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JP5268181B2 - Sleep apnea syndrome prevention device and measure pillow - Google Patents

Sleep apnea syndrome prevention device and measure pillow Download PDF

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JP5268181B2
JP5268181B2 JP2010149819A JP2010149819A JP5268181B2 JP 5268181 B2 JP5268181 B2 JP 5268181B2 JP 2010149819 A JP2010149819 A JP 2010149819A JP 2010149819 A JP2010149819 A JP 2010149819A JP 5268181 B2 JP5268181 B2 JP 5268181B2
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mandible
pad
sleep apnea
pillow
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JP2012010920A (en
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英雅 山本
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英雅 山本
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a sleep apnea syndrome countermeasure kit, etc. hardly removable unconsciously while a large therapeutic effect can be expected. <P>SOLUTION: A pad 3 abutting on the right and left rear edge 7 of a mandible bone 5 is stuck to the skin with a tape 15. A pressing protrusion 9 formed at the rear end of the pad 3 abuts on a pillow 13 to cause pressure to the mandible bone 5 toward the front of the face. Drooping of a tongue and the soft palate into the respiratory tract, which is the cause of a sleep apnea syndrome, occurs from the front to the rear of the face in a state of lying face up. There is therefore no deviation in a pressing direction that prevents drooping. The large therapeutic effect can thereby be expected. The kit can be put on from the rear of the face without being put on from the front of the face and is hardly removed unconsciously by a patient during sleep. <P>COPYRIGHT: (C)2012,JPO&amp;INPIT

Description

この発明は、睡眠時無呼吸症候群を改善するための対策装具の構造に関する。   The present invention relates to a structure of a countermeasure device for improving sleep apnea syndrome.

睡眠時無呼吸症候群は、睡眠時に一時的に無呼吸となる一群の症候をいい、略言すればひどいいびきの症状である。直接的な原因は、睡眠中の筋弛緩によって、舌根部や軟口蓋が気道内へたれ下がり、気道を閉塞することといわれている。
治療法としては、睡眠中に機械により加圧された空気を気道へ送る方法がある。すなわち、持続陽圧呼吸療法といい、機械からチューブを経てマスクより鼻へ加圧された空気を送り、その空気の力で、舌根の周囲の軟部組織などを押し広げ、気道閉塞を防ぐものである。この方法は、睡眠中に機械を装着しなければならず、安眠を得られにくい。
Sleep apnea syndrome refers to a group of symptoms that are temporarily apnea during sleep, or in short, severe snoring. The direct cause is said to be that the base of the tongue or soft palate falls into the airway due to muscle relaxation during sleep and obstructs the airway.
As a treatment method, there is a method of sending air pressurized by a machine during sleep to an airway. In other words, it is called continuous positive pressure breathing therapy, which sends pressurized air from the machine through the tube to the nose and spreads the soft tissue around the tongue base with the force of the air to prevent airway obstruction. is there. This method requires a machine to be worn during sleep, and makes it difficult to obtain a good night's sleep.

他の治療方法として、外科的治療がある。すなわち、口蓋垂軟口蓋咽頭形成術といい、口蓋垂、口蓋扁桃、軟口蓋の一部を切除し、気道を広げるものである。この方法は、手術という身体への重大な侵襲的方法をとる割には、症状治癒の成功率が低いといわれている。   Another treatment method is surgical treatment. In other words, it is called uvula soft palatopharyngoplasty, which removes part of the uvula, tonsils, soft palate, and widens the airway. This method is said to have a low success rate of symptom healing compared to a serious invasive method called surgery.

上記2つの治療方法の他に、より簡易な方法として、睡眠中に頭部に装具を装着して、いびきを改善する方法がある。例えば、下記特許文献1、特許文献2、または特許文献3には、下顎の下に装具を装着し下顎が下ることを抑止することにより、いびき発生を防止する技術が開示される。また、下記特許文献4には、頭部から下顎に設けられたベルトにより、下顎が下ることを抑止し、いびき発生を防止する技術が開示される。   In addition to the above two treatment methods, there is a simpler method of improving snoring by wearing a brace on the head during sleep. For example, Patent Literature 1, Patent Literature 2, or Patent Literature 3 below discloses a technique for preventing snoring by mounting a brace under the lower jaw and preventing the lower jaw from descending. Patent Document 4 below discloses a technique for preventing snoring by preventing the lower jaw from being lowered by a belt provided on the lower jaw from the head.

