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WO2018194430A1 - Mandible front traction device for preventing snoring - Google Patents

Mandible front traction device for preventing snoring Download PDF

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Publication number
WO2018194430A1
WO2018194430A1 PCT/KR2018/004647 KR2018004647W WO2018194430A1 WO 2018194430 A1 WO2018194430 A1 WO 2018194430A1 KR 2018004647 W KR2018004647 W KR 2018004647W WO 2018194430 A1 WO2018194430 A1 WO 2018194430A1
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WIPO (PCT)
Prior art keywords
mandible
elastic
jaw
maxillary
elastic portion
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Ceased
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PCT/KR2018/004647
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French (fr)
Korean (ko)
Inventor
남관우
남지수
남원욱
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Individual
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Individual
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/56Devices for preventing snoring
    • A61F5/566Intra-oral devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/08Mouthpiece-type retainers or positioners, e.g. for both the lower and upper arch
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/56Devices for preventing snoring

Definitions

  • the present invention relates to a mandibular anterior traction device for preventing snoring, by using the natural phenomena of the muscles constituting the jaw joint can enable daily conversation and acupuncture, and at the same time to pull the mandible forward to posterior to the oral cavity
  • the present invention relates to a mandibular anterior traction device for preventing snoring of soft tissue.
  • respiratory disorders during sleep can lead to serious health problems, such as decreased oxygen supply to the brain, memory loss, abnormal blood pressure, heart disease, and chronic sleepiness during the daytime, oral and bronchial, tonsils, throat, etc. It can also cause chronic diseases.
  • Snoring is a phenomenon in which the sound is generated by vibrating the part of the pharyngeal wall and the surrounding soft tissue while narrowing the gap between the pharyngeal wall and the surrounding soft tissue during inhalation.
  • obstructive sleep apnea is characterized by excessive relaxation of the pharyngeal wall and the soft tissues around the airway, which is in close contact with the pharyngeal wall, which narrows the upper respiratory tract, thereby partially blocking the flow of air, causing the airway to temporarily block. Is a phenomenon that temporarily fails to flow into the lungs.
  • Methods for treating the symptoms include surgical treatment and non-scientific treatment, and surgical treatment methods include bronchiotomy, oropharyngeal plastic surgery, orthognathic surgery, etc. Behavioral therapy using implanted devices is being used.
  • the upper body and the lower body is composed of the upper body and the lower body, respectively, the upper coupling member on both sides of the upper body, and the lower coupling member is provided at both ends of the lower body Disclosed is a technique for turning the mandible forward by the coupling of the upper and lower coupling members.
  • the conventional device is fixed to the upper body and the lower body by the coupling between the upper and lower fixing pieces of the dope tail shape formed on the upper, lower coupling member, the upper and lower body in the state in which the device is inserted into the oral cavity If is fixed is a problem that can not move the jaw joint freely.
  • the occlusion can be elevated, and the jaw joints can be overwhelmed, and the additional device can cause a serious foreign body feeling.
  • Patent Document 1 Registered Patent Publication No. 10-1380336
  • the present invention was created in view of the above-mentioned problems in the prior art, and by reversing the mandible forward to stabilize the soft tissues of the inner medial posterior oral cavity and secure the airway to prevent obstructive sleep apnea and at the same time the convenience of the patient
  • the jaw joint can be prevented from twisting, and by using the natural phenomena of the muscles that make up the jaw joint
  • the object of the present invention is to provide a mandibular anterior traction device for preventing snoring by wearing before going to bed and allowing daily conversation and swallowing.
  • the present invention provides a means for achieving the above object, the maxillary portion in which the maxillary receptacle accommodating maxillary teeth are formed; A lower jaw disposed symmetrically in the upper jaw and having a recessed lower jaw receiving portion for receiving a lower jaw; An elastic part for simultaneously fixing the front outer side and the front inner side of the mandible to pull the mandible forward by tension; And a bottleneck device installed at the front inside of the mandible and connected to the elastic part.
  • the bottleneck device a screw thread formed thread; And a guide hole installed coaxially with the screw body so as to be rotatably connected to the screw body and into which the elastic parts are inserted such that both paths of the connected elastic parts are merged.
  • the elastic portion is fixed to the front outer side of the upper part of the upper part and both ends are fixed to both the front inner wall surface of the lower part, characterized in that both paths of the elastic part are merged with each other through the bottleneck device.
  • the elastic portion one end is fixed to the front outer side of the upper jaw portion, the other end is a pair of elastic pieces fixed to the front inner side of the lower jaw portion; characterized in that it comprises a.
  • the lower jaw portion is inserted through the inner passage to accommodate the elastic portion; characterized in that formed.
  • the mandible when the mandible is pulled forward, the mandible can be pulled with an equal force by the elastic part whose end is fixed to the symmetrically formed lower clasp, and the mandible is not pulled laterally while being pulled forward to maintain the balance of the jaw joint. As a result, the jaw joint and related muscles constituting the jaw joint can be prevented from being damaged.
  • the elastic part is inserted into the insertion path, thereby minimizing the touch of the elastic part detected on the tongue, thereby minimizing the foreign body feeling felt by the patient.
  • FIG. 1 is a perspective view showing the overall appearance of the snoring prevention mandible front traction device according to a first embodiment of the present invention.
  • Figure 2 is a rear perspective view showing the overall appearance of the snoring prevention mandible front traction device according to a first embodiment of the present invention.
  • Figure 3 is an exemplary view showing an enlarged elastic portion and the bottleneck device in a first embodiment of the present invention.
  • FIG. 4 is a conceptual diagram illustrating a plane for an illustrative description of the first embodiment of the present invention.
  • FIG 5 is a perspective view of a bottleneck device according to a first embodiment of the present invention.
  • FIG. 6 is a schematic cross-sectional view showing a section of the A-A line shown in FIG.
  • Figure 7 is an enlarged view showing another embodiment of the bottleneck device in the first embodiment of the present invention.
  • Figure 8 is a perspective view showing another embodiment of the bottleneck device in the first embodiment of the present invention.
  • FIG. 9 is a schematic cross-sectional view showing a section of the A-A line shown in FIG. 7.
  • FIG. 9 is a schematic cross-sectional view showing a section of the A-A line shown in FIG. 7.
  • FIG. 10 is a cross-sectional view for explaining another embodiment of the bottleneck device in the first embodiment of the present invention.
  • Figure 11 is a partial cutaway view for explaining the insertion passage of the present invention.
  • Figure 14 is a perspective view showing the overall appearance of the snoring prevention mandible front traction device according to a second embodiment of the present invention.
  • Figure 15 is a rear perspective view showing the overall appearance of the snoring prevention mandible front traction device according to a second embodiment of the present invention.
  • Figure 16 is an enlarged view showing the elastic portion and the bottleneck device in a second embodiment of the present invention.
  • 17 is a conceptual diagram showing a plane for illustrative description of a second embodiment of the present invention.
  • FIG. 18 is a conceptual diagram showing another embodiment of the upper and lower jaw according to the present invention.
  • Figure 19 is a schematic diagram for explaining the snoring prevention mandible front traction device according to a third embodiment of the present invention.
  • the present invention stabilizes the soft tissues of the medial posterior oral cavity by relaxing the mandible forward and secures the airway to prevent obstructive sleep apnea and to allow forward and lateral movement of the mandible for the convenience of the patient while pulling the mandible forward.
  • By adjusting the left and right balance of the jaw joint is characterized by preventing the twist. That is, the present invention acts to pull the mandible forward by the tension of the elastic portion 300 to be described later when the patient wears.
  • the present invention is worn during sleep and used to prevent snoring, as well as additional devices do not protrude on the occlusal surface of the upper jaw portion 100 and the lower jaw portion 200 to be described later, jaw joint prevention device, jaw joint It can also be used as a safety device.
  • the first embodiment of the present invention is largely composed of the upper jaw portion 100, the lower jaw portion 200, the elastic portion 300 and the bottleneck device (400).
  • the upper jaw portion 100 and the lower jaw portion 200 is custom made to fit the oral environment of the patient to which the present invention is applied using a resin sheet of 2.5mm ⁇ 3mm flesh thickness.
