DE10322964A1 - Control unit for anti-snoring device and anti-snoring device - Google Patents

Abstract

The invention relates to a control unit for an anti-snore device with an inlet connection for a pressure generating device, can be provided to the air under pressure over the ambient air pressure. Furthermore, the control unit has an air-rinsing connection for a pair of air rifles as an application device for applying air under overpressure into the nose of a user and a control device. The controller, which is connected to the inlet port and the goggle port, has a sensor to deliver air under pressure to the goggle port only during inspiration phases. Furthermore, the invention relates to an anti-snoring device with such a control device and a pair of aerial goggles. In addition, the invention relates to an anti-snoring device with tracheostomy tube. Finally, the invention relates to an anti-snoring device in which the conveyed air is mixed with an active ingredient.

Description

The The invention relates to a control device in the preamble of the claim 1 as well as on anti-snoring devices of the above in the Patent claims 5, 6 and 9 mentioned type.

obstructive respiratory disorders to lead to apnea (respiratory arrest), through which the sleeping person awakens. Frequent apneas prevent the sleeping person from relaxing in deep sleep. People, the apneas during Sleep are therefore not well-rested during the day, which is too social problems in the workplace and, in the worst case, deadly accidents For example, in professional drivers, can lead.

in the The state of the art are devices to carry out the CPAP (continuous positive airway pressure) therapy known. The CPAP therapy is in Chest. Vol. 110, pages 1077 to 1088, October 1996 and Sleep, Vol. 19, pages 184 to 188 described in more detail.

In The CPAP therapy becomes a constant positive to a patient Pressure over fed a nasal mask. With correct choice of overpressure guaranteed this that the upper respiratory tract stays fully open throughout the night and thus no obstructive respiratory disorders occur. The required pressure depends, among other things, on the sleep stage and the body position of the sleeping one. To the perceived as unpleasant overpressure to the required degree restrict, WO 02/083221 A2 (HEWO5) is a therapy device (AutoCPAP), which automatically sets the ventilation pressure and thus the sleep stage and the body situation adapts. WO 02/083221 A2 is incorporated herein by reference locked in.

Especially uncomfortable is the overpressure Breathing out felt. Some CPAP devices also compensate for the pressure drop on the tube between CPAP device and mask not, so exhaling the mask pressure even slightly higher than when inhaling. The patient in this case has the feeling against to have to breathe a resistance. To facilitate breathing, also became BiPAP devices and multilevel devices developed. These devices have the property of helping the patient to breathe by when exhaling the pressure is lowered and the inhalation of the pressure again elevated becomes. These devices So you work with at least two print levels.

Such a device is for example from the DE 691 32 030 T2 known. The pressure is raised by a valve during inhalation and lowered during exhalation. The valve is controlled to maintain constant pressure during inhalation and exhalation. If the valve position changes only slowly during an inhalation process, this is interpreted as the end of the inhalation process. Inaudible vibrations or pressure changes can be evaluated to determine if the patient's breathing is regular, irregular or apneic. In addition, the duration of inhalation and exhalation and the flow rates can be determined. This information can be stored in memory. Finally, an admittance from respiratory flow divided by pressure can be calculated. The time course of the admittance can be compared with stored admittance schemes. The number of the most appropriate admittance scheme may be used as a "pointer" to a table containing the action to be taken, such as an increase in pressure.

There these devices do not work with a constant pressure, they will in the following as PAP devices to carry out referred to the PAP therapy.

Further are the prior art oxygen goggles for oxygen treatment known. With the oxygen goggles the patient gets air with a increased Oxygen partial pressure (> 210 mbar) or pure oxygen into the nose. An oxygen treatment takes place for example in acute or chronic hypoxemia Respiratory or cardiovascular disorder (Myocardial infarction, shock) or certain poisonings, for example by carbon monoxide, carbon dioxide, luminous gas or smoke instead.