実登3106876Actual climb 3106876 米国特許06668834US Pat. No. 6,668,834 米国公開特許2006-266369US Published Patent 2006-266369 実登3122810Noto 3122810

しかしながら、発明者である医師の研究によると、上記特許文献1〜4に開示される頭部に装具を装着する方法は、経験的に、それほど大きな治療効果を期待できない。
理由としては以下のことが考えられる。すなわち、睡眠時無呼吸症候群の原因となる舌根部や軟口蓋が気道内へのたれ下がりは、一般的に仰向けに寝た状態で生じ、よって、方向としては顔前から顔後へたれ下がる。これに対して、上記特許文献1〜4の方法は、下顎をいわば顔下から顔上へ持上げるものである。つまり、方向として90度ずれている。 さらに、上記特許文献1〜4に開示される装具は、顔前より装着するものであり、装着感が強く、患者は寝ている間に無意識に装具を外してしまうことが多い。
However, according to the research of the doctor who is an inventor, the method of mounting the brace on the head disclosed in Patent Documents 1 to 4 cannot be expected to have a great therapeutic effect empirically.
The reason is considered as follows. That is, the tongue base and the soft palate, which cause sleep apnea syndrome, generally fall down in the airway, and therefore, the direction falls from the front of the face to the back of the face. On the other hand, the methods disclosed in Patent Documents 1 to 4 lift the lower jaw from the lower face to the upper face. That is, the direction is shifted by 90 degrees. Furthermore, the appliances disclosed in Patent Documents 1 to 4 are worn from the front, have a strong wearing feeling, and patients often unconsciously remove the appliance while sleeping.

この発明は、以上の問題点を解決するために、より大きな治療効果を期待でき、無意識に外すことの少ない睡眠時無呼吸症候群対策装具および対策枕を提供することを目的とする。   In order to solve the above problems, an object of the present invention is to provide a sleep apnea syndrome countermeasure device and a countermeasure pillow that can be expected to have a greater therapeutic effect and are less likely to be unconsciously removed.

以上の課題を解決するために、第一発明は、下顎骨の左右後縁に接するパッドと、このパッドを皮膚に貼付けるためのテープと、このパッドの後端に形成され、枕に接して前記下顎骨に顔前方への押圧力を生じる押圧凸部と、からなることを特長とする睡眠時無呼吸症候群対策装具である。
第二発明は、下顎骨の左右後縁に接するパッドと、このパッドおよび前記下顎骨を顔前方へ押圧した状態で皮膚に貼付けるためのテープと、からなることを特長とする睡眠時無呼吸症候群対策装具である。
第三発明は、さらに、前記パッドは、下顎骨の左右後縁に接する左右2個のパッドであり、軟質樹脂で下顎骨の後縁の型取りをし形成したものであることを特長とする睡眠時無呼吸症候群対策装具である。
第四発明は、軟質樹脂で後頭部の型取りをし形成した凹部と、この凹部の左右に形成され下顎骨の左右後縁に接し前記下顎骨に顔前方への押圧力を生じる接触凸部と、からなることを特長とする睡眠時無呼吸症候群対策枕である。
In order to solve the above problems, the first invention is a pad that is in contact with the left and right rear edges of the mandible, a tape for attaching the pad to the skin, and formed at the rear end of the pad and in contact with the pillow. It is a sleep apnea syndrome countermeasure device characterized by comprising a pressing convex portion that generates a pressing force in front of the face on the mandible.
The second invention comprises a sleep apnea, characterized by comprising a pad in contact with the left and right rear edges of the mandible, and a tape for affixing the pad and the mandible to the skin while pressing the mandible forward Syndrome brace.
The third invention is further characterized in that the pads are two pads on the left and right sides in contact with the left and right rear edges of the mandible, and are formed by molding the rear edge of the mandible with a soft resin. It is a sleep apnea syndrome countermeasure device.
The fourth invention comprises a concave portion formed by molding the occipital region with a soft resin, and a contact convex portion that is formed on the left and right sides of the concave portion and touches the left and right rear edges of the mandible and generates a pressing force toward the front of the mandible. It is a sleep apnea syndrome countermeasure pillow characterized by consisting of.

