Airway implant sensors and methods of making and using the same

• US 7,882,842 B2
• Filed: 02/15/2006
• Issued: 02/08/2011
• Est. Priority Date: 09/21/2004
• Status: Active Grant

• Current Assignee: Pavad Medical, Inc.
• Original Assignee: Pavad Medical, Inc.
• Inventors: Choi, George Yoseung, Hegde, Anant V., Bhat, Nikhil D.
• Primary Examiner(s): Bianco; Patricia M
• Assistant Examiner(s): NGUYEN, CAMTU TRAN
• Application Number:
  US11/355,927
• Publication Number:
  US 20060185680A1
• Time in Patent Office: 1,819 Days
• Field of Search: 600/26, 128/897, 128/898
• US Class Current: 128/899
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/1076 for measuring dimensions inside body cavities, e.g. using catheters A61B3/1005 takes precedence
• CPC Class Codes: A61B 5/4818 Sleep apnoea
• CPC Class Codes: A61C 7/00 Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
• CPC Class Codes: A61F 2/00 Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents as cosmetic articles, see the relevant subclasses, e.g. wigs, hair pieces, A41G3/00, A41G5/00; artificial nails A45D31/00; dental prostheses A61C13/00; materials for prostheses A61L27/00; artificial hearts A61M60/00; artificial kidneys A61M1/14
• CPC Class Codes: A61F 5/56 Devices for preventing snoring by influencing the respiratory system by gas treatment A61M16/00
• CPC Class Codes: A61F 5/566 Intra-oral devices
• CPC Class Codes: A61N 1/0519 Endotracheal electrodes
• CPC Class Codes: A61N 1/0546 Nasal electrodes
• CPC Class Codes: A61N 1/0548 Oral electrodes
• CPC Class Codes: A61N 1/3601 of respiratory organs

Abstract

An airway implant device for maintaining and/or creating an opening in air passageways is disclosed. Methods of using the device are also disclosed. The airway implant device comprises a deformable element to control the opening of an air passageway. Preferably the deformable element is an electroactive polymer element. Energizing of the electroactive polymer element provides support for the walls of an air passageway, when the walls collapse, and thus, completely or partially opens the air passageway. Some embodiments of the invention include a sensor capable of sensing the possible occurrence of an apneic event and activating the deformable element of the airway implant device. Methods of treating airway disorders such as sleep apnea and snoring with the airway implant device are disclosed herein.

Claims

1. An airway implant device comprising:

a substantially flat deformable element having a first end and a second end, said deformable element comprising an ionic electroactive polymer;

an assembly including an anode, a cathode, a controller, and a first inductor configured to convert energy received from a proximally located second inductor into electricity, said anode and said cathode electrically connecting said first inductor with the substantially flat deformable element, and said controller being configured to regulate delivery of said electricity from the first inductor to energize said deformable element to modulate the shape or stiffness of the ionic electroactive polymer element; and

a sensor that monitors a gap in an air passageway to detect the onset of an apneic event;

wherein said assembly is attached to and extends from the first end of said deformable element, and said deformable element is configured to change its shape or stiffness when energized to modulate the gap in the air passageway and said sensor is adapted and configured to cause the controller to deliver electricity to said deformable element when the sensor detects the onset of an apneic event to cause the deformable element to modulate the gap.

2. A system comprising the device of claim 1 and a non-implanted portion, said non-implanted portion comprising said second inductor and being adapted and configured to be held adjacent said first inductor when said first inductor is implanted in the patient and to deliver energy to said first inductor via electromagnetic induction between said first and second inductors to energize said deformable element.

3. The device of claim 2 wherein said non-implanted portion comprises a power supply electrically coupled with said second inductor.

4. The device of claim 3 wherein said non-implanted portion comprises a processor implementing an algorithm to control an energizing of said deformable element in response to a signal from said sensor element indicating that said air passageway gap is less than a threshold gap.

5. The device of claim 1 wherein said deformable element and sensor element is adapted and configured for implantation into or proximal to an air passageway wall.

6. The device of claim 5 wherein said deformable element and sensor element is adapted and configured for implantation into or proximal to a nose, nostril, soft palate, tongue, laryngeal wall, and/or a pharyngeal wall.

7. The device of claim 1 wherein said deformable element and said sensor element are in two separate units.

8. The device of claim 1 wherein said sensor provides real-time information on said air passageway gap to the controller to modulate said opening of said air passageway by said deformable element.

9. The device of claim 1 wherein said deformable element comprises an ion exchange polymer metal composite.

10. The device of claim 1 wherein the controller comprises a processor implementing an algorithm to control an energizing of said deformable element in response to a signal from said sensor element indicating that said air passageway gap is less than a threshold gap.

11. The device of claim 1 wherein said deformable element is adapted and configured for implantation into a soft palate and sensor element is adapted and configured for implantation into a soft palate and/or a pharyngeal wall.

12. The device of claim 1 wherein said sensor element comprises at least one of a non-contact distance sensor, a strain sensor, or a wall tension sensor.

13. The device of claim 1 wherein at least one of said deformable element or said assembly comprises a coating to prevent tissue growth.

14. The device of claim 1 wherein at least one of said deformable element or said assembly comprises a coating to promote tissue growth.

15. A method of treating a disease using an airway implant device, said method comprising:

implanting the airway implant device of claim 1 proximal to and/or in a wall of an air passageway;

monitoring the width of the air passageway gap with the sensor; and

causing the controller to deliver electricity to said deformable element when the width of the air passageway gap indicates the onset of an apneic event.

16. The method of claim 15 wherein said airway implant device is coated with an agent to prevent tissue growth around said airway implant device.

17. The method of claim 16 wherein said airway implant device is coated with hyaluronic acid.

18. The method of claim 15 wherein said disease is obstructive sleep apnea or snoring.

19. The method of claim 15 wherein said sensor element is implanted in a soft palate, tongue, laryngeal wall, and/or a pharyngeal wall and said airway implant device is implanted in a soft palate.

20. The method of claim 15 wherein said sensor element is further adapted and configured to provide a feedback on the width of the airway gap being monitored to said controller, said controller modulating said deformable element in response to said feedback.