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WO2018117873A1 - Device for diagnostic aid and treatment of bruxism and snoring - Google Patents

Device for diagnostic aid and treatment of bruxism and snoring
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Publication number
WO2018117873A1
WO2018117873A1PCT/PE2017/000025PE2017000025WWO2018117873A1WO 2018117873 A1WO2018117873 A1WO 2018117873A1PE 2017000025 WPE2017000025 WPE 2017000025WWO 2018117873 A1WO2018117873 A1WO 2018117873A1
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bruxism
snoring
treatment
diagnosis
intrabuccal
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Spanish (es)
French (fr)
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Enrique Eduardo Plaza Villanueva
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Abstract

The present invention relates to a device for the diagnostic aid and treatment of bruxism and snoring, which is characterised in that it comprises an intrabuccal device and an extrabuccal collar. The intrabuccal device has: an upper thermoplastic cover and at least one anchoring button; a lower thermoplastic cover with at least one anchoring button; and at least one elastic band that joins a pair of anchoring buttons of the upper and lower thermoplastic covers. The extrabuccal collar has: an electronic circuit that in turn comprises at least one battery, a sound sensor, a contact sensor, an antenna and a microphone, which circuit forms two main modules, one for acquiring signals and one for transmitting data, information concerning the diagnosis of bruxism, and sends information to a smart mobile device or computer. The advantages of the invention are that the device for treatment and diagnostic aid is not invasive and uncomfortable for the user during sleep, does not have intrabuccal batteries that could explode and cause health problems, has detailed information concerning the diagnosis of vertical or horizontal bruxism and monitoring during the entire night, as well as information concerning snoring, which can lead to a diagnosis of hypoapnoea and apnoea and can be interpreted by any non-medical user.

Description

Translated fromSpanish

DISPOSITIVO PARA AYUDA DIAGNÓSTICA Y TRATAMIENTO DEL BRUXISMO Y DEVICE FOR DIAGNOSTIC AID AND TREATMENT OF BRUXISM AND

RONQUIDO SNORE

CAMPO TÉCNICO La presente invención tiene aplicación en el campo técnico de la medicina y odontología.TECHNICAL FIELD The present invention has application in the technical field of medicine and dentistry.

ESTADO DE LA TÉCNICA (O ANTECEDENTES DE LA INVENCIÓN)STATE OF THE TECHNIQUE (OR BACKGROUND OF THE INVENTION)

En la actualidad existen patentes como US 20 40350354Α1 , que da a conocer un monitor de aparato bucal que comprende un cobertor de dientes del maxilar superior e inferior, un módulo conectado de forma liberable al dispositivo bucal. Incluye al menos un sensor, preferiblemente se pueden utilizar sensores acústicos, micrófonos, transductores de presión, acelerómetros de película delgada para grabar los ronquidos, molienda de dientes o respiración. Las mediciones de estos sensores se pueden usar para calcular parámetros tales como frecuencia respiratoria, intervalos entre respiración y la duración del aparato bucal en la boca; además se pueden incluir una fuente de energía tal como una batería, un trasmisor inalámbrico para trasmitir dichos datos a un dispositivo de computación secundario.At present there are patents such as US 20 40350354Α1, which discloses an oral device monitor comprising a cover of teeth of the upper and lower jaw, a module releasably connected to the oral device. It includes at least one sensor, preferably acoustic sensors, microphones, pressure transducers, thin film accelerometers can be used to record snoring, grinding teeth or breathing. The measurements of these sensors can be used to calculate parameters such as respiratory rate, intervals between breathing and the duration of the mouthpiece in the mouth; In addition, a power source such as a battery, a wireless transmitter can be included to transmit said data to a secondary computing device.

Otra patente WO2009013371 A1 da a conocer un dispositivo intraoral para el tratamiento del bruxismo y otras enfermedades respiratorias. Registra y procesa información relacionada a los patrones de bruxismo a través de un circuito electrónico y traslada esta información a un aplicativo móvil, el cual procesa la información y procede a activar sobre el paciente. Se utiliza principalmente para el bruxismo. Lo registrado por los sensores se confronta con parámetros predeterminados para identificar el origen bruxista de la señal e iniciar la actuación aconsejable. Sin embargo, los dispositivos de las patentes anteriormente mencionadas presentan:Another patent WO2009013371 A1 discloses an intraoral device for the treatment of bruxism and other respiratory diseases. Registers and processes information related to bruxism patterns through an electronic circuit and transfers this information to a mobile application, which processes the information and proceeds to activate on the patient. It is mainly used for bruxism. The recorded by the sensors is confronted with predetermined parameters to identify the bruxist origin of the signal and initiate the advisable action. However, the devices of the aforementioned patents have:

