Abstract: A method can be provided that includes measuring sound waves using a sound measuring device, determining, at a central controller of an air mattress system, one or more parameter values of the sound waves, comparing the one or more parameter values with values, ranges, or patterns indicative of snoring, identifying a snoring state of a user, and initiating, with the central controller, a change to one or more adjustable features of the air mattress system.

Abstract: The invention relates to a regulatable intraoral mandibular advancement device that can be used to prevent snoring and sleep apnoea. Said device comprises two splints connected by a central screw (1) inserted into a sheath (2) comprising an upper ring (3), said sheath being used as a guiding housing (4) for an upper bar (5) of an upper plate (6), and the lower part of the sheath comprising a longitudinal groove (8) enabling the course of an inner mobile threaded (10) ring (9) that is displaced by the screw (1), and on which a lower displacement ring (11) is arranged, open or closed, said ring being provided with a perpendicular hole (12) with elipsoidal conicity, in which the lower bar (13) fixed to the lower maxillary plate (14) is inserted. Said screw (1) is locked to the sheath (2) on its rear part.

Abstract: A device for the treatment of bruxism may include an articulation plate worn on one of the upper or lower jaw and coupled to a bite plate worn on the other of the upper or lower jaw. Posts extending from one of the bite plate or articulation plate into housings in the other of the bite plate or articulation plate may couple the bite plate and articulation plate. The posts may include a solid, flexible material to allow for relative movement of the coupled bite plate and articulation plate. First articulating components on one of the bite plate or articulation plate may engage second articulating components on the other of the bite plate or articulation plate to allow for 360 degree articulating motion between the bite plate and articulation plate. A damper may adjust a distance between teeth received in the bite plate and teeth received in the articulation plate.

Abstract: Apparatus and methods are provided for treating sleep apnea, snoring, and the like using an implant within an oropharyngeal region adjacent an anterior longitudinal ligament. The implant may include a relatively narrow central region between first and second relatively wide outer regions. In one embodiment, one of the outer regions is compressible to allow the outer region to be directed through or behind the ligament such that the central region is disposed within or behind the ligament, the outer region being resiliently expandable after passing through or behind the ligament. In another embodiment, the implant may include one or more tines or other features that may be directed into adjacent tissue to secure the implant within the oropharyngeal region.

Abstract: The present invention is a safe, inexpensive, easy to use and effective anti-snoring and anti-sleep apnea treatment device. The device has a vertical and horizontal bar. The horizontal bar is placed inside the mouth, behind or between the molar teeth with palatine and tongue shelves to prevent snoring and movement of the tongue backwards. The device is tethered to the hard palate by vacuum cups to prevent the movement of the tongue backwards during sleep to prevent sleep apnea. The proximal end of the vertical bar is anchored to string at the distal end with hook and loop fabric closure adhesive attachment and to the lips outside the mouth to prevent the accidental swallowing and aspiration of the device; and at the same time holds the tongue and device firmly in the mouth. The device is provided with canula with three way stopcocks to deliver supplemental oxygen and therapeutic agents.

Abstract: Embodiments of the present invention relate to an adjustable bite block for positioning within a person's mouth and maintaining the mouth in an open position. The adjustable bite block comprising at least one band of curved material comprising a first portion and a second portion. The first and second portions configured to be coupled to one another so as to define a closed loop with an opening defined therethrough, wherein the first and second portions are further configured to be selectively adjusted relative to one another so as to adjust a radial dimension of the loop, and wherein the band is configured to be positioned within the person's mouth such that at least a portion of the loop maintains the person's mouth in an open position. Embodiments of the adjustable bite block may use snap tabs spaced along the band or a ratchet mechanism for adjustment of the radial dimension.

Abstract: The invention relates to an orthodontic apparatus that includes an upper jaw brace and a lower jaw brace. The braces each have an adjustment mechanism for an engaging part. The engaging parts engage together when the mouth is closed. Each adjustment mechanism has an adjustment spindle running in the sagittal direction of the jaw brace, the spindle head thereof can be accessed at the front by a tool. The position of the engaging part can thereby be adjusted very easily, and, among other things, also while the orthodontic apparatus is in the mouth of the patient.

