper teeth receiving portion the snoring and sleep apnea devices are fixedly connected to the upper teeth receiving portion 100 before being mounted on the patient's mouth.
  • the upper teeth receiving portion 100 and the lower teeth receiving portion are first mounted on the patient's oral cavity, and then the "C" type support 45 is inserted into the oral cavity so that the upper teeth receiving portion 100 and It can also be secured.
  • Threads are formed on the surface of the spindle 30.
  • the latch part 44 moves forward and backward in accordance with the rotation of the spindle 30. Since the "C" shaped support 45 connected to the clasp 44 moves along the clasp 44, the maxillary also linearly moves in the forward / reverse direction. Since the embodiment shown in the figure is a configuration in which the "C" type support 45 is connected to the upper teeth receiving portion 100, the clasp 44 is moved backward from the default state of the treatment apparatus, In comparison, the lower jaw can be relatively advanced to secure the patient's airway and thus achieve the purpose of preventing snoring and sleep apnea.
  • the present embodiment is configured to advance the mandible relative to the maxilla as described above, sleep apnea can be prevented, and as the airway is secured, the snoring phenomenon can be substantially alleviated.
  • the "C" shaped support 45 is configured to be fixedly connected to the lower teeth receiving portion 200, as shown in the figure. By moving forward, the lower jaw relative to the upper jaw relative to secure the patient's airway and thus may achieve the purpose of preventing snoring and sleep apnea.
  • Figure 9 is a view showing a departure prevention guide ball pin for supporting the side of the power transmission shaft and the power transmission shaft according to an embodiment of the present invention.
  • 10 is a view showing a play damper for aligning the power transmission shaft and the spindle according to an embodiment of the present invention.
  • the present invention may be provided with a side support means 46 for supporting the side so that the power transmission shaft 24 is not separated.
  • the departure prevention of the power transmission shaft 24 means that the main body 10 is prevented from being arbitrarily separated when mounted on the acting portion 40.
  • the side support means 46 is preferably in the form of pressing the side of the power transmission shaft 24, it is provided with two as shown in Figure 9 may press the power transmission shaft 24 from both sides.
  • a guide ball pin type side support means may be provided inside the acting portion 40 as shown in FIG.
  • Guide ball pin is provided with a ball (Ball) and a spring (spring) therein, it may be installed in a form in which a part of the ball (ball) in contact with the concave groove formed in the power transmission shaft (24).
  • the power transmission shaft 24 is detached while the ball is retracted in the longitudinal direction of the guide ball pin, but if it is not applied properly, it is not easily removed. do.
  • the clearance means 31 is provided.
  • the clearance means is located inside the working part 40 of the present invention, and is more precisely located at the other end of the spindle 30.
  • the clearance means 31 serves as a kind of damper, and the clearance means 31 may be appropriately elastic, such as a silicon material or a leaf spring. Specifically, when axially aligning the power transmission shaft 24 with the axis of the spindle 30, it is necessary to maintain the play distance and the appropriate tension so that the power transmission shaft 24 exactly matches the axis of the spindle 30. Configuration. Without clearance dampers, severe wear can occur during shaft alignment.
  • FIGS. 13 to 15 show another embodiment of the snoring and sleep apnea device 1 of the present invention.
  • the basic configuration is the same as the embodiment of Figs. 1 to 10, except that there is some difference in the configuration of the acting portion 40 such that the power transmission shaft 24 extends from the acting portion 40, and the position is fixed. There is also a slight difference in the configuration of the connector 25.
  • a description will be given focusing on a configuration specific to another embodiment shown in FIGS. 13 to 15.
  • the power transmission shaft 24 extends from the acting portion 40, the actuator end 20 having an extended end of the power transmission shaft 24 disposed inside the body portion 10. It is detachably connected to the worm wheel (23).
  • the ends of the power transmission shaft 24 form a polygonal cross-sectional shape so that power, ie torque, is transmitted between the power transmission shaft 24 and the worm wheel 23, and correspondingly, the same polygonal shape is coupled to the center of the worm wheel 23.
  • the hole is formed.
  • the clasp 44 is mounted to the inside of the acting portion 40 to enable linear movement. Accordingly, when the power transmission shaft 24 is driven to rotate, the clasp 44 is rotated by the thread of the outer edge of the spindle 30. ) Will move forward or backward linearly.
  • the clasp 44 is provided with a "C" shaped support 45 fixedly connected to the upper teeth receiving portion 100 or the lower teeth receiving portion 200 of the patient as in the case of the above-described embodiment.
  • the illustrated embodiment shows a case where the "C" type support 45 is fixed to the upper teeth receiving portion 100.