1. Elementos invasivos e incómodos al usar durante el sueño, como accesorios que a la hora de tener movimientos durante el sueño puedan ser molestosos y desagradables, como tornillos ajustables para unir los cobertores superior e inferior, elementos que monitorean la respiración y electrodos.1. Invasive and uncomfortable elements when using during sleep, as accessories that when having movements during sleep can be annoying and unpleasant, such as adjustable screws to join the upper and lower covers, elements that monitor breathing and electrodes.

i 2. baterías intrabucales de iones litio podrían explosionar y causar problemas para la salud como reacciones alérgicas, quemaduras, problemas gastrointestinales, pulmonares hasta cáncer.i 2. Intra-oral lithium-ion batteries could explode and cause health problems such as allergic reactions, burns, gastrointestinal problems, lungs to cancer.

3. No se menciona una información detallada del diagnóstico de bruxismo vertical u horizontal y de seguimiento durante toda la noche, así como el ronquido que nos lleve a un diagnóstico de hipoapnea y apnea.3. There is no detailed information on the diagnosis of vertical or horizontal bruxism and monitoring throughout the night, as well as snoring that leads to a diagnosis of hypoapnea and apnea.

4. No se ha encontrado dispositivos integrados para el diagnóstico detallado y resumido que lo pueda interpretar cualquier usuario no médico; y el tratamiento para el bruxismo y ronquido de una manera no invasiva y práctica.4. No integrated devices were found for detailed and summarized diagnosis that can be interpreted by any non-medical user; and treatment for bruxism and snoring in a non-invasive and practical way.

DESCRIPCIÓN DE LA INVENCIÓNDESCRIPTION OF THE INVENTION

Como solución a los problemas antes mencionados, se desarrolló el presente invento que resuelve la posible realización de una ayuda diagnóstica eficiente y detallada a través de los sonidos del ronquido y bruxismo durante toda la noche, resultando una información que la pueda obtener el usuario a través de un teléfono inteligente o computadora.As a solution to the aforementioned problems, the present invention was developed that solves the possible realization of an efficient and detailed diagnostic aid through the sounds of snoring and bruxism throughout the night, resulting in information that can be obtained by the user through of a smartphone or computer.

Pare el tratamiento del bruxismo y roncopatía, los componentes del dispositivo se utilizarán de manera independiente o integrada:Stop the treatment of bruxism and snoring, the device components will be used independently or integrated:

1 Cobertor termoplástico superior moldeable a los dientes superiores que tendrán unas eminencias caninas que lograrán que el paciente durante el sueño, al rechinar o bruxar los dientes, estos se deslicen y hagan contacto con tales eminencias y logren relajar los músculos de la cara. En el cobertor superior presentará opcionalmente al menos un sensor de contacto que actuará y activará al menos una luz diodo para diferenciar cuando el bruxismo es vertical o el bruxismo es horizontal. 2 Cobertor termoplástico inferior moldeable a los dientes inferiores que se usará solamente para el tratamiento del ronquido; este cobertor presenta opcionalmente un sensor e contacto conectado a una luz diodo, para diferenciar el bruxismo vertical y/u horizontal.1 Upper thermoplastic cover moldable to the upper teeth that will have canine eminences that will make the patient during sleep, when grinding or bruxing the teeth, they slide and make contact with such eminences and relax the muscles of the face. In the top cover, it will optionally present at least one contact sensor that will act and activate at least one diode light to differentiate when bruxism is vertical or bruxism is horizontal. 2 Lower thermoplastic cover moldable to the lower teeth to be used only for the treatment of snoring; This cover optionally presents a sensor and contact connected to a diode light, to differentiate vertical and / or horizontal bruxism.

3 Accesorios de unión de los cobertores superior e inferior permitirá a través de unos botones de anclaje y ligas, lograr el desplazamiento de la mandíbula hacia adelante para disminuir o eliminar vibraciones de estructuras del paladar blando que causan el ronquido. Las ligas a diferencia de los tornaos y accesorios actuales permitirán que los cobertores no estén unidos todo el sueño sino que permitirá el desplazamiento y unión no rígida con la posibilidad de poder respirar y no tener molestias durante el sueño; cada cobertor termoplástico superior e inferior presenta al menos un botón de anclaje.3 Accessories for joining the upper and lower covers will allow the jaw to move forward to reduce or eliminate vibrations of soft palate structures that cause snoring. The leagues unlike the tornaos and current accessories will allow the blankets are not attached all the dream but will allow displacement and non-rigid union with the possibility of breathing and not having discomfort during sleep; Each upper and lower thermoplastic cover has at least one anchor button.

