JP4982047B2 - Obstructive sleep apnea syndrome resolver - Google Patents

Obstructive sleep apnea syndrome resolver Download PDF

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JP4982047B2
JP4982047B2 JP2005021978A JP2005021978A JP4982047B2 JP 4982047 B2 JP4982047 B2 JP 4982047B2 JP 2005021978 A JP2005021978 A JP 2005021978A JP 2005021978 A JP2005021978 A JP 2005021978A JP 4982047 B2 JP4982047 B2 JP 4982047B2
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apnea syndrome
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obstructive sleep
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JP2006204630A (en
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佐藤　　誠
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佐藤 誠
セブン ドリーマーズ ラボラトリーズ，インコーポレイテッド
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本発明は、閉塞型睡眠時無呼吸症候群解消器に関し、詳しくは、睡眠時に上気道の咽頭部が閉塞することを防止して閉塞型睡眠時無呼吸症候群の症状を解消するための器具に関する。   The present invention relates to an obstructive sleep apnea syndrome canceller, and more particularly, to an apparatus for preventing symptoms of obstructive sleep apnea syndrome by preventing the pharynx of the upper airway from becoming obstructed during sleep.

閉塞型睡眠時無呼吸症候群は、睡眠時に上気道の咽頭部が筋肉の弛緩と肥満等との合併症で閉塞され、一時的な窒息（無呼吸、低呼吸）状態が断続的に繰り返されることにより、高血圧症や脳血管、心血管障害を引き起し、無呼吸、低呼吸後に覚醒反応が繰り返されるため十分な睡眠がとれず、日中の眠気、集中力、活力に欠ける、居眠りがちになる、居眠り運転で事故や重大事故などを起こしやすくなるという問題がある。   In obstructive sleep apnea syndrome, the pharynx of the upper respiratory tract is obstructed by complications such as muscle relaxation and obesity during sleep, and temporary suffocation (apnea, hypopnea) is repeated intermittently. Causes hypertension, cerebrovascular and cardiovascular disorders, and awakening reaction is repeated after apnea and hypopnea, so it is difficult to get enough sleep, lack of daytime sleepiness, concentration and vitality, and tend to fall asleep There is a problem that accidents or serious accidents are likely to occur due to drowsy driving.

このため、従来から閉塞型睡眠時無呼吸症候群を治療したり、解消したりするために様々な提案が為されてきているが、基本的には、外部から適当な圧力の空気を供給して鼻孔から咽頭部に送り、閉塞部分を空気圧で押し拡げて吸気のための気道を確保するようにしている（例えば、特許文献１参照。）。
特開平８−３３２２２６号公報 For this reason, various proposals have been made to treat or eliminate obstructive sleep apnea syndrome, but basically, air of appropriate pressure is supplied from the outside. It is sent from the nostril to the pharynx, and the obstructed portion is expanded with air pressure to secure an airway for inhalation (see, for example, Patent Document 1).
JP-A-8-332226

しかし、空気加圧方式の治療装置では、空気加圧装置が必要であることから装置が大掛かりで、一般的に高価なものとなっており、旅行等での持ち運びも面倒である。さらに、空気が逃げぬように鼻孔部分をマスクで完全に覆う必要があり、このマスクと空気を送るパイプとが外れないようにヘッドバンドで固定しなければならず、睡眠時にこれらの部品を装着することは患者にとって苦痛である。また、空気加圧装置の作動音がうるさく、患者本人だけでなく、周囲の人に対してもその音が睡眠を妨げることがある。さらに、冬季の使用時に室温が下がると、マスク内で呼気中の水分が凝集して水滴となり、顔にかかって患者の睡眠を妨げることもある。   However, an air pressurization type treatment apparatus requires an air pressurization apparatus, so that the apparatus is large and generally expensive, and it is troublesome to carry on travel. In addition, it is necessary to cover the nostril part completely with a mask so that air does not escape, it must be fixed with a headband so that this mask and the pipe that sends air do not come off, and these parts are attached when sleeping To do is painful for the patient. Moreover, the operation sound of the air pressurizing device is noisy, and the sound may disturb sleep not only for the patient himself but also for the surrounding people. In addition, when the room temperature decreases during winter use, the moisture in the breath aggregates in the mask to form water droplets, which may interfere with the patient's sleep on the face.