  • the maxillary part 100 and the mandibular part 200 are configured to accommodate the maxillary and mandibular teeth of the patient, respectively, and the maxillary receiving part 110 in which the maxillary teeth are accommodated is formed in the maxillary part 100, and the mandible is
  • the lower part 200 has a recessed lower jaw receiving portion 210 in which the lower teeth are accommodated.
  • the upper jaw 100 and the lower jaw 200 are inserted into the oral cavity so as to be symmetrical with each other, and when viewed in a plan view, the upper jaw 100 and the lower jaw 200 are configured in the same shape as the dental arch of the patient.
  • the upper clasp 120 is disposed on the front outer surface of the upper jaw portion 100 so that a part of the elastic portion 300 to be described later is caught and fixed.
  • the lower clasp 220 is symmetrically formed so that both ends of the elastic portion 300 is fixed to the front inner both side wall of the lower portion 200.
  • the lower clasp 220 is installed to be symmetrical with respect to the median plane (MP, Median plane) of the patient, as shown in Figure 4, which is the greatest feature of the present invention,
  • MP Median plane
  • the fixture 240 is formed at a predetermined depth through the front inside of the mandible 200, and the bottleneck device 400, which will be described later, is screwed to the fixture 240. Threads are formed to engage.
  • the elastic part 300 is integrally fixed to the front outer side of the upper jaw portion 100 and both ends are fixed to both the front inner wall surface of the mandible 200, through a bottleneck device 400 to be described later Both paths of the elastic part 300 are merged with each other.
  • the elastic part 300 may be basically used to have a rubber band having elasticity, in some cases can be produced by using a synthetic resin or nylon string.
  • in order to control the amount of protrusion of the mandible may be used by adjusting the elastic modulus of the elastic portion 300.
  • both ends of the elastic portion 300 is provided with a fixing ring 310, the fixing ring 310 is configured to be supported by the lower clasp 220 is attached to the lower mandrel (200).
  • the fixing ring 310 may be implemented through various embodiments that may be caught on the lower clasp 220 and at the same time, the fastening method of the fixing ring 310 and the lower clasp 220 may also be modified in various forms. Let's find out. More specifically, the elastic part 300 is simultaneously fixed to the front outer side of the upper jaw portion 100 and the front inner side of the lower jaw portion 200 to pull the lower portion 200 forward by the tension. That is, both ends of the elastic part 300 are fixed to the mandible 200 by fastening the fixing ring 310 and the lower clasp 220, and at the same time, the path of the elastic part 300 is placed on the upper part 100.
  • the upper clasp 120 is configured to be supported by the latch. That is, the lower part 200 is guided forward by the tension of the elastic part 300 connecting between the upper part 100 and the lower part 200. The detailed operation of the elastic portion 300 will be described later.
  • the bottleneck device 400 is installed inside the front of the mandible 200 so that the elastic portion 300 can be connected. More specifically, the bottleneck device 400 is located on the path of the median surface (MP), as shown in Figure 4 is inserted into the fixture 240 formed in the lower jaw (200). At this time, in the present embodiment will be described an example in which the bottleneck device 400 is screwed to the fixture 240, but is not limited to this, it will be clear that it can be configured through various coupling relationships.
  • MP median surface
  • the bottleneck device 400 is composed of a ring-shaped merge ring 410 and a control shaft 420 vertically protruding from the bottom of the merge ring 410, as shown in Figure 5, the control shaft ( The thread 420 is formed to be screwed with the fixture 240. That is, as shown in Figures 2 to 4, both ends of the elastic portion 300 fixed to the lower mandrel 200 is passed through the merge ring 410 is caught by the upper clasp 120 of the upper jaw portion 100 When the mandible 200 is pulled forward, the force to be pulled forward converges in the direction of the median plane MP to act in one direction.
  • the elastic part 300 may utilize three points of the mandible 200 as a support point, thereby preventing the eccentric force from being applied to the rear of the mandible 200 during the forward traction of the mandible 200. .
  • the bottleneck device 400 may adjust the tension of the elastic part 300 passing through the merge ring 410 by adjusting the depth inserted into the fixture 240.
  • the elastic portion 300 can be pulled more tightly so as to maximize the amount that can advance the mandible 200 do. That is, since the adjustment shaft 420 is screwed in the fixture 240, the control shaft 420 is inserted into the fixture 240 by adjusting the rotational speed of the adjustment shaft 420 inserted into the fixture 240. The depth can be adjusted.
  • the lower jaw portion 200 may further include an insertion passage 230 through which an inner side thereof is passed to accommodate the elastic portion 300.
  • the insertion passage 230 is a tubular shape formed to be inserted in the longitudinal direction of the elastic portion 300 as a lighter means for minimizing contact of the elastic portion 300 to the tongue. That is, through the elastic portion 300 inserted into the insertion passage 230, the patient can minimize the feeling of the elastic portion 300 sensed on the tongue, thereby reducing the foreign body feeling.
  • the bottleneck device 400 ′ is coaxial with the screw body 420 ′ so as to be rotatably connected to the threaded screw body 420 ′ and the screw body 420 ′.
  • the guide hole 410'-1 through which the elastic part 300 is inserted is merged so that both paths of the connected elastic part 300 are merged.
  • the screw body 420 ' is a mandrel 420'-1 in which two discs arranged in parallel with respect to a central axis are formed to be spaced apart from each other by a predetermined distance, and the lower part of the mandrel 420'-1 protrudes. Consisting of a screw shaft 420'-2. Meanwhile, although not shown, the mandrel 420'-1 and the screw shaft 420'-2 may be separated by additional screw coupling and may be manufactured in one piece. In addition, a thread is formed on the outer circumferential surface of the screw shaft 420'-2, and as shown in the enlarged view of FIG. 10, the screw shaft 420'-2 is the fastener 240 of the mandible 200.
  • the head 410 ' is in a ring shape having a substantially quadrangular cross section, and is embedded in the mandrel 420'-1 on the central axis and concentric circles. That is, the head 410 'is rotatable about the central axis as shown by the arrow in FIG.
  • the guide hole 410 ′ -1 is formed to have an arc-shaped path through the hole in a direction perpendicular to the central axis. At this time, the elastic portion 300 inserted into the guide hole 410'-1 can be reciprocated without interference.
  • the bottleneck device 400 ' configured as described above, when the mandible moves in all directions, the mandible 200 is translated in all directions, at this time, the maxillary 100 and the mandible 200 are interconnected
  • One elastic portion 300 may be entangled with each other by the bottleneck device 400 '.
  • the elastic portion 300 is rotatably configured to the head 410 'is fitted to prevent the elastic portion 300 is entangled with each other in the oral cavity.
  • the maxillary part 100 and the mandibular part 200 are coupled to the maxillary and mandibular teeth of the patient, respectively, and the elastic part 300 is between the maxillary part 100 and the mandibular part 200.
  • the elastic part 300 is shown in FIG. 13.
  • the upper jaw is formed integrally with the human skull and the lower jaw is coupled to the human temporal bone in the form of a joint so that the jaw muscles can be relaxed when the lower jaw is omnidirectional.
  • the posterior soft tissues of the oral cavity from blocking the airways and to prevent snoring symptoms caused by the vibration of the gastric soft tissue region.
  • the upper and lower parts may be configured relatively short both ends so that only the anterior region (Anterior region) can be covered.
  • the snoring prevention mandible forward traction device according to the second embodiment of the present invention is largely upper jaw 500, lower jaw 600, elastic portion 700 and bottleneck device 800 It is composed of
  • the upper clasp 520 of the shape cut out at a predetermined interval may be installed on the front outer side of the upper jaw 500 so that the end of the elastic portion 700 can be held.
  • the upper clasp 520 is supported by the front fixing ring 720 of the elastic portion 700 to be described later.
  • the elastic portion 700 is composed of a pair of elastic pieces 710 one end is fixed to the front outer side of the upper jaw 500, the other end is fixed to the front inner side of the mandible 600. More specifically, the front fixing ring 720 and the rear fixing ring 730 is laid at both ends of the elastic piece 710 and the front fixing ring 720 is caught on the upper clasp 520 of the upper jaw 500 Supported and the rear fixing ring 730 is configured to be supported by the lower clasp 620 of the mandrel 600.
  • the elastic part 700 is composed of two elastic pieces 710 configured to be symmetrical with each other, so that the elastic part 700 is easily broken when the elastic part 700 is broken due to an unavoidable reason. 700 can be replaced.
  • the third embodiment according to the present invention is the same in all configurations except the elastic portion 700 in the above-described second embodiment.
  • the elastic portion 700 ′ according to the third embodiment has approximately one end fixed at the front outer side of the upper jaw 500 and the other end fixed at the front inner side of the lower jaw 600. &Quot; Shaped elastic pieces 710 'and rear fixing rings 620' at one end of each of the elastic pieces 710 ', and a front fixing ring 720' at the other side, and a front fixing ring 720 '.
  • Silver is supported by the upper clasp 520 of the upper jaw 500 and the rear fixing ring 620 'is configured to be supported by the lower clasp 620 of the lower jaw 600, respectively.

