US20040194787A1 - Anti-snoring device and method of use - Google Patents

Anti-snoring device and method of use Download PDF

Info

Publication number
US20040194787A1
US20040194787A1 US10/405,782 US40578203A US2004194787A1 US 20040194787 A1 US20040194787 A1 US 20040194787A1 US 40578203 A US40578203 A US 40578203A US 2004194787 A1 US2004194787 A1 US 2004194787A1
Authority
US
United States
Prior art keywords
tube
segment
user
snoring device
intraoral
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US10/405,782
Inventor
Chipp St. Miller
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to US10/405,782 priority Critical patent/US20040194787A1/en
Priority to PCT/US2004/010030 priority patent/WO2004089271A2/en
Priority to EP04758727A priority patent/EP1628604B1/en
Priority to AT04758727T priority patent/ATE547078T1/en
Priority to US10/816,566 priority patent/US7451766B2/en
Publication of US20040194787A1 publication Critical patent/US20040194787A1/en
Abandoned legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0488Mouthpieces; Means for guiding, securing or introducing the tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/06Respiratory or anaesthetic masks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M2025/0213Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body
    • A61M2025/022Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body specifically adapted for the mouth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2202/00Special media to be introduced, removed or treated
    • A61M2202/02Gases
    • A61M2202/0208Oxygen
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/06Head
    • A61M2210/0625Mouth