一方、空気加圧装置を用いない方法として、マウスピースの着用も提案されているが、これは症状が軽微な場合にはある程度の効果が得られるが、重症の場合には効果が期待できないことが多い。   On the other hand, wearing a mouthpiece has also been proposed as a method that does not use an air pressurization device, but this can be achieved to some extent if symptoms are minor, but it cannot be expected if it is severe. There are many.

そこで本発明は、確実な気道確保を行えるとともに、装着が簡単で睡眠時の邪魔になることもなく、しかも、小型計量で持ち運びも容易な閉塞型睡眠時無呼吸症候群解消器を提供することを目的としている。   Accordingly, the present invention provides an obstructive sleep apnea syndrome canceller that can secure a reliable airway, is easy to wear and does not interfere with sleep, and is small and easy to carry. It is aimed.

上記目的を達成するため、本発明の閉塞型睡眠時無呼吸症候群解消器は、睡眠時に上気道の咽頭部が閉塞して窒息状態となる閉塞型睡眠時無呼吸症候群の症状を解消するための閉塞型睡眠時無呼吸症候群解消器であって、前記咽頭部から鼻孔部分に至る長さを有する柔軟なチューブと、該チューブ内に挿通される柔軟なガイドワイヤーと、該ガイドワイヤーの一端に設けられ、該ガイドワイヤーの一端から拡張すると共に先端に向かって縮小する紡錘状を呈する弾性変形可能な通気性部材と、前記ガイドワイヤーの他端に設けられたストッパーとを備え、前記通気性部材は、前記ガイドワイヤーが鼻孔側に移動したときに弾性変形により収縮しながらチューブ内に引き込まれ、前記ガイドワイヤーが咽頭部側に移動したときにチューブ内から出て弾性変形により咽頭部内に展開し、該展開した通気性部材によって前記咽頭部の閉塞を防止する。 In order to achieve the above object, the obstructive sleep apnea syndrome canceller of the present invention is for eliminating the symptoms of obstructive sleep apnea syndrome in which the throat of the upper respiratory tract is obstructed during sleep and becomes suffocated. An obstructive sleep apnea syndrome canceller comprising a flexible tube having a length from the pharynx to the nostril portion, a flexible guide wire inserted into the tube, and one end of the guide wire A gas-permeable elastically deformable breathable member that expands from one end of the guide wire and contracts toward the tip, and a stopper provided at the other end of the guide wire, When the guide wire moves to the nostril side, it is drawn into the tube while contracting due to elastic deformation, and from the inside of the tube when the guide wire moves to the pharynx side Expand the pharynx portion by elastic deformation Te, to prevent blockage of the throat by permeable member that the deployment.

