CN105030236A - Non-invasive mouth floor electrode device and making method thereof - Google Patents
Non-invasive mouth floor electrode device and making method thereof Download PDFInfo
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- CN105030236A CN105030236A CN201510064728.5A CN201510064728A CN105030236A CN 105030236 A CN105030236 A CN 105030236A CN 201510064728 A CN201510064728 A CN 201510064728A CN 105030236 A CN105030236 A CN 105030236A
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- mandibular teeth
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Abstract
The invention provides a non-invasive mouth floor electrode device and a making method thereof; the non-invasive mouth floor electrode device comprises a lower jaw teeth transparency squeeze-film retainer, two spherical electrodes and electrode lines thereof; the head of the electrode line is the spherical electrode being a silver ball electrode or silver chloride ball electrode, the tail of the electrode line is connected with a plug of a sleep monitoring or myoelectricity monitor; the front end, close to the spherical electrode, of the electrode line is hard in quality and deformable in shape; certain length of the front end of the electrode line is fixed on an inner side face of the lower jaw teeth transparency squeeze-film retainer; the spherical electrodes extend downwards to a position below the lower jaw teeth transparency squeeze-film retainer; the non-invasive mouth floor electrode device uses the lower jaw teeth transparency squeeze-film retainer the keep the silver ball electrode or silver chloride ball electrode on the inner side of the lower jaw teeth, and uses the deformable front end of the electrode line to ensure the silver ball electrode or silver chloride ball electrode to make contact with a genioglossus protuberance portion, thus carrying out genioglossus active inspection in a non-invasive mode.
Description
Technical field
The present invention relates to a kind of without wound hearth electrode device, relating to a kind of for making the above-mentioned method without wound hearth electrode device simultaneously, belonging to technical field of medical instruments.
Background technology
Obstruction sleep apnea-hypopnea syndrome (obstructivesleepapneahyponeasyndrome, repeatedly occur when OSAHS) being and sleeping epithelium healing subside block be feature, cause hypoxemia, the common chronic disease of hypercapnia and Sleep architecture disorder, cause systemic hypertension, the independent hazard factor of the disease such as coronary heart disease and abnormal carbohydrate metabolism, has had a strong impact on quality of life and the life security of patient, has caused the extensive attention of medical circle.The cause of disease of OSAHS is complicated, and main pathogenesis is considered to: various abnormal anatomical structures factor causes epithelium healing load to increase; And epithelium healing and (or) respiratory pump neuro-muscular adjusting function obstacle cause Airway dilation flesh to be difficult to opposing air flue negative pressure, epithelium healing in various degree narrow is caused to subside.And genioglossus (GenioglossusMuscle) is pharyngeal topmost dilator, tongue body is kept to protract during contraction, expand tongue post gap, keep epithelium healing unobstructed, be considered to " the safe flesh " of epithelium healing, its effect played in OSAHS pathogenesis is subject to the attention of domestic and international researcher always.Therefore carrying out Function detection to genioglossus, is the committed step improving cause of disease examination, is conducive to the selection of clinical " to because of " therapeutic scheme, sets up personalized treatment system.
Electromyogram is the most direct method of reflection muscle function activity.The terminal unit gathering electromyographic signal mainly comprises surperficial circular electrode and the invasive needle electrode (comprising one pole, bipolar, concentric needle electrode, wire electrode and hook electrode etc.) of Noninvasive.Needle electrode is considered to " goldstandard " that detect electromyographic signal, and directly insert in meat fiber and measure, electromyographic signal is not by the impact of proximal muscles activity, and the value of measurement is relatively accurate.But measuring method has wound, bring pain and the sense of discomfort such as hemorrhage, and pain can restrain motorial excitement, affects muscle activity to patient, patient is difficult to accept long-time myoelectricity inspection whole night.