La acción de los cobertores superiores e inferiores son solamente mecánicas sin uso de estímulos eléctricos lo que hace un tratamiento no invasivo y molestoso.The action of the upper and lower covers are only mechanical without the use of electrical stimuli which makes a non-invasive and annoying treatment.

Además, la presente invención comprende un collar extra bucal el cual comprende un circuito electrónico, este circuito electrónico presente al menos un micrófono, al menos un sensor de contacto, al menos un sensor de sonido, y al menos una bateríaIn addition, the present invention comprises an extra buccal collar which comprises an electronic circuit, this electronic circuit has at least one microphone, at least one contact sensor, at least one sound sensor, and at least one battery

BREVE DESCRIPCIÓN DE LAS FIGURASBRIEF DESCRIPTION OF THE FIGURES

Figura 1: Muestra una vista en perspectiva esquemática en la que se puede observar dos cobertores termoplásticos, superior e inferior, al menos dos botones de anclaje, ligas de unión, sensores de contacto, y luz diodo, insertados en el cobertor superior.Figure 1: It shows a schematic perspective view in which you can see two thermoplastic covers, upper and lower, at least two anchor buttons, connection links, contact sensors, and diode light, inserted in the top cover.

Figura 2: Muestra una vista frontal en la que se puede observar un collar extra bucal, que comprende un circuito electrónico que a su vez presenta al menos un sensores de contacto, sensor de luz, batería y antena.Figure 2: It shows a front view in which an extra buccal collar can be seen, which comprises an electronic circuit that in turn has at least one contact sensors, light sensor, battery and antenna.

MODALIDAD PREFERENTEPREFERRED MODE

Como se puede observar en la figura 1 , se observa un cobertor termoplástico (1) en el cual está insertado al menos un sensor de contacto que sirve para recibir señales de bruxismo , al menos una luz diodo (3), un cobertor inferior (2), dos botones de anclaje y una liga (4).As can be seen in figure 1, a thermoplastic cover (1) is observed in which at least one contact sensor is inserted that serves to receive bruxism signals, at least one diode light (3), a lower cover (2). ), two anchor buttons and a league (4).

En la figura 2 se observa un collar extra bucal (6) que tiene incluido al menos un circuito electrónico el cual presenta al menos una batería, al menos un sensor de contacto, al menos un sensor de sonido, al menos un micrófono y al menos una antena, que sirve para recibir señales acústicas (7)Figure 2 shows an extra buccal collar (6) that includes at least one electronic circuit which has at least one battery, at least one contact sensor, at least one sound sensor, at least one microphone and at least an antenna, which is used to receive acoustic signals (7)

Una primera modalidad preferente es la elaboración individual de un collar extra bucal (6) que tiene incluido un circuito electrónico (7) el cual comprende al menos un sensor de contacto, un sensor de sonido, al menos una batería, al menos un micrófono y al menos una antena lo que servirá para el análisis de los sonidos del bruxismo y ronquidos para ser almacenados en el mismo circuito electrónico (chip); los circuitos electrónicos conformarán dos módulos principales a) adquisición de señales, y b) transmisión de datos.A first preferred embodiment is the individual development of an extra buccal collar (6) which includes an electronic circuit (7) which comprises at least one contact sensor, a sound sensor, at least one battery, at least one microphone and at least one antenna which will be used to analyze the sounds of bruxism and snoring to be stored in the same electronic circuit (chip); electronic circuits they will form two main modules a) signal acquisition, and b) data transmission.

El módulo de adquisición de señales incorpora el sensado de la señal del ronquido y bruxismo, para que pueda ser procesada aplicando algoritmos de procesamiento digital de señales. Su elaboración considera las especificaciones de potencia, tamaño, disipación de calor, y las características requeridas para a señal del ronquido y bruxismo antes de ser procesada de acuerdo a las especificaciones médicas, verificando que los niveles de ruido e interferencia de las señales del micrófono sean las permitidas, así como la correcta selección de las señales de interés y la eliminación de otras señales acústicas.The signal acquisition module incorporates snoring and bruxism signal sensing, so that it can be processed by applying digital signal processing algorithms. Its elaboration considers the specifications of power, size, heat dissipation, and the characteristics required for a snoring signal and bruxism before being processed according to medical specifications, verifying that the noise and interference levels of the microphone signals are those allowed, as well as the correct selection of the signals of interest and the elimination of other acoustic signals.

