Abstract: An oral device for temporary placement in a patient's oral cavity includes a base, a tongue-engaging member and a tongue pocket. Partial vacuums are separately drawn through the tongue-engaging member and the tongue pocket in order to advance and control the position of the tongue in order to clear the patient's airway to reduce sleep apnea or treat other conditions.

Abstract: An oral device for temporary placement in a patient's oral cavity includes a base and a tongue pocket. Partial vacuums are separately drawn through vertically oriented, tooth facing ports on the base and the tongue pocket in order to advance and control the position of the tongue in order to clear the patient's airway to reduce sleep apnea or treat other conditions.

Abstract: The current invention provides an adjustable soft palate support and an implantation method. The adjustable soft palate support is a flat implant including a hard palate connecting end and a support. The support is a flat implant connected to the hard palate connecting end and is inserted into the soft palate. The hard palate connecting end is connected to the hard palate and includes a connecting structure and an adjustment mechanism. The connecting structure is configured to affix the support to the hard palate, and the adjustment mechanism is configured to control the movement or the curvature of the support or the lifting degree of the soft palate. The adjustment mechanism may be set to be in an on state to reduce interference with swallowing or to an off state to enlarge an airway during breathing, thereby treating snoring and obstructive sleep apnea/hypopnea syndrome (OSAHS).

Abstract: A device to alleviate snoring is disclosed. It is an appliance that fits into the mouth, is held against the roof of the mouth by means on the upper premolars, and presses against the soft palate, preventing the soft palate from descending into the airway of the user.

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: An oral orthosis includes a holder in the shape of a mouthpiece, including a curved arcuate trough-like upper section which receives a formable material. The formable material does not occupy the entire trough but rather includes voids between the formable material and the inner surfaces of trough of the holder to allow expansion of the formable material into the voids during the molding process when tooth pressure is placed on the formable material. This design results in elimination of the excess formable material which otherwise would require removal by trimming. Additionally, the formable material is placed in the trough in a configuration which includes indexing indentations along the centerline of the material, such that, during the molding process, the mouthpiece containing the formable material is easily centered along the edges of the user's teeth to provide a precise fitting.

Abstract: An oral device for improving airway patency includes a tongue constraint and a negative pressure source. The tongue constraint engages the patient's tongue to maintain a clear region below the palate in an oral cavity. By applying a negative pressure in the clear region, an airway behind the soft palate or tongue of the patient can be maintained. The tongue constraint is usually connected to an anchor. The anchor may be held between the patient's teeth or may engage the inferior surface of the palate. Another oral device for improving airway patency includes a lateral tongue structure and a negative pressure source.

Abstract: An aid against snoring with a slingshot-shaped outer splint which support the jaw angle and fixates the lower jaw to the cheek and upper jaw. The splint is pressure relieving, pressure distributing, bendable and therefore individually adjustable and adheres to the support (skin) (FIG. 1) from the jaw angle to cheek and upper jaw (and alternatively up over the bridge of the nose) (FIG. 4 and FIG. 5) and in that way prevent the lower jaw from falling backwards-downwards and obstruct the air way in the throat during sleep.

Abstract: This invention provides an oral apparatus and method capable of alleviating or curing snore and obstructive sleep apnea by applying a negative pressure through a mini oral interface to the oral cavity. The mini oral interface creates a secure connection to mouth and prevents disengaging from patient's mouth during sleeping. The negative pressure pulls the tongue toward upper palate and also pulls the soft palate forward as well. By moving the tongue and the soft tissue in a forward direction, the patency of the upper airway near the pharynx is maintained to prevent sleep-disordered breathing. The negative pressure will pull the lips inward to close the mouth preventing air from entering the oral cavity from atmosphere. The negative pressure will also pull the soft palate into contact with the rear surface of the tongue to create a seal that prevents the air from entering the oral cavity through the nasal airway.