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Abstract

The present invention is characterized by comprising: a maxillary portion having a maxillary tooth receiving portion formed to be recessed therefrom so as to contain maxillary teeth; a mandibular portion which is arranged to be symmetric with the maxillary portion, and which has a mandibular tooth receiving portion formed to be recessed therefrom so as to contain mandibular teeth; an elastic portion that simultaneously retains the front outside of the maxillary portion and the front inside of the mandibular portion such that the mandibular portion is tractioned forward by a tensile force; and a bottleneck device installed on the front inside of the mandibular portion, the elastic portion being connected to the bottleneck portion.

Description

코골이 방지용 하악골 전방 견인 장치Mandibular anterior traction device to prevent snoring

본 발명은 코골이 방지용 하악골 전방 견인 장치에 관한 것으로, 턱관절을 구성하는 근육의 자연적인 현상을 이용하여 일상적인 대화 및 침삼킴을 가능하게 할 수 있음과 동시에 하악골을 전방으로 견인시켜 구강 내 후방 연조직의 떨림을 방지하는 코골이 방지용 하악골 전방 견인 장치에 관한 것이다.The present invention relates to a mandibular anterior traction device for preventing snoring, by using the natural phenomena of the muscles constituting the jaw joint can enable daily conversation and acupuncture, and at the same time to pull the mandible forward to posterior to the oral cavity The present invention relates to a mandibular anterior traction device for preventing snoring of soft tissue.

일반적으로, 수면 중의 호흡장애는 뇌에 산소 공급 저하, 기억력 감퇴, 혈압 이상, 심장 질환 등을 유발하여 심각한 건강 문제를 야기할 수 있으며, 주간에도 항상 졸리는 만성 피로감, 구강과 기관지, 편도, 인후 등에 생기는 만성 질환의 원인이 되기도 한다.In general, respiratory disorders during sleep can lead to serious health problems, such as decreased oxygen supply to the brain, memory loss, abnormal blood pressure, heart disease, and chronic sleepiness during the daytime, oral and bronchial, tonsils, throat, etc. It can also cause chronic diseases.

대표적인 수면호흡장애(sleep-related breathing disorders) 증상으로는 코골이와 수면 무호흡증이 있다. 코골이는 흡기시 인두벽과 주위 연조직간의 간격이 좁아지면서 인두벽과 주위 연조직 부위가 진동하여 소리가 발생되는 현상이다.Representative symptoms of sleep-related breathing disorders include snoring and sleep apnea. Snoring is a phenomenon in which the sound is generated by vibrating the part of the pharyngeal wall and the surrounding soft tissue while narrowing the gap between the pharyngeal wall and the surrounding soft tissue during inhalation.

또한, 폐쇄성 수면무호흡증(obstructive sleep apnea, OSA)은 인두벽과 기도 주위 연조직이 지나치게 이완되어 연조직이 인두벽과 밀접되어 상기도가 좁아짐에 따라 공기의 흐름이 일부 차단되면서 기도가 일시적으로 막힘에 따라 공기가 폐에 일시적으로 흐르지 못하는 현상이다.In addition, obstructive sleep apnea (OSA) is characterized by excessive relaxation of the pharyngeal wall and the soft tissues around the airway, which is in close contact with the pharyngeal wall, which narrows the upper respiratory tract, thereby partially blocking the flow of air, causing the airway to temporarily block. Is a phenomenon that temporarily fails to flow into the lungs.

상기 현상들을 치료하기 위한 방법으로는 외과적 치료와 비와과적 치료가 있고, 이때, 외과적 치료방법으로는 기관지절제술, 구개인두 성형술, 악교정수술 등이 있으며, 비외과적 치료에는 주로 구강내 삽입되는 장치물을 이용한 행동요법이 사용되고 있다.Methods for treating the symptoms include surgical treatment and non-scientific treatment, and surgical treatment methods include bronchiotomy, oropharyngeal plastic surgery, orthognathic surgery, etc. Behavioral therapy using implanted devices is being used.

전술한 외과적 치료는 수술에 따른 위험부담과 추후 재발의 가능성 및 합병증의 가능성을 배제할 수 없으며 비가역적인 치료이기 때문에 이러한 문제를 해결하기 위해 비외과적 치료가 대두되고 있는 실정이다.Since the aforementioned surgical treatment cannot exclude the risk of surgery, the possibility of recurrence and the possibility of complications, non-surgical treatment is emerging to solve these problems because it is irreversible treatment.

이러한 비외과적 치료에 사용되는 종래의 장치물은 대한민국 등록특허 제10-1380336호(명칭: 코볼이 방지용 구강 장치)에 개시된 바 있다. 상기 종래의 특허문헌을 개략적으로 살펴보면, 상악치아와 하악치아에 각각 장착되는 상부몸체와 하부몸체로 구성되고 상기 상부몸체의 양측에는 상부결합부재가, 상기 하부몸체의 양단에는 하부결합부재를 구비하여 상기 상, 하부결합부재의 결합에 의해 하악골을 전방으로 전돌시키는 기술이 개시되어 있다. Conventional devices used for such non-surgical treatments have been disclosed in Korean Patent Registration No. 10-1380336 (name: oral device for preventing nose balls). Looking at the conventional patent document schematically, the upper body and the lower body is composed of the upper body and the lower body, respectively, the upper coupling member on both sides of the upper body, and the lower coupling member is provided at both ends of the lower body Disclosed is a technique for turning the mandible forward by the coupling of the upper and lower coupling members.

그러나, 상기 종래의 장치물은 상, 하부결합부재에 형성된 도프테일 형상의 상, 하부 고정피스간 결합에 의해 상, 하부몸체의 고정성이 보장되는데, 장치물을 구강에 삽입한 상태에서 상, 하부몸체가 고정이 되면 턱관절을 자유롭게 이동시킬 수 없게 되는 문제점이 발생한다. 아울러, 상, 하부결합부재의 높이에 의해 교합이 거상되어 턱관절에 무리가 갈 수 있고 부가적인 장치물에 의해 심각한 이물감을 호소할 수 있다.However, the conventional device is fixed to the upper body and the lower body by the coupling between the upper and lower fixing pieces of the dope tail shape formed on the upper, lower coupling member, the upper and lower body in the state in which the device is inserted into the oral cavity If is fixed is a problem that can not move the jaw joint freely. In addition, due to the height of the upper and lower coupling members, the occlusion can be elevated, and the jaw joints can be overwhelmed, and the additional device can cause a serious foreign body feeling.

선행기술문헌Prior art literature

특허문헌Patent Literature

(특허문헌 1) 등록특허공보 제10-1380336호(Patent Document 1) Registered Patent Publication No. 10-1380336

본 발명은 상기 종래 기술의 제반 문제점을 감안하여 이를 해결하고자 창출된 것으로, 하악골을 전방으로 전돌시켜 이완된 구강 내측 후방의 연조직들을 안정화시키고 기도를 확보해서 폐쇄성 수면무호흡증을 방지함과 동시에 환자의 편의를 위해 하악골의 전, 측방이동을 허용하면서도 하악골을 전방으로 견인하는 힘의 좌, 우측 균형이 맞도록 하여 턱관절이 틀어지는 것을 방지할 수 있으며, 턱관절을 구성하는 근육의 자연적인 현상을 이용하여 취침 전에 착용하여 일상적인 대화 및 침삼킴 등을 가능하게 하는 코골이 방지용 하악골 전방 견인 장치를 제공함에 그 목적이 있다.The present invention was created in view of the above-mentioned problems in the prior art, and by reversing the mandible forward to stabilize the soft tissues of the inner medial posterior oral cavity and secure the airway to prevent obstructive sleep apnea and at the same time the convenience of the patient For the front and side movement of the mandible, while allowing the left and right balance of the force to pull the mandible forward, the jaw joint can be prevented from twisting, and by using the natural phenomena of the muscles that make up the jaw joint The object of the present invention is to provide a mandibular anterior traction device for preventing snoring by wearing before going to bed and allowing daily conversation and swallowing.