WO 02/062413 A2 (HEWO1) discloses the use of oxygen spectacles in an anti-snoring device. Oxygen goggles are referred to in this context as air goggles. From WO 02/062413 A2 also air goggles with integrated jet pumps are known, as in 4 and 5 are shown.

It The object of the invention is an improved control unit for an anti-snoring device and a Anti-snoring device specify.

This The object is achieved by the teaching of the independent claims.

preferred embodiments The invention are the subject of the dependent claims.

Advantageous on a control device which ensures that an application device Especially during air The inspiration applied is that the patient's respiratory activity is supported. The patient thus has less the feeling of resistance to exhale. About that In addition, the mean air flow decreases because during the expiratory phases no or only a few air is applied. This increases the duration of use a gas cartridge filling, if a gas cartridge is used as the pressure generating means.

Advantageous The use of a tracheostomy tube is that these are the air applied directly in the respiratory tract. This reduces the required airflow over the application through a pair of goggles to a in the airways constant overpressure maintain a flow limitation through a narrowing the respiratory tract during the To prevent inhalation. Through the narrowing of the airways can snore arise.

By Addition of active ingredients to the applied air can cause other diseases in addition to snoring be treated. For PAP devices can a pleasant perceived perfume cause the patient the PAP device used more readily and regularly, whereby the therapeutic success increases becomes.

Advantageous is the use of a goggles as an application device their low price. About that In addition, the wearing of a pair of goggles is considered by many patients feels more comfortable than wearing a facial or nasal mask.

If A humidifier may be present, an active ingredient in the water bath be added to the humidifier. There are no additional parts for this purpose required.

by virtue of the high pressure drop on a pair of goggles or a tracheostomy tube is the Determination of the respiratory status of a patient due to a Pressure measurement at the inlet of the goggles or tracheostomy tube difficult. The pressure fluctuations due to the respiratory activity of the patient are relatively small compared to the pressure drop across the hose between the inlet and outlet of the goggles or tracheostomy tube. In addition will be the on the breathing activity attributable Pressure fluctuations dampened by the hose, causing it at the inlet less strong than at the outlet. They are therefore pressure sensors required with a high dynamic range. Also can the hose through the air flow Vertebrae arise which are superimposed on the pressure fluctuations attributable to the respiratory activity and falsify them. These problems are avoided by the fact that the air supply and Pressure measurement over two separate tubes respectively. Thus, the tracheal cannula for air supply and the nasal mask for pressure measurement or vice versa. Alternatively, you can use aviation goggles with double outlets be used per nostril, with an outlet for air supply and the other is used for pressure measurement. In the same way can be a tracheostomy tube with two outlets, one for pressure measurement, the other used for air supply.

The from the DE 101 18 968 A1 and WO 02/083221 A2 for CPAP devices disclosed methods in which the measured at constant pressure flow is evaluated, can be used advantageously for measured pressure at a constant flow.

The Use of gas cartridges allows a cost reduction, since the anti-snoring device is no longer with a turbine, also as a fan, Compressor or blower is designated equipped must become. The gas in the gas cartridge can be factory-supplied with active ingredients be offset. On an additional device, for example for moving the from a fan funded Air with active ingredient is required, can be omitted in an advantageous manner become.

A Jet pump is an inexpensive component that reduces the service life of a Filling gas cartridges advantageously extended significantly.

in the The following are preferred embodiments of the invention with reference to the accompanying drawings written. Showing:

1 an inventive control device for an anti-snoring device;

2 a sleeper with goggles and tracheostomy tube;

3 another embodiment of an anti-snoring device;

4 a section through a equipped with jacket tubes air goggles; such as

5 a pair of outer tubes equipped with air goggles.

1 shows an inventive control device 1 for an anti-snoring device. The control unit 1 can a glass bottle 2 , a valve 3 , a microprocessor 4 , a jet pump 5 , a humidifier 6 , a flow sensor 11 , a first pressure sensor 12 , a second pressure sensor 13 as well as a Mi krofon 16 include. The gas bottle 2 can contain compressed air. In addition to the compressed air, the gas cylinder 2 an active ingredient 17 contained in 1 represented by small dots. By active ingredient is generally understood a composition other than air. Concretely, an active substance can thus be an increased oxygen concentration. Aerosols, fragrances such as a seawater additive or medicine can be added to the air as an active ingredient. Gas bottles can be disposable gas bottles or refillable gas cylinders.