Abstract: The invention is an oral appliance for prevention of sleeping problems including snoring, sleep apnea and bruxism, and may also be used to protect the teeth and gums from surgical instruments during surgery. Specifically, the appliance alters the position of the user's mandible, which is known as a method for reducing the restriction of the flow of air through the pharyngeal passageway. The appliance is a one-piece device molded from a flexible polymer. It includes an upper maxillary tray and a lower mandibulary tray. Both upper and lower trays include inner and outer walls which increase contact area with the teeth. The hinge mechanism of the device includes a positive positioning system comprised of opposed interlocking ridges. The ridges serve to create offset between the position of the upper tray and lower tray relative to each other, therefore advancing the user's mandible.

Abstract: An extendable airflow restriction system is described herein which may be used to treat various disorders by creating expiratory positive airway pressure while providing for patient comfort regardless of the patient's anatomical variances. Such a device may be removably secured within the patient's mouth and may include an extendable member which may project to urge the patient's upper lip towards the nostrils to restrict airflow. Moreover, the restriction device may include one or more sensors to detect the patient's respiration activity such that the device may be actuated to correspond to the patient's exhalation.

Abstract: Oral appliances, methods of making oral appliances, and bite registration devices for use in making oral appliances are provided. An oral appliance includes a lower segment, and upper segments. The upper segments are operably connected to the lower segment using threaded elements. Rotational manipulation of the threaded elements causes the upper segments to be displaced horizontally relative to the lower segment about the lengths of the threaded elements, and the lengths of the threaded elements are substantially parallel to each other. A bite registration device for use in making an oral appliance includes a top surface including a protrusion and a bottom surface including a receptacle configured to receive the protrusion. The device is configured to be maintained in stacked relation to a like configured second bite registration device by mating the protrusion of the bite registration device with a receptacle of the second bite registration device.

Abstract: This invention provides an oral interface mainly including a connecting channel, a collapsible chamber and a non-collapsible structure disposed inside the collapsible chamber. The connecting channel communicates between the collapsible chamber and a negative source. When a negative pressure environment is generated inside the collapsible chamber via being pumped by the negative pressure source, the non-collapsible structure supports the collapsible chamber so that there are fluid channels formed inside the collapsible chamber. The air inside a user's oral cavity can be pumped out via the fluid channels and the connecting channel. A negative pressure environment is hence formed inside the user's oral cavity.

Abstract: An intraoral anti-snoring device, for shifting the lower jaw forward in relation to the upper jaw, with an upper jaw bar and a lower jaw bar that are both U-shaped and are connected to each other in a hinge joint at their outer flanks facing away from each other via protrusion ties by means of fixing buttons. At each of the two end sections of the protrusion tie, a round hole is provided for accepting the fixing button. The invention proposes a curved design for the protrusion tie, specifically an S-shaped design, with the center section having a cross-sectional contour—at least in part—that permits a temporary change of the distance of the round holes relative to each other by means of an elastic deformation of the protrusion tie in the longitudinal and in transverse direction. Preferably, the center section has an elongated hole that extends from one round hole to the other round hole and has a width that is smaller than or equal to the diameter of the round hole.

Abstract: An oral appliance for treatment of medical conditions, such as obstructive sleep apnea and snoring, and/or for improving athletic performance, comprises a maxillary and a mandibular baseplate component each configured to conform to at least some of the teeth of the user; at least one pair of straps adjustably coupling the baseplate components, wherein the strap defines the relative horizontal positioning of the baseplate components; at least one pair of shim holding brackets coupled to one baseplate component; and a plurality of shims, wherein each shim is replaceably received in the shim holding bracket and configured to abut against the other baseplate component, wherein the shim when received within the shim holding bracket defines the relative vertical positioning of the baseplate components, and wherein the shims are provided in varying heights to allow for varying the vertical positioning of the oral appliance for a specific user.

Abstract: The present technology provides a mandibular repositioning device (MRD) which may be self titratable. The MRD may be repositioned relative to the maxilla, e.g., the mandible may be brought, via the device, to a position forward of a neutral resting and/or bite position. The MRD allows for adjusting the maintained forward position by simply biting-down to preserve the desired degree of mandibular advancement. The present technology also allows for movement of the mandible in a lateral direction. The lateral movement is allowed for any forward longitudinal positioning of the mandible. The MRD may use a plurality of components that are coupled together and allow for lateral and longitudinal motion between each other. The present technology may be used in MRDs which may be self-fitted, typically by immersing the device in hot water and then biting into the device, making an impression of the teeth in the softened thermoplastic polymer.

