Apparatus and methods for treating sleep apnea

• US 7,363,926 B2
• Filed: 05/10/2005
• Issued: 04/29/2008
• Est. Priority Date: 12/30/2002
• Status: Expired due to Fees

• Current Assignee: Quiescence Medical, Inc.
• Original Assignee: Quiescence Medical, Inc.
• Inventors: Thompson, Christopher Paul, Pflueger, D. Russell
• Primary Examiner(s): Yu; Justine R.
• Assistant Examiner(s): Ali; Shumaya B.
• Application Number:
  US11/126,649
• Publication Number:
  US 20050199248A1
• Time in Patent Office: 1,085 Days
• Field of Search: 128/848, 128859-861, 128/897, 128/898, 128/200.26, 128/201.26, 128/206.29, 128/200.24, 128/899, 600/902, 381/69, 606/198, 623/9, 623/23.64, 623/23.7, 623/902, 623/23.73, 602/902
• US Class Current: 128/848
• CPC Class Codes: A61F 2/20 Epiglottis; Larynxes; Tracheae combined with larynxes or for use therewith tracheae, bronchi per se A61F2/04 ; tracheostomy tubes A61M16/0465
• CPC Class Codes: A61F 2/203 comprising an air passage from trachea to oesophagus or to pharynx; Artificial epiglottis
• CPC Class Codes: A61F 2/82 Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents stent-grafts for tubular structures of the body other than blood vessels A61F2/04; stent-grafts for blood vessels A61F2/07; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95; for closing wounds, or holding wounds closed A61B17/04 - A61B17/115; dilators A61M29/00
• CPC Class Codes: A61F 2210/0014 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 5/566 Intra-oral devices
• CPC Class Codes: Y10S 602/902 Antisnoring or mouth closing devices
• CPC Class Codes: Y10S 623/902 Method of implanting

Abstract

An apparatus and methods for treating sleep apnea and/or snoring are provided. The apparatus includes an appliance sized and structured to be placed in the pharyngeal region of a human or animal. The appliance, when so placed is effective in treating sleep apnea and/or snoring, for example in maintaining openness of an oropharyngeal region of a human or animal during natural sleep. Preferably, the appliance is non-circumferential in form and includes rounded, spaced apart end portions.

Claims

1. An apparatus for treating at least one of sleep apnea and snoring in a human or animal, wherein the apparatus is adapted to be placed into an oropharyngeal region with lateral and posterior walls of the human or animal, the apparatus comprising:

an appliance comprising two spaced apart elongated elements each having a length extending from a first rounded end to a second rounded end, wherein the first end and the second end of the elongated element do not interlock the at least two elements being integrally connected together at respective first and second ends, at least one of the elongated elements includes an outwardly extending region between the first and second ends substantially further spaced apart from the other of the elongated elements than any other region of the at least one of the elongated elements, the appliance being adapted to be placed in or radially outwardly from the lateral and posterior walls of an oropharyngeal region of a human or animal with the length of at least one of the elongated elements extending generally laterally across the posterior wall and, when so placed, being effective in treating at least one of sleep apnea and snoring, the appliance having a constrained configuration during delivery into an oropharyngeal region, and an unconstrained configuration when the appliance is adapted to an oropharyngeal region.

2. The apparatus of claim 1 wherein the elongated elements are spaced apart from each other by a varying distance between the first and second ends.

3. The apparatus of claim 1 wherein each of the elongated elements includes an outwardly extending region between the first and second ends substantially further spaced apart from the other of the elongated elements than any other region of the clongated elements.

4. The apparatus of claim 3 wherein the outwardly extending regions are substantially mutually aligned.

5. The apparatus of claim 3 wherein each outwardly extending region is substantially centrally located between the first and second ends.

6. The apparatus of claim 3 wherein each outwardly extending region extends in a substantially opposing direction relative to the other outwardly extending region.

7. The apparatus of claim 1 wherein the elongated elements are portions of the same structure.

8. The apparatus of claim 1 wherein the appliance has a lateral dimension defined by the distance between the first and second ends and a maximum longitudinal dimension perpendicular to the lateral dimension which is less than the lateral dimension.

9. The apparatus of claim 1 wherein each of the two elongated elements comprises a resilient wire.

10. The apparatus of claim 1 wherein the deployed configuration is a concave loop configuration.

11. The apparatus of claim 1 wherein the apparatus has a substantially flat configuration.

12. The apparatus of claim 1 wherein the appliance is made of a biocompatible metal.

13. The apparatus of claim 1 wherein the appliance is made of an elastic spring memory material.

14. The apparatus of claim 1 wherein the appliance is made of nitinol.

15. The apparatus of claim 1, wherein the appliance has a substantially C-shaped configuration in the deployed configuration.

16. The apparatus of claim 15, wherein the first and second ends of the appliance are spaced apart defining a gap therebetween in the substantially C-shaped configuration.

17. The apparatus of claim 1, wherein the appliance comprises a wire or ribbon that forms a continuous loop.

18. The apparatus of claim 1, wherein the appliance comprises a wire or ribbon that forms a continuous loop comprising the elongate elements and end portions integrally connecting first and second respective ends of the elongate members.