The gas bottle 2 is with the valve 3 via an admission exclusion 19 connected. The valve 3 is through the microprocessor 4 controlled. In one embodiment, the microprocessor opens 4 the valve 3 the further, the stronger the pressure of the gas cylinder 2 decreases. In another embodiment, the microprocessor closes 4 the valve 3 during the exhalation phases. During the inspiratory phases, the valve will be corresponding to the time lag of the pressure in the gas cylinder 2 increasingly open. The microprocessor 4 can the valve 3 The further the snoring of the sleeping person is, the further it opens.

The outlet of the valve 3 is with a first inlet of the jet pump 5 connected. The jet pump sucks through a second inlet 5 Ambient air. The jet pump converts high pressure and low flow at the first inlet into low pressure and high flow at the outlet. Because the gas bottle 2 through the use of the jet pump 5 does not have to deliver the entire flow, the anti-snoring device can be operated longer with a bottle filling, so that the service life of the gas cylinder is increased.

The outlet of the jet pump 5 is with humidifier 6 connected. The humidifier 6 includes a water supply 7 , In one embodiment, the water supply 7 by electric wire 9 controlled by microprocessor 4 heated. Professionals realize that the output power of the microprocessor 4 for heating must be strengthened. For example, a phase control may provide the power required by a heater. In addition, an unillustrated temperature sensor via line 10 with the microprocessor 4 be connected so that the microprocessor the temperature of the water supply 7 can keep constant. The setpoint temperature can be determined, for example, by an in 1 not shown input unit selected by the user and displayed in a display unit, also not shown.

water supply 7 may also have a second active ingredient 18 such as a seawater additive contained in 1 represented by small crosses. An active ingredient can either be the air in the gas cylinder 2 or the water supply 7 be added. Also, both the air of gas cylinder 2 as well as the water supply 7 of the humidifier 6 contain different or identical active ingredients.

The airspace of humidifier 6 can through a membrane 8th from water supply 7 of the humidifier 6 be separated. In this case, the humidifier is referred to as an osmotic humidifier. membrane 8th can serve to deliver the release of water and active ingredient 18 to control the air.

The outlet of humidifier 6 is with gas outlet 14 from control unit 1 connected. A flow sensor 11 as well as a pressure sensor 12 can be provided to the air flow through the gas outlet 14 as well as the pressure at gas outlet 14 to eat. In addition, the control unit 1 a so-called sensor connection 15 having, with a pressure sensor 13 connected is. As far as the sensors are present in the chosen embodiment, they are also microprocessor 4 connected, so that microprocessor 4 the measuring signals for controlling valve 3 can use.

To determine the intensity of snoring, a microphone can be used 16 be provided that its output signal to the microprocessor 4 via microphone connection 20 supplies. Between microphone 16 and microprocessor 4 are usually a preamplifier and an analog-to-digital converter connected in 1 are not shown. Also, the analog-to-digital converter in the microprocessor 4 be integrated. The microprocessor 4 can perform a frequency filtering around the relevant frequency range for snoring ( 20 to 100 Hz). Subsequently, the intensity of the frequency-filtered signal can be determined as an average root mean square or mean amplitude amount with respect to an average value. The reference to the mean value is used to filter out a DC voltage component (offset). In another embodiment, the number of zero crossings of the frequency-filtered signal can be determined, as disclosed in WO 02/083221 A2 for the AC component of the CPAP actual pressure.

Frequency filtering by the microprocessor 4 can also be omitted. In particular, the microphone can 16 be designed so that it only records the relevant frequency range for snoring. The higher the intensity of the detected snoring, the higher the pressure in the airways is set. This control loop may also include an integral portion such that the pressure in the airways is increased as long as the intensity of the detected snore is higher than a threshold and vice versa.

