Implanted Stimulation System for Airway Patency

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Solution Overview

Problem

Current treatments for obstructive sleep apnea (OSA) and upper airway restrictive/resistance syndrome (UARS) often require external devices to assist airflow, which can be cumbersome and non-automatic.

Innovation Solution

An implanted stimulation system that uses electrical stimulation through leads with electrodes to activate lingual muscles, maintaining an open airway by contracting and stiffening the tongue, potentially eliminating the need for external devices.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If external devices are used to assist airflow for OSA and UARS treatment, then airflow support is provided, but the treatment becomes cumbersome and non-automatic

Engineering Contradiction:
ImproveTreatment convenienceVSAvoidExternal device requirement
Core Design Contradiction:
Ease of operationVSDevice complexity

Solution Approach 1:

The system uses self-service by implanting the stimulation device within the subject's body and utilizing automatic sensing of respiratory events to trigger stimulation without external intervention. The device autonomously monitors and responds to apnea episodes, eliminating the need for external worn devices and manual operation.

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The patent replaces mechanical airflow support systems (external devices) with electrical stimulation of respiratory muscles. Instead of mechanically assisting airflow, the system electrically stimulates the diaphragm and intercostal muscles to restore normal breathing mechanics, thereby eliminating external device requirements.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

2Reliability

If electrical stimulation is applied to activate lingual muscles, then airway remains open, but muscle fatigue may occur

Engineering Contradiction:
ImproveAirway patencyVSAvoidMuscle endurance
Core Design Contradiction:
ReliabilityVSDuration of action of moving object

Solution Approach 1:

The system applies periodic electrical stimulation pulses to the lingual muscles rather than continuous stimulation. By delivering stimulation in timed intervals synchronized with the respiratory cycle and apnea events, the system maintains airway patency while allowing muscle recovery periods, thereby preventing fatigue.

Inventive Principle:
Principle #19Periodic action

Solution Approach 2:

The stimulation parameters (amplitude, frequency, duration) are dynamically adjusted based on real-time sensing of respiratory events, muscle response, and apnea severity. This dynamic adaptation optimizes airway protection while minimizing muscle fatigue by reducing stimulation intensity when less support is needed.

Inventive Principle:
Principle #15Dynamics

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The system provides automatic and less obtrusive treatment for OSA and UARS by maintaining an open airway, reducing muscle fatigue through varying stimulation patterns and configurations determined by sensors and feedback.

Implementation Method 1

The stimulation may be provided by an implanted device... The stimulation may include the electrical stimulation to cause a selected muscle to activate and stiffen or contract

Methodology Applied
Scientific EffectElectrical stimulation: Electrical Impedance Tomography

Data Source

PatentUS11666755B2System and method for therapy
Publication Date: 2023.06.06 MEDTRONIC XOMED INC
  • US11666755B2 patent drawing
  • US11666755B2 patent drawing
  • US11666755B2 patent drawing

AI summary

Disclosed is a system for stimulation of a subject. The stimulation may be to provide therapy to treat the subject. Stimulation may be of selected muscle groups and/or portions.