Abstract: Devices and methods for improving the coupling between the soft palate and the genioglossus. This may be accomplished, for example, but shortening or stiffening the palatoglossal arch. Improved coupling between the soft palate and the genioglossus may be beneficial to a patient suffering from obstructive sleep apnea (OSA) as a stand-alone procedure, or in combination procedures and devices that cause anterior displacement of the tongue such as hypoglossal nerve stimulation, genioglossus advancement surgery, mandibular advancement surgery, mandibular advancement (oral) appliances, etc.

Abstract: A mandibular advancement device used in the management of snoring, obstructive sleep apnea, TMD and bruxism and jaw clenching, comprises a maxillary tray for receiving/retaining maxillary teeth, a mandibular tray for receiving/retaining mandibular teeth, and one to two advancement member(s)/prong(s) located on the mandibular tray at the anterior region thereof. The advancement member(s)/prong(s), when in use, contact the outer surface of the maxillary tray in an anterior region thereof, thereby advancing and retaining the mandible and tongue in a protrusive position. Raized occlusal surfaces/bite pads in a region contiguous and posterior to the advancement prong(s) allow a passive tongue retaining gap or space to be formed in the anterior and posterior regions of the device. A lingual retaining strap may be provided between opposite posterior portions of the mandibular tray to passively retain the tongue in a protruded, non-obstructive position.

Abstract: An orthosis includes an upper tray and a lower tray, which are designed to line the teeth of an upper jaw and the teeth of a lower jaw, respectively. A connection joins the trays. The upper tray has at least a first fixed base, and the lower tray has at least a second fixed base. The connection has a fixed length and is designed to be fixed, on the one hand, to the first base and, on the other hand, to the second base, in a position that has an advancing effect and that is adjustable by way of a control element integrated in at least one of the two bases.

Abstract: Systems and methods implant structures in, on, or near the floor of the mouth. The structures can be sized and configured to resist buckling of tissue structures in, on, or near the floor of the mouth in a cranial direction. The systems and methods can also be sized and configured, singly or in combination, for stabilizing a hyoid bone, and/or stabilizing a tongue, and/or suspending a tongue, and/or providing neuro-muscular stimulation of tissue structures in, on, or near the floor of the mouth.

Abstract: A sleep evaluation device includes an obtainment unit configured to obtain audio and a determination unit configured to determine a snoring level in the audio obtained by the obtainment unit based on an amount of time for which the audio occurred. The determination unit is configured to determine a snoring level based on a ratio of a cumulative time in which the obtainment unit obtains the audio to a number of times the audio is obtained by the obtainment unit.

Abstract: A continuous positive airway pressure (CPAP) system provides positive airway pressure therapy. It has been recognized that users generally prefer to breathe freely rather than to fight the pressurized air when possible. A continuous positive airway pressure (CPAP) system provides positive airway pressure therapy when required, but allows the user to breathe freely with the mask on when positive airway pressure is not required. The system has a valve that moves between two positions to open and close the unassisted breathing vent and the outlet from the flow generator.

Abstract: The present invention is a dental oral appliance to open the airway for a sleeping individual who suffers with snoring or obstructive sleep apnea. The appliance includes a base to secure the appliance within the mouth for the individual. Typically, the base will fit over and secure to the lower teeth of the individual. The appliance also includes a tongue restraining device connected to the base. The tongue restraining device has a substantial breach formed therein to permit movement of the tongue so that the user can more easily swallow saliva. A ramp might also be attached to the anterior portion of the base to advance the mandible.

Abstract: Apparatus is provided, including one or more valve support guide members configured to be delivered to one or more commissures of a native atrioventricular valve of a patient, one or more valve support anchors configured to be anchored to the one or more commissures of the native valve, a prosthetic valve support advanceable toward the native valve along the one or more valve support guide members and anchored to the native valve at least the one or more commissures, and a prosthetic valve configured to be coupled to the valve support. Other applications are also described.

Abstract: Devices and methods for treating obstructive sleep apnea by first performing an assessment of the patient that involves observing the patient's upper airway during a tongue protrusion maneuver. The assessment may, for example, be done using endoscopy to observe the upper airway while the patient is awake in the supine position. An adequate response of the upper airway during the tongue protrusion maneuver is indicative of likely therapeutic success with hypoglossal nerve stimulation, and may be used for making clinical decisions. The principles of the present invention may be applied to other therapeutic interventions for OSA involving the upper airway.