Definitions

  • the present invention relates generally to an anti-snoring device for insertion into a user's mouth for providing an unobstructed buccopharyngeal pathway for inspiratory and expiratory airflow to prevent snoring, sleep disordered breathing and/or obstructive sleep apnea.
  • Sleep Apnea is a common disorder affecting approximately 20,000,000 Americans. Sleep Apnea refers to a cessation of breathing during sleep that lasts at least 10 seconds. Snoring is another common sleep disorder. By conservative estimates, approximately 80,000,000 Americans are afflicted with snoring.
  • Current therapy includes sleep position modification, weight loss, and/or lifestyle changes such as the elimination of alcohol, drug use and/or over-eating.
  • Other therapies include the use of mechanical devices such as oral or nasal devices that augment the airway, surgical procedures to enlarge and stabilize the airway during sleep, and continuous positive airway pressure devices.
  • Nasal devices that dilate the anterior nares by external traction or internal splinting have been used with minimal success. Nasal intubation is poorly tolerated and traumatic to the user.
  • a second type of oral device is a mandibular repositioning device that advances the lower jaw relative to the fixed upper jaw to expand the cross-sectional area of the pharynx thereby improving airflow and preventing collapse.
  • Surgical treatments are varied and include reconstruction of the palate and uvula, various methods to shrink and stiffen the soft tissue of the upper airway, tonsillectomy, laser treatment, radio frequency tissue reduction, hyoid suspension, and tongue base excision and retention. More radical surgical treatments for severe disorders include tracheotomy and surgical advancement of the upper and lower jaws. Surgical treatments are typically highly expensive, painful, complicated and have varying success rates (typically 40-60%).
  • the present invention is an anti-snoring device that includes a flexible hollow tube for insertion into a user's mouth, having proximal and distal ends and an outer perimeter.
  • the tube includes an extraoral segment at its proximal end, an intraoral segment at its distal end and an intermediate segment extending therebetween.
  • the extraoral and intraoral segments each include at least one opening.
  • the extraoral segment is for extending beyond the user's outer lips
  • the intermediate segment is of sufficient length for extending along the buccopharyngeal pathway of the user's mouth
  • the intraoral segment is of sufficient length for extending beyond a retromolar space in the user's mouth, into the oropharynx and terminating between the posterior tongue and the soft palate.
  • the anti-snoring device also includes a stop extending from the outer perimeter of the tube on the intraoral segment for securing the intraoral segment within the user's oropharynx.
  • Another embodiment of the present invention includes a method of reducing snoring in a user's mouth.
  • the method includes inserting into the user's mouth a flexible hollow tube that has an extraoral segment at its proximal end, an intraoral segment at its distal end and an intermediate segment extending therebetween, wherein the extraoral and intraoral segments each include at least one opening.
  • the method further includes positioning the extraoral segment of the tube exterior to the user's lips, positioning the intermediate segment of the tube along the buccopharyngeal pathway of the user's mouth and positioning the intraoral segment of the tube beyond a retromolar space in the user's mouth, into the oropharynx and terminating between the posterior tongue and the soft palate.
  • FIG. 1A is a front perspective view of one embodiment of an anti-snoring device according to the present invention.
  • FIG. 1B is a front perspective view of another embodiment of an anti-snoring device according to the present invention.
  • FIG. 1C is a front perspective view of another embodiment of an anti-snoring device according to the present invention.
  • FIG. 1D is a cross-sectional side view of the anti-snoring device of FIG. 1C;
  • FIG. 2A is a front perspective view of another embodiment of an anti-snoring device according to the present invention.
  • FIG. 2B is a front perspective view of another embodiment of an anti-snoring device according to the present invention.
  • FIG. 2C is a cross-sectional side view of the anti-snoring device of FIG. 2B;
  • FIG. 3 is a cross-sectional view of the upper side of a user's mouth having an anti-snoring device according to the present invention inserted therein.
  • FIG. 4 is a front perspective view of another embodiment of an anti-snoring device according to the present invention.
  • FIG. 5A is a front perspective view of another embodiment of an anti-snoring device according to the present invention.
  • FIG. 5B is a cross-sectional side view of the anti-snoring device of FIG. 5A.
  • an embodiment of the present invention is an anti-snoring device for insertion into a user's mouth for providing an unobstructed buccopharyngeal pathway for inspiratory and expiratory airflow to prevent snoring, sleep disordered breathing and/or obstructive sleep apnea.
  • Snoring is a common benign condition characterized by noisy harsh breathing during sleep resulting from soft tissue airway collapse and vibration during the respiratory cycle. This creates a dynamic vibratory resonance between the pressure of respiratory effort and the inherent elastic recoil of the soft tissues.
  • the anti-snoring device 10 includes a flexible hollow tube 8 having three segments, an extraoral segment 14 , an intermediate segment 16 , and an intraoral segment 18 .
  • the extraoral 14 and intraoral 18 segments each include at least one opening.
  • the extraoral segment 14 includes an open end 20 and the intraoral segment 18 includes an open end 21 .
  • the buccopharyngeal pathway 11 is defined as a pathway extending along an outer surface 28 of the of the user's dentition, between the outer surface 28 of the user's dentition and an inner surface 26 of the user's inner cheek, wherein dentition is defined as the user's teeth and gums in the user's dental arch.
  • the intraoral segment 18 extends past a retromolar space 27 (defined as an area in the user's upper or lower dentition past the user's last molar or an area past the user's upper and lower dentitions when the user's mouth is closed), enters the oropharynx 30 (defined as the posterior oral cavity behind the user's dentition) and terminates between the posterior tongue and the soft palate.
  • the retromolar space 27 as defined herein is created by the removal or nonexistence of at least the upper and/or lower third molar in the user's mouth 25 .
  • the user's mouth contains a first upper molar 31 and a second upper molar 32 , but does not contain a third upper molar.
  • the absence of the third upper molar allows the anti-snoring device 10 to cross behind the user's dentition and enter the user's oropharynx 30 .
  • the upper teeth are depicted, a depiction of the lower teeth would be substantially similar and is not included herein to avoid duplicity.
  • Adjacent to the intraoral segment 18 is the intermediate segment 16 .
  • the intermediate segment 16 extends along the buccopharyngeal pathway 11 .
  • the intermediate segment 16 may be positioned adjacent to the user's upper dentition, lower dentition or both the upper and lower dentitions, and may pass through the retromolar space 27 in the user's upper dentition, lower dentition or both the upper and lower dentitions, as long as the intermediate segment 16 passes along the buccopharyngeal pathway 11 and the intraoral segment 18 enters the oropharynx 30 .
  • the extraoral segment 14 is adjacent to the intermediate segment 16 .
  • the extraoral segment 14 extends past the user's lips 34 and outside the user's mouth 25 .
  • the unique buccopharyngeal pathway 11 is created as depicted by arrows 22 for inspiratory and expiratory airflow during sleep.
  • the buccopharyngeal pathway 11 is unique because it utilizes a route of airflow that is typically not used in normal breathing patterns and is not previously described in the medical literature as a route for respiratory airflow.
  • the buccopharyngeal pathway 11 presents a pathway for airflow during normal breathing patterns only when it is “stented” open by the anti-snoring device 10 as described above.
  • the anti-snoring device 10 also allows for the buccopharyngeal pathway 11 to be stented open even with the user's mouth closed and allows the user's dentition to remain in its natural and normal position, while accommodating normal jaw movement. As a result, normal swallowing, throat clearing, yawning, coughing and sneezing are not disturbed when the anti-snoring device 10 is in the user's mouth. In addition, since the intraoral segment 18 is positioned in the posterior oropharynx 30 and terminates on the lateral-posterior tongue the naturally triggered gag reflex is markedly diminished.
  • the anti-snoring device 10 eliminates snoring, sleep disordered breathing and obstructive sleep apnea for several reasons.
  • the intraoral segment 18 “stents” open or separates the posterior tongue and the soft tissue of the soft palate, which tend to collapse and vibrate during sleep to create the sound of snoring.
  • the anti-snoring device 10 also allows free flow of air to the posterior oral cavity at a markedly reduced resistance which allows for a decreased vacuum (negative) pressure of inspiration and a reduced pulsion (positive) pressure of expiration.
  • the anti-snoring device 10 also contains a flexible outwardly extending stop 13 that forms a portion of the intraoral segment 18 .
  • the stop 13 extends annularly about the tube 8 .
  • the stop 13 extends from the outside diameter of the tube 8 , but does not extend annularly about the tube 8 .
  • the stop 13 serves to secure the anti-snoring device 10 against anterior displacement, and secures the intraoral segment 18 within the oropharynx 30 of the user's mouth 25 .
  • the stop 13 is larger than the retromolar space 27 and therefore prevents retraction therethrough.
  • the stop 13 frictionally secures the intraoral segment 18 within the oropharynx 30 by abutting the last tooth in the retromolar space 27 , which in the depicted embodiment is the second molar 32 , and/or the portions of the jaw bone and/or gums that surround the retromolar space 27 .
  • the stop 13 may be adjustable along the length of the tube 8 , for example, by being slidably mounted on the outside diameter 42 of the tube 8 .
  • the stop 13 is a sleeve, that has an inner opening 52 that is slightly smaller than or approximately equal to the outside diameter 42 of the tube 8 .
  • the stop 13 is frictionally secured to the tube 8 , but can be adjusted by the user along the outside diameter 42 of the tube 8 by the application of an appropriate force.
  • the adjustability of the stop 13 allows the anti-snoring device 10 to conform to the user's particular anatomy and allows the user to vary the length of the tube 8 that enters the oropharynx 30 .
  • the stop 13 may have any shape and size as long as it comfortably fits within the oropharynx 30 of the user's mouth and secures the intraoral segment 18 within the oropharynx 30 of the user's mouth 25 .