第一、第二、第三、または第四発明によれば、下顎骨は顔前方へ押圧される。睡眠時無呼吸症候群の原因となる舌根部や軟口蓋が気道内へのたれ下がりは、仰向けに寝た状態で、顔前から顔後へ生じる。よって、たれ下がりを防止する方向にずれがない。従って、より大きな治療効果を期待できる。実際、発明者である医師の研究によると、上記特許文献1〜4に開示される装具に比べ、下顎骨は顔前方へ押圧する本発明による治療は、経験的に、大きな治療効果を期待できることが分かっている。   According to the first, second, third, or fourth invention, the mandible is pressed forward of the face. The tongue base and soft palate, which cause sleep apnea syndrome, sag into the respiratory tract from the front of the face to the back of the face while lying on its back. Therefore, there is no deviation in the direction of preventing sagging. Therefore, a greater therapeutic effect can be expected. In fact, according to the research of the doctor who is the inventor, the treatment according to the present invention in which the mandible is pressed to the front of the face is empirically expected to have a great therapeutic effect as compared with the devices disclosed in Patent Documents 1 to 4 above. I know.

また、顔前より装着せず、顔後から装着できる。あるいは、顔後からの押圧を受ける。このため、患者は寝ている間に無意識に装具などを外してしまうことが少ないと思われる。
さらに、第一発明によれば、下顎骨への押圧力が枕に接することで生じ、大きな押圧力が得られる。
さらに、第二発明によれば、下顎骨への押圧は、テープによって行なわれ、枕に関係ない。よって、寝返りをうっても、押圧が行なわれる。
さらに、第三発明によれば、パッドは下顎骨の後縁の型取りをし形成したものであり、下顎骨にフィットし、外れにくく、押圧力を正確に伝えられる。
さらに、第四発明によれば、第一、第二、または第三発明にくらべ、テープを必要としない。また、枕の凸部が、パッドを兼ねる。よって、装着感がきわめて小さい。
Also, it can be worn from the back rather than from the front. Alternatively, it receives pressure from the back of the face. For this reason, it is unlikely that the patient unconsciously removes the brace while sleeping.
Further, according to the first invention, the pressing force to the mandible is generated by contacting the pillow, and a large pressing force can be obtained.
Further, according to the second invention, the pressing to the mandible is performed by the tape and is not related to the pillow. Therefore, pressing is performed even if you roll over.
Further, according to the third invention, the pad is formed by shaping the trailing edge of the mandible, fits to the mandible, is difficult to come off, and accurately transmits the pressing force.
Furthermore, according to the fourth invention, no tape is required as compared with the first, second, or third invention. Moreover, the convex part of the pillow also serves as a pad. Therefore, the feeling of wearing is extremely small.

この発明の一実施形態にかかる睡眠時無呼吸症候群対策装具を装着した状態で、下顎骨との位置関係を示す図である。It is a figure which shows the positional relationship with a mandible in the state which mounted | wore with the sleep apnea syndrome countermeasure device concerning one Embodiment of this invention. 図1において睡眠時無呼吸症候群対策装具の装着を外した図である。It is the figure which removed wearing of the sleep apnea syndrome countermeasure device in FIG. 図1において睡眠時無呼吸症候群対策装具の装着のみを表した図である。It is the figure showing only wearing of the sleep apnea syndrome countermeasure device in FIG. 図3の睡眠時無呼吸症候群対策装具を装着して、仰向けで枕と共に使用している状態を示す図である。It is a figure which shows the state which mounts | wears with the sleep apnea syndrome countermeasure device of FIG. 3, and is using it with a pillow on the back. 図1の睡眠時無呼吸症候群対策装具を示す図である。It is a figure which shows the sleep apnea syndrome countermeasure device of FIG. 他の実施形態にかかる睡眠時無呼吸症候群対策枕を使用している状態を示す図である。It is a figure which shows the state which is using the sleep apnea syndrome countermeasure pillow concerning other embodiment.