Surface electrode is that the galvanoscopic routine of genioglossus flesh is selected in recent years.It is active that surface electrode per os outer skin measures genioglossus, and noinvasive is simple and easy, but owing to receiving the impact of proximity of muscle activity around, its result is accurate not.For this reason, in the 1980s (before and after about 1985), genioglossus surface measurement genioglossus at the bottom of surface electrode is fixed on mouthful by Doble etc. is active, avoid the impact of proximity of muscle myoelectrical activity around, and be the contrast experiment with needle electrode, obtain the conclusion that two kinds of metering system measurement results are consistent, see E.A.Doble, JApplPhysiol1985,58:1378-1382.Domestic research in pars oralis pharyngis muscle myoelectricity is more late.2005, Chen Yanli etc. adopt wired silver chloride spherical port hearth electrode to detect genioglossus myoelectricity, improve the base of fixed electrode, genioglossus protrusion at the bottom of itself and mouth is affixed, can Accurate Determining genioglossus EMG activity, decrease the interference of Surrounding muscles to signal, and can carry out repeating experiment, see Chen Liyan, Ye Jingying etc., Chinese Archives of Otolaryngology magazine, 2005,12 (7): 453-457.This metering system, decrease the sense of discomfort of patient and the impact on sleep, its performance, through by Nicoli electromyograph(EMG and concentric circular needle electrode contrast test, proves dependable performance.
In summary, mouth hearth electrode can replace needle electrode and monitor whole night OSAHS patient's genioglossus activity, but, in order to arrange a mouthful hearth electrode at cavity interior, the holder of needs of patients customized mouth base, and in the past made mouth base holder is comparatively large, brings sense of discomfort obvious to patient.Although, the holder of recent domestic scholar continuous boil on the nape opposite the mouth base improves, but designed mouth hearth electrode device is owing to comprising between cog fixing metal hook, still need the auxiliary installation of department of stomatology correction technician, for the stability of holding electrode position, need between patient's mandibular teeth, to manufacture gap, with fixation with steel wire base.The program that this installing port hearth electrode fixes base is more lengthy and jumbled, and also existing certain has wound, is not easily accepted by patient or person under inspection, be also not suitable for promoting at vast Basic medical and health institutions simultaneously as clinical examination project and scientific research project.
Summary of the invention
Primary technical problem to be solved by this invention be to provide a kind of newly without wound hearth electrode device.
Another technical problem to be solved by this invention is to provide the above-mentioned manufacture method without wound hearth electrode device.
In order to realize foregoing invention object, the present invention adopts following technical scheme:
A kind of without wound hearth electrode device, comprise the transparent pressing film maintainer of mandibular teeth, two spheric electrodes and electrode wires thereof; Described electrode wires head end is spheric electrode, and described spheric electrode is ping-pong ball electrode or chlorination ping-pong ball electrode, and end is the plug connecting sleep monitor or electrophysiological monitoring instrument; Described electrode wires front end is harder near the part quality of described spheric electrode, shape-plastic, a part of length of described electrode wires front end is fixed on the medial surface of the transparent pressing film maintainer of described mandibular teeth, and makes described spheric electrode extend downward the below of the transparent pressing film maintainer of described mandibular teeth.
Wherein more preferably, described electrode wires front end is embedded on the transparent pressing film maintainer of described mandibular teeth by self curing plastic, and the lower edge of described self curing plastic is no more than the lower edge of the transparent pressing film maintainer of described mandibular teeth.
Wherein more preferably, described spheric electrode is less than 2cm from the lower edge of the transparent pressing film maintainer of described mandibular teeth to the length of downward-extension.
Wherein more preferably, the thickness of the transparent pressing film maintainer of described mandibular teeth is less than 1.5mm.
Wherein more preferably, described electrode wires is located in gap naturally straggly between bilateral tongue side canine tooth and premolars.
For making an above-mentioned method without wound hearth electrode device, comprise the steps:
(1) according at the bottom of person under inspection's mouth and lower jaw dentognathic model make mandibular teeth transparent pressing film maintainer;
(2) part for electrode wires front end is fixed on the transparent pressing film maintainer medial surface of mandibular teeth, and makes described spheric electrode extend downward the below of the transparent pressing film maintainer of described mandibular teeth.