19. A method for treating at least one of sleep apnea and snoring in a human or an animal, wherein an appliance is adapted to be placed into an oropharyngeal region with lateral and posterior walls of the human or animal, the method comprising:

providing an appliance in or radially outwardly from the lateral and posterior walls of the oropharyngeal region of the human or animal, the appliance comprising two spaced apart elongated elements each having a length extending from a first rounded end to a second rounded end, the two elements integrally connected together at respective first and second ends, and at least one of the elongated elements includes a region between the first and second ends substantially further spaced apart from the other elongated elements than any other region of the at least one of the elongated elements, the appliance being adapted to be provided so that the appliance is placed in or beneath the mucosal layer of the lateral and posterior walls of the oropharyngeal region and the length of at least one of the elongated elements extends generally laterally across the posterior wall of the oropharyngeal region, the appliance having a constrained configuration during delivery into the oropharyngeal region, and an unconstrained configuration when the appliance is adapted to the oropharyngeal region such that the first and second ends bear against and provide an opening force against the lateral walls of the oropharyngeal region.

20. A method for treating at least one of sleep apnea and snoring in a human or an animal, wherein an appliance is adapted to be placed into an oropharyngeal region with lateral and posterior walls of the human or animal, the method comprising:

providing an appliance in or radially outwardly from the lateral and posterior walls of the oropharyngeal region of the human or animal, the providing step including providing the appliance in a deformed first configuration, inserting the appliance into the oropharyngeal region and allowing the appliance to reconfigure to a deployed second configuration within the oropharyngeal region, the appliance comprising two spaced apart elongated elements each having a length extending from a first end to a second end, the two elements integrally connected together at respective first and second ends, and at least one of the elongated elements includes a region between the first and second ends substantially further spaced apart from the other of the elongated elements than any other region of the at least one of the elongated elements, the appliance being adapted to be provided so that the length of at least one of the elongated elements extends generally laterally across the posterior wall of the oropharyngeal region, the appliance having the deformed configuration during delivery into the oropharyngeal region, and a deployed second configuration when the appliance is adapted to the oropharyngeal region wherein the first and second ends bear against and provide an opening force against the lateral walls of the oropharyngeal region.

21. A method for treating at least one of sleep apnea and snoring in a human or an animal, wherein an appliance is adapted to be placed into an oropharyngeal region with lateral and posterior walls of the human or animal, the method comprising:

providing an appliance in or radially outwardly from the lateral and posterior walls of the oropharyngeal region of the human or animal, the appliance comprising two spaced apart elongated elements each having a length extending from a first end to a second end, the two elements integrally connected together at respective first and second ends, and at least one of the elongated elements includes a region between the first and second ends substantially further spaced apart from the other of the elongated elements than any other region of the at least one of the elongated elements, the appliance being provided so that the length of at least one of the elongated elements extends generally laterally across the posterior wall of the oropharyngeal region, wherein, when the appliance is so provided, each of the elongated elements includes an outwardly extending region between the first and second ends substantially further spaced apart from the other of the elongated elements than any other region of the elongated elements, each outwardly extending region is substantially centrally located between the first and second ends, each outwardly extending region extends in a substantially opposing direction relative to the other outwardly extending region, and the providing step is effective to place the appliance so that each of the outwardly extending regions extent across the posterior wall of the oropharyngeal region, the appliance having a constrained configuration during delivery into the oropharyngeal region, and a deployed configuration when the appliance is adapted to the oropharyngeal region such tat the first and second ends bear against and provide an opening force against the lateral walls of the oropharyngeal region.

22. An apparatus for treating at least one of sleep apnea and snoring wherein the apparatus is adapted to be placed into an oropharyngeal region with lateral and posterior walls, the apparatus comprising:

an appliance comprising a singe continuous loop defining rounded first and second end portions, wherein the first and second end portions do not interlock the loop defined by two spaced apart elongated elements each having a length extending between the first and second end portions, at least one of the elongated elements includes an outwardly extending region between the first and second end portions substantially further spaced apart from the other of the elongated elements than adjacent regions of the at least one of the elongated elements, the appliance being sized for introduction into an oropharyngeal region of a human or animal and deployable in a C-shaped deployed configuration in which at least one of the elongated elements extending generally laterally across the posterior wall and the first and second end portions bearing against and providing an opening force against the lateral walls of the oropharyngeal region.

23. The apparatus of claim 22, wherein the appliance defines an open interior space between the spaced apart elongated elements.

24. The apparatus of claim 22, wherein, in the substantially C-shaped configuration, the first and second end portions define a gap therebetween.

25. The apparatus of claim 22, wherein the appliance has a length extending horizontally between the first and second regions, and a height extending vertically, and wherein the height is less than the length.

26. The apparatus of claim 25, wherein the length is between about 60 mm and about 90 mm.

27. The apparatus of claim 25, wherein the height is between about 15 mm and 25 mm.

28. A method for treating at least one of sleep apnea and snoring, comprising:

providing an appliance comprising a single continuous loop defining first and second end portions, the loop defined by two spaced apart elongated elements each having a length extending between the first and second end portions, at least one of the elongated elements including an outwardly extending region between the first and second end portions substantially further spaced apart from the other of the elongated elements than adjacent regions of the at least one of the elongated elements;

introducing the appliance into an oropharyngeal region; and

releasing the appliance within the oropharyngeal region such that at least one of the elongated elements extends generally laterally across the posterior wall and the first and second end portions bear against and provide an opening force against the lateral walls of the oropharyngeal region.

29. The method of claim 28, wherein the appliance comprises a substantially C-shaped configuration with the first and second end portions defining a gap therebetween when released within the oropharyngeal region.