2 shows a sleeping person or user 21 with exemplary two application devices. As application facilities can be a pair of aerial goggles 22 , a tracheostomy tube 30 or a conventional facial nasal mask. An oxygen eyewear consists essentially of a supply hose with an inner diameter of about 4 mm and a hose loop, which consists of a hose with about 2 mm inner diameter. A Y-switch 24 connects one end of the supply hose to both ends of the hose loop. The hose loop has two outlet openings, one of which projects into a nostril of the sleeping person when in use. The hose loop rests against the upper lip of the sleeper, is trapped between the ears and head of the sleeper and then led to the transition area between the lower jaw and neck, where there is a sliding ring 25 located. Through the sliding ring 25 The length of the hose loop can be adapted to the head shape of the sleeping person.

A goggles 22 is very similar to an oxygen goggle. However, with air bladders, hoses with a slightly larger inside diameter can be used to minimize the pressure drop across the hoses. The outer diameter of the hose loop is essentially limited by the fact that the hose loop can be clamped behind the ears, as in 2 is shown. Thus, hoses with outer diameters of up to about 10 mm can be used for the hose loop, the inner diameter of about 8 to 9 mm. The supply hose can have even larger diameter, since it is not bound to body dimensions of the sleeper.

Oxygen goggles and goggles have in common that their two outlet openings do not close the nostrils of the patient tightly. Rather, the patient can breathe past both outlet openings. In addition, the goggles can a measuring hose 24 respectively. The measuring tube protrudes parallel to the outlet openings into the nostrils of the patient. The measuring hose makes it possible to control the air pressure in the nose of the patient independently of a drop in pressure on the supply hose and the hose loop 23 the aerial goggles 22 to eat. Since the measuring hose does not have to transport any appreciable air flow, it can have a small inner diameter of, for example, 1 to 2 mm.

The tracheostomy tube 30 may include one or two cannulas. The thicker of the two cannulas is with tube 31 Connected via the air in the respiratory tract of the patient is applied. The thinner of the two cannulas is with measuring tube 32 connected. The latter cannula allows the pressure in the patient's airways below the larynx to be measured independently of the pressure drop across hoses or cannulas.

In a simple embodiment, the anti-snoring device can only have one pressure sensor 12 or 13 include. The air flow results from the dimensions of the components used, in particular the hoses, the position of the valve 3 and of the glass bottle 2 delivered overpressure. From the valve position, a signal can be derived, which is at least in monotone with the air flow. The air flow also depends on the pressure in the gas cylinder 2 This, however, changes only slowly compared to the duration of individual breaths of the sleeping person. The steady drop in air flow is due to the pressure drop in gas cylinder 2 is partially compensated by the fact that with decreasing air flow the snoring slowly increases and therefore also the valve 3 slowly opens more and more.

The pressure signal can be through the pressure sensor 12 be delivered. In this embodiment, the control unit has no sensor connection 15 and no second pressure sensor 13 on. Therefore, as an application device is a simple air goggles 22 without measuring hose 24 or a simple tracheostomy tube 30 sufficient.

Alternatively, the pressure signal from the second pressure sensor 13 to be delivered. In this embodiment, the control unit has a sensor connection 15 on. In this embodiment, as an application device, a pair of aerial goggles 22 with measuring hose 24 be used. In doing so, the thicker hose of the goggles with the gas outlet 14 of the control unit 1 connected and the thinner measuring tube 24 with the sensor connection 15 , Alternatively, the sensor connection 15 even with a simple tracheostomy tube 30 connected. The latter case is the measuring tube 24 not mandatory.

Furthermore, the tracheostomy tube can be connected to the gas connection 14 connected and the goggles with the sensor connection 15 , In the latter case, the goggles, like oxygen goggles, may consist of thin tubes with diameters in the range of 1 to 2 mm. Finally, a double tracheostomy tube 30 be used, with the thicker cannula with gas connection 14 of the control unit 1 over hose 31 and the thinner tracheal cannula via measuring tube 32 with the sensor connection 15 connected is.