本発明の閉塞型睡眠時無呼吸症候群解消器によれば、気道を確保する網状筒体等の通気性部材をチューブ内に引き込んだ状態で鼻孔内にチューブを所定長さ、通常はチューブの外端が鼻孔から僅かに出ている状態まで挿入した後、ガイドワイヤーをストッパーがチューブの外端に当接するまで押し込むことにより、先端の通気性部材がチューブの先端（内端）から押し出されて展開することにより、咽頭部の閉塞を防止して気道を確保することができる。なお、チューブの先端が咽頭の閉鎖部に達してから、チューブをストッパーの位置まで引き上げることによっても、網状筒体のような通気性部材が閉鎖部で展開して気道を確保する。これにより、睡眠時に窒息状態となることがなく、安眠が得られることで昼間の会議や運転時等の居眠りを防ぐことができ、脳や心臓等の血管障害発症に至る遠因もなくすことができる。さらに、従来のマスクに比べて装着時の違和感がなく、寝返りを打っても外れることがないので安心して眠ることができる。   According to the obstructive sleep apnea syndrome canceller of the present invention, a tube is inserted into the nostril by a predetermined length, usually outside the tube, with a breathable member such as a mesh tube that secures the airway being pulled into the tube. After inserting until the end is slightly protruding from the nostril, push the guide wire until the stopper contacts the outer end of the tube, and the breathable member at the end is pushed out from the end (inner end) of the tube and deployed By doing so, the obstruction of the pharynx can be prevented and the airway can be secured. Note that the air-permeable member such as the net-like cylinder is deployed at the closed portion to secure the airway by pulling the tube to the position of the stopper after the distal end of the tube reaches the closed portion of the pharynx. This prevents suffocation during sleep, provides a good night's sleep, prevents dozing during daytime meetings and driving, and eliminates distant causes of brain and heart vascular disorders. . Furthermore, compared to conventional masks, there is no sense of incongruity at the time of wearing, and it is possible to sleep with peace of mind because it will not come off even if it is turned over.

また、本発明の閉塞型睡眠時無呼吸症候群解消器は、チューブ、ガイドワイヤー、気道を確保するための網状筒体等の通気性部材及びストッパーのみで形成することができるので、極めて小型軽量なものとなり、旅行等に携行することも可能である。しかも、空気加圧装置のような機器を使用しないので騒音も発生せず、同室者の安眠も可能となる。さらに、電源も不要であるから、使用場所に制限がなく、自宅の使用においても電気代の節約となる。   In addition, the obstructive sleep apnea syndrome canceller of the present invention can be formed only by a tube, a guide wire, a breathable member such as a mesh tube for securing an airway, and a stopper, so it is extremely small and lightweight. It is possible to carry it on a trip or the like. In addition, since no equipment such as an air pressurizing device is used, no noise is generated, and the roommate can sleep well. In addition, since no power source is required, there is no restriction on the place of use, and electricity costs can be saved even at home use.

図１乃至図４は、本発明の閉塞型睡眠時無呼吸症候群解消器の一形態例を示すもので、図１は網状筒体をチューブから押し出して展開させた状態を示す斜視図、図２は網状筒体をチューブ内に引き込んだ状態を示す一部を切り欠いた斜視図、図３は患者が閉塞型睡眠時無呼吸症候群解消器を装着する前の状態を示す説明図、図４は患者が閉塞型睡眠時無呼吸症候群解消器を装着して気道を確保した状態を示す説明図である。   1 to 4 show an example of an obstructive sleep apnea syndrome canceller according to the present invention. FIG. 1 is a perspective view showing a state in which a reticulated cylinder is pushed out from a tube and deployed. Is a perspective view with a part cut away showing a state in which the reticulated cylinder is drawn into the tube, FIG. 3 is an explanatory view showing a state before the patient wears the obstructive sleep apnea syndrome canceller, and FIG. It is explanatory drawing which shows the state which the patient equipped with the obstruction | occlusion type sleep apnea syndrome canceller and the airway was ensured.

図１及び図２に示すように、閉塞型睡眠時無呼吸症候群解消器１１は、チューブ１２と、該チューブ１２内に挿通されるガイドワイヤー１３と、該ガイドワイヤー１３の一端に設けられた通気性部材である網状筒体１４と、前記ガイドワイヤー１３の他端に設けられたストッパー１５とで形成されている。   As shown in FIGS. 1 and 2, the obstructive sleep apnea syndrome canceller 11 includes a tube 12, a guide wire 13 inserted through the tube 12, and ventilation provided at one end of the guide wire 13. It is formed by a net-like cylindrical body 14 that is a sexual member and a stopper 15 provided at the other end of the guide wire 13.

