Abstract: Apparatus is provided for delivery of an implantable neural stimulator to a sphenopalatine ganglion (SPG) of a subject. The apparatus includes a tool having a proximal portion and having a distal portion coupled to the implantable neural stimulator; and a slide-bar at the proximal portion of the tool. The slide-bar includes a distal portion and a proximal portion. The proximal portion of the slide-bar is coupled to the stimulator such that distal advancement of the proximal portion of the slide-bar produces distal advancement of the stimulator. The proximal and distal portions of the slide-bar include respective magnetic coupling elements. The magnetic coupling elements are configured to couple the proximal and distal portions of the slide-bar to each other unless a distally-directed force applied to the distal portion of the slide-bar exceeds a threshold. Other embodiments are also described.

Abstract: Apparatus is provided for use with an optical fiber shape-sensing system. The apparatus includes an optical fiber, optically couplable to the optical fiber shape-sensing system, and configured to change shape during advancement through a greater palatine canal of a subject. The apparatus additionally includes a delivery tool configured to be removably coupled to the optical fiber and to distally advance the optical fiber through the greater palatine canal. The apparatus further includes a neural stimulator implant, configured to apply electrical stimulation to a sphenopalatine ganglion (SPG) of the subject. The neural stimulator implant is not in contact with the optical fiber, and is shaped and sized to be delivered to the sphenopalatine ganglion (SPG) by the delivery tool. Other applications are also described.

Abstract: A method is provided including identifying a subject as being at risk of cognitive decline due to cardiac surgery. The method further includes implanting at least one neural stimulator in a vicinity of a sphenopalatine ganglion (SPG) of the subject, and applying stimulation to the SPG by activating the neural stimulator at least during the cardiac surgery. Other applications are also described.

Abstract: An apparatus is provided including an implantable neural stimulator which is advanced through a greater palatine canal to a sphenopalatine ganglion (SPG) of a subject and has an implant-impedance-sensing electrode. The apparatus further includes an auxiliary impedance-sensing electrode and first and second wires, electrically coupled respectively to the implant-impedance-sensing and auxiliary-impedance-sensing electrodes. Impedance-based navigation circuitry includes a voltage generator configured to apply, current between the implant-impedance-sensing and auxiliary-impedance-sensing electrodes through the wires; an impedance sensor configured to measure an impedance between the implant-impedance-sensing and auxiliary-impedance-sensing electrodes based on the applying of the current; and a disposition tracker configured to determine, based on a change in the measured impedance, a disposition of the implantable neural stimulator in the greater palatine canal. Other applications are also described.

Abstract: A method is provided including shaping a thermoplastic material on a dental arch of a subject and utilizing the shaped thermoplastic material to facilitate inserting of a steerable implantable neural stimulator into a greater palatine foramen of the subject. The method further includes advancing the stimulator through a greater palatine canal of the subject to a sphenopalatine ganglion (SPG) of the subject. Other applications are also described.

Abstract: Apparatus is described, the apparatus including an oral surgical guide. The oral surgical guide includes an arch portion configured to be placed on a dental arch of a subject; and an extension portion extending from the arch portion, and shaped to define a guide hole. Other applications are also described.

Abstract: Apparatus is provided for use with an optical fiber shape-sensing system. The apparatus includes an optical fiber, optically couplable to the optical fiber shape-sensing system, and configured to change shape during advancement through a greater palatine canal of a subject. The apparatus additionally includes a delivery tool configured to be removably coupled to the optical fiber and to distally advance the optical fiber through the greater palatine canal. The apparatus further includes a neural stimulator implant, configured to apply electrical stimulation to a sphenopalatine ganglion (SPG) of the subject. The neural stimulator implant is not in contact with the optical fiber, and is shaped and sized to be delivered to the sphenopalatine ganglion (SPG) by the delivery tool. Other applications are also described.

Abstract: Apparatus is described, the apparatus including an oral surgical guide. The oral surgical guide includes an arch portion configured to be placed on a dental arch of a subject; and an extension portion extending from the arch portion, and shaped to define a guide hole. Other applications are also described.