본 발명은 상기 목적을 달성하기 위한 수단으로, 상악치아가 수용되는 상악치수용부가 함몰형성된 상악부; 상기 상악부에 대칭되도록 배치되고, 하악치아가 수용되는 하악치수용부가 함몰형성된 하악부; 장력에 의해 상기 하악부를 전방으로 견인시키도록 상악부의 전방 외측과 하악부의 전방 내측을 동시에 고정하는 탄성부; 및 하악부의 전방 내측에 설치되고 상기 탄성부가 접속하는 병목장치;를 포함하는 것을 특징으로 한다.The present invention provides a means for achieving the above object, the maxillary portion in which the maxillary receptacle accommodating maxillary teeth are formed; A lower jaw disposed symmetrically in the upper jaw and having a recessed lower jaw receiving portion for receiving a lower jaw; An elastic part for simultaneously fixing the front outer side and the front inner side of the mandible to pull the mandible forward by tension; And a bottleneck device installed at the front inside of the mandible and connected to the elastic part.

또한, 상기 병목장치는, 나사산이 형성된 나사체; 및 상기 나사체에 회전 가능하게 접속하도록 나사체와 동축상에 설치되고, 접속한 탄성부의 양측 경로가 병합되도록 탄성부가 삽입되는 가이드홀;이 관통형성된 헤드;를 포함하는 것을 특징으로 한다.In addition, the bottleneck device, a screw thread formed thread; And a guide hole installed coaxially with the screw body so as to be rotatably connected to the screw body and into which the elastic parts are inserted such that both paths of the connected elastic parts are merged.

또, 상기 탄성부는, 일체형으로 그 경로가 상악부의 전방 외측에 고정되고 양단은 하악부의 전방 내측 양 벽면에 고정되되, 상기 병목장치를 통해 탄성부의 양측 경로가 서로 병합되는 것을 특징으로 한다.In addition, the elastic portion, the path is fixed to the front outer side of the upper part of the upper part and both ends are fixed to both the front inner wall surface of the lower part, characterized in that both paths of the elastic part are merged with each other through the bottleneck device.

또한, 상기 탄성부는, 일단은 상악부의 전방 외측에 고정되고 타단은 하악부의 전방 내측에 고정되는 한 쌍의 탄성편;을 포함하는 것을 특징으로 한다.In addition, the elastic portion, one end is fixed to the front outer side of the upper jaw portion, the other end is a pair of elastic pieces fixed to the front inner side of the lower jaw portion; characterized in that it comprises a.

또, 상기 하악부는 탄성부가 수용되도록 내측이 관통된 삽입통로;가 형성된 것을 특징으로 한다.In addition, the lower jaw portion is inserted through the inner passage to accommodate the elastic portion; characterized in that formed.

본 발명에 따른 효과는 다음과 같다.Effects according to the present invention are as follows.

첫째, 턱관절을 구성하는 근육의 자연적인 현상을 이용할 수 있으며, 이에 따라, 턱관절의 무리한 회동을 제한할 수 있어 턱관절 및 주변 근육의 손상을 방지할 수 있고, 일상적인 대화 및 침삼키기가 가능하여 환자의 편의가 증대되는 효과가 있다.First, it is possible to use the natural phenomenon of the muscles that make up the jaw joint, thereby limiting the excessive rotation of the jaw joint can prevent damage to the jaw joint and surrounding muscles, can be a daily conversation and swallowing There is an effect that the convenience of the patient is increased.

둘째, 하악골이 전방으로 견인될 때 대칭형성된 하걸쇠에 그 단부가 고정된 탄성부에 의해 균등한 힘으로 하악골이 견인될 수 있고 하악골이 전방으로 견인되면서 측방으로 틀어지지 않아 턱관절의 균형을 유지할 수 있어, 이로 인해, 턱관절 및 턱관절을 구성하는 관련근육들이 손상되는 것을 방지할 수 있는 효과가 있다.Second, when the mandible is pulled forward, the mandible can be pulled with an equal force by the elastic part whose end is fixed to the symmetrically formed lower clasp, and the mandible is not pulled laterally while being pulled forward to maintain the balance of the jaw joint. As a result, the jaw joint and related muscles constituting the jaw joint can be prevented from being damaged.

셋째, 탄성부가 삽입통로에 삽입됨으로써, 혀에 감지되는 탄성부의 감촉을 최소화시킬 수 있게 되어 환자가 느끼는 이물감을 최소화시킬 수 있는 효과가 있다.Third, the elastic part is inserted into the insertion path, thereby minimizing the touch of the elastic part detected on the tongue, thereby minimizing the foreign body feeling felt by the patient.

넷째, 하악골이 사방으로 병진하더라도 상악부와 하악부를 상호 연결한 탄성부가 나사체에 회동가능하게 접속하는 헤드로 구성되는 병목장치에 의해 탄성부가 서로 엉키게 되는 것을 방지할 수 있는 효과가 있다.Fourth, even if the mandible is translated in all directions, there is an effect that the elastic parts can be prevented from being entangled with each other by a bottleneck device composed of a head connecting the upper part and the mandible to the elastic part to be rotatably connected to the screw body.

도 1은 본 발명의 제1 실시예에 따른 코골이 방지용 하악골 전방 견인 장치의 전체적인 외관을 도시한 사시도.1 is a perspective view showing the overall appearance of the snoring prevention mandible front traction device according to a first embodiment of the present invention.

도 2는 본 발명의 제1 실시예에 따른 코골이 방지용 하악골 전방 견인 장치의 전체적인 외관을 도시한 배면사시도.Figure 2 is a rear perspective view showing the overall appearance of the snoring prevention mandible front traction device according to a first embodiment of the present invention.

도 3은 본 발명의 제1 실시예에서 탄성부 및 병목장치를 확대도시한 예시도.Figure 3 is an exemplary view showing an enlarged elastic portion and the bottleneck device in a first embodiment of the present invention.

도 4는 본 발명의 제1 실시예에의 예시적인 설명을 위해 평면을 도시한 개념도.4 is a conceptual diagram illustrating a plane for an illustrative description of the first embodiment of the present invention.

도 5는 본 발명의 제1 실시예에 따른 병목장치의 사시도.5 is a perspective view of a bottleneck device according to a first embodiment of the present invention.

도 6는 도 4에 도시된 A-A선의 단면을 도시한 개략적인 단면도.FIG. 6 is a schematic cross-sectional view showing a section of the A-A line shown in FIG.

도 7은 본 발명의 제1 실시예에서 병목장치의 다른 실시예를 확대도시한 예시도.Figure 7 is an enlarged view showing another embodiment of the bottleneck device in the first embodiment of the present invention.

도 8은 본 발명의 제1 실시예에서 병목장치의 다른 실시예를 도시한 사시도.Figure 8 is a perspective view showing another embodiment of the bottleneck device in the first embodiment of the present invention.

도 9는 도 7에 도시된 A-A선의 단면을 도시한 개략적인 단면도.FIG. 9 is a schematic cross-sectional view showing a section of the A-A line shown in FIG. 7. FIG.

도 10은 본 발명의 제1 실시예에서 병목장치의 다른 실시예를 설명하기 위한 단면도.10 is a cross-sectional view for explaining another embodiment of the bottleneck device in the first embodiment of the present invention.

도 11은 본 발명의 삽입통로를 설명하기 위한 부분 절개도.Figure 11 is a partial cutaway view for explaining the insertion passage of the present invention.

도 12 내지 13은 본 발명의 개념을 설명하기 위한 개념도.12 to 13 are conceptual views for explaining the concept of the present invention.

도 14는 본 발명의 제2 실시예에 따른 코골이 방지용 하악골 전방 견인 장치의 전체적인 외관을 도시한 사시도.Figure 14 is a perspective view showing the overall appearance of the snoring prevention mandible front traction device according to a second embodiment of the present invention.

도 15는 본 발명의 제2 실시예에 따른 코골이 방지용 하악골 전방 견인 장치의 전체적인 외관을 도시한 배면 사시도.Figure 15 is a rear perspective view showing the overall appearance of the snoring prevention mandible front traction device according to a second embodiment of the present invention.

도 16은 본 발명의 제2 실시예에서 탄성부 및 병목장치를 확대도시한 예시도.Figure 16 is an enlarged view showing the elastic portion and the bottleneck device in a second embodiment of the present invention.

도 17은 본 발명의 제2 실시예에의 예시적인 설명을 위해 평면을 도시한 개념도.17 is a conceptual diagram showing a plane for illustrative description of a second embodiment of the present invention.