Wherein more preferably, front in step (1), also comprise at the bottom of the mouth making person under inspection and the step of lower jaw dentognathic model, wherein, retain mouth floor space, sketch out genioglossus distribution.
Wherein more preferably, front in step (1), or in described step (1), before the transparent pressing film maintainer of the described mandibular teeth of making, at the bottom of described mouth and in lower jaw dentognathic model between bilateral canine tooth the diastema of all dentures fill.
Wherein more preferably, in described step (1), also comprise the step of pruning the transparent pressing film maintainer of described mandibular teeth, make it only retain corona part.
Wherein more preferably, in described step (2), described electrode wires is positioned in gap naturally straggly between the bilateral tongue side canine tooth of the transparent pressing film maintainer of described mandibular teeth and premolars.
Provided by the invention without wound hearth electrode device, according at the bottom of the mouth of person under inspection and lower jaw dentognathic model customization mandibular teeth transparent pressing film maintainer, can ping-pong ball electrode (or chlorination ping-pong ball electrode) be remained on inside mandibular teeth; In addition, by the part of electrode wires front end shaping, ensure that ping-pong ball electrode (or chlorination ping-pong ball electrode) contacts with genioglossus bump pad, and can not move freely, two spacing between electrodes are less, between 10 ~ 15mm.This is without wound hearth electrode device, by arranging the transparent pressing film maintainer of mandibular teeth, substitute the base of existing fixing port hearth electrode, can under noninvasive prerequisite, carry out genioglossus activity to check, be applicable to clinical examination and scientific research and testing, at utmost improve comfort level and the toleration of person under inspection, guarantee the accuracy of monitoring.
Accompanying drawing explanation
Fig. 1 is the structural representation without wound hearth electrode device provided by the invention;
Fig. 2 is the Making programme figure without wound hearth electrode device shown in Fig. 1.
Detailed description of the invention
Below in conjunction with the drawings and specific embodiments, technology contents of the present invention is further described in detail.
As shown in Figure 1, provided by the invention without wound hearth electrode device, comprise the transparent pressing film maintainer 1 of mandibular teeth and two spheric electrodes 4 and electrode wires 2 thereof.Spheric electrode 4 is ping-pong ball electrode or chlorination ping-pong ball electrode.Electrode wires 2 head end is spheric electrode 4, and end is the plug connecting sleep monitor or electrophysiological monitoring instrument; Electrode wires front end is comparatively hard near part 20 quality of spheric electrode 4, shape-plastic, the length 20 ~ 50cm of the part 20 that electrode wires front end geometry is plastic.Such as, the diameter 3mm ping-pong ball electrode that Natus company of the U.S. can be selected to provide, electrode wires front end and ping-pong ball electrode connecting place are about 30cm length shaping.Some length of part 20 of electrode wires 2 shape-plastic is fixed on the medial surface of mandibular teeth transparent stamper keeper 1, and make spheric electrode 4 extend downward the below of mandibular teeth transparent stamper keeper 1, spheric electrode 4 is less than 2cm from the lower edge of mandibular teeth transparent stamper keeper 1 to the length of downward-extension, can ensure spheric electrode 4 and genioglossus surface contact.The part 20 that electrode wires 2 front end geometry is plastic, can guarantee that the position of spheric electrode 4 at the bottom of mouth is not moved.The plug of the end of electrode wires 2 connects with Polysomnography or electrophysiological monitoring equipment (not shown), and the monitoring result of each spheric electrode 4 can independently be delivered to above-mentioned monitoring equipment by the electrode wires 2 be attached thereto.