図1から図5において、この発明の一実施形態にかかる睡眠時無呼吸症候群対策装具1を示す。
図1に示すように、この実施形態では、パッド3は下顎骨5の左右後縁7に、いわゆるエラの部分に、接するための左右2個が用いられる。軟質樹脂の一種である軟質ウレタンフォームを材料とし、下顎骨5の後縁の型取りをし、形成したものである。このパッド3の後端には、押圧凸部9が形成される。押圧凸部9は、患者が仰向けに使用した状態で、後部11が枕13(図5)に接する。こらにより、下顎骨5に顔前方への押圧力を生じる。
1 to 5 show a sleep apnea syndrome countermeasure device 1 according to one embodiment of the present invention.
As shown in FIG. 1, in this embodiment, two pads 3 are used on the left and right rear edges 7 of the mandible 5 to contact the so-called error portion. A flexible urethane foam, which is a kind of soft resin, is used as a material, and the rear edge of the mandible 5 is molded and formed. A pressing protrusion 9 is formed at the rear end of the pad 3. The pressing convex part 9 is in a state where the patient is used on his back, and the rear part 11 is in contact with the pillow 13 (FIG. 5). As a result, a pressing force in front of the face is generated on the mandible 5.

これら左右のパッド3は、医療用のテープ15で、皮膚に貼付けられる。このテープ15は、たとえば弾性があり、パッド3および下顎骨5を顔前方へ押圧した状態で皮膚への貼付けがおこなえる。
「実施形態の効果」
患者は、この実施形態にかかる睡眠時無呼吸症候群対策装具1(図5)を、そのパッド3が、下顎骨5の左右後縁7(図2)に接するように装着して(図1,図3)、仰向けで枕13と共に使用する(図4)。左右後縁7を押圧するためにパッド3が押圧する範囲には、一定の許容範囲14がある。
These left and right pads 3 are attached to the skin with a medical tape 15. This tape 15 is elastic, for example, and can be applied to the skin with the pad 3 and the mandible 5 pressed against the front of the face.
"Effect of the embodiment"
The patient wears the sleep apnea syndrome countermeasure device 1 (FIG. 5) according to this embodiment so that the pad 3 is in contact with the left and right rear edges 7 (FIG. 2) of the mandible 5 (FIG. 1). 3), used with the pillow 13 on its back (FIG. 4). There is a certain allowable range 14 in the range in which the pad 3 is pressed to press the left and right rear edges 7.

このような使用により、貼り付けをおこなうテープ15及び枕13から力により、下顎骨5は顔前方へ押圧される。既に解明されているように、睡眠時無呼吸症候群の原因となる舌根部や軟口蓋が気道内へのたれ下がりは、仰向けに寝た状態で、顔前から顔後へ生じる。よって、下顎骨5が顔前方へ押圧されることで、この下顎骨5に器質的に連動する舌根部や軟口蓋が、顔前から顔後へたれ下がりることを、効率よく防止できる。すなわち防止する方向にずれがない。換言すれば、特許文献1〜4のように、方向として90度ずれる等ということがない。
また、特許文献1〜4の技術は、中心咬合位へ、すなわち上下の歯が一番安定して噛み合っている位置へ、下顎を誘導するものであるが、この装具1は、下顎の位置を通常の位置よりもさらに前の方へ誘導させることができるものであり、このことは、舌根部や軟口蓋がたれ下がりることを、より積極的に防止できることを意味する。
これらのことから気道を十分に確保できる。よって、従来に比べより大きな治療効果を期待できる。
By such use, the mandible 5 is pressed to the front of the face by force from the tape 15 and the pillow 13 to be attached. As already elucidated, the tongue base and soft palate that cause sleep apnea syndrome fall into the respiratory tract from the front of the face to the back of the face while lying on the back. Therefore, by pressing the mandible 5 toward the front of the face, it is possible to efficiently prevent the tongue base portion and the soft palate that are organically linked to the mandible 5 from falling from the front of the face to the back of the face. That is, there is no deviation in the direction of prevention. In other words, as in Patent Documents 1 to 4, there is no such thing as being 90 degrees out of direction.
The techniques of Patent Documents 1 to 4 guide the lower jaw to the central occlusal position, that is, the position where the upper and lower teeth mesh most stably. It can be guided further forward than the normal position, which means that the tongue base and soft palate can be more actively prevented from falling down.
From these things, a sufficient airway can be secured. Therefore, a greater therapeutic effect can be expected compared to the conventional case.