도 18은 본 발명에 따른 상악부와 하악부의 다른 실시예를 도시한 개념도.18 is a conceptual diagram showing another embodiment of the upper and lower jaw according to the present invention.

도 19는 본 발명의 제3 실시예에 따른 코골이 방지용 하악골 전방 견인 장치의 설명을 위한 개략도.Figure 19 is a schematic diagram for explaining the snoring prevention mandible front traction device according to a third embodiment of the present invention.

이하에서는, 첨부도면을 참고하여 본 발명에 따른 바람직한 실시예를 보다 상세하게 설명하기로 한다.Hereinafter, with reference to the accompanying drawings will be described in detail a preferred embodiment according to the present invention.

본 발명 설명에 앞서, 이하의 특정한 구조 내지 기능적 설명들은 단지 본 발명의 개념에 따른 실시예를 설명하기 위한 목적으로 예시된 것으로, 본 발명의 개념에 따른 실시예들은 다양한 형태로 실시될 수 있으며, 본 명세서에 설명된 실시예들에 한정되는 것으로 해석되어서는 아니된다.Prior to the description of the present invention, the following specific structures or functional descriptions are merely illustrated for the purpose of describing embodiments according to the inventive concept, and the embodiments according to the inventive concept may be implemented in various forms, It should not be construed as limited to the embodiments described herein.

또한, 본 발명의 개념에 따른 실시예는 다양한 변경을 가할 수 있고 여러 가지 형태를 가질 수 있으므로, 특정 실시예들은 도면에 예시하고 본 명세서에 상세하게 설명하고자 한다. 그러나, 이는 본 발명의 개념에 따른 실시예들을 특정한 개시 형태에 한정하려는 것이 아니며, 본 발명의 사상 및 기술 범위에 포함되는 모든 변경물, 균등물 내지 대체물을 포함하는 것으로 이해되어야 한다.In addition, embodiments in accordance with the concepts of the present invention may be modified in various ways and may have various forms, specific embodiments will be illustrated in the drawings and described in detail herein. However, this is not intended to limit the embodiments in accordance with the concept of the present invention to a particular disclosed form, it should be understood to include all modifications, equivalents, and substitutes included in the spirit and scope of the present invention.

본 발명은 하악골을 전방으로 전돌시켜 이완된 구강 내측 후방의 연조직들을 안정화시키고 기도를 확보해서 폐쇄성 수면무호흡증을 방지하고 환자의 편의를 위해 하악골의 전, 측방이동을 허용하면서도 하악골을 전방으로 견인하는 힘의 좌, 우측 균형이 맞도록 하여 턱관절이 틀어지는 것을 방지할 수 있는 특징이 있다. 즉, 본 발명은 환자가 착용하였을 때 후술되는 탄성부(300)의 장력에 의해 하악골이 전방으로 견인되도록 작용한다. 또한, 본 발명을 착용한 상태에서 하악골의 위치를 탄력적으로 변위시킬 수 있어, 간단한 일상생활이 가능해질 수 있게 된다.The present invention stabilizes the soft tissues of the medial posterior oral cavity by relaxing the mandible forward and secures the airway to prevent obstructive sleep apnea and to allow forward and lateral movement of the mandible for the convenience of the patient while pulling the mandible forward. By adjusting the left and right balance of the jaw joint is characterized by preventing the twist. That is, the present invention acts to pull the mandible forward by the tension of the elastic portion 300 to be described later when the patient wears. In addition, it is possible to elastically displace the position of the mandible in the state wearing the present invention, it is possible to enable a simple daily life.

아울러, 본 발명은 수면중에 착용하여 코골이 방지목적으로 사용됨과 더불어, 후술되는 상악부(100)와 하악부(200)의 교합면에 부가적인 장치물이 돌출되지 않기 때문에 이악물기방지장치, 턱관절안전장치 등으로도 사용될 수 있다.In addition, the present invention is worn during sleep and used to prevent snoring, as well as additional devices do not protrude on the occlusal surface of the upper jaw portion 100 and the lower jaw portion 200 to be described later, jaw joint prevention device, jaw joint It can also be used as a safety device.

상기 특징을 구현하기 위한 본 발명의 제1 실시예를 설명하면 다음과 같다. 먼저, 본 발명의 제1 실시예는 크게 상악부(100), 하악부(200), 탄성부(300) 및 병목장치(400)로 구성된다. 이때, 상악부(100)와 하악부(200)는 살두께가 2.5mm~3mm의 레진시트를 이용하여 본 발명이 적용될 환자의 구강환경에 맞도록 맞춤 제작된다. 아울러, 상악부(100)와 하악부(200)는 각각 환자의 상악치아와 하악치아를 수용하게끔 구성하도록 상악부(100)에는 상악치아가 수용되는 상악치수용부(110)가 함몰형성되고, 하악부(200)에는 하악치아가 수용되는 하악치수용부(210)가 함몰형성된다. 상악부(100)와 하악부(200)는 서로 대칭되도록 구강내에 삽입되고 평면에서 보았을 때, 대략 'U'자형의 형상으로 환자의 치열궁과 동일한 형상으로 구성된다. 또한, 도 1의 확대된 도면에 도시된 것처럼, 상악부(100)의 전방 외측면에는 상걸쇠(120)가 부설되어 후술하는 탄성부(300)의 일부가 걸려 고정될 수 있도록 구성된다. 아울러, 도 3에 도시된 것처럼, 하악부(200)의 전방 내측 양 벽면에는 탄성부(300)의 양단이 걸려 고정될 수 있도록 하걸쇠(220)가 대칭형성된다. 이때, 하걸쇠(220)는 도 4에 도시된 것처럼, 환자의 정중면(MP, Median plane)을 기준으로 대칭되도록 설치되는데, 이는 본 발명의 가장 큰 특징으로, 후술되는 탄성부(300)의 양단이 고정되서 하악골이 전방으로 견인될 때 균등한 힘으로 하악골이 견인될 수 있음과 동시에 하악골이 전방으로 전돌되면서 측방으로 틀어지지 않아 턱관절의 균형을 유지할 수 있게 된다. 이로 인해, 턱관절 및 턱관절을 구성하는 관련근육들이 손상되는 것을 최소화할 수 있게 된다. 이에 더하여, 도 6의 확대된 도면에 도시된 바와 같이, 하악부(200)의 전방 내측에는 고정구(240)가 일정깊이 관통형성되는데, 상기 고정구(240)에는 후술되는 병목장치(400)가 나사결합되도록 나사산이 형성된다.Referring to the first embodiment of the present invention for implementing the above features are as follows. First, the first embodiment of the present invention is largely composed of the upper jaw portion 100, the lower jaw portion 200, the elastic portion 300 and the bottleneck device (400). At this time, the upper jaw portion 100 and the lower jaw portion 200 is custom made to fit the oral environment of the patient to which the present invention is applied using a resin sheet of 2.5mm ~ 3mm flesh thickness. In addition, the maxillary part 100 and the mandibular part 200 are configured to accommodate the maxillary and mandibular teeth of the patient, respectively, and the maxillary receiving part 110 in which the maxillary teeth are accommodated is formed in the maxillary part 100, and the mandible is The lower part 200 has a recessed lower jaw receiving portion 210 in which the lower teeth are accommodated. The upper jaw 100 and the lower jaw 200 are inserted into the oral cavity so as to be symmetrical with each other, and when viewed in a plan view, the upper jaw 100 and the lower jaw 200 are configured in the same shape as the dental arch of the patient. In addition, as shown in the enlarged view of FIG. 1, the upper clasp 120 is disposed on the front outer surface of the upper jaw portion 100 so that a part of the elastic portion 300 to be described later is caught and fixed. In addition, as shown in Figure 3, the lower clasp 220 is symmetrically formed so that both ends of the elastic portion 300 is fixed to the front inner both side wall of the lower portion 200. At this time, the lower clasp 220 is installed to be symmetrical with respect to the median plane (MP, Median plane) of the patient, as shown in Figure 4, which is the greatest feature of the present invention, When both ends are fixed and the mandible is towed forward, the mandible can be pulled with equal force and the mandible is turned forward so that it is not twisted laterally to maintain the balance of the jaw joint. As a result, it is possible to minimize damage to the jaw joint and the related muscles constituting the jaw joint. In addition, as shown in the enlarged view of FIG. 6, the fixture 240 is formed at a predetermined depth through the front inside of the mandible 200, and the bottleneck device 400, which will be described later, is screwed to the fixture 240. Threads are formed to engage.

