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WO2018194430A1 - Dispositif de traction avant de mandibule pour empêcher le ronflement - Google Patents

Dispositif de traction avant de mandibule pour empêcher le ronflement 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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WO
WIPO (PCT)
Prior art keywords
mandible
elastic
jaw
maxillary
elastic portion
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/KR2018/004647
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English (en)
Korean (ko)
Inventor
남관우
남지수
남원욱
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Individual
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Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
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Publication of WO2018194430A1 publication Critical patent/WO2018194430A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/56—Devices for preventing snoring
    • A61F5/566—Intra-oral devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/08—Mouthpiece-type retainers or positioners, e.g. for both the lower and upper arch
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/56—Devices for preventing snoring

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

Abstract

La présente invention est caractérisée en ce qu'elle comprend : une partie maxillaire ayant une partie de réception de dents maxillaires formée pour être en retrait à partir de celle-ci de façon à contenir des dents maxillaires ; une partie mandibulaire qui est conçue pour être symétrique à la partie maxillaire, et qui a une partie de réception de dents mandibulaires formée pour être en retrait à partir de celle-ci de façon à contenir des dents mandibulaires ; une partie élastique qui retient simultanément la partie extérieure avant de la partie maxillaire et la partie intérieure avant de la partie mandibulaire de telle sorte que la partie mandibulaire est tirée vers l'avant par une force de traction ; et un dispositif de type goulot d'étranglement installé sur la partie intérieure avant de la partie mandibulaire, la partie élastique étant raccordée à la partie goulot d'étranglement.
PCT/KR2018/004647 2017-04-21 2018-04-20 Dispositif de traction avant de mandibule pour empêcher le ronflement Ceased WO2018194430A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR1020170051768A KR101959537B1 (ko) 2017-04-21 2017-04-21 코골이 방지용 하악골 전방 견인 장치
KR10-2017-0051768 2017-04-21

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WO2018194430A1 true WO2018194430A1 (fr) 2018-10-25

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KR102309009B1 (ko) 2019-10-08 2021-10-07 가톨릭대학교 산학협력단 자석식 수면 무호흡 방지 장치

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KR20150135049A (ko) * 2013-02-04 2015-12-02 시앙민 창 혓바닥 탄성견인장치, 클램핑 펜치, 장착 펜치, 실잡이 및 식립방법
WO2015184419A1 (fr) * 2014-05-29 2015-12-03 Selane Products, Inc. Appareil buccal pour le traitement de l'apnée du sommeil
KR20160119094A (ko) * 2014-02-06 2016-10-12 바이오테크놀로지 인스티튜트, 아이 엠에이에스 디, 에스. 엘. 하악 전진 이동 장치 및 이 장치를 제조하는 방법 및 키트
KR20160142315A (ko) * 2014-03-28 2016-12-12 콘라트 호프만 교합 스플린트 장치

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KR101176203B1 (ko) * 2011-05-04 2012-08-22 황청풍 형상기억와이어를 이용한 코골이 및 수면무호흡 방지장치
KR101380336B1 (ko) 2012-05-02 2014-04-02 구현웅 코골이 방지용 구강 장치
KR101374011B1 (ko) * 2012-08-27 2014-03-12 이상재 코골이 방지기구
KR20170030015A (ko) * 2015-09-08 2017-03-16 고영석 코골이 방지용 마우스피스

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KR20150135049A (ko) * 2013-02-04 2015-12-02 시앙민 창 혓바닥 탄성견인장치, 클램핑 펜치, 장착 펜치, 실잡이 및 식립방법
KR20150014624A (ko) * 2013-07-30 2015-02-09 경희대학교 산학협력단 코골이 및 이갈이 방지기구
KR20160119094A (ko) * 2014-02-06 2016-10-12 바이오테크놀로지 인스티튜트, 아이 엠에이에스 디, 에스. 엘. 하악 전진 이동 장치 및 이 장치를 제조하는 방법 및 키트
KR20160142315A (ko) * 2014-03-28 2016-12-12 콘라트 호프만 교합 스플린트 장치
WO2015184419A1 (fr) * 2014-05-29 2015-12-03 Selane Products, Inc. Appareil buccal pour le traitement de l'apnée du sommeil

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KR20180118434A (ko) 2018-10-31

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