WO2021233066A1 - Dispositif pour améliorer l'apnée obstructive du sommeil - Google Patents

Dispositif pour améliorer l'apnée obstructive du sommeil Download PDF

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Publication number
WO2021233066A1
WO2021233066A1 PCT/CN2021/089222 CN2021089222W WO2021233066A1 WO 2021233066 A1 WO2021233066 A1 WO 2021233066A1 CN 2021089222 W CN2021089222 W CN 2021089222W WO 2021233066 A1 WO2021233066 A1 WO 2021233066A1
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WO
WIPO (PCT)
Prior art keywords
negative pressure
improving sleep
tongue
breathing according
channel
Prior art date
Application number
PCT/CN2021/089222
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English (en)
Chinese (zh)
Inventor
林庆其
Original Assignee
佳音医疗器材股份有限公司
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Filing date
Publication date
Application filed by 佳音医疗器材股份有限公司 filed Critical 佳音医疗器材股份有限公司
Publication of WO2021233066A1 publication Critical patent/WO2021233066A1/fr

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    • 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
    • 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 device for improving sleep obstruction of breathing, in particular to a device for pulling the user's tongue outward.
  • Obstructive sleep apnea is a symptom in which patients cannot breathe smoothly because their airways are blocked by their own tongue and soft palate during sleep, especially when sleeping.
  • the direct cause of this symptom is that when the patient sleeps, due to the effect of gravity and the relaxation of human tissues, the tongue collapses to the back of the human body and blocks the passage of the oral cavity and trachea. The collapsed tongue also compresses the soft palate of the patient. Blocked the passage of the nasal cavity and trachea.
  • sleep breathing obstruction can cause breathing difficulties, snoring easily, and even endanger the life of the patient.
  • the sleep breathing obstruction can be solved.
  • One of the traction schemes is to fix the patient's tongue through negative pressure adsorption and then pull it outward.
  • the current problem with this type of solution is that the related accessories are mass-produced, and the stroke of the patient's tongue cannot be adjusted freely, and the physiological structure and severity of symptoms of each patient are different, a single unadjustable pulling stroke Not necessarily suitable for all patients: the same pulling stroke may be too large for some patients and cause discomfort; for some patients, it is too small and does not completely remove the tongue from the collapsed position.
  • customizing accessories for each individual patient can solve the above problems, but the cost will increase significantly.
  • the negative pressure source is placed on the bedside of the patient, and a long enough pipeline must be configured to connect the patient to the negative pressure source.
  • the long pipeline may be caused by the patient’s unconsciousness. It is compressed, entangled or tightened due to ground movement, resulting in interruption or leakage of negative pressure, which affects the use effect.
  • the present invention provides a device that uses negative pressure to pull the tongue outward.
  • the stroke of the user's tongue can be adjusted freely, and a locking member is provided to fix the adjusted stroke.
  • the entire device including the negative pressure source is worn on the user's head.
  • a device for improving sleep obstruction of breathing comprising: a base for cooperating with the user's head, the base has a channel part; an adjustment member, which extends into the channel part, and can A relative displacement is carried out in the channel part; a locking member is provided in the channel part, and the user fixes the adjusting member through the locking member to limit the relative displacement of the adjusting member; and a suction member which follows
  • the adjustment member is relatively displaced with respect to the channel portion, the adsorption member has a flow channel, the flow channel extends into the adjustment member and is capable of relative displacement in the adjustment member, and the flow channel is connected to a flow channel.
  • Tongue fixing part the tongue fixing part is used to be arranged at the front end of the user's tongue; a negative pressure source communicates with the flow channel to provide negative pressure to the user's tongue contacted by the tongue fixing part, so
  • the negative pressure source is an electrical module, including a negative pressure pump and a power supply, the negative pressure source is erected on the base, and the flow channel is connected to the negative pressure pump.
  • the channel portion extends in a front-to-rear direction
  • the adjusting member can be displaced back and forth along the channel portion
  • the locking member is provided with a locking portion
  • the locking portion extends along a first direction perpendicular to the front-to-rear direction. The direction protrudes into the channel portion to lock the adjustment member and limit the displacement of the adjustment member in the front-rear direction.
  • the outer surface of the adjusting member is recessed inward to form a positioning groove, and the locking portion enters the positioning groove to block the displacement of the adjusting member in the front-to-rear direction.
  • the locking member has a holding portion and an elastic arm, the holding portion is fixed to the base, the elastic arm can move in the first direction relative to the holding portion, and the elastic The arm is provided with the locking part.
  • the locking member is provided with an unlocking mating portion at the elastic arm, the unlocking mating portion is used to cooperate with a triggering member, one of the unlocking mating portion and the triggering member One is provided with an unlocking groove, the other is provided with an unlocking convex portion, the unlocking convex portion is accommodated in the unlocking groove, and the trigger has a pressing portion located behind the unlocking mating portion, and the pressing The portion protrudes outward relative to the outer surface of the channel portion, and the user presses the pressing portion to cause the puller to drive the locking portion to escape from the positioning groove.
  • the holding portion includes a plurality of buckle arms spaced apart, each of the buckle arms extends back and forth, and a rear end of the buckle arm has a buckle bump, which is buckled with the base.
  • the channel portion has a slot for accommodating the locking member, the slot penetrates the channel portion outward in the first direction, the slot is provided with a limiting section, and the limiting section
  • the position segment is arranged corresponding to the elastic arm and defines a second direction, the second direction is perpendicular to the first direction and the front-to-rear direction, and the limit segment upper-limits the elastic arm in the first direction,
  • the minimum size of the limiting section in the second direction is smaller than the maximum size of the elastic arm in the second direction.
  • the outer surface of the adjusting piece and the inner surface of the channel portion are provided with threads that cooperate with each other, the adjusting piece is rotated along the threads to achieve front and back displacement, and the positioning groove is located on the outer surface of the adjusting piece In a threaded area, the locking part blocks the adjustment member from rotating along the thread by entering the positioning groove.