  • the clasp 44 is located in two walls in the X direction of the acting portion 40, so that the linear movement distance of the clasp 44 is limited to the distance between the two walls. do. Then, the clasp 44 is in contact with the two walls in the Y direction so as not to rotate freely in the acting portion 40, so that the clasp 44 is smoothly moved forward or backward by the rotation of the spindle 30. Linear movement is possible.
  • the buried fixing portion 47 protruding outward from the bottom of the acting portion 40 is embedded in the lower teeth receiving portion 200 (based on the illustrated embodiment), so that the entire acting portion 40 is lower than the receiving portion 200. ) Is a part for fixing on.
  • the main body around the power transmission shaft 24 (both sides of the power transmission shaft in the illustrated embodiment)
  • a position fixing connector 15 fastened to the portion 10 is disposed, and in particular, the position fixing connector 25 has a pair of position fixing rods 25 'having a fastening hook 29 formed at a free end thereof.
  • Consists of The main body 10 is provided with a fixing groove 28 in which the fastening hook 29 of the position fixing rod 25 'is elastically fitted around the hole where the power transmission shaft 24 is fitted.
  • the position fixing connector 25 is configured such that the connection between the main body portion 10 and the acting portion 40 is made at a predetermined position, and also prevents freewheeling when the actuator portion 20 is driven. to be.
  • the two position fixing rods 25 'extending from the acting portion 40 are elastically fitted and fixed in the fixing grooves 28 of the main body portion 10 so that such position fixing connectors 25 are fixed. It will play the role of.
  • the position fixing rod (25 ') is composed of two to ensure that the function of fixing the connection position and the prevention of free wheeling can be performed, of course, two or more may be provided.
  • Figure 15 shows a structure for transmitting the power of the motor 26 to the power transmission shaft 24 in the snoring and sleep apnea treatment apparatus 1 according to another embodiment of the present invention.
  • Rotation of the motor 26 drives the worm shaft 21, and rotation of the worm wheel 23 engaged with the threaded portion 22 of the worm shaft 21 is transmitted to the power transmission shaft 24. It appears as a linear movement of the clasp 44 forward or backward.
  • the main body 10 having the actuator portion 20 including the motor 26, the worm shaft 21 and the worm wheel 23, and the upper teeth receiving portion 100 or the lower teeth receiving portion 200 is fixed Since the connecting part 40 is freely coupled and separated through the power transmission shaft 24, it is very convenient to store and use the snoring and sleep apnea treatment apparatus 1 of the present invention.
  • the controller 90 is configured to control the operation of the motor 26, and the power button 27 is a button for operating the controller 90 on / off. .
  • the snoring and sleep apnea treatment apparatus 1 of the present invention is basically designed with a radio remote control in mind, and thus, when the control unit 90 is operated by operating the power button 27, the control unit 90 is controlled within the control unit 90.
  • the included communication module eg Bluetooth module
  • the controller 90 inside the main body 10 may also be used as a configuration for automatically controlling the motor 26 by receiving a signal transmitted from the external sensor unit 80. This will be described later in detail.
  • the snoring and sleep apnea device 1 of the present invention can be driven manually by the patient, but can also be automatically driven through remote control from the outside, or can be applied to the automatic drive method by a predetermined control logic.
  • An antenna 60 configuration for receiving a command may be disposed inside the main body 10 to rotate the power transmission shaft 24 clockwise or counterclockwise to linearly move the upper or lower jaw.
  • the use of an antenna enables fine control in the forward / backward movement of the maxillary or mandible through the acting portion 40, and may control the on / off of the snoring and sleep apnea treatment apparatus.
  • the antenna 60 may be a chip antenna or a laser direct structure (LDS) antenna.
  • the wireless charging coil 70 of the present invention may be installed in the main body 10, the upper teeth receiving portion 100, or the lower teeth receiving portion 200 to secure driving power of the actuator 20 that is automatically driven. It may be. Specifically, the wireless charging coil 70 may be installed in the main body 10. If exposed to the outside, the patient may feel uncomfortable to wear in the mouth.
  • the sensor unit 80 and the control unit 90 may be further provided.
  • the state of snoring and sleep apnea can be grasped by using a method of detecting temperature change caused by breathing of the patient, sensing vibration and noise generated from the patient, or detecting oxygen saturation concentration. This determination may be performed through the sensor unit 80 and the control unit 90. After determining whether snoring and sleep apnea are driven, the actuator is driven to treat (or prevent) snoring and sleep apnea.
  • the sensor unit 80 may be installed in the main body 10 as shown in FIG. 1 or may be installed in the sleep apnea detecting apparatus provided separately around the human body from the outside of the main body 10.
  • the sleep apnea detection device for example, as shown in Figure 11 may be a chest band for contacting the body of the patient.
