Abstract: The present invention provides a system for treating a mammalian patient having obstructive sleep disordered breathing, e.g., sleep apnea. The system has a set of appliances including a first appliance being adapted to displace a mandible of the patient by a first predetermined geometry relative to a maxilla of the patient. The set also includes at least a second appliance adapted to displace the mandible of the patient by a second predetermined geometry relative to the maxilla of the patient. In a specific embodiment, the first predetermined geometry is substantially different from the second predetermined geometry. Preferably, either one of the first appliance or at least the second appliance is worn by the patient based upon a predetermined treatment plan that includes one or more provisions for wearing at least the first and the second appliances.

Abstract: Means of easy manufacture and deployment of condoms are provided. A practical and inexpensive adhesive condom is achieved to augment user satisfaction, provide increased barrier protection and contraceptive efficacy. Compression to the penis is reduced, thereby facilitating the ease of attaining and maintaining erection, improving barrier protection and preventing the transmission of sexually transmitted diseases, as well as increasing utilization rates by enhancing sensation.

Abstract: Devices, systems and methods employ magnetic force to resist tissue collapse in targeted pharyngeal structures and individual anatomic components within the pharyngeal conduit during sleep.

Abstract: Systems and methods selectively stabilize tissue in the oral cavity. The systems and methods provide a first material sized and configured to be fitted to less mobile tissue in the oral cavity, e.g., the roof of the mouth or upper/lower teeth. The systems and methods provide a second material sized and configured to be releasably fitted to more mobile tissue in the oral cavity, e.g., a region of the tongue. The second material is magnetically attracted toward the first material to stabilize a preferred tissue orientation. During sleep, the systems and methods restrain movement of the more mobile tissue within the oral cavity toward positions in which snoring and/or sleep apnea events can occur, but are capable of otherwise leaving the tongue unaffected during waking hours.

Abstract: Musculoskeletal repositioning devices are described. The devices are worn in the mouth and cause the lower jaw of the wearer to move into an active optimal position that relieves stress on the temporomandibular joint, causing increased muscular strength and decreased muscular tension. The devices have ramps on their upper surfaces which contact the upper posterior teeth and lingual anatomy and cause the jaw to reposition from a passive bite position to an active optimal bite position. A casting device for forming a musculoskeletal repositioning device and a method for using the casting device are also described.

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.

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 includes a deformable element to control the opening of an air passageway and a tether. 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.

Abstract: A system and device for maintaining and/or creating patency in airways is disclosed. The methods of using the system and device are also disclosed. The system includes a power source that energizes a electro-active polymer implant. The energized polymer implant provides stiffness and shape to the airway, thereby minimizing collapse or deformation of the airway. A method of making the device is also disclosed.

Abstract: A condom packaging and method of donning a condom are disclosed. The condom packaging has a top layer and a bottom layer, which are attached along two opposing sides. The opposing sides of the condom packaging may be squeezed to cause the packaging material and the condom to take a cylindrical shape to aid in donning the condom. In the method of donning a condom, a condom enclosed in a condom package is provided. The condom package has a packaging material surrounding the condom and is substantially flat with a top layer, a bottom layer, and two opposed sides. The opposed sides of the packaging material can be squeezed to cause the packaging material and the condom to take a cylindrical shape. The condom can then be donned and the condom package may be removed.

Abstract: A user or assistant operated device for elevation and forward thrusting of the jaw for mild to moderate obstructive sleep apnea is disclosed. The device includes a base configured to contact a torso of a wearer, a chin support configured to contact a jaw of the wearer, and a jack extending between the base and the chin support. In this regard, the jack is length adjustable and configured to elevate the chin support relative to the base such that the jaw is thrust forward relative to the torso.