Contact to ensure that spheric electrode is stable with genioglossus bump pad at the bottom of person under inspection's mouth, this without the transparent pressing film maintainer needs of the mandibular teeth in wound hearth electrode device according at the bottom of the mouth of person under inspection and the making of lower jaw dentognathic model.At the bottom of according to patient's mouth and when lower jaw dentognathic model makes mandibular teeth transparent pressing film maintainer, by the molding diaphragm (such as 1.2mm thickness) selecting thickness to be less than 1.5mm, softer, can ensure that person under inspection is without obvious foreign body sensation.And the spheric electrode selecting diameter less makes the sense of discomfort that mouth hearth electrode device also can reduce person under inspection equally.Such as, the diameter 3mm ping-pong ball electrode that Natus company of the U.S. can be selected to provide.
Above-mentioned without wound hearth electrode device for the ease of making, self curing plastic 3 can be used respectively a part of length of part 20 plastic for the front end geometry of the electrode wires of two spheric electrodes 4 to be embedded in the medial surface of the transparent pressing film maintainer 1 of the mandibular teeth made, and electrode wires 2 is positioned in gap naturally straggly between bilateral tongue side canine tooth and premolars, the lower edge of self curing plastic 3 is no more than the lower edge of the transparent pressing film maintainer 1 of mandibular teeth, spheric electrode 4 is less than 2cm from the lower edge of mandibular teeth transparent stamper keeper 1 to the length of downward-extension, thus ensure that two spheric electrodes and genioglossus bump pad are stablized and contact, spacing between two electrodes is between 10 ~ 15mm.
If entering clinical examination application without wound hearth electrode device or using in scientific experiment of above-mentioned measurement genioglossus activity, can avoid wound to operate, thus at utmost improve comfort level and the toleration of person under inspection, guarantee the accuracy of monitoring.And, by without in wound hearth electrode device, use mouth cavity orthodontic to correct the transparent pressing film maintainer of mandibular teeth used, mouth cavity orthodontic technician can be saved and make mouthful base holder and the fixing metal hanger of between cog, simplify the installation course of checkout gear, it also avoid the infringement to person under inspection's tooth.It is simple, easy to make that this mouthful of basal surface electrode assembly has structure, and sense of discomfort is low, and noninvasive advantage, well can be accepted by person under inspection, and noiseless to the sleep of person under inspection, can ensure that the stable of observation process carries out.
Below, composition graphs 2 is described in detail the above-mentioned manufacture method without wound hearth electrode device.
Step (1), when in the face of a new person under inspection, first needs to make at the bottom of the mouth of person under inspection and lower jaw dentognathic model.Making at the bottom of mouth and in the process of lower jaw dentognathic model, a mouthful floor space should be retained as far as possible, making it can sketch out genioglossus distribution.
Because the transparent pressing film maintainer of mandibular teeth used in this is without wound hearth electrode device is not for correction, only play effect that is fixing and backing, in order to alleviate the tight sense of patient teeth, improve comfort level, can at the bottom of mouth and in lower jaw dentognathic model, the diastema thin layer Gypsum Fibrosum of dentures all between bilateral canine tooth is filled, to grind one's teeth in sleep and diastema between premolars can not do special handling.Certainly, fill the step of the diastema of all dentures between bilateral canine tooth, also can carry out in step (2), as long as carried out before the transparent pressing film maintainer of making mandibular teeth.
Step (2), according at the bottom of person under inspection's mouth and lower jaw dentognathic model make mandibular teeth transparent pressing film maintainer.
The manufacturing process of the transparent pressing film maintainer of mandibular teeth can with reference to the manufacture method of the transparent pressing film maintainer in existing oral cavity, and wherein, method the most frequently used and easy and simple to handle is by adopting the machining diaphragm of vacuum forming to make oral cavity keeper.The molding diaphragm of thinner thickness can be selected to make the transparent pressing film maintainer of mandibular teeth, and molding diaphragm matter is softer, can alleviate patient's foreign body sensation.Vacuum forming machine is adopted to be heated by diaphragm, softening, make its docile at model surface, utilize negative pressure-pumping principle moulding further, after cooling, obtain the blank of the transparent pressing film maintainer 4 of mandibular teeth; Then carry out pruning polishing, make the transparent pressing film maintainer of mandibular teeth only retain corona part.In manufacturing process, heat 2 minutes, negative pressure-pumping half second, can avoid at the bottom of mandibular teeth transparent stamper keeper and mouth and lower jaw dentognathic model docile tension, thus cause finished product and patient's facing docile tension, cause sense of discomfort.Certainly, the making parameter of the transparent pressing film maintainer of mandibular teeth, specifically can adjust according to the type of the vacuum forming machine used.