The above embodiments can since by improving that a flow sensor 11 is provided, which is the flow through the gas outlet 14 measures. In this case a stable flux signal is available. Due to the additional flow signal, the increasing pressure drop in gas cylinder 2 by gradually opening valve 3 be compensated without the sleeping person is forced to intensified snoring.

In addition to the second pressure sensor 13 and to the flow sensor 11 can still a first pressure sensor 12 be provided. For the application facilities apply the statements that were made in connection with the embodiments that the second pressure sensor 13 respectively.

Since both a flow signal and a pressure signal are available in all the above embodiments, the control of the valve 3 in an analogous manner to WO 02/083221 A2. In an inner loop, which is often traversed during a breath, the actual pressure is regulated to a target pressure. In an outer loop, the target pressure is adjusted to the state of the sleeper or user. For this purpose, characteristics and from the features detectors are determined from the flow signal, due to which the target pressure is set.

According to the method disclosed in WO 02/083221 A2, the transitions between inspiration and expiration are determined on the basis of the local extrema in the first derivative of the respiratory flow curve. Based on this information, the valve can 3 be completely closed during the exhalation phases. This measure extends the service life of the glass bottle 2 without refilling. In addition, the sleeping person is thereby supported in his breathing activity. The sleeping person has less the feeling of having to exhale against a resistance.

The by switching the valve on and off and flux variations affect the determination of features and can in extreme cases make the control algorithm useless. To this, too can prevent areas cut out the flow signal by the on and off times become. In one embodiment can two percent of the duration of a respiratory cycle before and 8 percent of Duration of a respiratory cycle after each detected transition between inspiration and expiration from the measured river rates deleted so that only 80 percent of the measurement data is used to detect the Respiratory state of the sleeping person are used. The imbalance the deletion in terms of of the detected transition that between inspiration and expiration therefore stirs that seriously Recognizing the transition the pressure change he follows. Instead of referring to the duration of a Atemzyklusses Percentages can also fixed values such. For example, 60 ms before a transition and 240 ms after a transition deleted from the flow curve become.

In another embodiment are used to calculate the backward correlation according to WO 02/083221 A2 only the inspiratory phases used. Again, eight can Percent of the duration of a respiratory cycle after a transition from Expiration to inspiration and two percent before transition from inspiration to expiration additionally from the respiratory flow curve deleted become.

to Calculation of the mean curvature of the Respiratory flow during In one embodiment, the inspiration becomes the same amount of time for example, six percent of the duration of a respiratory cycle the beginning of an inspiratory phase and its end from the respiratory flow curve deleted.

It is not important, the mean inspiratory volume is quantitative to determine. Rather, it is sufficient to determine a parameter which is in a similar Form of breaths changed monotonously to the inspiratory volume. Because the detectors according to WO 02/083221 A2 only indicate a change in the inspiratory volumes from. Where these changes with constants such. B. inspiration_volume_change_subtle is compared, can the constants are adjusted to the parameter or under acceptance a little bit higher Computing effort into relative changes be transformed. This is especially true with regard to the embodiments noticed, where a flow signal from a valve position is determined.

There Air goggles are "open" systems, can In the control algorithm pressure and flow are reversed. That's why discloses this application independently from the application device also embodiments in which in an inner loop the air flow is kept constant and the inner loop more often while is passed through a breathing cycle. In an outer loop, the air flow adapted to the condition of the sleeper, to avoid snoring or to minimize.

Also in these embodiments can the air flow during the exhalation phases are turned off. For the determination of correct target flow can certain areas of the pressure curve before and after a transition between inspiration and expiration are deleted and / or only takes into account the parts of the pressure curve be that while an inspiratory phase were measured.