  • the sensor unit 80 of the present invention may be a sensing method for detecting a change in temperature due to respiration or a sensing method for detecting vibration and noise generated from a patient or a method for detecting oxygen saturation concentration.
  • the sensor unit 80 may be provided with a temperature sensor.
  • the sensor unit 80 in the present invention breathing
  • the sensing method for detecting vibration and noise generated from the patient will be more preferable than the sensing method for detecting the temperature change by the sensor.
  • a piezo film (not shown) may be formed in the center of the sensor unit.
  • the piezo film is a flexible, light and thin engineering plastic that can cover a wide frequency band and pressure range, and detects and converts vibrations and noises from patients into analog signals. It is the material to play the role of. Specifically, the pressure applied to the film is converted into a voltage (piezoelectric effect) according to vibrations and noises generated from the patient, and finally converted into an electric quantity which is an analog signal.
  • the manner of detecting the oxygen saturation concentration may mean that the snoring and sleep apnea treatment apparatus of the present invention includes an oxygen saturation concentration meter (SpO 2 ).
  • Oxygen saturation concentration meter can be used as a sensor for detecting apnea and by measuring the oxygen deficiency signal in the blood through the method of wearing on the finger in a non-invasive way to measure the concentration of hemoglobin, wireless sleep interlocking treatment of the present invention It can deliver the relevant signal to the device.
  • the oxygen saturation meter selects at least two wavelengths including two isosbestic wavelengths from among those wavelengths where the absorption coefficient of water is lower than the absorption coefficient of hemoglobin, and has selected wavelengths. Sequentially irradiating incident light onto a predetermined area including blood vessels of the body, receiving light sequentially transmitted through the predetermined area at a single point on the body, converting the received light into electrical signals, and wavelength Calculating the amount of change in light attenuation caused by the arterial wave from the electrical signals, calculating the amount of hemoglobin contained in the blood using at least one ratio, and calculating the amount of change in the amount of the change in the blood. Oxygen deprivation signal can be measured.
  • the controller 90 may also be provided at one side inside the main body 10, and may be provided at the outside (ex, a chest band) of the main body 10.
  • the digital signal input to the sensor unit 80 through the control unit 90 may be converted into a signal for driving the actuator. In this process, it may be determined whether the patient is snoring or sleep apnea.
  • the patient's snoring or sleep apnea can be considered as driving the actuator automatically, the distance between the clasp or the clamping part can be set to patient-specific, and the actuator is driven. You can.
  • the sensor unit 80 and / or the control unit 90 is provided to the outside of the main body unit 10, and the digital signal through the antenna 60 for receiving a remote control command from the outside
  • the actuator can be driven by receiving a control command from the controller. Since the main body 10 worn on the human body has a limit in size within a practical range, the space efficiency can be improved by the selective arrangement of the above components (antenna, sensor unit, main body, etc.).
  • FIG. 11 there is shown a diagram illustrating a chest band.
  • the sensor band 80 and the control part 90 are attached to the chest band of FIG. In this case, only the components of the actuator 20, the antenna 60, the wireless charging coil 70, and the like may be disposed in the main body 10.
  • main unit 10 main unit 10, actuator 20, position fixing connector 25, spindle 30, acting portion 40, support plate 50, antenna 60, wireless
  • the charging coil 70, the sensor unit 80, the control unit 90, etc. are combined with the proper arrangement and interaction between the components and software or firmware, such as a computing device, to sort of snoring and sleep apnea. It may be possible to configure a treatment system.
  • the operating principle of the snoring and sleep apnea treatment system (system) is the same as the above-described embodiment and the technical spirit, a detailed description thereof will be omitted.
  • the upper teeth are placed in the patient's mouth during sleep by mounting a power unit (actuator) for securing an airway in the body.
  • actuator for securing an airway in the body.
  • the device operates only in the state of snoring and sleep apnea, thereby moving the mandible forward or securing the airway, so that the patient can comfortably wear the snoring and sleep apnea treatment device for a long time.
  • even if the patient's condition is worsened or improved, there is no need to manufacture a new device accordingly.
  • the main body is configured to be detachable from the working part of the sleep apnea treatment apparatus, so that the user can more conveniently reach the sleeping state.
  • main body 20 actuator portion
  • connection point 60 antenna
  • the present invention is useful for use as a device capable of treating snoring and sleep apnea by moving the maxillary or mandibular to secure the patient's airways.