  • the positioning groove extends longitudinally along the front-to-rear direction.
  • the suction member has a stopper, and the stopper cooperates with the adjusting member to limit the forward displacement of the tongue fixing portion.
  • the adsorbing member has a joint that is connected to the other end of the flow channel with respect to the tongue fixing part, communicates the negative pressure source and the flow channel, and the stop part is provided at the ⁇ Said joints.
  • the negative pressure source is connected to the joint through a conduit, and both ends of the joint are respectively provided with a seal, and the two seals are respectively sleeved on the periphery of the flow channel and the conduit to The flow channel and the conduit are pressed tightly on the joint, and the stopper is provided on one of the seals.
  • the joint includes a shaft portion and two ports respectively located at the front and rear ends of the shaft portion, the seal is connected to the shaft portion by threads, and the two ports are correspondingly inserted into the shaft portion.
  • the outer surface of each of the ports has a protrusion protruding radially, and the protrusions surround the port so that the tube of the catheter sleeved outside the port.
  • the diameter and the pipe diameter of the flow channel are expanded, and any one of the expanded catheter and the flow channel is clamped in the radial direction by the corresponding protrusion and the sealing member.
  • the device further includes an elastic member for providing elastic force for the tongue fixing portion to approach the base, and the elastic force is smaller than the adsorption force between the adsorbing member and the user's tongue, and also It is less than the pulling force of the user's tongue when it is moving.
  • the adjustment member includes a front cover and a cylinder, which are screwed together, the suction member abuts against the front cover, the elastic member is a spring, and is housed in the cylinder, one end of which abuts against the front cover.
  • the rear end of the cylinder is connected, and the other end abuts the suction member, and the amount of expansion and contraction of the elastic member is adjusted by the front and back displacement of the front cover relative to the cylinder.
  • the negative pressure source includes a housing that accommodates the negative pressure pump and the power source, the housing is provided with a through hole, and the channel portion is accommodated in the through hole.
  • one of the outer surface of the channel part and the inner surface of the perforation is concavely provided with a guide rail, the other has a positioning convex part that cooperates with the guide rail, and the guide rail includes a guide groove and A fixing groove, the guiding groove extends from back to front, the fixing groove extends at an angle with respect to the guiding groove, when the channel part is assembled with the housing, the positioning convex part It moves along the guide groove first, then moves along the fixing groove, and is finally fixed to the fixing groove.
  • the fixing groove includes a fixing section extending forward or backward
  • the guide rail further includes a blocking block.
  • the positioning protrusion is located at the The fixing section blocks each other with the clamping block to prevent the positioning protrusion from leaving the fixing groove and entering the guiding groove.
  • the device further has an actuating element, the actuating element is provided between the housing and the base, and can make the housing move in the forward and backward directions relative to the base and be clamped. fixed.
  • the actuating member is an elastic rubber ring, and when the positioning protrusion advances along the guide groove, the housing and the base press the actuating member, and the positioning protrusion After entering the fixing groove, the actuator moves the housing and the base in the forward and backward directions through its elastic force, so that the positioning protrusion finally enters the fixing section.
  • the guide rail is recessed and formed from the inner surface of the perforation
  • the housing includes a front shell and a rear shell assembled with each other
  • the guide rail is formed on the front shell and the rear shell
  • the The fixing section and the clamping block are located on the side where the rear shell is located
  • the rest of the fixing groove is located on the side where the front shell is located.
  • the tongue fixing portion covers at least the front end of the user's tongue, and the upper and lower outer surfaces of the tongue fixing portion are protruded with a thickened portion for receiving the user's teeth.
  • the outer surfaces of the two thickened portions on the upper and lower sides in the vertical direction are close to each other at the front end of the tongue fixing portion to form a slope, and when the upper and lower teeth of the user contact the thickened portion The upper and lower teeth of the user are close to each other along the inclined plane, and the thickened portion moves backward relative to the user's teeth, driving the tongue fixing portion and the user's tongue to move backward relative to the user's teeth.
  • the base includes a mask portion through which the user carries the entire device, a gap is provided between the mask portion and the negative pressure source, and the mask portion is also provided with a communication station. A plurality of ventilation holes in the gap.
  • a negative pressure sensor and a one-way valve are provided between the negative pressure pump and the tongue fixing part, and the one-way valve is located between the negative pressure sensor and the negative pressure pump.
  • the negative pressure sensor measures the magnitude of the negative pressure between the one-way valve and the tongue fixing part, the device controls the negative pressure pump according to the measured value, and the one-way valve only allows gas to flow from the tongue fixing part to the The negative pressure pump flows unidirectionally to prevent the negative pressure leaked by the negative pressure pump from being transmitted to the negative pressure sensor and the tongue fixing part.
  • the locking member is a screw
  • the base is provided with a threaded hole
  • the locking member is threadedly connected with the threaded hole.
  • the negative pressure source further includes an active noise reduction unit, a negative pressure sensor, and a controller.
  • the active noise reduction unit is used to attenuate the noise generated by the negative pressure pump, and the negative pressure sensor monitors the negative pressure.
  • the controller activates or deactivates the active noise reduction unit and the negative pressure pump at the same time according to the negative pressure generated by the pump.
  • the active noise reduction unit is preset with a noise model corresponding to the negative pressure pump, and when the negative pressure pump is started, the active noise reduction unit emits a noise model that is opposite to the preset noise model.
  • the first noise reduction wave, the actual noise generated by the negative pressure pump and the sound wave after the superposition of the first noise reduction wave are received by the active noise reduction unit, and the active noise reduction unit then receives the actual noise The sound wave emits a second noise-reducing wave in the opposite phase.
  • the negative pressure source includes a controller, and the power source is a rechargeable battery.
  • the controller causes the negative pressure to be charged according to the received signal that the power source is charging.
  • the pump stops working.
  • the present invention has the following beneficial effects: the user can independently operate the adjustment member, so that the suction member follows the adjustment member to move relative to the channel portion, thereby changing the user’s tongue.