3 shows a control unit 40 that one similar to conventional CPAP device. To the control unit is an external humidifier 49 connected. As an application device is a pair of air goggles with hoses 51 and 54 , Ring 53 and Y-switch 52 shown. The sleeping or user is shown seated, so the hose 54 the goggles are passed over the ears to the back of the sleeping person's head.

The control unit 40 includes a fan housing 41 , a gas bottle 42 , a fan 43 , Soundproofing foam 44 , a knob 45 as well as a valve 46 , The fan 43 Also known as a turbine, blower or fan, it delivers ambient air to humidifiers 49 and on to the application device. As with CPAP equipment provides the soundproofing foam 44 for noise insulation. The gas bottle 42 contains a first active ingredient which can be added to the delivered air. The first active ingredient 17 is like in 1 exemplified by dots. The concentration of the first active ingredient in the delivered air is determined by the position of the valve 46 set. The active ingredient can be in gas bottle 42 stored under overpressure. On the other hand, the active ingredient can be sucked out of the gas cylinder by the pumped air through a jet pump. knobs 45 exemplifies controls, for example, by a CPAP pressure or the concentration of the first drug 17 can be adjusted. The control unit 40 may be similar to the controller 1 Pressure and / or flow sensors, a sensor connection, a microprocessor, a microphone and an integrated humidifier included. The latter elements are in the 3 not shown. The pressure and flow control can be carried out as in connection with control unit 1 has been explained above.

The external humidifier 49 includes a water supply 47 and a temperature controller 48 , The water supply 47 can be used as an alternative to the gas bottle 42 and valve 46 or a second active ingredient in addition to both elements 18 contained, which is represented by small crosses. By means of temperature controller 48 can the temperature of the water supply 47 and thus the humidity can be adjusted. humidifier 49 can additionally between water supply 47 and the air space having a membrane to control the delivery of the second active ingredient in proportion to the evaporation of water.

4 shows a section through a particular embodiment of a pair of goggles, which can be advantageously used with a control device according to the invention. 5 shows this embodiment in perspective. These goggles include supply lines 65 , a distributor 68 as well as a jacket pipe 61 for every nostril of a patient. Each of the jacket tubes has at its nose-side end on its outer circumference an ergonomic pad 64 which, during use, seals tightly or substantially densely with a nostril of the patient. In each jacket tube is a nozzle 70 arranged, is blown through the pressurized air in the direction of the nostril. The inner cross section of the jacket tube has a constriction 62 between the nozzle 70 and the nose-side end of the jacket tube. The area between the narrowing 62 and the nose-side end of the jacket tube, in which the clear cross section of the jacket tube widens toward the nose-side end of the jacket tube, is used as a diffuser 63 designated. In addition, one or both jacket pipes can be a measuring hose 66 have over which the pressure inside the nose can be measured.

The interior of the jacket tube 61 works with the nozzle 70 like a jet pump. Through the nozzle 70 A small stream of air enters the jacket tube, pumping additional air through the open end of the jacket tube into the patient's nose. In other words, transform the nozzle 70 in interaction with the jacket pipe 61 a small air flow, which is generated by a higher pressure in a larger air flow, which is under a lower pressure. This is advantageous in particular, that only a part of the air flow flowing into the nose from the gas outlet 14 to the nozzle 70 must be transported. Due to the lower air flow, the pressure drop across the hose is 65 lower. On the other hand, if one is prepared to accept a constant drop in pressure, the cross-section of the hose can 65 when using an in 3 and 4 smaller aircrafts are shown.

The controllers 1 and 40 should be able to produce 100 to 1000 mbar overpressure relative to the ambient pressure. In particular, the outer shape of the ergonomic pad, but also the jacket tube are adapted to the nose shape of the patient. The jacket tube can be made circular with a diameter of 4 to 12 mm. In other embodiments, the jacket tube may have an elliptical cross-section, with the smaller and larger radii ranging from 2 to 6 mm. The jacket tube may have a length of 20 to 50 mm, in particular of 30 mm. The hose 51 has a length of 1 to 2 m. Other dimensions result from the size of the respective body parts of the patient.