チューブ１２は、装着時に鼻孔から上気道の咽頭部まで挿入する必要があることから、人体に無害で柔軟性を有する材料で、さらに、挿入時の抵抗や網状筒体１４を移動させる際の抵抗を少なくするために低摩擦係数の材料、例えば、ポリエチレン、フッ素樹脂、シリコン樹脂等の合成樹脂によって形成されている。チューブ１２の長さは、挿入側先端が閉塞を解消する咽頭部の僅かに手前に位置し、基端が鼻孔から僅かに突出する位置となる長さに設定される。この長さが短いと気道の確保を十分に行えなくなり、逆に長すぎると鼻孔から突出したチューブ１２が睡眠時に邪魔になる。また、チューブ１２の径は、収縮状態の網状筒体１４の収納と、鼻孔からの挿入とを考慮すると、内径が３〜８ｍｍ程度で、肉厚が０．５〜３ｍｍ程度であることが好ましい。なお、端面部分は挿入を容易に行えるように面取り加工を施しておくことが好ましい。   Since it is necessary to insert the tube 12 from the nostril to the pharyngeal part of the upper airway when the tube 12 is mounted, the tube 12 is a material that is harmless to the human body and has flexibility. Further, the resistance at the time of insertion and the resistance at the time of moving the reticulated cylinder 14 In order to reduce this, it is made of a material having a low friction coefficient, for example, a synthetic resin such as polyethylene, fluororesin, or silicon resin. The length of the tube 12 is set to such a length that the distal end on the insertion side is positioned slightly in front of the pharynx to eliminate the blockage, and the proximal end is slightly projected from the nostril. If this length is short, the airway cannot be secured sufficiently. Conversely, if it is too long, the tube 12 protruding from the nostril becomes an obstacle during sleep. The diameter of the tube 12 is preferably about 3 to 8 mm in inner diameter and about 0.5 to 3 mm in thickness considering the accommodation of the contracted reticular cylinder 14 and the insertion from the nostril. . The end face portion is preferably chamfered so that insertion can be easily performed.

ガイドワイヤー１３は、チューブ１２内で移動可能な太さを有するものであって、チューブ１２の先端から網状筒体１４を出没できる長さに形成されている。このガイドワイヤー１３は、前記チューブ１２と同様な柔軟性を必要とし、かつ、網状筒体１４をチューブ１２から押し出す際に座屈しない程度の軸線方向の強度を必要とすることから、通常は、ステンレス鋼やチタン等の金属線を使用し、太さや必要強度等の条件に応じて単線、撚り線、巻線といった形状を選択すればよい。   The guide wire 13 has a thickness that can move within the tube 12, and is formed to have a length that allows the mesh-like cylindrical body 14 to appear and disappear from the tip of the tube 12. Since this guide wire 13 requires the same flexibility as the tube 12 and requires the strength in the axial direction so that it does not buckle when the reticulated cylinder 14 is pushed out of the tube 12, normally, A metal wire such as stainless steel or titanium may be used, and a shape such as a single wire, a stranded wire, or a winding may be selected according to conditions such as thickness and required strength.

通気性部材である網状筒体１４は、咽頭部の閉塞を防止して気道を確保するためのものであって、反発係数（復元力）の大きな材料、例えばニッケルチタン等の金属線により弾性変形可能に形成されている。この網状筒体１４は、チューブ１２内から出たときに通気可能な籠状、紡錘状、傘状に展開し、かつ、縮小収縮させることによってチューブ１２内に収納できるようになっている。展開時の網状筒体１４は、外径が５〜２０ｍｍ、長さが１０〜７０ｍｍ程度の大きさであることが好ましい。前記金属線には、３０〜１００μｍ程度の単線を複数本捩った金属繊維、あるいは、５０〜２００μｍ程度の単線を使用することができる。   The reticular cylinder 14 which is a breathable member is for securing the airway by preventing the pharynx from being obstructed, and is elastically deformed by a material having a large coefficient of restitution (restoring force) such as a metal wire such as nickel titanium. It is made possible. The net-like cylindrical body 14 can be accommodated in the tube 12 by being expanded into a bowl shape, a spindle shape, or an umbrella shape that can be vented when coming out of the tube 12, and contracted and contracted. It is preferable that the net-like cylinder 14 at the time of deployment has a size of an outer diameter of 5 to 20 mm and a length of about 10 to 70 mm. As the metal wire, a metal fiber obtained by twisting a plurality of single wires of about 30 to 100 μm or a single wire of about 50 to 200 μm can be used.