Abstract: A comfortable and viable and removable device of channel-type tongue position correction for anti-snoring. The device is made of wire or band material, including a fixer, an upper and nether force-components which are connected with the fixer. The device is mostly applied on upper jaw. The force end of the upper force-component is designed to be suitable to the soft palate palatine velum, and acts to raise up the soft palate palatine velum and uvula upward/upward and backward suitably. The force end of the nether force-component is designed to be suitable to the normal configuration of the corpora linguae (anterior tongue), and acts on the portion in front of the sensitive position of the hind half of the corpora linguae (anterior tongue) to press the big tongue downward/downward and forward. Thus, depending on the co-action of the upper and nether force-components, the blocked respiratory tract could be expanded to prevent snore and remit sleep apnoea syndrome.

Abstract: In certain embodiments, an apparatus for treating a breathing condition includes a body, a threaded member, a hook, and a receiver. The body comprises a front stop, a rear stop, and a guide extending between the stops. The threaded member couples between the stops and rotates relative to the body. The hook couples to the guide, comprises a threaded passage and an arm that engages a lower arch, and travels in a forward direction along the guide to adjust the position of the lower arch. The receiver couples to the lower arch and comprises a shelf that engages the arm of the hook. The apparatus may include an extender coupled to the receiver and providing a shelf that is more rearward than the shelf of the receiver. The apparatus may include a post that couples the apparatus to another device.

Abstract: Systems and methods include magnetic structures for placement in or on tissues in an airway. The magnetic structures carry sources of magnetism, which generate magnetic fields having directions. The magnetic fields interact to provide magnetic forces that provide a desired therapeutic effect, e.g., maintaining separation between the soft palate and/or tongue and the posterior pharyngeal wall. The systems and methods size and configure the directions of the magnetic fields to provide stability, which makes possible the achievement of the desired therapeutic effect in a straightforward and elegant manner.

Abstract: Devices and methods for maintaining an open airway are described. Systems and methods are described for maintaining an opening of an airway by application of force to a patient's tissues in one of inferior, anterior, and lateral directions.

Abstract: A mouthguard includes two sections, a vertical component and a horizontal component. The foam is molded into a configuration such that the vertical component curves around the anterior section of the maxillary dental arch to the lateral aspects, just beyond the canine teeth. At the mouth temperature of 98.6 degrees F., the vertical component is held perfectly between the upper lip and teeth by the general pressure of lip musculature. There is a V-shaped notch in the midline of the vertical section to accommodate the maxillary labial frenum. The horizontal component provides a bite platform and a slit is located along the midline forming two rearwardly extending tabs to facilitate the curvature of the bite platform. Accommodative curvature of the vertical section is provided by spaces between the horizontal component and the ends of the vertical component forming deflectable wings in these regions.

Abstract: According to one embodiment, an oral appliance for maintaining stability of one or more aspects of a user's masticatory system includes a first arch adapted to receive at least some of the user's teeth and a second arch adapted to receive at least some of the user's teeth. The first arch includes an anterior substantially planar region located proximate a midline of the first arch. The second arch includes an anterior bearing platform located proximate a midline of the second arch, elongated in an anterior-posterior direction, and operable to contact the anterior substantially planar region of the first arch when the user bites down with the oral appliance inserted in the user's mouth and the user's temporomandibular joint in its proper natural position to help maintain stability of one or more aspects of the user's masticatory system.

Abstract: The present invention provides an improved mouth guard (10) for braces having a U-shaped base portion (30) made from EVA or similar plastic having a melting point less than the boiling point of water, and an upper portion (20) extending generally upwardly from the outer perimeter of the base potion with an inner surface (21) made from PVC or similar material having a melting point greater than the boiling point of water, whereby a partially custom-fitted mouth guard is provided for users with braces.

Abstract: An oral appliance having upper and lower channel elements attached, respectively, to upper and lower bite blocks. The two channel elements are oriented at a right angle with respect to each other. One of the channel elements carries a removable insert having an array of adjustment holes. A removable coupling member has a support rod with an anchor piece and anchor pin at one of its ends. The anchor piece is received by the channel element carrying the insert, while the anchor pin is received by one of the insert's adjustment holes. A base at the other end of the support rod is received by the other channel element, so that the coupling member may releasably connect the two channel elements together.

