U-shaped towing plate for embedded type tongue pulling deviceTechnical field
The present invention relates to the U-shaped towing plate for embedded type tongue pulling device, is particularly used to treat obstructive sleep of being grown upDormancy apnea low syndrome (Obstructive sleep apnea/hypopnea syndrome, hereinafter referred to as：OSAHS the U-shaped towing plate of embedded type tongue pulling device).
Background technology
The soft tissue of epithelium healing collapses when obstruction sleep apnea-hypopnea syndrome (OSAHS) is due to sleepFall into, a kind of sleep disordered breathing disease using snoring, apnea and low pass gas as Clinical symptoms caused by blocking.
For OSAHS pathogenesis, it is considered that there is multifactor collective effect.Except epithelium healing anatomical structure is narrowOutside, be primarily due to sleep when maintain epithelium healing open expansion pharynx muscular relaxation, there is soft tissue and collapse, caused by hinderPlug.Obstructive position is more positioned at palate pharynx plane or Glossopharyngeal plane.
Research shows：20%-25% OSAHS patient is due to that the soft tissue of simple palate pharynx plane is collapsed and caused,15%-20% OSAHS patient is that the soft tissue of simple Glossopharyngeal plane is collapsed and caused, and 50%-70% OSAHS patient is simultaneouslyThe soft tissue for having palate pharynx plane and Glossopharyngeal plane collapses, i.e. mixed type OSAHS patient.
The OSAHS to be formed is collapsed in order to treat Glossopharyngeal plane soft tissue caused by glossoptosis, the present inventor is Chinese specialA kind of root of the tongue draw-gear of implanted is disclosed in profit application CN102198010A, towing plate is the important composition portion of the devicePoint, present patent application is the further improvement to the towing plate in the patent application.
The content of the invention
The U-shaped towing plate for embedded type tongue pulling device of the present invention, the U-shaped towing plate 1 is to be implanted in tongue bodyFlat implant under mucous layer, contain through hole 101, the draught line fixed mechanism 102 for being easy to fibrous tissue growth thereon, itsIt is characterised by：
The U-shaped towing plate 1 takes the shape of the letter U or C-shaped configuration, containing left arm 11, right arm 12 and bindiny mechanism 13, the He of left arm 11Right arm 12 is connected proximally by bindiny mechanism 13, the distal end separation of left arm 11 and right arm 12；
The mechanism containing closed-lock of U-shaped towing plate 1 103；
When the U-shaped towing plate 1 is implanted into, the 12 open-shaped state of left arm 11 and right arm can be by described after implantationClosed-lock mechanism 103 closes the left arm 11 of the U-shaped towing plate 1 and right arm 12.
The U-shaped towing plate 1 forms an entirety after being connected the left arm and right arm 12 by the bindiny mechanism 13.Before implantation, open configuration is presented in the left arm 11 of the U-shaped towing plate 1 and the distal end of right arm 12, after implantation, is closed with external force by describedIt is closed and locked to close locking mechanism 103, so as to realize the closure of the left arm 11 of the U-shaped towing plate 1 and right arm 12.Due to the UThe left arm 11 of type towing plate 1 and right arm 12 are that closure forms an entirety, and therefore, in traction process, the U-shaped towing plate 1 is wholeBody stress, the left arm 11 of the U-shaped towing plate and the right side will not be caused because the stress of the left arm 11 and right arm 12 is inconsistentArm 12 misplaces, and the plane drawing effect of tongue body can be better achieved.
The closed-lock mechanism 103 is embossed card matching mechanism.The 103- containing detent of closed-lock mechanism 1030 and positioning convex rank 103-1, during closure, the positioning convex rank 103-1 is caught in the detent 103-0, can be easilyRealize the closure of the U-shaped towing plate left arm 11 and right arm 12.
The closed-lock mechanism 103 is over-surplus fit structure.
The closed-lock mechanism 103 is riveted structure.
The closed-lock mechanism 103 is helicitic texture.
After left arm 11 and right arm 12 closure of the U-shaped towing plate 1, the gap L between the left arm 11 and right arm 12 is smallIn 5mm.
Further, the bindiny mechanism 13 of the U-shaped towing plate 1 is hinge mechanism 131.The hinge mechanism 131 containsThrough hole 131-0 and pin 131-1；Through hole 131-0, the pin are equipped with the near-end of the left arm 11 and the right arm 12After 131-1 sequentially passes through the through hole 131-0 on the left arm 11 and right arm 12, by the left arm 11 and the near-end of the right arm 12It is movably coupled with together, the left arm 11 and the right arm 12 can carry out opening movement or closure around the pin 131-1Motion.
The U-shaped towing plate 1 is integrally manufactured using medical material.
The U-shaped towing plate 1 can choose medical metal material or medical macromolecular materials manufacture.