  • the stop 13 is a sleeve having concentric circular outside and inside surfaces, wherein the outside diameter d is approximately 28 French (Fr) to approximately 38 Fr, the inside diameter id is approximately 26 Fr to approximately 36 Fr, the length l is approximately ⁇ fraction (3/16) ⁇ inch to approximately ⁇ fraction (1/2) ⁇ inch and the thickness t is approximately 0.3 Fr to approximately 2.5 Fr, wherein 1 French is a unit of measure equal to 3.01 millimeters.
  • the stop 13 has an outer diameter d of approximately 30 Fr, an inside diameter id of approximately 28 Fr, a length l of approximately ⁇ fraction (1/4) ⁇ inch, a thickness t of approximately 1.0 Fr and the tube 8 has an outside diameter 42 of approximately 28 Fr.
  • the anti-snoring device 10 also contains a thin flexible retention diaphragm 12 that forms a portion of the intermediate segment 16 .
  • the retention diaphragm 12 contains a first side 38 that, due to its flexibility, conforms to the user's inner lips and/or inner cheek and a second side 40 that conforms to an outer surface of the user's teeth.
  • the retention diaphragm 12 secures the intermediate segment 16 within the user's buccopharyngeal pathway 11 and prevents anterior displacement of the anti-snoring device 10 .
  • the retention diaphragm 12 also acts as a saliva dam to prevent drooling of naturally occurring saliva developed during sleep.
  • the retention diaphragm 12 is adjustable, for example, by being slidably mounted to the outside diameter 42 of the tube 8 .
  • the retention diaphragm 12 includes an opening 50 that is slightly smaller than or equal to the outside diameter 42 of the tube 8 .
  • the retention diaphragm 12 is frictionally secured to the tube 8 , but can be adjusted by the user along the outside diameter 42 of the tube 8 by the application of an appropriate force.
  • the adjustability of the retention diaphragm 12 allows the anti-snoring device 10 to conform to the user's particular anatomy.
  • the retention diaphragm 12 may have any shape and size, as long as it fits comfortably within the user's mouth between the user's inner lips and/or inner cheek and an outer surface of the user's teeth.
  • the retention diaphragm 12 may be circular, rectangular, square, oval-shaped or any other suitable shape.
  • the retention diaphragm 12 has a square outer perimeter or shape, having sides that are approximately ⁇ fraction (3/4) ⁇ inch to approximately 11 ⁇ 2 inch. The square shape helps to prevent rotation of the device 10 when it is in use as described above.
  • the retention diaphragm 12 has an outer perimeter that is square having 1 inch sides, wherein the opening 50 is circular with a diameter of approximately 28 Fr and the tube 8 has an outside diameter 42 of approximately 28 Fr.
  • the retention diaphragm 12 has a thickness T of approximately 0.030 inches to approximately 0.060 inches.
  • each of the segments of the tube 8 (the extraoral segment 14 , the intermediate segment 16 , and the intraoral segment 18 ) additionally contains side openings or side ventilation openings 24 A- 24 G.
  • the ventilation openings 24 A- 24 G serve to maximize airflow that may be restricted, for example by pillows, bed sheets or other objects obstructing the open end 20 of the extraoral segment 14 and/or soft tissue or other objects obstructing the open end 21 of the intraoral segment 18 .
  • the anti-snoring device 10 depicted in FIG. 1A-2C has a preformed bend such that a convex side 44 of the tube 8 and an opposite concave side 45 of the tube 8 are curved to closely follow the shape of a typical user's dentition.
  • the bend approximates an arc of a circle having a radius in the range of approximately 2.5 inches to approximately 5.0 inches, such as 4.0 inches.
  • the ventilation openings 24 A- 24 G are circular in shape with a diameter of approximately 5 mm.
  • the extraoral segment 14 contains one ventilation opening 24 A disposed on the convex side 44 of the tube 8
  • the intermediate segment 16 contains two ventilation openings 24 B and 24 C disposed on an upper 46 side, between the convex 44 and concave 45 sides, of the tube 8
  • two ventilation openings 24 D and 24 E disposed on an opposite lower 48 side of the tube 8
  • the intraoral segment 18 contains two ventilation openings 24 F and 24 G disposed on the convex side 44 of the tube 8 and one ventilation opening 24 H disposed on the concave side 45 of the tube 8 .
  • the ventilation openings 24 A- 24 G may have any size and shape and each segment 14 , 16 and 18 may contain any number of ventilation openings 24 A- 24 G as long as the ventilation openings 24 A- 24 G allow airflow to enter into the tube 8 and allow sufficient airflow through the tube 8 when the openings 20 and 21 at the extraoral 14 and the intraoral 18 segments are obstructed.
  • the ventilation openings 24 A- 24 G may also be disposed on the tube 8 at positions other than that shown in FIGS. 2A-2C. However, the positions shown minimizes the likelihood that the ventilation openings 24 A- 24 G will be obstructed.
  • positioning ventilation openings in the convex side 44 of the extraoral segment 14 minimizes the likelihood that the user's outer lips will obstruct the ventilation openings in the extraoral segment 14 since the user's lips are adjacent to the concave side 45 of the tube 8 when the anti-snoring device 10 is in use; positioning ventilation openings between the convex 44 and concave 45 sides in the upper 46 and/or lower 48 sides of the intermediate segment 16 minimizes the likelihood that the inner surface 26 of the user's inner cheek and/or the outer surface 28 of the of the user's dentition will obstruct the ventilation openings in the intermediate segment 16 ; and positioning ventilation openings in the concave 45 and the convex 44 sides of the intraoral segment 18 minimizes the likelihood that the user's tongue or soft palate will obstruct the ventilation openings in the intraoral segment 18 .
  • the preformed bend of the anti-snoring device 10 having the convex 44 and the concave 45 sides that are curved to closely follow the shape of a typical user's dentition, facilitates the user in properly inserting the anti-snoring device 10 into the user's mouth and ensures that when the anti-snoring device 10 is inserted properly, the ventilation openings 24 A- 24 G are properly aligned within the user's mouth.
  • the intraoral segment 18 when the user positions the intraoral segment 18 beyond the retromolar space 27 in the user's mouth, into the oropharynx and terminating between the posterior tongue and the soft palate, the intraoral segment 18 may bend inwardly more sharply than the preformed bend for proper placement in the user's mouth.
  • the above described preformed bend contains an additional inward bend 60 near the junction of the intermediate 16 and intraoral 18 segments as shown in FIG. 3.
  • the inward bend 60 is bent at an angle ⁇ in the range of approximately 65 degrees to 135 degrees, such as 100 degrees.
  • the open end 21 of the intraoral segment 18 is cut straight across the tube 8 , i.e. approximately straight across from the upper side 46 of the tube 8 to a lower side 48 of the tube 8 .
  • the open end 21 A of the intraoral segment 18 is angled starting from the upper side 46 of the tube 8 to a lower side 48 of the tube 8 at an angle. In one embodiment, this angle is approximately 45 degrees, however, in other embodiments larger or smaller angles may be used.
  • the angled open end 21 A of the intraoral segment 18 facilitates insertion of the intraoral segment 18 into the retromolar space 27 .
  • the angled open end 21 A of the intraoral segment 18 makes it less likely that the tongue or soft palate will occlude the open end 21 A when the anti-snoring device 10 is in use.
  • the tube 8 has a predetermined length of approximately 9 cm to approximately 13 cm. Although other lengths may be used, when the tube length is longer than 15 cm the extraoral segment 14 extends too far from the typical user's mouth, which may cause the extraoral segment 14 to bind or become obstructed, and when the tube length is shorter than 9 cm the tube 8 is not long enough for both the extraoral segment 14 to extend from the user's mouth and the intraoral segment 18 to extend into the oropharynx 30 of the user's mouth for a typical user. In one embodiment, the tube 8 has a length of 12 cm.
  • the tube 8 , the retention diaphragm 12 and the stop 13 are each composed of a flexible, elastic material, such as a non-latex polyvinyl chloride material.
  • the anti-snoring device 10 is composed of a flexible, elastic material, the anti-snoring device 10 is allowed to negotiate the contours of the user's buccopharyngeal pathway 11 while maintaining user comfort.
  • the flexibility and elasticity of the anti-snoring device 10 allows for a compression of the anti-snoring device 10 during normal sleeping functions, such as swallowing and teeth clenching, while allowing the anti-snoring device 10 to regain its original dimension when those force are relieved.
  • the outside diameter 42 of the tube 8 is approximately 26 Fr to approximately 36 Fr
  • the inside diameter 43 of the tube is approximately 24 Fr to approximately 34 Fr
  • the thickness 41 of the tube 8 is approximately 0.3 Fr to approximately 2.5 Fr.
  • the outside diameter 42 of the tube 8 is approximately 28 Fr
  • the inside diameter 43 of the tube 8 is approximately 26 Fr
  • the thickness 41 of the tube 8 is approximately 1.0 Fr.
  • the outside diameter 42 of the tube 8 may be larger than 36 Fr, but at diameters larger than 36 Fr user comfort begins to decrease.
  • the inside diameter 43 of the tube 8 may be smaller than 26 Fr, but sufficient airflow begins to diminish at 26 Fr.
  • the thickness 41 of the tube 8 may be smaller than 0.3 Fr or larger than 2.5 Fr, but at smaller thicknesses the device 10 becomes too flimsy and a larger thicknesses the device 10 becomes too stiff.
  • all of the outer edges of the tube 8 , the retention diaphragm 12 and the stop 13 are rounded to avoid abrasion or irritation of the user's soft tissue when the device is in use, as described above.
  • any of the embodiments described above may include the preformed shape as shown in FIG. 5.
  • the tube 8 includes a first concave surface 54 A and an opposite first convex surface 56 A that each integrally adjoin, respectively, a second convex surface 54 B and an opposite second concave surface 56 B, such that the tube 8 is approximately “S-shaped”.
  • the first concave surface 54 A and the first convex surface 56 A are disposed on the extraoral 14 and intermediate 16 segments and the second convex surface 54 B and the second concave surface 56 B are disposed 16 on the intraoral segment 18 .
  • the stop 13 may be formed as a preformed expansion in the tube 8 (as is shown in FIGS. 4A and 4B), that extends from outside diameter 42 of the tube 8 .
  • the preformed expansion extends annularly about the tube 8 .
  • the preformed expansion extends from the outside diameter of the tube 8 , but does not extend annularly about the tube 8 .
  • the dimensions of the stop 13 when the stop 13 is formed as a preformed expansion in the tube 8 are approximately the same as the dimensional ranges given above in the embodiments where the stop 13 is a sleeve.