El módulo de transmisión de datos es la responsable de transmitir la señal acondicionada del ronquido y bruxismo al dispositivo móvil donde será procesada y analizada. Este módulo considera las restricciones de consumo de potencia, la disipación de calor, duración de la batería, integridad de la señal en la transmisión, y el soporte mecánico del circuito electrónico extra bucal. El circuito de transmisión de datos, transmitirá la señal acondicionada del ronquido al dispositivo móvil inteligente, donde procesará y analizará la información de esta señal.The data transmission module is responsible for transmitting the conditioned snoring and bruxism signal to the mobile device where it will be processed and analyzed. This module considers the restrictions of power consumption, heat dissipation, battery life, signal integrity in transmission, and mechanical support of the extra-buccal electronic circuit. The data transmission circuit will transmit the conditioned snoring signal to the intelligent mobile device, where it will process and analyze the information of this signal.

Además la presente invención comprende los siguientes módulos:In addition, the present invention comprises the following modules:

* Módulo de Acondicionamiento, el cual decodificará la señal, eliminará las señales que no son de interés, filtrará y amplificará la señal, y guardará los datos muestreados en la memoria para su posterior procesamiento.* Conditioning Module, which will decode the signal, eliminate signals that are not of interest, filter and amplify the signal, and save the sampled data in memory for further processing.

* Módulo de Procesamiento digital de Señales, el cual eliminará el ruido y los ecos de la señal del ronquido, bruxismo con aplicación de algoritmos matemáticos para extraer la información requerida para el diagnóstico.* Módulo Interfaz de usuario, que facilitará la interacción del usuario final con el sistema y la presentación gráfica e intuitiva del diagnóstico para un usuario no especializado en temas médicos que accederá a la información extraída.* Digital Signal Processing Module, which will eliminate noise and echoes from the snoring signal, bruxism with the application of mathematical algorithms to extract the information required for diagnosis.* User Interface Module, which will facilitate the interaction of the end user with the system and the graphic and intuitive presentation of the diagnosis for a user not specialized in medical issues who will access the extracted information.

Para el módulo de acondicionamiento se decodificará la señal recibida desde el circuito electrónico, y la forma en la que se guardaran los datos. Para el módulo de procesamiento de señales se usará el método de filtrado el cual eliminará el ruido y reducirá los ecos de la señal del ronquido, las características que se extraerán de la señal del ronquido (Ej. Espectro de Potencia, Medidas de Potencia y Amplitud), y los algoritmos para lograr esta extracción de la informaciónFor the conditioning module the signal received from the electronic circuit will be decoded, and the way in which the data will be saved. For the signal processing module the filtering method will be used which will eliminate the noise and reduce the echoes of the snoring signal, the characteristics that are will extract from the snoring signal (eg, Power Spectrum, Power and Amplitude Measures), and the algorithms to achieve this information extraction

Finalmente, para el módulo de interfaz de usuario, se tiene la ergonomía, el aspecto visual, la forma de presentar la información (Número de gráficos en pantalla, funciones de botones, menús entre otros), los colores apropiados, la distribución del espacio de pantalla, las facilidades que tendrá el usuario para personalizar su interfaz entre otros.Finally, for the user interface module, you have the ergonomics, the visual aspect, the way of presenting the information (Number of graphics on the screen, functions of buttons, menus among others), the appropriate colors, the distribution of the space of screen, the facilities that the user will have to customize its interface among others.

Una segunda modalidad preferente es la elaboración de accesorios (4,5) que comprende dos botones de anclaje, incrustados preferentemente en la zona anterior de los cobertores superior e inferior que con la acción de ligas harán la función de avance mandibular para el tratamiento del ronquidoA second preferred embodiment is the elaboration of accessories (4,5) comprising two anchor buttons, preferably embedded in the anterior zone of the upper and lower covers that with the action of links will perform the function of mandibular advancement for the treatment of snoring

Como tercera modalidad preferente es la inserción en el cobertor superior de eminencia a base de un polímero termoplástico en la zona de los caninos para hacer la desoclusión y permitir la relajación mandibular en los casos de bruxismo.As a third preferred embodiment is the insertion in the upper cover of eminence based on a thermoplastic polymer in the area of the canines to make deocclusion and allow mandibular relaxation in cases of bruxism.

