Inspire Therapy
This FDA-approved implantable upper airway stimulation device functions like a pacemaker and stabilizes a patient’s throat during sleep to prevent obstruction.
The device consists of three components: a programmable neurostimulator located in a chest pocket, a pressure-sensing lead that detects the patient’s breathing, and a stimulator lead that delivers mild stimulation to the tongue nerve. Once activated, the device is controlled by a handheld remote control.
Dr. Weidenbecher has pioneered several surgical techniques around Inspire surgery including the minimally invasive implant approach using only 2 small incisions instead of the previously required 3. This 2-incision approach has since been adopted by hundreds of other sleep surgeons. Dr. Weidenbecher also developed a surgical technique that improves intraoperative visualization of the tongue nerve, which allows for better stimulation lead placement and results in better outcomes after Inspire surgery.
Dr. Weidenbecher’s selected research articles on Inspire:
Surgery
Inspire surgery is done under general anesthesia using 2 incisions along the right chest and the chin. The Inspire generator (which is about the size of a matchbox) and the sensing lead, which monitors breathing, will be inserted through the chest incision. A wire is then tunneled under the skin from the generator to the chin incision to connect the device to the tongue nerve. The procedure takes approximately 60 minutes and is usually performed as an outpatient surgery. Recovery time is up to one week. The Inspire device will be activated approximately four weeks after surgery to give the tissue enough time to heal.
Effectiveness
In the properly chosen OSA patient, Inspire therapy is one of the most effective surgical options available. Failures may be the result of other surgeons not accurately identifying the anatomical issues causing the obstruction. This emphasizes the importance of having a proper pre-implant workup which includes having a drug-induced sleep endoscopy (DISE) performed.
Satisfaction rates amongst implanted Inspire patients are approximately 90%. Around 80% of all patients demonstrate significant improvement in their apnea. Another benefit of Inspire is that 90% of patients stop snoring.
For more information on Inspire therapy, click HERE.