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Abstract

La présente invention concerne un dispositif pour le traitement du ronflement et de l'apnée du sommeil et, en particulier, à un dispositif capable de traiter le ronflement et l'apnée du sommeil par entraînement d'une unité de fixation reliée à une partie de réception de dents supérieure ou à une partie de réception de dents inférieure de façon à déplacer la mâchoire supérieure ou la mâchoire inférieure, et ainsi sécuriser les voies respiratoires d'un patient. Selon un mode de réalisation de la présente invention, un dispositif pour traiter le ronflement et l'apnée du sommeil est fourni, le dispositif comprenant : une partie de corps principal disposée sur le visage du patient; une partie d'actionneur installée dans la partie de corps principal; un arbre de transmission d'énergie s'étendant à partir de la partie d'actionneur ou relié à la partie d'actionneur; et une partie d'actionnement qui est reliée à l'arbre de transmission d'énergie et reçoit la force d'entraînement de l'actionneur, ce qui déplace la mâchoire supérieure ou la mâchoire inférieure du patient en va-et-vient.
PCT/KR2017/014794 2016-12-15 2017-12-15 Dispositif pour le traitement du ronflement et de l'apnée du sommeil WO2018111020A1 (fr)

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KR10-2016-0171405 2016-12-15
KR1020160171405A KR101784416B1 (ko) 2016-12-15 2016-12-15 코골이 및 수면 무호흡 치료장치

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CN111135438A (zh) * 2020-01-21 2020-05-12 上海市口腔病防治院 改善呼吸暂停综合征的口内隐形药物缓释/通气装置
WO2021035279A1 (fr) * 2019-08-26 2021-03-04 BioAnalytics Holdings Pty Ltd Dispositif d'avancement mandibulaire avec moyen de réglage automatique

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KR102335246B1 (ko) * 2019-09-30 2021-12-03 서울대학교산학협력단 하악 전진 시스템
KR102324852B1 (ko) * 2019-10-18 2021-11-11 주식회사 아워랩 하악 전진 장치
KR102324850B1 (ko) * 2019-10-18 2021-11-11 주식회사 아워랩 하악 전진 장치
KR102324851B1 (ko) * 2019-10-18 2021-11-11 주식회사 아워랩 하악 전진 장치
KR102645019B1 (ko) * 2020-08-14 2024-03-07 서울대학교산학협력단 하악 전진 프레임 및 이를 포함하는 하악 전진 장치
KR102548934B1 (ko) * 2021-05-10 2023-06-28 연세대학교 산학협력단 수면장애 완화용 구강장치
US11883319B2 (en) 2021-10-26 2024-01-30 OUaR Lab, Inc. Mandibular advancement apparatus
KR20240055439A (ko) * 2022-10-20 2024-04-29 연세대학교 산학협력단 수면호흡장애 완화장치 및 수면호흡장애 완화시스템

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KR20120099402A (ko) * 2009-10-22 2012-09-10 라보라토리오 오르토플루스 에스엘. 코골기와 수면 무호흡증을 방지하기 위한 조절가능한 구강내 하악 전진 장치
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WO2021035279A1 (fr) * 2019-08-26 2021-03-04 BioAnalytics Holdings Pty Ltd Dispositif d'avancement mandibulaire avec moyen de réglage automatique
EP4021358A4 (fr) * 2019-08-26 2023-08-23 Bioanalytics Holdings Limited Dispositif d'avancement mandibulaire avec moyen de réglage automatique
CN111135438A (zh) * 2020-01-21 2020-05-12 上海市口腔病防治院 改善呼吸暂停综合征的口内隐形药物缓释/通气装置

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