Abstract: A self-adjusting implant includes a first anchor configured to anchor to a first tissue location and apply a first tension force thereto; a second anchor configured to anchor to a second tissue location spaced apart from the first tissue location and apply a second tension to the second tissue location; a third anchor configured to anchor to a third tissue location spaced apart from and non-collinear with the first and the second tissue locations; a first tension-bearing segment spanning between the first and the third anchors, comprising a first deformable portion; and a second tension-bearing segment spanning between the second and the third anchors wherein the third anchor is configured to generally distribute a tension of the first tension-bearing segment with a tension of the second tension-bearing segment. The invention also includes methods for treating airway disorders that can be used with described implants.

Abstract: Methods for treating sleep apnea. A method includes implanting at least first and second elongated implants in a tongue or soft palate of a patient, wherein each of the first and second implants is configured to have a first, expanded configuration and a second, contracted configuration, wherein implanting comprises implanting the first and second implants having their first, expanded configurations. The invention also provides systems for treating sleep apnea that can be used with the methods.

Abstract: A mouthpiece includes a first body configured to be secured over one or more teeth of a user. The first body comprises a frame for location about at least one of a molar or a premolar of user, as a first bite pad between upper teeth and lower teeth. The first bite pad is molded in the frame while in situ in the mouth of the user and the first bite pad is formed by a PVS material. The first bite pad is in contact with at least one of a molar or a premolar of user, and the first bite pad defines an exterior shape of at least a portion of the teeth of a user. There is a similar second body with a connector between the first body and the second body and together these form the appliance for the user.

Abstract: An implanted soft palate support and an implantation method are provided. The implanted soft palate support is a flat implant made of a material capable of being implanted into human tissues for a long time period, and includes a hard palate connecting end and a support. The hard palate connecting end has a connecting structure connected with a hard palate; the support is a flat implant capable of being inserted into a soft palate; and the hard palate connecting end is connected to the support. The implanted soft palate support can achieve the objectives of treating OSAHS and snoring by effectively lifting the collapsed soft palate during sleep and thereby reducing an upper airway obstruction condition. In particular, the soft palate support can be adjusted within a certain range to calibrate its shape and curvature event after the surgery, so as to achieve optimal treatment and comfort.

Abstract: A method for using a dressing mechanism on an epidermis. The dressing mechanism includes a first section, a second section, and a third section and the first section and the third section comprise an elastic material and include a first side having an adhesive located thereon. The second section is a laminated material.

Abstract: This invention provides an adhesive strip with non-adhesive band for preventing or reducing opening of a user's mouth.

Abstract: A mouthpiece for reducing snoring is provided. The mouthpiece includes an upper guard configured to fit over the upper teeth of a user, a lower guard configured to fit over the lower teeth of the user, a spacer assembly provided between the upper guard or the lower guard to provide an air passage at a middle section of the mouthpiece, a first adjustable assembly attached to the left side of the upper guard and the left side of the lower guard, and a second adjustable assembly attached to the right side of the upper guard and the right side of the lower guard. The first adjustable assembly and the second adjustable assembly are operable to move the lower guard relative to the upper guard.

Abstract: Methods of maintaining airway patency in an airway of a patient. A method includes the steps of wrapping a bioerodable material at least partway around an axis to create a wound bioerodable implant, and coupling two points on the bioerodable material to each other. The invention also provides systems for maintaining airway patency in an airway of a patient that may be used with the methods.

Abstract: A nasal dilator that includes an upper resilient member for dilating the nasal valve and a lower resilient member for dilating the nostrils. The upper resilient member and lower resilient member may be attached to one another by a flexible substrate having a middle portion that is narrower in length than the upper or lower resilient members. The nasal dilator also may have adhesive tabs extending downwardly from the lower portion of the substrate on either side of the nose and towards the nostril entry, for temporary attachment to the side of the nasal vestibule to reduce nostril collapse. The nasal dilator also may include bendable or configurable hooks extending downwardly from the lower portion of the substrate and towards the nostril entrance for insertion into the nostril to reduce nostril collapse.