The U-shaped towing plate 1 for embedded type tongue pulling device of the present invention takes the shape of the letter U or C-shaped configuration, containing left arm 11, right arm12 and bindiny mechanism 13 and closed-lock mechanism 103.When the U-shaped towing plate 1 is implanted into, the left arm 11 and right arm 12 are in openingState, can be by the closed-lock mechanism 103 by the middle part of the left arm 11 of the U-shaped towing plate 1 and right arm 12 after implantationIt is connected, turns into an entirety, preferably pulls root of the tongue portion.
Brief description of the drawings
Dimensional structure diagram when Fig. 1 is the U-shaped towing plate open configuration of the present invention.
Dimensional structure diagram when Fig. 1-1 is Fig. 1 closures.
Fig. 1-2 is Fig. 1 front view.
Fig. 1-3 is Fig. 1-2 side view.
Fig. 1-4 is Fig. 1-1 front view.
Fig. 1-5 is Fig. 1-2 A-A sectional views.
Fig. 1-6 is Fig. 1-4 B-B sectional views.
Dimensional structure diagram during the U-shaped towing plate open configuration of the hinge type of Fig. 2 present invention.
Structural representation when Fig. 2-1 is Fig. 2 closures.
Fig. 2-2 is the sectional view at Fig. 2 C-C.
Fig. 3 is the structural representation when closed-lock mechanism of the U-shaped towing plate of the present invention uses over-surplus fit structure.
Fig. 4 is the structural representation when closed-lock mechanism of the U-shaped towing plate of the present invention uses riveted structure.
Fig. 5 is the structural representation when closed-lock mechanism of the U-shaped towing plate of the present invention uses helicitic texture.
Fig. 6 is the fundamental diagram of the U-shaped towing plate of the present invention.
In above-mentioned figure：
1 is the U-shaped towing plate for embedded type tongue pulling device of the present invention, and 101 be to be easy to fiber group on towing plateThe through hole of growth is knitted, 102 be the draught line fixed mechanism on towing plate, and 103 be the closed-lock mechanism on towing plate；103-0For the detent of embossed card fitting-type closed-lock mechanism, 103-1 is the convex of embossed card fitting-type closed-lock mechanismRank, 103-2 are the positioning hole of interference fit type closed-lock mechanism, and 103-3 is the positioning of interference fit type closed-lock mechanismBlock, 103-4 are the through hole in the middle part of the left arm and right arm of riveted closed-lock mechanism, and 103-5 is riveted closed-lock mechanismShop bolt or rivet, 103-6 be threaded connection type closed-lock mechanism left arm and right arm in the middle part of screwed hole, 103-7For the positioning screw of threaded connection type closed-lock mechanism.
11 be the left arm of U-shaped towing plate, and 12 be the right arm of U-shaped towing plate, and 13 be bindiny mechanism；131 be that hinge type connectsMechanism, 131-0 are the through hole of hinge type bindiny mechanism, and 131-1 is the pin of hinge type bindiny mechanism.
Gaps of the L between left arm 11 and right arm 12.
Embodiment
Embodiment 1：The U-shaped towing plate made in one piece of the present invention
Referring to figs. 1 to Fig. 1-5, integrally manufacture the present invention's by process for machining using medical titanium in the present embodimentU-shaped towing plate for embedded type tongue pulling device.
In the present embodiment, the U-shaped towing plate 1 for embedded type tongue pulling device can be implanted under tongue body mucous layerFlat implant, thereon containing being easy to through hole 101, the draught line fixed mechanism 102 of fibrous tissue growth.
The U-shaped towing plate 1 takes the shape of the letter U or C-shaped configuration.The U-shaped towing plate 1 contains left arm 11, right arm 12 and bindiny mechanism13.The left arm 11 is connected with right arm 12 proximally by bindiny mechanism 13, the distal end of the left arm 11 and the right arm 12Separation, the U-shaped opened in distal end or C-shaped.The distal end of the left arm 11 and right arm 12 is the taper for having guide function.
In addition, the U-shaped towing plate 1 also mechanism containing closed-lock 103.In the present embodiment, the closed-lock mechanism 103It is embossed card fit structure, the 103-0 containing detent of closed-lock mechanism 103 and positioning convex rank 103-1.Close the UDuring type towing plate 1, the positioning convex rank 103-1 is embedded in the detent 103-0, forms the closed-lock mechanism103, the left arm 11 of the U-shaped towing plate is connected with the middle part of right arm 12, is fixed together.The positioning convex rank 103-1 andThe detent 103-0 is to have the taper for puncturing function or wedge shape.
When the U-shaped towing plate 1 is implanted into, the 12 open-shaped state of left arm 11 and right arm；After implantation, by closing pincersClamping action so that the bindiny mechanism 13 is plastically deformed, and the positioning convex rank 103-1 is embedded in the detentIn 103-0, the middle part of the left arm 11 of the U-shaped towing plate and right arm 12 is connected by the bindiny mechanism 13 of embossed card fit structureConnect, be fixed together, realize the left arm 11 of the U-shaped towing plate and the closure of right arm 12.The U-shaped towing plate after closureGap L between left arm 11 and right arm 12 is less than 5mm.