Abstract: An intraoral orthosis having a first shell and a second shell, the shells being connected together by an adjustable connection device. The adjustable connection device has two notched tabs that are arranged respectively on either side of one of the shells, each notched tab co-operating in adjustable manner with a respective adjustment housing, arranged correspondingly on either side of the other of the shells, each notched tab having adjustment teeth to adjust the position of the shells one relative to the other, and locking housings to lock the position. The locking housings are oriented transversally relative to the adjustment teeth.

Abstract: A device for snoring and obstructive sleep apnea treatment has an oral elastic glove portion adapted to removably cover a free moving portion of a user's tongue. Three vacuum suction cups are used to attach the device to the hard palate and the dorsal and ventral surfaces of the tongue in order to hold the device in place without allowing the tongue to move backwards. A vacuum creating cannula and a syringe attached to a tip of the device to create a vacuum once the device in positioned in the user's mouth. In addition, a balloon is provided to prevent soft palate vibrations. A skin attachment pad is removably attached to the user's face close to the mouth and holds the end of a string provided to secure the tongue glove from moving during sleep or be accidentally swallowed.

Abstract: In a sleep posture alerting method or an apparatus therefor, the sleep posture of a person is detected and the person is automatically alerted by an alerting device when the sleep posture is out of a predetermined body posture range. The detection of the sleep posture or at least the alerting of the person, when his/her body posture is out of the predefined body posture range, is deactivated during a sleep-in time period.

Abstract: Apparatus for the alleviation of sleep apnoea in which dentition engagement units or dental overlays shaped to engage the maxillary and mandibular dentition of a subject each having a laterally located pair of flanges the ends of which almost abut, magnets embedded in said flanges with their like poles adjacent or sinusoidally-shaped extension elements made from shape-memory material having a transition temperature equal to or slightly less than normal body temperature and accommodated in cavities in said flanges provide, respectively, a magnetic repulsion force or expansive force when warmed by body heat sufficient, during sleep-induced relaxation, to displace said mandibular dentition engagement unit or dental overlay forwardly in relation to said maxillary dentition engagement unit, displacing the mandible of the subject and thereby effecting a displacement of the temporomandibular joint.

Abstract: An orthotic obstructive sleep apnea treatment device is provided that includes a hyoid bone attachment element disposed to attach a ferric element to a hyoid bone, where the ferric element is disposed to face along a treatment vector from the hyoid bone, and the treatment vector is oriented relative to a sagittal plane of a human. The orthotic obstructive sleep apnea treatment device further includes an external orthotic neck device having a contoured housing with a shape disposed to conform about a neck of the human subject, where the housing includes a force delivery element disposed at an exterior-front neck region of the human subject and is disposed to provide an attractive force to the ferric element along the treatment vector. An accelerometer is disposed to measure kinematic variables or movement.

Abstract: The invention is generally a dental appliance that, in exemplary embodiments, includes a mandibular advancement mouthpiece equipped with a tongue-securing mechanism. The dental appliance helps to keep a user's airway unobstructed by moving the mandible forward with respect to the maxilla, and securing a tip portion of the tongue slightly anterior to the mandible, so that the tongue is held from falling back into the throat. This invention helps alleviate problems including severe snoring and sleep apnea, which are typically caused by the tongue obstructing the airway at the throat, impeding respiration during sleep or when unconscious. In an exemplary embodiment, the dental appliance comprises of maxillary and mandibular components that make up a mouthpiece, which is configured to circumscribe a tongue retaining mechanism, or tongue sleeve that secures a user's tongue in place.

Abstract: A method and apparatus for securing a uvula to a soft palate. The uvula may be attached to either the nasopharyngeal side or the oral side of the soft palate with a uvula securement device. The uvula may be secured to the nasopharyngeal side of the soft palate with a suture.