Abstract

An anti-snoring device is provided that includes a flexible hollow tube for insertion into the user's mouth, having proximal and distal ends and an outer perimeter. The tube includes an extraoral segment at its proximal end, an intraoral segment at its distal end and an intermediate segment extending therebetween. The extraoral and intraoral segments each include at least one opening. The extraoral segment is for extending beyond the user's outer lips, the intermediate segment is of a sufficient length for extending along the buccopharyngeal pathway of the user's mouth, and the intraoral segment is of a sufficient length for extending beyond a retromolar space in the user's mouth, into the oropharynx and terminating between the posterior tongue and the soft palate. The anti-snoring device also includes a stop extending from the outer perimeter of the tube on the intraoral segment for securing the intraoral segment within the user's oropharynx. A method of reducing snoring in a user's mouth utilizing the above described anti-snoring device is also provided.

Description

    FIELD OF THE INVENTION
  • The present invention relates generally to an anti-snoring device for insertion into a user's mouth for providing an unobstructed buccopharyngeal pathway for inspiratory and expiratory airflow to prevent snoring, sleep disordered breathing and/or obstructive sleep apnea. [0001]
  • BACKGROUND
  • Sleep Apnea is a common disorder affecting approximately 20,000,000 Americans. Sleep Apnea refers to a cessation of breathing during sleep that lasts at least 10 seconds. Snoring is another common sleep disorder. By conservative estimates, approximately 80,000,000 Americans are afflicted with snoring. [0002]
  • These sleep disorders cause countless hours of lost sleep and productivity for the afflicted persons, as well as their sleeping partners. In addition, Sleep Apnea is highly associated (50%) with essential hypertension, obesity and heart disease. Moreover, extreme cases of Sleep Apnea can be life threatening. [0003]
  • Current therapy includes sleep position modification, weight loss, and/or lifestyle changes such as the elimination of alcohol, drug use and/or over-eating. Other therapies include the use of mechanical devices such as oral or nasal devices that augment the airway, surgical procedures to enlarge and stabilize the airway during sleep, and continuous positive airway pressure devices. [0004]
  • Nasal devices that dilate the anterior nares by external traction or internal splinting have been used with minimal success. Nasal intubation is poorly tolerated and traumatic to the user. [0005]
  • Current oral devices are typically of two types. One type of oral device involves a tongue retention device that advances and secures the tongue using suction, or mechanical tongue depression and stabilization. However, this type of oral device has limited success and is poorly tolerated by the user. A second type of oral device is a mandibular repositioning device that advances the lower jaw relative to the fixed upper jaw to expand the cross-sectional area of the pharynx thereby improving airflow and preventing collapse. These devices have been variably effective, but commonly have both comfort and compliance problems. [0006]
  • Surgical treatments are varied and include reconstruction of the palate and uvula, various methods to shrink and stiffen the soft tissue of the upper airway, tonsillectomy, laser treatment, radio frequency tissue reduction, hyoid suspension, and tongue base excision and retention. More radical surgical treatments for severe disorders include tracheotomy and surgical advancement of the upper and lower jaws. Surgical treatments are typically highly expensive, painful, complicated and have varying success rates (typically 40-60%). [0007]
  • Nasal and/or oral continuous positive airway pressure has been the most successful of the current sleep disorder treatments. However, this treatment is highly expensive and poorly tolerated by many user's who typically find the treatment intrusive and intolerable. Accordingly, a need exists for an effective, well tolerated, economical treatment for persons afflicted with sleep disordered breathing. [0008]
  • SUMMARY
  • In one embodiment, the present invention is an anti-snoring device that includes a flexible hollow tube for insertion into a user's mouth, having proximal and distal ends and an outer perimeter. The tube includes an extraoral segment at its proximal end, an intraoral segment at its distal end and an intermediate segment extending therebetween. The extraoral and intraoral segments each include at least one opening. The extraoral segment is for extending beyond the user's outer lips, the intermediate segment is of sufficient length for extending along the buccopharyngeal pathway of the user's mouth, and the intraoral segment is of sufficient length for extending beyond a retromolar space in the user's mouth, into the oropharynx and terminating between the posterior tongue and the soft palate. The anti-snoring device also includes a stop extending from the outer perimeter of the tube on the intraoral segment for securing the intraoral segment within the user's oropharynx. [0009]
  • Another embodiment of the present invention includes a method of reducing snoring in a user's mouth. The method includes inserting into the user's mouth a flexible hollow tube that has an extraoral segment at its proximal end, an intraoral segment at its distal end and an intermediate segment extending therebetween, wherein the extraoral and intraoral segments each include at least one opening. The method further includes positioning the extraoral segment of the tube exterior to the user's lips, positioning the intermediate segment of the tube along the buccopharyngeal pathway of the user's mouth and positioning the intraoral segment of the tube beyond a retromolar space in the user's mouth, into the oropharynx and terminating between the posterior tongue and the soft palate.[0010]
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • These and other features and advantages of the present invention will be better understood by reference to the following detailed description when considered in conjunction with the accompanying drawings wherein: [0011]
  • FIG. 1A is a front perspective view of one embodiment of an anti-snoring device according to the present invention; [0012]
  • FIG. 1B is a front perspective view of another embodiment of an anti-snoring device according to the present invention; [0013]
  • FIG. 1C is a front perspective view of another embodiment of an anti-snoring device according to the present invention; [0014]
  • FIG. 1D is a cross-sectional side view of the anti-snoring device of FIG. 1C; [0015]
  • FIG. 2A is a front perspective view of another embodiment of an anti-snoring device according to the present invention; [0016]
  • FIG. 2B is a front perspective view of another embodiment of an anti-snoring device according to the present invention; [0017]
  • FIG. 2C is a cross-sectional side view of the anti-snoring device of FIG. 2B; [0018]
  • FIG. 3 is a cross-sectional view of the upper side of a user's mouth having an anti-snoring device according to the present invention inserted therein. [0019]
  • FIG. 4 is a front perspective view of another embodiment of an anti-snoring device according to the present invention; [0020]
  • FIG. 5A is a front perspective view of another embodiment of an anti-snoring device according to the present invention; and [0021]
  • FIG. 5B is a cross-sectional side view of the anti-snoring device of FIG. 5A.[0022]
  • DETAILED DESCRIPTION OF EMBODIMENTS OF THE INVENTION
  • As shown in FIGS. 1A-5, an embodiment of the present invention is an anti-snoring device for insertion into a user's mouth for providing an unobstructed buccopharyngeal pathway for inspiratory and expiratory airflow to prevent snoring, sleep disordered breathing and/or obstructive sleep apnea. Snoring is a common benign condition characterized by noisy harsh breathing during sleep resulting from soft tissue airway collapse and vibration during the respiratory cycle. This creates a dynamic vibratory resonance between the pressure of respiratory effort and the inherent elastic recoil of the soft tissues. [0023]
  • In the embodiments of FIGS. 1A-5, the [0024] anti-snoring device 10 includes a flexible hollow tube 8 having three segments, an extraoral segment 14, an intermediate segment 16, and an intraoral segment 18. The extraoral 14 and intraoral 18 segments each include at least one opening. For example, in the depicted embodiment, the extraoral segment 14 includes an open end 20 and the intraoral segment 18 includes an open end 21.
  • As shown in FIG. 3, when the [0025] anti-snoring device 10 is inserted into a user's mouth 25 a buccopharyngeal pathway 11 is created for inspiratory and expiratory airflow as illustrated by arrows 22. The buccopharyngeal pathway 11, as used herein, is defined as a pathway extending along an outer surface 28 of the of the user's dentition, between the outer surface 28 of the user's dentition and an inner surface 26 of the user's inner cheek, wherein dentition is defined as the user's teeth and gums in the user's dental arch.
  • When the [0026] anti-snoring device 10 is positioned as shown, the intraoral segment 18 extends past a retromolar space 27 (defined as an area in the user's upper or lower dentition past the user's last molar or an area past the user's upper and lower dentitions when the user's mouth is closed), enters the oropharynx 30 (defined as the posterior oral cavity behind the user's dentition) and terminates between the posterior tongue and the soft palate. The retromolar space 27 as defined herein is created by the removal or nonexistence of at least the upper and/or lower third molar in the user's mouth 25.
  • In the depicted embodiment, the user's mouth contains a first [0027] upper molar 31 and a second upper molar 32, but does not contain a third upper molar. The absence of the third upper molar allows the anti-snoring device 10 to cross behind the user's dentition and enter the user's oropharynx 30. Although, the upper teeth are depicted, a depiction of the lower teeth would be substantially similar and is not included herein to avoid duplicity.
  • Adjacent to the [0028] intraoral segment 18 is the intermediate segment 16. The intermediate segment 16 extends along the buccopharyngeal pathway 11. The intermediate segment 16 may be positioned adjacent to the user's upper dentition, lower dentition or both the upper and lower dentitions, and may pass through the retromolar space 27 in the user's upper dentition, lower dentition or both the upper and lower dentitions, as long as the intermediate segment 16 passes along the buccopharyngeal pathway 11 and the intraoral segment 18 enters the oropharynx 30. The extraoral segment 14 is adjacent to the intermediate segment 16. The extraoral segment 14 extends past the user's lips 34 and outside the user's mouth 25.
  • When the [0029] anti-snoring device 10 is positioned as described above, the unique buccopharyngeal pathway 11 is created as depicted by arrows 22 for inspiratory and expiratory airflow during sleep. The buccopharyngeal pathway 11 is unique because it utilizes a route of airflow that is typically not used in normal breathing patterns and is not previously described in the medical literature as a route for respiratory airflow. The buccopharyngeal pathway 11 presents a pathway for airflow during normal breathing patterns only when it is “stented” open by the anti-snoring device 10 as described above. The anti-snoring device 10 also allows for the buccopharyngeal pathway 11 to be stented open even with the user's mouth closed and allows the user's dentition to remain in its natural and normal position, while accommodating normal jaw movement. As a result, normal swallowing, throat clearing, yawning, coughing and sneezing are not disturbed when the anti-snoring device 10 is in the user's mouth. In addition, since the intraoral segment 18 is positioned in the posterior oropharynx 30 and terminates on the lateral-posterior tongue the naturally triggered gag reflex is markedly diminished.
  • The [0030] anti-snoring device 10 eliminates snoring, sleep disordered breathing and obstructive sleep apnea for several reasons. For example, the intraoral segment 18 “stents” open or separates the posterior tongue and the soft tissue of the soft palate, which tend to collapse and vibrate during sleep to create the sound of snoring. The anti-snoring device 10 also allows free flow of air to the posterior oral cavity at a markedly reduced resistance which allows for a decreased vacuum (negative) pressure of inspiration and a reduced pulsion (positive) pressure of expiration.
  • The [0031] anti-snoring device 10 also contains a flexible outwardly extending stop 13 that forms a portion of the intraoral segment 18. In one embodiment, the stop 13 extends annularly about the tube 8. In another embodiment, the stop 13 extends from the outside diameter of the tube 8, but does not extend annularly about the tube 8. The stop 13 serves to secure the anti-snoring device 10 against anterior displacement, and secures the intraoral segment 18 within the oropharynx 30 of the user's mouth 25. The stop 13 is larger than the retromolar space 27 and therefore prevents retraction therethrough. The stop 13 frictionally secures the intraoral segment 18 within the oropharynx 30 by abutting the last tooth in the retromolar space 27, which in the depicted embodiment is the second molar 32, and/or the portions of the jaw bone and/or gums that surround the retromolar space 27.