The invention has been explained in detail above with reference to preferred embodiments. However, it will be apparent to those skilled in the art that various modifications and changes can be made without departing from the spirit of the invention. Therefore, the scope of protection is indicated by the following claims and their equivalents established.

1

control unit

2

gas bottle

3

Valve

4

microprocessor

5

jet pump

6

humidifier

7

water supply

8th

membrane

9

heating

10

Temperature sensing line

11

flow sensor

12 13

pressure sensor

14

gas outlet

15

sensor connection

16

microphone

17 18

active substance

19

inlet port

20

microphone port

21

Sleeping

22

nasal cannula

23

tubular loop

24

measuring tube

25

ring

30

tracheostomy

31

tube

32

measuring tube

40

control unit

41

fan housing

42

gas bottle

43

Fan

44

Soundproofing foam

45

pressure regulator

46

Valve

47

water supply

48

thermostat

49

humidifier

51

tube

52

Y-switch

53

ring

54

tube

55

Sleeping

61

casing pipe

62

narrowing

63

diffuser

64

ergonomic pad

65

hoses

66

measuring tube

67

nose

68

distributor

69

upper lip

70

jet

Claims (23)

Control unit ( 1 ; 40 ) for an anti-snoring device comprising: an inlet port ( 19 ) for a pressure generating device ( 2 ; 43 ) to which air may be provided under over-pressure relative to the ambient air pressure; and a goggle port ( 14 ) for a pair of aerial goggles ( 22 ; 51 . 52 . 53 . 54 ) as an application device for applying air under pressure in the nose of a user; characterized by a control device ( 3 . 4 ) connected to the inlet port ( 19 ) and the goggle port ( 14 ), wherein the control device is a sensor ( 11 . 12 . 13 ) to deliver air under overpressure to the goggle port only during inspiration phases. Control unit according to Claim 1, characterized in that the control unit has a microphone connection ( 20 ), wherein the control device ( 3 . 4 ) evaluates the signal applied to the microphone port for snoring out and a higher pressure at the Luftbrillenanschluss ( 14 ), the stronger the snoring is. Control unit according to one of claims 1 or 2, characterized in that the control unit ( 1 ; 40 ) a measuring connection ( 15 ), which is connected to the sensor, wherein the sensor is a pressure sensor ( 13 ), the control device ( 3 . 4 ) evaluates the sensor signal, wherein the control device increases the pressure during the inspiration phases at the Luftbrillenanschluss when the sensor signal indicates a Flußlimitation. Control device according to one of claims 1 to 3, characterized in that the control device further comprises a jet pump ( 5 ), whose one inlet to the inlet port ( 19 ), wherein the second inlet of the jet pump draws in ambient air and the outlet of the jet pump with the air bubble port ( 14 ) connected is. Anti-snoring apparatus comprising: a pressure generating device ( 2 ; 43 ), the air provided under pressure over the ambient air pressure; and a pair of aerial goggles ( 22 ; 51 . 52 . 53 . 54 as an application device for applying air under overpressure into the nose of a user, wherein the inlet of the air-rimmed glasses is connected to the pressure-generating device; characterized by a control device ( 3 . 4 ), which is connected to the pressure-generating device and the inlet of the goggles, the control device supplies air during over-pressure to the goggles only during inspiration phases. Anti-snoring apparatus comprising: a pressure generating device ( 2 ; 43 ), the air under overpressure relative to the ambient air pressure provides; characterized by a tracheostomy tube ( 30 ). Anti-snoring device according to claim 6, characterized in that the tracheal cannula ( 30 ) as an application device with the pressure generating device ( 2 ; 43 ) and is used to apply air under pressure in the respiratory tract of a patient. An anti-snoring device according to claim 7, characterized in that the anti-snoring device further comprises a control device ( 3 . 