Abstract: The cheek pouch anchor, formed of a resilient filament, fits within a user's cheek pouch. The anchor dynamically spans a user's inter-occlusal space and lip opening as a user's jaws open and close. The anchor can be formed of inter-connected, conversely-adjustable loops to enable user adjustment of its span. It can stabilize a work piece, such as an airway, in a user's mouth. The cheek path airway fits a path between a user's lips and through the user's cheek pouch and rear-jaw gap, avoiding the user's bite. It provides supplemental air to a user's rear-mouth cavity independently of a user's nasal airways while a user's lips remain closed. It can be used in combination with mandibular jaw-control and tongue-control devices whereby the combination mitigates breathing restrictions in a user's nasal and throat airways. It can be manufactured in-line and folded by a user to fit the user's cheek pathway.

Abstract: Systems, devices, and methods for retaining a treatment device in the patient's oral cavity through the course of treatment are provided. Retainer elements, which match the upper and lower teeth of the patient, are worn by the patient and coupled to the bite plate of the treatment device. The upper and lower retainer elements can be coupled to the bite plate or otherwise positioned relative to one another such that the lower teeth and mandible are advanced in the anterior direction, which helps maintain airway patency. The treatment device can also apply a vacuum to the oral cavity to help maintain airway patency.

Abstract: An anti-snoring and sleep apnea device is disclosed in which the device comprises an upper tray structure adapted for receiving upper teeth of a mouth of an individual, a lower tray structure adapted for receiving lower teeth of the mouth of the individual, a first Herbst mechanism connected to the upper tray structure and the lower tray structure, and a second Herbst mechanism connected to the upper tray structure and the lower tray structure, the first and second Herbst mechanisms for adjusting the position of the lower tray structure relative to the upper tray structure.

Abstract: Methods and systems are provided for a device having a first member and a second member coupled to the first member where the second member is configured to modify a configuration of a human or animal orifice or conduit. In some embodiments, the first member is a shaft and the second member is an inflatable membrane system configured to facilitate inflation or deflation of the inflatable membrane system. In some embodiments, the first member is a U-shaped member with end members configured for insertion to an internal nasal valve. Other embodiments are disclosed.

Abstract: A sleep apnea prevention sleep-aid mask is described. The sleep-aid mask is configured to secure the lips of a user together in a natural state, in order to encourage the respiratory system of the user to employ the nasal passages rather than the mouth for respiration. A pad equipped with a perforated mesh or channel is positioned over the lips and mouth of the user, and secured in position on the user via an adhesive, which temporarily affixes the pad to the face of the user. The sleep-aid mask is preferably shaped and sized according to the specific size of the user's face, and is configured to limit the effective diameter of the mouth of the user, in order to cause continued use of respiration via the nasal passages.

Abstract: A method of maintaining airway patency in an airway of a patient which includes the steps of implanting a device into tissue adjacent an airway, the device having a bioerodable material wound around a resiliently deformable body to temporarily maintain the deformable body in a stretched, deformed state, and permitting the bioerodable material of the device to bioerode to apply a force to maintain airway patency. The invention also provides devices for practicing the method.

Abstract: Described herein are nasal devices. In particular, layered nasal respiratory devices are described. Layered nasal device may include a layered airflow resistor that is configured to resist airflow in a first direction more than airflow in a second direction and that includes a flap valve adjacent to a flap valve limiting layer and an adhesive holdfast layer that is configured to secure the layered airflow resistor in communication with the subject's nasal cavity. Methods of using and methods of assembling layered nasal device are also described.

Abstract: An apparatus for preventing sleep apnea in a wearer comprises upper and u-shaped appliances, a bottom protrusion extending from the lower appliance in a direction generally away from an occlusal surface of the lower appliance and a top protrusion extending from the upper appliance, the top protrusion including an adjusting block having a height of between 5/16 and 13/32 of an inch adjustably extending therefrom and having a leading surface oriented to engage the top protrusion. A method for preventing sleep apnea in a wearer comprises locating the top protrusion below and extending away from the top occlusal surface of a wearer's upper teeth, locating the bottom protrusion above and extending away from the bottom occlusal surface of a wearer's lower teeth and extending the adjusting block in an anterior direction from the top protrusion towards the bottom protrusion.