Abstract: A mandibular advancement appliance is described which is secured to a subject's dentition. The appliance may adjust a position of the subject's lower dentition relative to the upper dentition while maintaining a distance between the upper and lower dentition. The appliance may also allow for the free rotation of the lower dentition relative to the upper dentition for increased comfort. Additionally, the appliance may also be utilized with a tongue retention assembly for maintaining a position of the subject's tongue relative to the device for treating sleep disordered breathing.

Abstract: A chin and neck support device includes a chin support (1) with a chest pad (2), both are connected to a telescopic rod (3) which keeps the mouth closed and the head in an erect position. To keep the rod central, a malleable “U” shaped frame (4), with both arms being parallel to the sides of the neck, is attached to the front of the telescopic rod (3). A padded strap (7) is provided behind the neck and is attached to affixed Velcro (or another means of attachment) on both arms (6) of the “U” shaped frame to hold the device securely and comfortably in a central position so that the pressure holding the device is distributed equally across the back of the neck. The “U” shaped frame does not interfere with swallowing or breathing.

Abstract: An oral appliance for treating sleep apnea of a patient including a monolithic body having an upper tray with an upper recess formed to conform to the maxillary teeth of the patient and a lower tray having a lower recess formed to conform to the mandibular teeth, the monolithic body defining a coupling of a rear portion of the upper tray to a rear portion of the lower tray at an angle forming a orifice between front mandibular teeth and front maxillary teeth, the upper tray including a raised upper seal surrounding the recess corresponding to the patient's upper gum line and the lower tray including a raised lower seal surrounding the recess corresponding to the patient's lower gum line each when the patient's teeth are disposed in the recesses.

Abstract: Airflow restriction systems are described herein which may be used to treat various disorders by creating expiratory positive airway pressure while providing for patient comfort regardless of the patient's anatomical variances. Such a device may be removably secured externally over the patient's nose rather than within the nasal passages to increase patient comfort. The restriction device may be secured, e.g., via an adhesive, to the patient and actuated via any number of mechanical or electromechanical mechanisms. Moreover, the restriction device may include one or more sensors to detect the patient's respiration activity such that the device may be actuated to correspond to the patient's exhalation and squeeze or otherwise constrict the nasal passages at least partially by pressing against the exterior surface of the nose to restrict the expiratory airflow.

Abstract: According to one embodiment, an apparatus for coupling an oral appliance to a gas delivery device includes a post, a swivel, and first and second opposing clamps. The post includes a base configured to couple to the oral appliance; a first arm extending from the base and defining a channel extending along a portion of the first arm; and a second arm extending from the base, extending substantially parallel to the first arm, the second arm defining a channel extending along a portion of the second arm. The swivel is substantially spherical and is configured to position the gas delivery device. The first clamp is configured to engage and slide along the channel defined by the first arm and the second clamp is configured to engage and slide along the channel defined by the second arm. The first and second opposing clamps are together configured to position and secure the location and orientation of the swivel relative to the post.

Abstract: The present invention relates to a layered soft palate support and an implantation method for treating sleep apnea/hypopnea syndrome or snoring. The layered soft palate support is a flat implant made of a material capable of being implanted into a human body for a long term, and includes a hard palate connecting end and a support. The support is a layered structure formed by stacking two or more layers of supporting plates and capable of being inserted into a soft palate, and is removably or irremovably fixed to the hard palate connecting end. The hard palate connecting end has a connecting structure connected with a hard palate, and is fixed to the hard palate through the connecting structure. The support is implanted into a muscular layer of the soft palate, and is inserted into the soft palate by a length equal to ? to ? of its total length.