  • the traction stroke of the part is convenient for the user to reduce the discomfort as much as possible while treating sleep obstruction; the stroke of the adjustment part is fixed by the locking part, and the adjustment part is prevented from loosening during use. It is convenient for reuse in the future; the negative pressure source is erected on the base, so that the entire device including the negative pressure source is worn on the user's head, shortening the pipeline connecting the patient and the negative pressure source The length of the pipeline will not be compressed, entangled or tightened. In addition, shortening the length of the pipeline between the patient and the negative pressure source is also conducive to reducing the operating power of the negative pressure source, thereby helping to reduce the negative pressure source The weight and noise level.
  • the present invention provides a device that uses negative pressure to pull the tongue outward, and the stroke of the user's tongue can be adjusted freely.
  • a device for improving sleep obstruction of breathing comprising: a base for cooperating with the user's head, the base has a channel part; an adjustment member, which extends into the channel part, and can A relative displacement is carried out in the channel part; a suction member that follows the adjustment member to make a relative displacement relative to the channel part, the suction member has a flow channel, and the flow channel extends into the adjustment member and can For relative displacement in the adjusting member, the flow channel is connected to a tongue fixing part, which is used to be arranged at the front end of the user's tongue; a negative pressure source communicates with the flow channel to prevent the The user's tongue contacted by the tongue fixing portion provides negative pressure.
  • the base further includes a locking member through which the user fixes the adjustment member to limit the relative displacement of the adjustment member.
  • the channel portion extends in a front-to-rear direction
  • the adjusting member can be displaced back and forth along the channel portion
  • the locking member is provided with a locking portion
  • the locking portion extends along a first direction perpendicular to the front-to-rear direction. The direction protrudes into the channel part to lock the adjustment piece and limit the front and back displacement of the adjustment piece.
  • the outer surface of the adjusting member is recessed with a positioning groove, and the locking portion enters the positioning groove to block the front and back displacement of the adjusting member.
  • the locking member has a holding portion and an elastic arm, the holding portion is fixed to the base, the elastic arm can move in the first direction relative to the holding portion, and the elastic The arm is provided with the locking part.
  • the locking member is provided with an unlocking mating portion at the elastic arm, the unlocking mating portion is used to cooperate with a triggering member, one of the unlocking mating portion and the triggering member One is provided with an unlocking groove, the other is provided with an unlocking convex portion, the unlocking convex portion is accommodated in the unlocking groove, and the trigger has a pressing portion located behind the unlocking mating portion, and the pressing The portion protrudes outward relative to the outer surface of the channel portion, and the user presses the pressing portion to cause the puller to drive the locking portion to escape from the positioning groove.
  • the holding portion includes a plurality of buckle arms spaced apart, each of the buckle arms extends back and forth, and the rear end of the buckle arm has a buckle bump, which is buckled with the base.
  • the channel portion has a slot for accommodating the locking member, the slot penetrates the channel portion outward in the first direction, the slot is provided with a limiting section, and the limiting section
  • the position segment is arranged corresponding to the elastic arm and defines a second direction, the second direction is perpendicular to the first direction and the front-to-rear direction, and the limit segment upper-limits the elastic arm in the first direction,
  • the minimum size of the limiting section in the second direction is smaller than the maximum size of the elastic arm in the second direction.
  • the outer surface of the adjusting piece and the inner surface of the channel portion are provided with threads that cooperate with each other, the adjusting piece is rotated along the threads to achieve front and back displacement, and the positioning groove is located on the outer surface of the adjusting piece A threaded area.
  • the positioning groove extends longitudinally along the front-to-rear direction.
  • the locking member is a screw
  • the base is provided with a threaded hole
  • the locking member is threadedly connected with the threaded hole.
  • the negative pressure source includes a housing, the housing is provided with a through hole, the channel portion is accommodated in the through hole, the outer surface of the channel portion is protruding with a positioning convex portion, and the inner portion of the through hole
  • a guide rail is recessed on the surface, the guide rail includes a guide groove and a fixed groove, the guide groove extends from back to front, and the fixed groove extends from one side of the guide groove in the circumferential direction of the perforation It is formed that when the channel part is assembled with the housing, the positioning convex part first moves along the guide groove, then moves along the fixing groove, and is finally fixed to the fixing groove.
  • the fixing groove has a fixing section extending backward, and when the housing is fixed to the base, the positioning protrusion is located at the fixing section.
  • the device further has an actuating element, the actuating element is provided between the housing and the base, and can push the housing to move forward relative to the base, so that the The positioning protrusion enters the fixed section.
  • the negative pressure source is erected on the base, the negative pressure source is an electrical module including a negative pressure pump and a power source, and the flow channel is connected to the negative pressure pump.
  • the suction member has a stopper, and the stopper cooperates with the adjusting member to limit the forward displacement of the tongue fixing portion.
  • the device further includes an elastic member for providing elastic force for the tongue fixing portion to approach the base, and the elastic force is smaller than the adsorption force between the adsorbing member and the user's tongue, and also It is less than the pulling force of the user's tongue when it is moving.
  • the adjustment member includes a front cover and a cylinder, which are screwed together, the suction member abuts against the front cover, the elastic member is a spring, and is housed in the cylinder, one end of which abuts against the front cover.
  • the rear end of the cylinder is connected, and the other end abuts the suction member, and the amount of expansion and contraction of the elastic member is adjusted by the front and back displacement of the front cover relative to the cylinder.
  • the present invention has the following beneficial effects: the user can independently operate the adjustment member, so that the suction member follows the adjustment member to move relative to the channel portion, thereby changing the user’s tongue.
  • the traction stroke makes it convenient for users to reduce discomfort as much as possible while treating sleep obstruction.