다음으로, 탄성부(300)는 일체형으로 그 경로가 상악부(100)의 전방 외측에 고정되고 양단은 하악부(200)의 전방 내측 양 벽면에 고정되되, 후술되는 병목장치(400)를 통해 탄성부(300)의 양측 경로가 서로 병합된다. 보다 구체적으로, 탄성부(300)는 기본적으로 탄력을 가지는 고무줄이 채용될 수 있으며, 경우에 따라서는 합성수지나 나일론 계통의 줄로 제작하여 사용할 수 있다. 또한, 하악골의 전돌량을 조절하기 위하여 탄성부(300)의 탄성계수를 조절하여 사용할 수도 있다. 아울러, 탄성부(300)의 양단에는 고정링(310)이 부설되고, 상기 고정링(310)은 하악부(200)에 부설된 하걸쇠(220)에 걸려 지지될 수 있도록 구성된다. 이때, 고정링(310)은 하걸쇠(220)에 걸릴 수 있는 다양한 실시예를 통해 구현될 수 있음과 동시에 고정링(310)과 하걸쇠(220)의 체결방식 또한 다양한 형태로 변형실시될 수 있음을 밝혀둔다. 보다 구체적으로, 탄성부(300)는 장력에 의해 하악부(200)를 전방으로 견인시키도록 상악부(100)의 전방 외측과 하악부(200)의 전방 내측에 동시에 고정된다. 즉, 탄성부(300)는 고정링(310)과 하걸쇠(220)의 체결에 의해 그 양단이 하악부(200)에 고정됨과 동시에 탄성부(300)의 경로가 상악부(100)에 부설된 상걸쇠(120)에 걸림지지될 수 있도록 구성된다. 즉, 상악부(100)와 하악부(200) 사이를 연결하는 탄성부(300)의 장력에 의해 하악부(200)를 전방으로 유도한다. 탄성부(300)의 자세한 작용에 대해서는 후술하기로 한다.Next, the elastic part 300 is integrally fixed to the front outer side of the upper jaw portion 100 and both ends are fixed to both the front inner wall surface of the mandible 200, through a bottleneck device 400 to be described later Both paths of the elastic part 300 are merged with each other. More specifically, the elastic part 300 may be basically used to have a rubber band having elasticity, in some cases can be produced by using a synthetic resin or nylon string. In addition, in order to control the amount of protrusion of the mandible may be used by adjusting the elastic modulus of the elastic portion 300. In addition, both ends of the elastic portion 300 is provided with a fixing ring 310, the fixing ring 310 is configured to be supported by the lower clasp 220 is attached to the lower mandrel (200). At this time, the fixing ring 310 may be implemented through various embodiments that may be caught on the lower clasp 220 and at the same time, the fastening method of the fixing ring 310 and the lower clasp 220 may also be modified in various forms. Let's find out. More specifically, the elastic part 300 is simultaneously fixed to the front outer side of the upper jaw portion 100 and the front inner side of the lower jaw portion 200 to pull the lower portion 200 forward by the tension. That is, both ends of the elastic part 300 are fixed to the mandible 200 by fastening the fixing ring 310 and the lower clasp 220, and at the same time, the path of the elastic part 300 is placed on the upper part 100. The upper clasp 120 is configured to be supported by the latch. That is, the lower part 200 is guided forward by the tension of the elastic part 300 connecting between the upper part 100 and the lower part 200. The detailed operation of the elastic portion 300 will be described later.

다음으로, 병목장치(400)는 탄성부(300)가 접속할 수 있도록 하악부(200)의 전방 내측에 설치된다. 보다 구체적으로, 병목장치(400)는 도 4에 도시된 바와 같이, 정중면(MP)의 경로상에 위치하며 하악부(200)에 형성된 고정구(240)에 삽입된다. 이때, 본 실시예에서는 병목장치(400)가 고정구(240)에 나사결합된 일예를 설명하겠으나, 이에 한정하는 것은 아니며, 다양한 결합관계를 통해 구성될 수 있음을 밝혀둔다. 이때, 병목장치(400)는 도 5에 도시된 바와 같이, 링 형상의 병합링(410)과 상기 병합링(410)의 하부에서 수직으로 돌설되는 조절축(420)으로 구성되고, 조절축(420)에는 고정구(240)와 나사치합되도록 나사산이 형성된다. 즉, 도 2 내지 4에 도시된 바와 같이, 양단이 하악부(200)에 고정된 탄성부(300)가 병합링(410)을 통과하여 상악부(100)의 상걸쇠(120)에 걸림지지되며, 하악부(200)가 전방으로 견인될 때 전방으로 견인하려는 힘을 정중면(MP) 방향으로 수렴하여 일방향으로 작용시키게 된다. 따라서, 탄성부(300)는 하악부(200)의 3점을 지지점으로 활용할 수 있어 하악부(200)의 전방 견인시에 하악부(200)의 후방에 편심력이 가해지는 것을 방지할 수 있다. 그 결과, 하악골을 전방으로 견인시킬 때 턱관절이 측방으로 틀어지는 것을 방지할 수 있게 된다. 이에 더하여, 도 6에 도시된 바와 같이, 병목장치(400)는 고정구(240)에 삽입되는 깊이를 조절하여 병합링(410)을 통과하는 탄성부(300)의 장력을 조절할 수도 있다. 일예로, 고정구(240)에 삽입되는 조절축(420)의 깊이를 최소화할 경우 탄성부(300)가 보다 팽팽하게 당겨질 수 있기 때문에 하악부(200)를 전진시킬 수 있는 양을 극대화시킬 수 있게 된다. 즉, 고정구(240)에는 조절축(420)이 나사치합 된 상태이므로 고정구(240)에 삽입되는 조절축(420)의 회전수를 조절해서 고정구(240)에 삽입되는 조절축(420)의 깊이를 조절할 수 있게 되는 것이다.Next, the bottleneck device 400 is installed inside the front of the mandible 200 so that the elastic portion 300 can be connected. More specifically, the bottleneck device 400 is located on the path of the median surface (MP), as shown in Figure 4 is inserted into the fixture 240 formed in the lower jaw (200). At this time, in the present embodiment will be described an example in which the bottleneck device 400 is screwed to the fixture 240, but is not limited to this, it will be clear that it can be configured through various coupling relationships. At this time, the bottleneck device 400 is composed of a ring-shaped merge ring 410 and a control shaft 420 vertically protruding from the bottom of the merge ring 410, as shown in Figure 5, the control shaft ( The thread 420 is formed to be screwed with the fixture 240. That is, as shown in Figures 2 to 4, both ends of the elastic portion 300 fixed to the lower mandrel 200 is passed through the merge ring 410 is caught by the upper clasp 120 of the upper jaw portion 100 When the mandible 200 is pulled forward, the force to be pulled forward converges in the direction of the median plane MP to act in one direction. Therefore, the elastic part 300 may utilize three points of the mandible 200 as a support point, thereby preventing the eccentric force from being applied to the rear of the mandible 200 during the forward traction of the mandible 200. . As a result, it is possible to prevent the jaw joint from twisting laterally when pulling the mandible forward. In addition, as shown in FIG. 6, the bottleneck device 400 may adjust the tension of the elastic part 300 passing through the merge ring 410 by adjusting the depth inserted into the fixture 240. For example, when minimizing the depth of the control shaft 420 inserted into the fixture 240, the elastic portion 300 can be pulled more tightly so as to maximize the amount that can advance the mandible 200 do. That is, since the adjustment shaft 420 is screwed in the fixture 240, the control shaft 420 is inserted into the fixture 240 by adjusting the rotational speed of the adjustment shaft 420 inserted into the fixture 240. The depth can be adjusted.

다음으로, 도 11에 도시된 바와 같이, 하악부(200)는 탄성부(300)가 수용되도록 내측이 관통된 삽입통로(230)가 더 형성될 수 있다. 보다 구체적으로, 삽입통로(230)는 탄성부(300)가 혀에 접촉되는 것을 최소화하기 위한 가람수단으로 탄성부(300)의 길이방향으로 삽입될 수 있도록 형성된 관 형태이다. 즉, 상기 삽입통로(230)에 삽입된 탄성부(300)를 통해 환자는 혀에 감지되는 탄성부(300)의 감촉을 최소화시킬 수 있게 되어 이물감을 덜어줄 수 있게 된다.Next, as shown in FIG. 11, the lower jaw portion 200 may further include an insertion passage 230 through which an inner side thereof is passed to accommodate the elastic portion 300. More specifically, the insertion passage 230 is a tubular shape formed to be inserted in the longitudinal direction of the elastic portion 300 as a lighter means for minimizing contact of the elastic portion 300 to the tongue. That is, through the elastic portion 300 inserted into the insertion passage 230, the patient can minimize the feeling of the elastic portion 300 sensed on the tongue, thereby reducing the foreign body feeling.