また、網状筒体１４は、側方からの０．８〜１．５ｋＰａ程度の圧力に耐えられるとともに、チューブ１２から押し出された際に軸線方向に座屈せずに展開できる強度及び復元力を有している。この網状筒体１４と前記ガイドワイヤー１３とは、別個に形成したものを適当な接続部材で接続したり、両者をカシメあるいは接着剤等で直接接合したりするようにしてもよく、両者を連続した金属線で形成することも可能である。なお、側方からの耐圧が小さいと気道を確保する効果が小さくなり、大きくし過ぎるとチューブ１２内への引き込みが困難になってしまう。   Further, the net-like cylindrical body 14 can withstand a pressure of about 0.8 to 1.5 kPa from the side, and has a strength and a restoring force that can be deployed without buckling in the axial direction when being pushed out of the tube 12. is doing. The reticulated cylinder 14 and the guide wire 13 may be formed separately by connecting them with an appropriate connecting member, or may be joined directly by caulking or adhesive, etc. It is also possible to form with a metal wire. If the pressure resistance from the side is small, the effect of securing the airway is reduced, and if it is too large, it becomes difficult to draw the tube 12 into the tube 12.

チューブ１２の内径と網状筒体１４の収縮時の外径とは相互に関連するので、それぞれの材料や患者の条件等に応じて適宜設定する。また、患者が金属アレルギーの場合には、ガイドワイヤー１３及び網状筒体１４の金属線をポリエチレンやフッ素樹脂等で被覆したり、純チタンあるいはニッケルを含まないステンレス鋼等で形成すればよく、症状に応じて適宜な材料を選択すればよい。   Since the inner diameter of the tube 12 and the outer diameter of the reticulated tube body 14 at the time of contraction are related to each other, they are appropriately set according to the respective materials, patient conditions, and the like. If the patient is allergic to metal, the guide wire 13 and the mesh tube 14 may be coated with polyethylene, fluororesin, or the like, or may be formed of pure titanium or stainless steel not containing nickel. An appropriate material may be selected according to the conditions.

ストッパー１５は、ガイドワイヤー１３のチューブ１２内への押し込み量を規制するものであって、該ストッパー１５がチューブ１２の基端（外端）に当接したときに、網状筒体１４の全体がチューブ１２の先端から押し出された状態になるように形成されている。また、ストッパー１５は、睡眠中に鼻孔内に入り込まないように、鼻孔よりも大きく形成しておくことが好ましい。さらに、ガイドワイヤー１３をチューブ１２内から取り出して洗浄したり、消毒したりするときのために、ネジ止め構造や嵌め合わせ構造等により、ストッパー１５をガイドワイヤー１４から取り外せるようにしておくことが好ましい。   The stopper 15 regulates the amount by which the guide wire 13 is pushed into the tube 12. When the stopper 15 comes into contact with the proximal end (outer end) of the tube 12, the entire reticulated cylinder 14 is completely removed. It is formed so as to be pushed out from the tip of the tube 12. Moreover, it is preferable to form the stopper 15 larger than the nostril so as not to enter the nostril during sleep. Furthermore, it is preferable that the stopper 15 can be removed from the guide wire 14 by a screwing structure, a fitting structure, or the like for removing the guide wire 13 from the tube 12 for cleaning or disinfection. .