4 ) connected to the pressure generating device ( 2 ; 43 ) and the inlet of the application device, wherein the control device delivers air under overpressure to the application device only during inspiration phases. Anti-snoring apparatus comprising: a pressure generating device ( 2 ; 43 ) providing air under overpressure to ambient air pressure; and an application device ( 30 ; 22 ; 51-54 ; 61-68 ), the inlet of which is connected to the pressure generating means, for applying air under pressure in the respiratory tract of a patient; characterized in that the air contains an active substance ( 17 ; 18 ) contains. Anti-snoring device according to claim 9, characterized in that the term Active ingredient a seawater additive, aerosols, an increased oxygen content, a fragrance or medicine are to be understood. Anti-snoring device according to one of claims 9 or 10, characterized in that between the pressure generating device ( 2 ; 43 ) and the inlet of the application device a humidifier ( 6 ; 49 ) whose water supply ( 7 ; 47 ) with an active substance ( 18 ) is offset. Anti-snoring device according to one of the claims 9 to 11, characterized in that the application device a goggles is. Anti-snoring device according to one of claims 9 to 12, characterized in that the anti-snoring device further comprises a control device ( 3 . 4 ) containing the application device ( 30 ; 22 ; 51-54 ; 61-68 ) and the pressure generating device ( 2 ; 43 ), wherein the control device supplies air under overpressure to the application device only during inspiration phases. An anti-snoring device according to any one of claims 5, 8 or 13, characterized in that the anti-snoring device further comprises a microphone ( 16 ) associated with the control device ( 3 . 4 ), wherein the control device that from the microphone ( 16 ) evaluates for snoring and a higher pressure to the application device ( 30 ; 22 ; 51-54 ; 61-68 ), the stronger the snoring is. An anti-snoring device according to any one of claims 5, 8 or 13, characterized in that the anti-snoring device further comprises a tracheostomy tube ( 30 ) connected to a pressure sensor ( 13 ), which in turn communicates with the control device ( 3 . 4 ), wherein the control device controls the pressure at the application device ( 30 ; 22 ; 51-54 ; 61-68 ) as a function of the pressure measured by the pressure sensor. Anti-snoring device according to one of claims 5, 8 or 13, characterized in that the anti-snoring device further comprises a pressure sensor ( 12 ) connected to the inlet of the application device and the control device ( 3 . 4 ), the pressure sensor ( 12 ) measures the pressure at the inlet of the application device and supplies a pressure signal to the control device which adjusts the pressure at the application device as a function of the pressure measured by the pressure sensor. An anti-snoring device according to one of claims 5, 8 or 13, characterized in that the aerial goggles ( 22 ) a return line ( 23 . 24 ) connected to a pressure sensor ( 13 ), which in turn communicates with the control device ( 3 . 4 ), wherein the pressure sensor supplies a pressure signal to the control device which determines the pressure at the application device as a function of the pressure sensor ( 13 ) set measured pressure. Anti-snoring device according to claim 8, characterized in that the tracheostomy tube ( 30 ) a return line ( 32 ) connected to a pressure sensor ( 13 ), which in turn communicates with the control device ( 3 . 4 ), wherein the pressure sensor supplies a pressure signal to the control device, which adjusts the pressure at the application device as a function of the pressure measured by the pressure sensor. Anti-snoring device according to one of the claims 15 or 17, characterized in that due to the measured Pressure inspiratory and expiratory phases are determined. Anti-snoring device according to one of claims 15 to 19, characterized in that the control device ( 3 . 4 ) analyzes the measured pressure for snoring and applies a higher pressure to the application device, the stronger ker is the snoring. Anti-snoring device according to one of claims 15 to 20, characterized in that the control device ( 3 . 4 ) A method according to any one of the claims of DE 101 18 968 A1 or WO 02/083221 A2. Anti-snoring device according to one of the above claims, characterized in that the pressure-generating device is controlled by a gas cartridge ( 2 ) containing a compressed gas. Anti-snoring device according to claim 22, characterized in that between the gas cartridge ( 2 ) and the application device a jet pump ( 5 ) is installed to increase the flow and reduce the pressure.