Sleep Apnea, Sleep Apnea, Obstructive, Sleep Apnea Syndromes, Sleep Disorder
Conditions
Keywords
Sleep Apnea
Brief summary
This proof-of-concept study will evaluate the impact of surgically placing and stimulating the hypoglossal nerve and/or a second neural target Ansa Cervicalis, with a set of off-the-shelf electrode arrays.
Interventions
Device stimulation of the hypoglossal nerve and/or Ansa Cervicalis
Sponsors
Study design
Eligibility
Inclusion criteria
* Age above 18 years not under guardianship, under curatorship or under judicial protection. * Body Mass Index (BMI) \< 35 kg/m2. * Subject suffers from OSA (15 \< AHI \< 80) documented by a sleep study performed during the past 36 months. * Subject must be eligible for a diagnostic or surgical procedure. * Written informed consent obtained from the patient prior to performing any study specific procedure. * Willing and capable to comply with all study requirements, including specific lifestyle considerations, evaluation procedures and questionnaires for the whole duration of the trial.
Exclusion criteria
* Major anatomical or functional abnormalities that would impair the ability of the electrode arrays to be positioned * Significant comorbidities that contraindicate surgery or general anesthesia * Significant tongue weakness * Any other chronic medical illness or condition that contraindicates a surgical procedure or general anesthesia in the judgment of the investigator. * Prior surgery or treatments that could compromise the placement and effectiveness of the electrode array systems: * Airway cancer surgery or radiation, * Mandible or maxilla surgery in the previous 3 years (not counting dental treatments), * Other upper airway surgery to remove obstructions related to OSA in the previous 3 months (e.g., uvulopalatopharyngoplasty (UPPP), tonsillectomy, nasal airway surgery), * Prior hypoglossal nerve stimulation device implantation. * Currently pregnant, or breastfeeding during the study period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of participants with changes in cross-sectional area airway opening during target stimulation | Day 0 | Assessment of patients with changes in acute cross-sectional area airway opening measured in cm2 under nasoendoscopy when stimulating two neural targets (the HGN and AC). Video imaging and physician interpretation of nasoendoscopic images will be used to review outcome measures. |
| Assessment of changes in airflow outcomes | Day 0 | Assessment of acute changes in airflow when stimulating the HGN in combination with the AC during a flow limited event (hypopnea or apnea). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of participant adverse events observed during the study | Day 30 | To evaluate and report all observed participant adverse events observed during study. |
Countries
United Kingdom