図３に示すように、閉塞型睡眠時無呼吸症候群解消器１１を装着するときには、ストッパー１５を引いて網状筒体１４をチューブ１２の先端側内部に引き込んだ状態とする。このとき、網状筒体１４の周囲等にワセリンやゼリー状潤滑剤を塗布しておくことにより、網状筒体１４をチューブ１２内に容易に引き込むことができる。次に、チューブ１２の先端を鼻孔２１内に挿入し、チューブ１２を鼻孔２１から鼻腔２２を通してチューブ１２の基端が鼻孔２１から僅かに、例えば１〜２ｃｍ程度出ている状態まで押し込む。このときも、チューブ１２の外周面に前記同様の潤滑剤等を塗布しておくことが好ましい。   As shown in FIG. 3, when the obstructive sleep apnea syndrome canceller 11 is attached, the stopper 15 is pulled to bring the reticulated cylinder 14 into the distal end side of the tube 12. At this time, the net-like cylinder 14 can be easily drawn into the tube 12 by applying petrolatum or a jelly-like lubricant around the net-like cylinder 14. Next, the distal end of the tube 12 is inserted into the nostril 21, and the tube 12 is pushed through the nostril 21 through the nasal cavity 22 until the proximal end of the tube 12 slightly protrudes from the nostril 21, for example, about 1 to 2 cm. Also at this time, it is preferable to apply the same lubricant or the like to the outer peripheral surface of the tube 12.

そして、チューブ１２を所定位置まで挿入した状態で、チューブ１２の基端を一方の手で保持し、他方の手でガイドワイヤー１３をチューブ１２内に押し込み、ストッパー１５がチューブ１２の基端に当接するまで咽頭部２３側に移動させる。このガイドワイヤー１３の移動により、網状筒体１４がチューブ１２の先端から睡眠時に閉塞される咽頭部２３に押し出され、図４に示すように、所定位置で網状筒体１４が展開し、咽頭部２３の気道が確保された状態となる。この操作を行う際には、使用者が覚醒して咽頭部２３の気道が開いた状態で行うから、軽い力で網状筒体１４を咽頭部２３に押し出て展開させることができる。なお、１０〜７０ｍｍ長いガイドワイヤー１３とチューブ１２とを用いて、チューブ１２の先端を咽頭部２３まで挿入した状態で、ガイドワイヤー１３は動かさずにチューブ１２をストッパー１５に向けて移動させることによっても、網状筒体１４を所定位置で展開させることができる。   Then, with the tube 12 inserted to a predetermined position, the proximal end of the tube 12 is held with one hand, the guide wire 13 is pushed into the tube 12 with the other hand, and the stopper 15 contacts the proximal end of the tube 12. Move to the pharynx 23 side until contact. By the movement of the guide wire 13, the mesh tube 14 is pushed out from the tip of the tube 12 to the pharynx 23 which is blocked during sleep, and the mesh tube 14 is deployed at a predetermined position as shown in FIG. 23 airways are secured. When performing this operation, the user wakes up and the airway of the pharynx 23 is open, so that the reticulated cylinder 14 can be pushed out and deployed to the pharynx 23 with a light force. By moving the tube 12 toward the stopper 15 without moving the guide wire 13 with the distal end of the tube 12 inserted up to the pharynx 23 using the guide wire 13 and the tube 12 that are 10 to 70 mm long. In addition, the reticulated cylinder 14 can be deployed at a predetermined position.

このように網状筒体１４を咽頭部２３内で展開させた状態で就寝すると、咽頭部２３の筋肉が弛緩して重力等により気道が閉塞されるような状態になっても、網状筒体１４が舌等を押し上げて咽頭部２３の気道を開いた状態に維持するので、気道が狭窄状態、閉塞状態になることを防止できる。これにより、吸気が確保されて窒息状態になることを防ぎ、患者に安眠を与えることができる。   Thus, when the reticulated cylinder 14 is put to sleep in a state where it is deployed in the pharynx 23, even if the muscles of the pharynx 23 relax and the airway is blocked by gravity or the like, the reticulated cylinder 14 Pushes up the tongue or the like and maintains the airway of the pharynx 23 in an open state, so that the airway can be prevented from becoming constricted or blocked. Thereby, inhalation is ensured and it can prevent becoming a suffocation state, and can give a patient a sleep.