Step (3), is fixed on the medial surface of the transparent pressing film maintainer 1 of mandibular teeth by a part for the front end of the electrode wires 2 be connected with spheric electrode 4, and makes spheric electrode 4 extend downward the below of the transparent pressing film maintainer 1 of mandibular teeth.
In actual fabrication, colloid or the other materials part plastic to electrode wires 2 front end geometry can be used to be fixed.Such as, use self curing plastic 3 part for part 20 plastic for electric electrode wires 2 front end geometry be connected with spheric electrode 4 to be embedded in the medial surface of the transparent pressing film maintainer 1 of mandibular teeth, and make spheric electrode 4 to downward-extension.
When fixed electrode line 2, electrode wires 2 is positioned in gap naturally straggly between bilateral tongue side canine tooth and premolars (as shown in Figure 1), or, also electrode wires 2 can be fixed on (not shown) in gap naturally straggly between canine tooth and lateral incisor, concrete fixed position can according to the lower jaw denture Character adjustment of person under inspection.
In addition, because the transparent pressing film maintainer of mandibular teeth 1 retains corona part, the lower edge of self curing plastic 3 is no more than the lower edge of the transparent pressing film maintainer 1 of mandibular teeth, and the length that spheric electrode 4 is stretched out from self curing plastic 3 lower end, between 1.5 ~ 2cm, can ensure spheric electrode 4 and genioglossus surface contact.When person under inspection wears, electrode wires 2 front end is comparatively hard also can be arbitrarily moulding, by adjusting the shape of the plastic part 20 of electrode wires front end geometry, the position of continuous adjustment spheric electrode 4, can guarantee that spheric electrode 4 contacts with genioglossus bump pad at the bottom of mouth, and the action that lolls of patient can not be restricted.Distance between two spheric electrodes is advisable between 10-15mm.
In sum, provided by the invention without wound hearth electrode device, according at the bottom of the mouth of person under inspection and lower jaw dentognathic model customization mandibular teeth transparent pressing film maintainer, can ping-pong ball electrode or chlorination ping-pong ball electrode be remained on inside mandibular teeth, and pass through the part of electrode wires front end shaping, ensure that ping-pong ball electrode or chlorination ping-pong ball electrode contact with genioglossus bump pad, and can not move freely.Thus use this without wound hearth electrode device, under noninvasive prerequisite, genioglossus activity can be carried out and checks, be applicable to clinical examination and scientific research and testing, at utmost improve comfort level and the toleration of person under inspection, guarantee the accuracy of monitoring.
Be described in detail without wound hearth electrode device and preparation method thereof provided by the present invention above.For one of ordinary skill in the art, to any apparent change that it does under the prerequisite not deviating from connotation of the present invention, all by formation to infringement of patent right of the present invention, corresponding legal responsibility will be born.
Claims (10)
1., without a wound hearth electrode device, it is characterized in that:
Comprise the transparent pressing film maintainer of mandibular teeth, two spheric electrodes and electrode wires thereof; Described electrode wires head end is spheric electrode, and described spheric electrode is ping-pong ball electrode or chlorination ping-pong ball electrode, and end is the plug connecting sleep monitor or electrophysiological monitoring instrument; Described electrode wires front end is harder near the part quality of described spheric electrode, shape-plastic, a part of length of described electrode wires front end is fixed on the medial surface of the transparent pressing film maintainer of described mandibular teeth, and makes described spheric electrode extend downward the below of the transparent pressing film maintainer of described mandibular teeth.