Claims

Translated fromSpanish
REIVINDICACIONES1. Dispositivo para la ayuda diagnóstica, tratamiento del bruxismo y ronquido, caracterizado porque comprende un dispositivo intrabucal y collar extra bucal; el dispositivo intrabucal comprende un cobertor termoplástico superior con dos eminencias termoplásticas en la zona de los caninos (1 ), y al menos un botón de anclaje(4); un cobertor termoplástico inferior (2) con al menos un botón de anclaje (4), al menos una liga (5) que une al menos un par de botones de anclaje de los cobertores termoplásticos superiores e inferiores; un dispositivo móvil inteligente u ordenador, capaz de almacenar y dar información de ayuda diagnóstica del bruxismo y ronquido; el collar extra bucal (6) que presenta un circuito electrónico, el cual a su vez comprende al menos una batería, al menos un sensor de sonido al menos un sensor de contacto, al menos una antena, al menos un micrófono (7), que enviará información sobre el diagnóstico del bruxismo y ronquido a un dispositivo móvil inteligente u ordenador.1. Device for diagnostic support, treatment of bruxism and snoring, characterized in that it comprises an intrabuccal device and extra buccal collar; the intrabuccal device comprises an upper thermoplastic cover with two thermoplastic eminences in the area of the canines (1), and at least one anchor button (4); a lower thermoplastic cover (2) with at least one anchor button (4), at least one link (5) that joins at least one pair of anchor buttons of the upper and lower thermoplastic covers; an intelligent mobile device or computer, capable of storing and giving information of diagnostic help of bruxism and snoring; the extra buccal collar (6) that has an electronic circuit, which in turn comprises at least one battery, at least one sound sensor at least one contact sensor, at least one antenna, at least one microphone (7), which will send information about the diagnosis of bruxism and snoring to a smart mobile device or computer.2. Dispositivo para la ayuda diagnóstica y tratamiento del bruxismo y ronquido, según la reivindicación 1 caracterizado porque el cobertor termoplástico superior (1), presenta al menos un sensor de contacto, y al menos una luz diodo (3), para el diagnóstico diferencial del bruxismo vertical y/u horizontal.2. Device for diagnostic support and treatment of bruxism and snoring, according to claim 1 characterized in that the upper thermoplastic cover (1), has at least one contact sensor, and at least one diode light (3), for differential diagnosis of vertical and / or horizontal bruxism.3. Dispositivo para la ayuda diagnóstica y tratamiento del bruxismo y ronquido, según la reivindicación 1 caracterizado porque el cobertor termoplástico inferior (2), presenta al menos un sensor de contacto conectado al menos a una luz diodo.3. Device for diagnostic support and treatment of bruxism and snoring, according to claim 1, characterized in that the lower thermoplastic cover (2) has at least one contact sensor connected to at least one diode light.
PCT/PE2017/0000252016-12-212017-11-06Device for diagnostic aid and treatment of bruxism and snoringCeasedWO2018117873A1 (en)

Applications Claiming Priority (2)

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PE002759-2016/DIN2016-12-21
PE00275920162016-12-21

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WO2018117873A1true WO2018117873A1 (en)2018-06-28

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
WO2019186122A1 (en)*2018-03-292019-10-03Aria Healthcare LimitedTitration of mandibular advancement device

Citations (5)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
US4715367A (en)*1986-09-151987-12-29Crossley Robert BMultifunctional behavioral modification device for snoring, bruxism, and apnea
US6544199B1 (en)*1997-05-152003-04-08Donald E. MorrisSystems and methods for modifying behavioral disorders
WO2011100355A1 (en)*2010-02-092011-08-18Boyd James PMultipurpose therapeutic mouthpiece assembly
US20160095740A1 (en)*2014-10-012016-04-07Aris MardirossianMethods and devices for monitoring bruxism and/or sleep apnea and alleviating associated conditions
US20160324681A1 (en)*2015-05-082016-11-10Craig FlanaganAutomated, snore activated electro-mechanical mandibular advancement device

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
US4715367A (en)*1986-09-151987-12-29Crossley Robert BMultifunctional behavioral modification device for snoring, bruxism, and apnea
US6544199B1 (en)*1997-05-152003-04-08Donald E. MorrisSystems and methods for modifying behavioral disorders
WO2011100355A1 (en)*2010-02-092011-08-18Boyd James PMultipurpose therapeutic mouthpiece assembly
US20160095740A1 (en)*2014-10-012016-04-07Aris MardirossianMethods and devices for monitoring bruxism and/or sleep apnea and alleviating associated conditions
US20160324681A1 (en)*2015-05-082016-11-10Craig FlanaganAutomated, snore activated electro-mechanical mandibular advancement device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
WO2019186122A1 (en)*2018-03-292019-10-03Aria Healthcare LimitedTitration of mandibular advancement device

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