実際、発明者である医師の研究によると、特許文献1〜4に開示される装具に比べ、この実施形態の装具による治療は、実験例は少ないものの大きな治療効果を得ている。このような実験や経験から、大きな治療効果を期待できる。
また、この実施形態の装具は、顔前より装着せず、顔後から、詳しくは頚部背面から装着する。また、枕13からは、顔後からの押圧を受ける。このため、特許文献1〜4の装具のように顔前より装着するものに比べ、装着感が小さく、よって、患者が寝ている間に無意識に装具などを外してしまうことが、少ないと思われる。
また、この実施形態の装具は、装着感が小さいことから、装着したまま、発語、飲食などが容易に行なわれる。
In fact, according to the research of the doctor who is the inventor, the treatment with the brace of this embodiment has a large therapeutic effect although there are few experimental examples as compared with the brace disclosed in Patent Documents 1 to 4. From such experiments and experiences, great therapeutic effects can be expected.
Moreover, the brace of this embodiment is not worn from the front, but is worn from the back of the face, specifically from the back of the neck. In addition, the pillow 13 receives a pressure from behind the face. For this reason, compared with what is worn from the front like the devices of Patent Documents 1 to 4, it is less likely to be worn, and thus it is unlikely that the device will unintentionally remove the device while sleeping. It is.
Moreover, since the orthosis of this embodiment has a small wearing feeling, speech, eating and drinking, etc. are easily performed while wearing.

さらに、この実施形態の装具によれば、下顎骨5への押圧力は、枕13に接することによっても生じ、大きな押圧力が得られる。
さらに、この実施形態の装具によれば、下顎骨5への押圧は、テープ15によっても行なわれ、パッド3が枕13に接触していないときにも、ある程度、得られる。よって、寝返りをうっても、押圧が行なわれる。
さらに、パッド3は下顎骨5の後縁の型取りをし形成したものであり、下顎骨5にフィットし、外れにくく、押圧力を正確に伝えられる。
Furthermore, according to the brace of this embodiment, the pressing force to the mandible 5 is also generated by contacting the pillow 13, and a large pressing force is obtained.
Furthermore, according to the brace of this embodiment, the pressing to the mandible 5 is performed by the tape 15 and can be obtained to some extent even when the pad 3 is not in contact with the pillow 13. Therefore, pressing is performed even if you roll over.
Further, the pad 3 is formed by shaping the rear edge of the mandible 5, fits the mandible 5, is not easily detached, and can accurately transmit the pressing force.

「他の実施形態」
以上の実施形態では、下顎骨5への押圧は、テープ15及び枕13から力により生じるものであったが、他の実施形態では、テープ15からのみの押圧、枕13からのみの押圧でも良い。
また、テープ15から押圧を高めるには、図1,3において、テープ15を顔面に貼り付ける方向を、下顎骨方向でなく上顎骨方向に、すなわちやや上向きにするとよい。
"Other embodiments"
In the above embodiment, the pressure on the mandible 5 is generated by force from the tape 15 and the pillow 13. However, in other embodiments, the pressure only from the tape 15 or the pressure only from the pillow 13 may be used. .
In order to increase the pressure from the tape 15, in FIGS. 1 and 3, the direction in which the tape 15 is applied to the face may be set to the maxilla direction, not the mandible direction, that is, slightly upward.

