Obstructive sleep apnea treatment devices, systems and methods
First Claim
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1. A method of treating a person having a hypoglossal nerve and an upper airway, comprising:
- chronically implanting a nerve cuff electrode on a portion of the hypoglossal nerve, the nerve cuff electrode comprising a cylindrical cuff body having a first side with a first longitudinal edge and a second side with a second longitudinal edge, the cylindrical cuff body having a proximalmost end surface and a distalmost end surface, wherein the first longitudinal edge includes a proximalmost end and a distalmost end, and the second longitudinal edge includes a proximalmost end and a distalmost end, and wherein, when the nerve cuff electrode is implanted on the hypoglossal nerve, the nerve cuff electrode surrounds substantially an entire circumference of a portion of the hypoglossal nerve, the first and second longitudinal edges are unattached and facing one another, and the proximalmost and distalmost ends of the second longitudinal edge are disposed between the proximalmost and distalmost ends of the first longitudinal edge, wherein the distalmost end surface of the cylindrical cuff body is not associated with the second side of the cylindrical cuff body; and
delivering a stimulus to the hypoglossal nerve via the nerve cuff electrode to mitigate obstruction of the upper airway.
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Abstract
Devices and methods of use are provided for treating a person having a hypoglossal nerve and an upper airway. In one embodiment, a method may include providing a nerve cuff electrode including a cylindrical cuff body. The method may further include chronically implanting the nerve cuff electrode on a portion of the hypoglossal nerve. The method may also include delivering a stimulus to the hypoglossal nerve via the nerve cuff electrode to mitigate obstruction of the upper airway.
500 Citations
50 Claims
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1. A method of treating a person having a hypoglossal nerve and an upper airway, comprising:
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chronically implanting a nerve cuff electrode on a portion of the hypoglossal nerve, the nerve cuff electrode comprising a cylindrical cuff body having a first side with a first longitudinal edge and a second side with a second longitudinal edge, the cylindrical cuff body having a proximalmost end surface and a distalmost end surface, wherein the first longitudinal edge includes a proximalmost end and a distalmost end, and the second longitudinal edge includes a proximalmost end and a distalmost end, and wherein, when the nerve cuff electrode is implanted on the hypoglossal nerve, the nerve cuff electrode surrounds substantially an entire circumference of a portion of the hypoglossal nerve, the first and second longitudinal edges are unattached and facing one another, and the proximalmost and distalmost ends of the second longitudinal edge are disposed between the proximalmost and distalmost ends of the first longitudinal edge, wherein the distalmost end surface of the cylindrical cuff body is not associated with the second side of the cylindrical cuff body; and delivering a stimulus to the hypoglossal nerve via the nerve cuff electrode to mitigate obstruction of the upper airway. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41)
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42. A method of treating a patient with a hypoglossal nerve and an upper airway, comprising:
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chronically implanting a nerve cuff electrode on a portion of the hypoglossal nerve, wherein the nerve cuff electrode includes a cylindrical cuff body having a first side with a first longitudinal edge and a second side with a second longitudinal edge, the cylindrical cuff body having a proximalmost end surface and a distalmost end surface, wherein the first longitudinal edge includes a proximalmost end and a distalmost end, and the second longitudinal edge includes a proximalmost end and a distalmost end and wherein the second side includes a first electrode contact, the first side includes two anode electrode contacts and a cathode electrode contact between the anode electrode contacts, and the cathode electrode contact faces the first electrode contact, and, when implanted on the hypoglossal nerve, the nerve cuff electrode surrounds substantially an entire circumference of a portion of the hypoglossal nerve, with the second side of the cuff body extending around a deep side of the nerve, and the first and second longitudinal edges are unattached and facing one another, and wherein the proximalmost and distalmost ends of the second longitudinal edge are disposed between the proximalmost and distalmost ends of the first longitudinal edge, wherein the distalmost end surface of the cylindrical cuff body is not associated with the second side of the cylindrical cuff body; and delivering a stimulus to the hypoglossal nerve via the nerve cuff electrode to mitigate obstruction of the upper airway. - View Dependent Claims (43, 44, 45, 46, 47, 48)
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49. A method of treating a person with a hypoglossal nerve and an upper airway, comprising:
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chronically implanting a nerve cuff electrode on a portion of the hypoglossal nerve; and delivering a stimulus to the hypoglossal nerve via the nerve cuff electrode to mitigate obstruction of the upper airway, wherein the nerve cuff electrode includes a cylindrical cuff body having a first side and a second side, the first side including a first longitudinal edge having proximalmost and distalmost ends, and the second side including a second longitudinal edge having proximalmost and distalmost ends, the cylindrical cuff body having a proximalmost end surface and a distalmost end surface, and, when implanted on the hypoglossal nerve, the nerve cuff electrode surrounds substantially an entire circumference of a portion of the hypoglossal nerve, the first and second longitudinal edges are unattached and face one another, and the second side of the cuff body extends around a deep side of the nerve, wherein the second side includes at least one electrode contact and the first side includes at least one electrode contact, wherein a deep side of the nerve is dissected less than a superficial side of the nerve, and wherein the proximalmost and distalmost ends of the second longitudinal edge are disposed between the proximalmost and distalmost ends of the first longitudinal edge, and wherein the distalmost end surface of the cylindrical cuff body is not associated with the second side of the cylindrical cuff body. - View Dependent Claims (50)
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Specification