Abstract: A customizable and reusable mouthpiece for diving use having a passageway-forming front member extending from a proximal in-mouth end to a distal outside end and a U-shaped formable back member is described. The back member provides a hollow cavity portion located in the bitewing section that may be partially filled with a gel-like or other suitable substance configured to provide custom moldability at substantially all points of contact between the mouthpiece and the teeth such that the mouthpiece is securely gripped by the teeth. The mouthpiece requires pressure relief channels so that air or fluids may enter into and be forced out of the hollow cavity providing a bellows-like action that provides a means for the bitewing and materials of composition to return to essentially its original shape. Reusability of the mouthpiece, more specifically the bitewings is directly related to the choice and combination of materials, dimensioning and processing.

Abstract: Devices, systems and methods employ magnetic force to resist tissue collapse in targeted pharyngeal structures and individual anatomic components within the pharyngeal conduit during sleep.

Abstract: Devices, systems and methods employ magnetic force to resist tissue collapse in targeted pharyngeal structures and individual anatomic components within the pharyngeal conduit during sleep.

Abstract: A method is provided for relief of head, face and jaw pain by achieving the release of intra oral muscle spasms, trigger points, and myofascial dysfunction. The steps include locating intra oral treatment points, including locations of intra oral muscle spasms, trigger points, and myofascial dysfunction, in the mouth and jaw region of a human subject. A handheld device is provided with a central gripping portion, a first generally arcuate arm extending from one end of the gripping portion and terminating in a generally bulbous tip, and a second generally arcuate arm extending from the other end of the gripping portion and terminating in a generally flattened tip. The subject's mouth is opened sufficiently to pass one of the tips into the mouth. One of the tips is inserted in the subject's mouth and the tip is brought into contact with one of the treatment points. Pressure is applied to the treatment point until a release response occurs.

Abstract: A dental oral appliance for use with patients who suffer with sleep disorders, to reduce or eliminate snoring and to open the airway for a sleeping individual who suffers with obstructive sleep apnea. The appliance covers the inside (lingual) of the upper teeth and has an open palate. Retention for the appliance is provided by either clasps placed over the upper right and left molars and a retainer in the anterior area or by an occlusal coverge of the upper teeth. A raised incisor ramp that extends from the incisal tip (biting edge) of the incisors toward the lingual, or posterior raised ramps, separate the posterior teeth to reduce spasm on the temporalis muscle. A transverse, transpalatal ramp, which extends from the inside (lingual) of the upper right molars to the inside of the upper left molars, covers the tongue and holds it down, opening the airway.

Abstract: A mandible positioning device or pharyngeal airway adjuster has upper and lower bite blocks and a connection between the upper and lower bite blocks, the connection being manually adjustable for displacing the lower bite block relative to the upper bite block. The adjustable connection protrudes forwardly from the upper and lower bite blocks so that, in use of the device, the manually adjustable member is located and accessible in front of a patient fitted with the mandible positioning device. The manually adjustable connection has screws which are adjustable independently of one another for effecting relative horizontal and vertical displacement, respectively, of the upper and lower bite blocks.

Abstract: Systems and methods incorporate implant structures, and/or implantation devices, and/or surgical implantation techniques, to make possible the treatment of physiologic conditions, such as sleep disordered breathing, with enhanced effectiveness.

Abstract: An apparatus and methods for treating sleep apnea and/or snoring are provided. The apparatus includes an appliance sized and structured to be placed in the pharyngeal region of a human or animal. The appliance, when so placed is 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. Preferably, the appliance is non-circumferential in form and includes rounded, spaced apart end portions.

Abstract: Snoring and sleep apnea are prevented by advancing the mandible of an individual during sleep. Instead of using an intra-oral device that has the potential to cause movement of the teeth, an extra-oral device is used, having a rigid headpiece, mandibular cradles that press against the posterior angle of the mandible, and a connector between the headpiece and the jaw pads to cause the force that maintains the mandible in the forward position to be transmitted to the head, rather than the teeth.