Abstract: Devices, systems, and methods employ at least one ferromagnetic structure sized and configured for placement in a tissue region. A component is attached to the structure to stabilise its placement in the tissue region. An anchoring structure holds the component in a state of tension. The anchoring structure can, e.g., take the from of an anchoring body that expands in situ. The anchoring structure can be adjustable for adjusting the state of tension. The component can be elastic, to deflect under load in a prescribed manner and to recover an initial shape when unloaded.

Abstract: Obstructive Sleep Apnea (OSA) may be caused by a collapse of the pharyngeal wall as a result of increasing negative airway pressure. This invention is directed to systems and methods to resist collapse of the pharyngeal wall by minimally invasive upper pharyngeal airway surgery.

Abstract: The invention relates to devices and methods for reforming tissue surrounding the airway of a subject suffering from obstructive sleep apnea so as to open the airway and alleviate the occurrence of apneic events. Devices comprise a combination of resiliently deformable material and bioerodible material. The deformable portion of the device has a preferred shape that corresponds to the desired final shape of the device once placed in an airway. In making a transplant-ready device, however, the deformable portion is placed into a deformed shape and constrained in that shape by the bioerodible material. After implantation, the device gradually assumes the preferred shape as the constraining bioerodible material erodes. As the device gradually reforms toward the preferred shape, it reforms the tissue into the therapeutically desirable configuration. The gradual nature of the shape change generally stabilizes the device in the tissue, and supports tissue reforming into a stable configuration.

Abstract: A medical apparatus for the treatment of one or more sleep disorders such as obstructive sleep apnea in a patient is provided. The apparatus comprises an elongate member with a middle portion, a first fixation element and a second fixation element. The middle portion applies a force to a segment of a patient's airway.

Abstract: Magnetic structures develop a magnetic force between a tongue and a posterior pharyngeal wall to stabilize an orientation of the tongue.

Abstract: A system for sizing an oral appliance comprises a right overlay, a left overlay, and a wax bite plate. A dental arch impression of a patient is taken on the wax bite plate, and indicia on the right and left overlays are aligned with the dental arch impression to provide information on both the arcuate shape and width of an oral appliance which can best fit the patient.

Abstract: A garment for the treatment of sleep apnea and/or snoring includes a member for attachment to an individual afflicted with sleep apnea and an elongate, position control member at the rear of the garment and extending outwardly therefrom. The elongate member is a continuous member having transversely spaced-apart side surfaces, and the side surfaces are joined to an outer wall of the position control member at elongate side edges. The side surfaces and/or side edges are located to engage a mattress or other sleeping surface when an individual wearing the garment is sleeping in a lateral position to aid in supporting the individual in a lateral position.

Abstract: A hydraulic device that includes a membrane-covered walled enclosure that enables control of pressure against a body part to be controlled through desired fluid addition or removal from the enclosure. Through pressure control of the membrane a desired traction force is applied to prevent injuries or therapeutically treat a wide variety of medical conditions, including respiratory, cardiovascular, musculoskeletal and skin disorders.

Abstract: Systems and methods for detecting an obstructive sleep apnea event are disclosed herein. The systems and methods may use an electrical output generating ionic polymer metal composite sensor attached to a region in an airway passage in an oral cavity. The electrical output may be wirelessly transmitted as a signal for indication of an obstructive sleep apnea event. The signal may be further processed by a smart mandibular repositioning system for treatment of the obstructive sleep apnea event.

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. The appliance may be made of a super elastic material, for example, Nitinol, and may be submucosally implanted in the pharyngeal walls.

Abstract: An oral device for improving airway patency having a base adapted to be held between a patient's upper and lower teeth and a tongue-engaging member. The tongue-engaging member engages the tongue and displaces the tongue anteriorly when the base is held between the patient's teeth. A vacuum is applied through the base and the tongue-engaging member in order to draw the soft palate against a posterior region of the tongue in order to stabilize the soft palate and open or clear the patient's airway.

Abstract: A device according to some embodiments may include a housing configured for location external to a body of a subject. The device may also include at least one processor associated with the housing and configured to communicate with a circuit implanted in the subject within proximity to a tongue of the subject, wherein the circuit is in electrical communication with at least one electrode, receive a physiological signal from the subject via the circuit, and send a control signal to the implanted circuit in response to the physiological signal, wherein the control signal is predetermined to activate neuromuscular tissue within the tongue.