  • Figure 1 is a perspective view of the first embodiment of the device for improving sleep obstruction of breathing of the present invention
  • Figure 2 is a perspective view of Figure 1 rotated 90 degrees horizontally;
  • Figure 3 is an exploded view of Figure 1;
  • Figure 4 is a partial exploded view after hiding the negative pressure source in Figure 1;
  • Fig. 5 is a schematic diagram of Fig. 4 after being rotated 90 degrees horizontally;
  • Fig. 6 is a perspective view of the locking member and a triggering member not matching after the combination of Fig. 4;
  • FIG. 7 is a perspective view of the locking member and the triggering member in FIG. 6 after being matched;
  • Figure 8 is a cross-sectional view of Figure 7 along the front-to-rear direction
  • Fig. 9 is a schematic diagram of the trigger member in Fig. 8 being pressed and the locking member is unlocked;
  • Figure 10 is a cross-sectional view of the locking member and the flipping member in an unlocked state in a direction perpendicular to the front and rear;
  • Figure 11 is an enlarged view of Figure 10;
  • Figure 12 is a schematic diagram of a user's teeth contacting the thickened portion of the tongue fixing portion
  • Fig. 13 is a schematic diagram of the relative sliding of the teeth and the tongue fixing part in Fig. 12;
  • Figure 14 is an exploded view of the housing of the negative pressure source in Figure 1;
  • FIG. 15 is a schematic diagram of the combination of the negative pressure source and the base in FIG. 1;
  • Figure 16 is a cross-sectional view of Figure 15 along the front-to-rear direction
  • Fig. 17 is a schematic diagram of the positioning protrusion in Fig. 16 entering the guide groove of the guide rail;
  • FIG. 18 is a schematic diagram of the positioning protrusion in FIG. 17 entering the fixing groove of the guide rail and the actuator is pressed;
  • FIG. 19 is a schematic diagram of the positioning protrusion in FIG. 18 entering the fixed section and the actuator is released;
  • Figure 20 is a schematic diagram of the internal components of the negative pressure source
  • Figure 21 is a schematic diagram of the communication between the tongue fixing part, the negative pressure sensor, the one-way valve and the negative pressure pump;
  • Figure 22 is a schematic diagram of the connection of the active noise reduction unit, the controller, the negative pressure pump and the power supply;
  • Figure 23 is an exploded view of the negative pressure source and the base in the second embodiment of the device for improving sleep obstruction of breathing of the present invention.
  • FIG. 24 is a schematic diagram of components other than the newly added negative pressure source in FIG. 23;
  • Figure 25 is a cross-sectional view of Figure 23 in the front and rear direction after being combined;
  • Fig. 26 is a top view of Fig. 1.
  • FIG. 1 to 22 it is an embodiment of the device for improving sleep obstruction of breathing of the present invention, which mainly includes a base 1 which is fixed in cooperation with the user's head and can be opposed to the base 1.
  • a moving adjustment member 3 a locking member that restricts the movement of the adjustment member 3, an elastic member 4 housed in the adjustment member 3, an adsorption member 5 that fits with the user’s tongue T, and
  • the suction member 5 provides a negative pressure source 6 for negative pressure suction.
  • the base 1 includes a mask portion 11 having a mask shape and a channel portion 12 protruding forward from the mask portion 11.
  • the mask portion 11 is arc-shaped to cover the face of the user.
  • a gap G is formed between the arc-shaped mask portion 11 and the negative pressure source 6 in the front and rear direction, and the gap G is perpendicular to the front and back.
  • An open structure is formed outward in the direction of the direction (see Figure 26 for assistance).
  • the mask portion 11 is provided with a soft pad 13 on the side facing the user's face to increase the user's comfort when wearing the device. According to common methods, the soft pad 13 can be made of soft materials such as sponge, silicone, etc. become.
  • the mask portion 11 is also provided with a plurality of ventilation holes 111 connecting the gap G and the user's mouth, and the ventilation holes 111 ensure that the mask portion 11 does not seal the user's mouth.
  • the base 1 further includes a plurality of connecting members 14 and a plurality of fasteners 15.
  • the plurality of connecting members 14 are arranged at the four corners of the mask portion 11, and One end of each connecting piece 14 and one of the fasteners 15 are fixed to each other by threaded connection, so that the connecting piece 14 is connected to the mask portion 11, and the connecting piece 14 is opposite to the face mask.
  • the portion 11 is rotatable, and common means such as a plurality of straps (not shown) are connected to the other end of the connecting member 14 to fix the entire base 1 to the user's head.
  • the channel portion 12 is cylindrical and extends in the front-to-rear direction, and its interior is hollow to accommodate the adjustment member 3. It is matched with the thread on the outer surface of the adjusting member 3.
  • the outer surface of the channel portion 12 has a slot 121 recessed inward, and the slot 121 extends in the front-to-rear direction and accommodates the locking member 2.
  • the front end of the slot 121 is along a first direction, that is, a radial direction of the channel portion 12, which is the up and down direction in this embodiment, and communicates with the internal space of the channel portion 12.
  • the rear end penetrates the mask portion 11 backward.
  • the middle part of the slot 121 is a limiting section 1211 to prevent the locking member 2 from being completely separated from the channel portion 12, and both sides of the groove wall of the limiting section 1211 are relative to the first direction. It is arranged obliquely and close to each other upwards to define a second direction.
  • the second direction is the left-right direction, and the second direction is perpendicular to the first direction and the front-rear direction.
  • the outer surface of the channel portion 12 is further provided with two positioning protrusions 122 for cooperating with the negative pressure source 6 during the assembly process, and the two positioning protrusions 122 are provided at all positions. The left and right sides of the channel portion 12.
  • the locking member 2 is assembled from the front end of the channel portion 12 backwards into the slot 121, and the locking member 2 includes a holding portion 21 fixed to the base 1. And an elastic arm 22 that locks the adjusting member 3.
  • the holding portion 21 is located at the rear of the locking member 2.
  • the front end portion of the holding portion 21 interferes with the groove walls on opposite sides of the slot 121, and the holding portion 21
  • the rear end part of the buckle arm 211 is composed of two buckle arms 211, each buckle arm 211 has elasticity and the end has a buckle protrusion 2111 protruding perpendicular to the front and rear direction, the buckle arm 211 extends rearward In the slot 121, the buckling protrusion 2111 is buckled on the rear surface of the mask portion 11 (that is, the surface facing the user).