また、以上の実施形態では、パッド3は、左右2個設けられるものであったが、他の実施形態では、左右連続した一体的なパッド3を1個設けるものでも良い。
また、以上の実施形態では、パッド3は、軟質ウレタンフォームを材料とするものであったが、他の実施形態では、他の軟質樹脂を材料とするものでも良い。さらには、樹脂以外の材質でも、ある程度の柔らかさがあり、肌に接することに大きな違和感のないものであれば構わない。例えば、丸めた布や綿などでも構わない。
Further, in the above embodiment, two pads 3 are provided on the left and right, but in another embodiment, one integrated pad 3 that is continuous on the left and right may be provided.
In the above embodiment, the pad 3 is made of a soft urethane foam. However, in another embodiment, the pad 3 may be made of another soft resin. Furthermore, any material other than resin may be used as long as it has a certain degree of softness and does not cause great discomfort in contact with the skin. For example, a rolled cloth or cotton may be used.

以上の実施形態では、パッド3、テープ15、及び枕13を使用するものであったが、他の実施形態では、枕13のみを使用し、この枕13にパッド3の役割を備えさせることもできる。
例えば、図6に示すように、この睡眠時無呼吸症候群対策枕17は、軟質ウレタンフォームで後頭部の型取りをし形成した凹部19を有し、この凹部19の左右に接触凸部21が形成される。この接触凸部21が、下顎骨5の左右後縁7に接することで、下顎骨5に顔前方への押圧力を生じる。
In the above embodiment, the pad 3, the tape 15, and the pillow 13 are used. However, in other embodiments, only the pillow 13 is used, and the pillow 13 can be provided with the role of the pad 3. it can.
For example, as shown in FIG. 6, this sleep apnea syndrome countermeasure pillow 17 has a recess 19 formed by shaping the back of the head with soft urethane foam, and contact protrusions 21 are formed on the left and right of this recess 19. Is done. The contact convex portion 21 is in contact with the left and right rear edges 7 of the mandible 5, thereby causing the mandible 5 to be pressed forward in the face.

これにより、以上の実施形態に比べ、肌に貼付けるためのテープ15を必要としない。よって、装着感がきわめて小さい。   Thereby, compared with the above embodiment, the tape 15 for affixing on skin is not required. Therefore, the feeling of wearing is extremely small.

1…睡眠時無呼吸症候群対策装具、3…パッド、5…下顎骨、7…左右後縁、9…押圧凸部、11…後部、13…枕、15…テープ、17…睡眠時無呼吸症候群対策枕、19…凹部、21…接触凸部。   DESCRIPTION OF SYMBOLS 1 ... Sleep apnea syndrome countermeasure device, 3 ... Pad, 5 ... Mandible, 7 ... Left and right rear edge, 9 ... Pressing convex part, 11 ... Rear part, 13 ... Pillow, 15 ... Tape, 17 ... Sleep apnea syndrome Countermeasure pillow, 19 ... concave, 21 ... contact convex.

Claims (2)

下顎骨の左右後縁に接するパッドと、このパッドを皮膚に貼付けるためのテープと、このパッドの後端に形成され、枕に接して前記下顎骨に顔前方への押圧力を生じる押圧凸部と、からなることを特長とする睡眠時無呼吸症候群対策装具。    A pad in contact with the left and right rear edges of the mandible, a tape for affixing the pad to the skin, and a pressing convex formed on the rear end of the pad and in contact with the pillow to cause the mandible to press forward on the face A sleep apnea countermeasure device characterized by comprising a part. 下顎骨の左右後縁に接するパッドと、このパッドおよび前記下顎骨を顔前方へ押圧した状態で、前記パッドを皮膚に貼付けるため、前記下顎骨後方から前記顔前方へ貼るテープと、からなることを特長とする睡眠時無呼吸症候群対策装具。 A pad that touches the left and right rear edges of the mandible, and a tape that is pasted from the rear of the mandible to the front of the face in order to attach the pad to the skin in a state where the pad and the mandible are pressed forward of the face Sleep apnea syndrome countermeasure device characterized by that.
JP2010149819A 2010-06-30 2010-06-30 Sleep apnea syndrome prevention device and measure pillow Expired - Fee Related JP5268181B2 (en)

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