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New Sleep Apnea Devices in Place of CPAP are a Sigh of Relief for Some Patients who Struggle with CPAP



More than 18M United States residents are influenced by OSA, a state, which becomes a reason for them to halt breathing for 30 or more times every hour during their sleep at nighttime.  Already mechanical devices are there for the curing of obstructive sleep apnea; however, lots of sufferers are not able to endure them soundly. In this scenario, the accessibility to latest machines is just like a sigh of relief for them.


The FDA has just approved a THN Sleep Therapy for clinical trials carried out by neurostimulation machine from ImThera Medical, which is presently taking on moderate-severe sleep apnea patients.


One more substitute to a device, which is known as Provent Therapy, which is inserted into the patient’s nose earlier than going to sleep. This therapy does not use a device or a mask to create a positive airway pressure to assist the sleep apnea patients.


In 2014, a fresh curing known as “upper airway stimulation”, which is approved by FDA, requires an implantable machine that serves as a “nerve stimulator”. This machine is able to feel, whenever a patient halts respiring throughout his sleep at night and stimulates the airway muscles to assist it remain open.


Dr. Maurits Boon, MD, who is an assistant professor in a neck and head surgery and in otolaryngology department, and further a co-director of Swallowing and Voice Center at “Thomas Jefferson University Hospital” in Philadelphia. 



Mr. Boon was not the part of the invention of fresh machine; however, he was the foremost who started suggesting it to sufferers. He says that this machine is ground-breaking progress in the field of curing sleep apnea. He further says that this machine is really efficient for the correct sufferer and far better endured as compared to CPAP.


The machine is created for CPAP sufferers who failed in the past and are suffering from moderate-severe obstructive sleep apnea or are now reluctant to carry on with the CPAP treatment. The possible side effects that sufferers underwent throughout testing comprise inconvenient tongue weakness and tongue stimulation.


 “Inspire Medical System” of Minneapolis created a device for treating sleep apnea is fixed all through outdoor patient surgical procedure period. The sufferer turns the device on earlier than going to sleep at night and turns it off after waking up in the morning with the help of a handheld remote control. A petite machine is fixed under the armpit, which keeps a check on the respiring models and if respiration halts, it sends electrical signals to inform another machine fixed underneath the chin to stimulate the muscles and thus help in keeping the airway open.

CPAP Limits


The author of “Sleep Soundly Every Night, Feel Fantastic Every Day”, Dr. Robert Rosenberg, FCCP, DO, sleep private practitioner, in Falgstaff and Prescott Valley of Arizona says that a lot of his sufferers resist CPAP. They try hard to resolve the issues but most of the time remains unsuccessful. Occasionally, changing the pressure or the mask works but other times the patients wish to have some substitute option as stated above, or guide sufferers to reduce weight considerably.


Continuous Positive Airway Pressure therapy has been presently available curing therapy for obstructive sleep apnea some time now. The CPAP petite device gives the pressure of air into the mask, which shoves the air passage open and thus enables the sufferers to help respire more effortlessly throughout their sleeping time at night.


For many patients, CPAP is a useful therapy; however, they do not forever feel convenient with it. The pressure of air may grounds to harsh dehydration in the mouth and nose


It can be a real challenge being wrapping up to a device while maintaining a big mask on the face. Dr. Robert says that almost 40% of the CPAP sufferers stop the CPAP treatment in a one year time period.



Due to the inconveniences stated above, most of the patients do not keep on with a CPAP treatment. A study discovered that only 50% of the sufferers who were suggested a CPAP therapy continues with the CPAP therapy after four years of time span. While several other research studies discover that around 83% of sufferers stop wearing the mask soon or they wear it only sporadically.


Going under a surgical procedure can at times a choice for CPAP struggling people. However, surgery is only carried out in severe instances and modifies a patient’s tonsils, uvula, jaw, tongue, soft palate and it all depends on the root of this state.

Sleep Apnea Sufferers Practices with Implantation


Maren Kritz, of Minnesota, a 70 year old was suffering from chronic obstructive sleep apnea in a way that she was not able to drive just 30 miles without taking a nap. She used to sleep earlier than reading a single article and even she used to nod just while communicating. Sleep analysis confirmed that she used to halt respiring for over a minute, and after taking few breaths, she used to halt respiring again continuously throughout her nighttime.

Maren’s warning signs were alike to lots of other OSA patients. She was experiencing:

Ø Getting into sleep at unsuitable intervals
Ø Depressive disorders
Ø Irritability
Ø Memory and focus issues
Ø Lack of sleep
Ø Severe snoring

In this type of condition, a patient is apparent to stroke, hypertension, heart attack and even heart failure.


Maren hooked up to a CPAP device, but she was not feeling perfect after waking up in the morning rather with sores and burning inside her nose. 


Her facial mask was not fit and hindering her in getting the sufficient sleep.



Kritz heard about a clinical trial going on 3 years ago in respect to the latest treatment known as “INSPIRE upper airway stimulation therapy”. She had no option but to go for the new treatment. After the implantation of the INSPIRE device, she expressed that her decision completely altered her life.

Now, she gets wake up fresh just after 5 hours of sleep, without the hazy head. Her life is normal now, of which she was not aware of in the past.


A 64 year old, Aaron Hank, from Cleveland had sleep apnea and gone under a surgical procedure, with no success. She was also hooked up with a CPAP machine, but she was not satisfied with the device. Aaron even reduced weight, so that she might get rid of CPAP, but she was told by her therapist that there is no other option available except continue using the CPAP.

Hank expressed that at the mid of her 60s, it was absurd to keep up with CPAP and she really did not want to hook her face with a lousy mask for the remaining of her life.


After having the implantation of ““INSPIRE upper airway stimulation device”, Aaron was flying in the air. She now wakes up fresh in the morning and is able to enjoy every bit of her night sleep. She told about the new device to her neighbor. Aaron was the participant of the clinical trial of the INSPIRE therapy and even her husband was also willing to join her, but he could not meet the criteria.


Do you require the Implantation of the New Device?

Only 10 percent to 20 percent of sleep apnea patients are eligible to use the upper airway stimulation implant, Boon says. Patients who qualify must have:


Mouth and throat anatomy a kind that will react to the therapy BMI of 32 or lower because above 30 body mass index is measured as over weight

A patient has moderate-severe obstructive sleep apnea

Dr. Boon further said that “Upper Airway stimulation therapy” is not for every sufferer, but it is a home run for those who meet the criteria.

The upshots of the “upper airway stimulation therapy” are showing potential. A research was carried out on 126 sufferers in the year 2014 and was publicized in the “England Journal of Medicine”. The manufacturer sponsored the said research, but autonomous medical practitioners evaluated it.


The contributors’ report showed that the hourly numbers of sleep apnea incidents reduced by 68%, after the one year of the implantation. Similarly, the report further states that their hourly sudden drop in the oxygen levels, also reduced by 70%. 


The quality of the contributors’ life also improved and less than 2% of them stated any severe bad incidents.


Rosenberg says that this implant and several other latest machines are providing extra choices to the patients. Nevertheless, the device called “PROVENT” is comparatively less expensive and hardly ever has insurance coverage. The cost of the INSPIRE stimulator device is evaluated approximately US$60000 for now and most of the insurance plans do no cover it presently.


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