  • the elastic arm 22 is connected to the front end of the holding portion 21, and the front end of the elastic arm 22 has a protruding locking portion 221, and the locking portion 221 faces the inside of the channel portion 12 along the first direction.
  • the entire elastic arm 22 can swing in the first direction. In the first direction, the portion of the elastic arm 22 close to the locking portion 221 is thinner than the portion close to the holding portion 21 (see FIG. 8 for assistance) ) To make the part close to the locking portion 221 easier to bend, and the locking portion 221 can be separated from the adjusting member 3 in the first direction to unlock the adjusting member 3.
  • the elastic arm 22 has an unlocking mating portion 222 for matching a triggering member U.
  • the locking member 2 is unlocked by the triggering member U .
  • the unlocking mating portion 222 has an unlocking groove 2221 recessed from the front end of the elastic arm 22.
  • the trigger U includes a main body U0 extending straight from the front end of the main body U0.
  • An unlocking portion U1 bent downward and a pressing portion U2 tilted from the rear end of the main body U0.
  • the unlocking portion U1 has an unlocking convex portion U11 protruding backwards, which cooperates with the unlocking mating portion 222.
  • the flipping member U When using the flipping member U to unlock the locking member 2, the flipping member needs to be U is assembled on the unlocking mating portion 222 backwards, so that the unlocking convex portion U11 enters the unlocking groove 2221, and the connecting part between the main body portion U0 and the pressing portion U2 abuts against the channel
  • the outer surface of the portion 12 is used as a fulcrum.
  • the pressing portion U2 protrudes outward with respect to the outer surface of the channel portion 12, and the operator presses the pressing portion U2 to make the trigger U relative to the When the fulcrum rotates, the unlocking portion U1 is tilted, thereby driving the locking portion 221 to escape from the adjusting member 3 in the first direction.
  • the adjusting member 3 can be displaced back and forth relative to the base 1.
  • the elastic arm 22 relies on its own elasticity to reset, and drives the locking portion 221 to pass through the slot 121 to re-lock the adjusting member 3.
  • the unlocking protrusion U11 may be provided on the unlocking mating portion 222, and the unlocking groove 2221 may be provided on the unlocking portion U1.
  • the limiting section 1211 of the slot 121 is a cross-sectional view in the second direction.
  • the portion of the locking member 2 close to the adjusting member 3 is taken as the bottom, and the portion far away from the adjusting member 3 is taken as the top.
  • the width of the top of the elastic arm 22 is smaller than the width of the top of the limiting section 1211, the width of the bottom of the elastic arm 22 is greater than the width of the top of the limiting section 1211, so that the elastic arm 22
  • the limit section 1211 cannot be completely separated from the slot 121 in the first direction, that is, the limit section 1211 limits the elastic arm 22 in the first direction, and the limit section 1211 is in the first direction.
  • the minimum dimension in the second direction is smaller than the maximum dimension of the elastic arm 22 in the second direction, so as to limit the bending degree of the elastic arm 22, thereby delaying the fatigue of the elastic arm 22 and extending the elastic arm 22.
  • the adjusting member 3 is housed in the channel portion 12, and is in the shape of a hollow cylinder as a whole.
  • it includes a cylinder 31 and a back cover 32.
  • the outer surface of 31 has an external thread.
  • the adjusting member 3 rotates along the thread, thereby causing the adjusting member 3 to move back and forth along the channel portion 12, and the rear cover 32 is connected to the rear end of the cylinder 31 through threads.
  • the outer surface of the cylinder 31 also has a positioning groove 311 recessed inwardly, and the positioning groove 311 extends back and forth for receiving the locking member 2 entering the channel portion 12. After the positioning groove 311 receives the locking member 2, the side wall of the positioning groove 311 and the locking member 2 block each other, thereby restricting the adjusting member 3 to spiral in and out along the thread.
  • the adjusting member 3 contains a part of the elastic member 4 and the suction member 5 inside.
  • the inner front end of the cylinder 31 has a front stop 33 for restricting the forward displacement of the suction member 5.
  • the rear cover 32 has a rear stop 34 inside the rear cover 32 to prevent the elastic member 4 from going beyond the adjusting member 3 backwards.
  • the elastic member 4 connects the adjustment member 3 and the suction member 5 so that the suction member 5 moves forward and backward following the adjustment member 3.
  • the suction member 5 can also move back and forth relative to the adjustment member 3 under the action of the user's tongue T, and the elastic member 4 provides resetting for the suction member 5 that moves relative to the adjustment member 3.
  • the elastic force, and the threaded rotation between the rear cover 32 and the cylinder 31 can adjust the amount of expansion and contraction of the elastic member 4, that is, the elastic force of the elastic member 4 can be adjusted.
  • the elastic member 4 is a spring, sleeved on the periphery of the suction member 5, one end of the elastic member 4 abuts the suction member 5, and the other end abuts the rear stop 34 .
  • the suction member 5 includes a tongue fixing portion 51, a flow channel 52 connected to the tongue fixing portion 51, and a joint 53 connected to the flow channel 52.
  • the tongue fixing portion 51 is in the shape of a bag, covering the front end of the user's tongue T.
  • the negative pressure is transmitted to the tongue fixing portion 51, and the inner surface of the tongue fixing portion 51 and the user's A suction force is formed between the tongue portions T, and the user's tongue portion T is fixed to the tongue fixing portion 51.
  • the flow channel 52 extends into the interior of the adjusting member 3 to transmit negative pressure to the tongue fixing portion 51.
  • the joint 53 is clamped at the front end of the adjusting member 3 by the front stop 33 and the elastic member 4.
  • the tongue fixing part 51 uses negative pressure to fix the user's tongue T.
  • the tongue fixing part 51 is made of a flexible material (for example, silicone) so as to be attached and used.
  • the surface of the person's tongue T further maintains negative pressure.
  • the upper and lower sides of the front end of the tongue fixing portion 51 are provided with thickening portions 511.