2. as claimed in claim 1 without wound hearth electrode device, it is characterized in that:
Described electrode wires front end is embedded on the transparent pressing film maintainer of described mandibular teeth by self curing plastic, and the lower edge of described self curing plastic is no more than the lower edge of the transparent pressing film maintainer of described mandibular teeth.
3. as claimed in claim 1 without wound hearth electrode device, it is characterized in that:
Described spheric electrode is less than 2cm from the lower edge of the transparent pressing film maintainer of described mandibular teeth to the length of downward-extension.
4. as claimed in claim 1 without wound hearth electrode device, it is characterized in that:
The thickness of the transparent pressing film maintainer of described mandibular teeth is less than 1.5mm.
5. as claimed in claim 1 without wound hearth electrode device, it is characterized in that:
Described electrode wires is located in gap naturally straggly between bilateral tongue side canine tooth and premolars.
6., for making the method without wound hearth electrode device according to claim 1, it is characterized in that comprising the steps:
(1) according at the bottom of person under inspection's mouth and lower jaw dentognathic model make mandibular teeth transparent pressing film maintainer;
(2) part for electrode wires front end is fixed on the transparent pressing film maintainer medial surface of mandibular teeth, and makes described spheric electrode extend downward the below of the transparent pressing film maintainer of described mandibular teeth.
7. method as claimed in claim 6, is characterized in that:
Front in step (1), also comprise at the bottom of the mouth making person under inspection and the step of lower jaw dentognathic model, wherein, retain mouth floor space, sketch out genioglossus distribution.
8. method as claimed in claim 6, is characterized in that:
Front in step (1), or in described step (1), before the transparent pressing film maintainer of the described mandibular teeth of making, at the bottom of described mouth and in lower jaw dentognathic model between bilateral canine tooth the diastema of all dentures fill.
9. method as claimed in claim 6, is characterized in that:
In described step (1), also comprise the step of pruning the transparent pressing film maintainer of described mandibular teeth, make it only retain corona part.
10. method as claimed in claim 6, is characterized in that:
In described step (2), described electrode wires is positioned in gap naturally straggly between the bilateral tongue side canine tooth of the transparent pressing film maintainer of described mandibular teeth and premolars.
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| CN201510064728.5A CN105030236B (en) | 2015-02-06 | 2015-02-06 | Without wound hearth electrode device and preparation method thereof |
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| CN201510064728.5A CN105030236B (en) | 2015-02-06 | 2015-02-06 | Without wound hearth electrode device and preparation method thereof |
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Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
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| US5212476A (en) * | 1990-09-28 | 1993-05-18 | Maloney Sean R | Wireless intraoral controller disposed in oral cavity with electrodes to sense E.M.G. signals produced by contraction of the tongue |
| US20140135868A1 (en) * | 2012-11-09 | 2014-05-15 | Jacob Bashyam Bashyam | Non-invasive intraoral electrical stimulator system and method for treatment of obstructive sleep apnea (osa) |
| US20150039046A1 (en) * | 2010-11-15 | 2015-02-05 | Rainbow Medical Ltd. | Bilateral feedback |
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2015
- 2015-02-06 CN CN201510064728.5A patent/CN105030236B/en active Active
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5212476A (en) * | 1990-09-28 | 1993-05-18 | Maloney Sean R | Wireless intraoral controller disposed in oral cavity with electrodes to sense E.M.G. signals produced by contraction of the tongue |
| US20150039046A1 (en) * | 2010-11-15 | 2015-02-05 | Rainbow Medical Ltd. | Bilateral feedback |
| US20140135868A1 (en) * | 2012-11-09 | 2014-05-15 | Jacob Bashyam Bashyam | Non-invasive intraoral electrical stimulator system and method for treatment of obstructive sleep apnea (osa) |
Non-Patent Citations (1)
| Title |
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| 胡宝明 等: "口外表面电极定量分析下颌肌电活性", 《中国耳鼻咽喉头颈外科》 * |
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