Abstract: An apparatus for selectively positioning intraoral anatomic features of a human patient to enhance upper airway stability for use alone or in combination with positive airway pressure as therapeutic treatment for obstructive sleep apnea and other conditions, such as snoring, which are symptomatic of upper airway instability.

Abstract: A garment designed to discourage supine sleep which intensifies snoring and apnea levels in some people. Obstructive Sleep Apnea and Snoring occur when the tongue and throat muscles relax during sleep. At that point they fall back and block the airways causing the apneas and worsening snoring. A significant percentage of snoring and OSA is position related and symptoms worsen by sleeping in a supine position. Garment or other embodiments have a unique circumference mounted pouch which allows the insert to self center on the spine and have slight movement between shoulders when user is sleeping on his or her side. The optional placement at lower neck area presses slightly against the spine to influence head to tilt up slightly and slightly close mouth while sleeping. The insert while very comfortable to sleep against is of enough diameter or depth to discourage supine and encourage side sleeping. The garment or other embodiments can also have frontal body fasteners for ease of putting on and taking off.

Abstract: Systems and related methods stabilize tissue in the oral cavity and airway, e.g., the soft palate/uvula and/or tongue. The systems and methods employ an operative element sized and configured to be fitted to less mobile tissue in the oral cavity. The operative element is further constructed and arranged to interact with more mobile tissue in the airway to stabilize a preferred tissue orientation. The operative element can comprise a suction source sized and configured to draw more mobile tissue toward the suction source. Alternatively, the operative element can comprise a magnetic source sized and configured to magnetically attract material fitted to more mobile tissue in the airway.

Abstract: Devices, systems and methods employ magnetic force to resist tissue collapse in targeted pharyngeal structures and individual anatomic components within the pharyngeal conduit during sleep.

Abstract: An oral appliance (20) includes first and second mouthpiece elements (22,32) each equipped with adjustable ribs (30,40) on an anterior portion (24) and ramp surfaces (28,38) on each of its posterior arms (26). The ribs (22,32) slope upwardly, front to back at a steeper angle than the ramp surfaces. Preferably, the ribs (22,32) and the ramps (28,38) surfaces have maximum height which define a ratio in the range of between 2 and 2½ to mimic the differential in mouth opening between incisors and molars. The appliance has a plurality of laterally extending protrusions (42,44,46) that are engaged by elastic bands (48) to exert a force which simultaneously pulls the wear's mandible forward and biases the lower mouthpiece toward the upper mouthpiece. Adjustable ribs extend laterally to permit relative movement of the two mouthpiece elements to eliminate the buildup of tension in the wearer's jaw.

Abstract: A system for treating sleep-related breathing disorders. In one embodiment, the system includes a first magnetically susceptible material attached to a left lateral pharyngeal wall and a second magnetically susceptible material attached to a right lateral pharyngeal wall. The second magnetically susceptible material is positioned opposite the first magnetically susceptible material across an upper airway. The system further includes a first magnet disposed outside the body and lateral to the first magnetically susceptible material, and a second magnet disposed outside the body and lateral to the second magnetically susceptible material.

Abstract: An oral appliance for the medical treatment of specific sleep related disorders, i.e., snoring and obstructive sleep apnoea, which has a number of sections for each jaw component which can be separated for ease of insertion and removal by patients. The separable components can be moved along an inherent guidance system and safely secured in the closed position by a bilateral locking mechanism. By virtue of the difference in paths of location of the main and the separate sections of each component, effective resistance to dislodgement of the appliance is obtained and maintained. This constitutes the claimed significant improvement in appliance retention.

Abstract: A bruxism appliance and a method of forming a bruxism appliance is described for providing a patient and a dentist with a visual indication of the degree of bruxism by the patient. The invention teaches the application of an abradable composition to the non-retaining/opposing dentition contacting surfaces of the appliance in order that specific wear patterns can be observed on the appliance following use by a patient.