  • the use position of the thickening portion 511 is located between the upper and lower teeth D of the user.
  • the thickness of the thickening portion 511 is greater than that of the tongue.
  • the other parts of the fixing portion 51 are used to reduce and disperse the bite force transmitted to the user's tongue T through the thickened material when the user's teeth D accidentally contact the thickened portion 511.
  • the surface of the thickened portion 511 facing the user's teeth D is a smooth inclined surface 5111.
  • the two inclined surfaces 5111 on the upper and lower sides of the tongue fixing portion 51 approach each other from back to front, and when the upper and lower teeth D accidentally abut
  • the tongue fixing portion 51 is squeezed by the upper and lower teeth D to move relatively backward, and the user's teeth D can slide forward relative to the tongue fixing portion 51 along the inclined surface 5111 until the The tongue fixing portion 51 is separated from the bite of the user's teeth D from the rear.
  • the negative pressure source 6 is connected to the joint 53 through a conduit 7, and the adsorbing member 5 is adsorbed and used by the negative pressure generated by the negative pressure source 6 during use.
  • the tongue part T of the person, the joint 53 communicates the flow channel 52 and the duct 7.
  • the duct 7 is U-shaped, and the flow channel 52 and the duct 7 are both flexible tubes.
  • the joint 53 includes a shaft portion 531 and two ports 532 respectively located at the front and rear ends of the shaft portion 531. The port 532 at the front end is inserted into the inside of the catheter 7, and the port 532 at the back end is inserted into the catheter 7.
  • each interface 532 has a radially protruding protrusion 5321, and the protrusion 5321 surrounds the interface 532 once so as to be sleeved outside the interface 532
  • the pipe diameter of the catheter 7 and the pipe diameter of the flow channel 52 are expanded; the front and rear ends of the joint 53 also have a movable sealing member 533 respectively, and the sealing member 533 is located at the periphery of the interface 532,
  • the sealing member 533 and the shaft portion 531 are formed separately, and are connected to each other by threads.
  • the sealing member 533 may also be integrally formed with the shaft portion 531, for example, the sealing member 533 is configured as a buckle that can be opened by pressing.
  • the size of the sealing member 533 crimping the flow channel 52 is smaller than the inner diameter of the elastic member 4, and is further housed in the elastic member 4;
  • the sealing member 533 crimping the catheter 7 has an enlarged portion 5332, the size of the enlarged portion 5332 is larger than the inner diameter of the elastic member 4, and then abuts against one end of the elastic member 4 and bears the elastic member 4
  • the elastic force provided by 4 drives the entire adsorption member 5 to reset.
  • the front end of the enlarged portion 5332 serves as a stop portion 5333 that abuts the front stop 33 forwardly, and is used to limit the forward displacement of the tongue fixing portion 51 at the rear end of the suction member 5.
  • the joint 53 and the runner 52 are formed separately. In other embodiments, the joint 53 and the runner 52 may also be integrally formed. of.
  • the negative pressure source 6 is installed on the base 1, so that the entire device for improving sleep obstruction of breathing is a wearable device.
  • the negative pressure source 6 communicates with the flow channel 52 through the conduit 7 to provide negative pressure to the tongue fixing portion 51.
  • the negative pressure source 6 is an electrical module, including a variety of functional components, and these components are surrounded by an outer casing 61.
  • a through hole 611 for accommodating the channel portion 12 is provided in the middle of the housing 61.
  • the front side of the casing 61 is provided with an inlet 612 for the duct 7 to enter the inside of the casing 61 and an outlet 613 for discharging the extracted gas.
  • the upper side of the housing 61 has a recessed recess 614 for providing a recess for the nose of the user when using the device.
  • the surface of the perforation 611 is recessed with two guide rails 615, and the two guide rails 615 are arranged on the left and right sides of the perforation 611.
  • the housing 61 is composed of a front shell 61A. It is composed of a rear shell 61B, and the seam 616 between the front shell 61A and the rear shell 61B passes through the guide rail 615.
  • Each of the guide rails 615 includes a guide groove 6151 that extends back and forth and crosses the seam 616 and a fixing groove 6152 connected to the guide groove 6151.
  • the fixing groove 6152 is opposite to the guide groove 6151. Extend at an angle.
  • the guide groove 6151 extends along the axial direction of the perforation 611 (ie, the front-rear direction), and the fixing groove 6152 is perpendicular to the guide groove 6151 and extends along the perforation.
  • 611 extends in the circumferential direction
  • the fixing groove 6152 extends along the circumferential direction of the perforation 611 relative to the guiding groove 6151.
  • the fixing groove 6152 may extend at an angle other than 90 degrees on the inner surface of the through hole 611 relative to the guiding groove 6151.
  • the device also has an actuating member 8.
  • the actuating member 8 is an elastic rubber ring, which is arranged between the rear shell 61B and the mask portion 11. During the assembly process, the The negative pressure source 6 applies an external force that moves it toward the mask portion 11, so that the actuator 8 is pressed by the rear shell 61B and the mask portion 11.
  • the positioning protrusion 122 When the positioning protrusion 122 enters the After the fixing groove 6152, the external force applied to the negative pressure source 6 and the base 1 can be released, and the actuator 8 exerts an elastic force away from each other on the rear shell 61B and the mask portion 11 ,
  • the positioning protrusion 122 and the fixing groove 6152 are relatively displaced in the front-to-rear direction until the positioning protrusion 122 enters the fixing section 6152A
  • the guide rail 615 also includes a block 6153, the card The block 6153 is located between the fixed section 6152A and the guide groove 6151. Because the actuator 8 continuously applies force in the front and rear direction, and the blocking block 6153 blocks the perforation 611 in the circumferential direction.
  • the positioning protrusion 122 cannot exit the fixing groove 6152 along the original path, so that the negative pressure source 6 and the base 1 are fixed to each other.