Abstract: A method for forming a custom-molded oral appliance for positioning a user's jaw proximate to centric occlusion is disclosed. The method includes heating a thin sheet of material comprising a polycaprolactone polymer. The thin sheet of material is positioned within the user's mouth. The user's jaw is positioned proximate to centric occlusion. The thin sheet of material is molded around at least respective portions of the user's upper and lower dental arches such that each of the respective portions of the user's upper and lower dental arches form respective impressions on opposite sides of the thin sheet of material. The thin sheet of material is transitioned to a substantially non-deformable state.

Abstract: Apparatus for reducing obstructive sleep apnea, snoring and/or nasal drainage. One apparatus includes an upper member fitting the interior and exterior surfaces of a user's upper dentition, and a lower member fitting similarly adjacent a user's lower dentition. The lower member includes molar extensions projecting away from the lower member. The upper member includes upper molar extensions projecting away from the upper member and toward the lower molar extensions so that when the user bites or clenches, the upper right and lower right extensions impinge on one another in substantially overlapping fashion, as do the molar upper left and lower left extensions. The upper and lower members have an anterior shape to form a gap sufficient for the user's tongue to extend into the gap, and each molar extension may include a magnet. Methods of using the apparatus and kits to reduce sleep apnea, snoring, and/or nasal drainage.

Abstract: A method for inserting an implant into a cavity in a periosteum region of a patient's palate. The method includes cutting the periosteum region with a sharp surgical tool to create a cavity, inserting a distal end of a sleeve comprising a substantially flat pouch and an implant housed within the substantially flat pouch into the cavity, and pulling a handle extending proximally from the sleeve in a proximal direction while holding a stylet disposed with the handle in a fixed contact with the implant, thus deploying the implant inside the cavity.

Abstract: A hydraulic device that includes a membrane-covered walled enclosure that enables control of pressure against a body part to be controlled through desired fluid addition or removal from the enclosure. Through pressure control of the membrane a desired traction force is applied to prevent injuries or therapeutically treat a wide variety of medical conditions, including respiratory, cardiovascular, musculoskeletal and skin disorders.

Abstract: An oral apparatus and a method capable of alleviating or curing snore and obstructive sleep apnea by applying a negative pressure through a mini oral interface to the oral cavity are provided. The mini oral interface creates a secure connection to mouth and prevents disengaging from patient's mouth during sleeping. The negative pressure pulls the tongue toward upper palate and also pulls the soft palate forward. By moving the tongue and the soft tissue in a forward direction, the patency of the upper airway near the pharynx is maintained to prevent sleep-disordered breathing. The negative pressure will pull the lips inward to close the mouth preventing air from entering the oral cavity from atmosphere. The negative pressure will also pull the soft palate into contact with the rear surface of the tongue to create a seal that prevents the air from entering the oral cavity through the nasal airway.

Abstract: An implant for treating obstructive sleep apnea includes an elongated body having a central region, a first end, and a second end opposite the first end. The central region of the elongated body engages inframandibular musculature that extends between a mandible and a hyoid bone. The first and second ends of the elongated body are optionally anchored to the mandible. The elongated body is under tension for urging the inframandibular musculature in an inferior direction, which, in turn, pulls the hyoid bone anteriorly for minimizing the likelihood of occurrence of obstructive sleep apnea episodes.

Abstract: An article to improve nasal passage air flow may be a strip that comprises a flexible resilient material, and has a first end and a second end, and a top surface and a bottom surface, with at least a portion of the bottom surface at the first end of the strip comprising a first adhesive surface, and at least a portion of the bottom surface at the second end of said strip comprising a second adhesive surface. The strip may serve to dilate a user's nasal passage when the first end of the strip is secured using the first adhesive bottom surface to be proximate to an alar facial groove of the user's nose, with the second end of the strip being pulled up at a slight angle and laterally to achieve desired nasal passage expansion and thereafter being secured to the user's face, at roughly a 20-25 degree angle.