Abstract: Employing the known “tensegrity” principle, a female condom is configured such that when the condom is inserted into a woman's vagina, the woman's introitus acts on a proximal section of an elongated pouch extending between internal and external biasing members (e.g., rings) of the condom. Inward compressive forces exerted by the introitus on the inner ring of the condom cause the inner ring to be pushed distally within the vaginal canal, and the proximal pouch section to become a tension member pulling against the external ring. This causes a “tenting” of the proximal pouch section against the introitus. The resulting interaction of compression and tensile forces (a tensegrity effect) serves to provide the condom with a high degree of internal and external stability, including resistance to twisting and slippage.

Abstract: A method and device for stopping a person from snoring while sleeping comprising a narrow strip having adhesive covering one surface or a buccal tab which can be affixed to a snore prevention intra-oral device, both of which block the snoreway space of the person.

Abstract: An upper tray for receiving the maxillary teeth and a lower tray for receiving the mandibular teeth. Upper bite pads carried by the upper tray and lower bite pads carried by the lower tray. The lower bite pads located anterior to the upper bite pads so that the lower bite pads are free to engage the maxillary occlusal surface of the upper tray, and the upper bite pads are free to engage the mandibular occlusal surface of the lower tray to maintain the occlusal surfaces of the trays in a predetermined spaced relationship. The upper and lower bite pads are arranged to abut each other for advancing the mandible and preventing posterior movement of the mandible while allowing limited vertical and lateral movement. The bite pads are releasably carried by the trays for interchanging different sizes of pads to customize the appliance to the needs of the user's mouth.

Abstract: A mouthpiece includes a wall having an anterior section and a plurality of posterior sections. Retaining wings are coupled to the anterior section. The retaining wings conform to the anatomy of the user's buccal vestibule. The method of customizing the mouthpiece includes cutting the retaining wings.

Abstract: Systems and related methods treat snoring and other sleep related disorders by stabilizing the position of a tongue in an oral cavity. The systems and methods employ an operative element sized and configured to be fitted to less mobile tissue in the oral cavity. The operative element is further constructed and arranged to interact with a tongue in the airway to stabilize a preferred tissue orientation. The operative element can comprise a suction source sized and configured to draw more mobile tongue tissue toward the suction source. The operative element can comprise a magnetic source sized and configured to magnetically attract material fitted to more mobile tongue tissue in the airway.

Abstract: The present invention provides a device which prevents loud snoring and apnea during sleep so as not to cause discomfort to a user as much as possible. Stoppers 4 such as belts or straps having predetermined elasticity are attached to both right and left sides of a lower jaw fitting piece 3 which fits the both sides of the lower jaw, the lower jaw 2 is pushed forward via the lower jaw fitting piece 3 by setting and hanging the stoppers 4 on the nose or head of the face side, whereby occurrence of apnea and loud snoring during sleep is prevented.

Abstract: An orthotic device for reducing dental clenching is provided along with a method for custom fitting said device. The orthotic device includes a tray for receiving the user's upper teeth, a guide ramp for position the user's lower jaw, and a plurality of spacers for providing a gap between the tray and the user's lower posterior teeth during fitting of the orthotic device. When worn by the user, the orthotic device positions the user's upper and lower anterior teeth in substantial vertical alignment thereby preventing contact between a user's upper and lower posterior teeth.

Abstract: A glowing mouth guard has a transparent main body, and a transparent glow element for insertion in the main body; the glow element has an outer part formed with several separate holding rooms, which contain respective easily-breakable sealed tubes as well as respective first chemicals therein; the sealed tubes contain respective second chemicals therein; one of both of the chemicals in each holding room of the glow element is a catalytic agent, and the other a luminous chemical, which can produce fluorescent glow through a chemical reaction with the help of the catalytic agent when it is mixed with the agent, such that the holding rooms of the glow element have respective ones of several different-colored fluorescent glows shining.

