Inspire Sleep Therapy
More than 18 million Americans have sleep apnea. Depending on the severity, obstructive sleep apnea can be a life-threatening condition. Research shows that patients who poorly manage their sleep apnea are at a higher risk of having a heart attack, stroke, high blood pressure, heart failure, or gaining weight. While a CPAP machine is often successful, studies show that about half of all patients that start using CPAP eventually stop using it.
What Is Inspire Sleep Therapy?
Inspire therapy is the first implantable device for treating obstructive sleep apnea, or OSA. Those who have inconsistent results from a CPAP can now turn to Inspire for support. In contrast to CPAP, Inspire therapy works from inside the body and with a patient’s natural breathing process. Inspire works based on each patient’s individual breathing patterns and stimulates the hypoglossal nerve to control the proper muscles.
Inspire Patient Testimonial
Video courtesy of Inspire Medical Systems. For more information visit www.inspiresleep.com.
“Wonderful and easy going. It’s obvious that Dr. Thrasher truly enjoys his work.” – Susan M.
How Inspire Sleep Therapy Works
Inspire therapy includes a small generator, a sensing lead, and a stimulation lead. Patients can control Inspire through a handheld remote. The remote allows patients to turn the device on and off, control the stimulation strength, and pause the device when needed. Once turned on the device delivers mild stimulation to key airway muscles. This, in turn, keeps the airway open during sleep.
Is Inspire Sleep Therapy safe?
The FDA has approved the Inspire system for the treatment of moderate to severe obstructive sleep apnea in adult patients for whom CPAP was not effective. The FDA approval was based upon the results from the Stimulation Therapy for Apnea Reduction (STAR) clinical study. This study evaluated 126 patients for 18 months after each patient had the Inspire system transplanted. Each of these patients had moderate to severe OSA and had tried CPAP to no avail.
After 18 months, there were no unanticipated events for the 126 patients. There were two surgical interventions, but these were simply to relocate the stimulator leads due to discomfort at the stimulator implant sites.
Inspire has proven to be a safe and effective new treatment for OSA.
Ideal Candidate For Inspire Sleep Therapy
Candidates for Inspire are in good general health, not significantly overweight and suffer from obstructive sleep apnea. If you believe that you would benefit from Inspire ENT & Allergy Centers of Texas can help. Potential candidates can visit one of our Texas locations for a consultation with Dr. Thrasher, Dr. James, Dr. Martino, or Dr. Pahlavan. Dr. Thrasher and Dr. Pahlavan were the first doctors to work with Inspire therapy in Collin County. After your consultation and examination, our office will determine the best course of treatment for your sleep apnea.
What are the benefits of Inspire Sleep therapy?
Patients who have unsuccessful results from a CPAP are likely to turn to Inspire. Additionally, patients who suffer from the following are likely to choose Inspire.
- Sleep Deprivation
- Lack of oxygen while sleeping
- Short & long term health risks including heart disease, heart attack, stroke, depression, and memory loss
- Unable to stay awake during the day or daily activities
- Had unsuccessful treatment through CPAP
The potential risks involved with the Inspire Sleep Therapy system
The risks involving the Inspire system are the same as those associated with any implanted device. First, there are risks related to the surgical procedure itself such as pain, swelling, nausea, headaches, temporary tongue weakness, and infection. In the STAR study discussed above, these were all resolved on their own or with medication within a period of a few months.
Once the Inspire device is activated, there are additional risks such as discomfort from stimulation, tongue abrasion, mouth dryness, and discomfort from the presence of the device. Again, these events typically resolve on their own, with medication, or by adjusting the stimulator settings.
The risks involved with untreated obstructive sleep apnea far outweigh the minimal risks involved with the Inspire system.
What should I expect during my consultation?
For your consultation, you’ll meet with one of our experienced doctors. Here are two goals for these consultations. First, we need to confirm that you have moderate to severe obstructive sleep apnea on a sleep study that has been performed in the last 2 years. Second, all insurances have a weight limit for approval. Currently, most insurances require a BMI of < 33. You can easily find your BMI by putting your height and weight into a BMI calculator on Google. Third, you have to have at least tried and failed CPAP.
Once you have completed these first 3 steps, the final step in the evaluation is to perform drug-induced sleep endoscopy, or DISE. Essentially, we will bring you to our surgery center, provide IV sedation to the point that you snore, and then pass a camera into your airway to see what kind of obstruction you have. Most (85-90% of) patients have the appropriate type of airway obstruction that will respond to Inspire.
That’s really about it. After we confirm you’re a good candidate for Inspire, we’ll start the process of working with your insurance company to gain coverage on your behalf.
Is the stimulation provided by the Inspire system painful?
Most of our patients say they can feel a mild sensation during stimulation, but it is not painful. The electrical stimulation results in an involuntary movement of the upper airway muscles and/or your tongue. If the stimulation strength is too high, the upper airway may have a strong response that may be uncomfortable. The stimulation strength simply needs to be adjusted to make the level comfortable and effective.
How long the Inspire battery lasts
The typical battery life is approximately 11 years. There may be variance depending on the number of hours you have the stimulator on and the settings used but the minimal battery life should be expected to be at least 7 years.
To replace the battery, a brief 20 minute procedure, possibly even without anesthesia, will be necessary.
How often will my ENT & Allergy doctors need to check my Inspire system?
You will have at least 2 post-op visits with your surgeon, but once implanted and all surgical sites have healed, your sleep medicine doctor will be responsible for making any adjustments to the Inspire device as needed over time and you will not need any long-term visits to our office.
Schedule A Consultation
If you believe you may benefit from Inspire sleep apnea therapy, call today! Contact our office at 972.984.1050 to schedule a consultation at one of our locations. Our practice serves McKinney, Allen, Plano, Celino and surrounding areas in Texas.