다음으로, 본 발명에 따른 제1 실시예 중에서 병목장치의 다른 실시예를 설명하면 다음과 같다. 이때, 앞서 기술한 병목장치(400)의 실시예와 동일하거나 유사한 부분은 중복을 피하기 위해 설명을 생략하겠다. 먼저, 도 7 내지 10에 도시된 바와 같이, 병목장치(400')는 나사산이 형성된 나사체(420')와 상기 나사체(420')에 회전 가능하게 접속하도록 나사체(420')와 동축상에 설치되고, 접속한 탄성부(300)의 양측 경로가 병합되도록 탄성부(300)가 삽입되는 가이드홀(410'-1)이 관통형성된 헤드(410')로 구성된다. 보다 구체적으로, 나사체(420')는 중심축을 중심으로 평행배치된 두개의 원판이 서로 일정간격 이격되게 형성되는 맨드릴(420'-1)과, 상기 맨드릴(420'-1)의 하부로 돌설되는 나사축(420'-2)으로 구성된다. 한편, 상기 맨드릴(420'-1)과 나사축(420'-2)은 도시하지는 않았지만 부가적인 나사결합에 의해 분리결합될 수 있으며, 일체형으로 제작될 수도 있다. 아울러, 나사축(420'-2)의 외주면으로는 나사산이 형성되고, 도 10의 확대된 도면에 도시된 것처럼, 상기 나사축(420'-2)이 하악부(200)의 고정구(240)에 나사치합될 수 있도록 구성된다. 헤드(410')는 대략 4각단면을 갖는 링 형상으로 중심축과 동심원상에서 맨드릴(420'-1)에 내설된다. 즉, 헤드(410')는 도 9에 도시된 화살표 방향처럼 중심축을 기준으로 회전가능하게 동작한다. 이에 더하여, 도 8에 도시된 바와 같이, 가이드홀(410'-1)은 중심축에 수직되는 방향으로 통공되며 호 형상의 경로를 갖도록 형성된다. 이때, 가이드홀(410'-1)에 삽입되는 탄성부(300)가 간섭없이 왕복운동 할 수 있게 된다. 상기와 같이 구성된 병목장치(400')의 작용을 살펴보면, 하악골이 사방으로 운동할 때 하악부(200)가 같이 사방으로 병진하게 되는데 이때, 상악부(100)와 하악부(200)를 상호 연결한 탄성부(300)가 병목장치(400')에 의해 서로 엉키게 될 수 있다. 이때, 탄성부(300)가 끼움된 헤드(410')를 회전가능하게 구성하여 탄성부(300)가 구강내에서 서로 엉키는 것을 방지할 수 있게 된다.Next, another embodiment of the bottleneck device in the first embodiment according to the present invention will be described. At this time, the same or similar parts as the embodiment of the bottleneck apparatus 400 described above will be omitted in order to avoid duplication. First, as shown in FIGS. 7 to 10, the bottleneck device 400 ′ is coaxial with the screw body 420 ′ so as to be rotatably connected to the threaded screw body 420 ′ and the screw body 420 ′. The guide hole 410'-1 through which the elastic part 300 is inserted is merged so that both paths of the connected elastic part 300 are merged. More specifically, the screw body 420 'is a mandrel 420'-1 in which two discs arranged in parallel with respect to a central axis are formed to be spaced apart from each other by a predetermined distance, and the lower part of the mandrel 420'-1 protrudes. Consisting of a screw shaft 420'-2. Meanwhile, although not shown, the mandrel 420'-1 and the screw shaft 420'-2 may be separated by additional screw coupling and may be manufactured in one piece. In addition, a thread is formed on the outer circumferential surface of the screw shaft 420'-2, and as shown in the enlarged view of FIG. 10, the screw shaft 420'-2 is the fastener 240 of the mandible 200. It is configured to be screwed onto. The head 410 'is in a ring shape having a substantially quadrangular cross section, and is embedded in the mandrel 420'-1 on the central axis and concentric circles. That is, the head 410 'is rotatable about the central axis as shown by the arrow in FIG. In addition, as illustrated in FIG. 8, the guide hole 410 ′ -1 is formed to have an arc-shaped path through the hole in a direction perpendicular to the central axis. At this time, the elastic portion 300 inserted into the guide hole 410'-1 can be reciprocated without interference. Looking at the action of the bottleneck device (400 ') configured as described above, when the mandible moves in all directions, the mandible 200 is translated in all directions, at this time, the maxillary 100 and the mandible 200 are interconnected One elastic portion 300 may be entangled with each other by the bottleneck device 400 '. At this time, the elastic portion 300 is rotatably configured to the head 410 'is fitted to prevent the elastic portion 300 is entangled with each other in the oral cavity.

이하, 본 발명에 따른 제1 실시예의 적용예에 대해서 간략하게 기술하겠다. 먼저, 도 12에 도시된 바와 같이, 환자의 상악치아와 하악치아에 각각 상악부(100)와 하악부(200)가 결합되고 상악부(100)와 하악부(200) 사이에 탄성부(300)가 설치된다. 평상시와 같이 턱근육이 긴장된 상태에서는 어느정도의 발음이 가능하며, 하악턱이 후방에 위치하게 되고 수면시와 같이 턱근육의 긴장이 풀린 상태일 경우 도 13에 도시된 것처럼 탄성부(300)의 장력에 의해 하악턱을 전방으로 전돌시키게끔 작용한다. 이때, 상악턱은 사람의 두개골과 일체로 형성되고 하악턱은, 사람의 측두골에 관절의 형태로 결합되기 때문에 턱근육을 이완시켰을 경우 하악턱을 전방위 시킬 수 있게 된다. 그 결과, 구강의 후방 연조직들이 기도를 막는것을 방지할 수 있음과 더불어 위 연조직 부위가 진동하여 발생되는 코골이 증상을 방지할 수 있게 된다 Hereinafter, an application example of the first embodiment according to the present invention will be briefly described. First, as shown in FIG. 12, the maxillary part 100 and the mandibular part 200 are coupled to the maxillary and mandibular teeth of the patient, respectively, and the elastic part 300 is between the maxillary part 100 and the mandibular part 200. ) Is installed. When the jaw muscles are tense as usual, a certain amount of pronunciation is possible, and when the mandible jaw is located at the rear and the jaw muscles are relaxed as shown, the tension of the elastic part 300 is shown in FIG. 13. By acting to turn the mandible forward. At this time, the upper jaw is formed integrally with the human skull and the lower jaw is coupled to the human temporal bone in the form of a joint so that the jaw muscles can be relaxed when the lower jaw is omnidirectional. As a result, it is possible to prevent the posterior soft tissues of the oral cavity from blocking the airways and to prevent snoring symptoms caused by the vibration of the gastric soft tissue region.

한편, 본 발명은 도 18에 도시된 것처럼, 상악부와 하악부가 전치부(Anterior region)만 덮을 수 있도록 그 양단을 상대적으로 짧게 구성할 수도 있다.On the other hand, the present invention, as shown in Figure 18, the upper and lower parts may be configured relatively short both ends so that only the anterior region (Anterior region) can be covered.

이는, 구치부(Posterior region)를 완전히 개방하도록 하여 본 발명을 착용하였을 때 이물감을 최소화할 수 있도록 하기 위함이다. This is to minimize the discomfort when wearing the present invention by opening the posterior region completely.