起床時には、チューブ１２の基端を保持した状態でストッパー１５を引き、ガイドワイヤー１３を鼻孔側に移動させ、網状筒体１４をチューブ１２の先端側内部に収縮させながら引き込んで収納する。そして、チューブ１２を鼻孔２１から引き抜くことにより、閉塞型睡眠時無呼吸症候群解消器１１を取り出すことができる。   When waking up, the stopper 15 is pulled while holding the proximal end of the tube 12, the guide wire 13 is moved to the nostril side, and the reticulated cylinder 14 is retracted and stored inside the distal end side of the tube 12. And the obstruction | occlusion type sleep apnea syndrome canceller 11 can be taken out by pulling out the tube 12 from the nostril 21.

取り出した閉塞型睡眠時無呼吸症候群解消器１１は、洗浄、消毒等を行って次の使用に備える。このとき、ガイドワイヤー１３を押し込んで網状筒体１４をチューブ１２の先端から押し出した状態でガイドワイヤー１３からストッパー１５を取り外すことにより、ガイドワイヤー１３及び網状筒体１４をチューブ１２の先端側から容易に引き抜くことができる。チューブ１２内の洗浄は、適当な清掃器具を使用することにより容易に行うことができ、各部の消毒も、アルコール等の消毒薬を使用することによって簡単に行える。   The taken out obstructive sleep apnea syndrome eliminating device 11 is cleaned and disinfected for preparation for the next use. At this time, the guide wire 13 and the reticular cylinder 14 can be easily removed from the distal end side of the tube 12 by removing the stopper 15 from the guide wire 13 while pushing the guide wire 13 and pushing the reticular cylinder 14 from the distal end of the tube 12. Can be pulled out. The inside of the tube 12 can be easily cleaned by using an appropriate cleaning tool, and each part can be easily disinfected by using a disinfectant such as alcohol.

上述のように、閉塞型睡眠時無呼吸症候群解消器１１を使用して安眠が得られることにより、日中の傾眠が解消されて昼間の会議や運転時等における居眠り等を防止することができる。さらに、窒息状態を防ぐことで、脳や心臓等が梗塞状態に至る遠因をなくすことができる。   As described above, by using the obstructive sleep apnea syndrome canceller 11 to obtain a good night's sleep, somnolence during the day can be resolved, and a doze during daytime meetings or driving can be prevented. . Furthermore, by preventing the suffocation state, it is possible to eliminate the distant cause that leads to the infarct state of the brain and the heart.

また、上述のように形成した閉塞型睡眠時無呼吸症候群解消器１１は、空気加圧方式の治療装置が不要となり、装置代や電気代等の経費を削減できる。また、睡眠時に鬱陶しいマスクを付ける必要がなくなり、冬季のマスク内結露の水滴が顔にかかることによる睡眠中断も防げる。さらに、空気加圧装置の発する音がなくなるので、患者本人だけでなく、周囲の人の安眠を妨げることもなくなる。特に、空気加圧装置だけでなく、マウスピースに比べても小型軽量であり、旅行時に容易に持ち運ぶことができ、電源が不要であるから、非常時やキャンプ等でも使用できる。   Further, the obstructive sleep apnea syndrome canceller 11 formed as described above does not require an air pressurization type treatment device, and can reduce costs such as device costs and electricity costs. In addition, it is not necessary to put on an unpleasant mask at the time of sleep, and sleep interruption caused by water droplets of dew condensation in the mask in winter can be prevented. Furthermore, since there is no sound generated by the air pressurizing device, it does not disturb the sleep of not only the patient himself but also the surrounding people. In particular, it is smaller and lighter than a mouthpiece as well as an air pressurizing device, can be easily carried during travel, and does not require a power source, so it can be used in an emergency or camping.