Abstract: Embodiments of the present invention relate to methods and devices for the treatment of airway obstruction, such as obstructive sleep apnea, and devices and methods that facilitate insertion and retrieval of the same. In one embodiment, disclosed is a tissue tensioner that includes an elongate flexible tether having a first end and a second end, a bone anchor configured to be connected to a patient's mandible, a tissue ingrowth implant configured to be implanted in a patient's tongue and connected to the second end of the tether, and an adjustment mechanism configured to be held by the bone anchor adjacent the patient's mandible and configured to receive the first end of the tether and configured to adjust tension in the flexible tether between the patient's mandible and tongue. Various anchors, tethers, securement mechanisms, and adjustment mechanisms that can be used with glossal and palatal remodeling systems are also disclosed.

Abstract: A dental device has a U-shaped carrier with at least one channel for embracing an arch of teeth. There are recessed insets in the channel. Discrete inserts carrying a beneficial agent can fit into the insets and release the agent gradually. The device may be used in a therapeutic application and as an athletic mouthguard. Temporary blanks may be initially fitted in the insets, while a portion of the mouthguard is softened before an arch of teeth is pressed into the channel to make a custom impression. The inserts possess different physical properties than the carrier and may be positioned and shaped to mechanically buffer teeth of the arch from mechanical shocks as well as release beneficial agents. The inserts may be replaced or refreshed to maintain the beneficial agent. A dental device having a core carrying a beneficial agent inside a liquid-permeable shell functions as an infant's teething device.

Abstract: Devices for monitoring patient breaching comprise a collar having a microprocessor and memory which is connectable to a plurality of sensors. Therapeutic devices comprise similar diagnostic capabilities and further provide energy delivery elements for stimulating a patient's upper respiratory muscles in order to terminate and an apneic or snoring event.

Abstract: Embodiments of methods and mandibular protruders and positioning devices, comprising, for example: an upper mounting bracket having an upper dental appliance; a lower mounting bracket having a lower dental appliance; and a rail system configured to couple the upper mounting bracket to the lower mounting bracket. Some embodiments comprise a drive motor and/or an initial position adjustment mechanism.

Abstract: Methods of use of a nasal insert to support smoking cessation, and methods of use of a nasal insert to reduce or eliminate snoring, and a method of use of a nasal insert to reduce the severity or to eliminate obstructive sleep apnea, and a method of use of a nasal insert to gain smoother, easier breathing through the nose. The nasal insert comprises a body having an inner surface which defines an air passageway surrounded by an outer surface of soft, flexible material. The nasal insert body can have a first portion and a second portion where the outer surface of said nasal insert body is configured to the nasal cavity.

Abstract: An implantable tissue suspension device and its method for use. The device includes first and second filamentary elements bonded together only at a central connection region such that first and second leading and trailing legs of the respective first and second filamentary elements extend outwardly from the central connection region. The method includes implanting the device such that the central connection region extends laterally across a patient's tongue and the first and second leading and trailing legs of the first and second filamentary elements extend through the tongue such that ends thereof are positioned external to the genioglossus muscle.

Abstract: An appliance and methods are described that include embodiments of a mandibular advancement or positioning device which can use elastic bands to pull the jaw forward. The appliance has an upper plastic tray conforming to the patient's upper teeth and including a set of retention hooks coupled to the upper plastic tray via being encased in plastic, one on the right and one on the left anterior buccal portion of an upper plastic base. The appliance also has a lower plastic tray conforming to the patient's lower teeth and has a set of bite pads integrated with a second set of plastic retention hooks encased in plastic extending outwardly from the teeth. The appliance includes the upper and lower plastic trays and specially formed elastic bands of a plurality of lengths and strengths replaceably attached to the retention hooks on both sides of the trays to pull the mandible forward for treatment.

Abstract: The present invention relates to an elastic tongue-dorsum refraction device for treating obstructive sleep apnea/hypopnea syndrome (OSAHS), clamping pliers, installation pliers, a line guide, and an implantation method. The elastic tongue-dorsum refraction device of the present invention includes a tongue dorsum connection mechanism, an elastic retractor and a tooth-side fastener. The tongue dorsum connection mechanism is disposed at the tongue dorsum portion, the tooth-side fastener is fixed to teeth or the alveolar bone or outside the maxilla and mandible lips, one end of the elastic retractor is connected to the tooth-side fastener, and the other end of the elastic retractor is connected to the tongue dorsum connection mechanism. In this way, an elastic retraction device using the tooth-side fastener as a fulcrum is formed.