이하, 첨부되는 도면을 참고하여 본 발명에 따른 제2 실시예에 대해서 설명하겠다. 앞서 기술한 제1 실시예와 유사하거나 동일한 부분은 중복을 피하기 위해 자세한 설명은 생략하겠다. 도 14 내지 17에 도시된 바와 같이, 본 발명의 제2 실시예에 따른 코골이 방지용 하악골 전방 견인 장치는 크게 상악부(500), 하악부(600), 탄성부(700) 및 병목장치(800)로 구성된다. 이때, 상악부(500)의 전방 외측에는 탄성부(700)의 단부가 걸림지지될 수 있도록 일정간격 절취된 형상의 상걸쇠(520)가 부설될 수 있다. 상걸쇠(520)에는 후술되는 탄성부(700)의 전방고정링(720)이 걸림지지된다. Hereinafter, a second embodiment according to the present invention will be described with reference to the accompanying drawings. Parts similar or identical to those of the first embodiment described above will be omitted in order to avoid duplication. As shown in Figure 14 to 17, the snoring prevention mandible forward traction device according to the second embodiment of the present invention is largely upper jaw 500, lower jaw 600, elastic portion 700 and bottleneck device 800 It is composed of In this case, the upper clasp 520 of the shape cut out at a predetermined interval may be installed on the front outer side of the upper jaw 500 so that the end of the elastic portion 700 can be held. The upper clasp 520 is supported by the front fixing ring 720 of the elastic portion 700 to be described later.

다음으로, 탄성부(700)는 일단은 상악부(500)의 전방 외측에 고정되고 타단은 하악부(600)의 전방 내측에 고정되는 한 쌍의 탄성편(710)으로 구성된다. 보다 구체적으로, 탄성편(710)의 양단에는 각각 전방고정링(720)과 후방고정링(730)이 부설되고 상기 전방고정링(720)은 상악부(500)의 상걸쇠(520)에 걸림지지되고 상기 후방고정링(730)은 하악부(600)의 하걸쇠(620)에 걸림지지될 수 있도록 구성된다.Next, the elastic portion 700 is composed of a pair of elastic pieces 710 one end is fixed to the front outer side of the upper jaw 500, the other end is fixed to the front inner side of the mandible 600. More specifically, the front fixing ring 720 and the rear fixing ring 730 is laid at both ends of the elastic piece 710 and the front fixing ring 720 is caught on the upper clasp 520 of the upper jaw 500 Supported and the rear fixing ring 730 is configured to be supported by the lower clasp 620 of the mandrel 600.

즉, 본 발명에 따른 제2 실시예에서는 탄성부(700)를 서로 대칭되게 구성되는 두 개의 탄성편(710)으로 구성하여 불측의 사유로 탄성부(700)가 파단되었을 경우에 용이하게 탄성부(700)를 교체할 수 있게 된다.That is, in the second exemplary embodiment according to the present invention, the elastic part 700 is composed of two elastic pieces 710 configured to be symmetrical with each other, so that the elastic part 700 is easily broken when the elastic part 700 is broken due to an unavoidable reason. 700 can be replaced.

이하, 첨부되는 도면을 참고하여 본 발명에 따른 제3 실시예를 설명하겠다. 한편, 본 발명에 따른 제3 실시예는 앞서 기술한 제2 실시예에서 탄성부(700)를 제외한 모든 구성이 동일하다. 도 19에 도시된 바와 같이, 제3 실시예에 따른 탄성부(700')는 일단이 상악부(500)의 전방 외측에 고정되고 타단은 하악부(600)의 전방 내측에 고정되는 대략 "Y"형상의 탄성편(710')과 상기 탄성편(710')의 일측 양단에는 각각 후방고정링(620')이, 타측에는 전방고정링(720')이 부설되고 전방고정링(720')은 상악부(500)의 상걸쇠(520)에 걸림지지되고 후방고정링(620')은 하악부(600)의 하걸쇠(620)에 각각 걸림지지될 수 있도록 구성된다.Hereinafter, with reference to the accompanying drawings will be described a third embodiment according to the present invention. On the other hand, the third embodiment according to the present invention is the same in all configurations except the elastic portion 700 in the above-described second embodiment. As shown in FIG. 19, the elastic portion 700 ′ according to the third embodiment has approximately one end fixed at the front outer side of the upper jaw 500 and the other end fixed at the front inner side of the lower jaw 600. &Quot; Shaped elastic pieces 710 'and rear fixing rings 620' at one end of each of the elastic pieces 710 ', and a front fixing ring 720' at the other side, and a front fixing ring 720 '. Silver is supported by the upper clasp 520 of the upper jaw 500 and the rear fixing ring 620 'is configured to be supported by the lower clasp 620 of the lower jaw 600, respectively.

부호의 설명Explanation of the sign

100, 500: 상악부100, 500: maxilla

110, 510: 상악치수용부110, 510: maxillary accommodation

120, 520: 상걸쇠120, 520: clasp

200, 600: 하악부200, 600: mandible

210, 610: 하악치수용부210, 610: mandibular accommodation

220, 620: 하걸쇠220, 620: latch

230: 삽입통로230: insertion path

240: 고정구240: fixture

300, 700: 탄성부300, 700: elastic part

310: 고정링310: retaining ring

710: 탄성편710: elastic piece

720: 전방고정링720: front retaining ring

730: 후방고정링730: rear retaining ring

400, 400', 800: 병목장치400, 400 ', 800: bottleneck

410: 병합링410: merge ring

420: 조절축420: adjusting shaft

410': 헤드 410 ': head

410'-1: 가이드홀410'-1: guide hole

420': 나사체420 ': threaded body

420'-1: 맨드릴420'-1: mandrel

420'-2: 나사축420'-2: screw shaft

Claims (5)

상악치아가 수용되는 상악치수용부가 함몰형성된 상악부;A maxillary portion in which a maxillary tooth accommodating part is accommodated in a maxillary tooth; 상기 상악부에 대칭되도록 배치되고, 하악치아가 수용되는 하악치수용부가 함몰형성된 하악부; A lower jaw disposed symmetrically in the upper jaw and having a recessed lower jaw receiving portion for receiving a lower jaw; 장력에 의해 상기 하악부를 전방으로 견인시키도록 상악부의 전방 외측과 하악부의 전방 내측을 동시에 고정하는 탄성부; 및An elastic part for simultaneously fixing the front outer side and the front inner side of the mandible to pull the mandible forward by tension; And 하악부의 전방 내측에 설치되고 상기 탄성부가 접속하는 병목장치;를 포함하는 것을 특징으로 하는 코골이 방지용 하악골 전방 견인 장치.Snoring prevention mandible forward traction device comprising a; a bottleneck device is installed inside the front of the mandible is connected to the elastic portion. 청구항 1에 있어서,The method according to claim 1, 상기 병목장치는,The bottleneck device, 나사산이 형성된 나사체; 및Threaded threads; And 상기 나사체에 회전 가능하게 접속하도록 나사체와 동축상에 설치되고, 접속한 탄성부의 양측 경로가 병합되도록 탄성부가 삽입되는 가이드홀;이 관통형성된 헤드;를 포함하는 것을 특징으로 하는 코골이 방지용 하악골 전방 견인 장치.A guide hole installed coaxially with the screw body so as to be rotatably connected to the screw body, the guide hole into which the elastic parts are inserted so that both paths of the connected elastic parts are merged; a head formed therethrough; Front traction device. 청구항 2에 있어서,The method according to claim 2, 상기 탄성부는,The elastic portion, 일체형으로 그 경로가 상악부의 전방 외측에 고정되고 양단은 하악부의 전방 내측 양 벽면에 고정되되,In one piece, the path is fixed to the anterior outer side of the upper jaw and both ends are fixed to both the anterior inner wall of the lower jaw, 상기 병목장치를 통해 탄성부의 양측 경로가 서로 병합되는 것을 특징으로 하는 코골이 방지용 하악골 전방 견인 장치.Snoring prevention mandible forward traction device, characterized in that both paths of the elastic portion is merged with each other through the bottleneck device. 청구항 2에 있어서,The method according to claim 2, 상기 탄성부는,The elastic portion, 일단은 상악부의 전방 외측에 고정되고 타단은 하악부의 전방 내측에 고정되는 한 쌍의 탄성편;을 포함하는 것을 특징으로 하는 코골이 방지용 하악골 전방 견인 장치.One end is fixed to the front outer side of the upper jaw portion, the other end is a pair of elastic pieces fixed to the front inner side of the lower jaw; 청구항 1에 있어서,The method according to claim 1, 상기 하악부는 탄성부가 수용되도록 내측이 관통된 삽입통로;가 형성된 것을 특징으로 하는 코골이 방지용 하악골 전방 견인 장치.The mandible is the mandibular forward traction device for snoring, characterized in that formed; through the inner passage through which the elastic portion is accommodated.
PCT/KR2018/004647 2017-04-21 2018-04-20 Mandible front traction device for preventing snoring Ceased WO2018194430A1 (en)

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