Abstract: An apparatus for selectively positioning intraoral anatomic features of a human patient to enhance upper airway stability for use alone or in combination with positive airway pressure as therapeutic treatment for obstructive sleep apnea and other conditions, such as snoring, which are symptomatic of upper airway instability.

Abstract: In one embodiment, an oral appliance includes a first arch adapted to receive at least some of a user's teeth and a second arch adapted to receive at least some of the user's teeth. The first arch includes an one or more substantially planar regions, such as a single anterior substantially planar region or an anterior substantially planar region, a right posterior substantially planar region, and a left posterior substantially planar region for example. The second arch includes one or more bearing points, such as a single anterior bearing point or an anterior bearing point, a right posterior bearing point, and a left posterior bearing point for example. A bearing point may include a ball that contacts the corresponding substantially planar region of the first arch when the user bites down with the oral appliance inserted in the user's mouth and the user's temporomandibular joint in its proper natural position.

Abstract: A dental device is described in the form of a mandibular splint having two arch members interconnected together by a fastener. The fastener of the present invention includes a flange for locating the fastener in the correct location, two tabs arranged to extend in opposite directions from opposite sides of the body of the fastener for connection to two substantially arcuate wings which are pivotally connected to the fastener. The wings are adjustable in orientation both with respect to each other and with respect to the fastener and are adjustable in length. The fastener is also provided with an adjustable hook or similar arrangement for interconnecting the two arches together in use to maintain the jaws of a person suffering from a sleep disorder at a predetermined spaced apart relationship to open the breathing passages to ameliorate the sleep disorder. Opening of the breathing passages reduces the chances of a person snoring as well as treating other sleep disorders.

Abstract: There is provided a gear for preventing a user from lapsing into an apneic state by maintaining the body of said user in an inclined posture during said user's sleep. The gear includes a clothing body worn by said user and a pad. The clothing body includes a back body and a front body. The pad is attached to the back body of the clothing body and extends in the longitudinal direction. The pad includes a plurality of segments arranged along the longitudinal direction, capacities of the segments are different from each other, and each segment is expanded in accordance with the capacity thereof by a fluid to be supplied to each segment.

Abstract: A dental oral appliance for use with patients who suffer with sleep disorders, to reduce or eliminate snoring and to open the airway for a sleeping individual who suffers with obstructive sleep apnea. The appliance covers the inside (lingual) of the upper teeth and has an open palate. Retention for the appliance is provided by clasps placed over the upper right and left molars and a retainer in the anterior area from cuspid to cuspid. Over the upper central incisors is a raised strip that extends from the incisal tip (biting edge) of the central incisors toward the lingual. It extends back from the middle of the central incisors, where they meet or touch each other, to the middle of the palate. This raised anterior area is to separate the posterior teeth to reduce spasm on the temporalis muscle. There is a transverse strip that extends from the inside (lingual) of the upper right molars to the inside of the upper left molars which covers the tongue, holding it down, opening the airway.

Abstract: A method of treating snoring, includes injecting least one of a monomer composition, a polymer solution and a microparticle solution into a patient's soft palate, optionally with a least one of an additional medicament, bioactive agent, sclerotic agent or stiffening agent. The injected composition, if not already polymerized prior to injection, is allowed to polymerize to form a polymer within the soft palate, thereby stiffening the soft palate, rendering it resistant to palatal flutter.

Abstract: A first method for inhibiting snoring includes at least one layer of adhesive that is applied to a soft pallet to prevent vibration of the soft pallet. A second method employs a transdermal patch having an astringent or muscle-contracting drug thereon that is applied to the soft pallet. In a third method, the astringent or muscle-contracting drug is snorted by the user. In a fourth method, the astringent or muscle-contracting drug is applied to the soft pallet by an atomized nasal spray. In a fifth embodiment, a thin electrical device is positioned against the hard pallet in electrical communication with a pair of closely spaced apart electrodes that abut the soft pallet. A low, safe current between the electrodes stiffens the soft pallet and prevents it from fluttering. A denture-like device may be used to hold the thin electrical device in place.