  • The [0032] stop 13 may be adjustable along the length of the tube 8, for example, by being slidably mounted on the outside diameter 42 of the tube 8. For example, in the embodiments shown in FIGS. 1-3, the stop 13 is a sleeve, that has an inner opening 52 that is slightly smaller than or approximately equal to the outside diameter 42 of the tube 8. As a result, the stop 13 is frictionally secured to the tube 8, but can be adjusted by the user along the outside diameter 42 of the tube 8 by the application of an appropriate force. The adjustability of the stop 13 allows the anti-snoring device 10 to conform to the user's particular anatomy and allows the user to vary the length of the tube 8 that enters the oropharynx 30.
  • The [0033] stop 13 may have any shape and size as long as it comfortably fits within the oropharynx 30 of the user's mouth and secures the intraoral segment 18 within the oropharynx 30 of the user's mouth 25. For example, in the embodiments shown in FIGS. 1-3, the stop 13 is a sleeve having concentric circular outside and inside surfaces, wherein the outside diameter d is approximately 28 French (Fr) to approximately 38 Fr, the inside diameter id is approximately 26 Fr to approximately 36 Fr, the length l is approximately {fraction (3/16)} inch to approximately {fraction (1/2)} inch and the thickness t is approximately 0.3 Fr to approximately 2.5 Fr, wherein 1 French is a unit of measure equal to 3.01 millimeters.
  • In one embodiment, the [0034] stop 13 has an outer diameter d of approximately 30 Fr, an inside diameter id of approximately 28 Fr, a length l of approximately {fraction (1/4)} inch, a thickness t of approximately 1.0 Fr and the tube 8 has an outside diameter 42 of approximately 28 Fr.
  • In the embodiments of FIGS. 1C-1D and [0035] 2B-3, the anti-snoring device 10 also contains a thin flexible retention diaphragm 12 that forms a portion of the intermediate segment 16. The retention diaphragm 12 contains a first side 38 that, due to its flexibility, conforms to the user's inner lips and/or inner cheek and a second side 40 that conforms to an outer surface of the user's teeth. The retention diaphragm 12 secures the intermediate segment 16 within the user's buccopharyngeal pathway 11 and prevents anterior displacement of the anti-snoring device 10. The retention diaphragm 12 also acts as a saliva dam to prevent drooling of naturally occurring saliva developed during sleep.
  • The [0036] retention diaphragm 12 is adjustable, for example, by being slidably mounted to the outside diameter 42 of the tube 8. For example in one embodiment, the retention diaphragm 12 includes an opening 50 that is slightly smaller than or equal to the outside diameter 42 of the tube 8. As a result, the retention diaphragm 12 is frictionally secured to the tube 8, but can be adjusted by the user along the outside diameter 42 of the tube 8 by the application of an appropriate force. The adjustability of the retention diaphragm 12 allows the anti-snoring device 10 to conform to the user's particular anatomy.
  • The [0037] retention diaphragm 12 may have any shape and size, as long as it fits comfortably within the user's mouth between the user's inner lips and/or inner cheek and an outer surface of the user's teeth. For example, the retention diaphragm 12 may be circular, rectangular, square, oval-shaped or any other suitable shape. In the embodiment shown herein, the retention diaphragm 12 has a square outer perimeter or shape, having sides that are approximately {fraction (3/4)} inch to approximately 1½ inch. The square shape helps to prevent rotation of the device 10 when it is in use as described above. In the depicted embodiment, the retention diaphragm 12 has an outer perimeter that is square having 1 inch sides, wherein the opening 50 is circular with a diameter of approximately 28 Fr and the tube 8 has an outside diameter 42 of approximately 28 Fr. In the embodiments depicted, the retention diaphragm 12 has a thickness T of approximately 0.030 inches to approximately 0.060 inches.
  • In the embodiment of FIGS. 2A-2C, each of the segments of the tube [0038] 8 (the extraoral segment 14, the intermediate segment 16, and the intraoral segment 18) additionally contains side openings or side ventilation openings 24A-24G. The ventilation openings 24A-24G serve to maximize airflow that may be restricted, for example by pillows, bed sheets or other objects obstructing the open end 20 of the extraoral segment 14 and/or soft tissue or other objects obstructing the open end 21 of the intraoral segment 18.
  • For added ergonomic effect and comfort, and for proper fitting in the user's mouth, the [0039] anti-snoring device 10 depicted in FIG. 1A-2C has a preformed bend such that a convex side 44 of the tube 8 and an opposite concave side 45 of the tube 8 are curved to closely follow the shape of a typical user's dentition. For example, in one embodiment the bend approximates an arc of a circle having a radius in the range of approximately 2.5 inches to approximately 5.0 inches, such as 4.0 inches.
  • In the depicted embodiment the [0040] ventilation openings 24A-24G are circular in shape with a diameter of approximately 5 mm. In this embodiment, the extraoral segment 14 contains one ventilation opening 24A disposed on the convex side 44 of the tube 8, the intermediate segment 16 contains two ventilation openings 24B and 24C disposed on an upper 46 side, between the convex 44 and concave 45 sides, of the tube 8, and two ventilation openings 24D and 24E disposed on an opposite lower 48 side of the tube 8, and the intraoral segment 18 contains two ventilation openings 24F and 24G disposed on the convex side 44 of the tube 8 and one ventilation opening 24H disposed on the concave side 45 of the tube 8.
  • However, the [0041] ventilation openings 24A-24G may have any size and shape and each segment 14, 16 and 18 may contain any number of ventilation openings 24A-24G as long as the ventilation openings 24A-24G allow airflow to enter into the tube 8 and allow sufficient airflow through the tube 8 when the openings 20 and 21 at the extraoral 14 and the intraoral 18 segments are obstructed. The ventilation openings 24A-24G may also be disposed on the tube 8 at positions other than that shown in FIGS. 2A-2C. However, the positions shown minimizes the likelihood that the ventilation openings 24A-24G will be obstructed.
  • For example, positioning ventilation openings in the [0042] convex side 44 of the extraoral segment 14 minimizes the likelihood that the user's outer lips will obstruct the ventilation openings in the extraoral segment 14 since the user's lips are adjacent to the concave side 45 of the tube 8 when the anti-snoring device 10 is in use; positioning ventilation openings between the convex 44 and concave 45 sides in the upper 46 and/or lower 48 sides of the intermediate segment 16 minimizes the likelihood that the inner surface 26 of the user's inner cheek and/or the outer surface 28 of the of the user's dentition will obstruct the ventilation openings in the intermediate segment 16; and positioning ventilation openings in the concave 45 and the convex 44 sides of the intraoral segment 18 minimizes the likelihood that the user's tongue or soft palate will obstruct the ventilation openings in the intraoral segment 18.
  • The preformed bend of the [0043] anti-snoring device 10, having the convex 44 and the concave 45 sides that are curved to closely follow the shape of a typical user's dentition, facilitates the user in properly inserting the anti-snoring device 10 into the user's mouth and ensures that when the anti-snoring device 10 is inserted properly, the ventilation openings 24A-24G are properly aligned within the user's mouth. However, as shown in FIG. 3, when the user positions the intraoral segment 18 beyond the retromolar space 27 in the user's mouth, into the oropharynx and terminating between the posterior tongue and the soft palate, the intraoral segment 18 may bend inwardly more sharply than the preformed bend for proper placement in the user's mouth. In one embodiment, the above described preformed bend contains an additional inward bend 60 near the junction of the intermediate 16 and intraoral 18 segments as shown in FIG. 3. The inward bend 60 is bent at an angle α in the range of approximately 65 degrees to 135 degrees, such as 100 degrees.
  • In the embodiment of FIG. 1A, the [0044] open end 21 of the intraoral segment 18 is cut straight across the tube 8, i.e. approximately straight across from the upper side 46 of the tube 8 to a lower side 48 of the tube 8. In the embodiments of FIGS. 1B-2C, the open end 21A of the intraoral segment 18 is angled starting from the upper side 46 of the tube 8 to a lower side 48 of the tube 8 at an angle. In one embodiment, this angle is approximately 45 degrees, however, in other embodiments larger or smaller angles may be used. The angled open end 21A of the intraoral segment 18 facilitates insertion of the intraoral segment 18 into the retromolar space 27. In addition, the angled open end 21A of the intraoral segment 18 makes it less likely that the tongue or soft palate will occlude the open end 21A when the anti-snoring device 10 is in use.
  • In one embodiment, the [0045] tube 8 has a predetermined length of approximately 9 cm to approximately 13 cm. Although other lengths may be used, when the tube length is longer than 15 cm the extraoral segment 14 extends too far from the typical user's mouth, which may cause the extraoral segment 14 to bind or become obstructed, and when the tube length is shorter than 9 cm the tube 8 is not long enough for both the extraoral segment 14 to extend from the user's mouth and the intraoral segment 18 to extend into the oropharynx 30 of the user's mouth for a typical user. In one embodiment, the tube 8 has a length of 12 cm.
  • In one embodiment, the [0046] tube 8, the retention diaphragm 12 and the stop 13 are each composed of a flexible, elastic material, such as a non-latex polyvinyl chloride material. When the anti-snoring device 10 is composed of a flexible, elastic material, the anti-snoring device 10 is allowed to negotiate the contours of the user's buccopharyngeal pathway 11 while maintaining user comfort. In addition, the flexibility and elasticity of the anti-snoring device 10 allows for a compression of the anti-snoring device 10 during normal sleeping functions, such as swallowing and teeth clenching, while allowing the anti-snoring device 10 to regain its original dimension when those force are relieved.
  • In the depicted embodiments, the [0047] outside diameter 42 of the tube 8 is approximately 26 Fr to approximately 36 Fr, the inside diameter 43 of the tube is approximately 24 Fr to approximately 34 Fr, and the thickness 41 of the tube 8 is approximately 0.3 Fr to approximately 2.5 Fr. In one embodiment, the outside diameter 42 of the tube 8 is approximately 28 Fr, the inside diameter 43 of the tube 8 is approximately 26 Fr and the thickness 41 of the tube 8 is approximately 1.0 Fr.
  • The [0048] outside diameter 42 of the tube 8 may be larger than 36 Fr, but at diameters larger than 36 Fr user comfort begins to decrease. The inside diameter 43 of the tube 8 may be smaller than 26 Fr, but sufficient airflow begins to diminish at 26 Fr. The thickness 41 of the tube 8 may be smaller than 0.3 Fr or larger than 2.5 Fr, but at smaller thicknesses the device 10 becomes too flimsy and a larger thicknesses the device 10 becomes too stiff.
  • In one embodiment, all of the outer edges of the [0049] tube 8, the retention diaphragm 12 and the stop 13 are rounded to avoid abrasion or irritation of the user's soft tissue when the device is in use, as described above.
  • Any of the embodiments described above may include the preformed shape as shown in FIG. 5. In the preformed shape of FIG. 5, the [0050] tube 8 includes a first concave surface 54A and an opposite first convex surface 56A that each integrally adjoin, respectively, a second convex surface 54B and an opposite second concave surface 56B, such that the tube 8 is approximately “S-shaped”. In one embodiment, the first concave surface 54A and the first convex surface 56A are disposed on the extraoral 14 and intermediate 16 segments and the second convex surface 54B and the second concave surface 56B are disposed 16 on the intraoral segment 18.
  • In any of the embodiments shown in FIGS. 1-3, the [0051] stop 13 may be formed as a preformed expansion in the tube 8 (as is shown in FIGS. 4A and 4B), that extends from outside diameter 42 of the tube 8. In one embodiment, the preformed expansion extends annularly about the tube 8. In another embodiment, the preformed expansion extends from the outside diameter of the tube 8, but does not extend annularly about the tube 8.
  • In one embodiment shown in FIGS. 4A and 4B, the dimensions of the [0052] stop 13 when the stop 13 is formed as a preformed expansion in the tube 8 (the outer diameter d, the inside diameter id, the length l, and the thickness t) are approximately the same as the dimensional ranges given above in the embodiments where the stop 13 is a sleeve.
  • The preceding description has been presented with reference to various embodiments of the invention. Persons skilled in the art and technology to which this invention pertains will appreciate that alterations and changes in the described structures and methods of operation can be practiced without meaningfully departing from the principle, spirit and scope of this invention. Accordingly, the foregoing description should not be read as pertaining only to the precise structures described and shown in the accompanying drawings, but rather should be read as consistent with and as support for the following claims, which are to have their fullest and fairest scope. [0053]