During Clinical practice, before implantation, the effect of the left arm 11 and right arm 12 of the U-shaped towing plate of the present invention in bindiny mechanism 13Lower holding open configuration, in front of back profile nipple mucous membrane is cut with aciculiform electric knife in back portion, along mucous membrane under separation to tongueRoot so that the left arm 11 and right arm 12 of the U-shaped towing plate are inserted along septum of tongue manadesma both sides, and the towing plate 1 is implanted inIn muscle layer under human body back position and/or root of the tongue position mucous layer.After implantation, then with external force by the closed-lock mechanism103 closures, locking so that the bindiny mechanism 13 of the U-shaped towing plate is plastically deformed, the positioning convex rank 103-1 and instituteDetent 103-0 is stated after septum of tongue manadesma is pierced through, the positioning convex rank 103-1 is embedded in the detent 103-0；The left arm 11 of the U-shaped towing plate is connected with the middle part of right arm 12 by the bindiny mechanism 13 of embossed card fit structure, be fixedTogether, the left arm 11 of the U-shaped towing plate and the closure of right arm 12 are realized.Described in the positioning convex rank 103-1 is caught inIn detent 103-0, the left arm 11 and right arm 12 of the U-shaped towing plate 1 pierce through tough and tensile septum of tongue manadesma in middle partConnection is formed afterwards；The left arm 11 of U-shaped towing plate 1 and right arm 12 not only form an entirety, and have tough and tensile septum of tongue muscleFilm positions；Therefore in tongue traction process, the U-shaped towing plate 1 is overall stress, will not be due to the left arm 11 and right arm 12Stress is inconsistent and causes the displacement of the left arm 11 of the U-shaped towing plate and right arm 12, and tongue root tissue can be better achievedOverall drawing, with reference to figure 6
In the present embodiment, it is illustrated that the closed-lock mechanism 103 of embossed card fit structure.In addition, the closureLocking mechanism 103 can also realize the U-shaped towing plate 1 by other modes such as interference fit, riveting and threaded connectionsLeft arm 11 and right arm 12 closure, without departing from protection scope of the present invention.
With reference to figure 3, in this embodiment, the closed-lock mechanism 103 employs over-surplus fit structure, the closure lockDetermine mechanism 103-2 containing positioning hole and locating piece 103-3, the locating piece 103-3 is embedded in the positioning hole 103-2, is formedOver-surplus fit structure, reach the purpose being locked.
With reference to figure 4, in this embodiment, the closed-lock mechanism 103 employs riveted structure, in the U-shaped tractionThe left arm 11 of plate 1 and the middle part of right arm 12 are provided with through hole 103-4, after the closure of the left arm 11 and right arm 12, shop boltOr after rivet 103-5 passes through the through hole 103-4 at the middle part of the left arm 11 and right arm 12, the left arm 11 and right arm 12 are lockedIt is fixed.
With reference to figure 5, in this embodiment, the closed-lock mechanism 103 employs screw connection structure, described U-shapedThe left arm 11 of towing plate 1 and the middle part of right arm 12 are provided with screwed hole 103-6, fixed after the closure of the left arm 11 and right arm 12After position screw 103-7 passes through the screwed hole 103-6 at middle part of the left arm 11 and right arm 12, the left arm 11 and right arm 12 are lockedFasten.
Embodiment 2：The U-shaped towing plate of hinge type of the present invention
Referring to figs. 2 to Fig. 2-2, this difference of example from embodiment 1 is：The bindiny mechanism of the U-shaped towing plate 113 be hinge mechanism 131.The 131-0 containing through hole of hinge mechanism 131 and pin 131-1；The left arm 11 and the right sideThrough hole 131-0, the pin 131-1 are equipped with the near-end of arm 12 and sequentially passes through the through hole on the left arm 11 and right arm 12After 131-0, the left arm 11 is movably coupled with the near-end of the right arm 12 together with, the left arm 11 and the right arm12 can carry out opening movement or closing motion around the pin 131-1.
When the advantages of hinge type U-shaped towing plate is to close the left arm 11 and the right arm 12, needed for closure pincersClosing force it is smaller, clinical manipulation is more convenient.
It should be noted that structure disclosed and illustrated herein can be replaced with other effect identical structures, while this hairBright introduced embodiment is not to realize the exclusive architecture of the present invention.Although the preferred embodiments of the present invention give hereinIntroduce and illustrate, but those skilled in the art are aware that and know that these embodiments are only to illustrate and oneself, this areaInterior technical staff can make countless changes, improvement and replacement, therefore, should be according to the present invention without departing from the present inventionWhat the spirit and scope of appended claims were come defines protection scope of the present invention.