  • the fixing section 6152A extends opposite to the guide groove 6151 and crosses the seam 616, or in other words, the fixing groove 6152 is formed by The front shell 61A and the rear shell 61B are joined together, wherein the fixing section 6152A and the blocking block 6153 are located on the side where the rear shell 61B is located, and the rest of the fixing groove 6152 is located on the front This arrangement of the side where the shell 61A is located can simplify the difficulty of injection molding of the fixing groove 6152.
  • the fixing section 6152A can extend in the same direction relative to the guiding groove 6151 and across the seam 616, and the fixing section 6152A and the blocking block 6153 are located in the front shell 61A, The other part of the fixing groove 6152 is located in the rear shell 61B, and the positioning protrusion 122 also enters the fixing section 6152A and blocks each other with the blocking block 6153.
  • the actuating element 8 is correspondingly arranged to apply a force close to each other on the rear shell 61B and the mask portion 11.
  • the actuating element 8 may be a clamp.
  • the guide rail 615 may be provided on the outer surface of the channel portion 12, and the positioning protrusion 122 is provided on the inner surface of the through hole 611.
  • the housing 61 and the base 1 are separately manufactured and molded, and are detachably assembled with each other; while in other embodiments, a part of the housing 61, such as the front housing 61A or the rear shell 61B can be integrally formed with the base 1.
  • the internal components of the negative pressure source 6 mainly include a negative pressure pump 62, a power supply 67 for supplying power to the negative pressure pump 62 and other components, and an external connection.
  • the negative pressure pump 62 can be an existing small suction pump. According to common sense, the negative pressure pump 62 generates negative pressure by extracting gas during operation, and the target area of the suction is located at the tongue fixing portion 51 and is extracted. The gas flows through the flow channel 52, the joint 53, and the conduit 7 in sequence, and enters the interior of the negative pressure source 6.
  • the negative pressure sensor 64 can be an existing electronic air pressure sensor, because the negative pressure sensor 64 communicates with the negative pressure sensor 64.
  • the tongue fixing portion 51 is used to monitor the negative pressure at the tongue fixing portion 51.
  • the measurement value of the negative pressure sensor 64 is transmitted to the controller 68. If the measurement value is less than the preset value, the The controller 68 increases the operating power of the negative pressure pump 62, and vice versa, reduces the operating power of the negative pressure pump 62.
  • the extracted gas passes through the one-way valve 65.
  • the one-way valve 65 can be an existing one-way ball valve suitable for medical purposes. The one-way valve 65 only allows The gas flows unidirectionally from the tongue fixing part 51 to the negative pressure pump 62.
  • the negative pressure pump 62 discharges the extracted gas from the negative pressure source 6 through the outlet 613.
  • the controller 68 can control the negative pressure pump 62 stop working to reduce power consumption.
  • the controller 68 can reset the negative pressure according to the monitoring data of the negative pressure sensor 64 Start the negative pressure pump 62.
  • the negative pressure at the tongue fixing portion 51 can be measured relatively directly, and the The one-way valve 65 isolates the negative pressure pump 62 from the negative pressure sensor 64.
  • the power source 67 is a rechargeable battery built in the casing 61, and a lithium battery can be selected, and the power supply 67 is charged through the electrical connector 63.
  • the controller 68 stops the negative pressure pump 62 according to the received signal that the power source 67 is charging, that is, The device cannot be used during charging, and the user is prevented from using the device while the power supply 67 is charging.
  • the negative pressure source 6 is also provided with an integrated active noise reduction unit 66, because the components in the active noise reduction unit 66 are dispersed in the negative pressure source
  • the connection relationship between the active noise reduction unit 66, the negative pressure pump 62 and the controller 68 is represented by the block diagram shown in FIG. 22.
  • the active noise reduction unit 66 is powered by the power source 67 and is electrically connected to the controller 68 to transmit signals.
  • the active noise reduction unit 66 is used to reduce the noise generated during the operation of the negative pressure pump 62.
  • the active noise reduction unit 66 includes multiple microphones that receive noise sound waves, a noise reduction circuit, and multiple speakers that emit reverse sound waves. (None is shown).
  • a plurality of the microphones may be arranged around the negative pressure pump 62 to receive noise sound waves of different angles, and the microphones convert the received noise sound waves into corresponding noise signals.
  • the noise reduction circuit includes an arithmetic unit, a register, a rectifier, an amplifier, and other sub-circuits.
  • the arithmetic unit generates a corresponding actual inverted acoustic wave signal according to the received noise signal, and the negative pressure pump is prestored in the register. 62.
  • the register Before the arithmetic unit receives the noise signal generated by the microphone, the register transmits the pre-stored noise signal model to the arithmetic unit, and the arithmetic unit is producing the actual inverted sound wave
  • the signal can generate the preset inverted sound wave signal before.
  • a plurality of the speakers may be arranged around the negative pressure pump 62 to emit inverted sound waves at different angles, and the speakers may generate inverted sound waves according to the received inverted sound wave signals, whether actual or preset.
  • the phase sound wave cancels out the noise of the negative pressure source 6.
  • the preset inverted acoustic wave signal occurs before the actual inverted acoustic wave signal
  • the preset inverted acoustic wave ie, the first noise-reducing wave
  • the actual inverted acoustic wave ie, the second noise-reducing wave
  • the first noise reduction wave and the actual noise are not strictly in phase, they cannot be completely cancelled out after the two are superimposed, leaving a residual noise sound wave.
  • the residual noise sound wave will also be superimposed with the actual noise sound wave and will be received by the microphone, Perform the next round of active noise reduction to generate a second noise reduction wave.
  • the negative pressure pump 62 and the active noise reduction unit 66 are both powered by the power supply 67, and the power supply of both is controlled by the controller 68 at the same time, according to the control of the controller 68 Signal, the active noise reduction unit 66 and the negative pressure pump 62 start and close at the same time, so that the active noise reduction unit 66 is only energized when the negative pressure pump 62 is working, reducing the active noise reduction unit 66
  • the energy consumption of the noise unit 66 extends the use time of the power supply 67 after each charge.