Claims (36)

1. An anti-snoring device for use in a user's mouth comprising:
a flexible hollow tube for insertion into the user's mouth, having proximal and distal ends and an outer perimeter, the tube comprising:
an extraoral segment, which extends to the proximal end of the tube and has at least one opening, for extending beyond the user's outer lips;
an intraoral segment, which extends to the distal end of the tube and has at least one opening, having a sufficient length for extending beyond a retromolar space in the user's mouth, into the oropharynx and terminating between the posterior tongue and the soft palate; and
an intermediate segment, which extends between the extraoral and intraoral segments, having a sufficient length for extending along the buccopharyngeal pathway of the user's mouth; and
a stop extending from the outer perimeter of the tube on the intraoral segment for securing the intraoral segment against movement along a lengthwise direction of the tube within the user's oropharynx.
2. The anti-snoring device of claim 1, wherein the stop comprises an outer perimeter that is larger than the retromolar space and the outer perimeter of the tube is smaller than the retromolar space.
3. The anti-snoring device of claim 1, wherein the stop has a thickness in the range of approximately 0.3 French to approximately 2.5 French.
4. The anti-snoring device of claim 1, wherein the stop is adjustable along the length of the intraoral segment.
5. The anti-snoring device of claim 4, wherein the stop comprises an inner aperture that is slightly smaller than the outer perimeter of the tube to resist movement along the tube and wherein the inner aperture of the stop is slidably mounted along the outer perimeter of the tube when a sufficient force is applied by the user.
6. The anti-snoring device of claim 1, wherein the extraoral segment comprises an open end and wherein the intraoral segment comprises an open end.
7. The anti-snoring device of claim 1, wherein the end of the intraoral segment is angled to facilitate insertion of the intraoral segment into the retromolar space.
8. The anti-snoring device of claim 1, wherein the open end of the intraoral segment is angled starting from an upper side of the tube to a lower side of the tube.
9. The anti-snoring device of claim 1, wherein the tube comprises an outer preformed bend having a convex side and an opposite concave side.
10. The anti-snoring device of claim 1, wherein the intraoral segment comprises at least one ventilation opening.
11. The anti-snoring device of claim 10, wherein the intermediate segment comprises at least one ventilation opening.
12. The anti-snoring device of claim 11, wherein the extraoral segment comprises at least one ventilation opening.
13. The anti-snoring device of claim 9, wherein the extraoral segment comprises an open end and wherein the intraoral segment comprises an open end and at least one ventilation opening disposed on at least one of the convex side and the concave side of the tube.
14. The anti-snoring device of claim 13, wherein the intermediate segment contains at least one ventilation opening disposed on at least one of an upper side between the convex and concave sides of the tube and an opposite lower side of the tube.
15. The anti-snoring device of claim 14, wherein the extraoral segment comprises at least one ventilation opening disposed on the convex side of the tube.
16. The anti-snoring device of claim 1, further comprising a retention diaphragm on the intermediate segment of the tube for securing the intermediate segment within the user's buccopharyngeal pathway.
17. The anti-snoring device of claim 16, wherein the retention diaphragm is flexible and comprises a first side for conforming to the user's inner lips and a second side for conforming to an outer surface of the user's teeth.
18. The anti-snoring device of claim 11, wherein the retention diaphragm is adjustable along the length of the intermediate segment.
19. The anti-snoring device of claim 18, wherein the retention diaphragm comprises an inner aperture that is smaller than the outer perimeter of the tube and wherein the inner aperture of the retention diaphragm is slidably mounted along the outer perimeter of the tube.
20. The anti-snoring device of claim 16, wherein a perimeter of the retention diaphragm around the tube is substantially rectangular in shape.
21. The anti-snoring device of claim 1, wherein the flexible hollow tube and the stop each comprise a non-latex polyvinyl chloride material.
22. The anti-snoring device of claim 16, wherein the retention diaphragm comprises a non-latex polyvinyl chloride material.
23. The anti-snoring device of claim 1, wherein the tube has a performed outer shape comprising a first portion with a first concave surface and an opposite first convex surface and a second portion with a second convex surface and an opposite second concave surface.
24. The anti-snoring device of claim 1, wherein the stop is formed as a preformed expansion in the tube.
25. An anti-snoring device for use in a user's mouth comprising:
a flexible hollow tube for insertion into the user's mouth, having proximal and distal ends and an outer perimeter, the tube comprising:
an extraoral segment, which extends to the proximal end of the tube and has at least one opening, for extending beyond the user's outer lips;
an intraoral segment, which extends to the distal end of the tube and has at least one opening, having a sufficient length for extending beyond a retromolar space in the user's mouth, into the oropharynx and terminating between the posterior tongue and the soft palate; and
an intermediate segment, which extends between the extraoral and intraoral segments, having a sufficient length for extending along the buccopharyngeal pathway of the user's mouth; and
a stop extending from the outer perimeter of the tube on the intraoral segment for securing the intraoral segment within the user's oropharynx, wherein the outer perimeter of the stop is larger than the outer perimeter of the tube, and wherein the tube comprises an outer preformed bend having a convex side and an opposite concave side.
26. The anti-snoring device of claim 25, wherein the stop comprises an outer perimeter that is larger than the retromolar space and the outer perimeter of the tube is smaller than the retromolar space.
27. The anti-snoring device of claim 25, wherein the stop comprises an inner perimeter that is slightly smaller than the outer perimeter of the tube and wherein the stop has a thickness in the range of approximately 0.3 French to approximately 2.5 French.
28. The anti-snoring device of claim 25, wherein the extraoral segment comprises an open end and wherein the intraoral segment comprises an open end.
29. The anti-snoring device of claim 28, wherein the extraoral segment comprises at least one ventilation opening disposed on the convex side of the tube, wherein the intermediate segment contains at least one ventilation opening disposed on at least one of an upper side between the convex and concave sides of the tube and an opposite lower side of the tube, and wherein the intraoral segment comprises at least one ventilation opening disposed on at least one of the convex side and the concave side of the tube.
30. The anti-snoring device of claim 25, further comprising a retention diaphragm on the intermediate segment of the tube for securing the intermediate segment within the user's buccopharyngeal pathway.
31. A method of reducing snoring in a user's mouth comprising:
inserting into the user's mouth a flexible hollow tube having proximal and distal ends;
positioning an extraoral segment of the tube, which extends to the proximal end of the tube and has at least one opening, exterior to the user's lips;
positioning an intraoral segment of the tube, which extends to the distal end of the tube and has at least one opening, beyond a retromolar space in the user's mouth, into the oropharynx and terminating between the posterior tongue and the soft palate; and
positioning an intermediate segment of the tube, which extends between the extraoral and intraoral segments, along the buccopharyngeal pathway of the user's mouth.
32. The method of claim 31, further comprising securing the intermediate segment within the buccopharyngeal pathway.
33. The method of claim 32, wherein securing the intermediate segment within the buccopharyngeal pathway comprises positioning a retention diaphragm between the user's inner lips and an outer surface of the user's teeth.
34. The method of claim 31, further comprising securing the intraoral segment within the oropharynx.
35. The method of claim 34, wherein securing the intraoral segment within the oropharynx comprises positioning a stop adjacent to a last tooth that is adjacent to the user's retromolar space.
36. The method of claim 31, further comprising separating at least a portion of the posterior tongue and the soft palate by positioning at least a portion of the intraoral segment therebetween.
US10/405,782 2003-04-01 2003-04-01 Anti-snoring device and method of use Abandoned US20040194787A1 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
US10/405,782 US20040194787A1 (en) 2003-04-01 2003-04-01 Anti-snoring device and method of use
PCT/US2004/010030 WO2004089271A2 (en) 2003-04-01 2004-04-01 Enhanced breathing device
EP04758727A EP1628604B1 (en) 2003-04-01 2004-04-01 Enhanced breathing device
AT04758727T ATE547078T1 (en) 2003-04-01 2004-04-01 IMPROVED BREATHING APPARATUS
US10/816,566 US7451766B2 (en) 2003-04-01 2004-04-01 Enhanced breathing device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US10/405,782 US20040194787A1 (en) 2003-04-01 2003-04-01 Anti-snoring device and method of use