なお、本発明の閉塞型睡眠時無呼吸症候群解消器は、救急時や手術時の気道確保装置として使用することも可能であり、この場合は、救急隊員あるいは麻酔担当医師が患者に対して閉塞型睡眠時無呼吸症候群解消器の装着操作を前記同様にして行えばよい。これにより、救急時や手術時の気道確保が容易となる。また、特別の資格と技術を持たなくても患者の救命措置をとることが可能になる。   The obstructive sleep apnea syndrome canceller of the present invention can also be used as an airway securing device for emergency or surgery. In this case, an emergency worker or anesthesia doctor obstructs the patient. The wearing operation of the type sleep apnea syndrome canceller may be performed in the same manner as described above. This facilitates securing the airway during emergency and surgery. In addition, it is possible to take lifesaving measures for patients without special qualifications and skills.

閉塞型睡眠時無呼吸症候群解消器の一形態例を示すもので、網状筒体をチューブから押し出して展開させた状態を示す斜視図である。It is a perspective view which shows one form example of the obstruction | occlusion type sleep apnea syndrome canceller, and shows the state which pushed the net-like cylinder body out of the tube, and was expand | deployed. 同じく網状筒体をチューブ内に引き込んだ状態を示す一部を切り欠いた斜視図である。It is the perspective view which notched a part which shows the state which similarly pulled the net-shaped cylinder body in the tube. 患者が閉塞型睡眠時無呼吸症候群解消器を装着する前の状態を示す説明図である。It is explanatory drawing which shows the state before a patient wears an obstructive sleep apnea syndrome canceller. 患者が閉塞型睡眠時無呼吸症候群解消器を装着して気道を確保した状態を示す説明図である。It is explanatory drawing which shows the state which the patient equipped with the obstruction | occlusion type sleep apnea syndrome canceller and the airway was ensured.

１１…閉塞型睡眠時無呼吸症候群解消器、１２…チューブ、１３…ガイドワイヤー、１４…網状筒体、１５…ストッパー、２１…鼻孔、２２…鼻腔、２３…咽頭部   DESCRIPTION OF SYMBOLS 11 ... Obstructive sleep apnea syndrome canceller, 12 ... Tube, 13 ... Guide wire, 14 ... Reticulated cylinder, 15 ... Stopper, 21 ... Nostril, 22 ... Nasal cavity, 23 ... Pharynx

Claims (1)

睡眠時に上気道の咽頭部が閉塞して窒息状態となる閉塞型睡眠時無呼吸症候群の症状を解消するための閉塞型睡眠時無呼吸症候群解消器であって、
前記咽頭部から鼻孔部分に至る長さを有する柔軟なチューブと、
該チューブ内に挿通される柔軟なガイドワイヤーと、
該ガイドワイヤーの一端に設けられ、該ガイドワイヤーの一端から拡張すると共に先端に向かって縮小する紡錘状を呈する弾性変形可能な通気性部材と、
前記ガイドワイヤーの他端に設けられたストッパーと
を備え、
前記通気性部材は、前記ガイドワイヤーが鼻孔側に移動したときに弾性変形により収縮しながらチューブ内に引き込まれ、前記ガイドワイヤーが咽頭部側に移動したときにチューブ内から出て弾性変形により咽頭部内に展開し、該展開した通気性部材によって前記咽頭部の閉塞を防止する
閉塞型睡眠時無呼吸症候群解消器。 An obstructive sleep apnea syndrome resolving device for resolving symptoms of obstructive sleep apnea syndrome in which the pharyngeal portion of the upper airway becomes obstructed during sleep,
A flexible tube having a length from the pharynx to the nostril portion;
A flexible guide wire inserted through the tube;
An elastically deformable breathable member that is provided at one end of the guide wire and exhibits a spindle shape that expands from one end of the guide wire and contracts toward the tip ;
A stopper provided at the other end of the guide wire,
The breathable member is drawn into the tube while contracting due to elastic deformation when the guide wire moves toward the nostril side, and comes out of the tube when the guide wire moves toward the pharyngeal side, and the pharynx due to elastic deformation An obstructive sleep apnea syndrome relieving device that is deployed in a part and prevents obstruction of the pharynx by the deployed breathable member.
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