  • the locking member 2 is a screw, and the outer surface of the channel part 12 is only There is a radially protruding positioning protrusion 122, the positioning protrusion 122 has a threaded hole communicating with the inside and outside of the channel portion 12, the locking member 2 is threadedly connected to the threaded hole, and the locking member The bottom of the screw rod of 2 serves as the locking part 221, and enters the positioning groove 311 to fix the adjusting member 3.
  • a common suitable screwdriver can be used to unlock the locking member 2. And lock tightly.
  • the negative pressure pump 62, the negative pressure sensor 64, the one-way valve 65 and the power supply 67 are all housed in the housing 61.
  • the difference from the first embodiment is that the adjusting member 3 is not provided with the rear cover 32, and the adjusting member 3 includes a front cover provided at the front end of the cylinder 31 35.
  • the front stopper 33 is arranged on the front cover 35 to prevent the suction member 5 from coming out of the front opening of the adjusting member 3, and the rear stopper 34 is arranged on the cylinder 31 rear end.
  • the front cover 35 is housed at the front end of the adjusting member 3 through a screw connection; in other embodiments, the front cover 35 may be connected to the inside or outside of the adjusting member 3 in other ways .
  • the user can independently operate the adjustment member 3, so that the suction member 5 follows the adjustment member 3 to make a relative displacement with respect to the channel portion 12, thereby changing the stroke of the user's tongue T being pulled. It is convenient for users to reduce discomfort as much as possible while treating sleep obstruction.
  • the negative pressure source 6 is erected on the base 1, so that the entire device including the negative pressure source 6 is worn on the user's head, shortening the connection between the patient and the negative pressure
  • the length of the duct 7 of the source 6 will not cause the duct 7 to be compressed, entangled or tightened.
  • shortening the length of the duct 7 between the patient and the negative pressure source 6 can also reduce airflow.
  • the resistance experienced by the duct 7 is beneficial to reduce the necessary operating power of the negative pressure source 6, which in turn is beneficial to reduce the weight and noise level of the negative pressure source 6.
  • the negative pressure at the tongue fixing portion 51 can be measured relatively directly, and the one-way valve 65 can be used to isolate the negative pressure pump 62 on the negative pressure sensor 64.
  • the noise signal model of the negative pressure pump 62 is prestored in the active noise reduction unit 66. Before receiving the noise signal generated by the microphone, the register transmits the prestored noise signal model to all The arithmetic unit can generate a preset inverted sound wave signal before the actual inverted sound wave signal is produced to perform preliminary noise reduction and improve the use experience.
  • the negative pressure pump 62 and the active noise reduction unit 66 are both powered by the power supply 67, and their power supply is controlled by the controller 68 at the same time. According to the monitoring data of the negative pressure sensor 64, The controller 68 causes the active noise reduction unit 66 and the negative pressure pump 62 to start or close at the same time, so that the active noise reduction unit 66 is only energized and operated when the negative pressure pump 62 is working. The energy consumption of the active noise reduction unit 66 extends the use time of the power supply 67 after each charge.
  • the adjusting member 3 is composed of the cylinder 31 and the back cover 32, or the cylinder 31 and the front cover 35, and the back cover 32 or the front cover 35 is both
  • the cylinder body 31 is threadedly connected and can move back and forth relative to the cylinder body 31, so that one end of the elastic member 4 abuts the cylinder body 31, and the other end abuts the rear cover 32 or the front cover 35.
  • the back cover 32 or the front cover 35 can be moved back and forth relative to the cylinder 31 to adjust the amount of expansion and contraction of the elastic member 4 housed in the adjustment member 3, and then adjust the The elastic force of the elastic member 4.

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  • Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Vascular Medicine (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Otolaryngology (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

L'invention concerne un dispositif pour améliorer l'apnée obstructive du sommeil, comprenant : une base (1) pour la fixation ajustée de la tête d'un utilisateur, la base (1) étant pourvue d'une partie de passage (12) ; un élément de réglage (3), qui s'étend dans la partie de passage (12) et qui peut effectuer un déplacement relatif dans la partie de passage (12) ; un élément de verrouillage (2), disposé au niveau de la partie de passage (12) et permetant à un utilisateur de fixer l'élément de réglage (3) au moyen de l'élément de verrouillage (2) pour limiter le déplacement relatif de l'élément de réglage (3) ; un élément d'aspiration (5), qui effectue un déplacement relatif par rapport à la partie de passage (12) conjointement avec l'élément de réglage (3), l'élément d'aspiration (5) ayant un canal d'écoulement (52) qui s'étend dans l'élément de réglage (3) et qui peut être déplacé relativement dans l'élément de réglage (3), le canal d'écoulement (52) étant relié à une partie de fixation à la langue (51) et la partie de fixation à la langue (51) étant utilisée pour être montée au niveau de l'extrémité avant de la langue (T) de l'utilisateur ; et une source de pression négative (6), en communication avec le canal d'écoulement (52) pour fournir une pression négative à la langue (T) de l'utilisateur en contact avec la partie de fixation à la langue (51), la source de pression négative (6) étant un module électrique et comprenant une pompe à pression négative (62) et une alimentation électrique (67), la source de pression négative (6) étant montée sur la base (1) et le canal d'écoulement (52) étant en communication avec la pompe à pression négative (62).
PCT/CN2021/089222 2020-05-21 2021-04-23 Dispositif pour améliorer l'apnée obstructive du sommeil WO2021233066A1 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
CN202010434944 2020-05-21
CN202010434944.5 2020-05-21
CN202110237436.2 2021-03-04
CN202110237436.2A CN113712725B (zh) 2020-05-21 2021-03-04 用于改善睡眠呼吸阻塞的装置

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CN116059032A (zh) * 2021-10-29 2023-05-05 佳音医疗器材股份有限公司 用于改善睡眠呼吸阻塞的装置及其运行模式的判定方法

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CN112245078B (zh) 2023-02-28
CN112245078A (zh) 2021-01-22
CN113712725B (zh) 2022-10-25
CN113712725A (zh) 2021-11-30

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