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US10/816,566 Continuation-In-Part US7451766B2 (en) 2003-04-01 2004-04-01 Enhanced breathing device

Publications (1)

Publication Number Publication Date
US20040194787A1 true US20040194787A1 (en) 2004-10-07

Family

ID=33097187

Family Applications (2)

Application Number Title Priority Date Filing Date
US10/405,782 Abandoned US20040194787A1 (en) 2003-04-01 2003-04-01 Anti-snoring device and method of use
US10/816,566 Active 2025-11-06 US7451766B2 (en) 2003-04-01 2004-04-01 Enhanced breathing device

Family Applications After (1)

Application Number Title Priority Date Filing Date
US10/816,566 Active 2025-11-06 US7451766B2 (en) 2003-04-01 2004-04-01 Enhanced breathing device

Country Status (4)

Country Link
US (2) US20040194787A1 (en)
EP (1) EP1628604B1 (en)
AT (1) ATE547078T1 (en)
WO (1) WO2004089271A2 (en)

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20110073119A1 (en) * 2009-09-28 2011-03-31 Somnics, Inc. Negative pressure oral apparatus
US20130203012A1 (en) * 2012-02-06 2013-08-08 Anthony Walker Flexible Surgical Suction Device and Method
US8881734B2 (en) * 2003-11-17 2014-11-11 Lowell R Wedemeyer Cheek path airway
US10010444B2 (en) 2011-05-19 2018-07-03 Oventus Medical Limited Breathing assist device
WO2019173869A1 (en) 2018-03-12 2019-09-19 Oventus Medical Limited Oral appliance and valve arrangement
US10632010B2 (en) 2014-04-01 2020-04-28 Oventus Medical Limited Breathing assist device
US11185399B2 (en) 2012-02-06 2021-11-30 Nuflow Inc. Flexible surgical suction device and method

Families Citing this family (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AT503096B1 (en) * 2005-12-16 2009-04-15 Carl Reiner Gmbh JET ENDOSKOP
US7878201B2 (en) * 2006-09-29 2011-02-01 Mongeon Douglas R Supraglottic airway device and method of use
US8505540B2 (en) * 2007-11-13 2013-08-13 Apnicure, Inc. Methods and systems for improving airway patency
US8074656B2 (en) 2007-11-13 2011-12-13 Apnicure, Inc. Methods and systems for creating pressure gradients to improve airway patency
AU2009298395B2 (en) 2008-10-02 2014-11-20 Lumen Devices Llc A palate retainer with attached nasopharyngeal airway extender for use in the treatment of obstructive sleep apnea
AU2009324904B9 (en) 2008-11-25 2014-07-10 Lumen Devices Llc Devices, systems and methods for the treatment of sleep apnea
GB201006480D0 (en) * 2010-04-19 2010-06-02 Intersurgical Ag Improvements relating to respiratory apparatus
US8539954B2 (en) 2010-06-07 2013-09-24 Vincent MEYER Breathing assistance apparatus
US8631795B1 (en) 2010-08-04 2014-01-21 Roxanne R. McMurray Enhanced airway
US8979823B2 (en) 2011-02-09 2015-03-17 Apnicure, Inc. Saliva management system with continuous flow through oral device
WO2012112783A1 (en) 2011-02-17 2012-08-23 Lumen Devices Llc Apparatus and methods for the treatment of sleep apnea
US9084859B2 (en) 2011-03-14 2015-07-21 Sleepnea Llc Energy-harvesting respiratory method and device
ES2399464B1 (en) 2011-10-26 2014-01-16 Javier Ernesto MASELLI Resuscitation device
US9352112B2 (en) * 2011-12-13 2016-05-31 Covidien Lp Shaped evacuation port for a multi-lumen tracheal tube
CN104540480B (en) 2013-01-11 2016-09-28 莱镁医疗器材股份有限公司 Reduce the oral apparatus of oral cavity air space, system
US9888867B2 (en) 2013-03-15 2018-02-13 Airway Control Technologies, Llc Medical breathing apparatus
US8991399B2 (en) 2013-08-02 2015-03-31 Andre Michalak Sleep apnea prevention mask
US10543331B2 (en) 2015-12-01 2020-01-28 Cook Medical Technologies Llc Fluid delivery system to airway
US11931515B2 (en) 2017-10-27 2024-03-19 Somnifix International Llc Method for using a face strip for treating breathing conditions
IT201800009377A1 (en) * 2018-10-11 2020-04-11 Cif Service Srl Cannula for night breathing

Citations (28)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4170230A (en) * 1978-04-14 1979-10-09 Nelson Byron G Breathing apparatus
US4185639A (en) * 1978-03-27 1980-01-29 Linder Gerald S Adjustable stop for endotracheal tube guide
US4256099A (en) * 1979-03-21 1981-03-17 Dryden Gale E Two-tube resuscitation system
US4261354A (en) * 1979-11-26 1981-04-14 Nelson Byron G Inhalator-breathing apparatus
US4262666A (en) * 1979-10-24 1981-04-21 Nelson Byron G Inhalator-breathing apparatus
US4270531A (en) * 1978-12-11 1981-06-02 Blachly Paul H Oropharyngeal airway and bite block assembly and method of use for closed pulmonary ventilation
US4289127A (en) * 1979-10-29 1981-09-15 Nelson Byron G Breathing apparatus stabilizer
US4363320A (en) * 1980-09-17 1982-12-14 Michael Kossove Breathing airway
US4589410A (en) * 1985-07-15 1986-05-20 Miller Larry S Endotracheal tube
US4821715A (en) * 1988-02-16 1989-04-18 Downing Michael V Nasopharyngeal airway
US4901737A (en) * 1987-04-13 1990-02-20 Toone Kent J Method and therapeutic apparatus for reducing snoring
US4919126A (en) * 1987-05-08 1990-04-24 Baildon David E Flexible oral airways and methods
US5117816A (en) * 1991-01-03 1992-06-02 Shapiro Norman A Anti-snore device
US5443063A (en) * 1993-08-31 1995-08-22 The Johns Hopkins University Cuffed oro-pharyngeal airway
US5570704A (en) * 1993-10-28 1996-11-05 Snoreless Corp Universal, user-adjustable oral cavity appliance to control snoring and reduce episodes of obstructive sleep apnea
US5590643A (en) * 1995-01-17 1997-01-07 Flam; Gary H. Mandibular protracting oral intubating airway
US5727564A (en) * 1996-10-02 1998-03-17 Yannalfo; Janine E. Snore reducing devices with molar wedges and roof arch
US5743258A (en) * 1994-05-31 1998-04-28 Mallinckrodt Medical, Inc. Pharyngeal airway
US5868138A (en) * 1993-04-13 1999-02-09 Silent Knight Ventures, Inc. Dental appliance for treatment of snoring and obstructive sleep apnea
US5921241A (en) * 1996-03-01 1999-07-13 Belfer; William A. Anti-snoring device having an adjustable external oral shield
US5950624A (en) * 1996-07-09 1999-09-14 Hart; William T. Oral appliance having hollow body
US5988170A (en) * 1997-05-22 1999-11-23 Thomas; Thomas Snoring prevention apparatus
US6041784A (en) * 1993-04-13 2000-03-28 Silent Knights Ventures Inc. Dental appliance for treatment of snoring and obstructive sleep apnea
US6263877B1 (en) * 1995-11-13 2001-07-24 Robert A. Gall Snore prevention apparatus
US6269816B1 (en) * 1997-10-17 2001-08-07 Fundacao Faculdade De Medicina Buccal protector
US20010047805A1 (en) * 2000-01-21 2001-12-06 Respironics, Inc. Intraoral apparatus for enhancing airway patency
US20020040712A1 (en) * 1999-04-08 2002-04-11 Hsiu-Chin Chou Adjustable oropharyngeal airway apparatus
US6386199B1 (en) * 1999-09-29 2002-05-14 David D. Alfery Perilaryngeal oral airway