Abstract: Tissue adjustment implants useful for adjusting a position of tissue in a patient are described. In an embodiment, a tissue adjustment implant includes a main body having a series of outwardly-extending projections. The tissue adjustment implants can be used in a variety of treatments, such as in the treatment of Obstructive Sleep Apnea and snoring.

Abstract: A bone anchor for a tongue manipulation device which has a tissue anchor for attachment to the tongue, the bone anchor, for example for attachment to the mandible and a tether line which fixes the tissue anchor to the bone anchor. The bone anchor has a spool arrangement with a indexing part and a spool part. In a first configuration the spool part is operable to spool the tether line without operation of the indexing part, and in a second configuration the spool part is operable to spool the tether line with operation of the indexing part. This means the spooling to take up slack in the tether line does not cause wear to the indexing springs, and it also means the user can feel when the slack has been taken up.

Abstract: Devices and methods of treating sleep disordered breathing are provided herein. The devices are designed capable of preventing collapse of an oral airway tissue during sleep while maintaining normal velopharyngeal functions.

Abstract: A sleep apnea prevention sleep-aid mask is described. The sleep-aid mask is configured to secure the lips of a user together in a natural state, in order to encourage the respiratory system of the user to employ the nasal passages rather than the mouth for respiration. A pad equipped with a perforated mesh or channel is positioned over the lips and mouth of the user, and secured in position on the user via an adhesive, which temporarily affixes the pad to the face of the user. The sleep-aid mask is preferably shaped and sized according to the specific size of the user's face, and is configured to limit the effective diameter of the mouth of the user, in order to cause continued use of respiration via the nasal passages.

Abstract: A method and apparatus for incrementally repositioning the mandible of a patient includes a mandible repositioning assembly having a support member defining opposed first and second female retention structures. The assembly includes first and second male retention members selectively coupled to the first and second female retention structures. In one embodiment, first and second sleeves may be received in respective female retention structures, each female retention structure defining an interior area configured to receive respective male retention members. Each male retention member includes a ball portion pivotally movable when coupled to a respective female retention structure and a mounting portion configured to mount to a patient's tooth. In use, respective male retention members may be coupled to respective female retention structures and to a selected dentition of the patient.

Abstract: Methods and systems for treating an airway disorder and delivering an implant to airway tissue are provided. A method includes partially inserting at least a first and second wire into airway forming tissue, wherein the first and second wires' axes define implant positions for a first and second implant, respectively. A wire guide can be used to maintain an orientation of the first and second axis relative to each other.

Abstract: Small tracheostomy appliances for use in treating Sleep Apnea Syndrome. The appliances are inserted in a tracheotomy incision, low on a patient's neck to equalize intra-tracheal pressure with ambient pressure under certain conditions to prevent undesirable increases in blood CO2 that could otherwise cause arousals from sleep.

Abstract: An apparatus and method for treating sleep apnea and/or snoring is provided. The apparatus includes an appliance sized and structured to be placed in the pharyngeal region of a human or animal and being 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, advantageously while not interfering with normal functioning of the epiglottis. Preferably, the appliance is non-circumferential in form and includes rounded, spaced apart end portions.

Abstract: A dental oral appliance to open the airway for a sleeping individual who suffers with snoring or obstructive sleep apnea comprising, a body, structure configured to removably affix the appliance to the upper or lower teeth, structure to prevent occlusion of the upper and lower teeth, a transpalatal member that extends from the lingual of the right molars to the lingual of the left molars, a posterior tongue restrainer attached to the transpalatal member, and one or more tubes extending from the anterior of the appliance to the posterior of the appliance for the delivery of oxygen into the oropharyngeal airway.

Abstract: At least one implant structure is sized and configured for implantation in, on, or near an extrinsic muscle region affecting movement and/or shape of a tongue, e.g., a genioglossus muscle. The position of the implant structure is stabilized relative to the extrinsic muscle region to maintain the tongue in a desired orientation, e.g., to maintain patency of an airway.

Abstract: A dental appliance and method includes injection molding a thermoplastic material to form discs for use in thermoforming. Also, a dental appliance and method of manufacture therefor, includes but is not limited to injection overmolding a thermoplastic polyster-containing material with an thermoplastic elastomer material to form a chemically bonded material, and thermoforming the injection molded chemically bonded material to form the dental appliance.