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3964488A (en) * 1974-11-13 1976-06-22 Wallace H. Ring Tracheal tube
US4114626A (en) * 1975-01-30 1978-09-19 Beran Anthony V Intubation set
US5429127A (en) * 1991-09-12 1995-07-04 The United States Of America As Represented By The Department Of Health And Human Services Thin wall endotracheal tube
DK9400004U3 (en) * 1994-01-06 1994-02-25 Nikomed Aps Specially developed patch for fixing oral, endo-tracheal anesthesia tubes
US5862801A (en) * 1996-10-11 1999-01-26 Sonja Wells Endotracheal tube protector
GB0015538D0 (en) * 2000-06-27 2000-08-16 Smith Bryan R Surgical device
US6517549B1 (en) * 2001-08-24 2003-02-11 Core Dynamics, Inc. Medical mouthpiece with elliptical passageway

Patent Citations (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4185639A (en) * 1978-03-27 1980-01-29 Linder Gerald S Adjustable stop for endotracheal tube guide
US4170230A (en) * 1978-04-14 1979-10-09 Nelson Byron G Breathing apparatus
US4270531A (en) * 1978-12-11 1981-06-02 Blachly Paul H Oropharyngeal airway and bite block assembly and method of use for closed pulmonary ventilation
US4256099A (en) * 1979-03-21 1981-03-17 Dryden Gale E Two-tube resuscitation system
US4262666A (en) * 1979-10-24 1981-04-21 Nelson Byron G Inhalator-breathing apparatus
US4289127A (en) * 1979-10-29 1981-09-15 Nelson Byron G Breathing apparatus stabilizer
US4261354A (en) * 1979-11-26 1981-04-14 Nelson Byron G Inhalator-breathing apparatus
US4363320A (en) * 1980-09-17 1982-12-14 Michael Kossove Breathing airway
US4589410A (en) * 1985-07-15 1986-05-20 Miller Larry S Endotracheal tube
US4901737A (en) * 1987-04-13 1990-02-20 Toone Kent J Method and therapeutic apparatus for reducing snoring
US4919126A (en) * 1987-05-08 1990-04-24 Baildon David E Flexible oral airways and methods
US4821715A (en) * 1988-02-16 1989-04-18 Downing Michael V Nasopharyngeal airway
US5117816A (en) * 1991-01-03 1992-06-02 Shapiro Norman A Anti-snore device
US5868138A (en) * 1993-04-13 1999-02-09 Silent Knight Ventures, Inc. Dental appliance for treatment of snoring and obstructive sleep apnea
US6161542A (en) * 1993-04-13 2000-12-19 Silent Knights Ventures Inc. Method of treating snoring and obstructive sleep apnea
US6041784A (en) * 1993-04-13 2000-03-28 Silent Knights Ventures Inc. Dental appliance for treatment of snoring and obstructive sleep apnea
US5443063A (en) * 1993-08-31 1995-08-22 The Johns Hopkins University Cuffed oro-pharyngeal airway
US5570704A (en) * 1993-10-28 1996-11-05 Snoreless Corp Universal, user-adjustable oral cavity appliance to control snoring and reduce episodes of obstructive sleep apnea
US5743258A (en) * 1994-05-31 1998-04-28 Mallinckrodt Medical, Inc. Pharyngeal airway
US5590643A (en) * 1995-01-17 1997-01-07 Flam; Gary H. Mandibular protracting oral intubating airway
US6263877B1 (en) * 1995-11-13 2001-07-24 Robert A. Gall Snore prevention apparatus
US5921241A (en) * 1996-03-01 1999-07-13 Belfer; William A. Anti-snoring device having an adjustable external oral shield
US5950624A (en) * 1996-07-09 1999-09-14 Hart; William T. Oral appliance having hollow body
US5727564A (en) * 1996-10-02 1998-03-17 Yannalfo; Janine E. Snore reducing devices with molar wedges and roof arch
US5988170A (en) * 1997-05-22 1999-11-23 Thomas; Thomas Snoring prevention apparatus
US6269816B1 (en) * 1997-10-17 2001-08-07 Fundacao Faculdade De Medicina Buccal protector
US20020040712A1 (en) * 1999-04-08 2002-04-11 Hsiu-Chin Chou Adjustable oropharyngeal airway apparatus
US6386199B1 (en) * 1999-09-29 2002-05-14 David D. Alfery Perilaryngeal oral airway
US20010047805A1 (en) * 2000-01-21 2001-12-06 Respironics, Inc. Intraoral apparatus for enhancing airway patency

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8881734B2 (en) * 2003-11-17 2014-11-11 Lowell R Wedemeyer Cheek path airway
US20110073119A1 (en) * 2009-09-28 2011-03-31 Somnics, Inc. Negative pressure oral apparatus
US9387117B2 (en) * 2009-09-28 2016-07-12 Somnics, Inc. Negative pressure oral apparatus
US10149783B2 (en) 2009-09-28 2018-12-11 Somnics, Inc. Negative pressure oral apparatus
US10010444B2 (en) 2011-05-19 2018-07-03 Oventus Medical Limited Breathing assist device
US11612513B2 (en) 2011-05-19 2023-03-28 Open Airway Dental Solutions Ltd. Breathing assist device
US20130203012A1 (en) * 2012-02-06 2013-08-08 Anthony Walker Flexible Surgical Suction Device and Method
US11185399B2 (en) 2012-02-06 2021-11-30 Nuflow Inc. Flexible surgical suction device and method
US10632010B2 (en) 2014-04-01 2020-04-28 Oventus Medical Limited Breathing assist device
US11844719B2 (en) 2014-04-01 2023-12-19 Open Airway Dental Solutions Ltd. Breathing assist device
WO2019173869A1 (en) 2018-03-12 2019-09-19 Oventus Medical Limited Oral appliance and valve arrangement

Also Published As

Publication number Publication date
US7451766B2 (en) 2008-11-18
EP1628604A2 (en) 2006-03-01
US20040194785A1 (en) 2004-10-07
ATE547078T1 (en) 2012-03-15
EP1628604A4 (en) 2009-08-05
EP1628604B1 (en) 2012-02-29
WO2004089271A3 (en) 2005-02-17
WO2004089271A2 (en) 2004-10-21

Similar Documents

Publication Publication Date Title
US20040194787A1 (en) Anti-snoring device and method of use
US11654044B2 (en) Valved nasal cannula
US8091554B2 (en) Methods and devices for relieving upper airway obstructions
US6494209B2 (en) Method and apparatus for treatment of snoring, hypopnea and apnea
US8464709B2 (en) Cheek path airway and cheek pouch anchor
EP1549267B1 (en) Systems for moving and/or restraining tissue in the upper respiratory system
US20050166929A1 (en) Methods and devices for relieving upper airway obstructions
US7946292B2 (en) Tongue retention device
JP5361991B2 (en) Snoring prevention device
US20080078407A1 (en) System and method for providing support for a breathing passage
US20030015198A1 (en) Method and device for addressing sleep apnea and related breathing disorders
KR100618457B1 (en) Device for preventing snoring and apnoea during sleep
US8739794B2 (en) Oral device
US20100224197A1 (en) Sleep appliance
JP2004520084A (en) Tongue stabilizer
US20180185188A1 (en) Intraoral mandibular advancement device for treatment of sleep disorders
CA2554629A1 (en) Methods and devices for relieving upper airway obstructions
US20190358079A1 (en) Devices, systems, and methods for treatment of sleep apnea
KR200334851Y1 (en) apparatus for snoring treatment
JP2008302223A (en) Snoring prevention device
WO2005074484A2 (en) Methods and devices for maintaining an open airway

Legal Events

Date Code Title Description
STCB Information on status: application discontinuation

Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION