Methods and apparatuses for performing remote titration of mandibular protrusion
원문보기
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61B-005/00
A61B-005/11
A61F-005/56
A61B-005/107
A61B-005/145
A61B-005/1455
출원번호
US-0407194
(2013-06-13)
등록번호
US-10195070
(2019-02-05)
국제출원번호
PCT/US2013/045644
(2013-06-13)
국제공개번호
WO2013/188660
(2013-12-19)
발명자
/ 주소
Remmers, John
Tam, Hugo
Macartney, Terry
Santosham, Peter
Topor, Zbigniew Ludwik
Grosse, Joshua
출원인 / 주소
ZST HOLDINGS, INC.
대리인 / 주소
Meunier Carlin & Curfman LLC
인용정보
피인용 횟수 :
0인용 특허 :
68
초록▼
Methods and apparatus for performing system validation and providing predictive criteria during remote titration of mandibular protrusion are disclosed herein. The effectiveness of oral appliance therapy can possibly be improved by screening obstructive sleep apnea subjects and prospectively identif
Methods and apparatus for performing system validation and providing predictive criteria during remote titration of mandibular protrusion are disclosed herein. The effectiveness of oral appliance therapy can possibly be improved by screening obstructive sleep apnea subjects and prospectively identifying subjects suitable for oral appliance therapy. The methods and apparatus for performing system validation on an oral appliance therapy titration system are disclosed. In addition, methods and apparatus for providing predictive criteria during remote titration of mandibular protrusion are disclosed. Further, methods and apparatus for display results of remote titration of mandibular protrusion are disclosed.
대표청구항▼
1. A method for identifying a candidate for oral appliance therapy, comprising: collecting, using a sleep data collection system, data from a patient while the patient is sleeping with a dental appliance, the data being associated with one or more periods of rapid eye movement (REM) sleep and non-RE
1. A method for identifying a candidate for oral appliance therapy, comprising: collecting, using a sleep data collection system, data from a patient while the patient is sleeping with a dental appliance, the data being associated with one or more periods of rapid eye movement (REM) sleep and non-REM sleep;transmitting the data from the sleep data collection system to a computing device;identifying, using the computing device, at least a portion of the data from a period of REM sleep;identifying, using the computing device, a number of respiratory disturbances in the portion of the data from the period of REM sleep; andprospectively determining whether the patient is a favorable candidate for oral appliance therapy based on the number of respiratory disturbances in the portion of the data from the period of REM sleep,wherein the determination of whether the patient is a favorable candidate for oral appliance therapy is made by evaluating the number of respiratory disturbances identified in data collected during REM sleep only;wherein a favorable candidate for oral appliance therapy achieves a therapeutic end-point during oral appliance therapy; andwherein the favorable candidate experiences less than a predetermined maximum number of respiratory disturbances during oral appliance therapy. 2. The method of claim 1, wherein a frequency of respiratory disturbances in the portion of the data from the period of REM sleep is less than or equal to a threshold frequency. 3. The method of claim 2, wherein the threshold frequency is 1 respiratory disturbance per 5 minute period. 4. The method of claim 2, wherein the patient is a favorable candidate for oral appliance therapy when the frequency of respiratory disturbances in the portion of the data from the period of REM sleep is less than or equal to the threshold frequency. 5. The method of claim 4, further comprising determining an effective protrusion distance, the effective protrusion distance being a minimum protrusion distance corresponding to the portion of the data from the period of REM sleep. 6. The method of claim 1, wherein the period of REM sleep is equal to or greater than 5 minutes. 7. The method of claim 6, wherein the period of REM sleep comprises a continuous, uninterrupted period of REM sleep. 8. The method of claim 6, wherein the period of REM sleep comprises a plurality of fragmented periods of REM sleep. 9. The method of claim 1, wherein the data is further associated with one or more periods of sleep in a supine position and a lateral position, the method further comprising: identifying a portion of data from a period of REM sleep in the supine position;identifying a number of respiratory disturbances in the portion of the data from the period of REM sleep in the supine position; anddetermining whether the patient is a favorable candidate for oral appliance therapy based on the number of respiratory disturbances in the portion of the data from the period of REM sleep in the supine position. 10. The method of claim 9, wherein the period of REM sleep in the supine position is less than 5 minutes, the method further comprising: identifying a portion of data from a period of REM sleep in the lateral position;identifying a number of respiratory disturbances in the portion of the data from the period of REM sleep in the lateral position; anddetermining whether the patient is a favorable candidate for oral appliance therapy based on the number of respiratory disturbances in the portion of the data from the period of REM sleep in the lateral position. 11. The method of claim 10, wherein a frequency of respiratory disturbances in the portion of the data from the period of REM sleep in the lateral position is less than or equal to a threshold frequency. 12. The method of claim 11, wherein the threshold frequency is 1 respiratory disturbance per 5 minute period. 13. The method of claim 11, wherein the patient is a favorable candidate for oral appliance therapy when the frequency of respiratory disturbances in the portion of the data from the period of REM sleep in the lateral position is less than or equal to the threshold frequency. 14. The method of claim 13, further comprising determining an effective protrusion distance, the effective protrusion distance being a minimum protrusion distance corresponding to the portion of the data from the period of REM sleep in the lateral position. 15. The method of claim 10, wherein the period of REM sleep in the lateral position is less than 5 minutes, the method further comprising determining that the data is inconclusive. 16. The method of claim 9, wherein the dental appliance is a remote-control mandibular protruder, and the data is collected during an oral appliance titration study of the patient while the patient is sleeping with the remote-control mandibular protruder. 17. The method of claim 16, wherein the period of REM sleep in the supine position is greater than or equal to 5 minutes and a frequency of respiratory disturbances in the portion of the data from the period of REM sleep in the supine position is greater than a threshold frequency, the method further comprising: identifying whether the data includes data collected for a predetermined titration range; andin the event that the data includes data collected during the predetermined titration range, determining that the patient is not a favorable candidate for oral appliance therapy. 18. The method of claim 17, further comprising in the event that the data does not include data collected during the predetermined titration range, determining that the data is inconclusive. 19. The method of claim 17, wherein the predetermined titration range comprises a maximum protrusion of the remote-control mandibular protruder. 20. The method of claim 1, wherein the sleep data collection system is a polysomnogram device or a portable sleep monitor. 21. The method of claim 1, wherein the dental appliance is a remote-control mandibular protruder. 22. The method of claim 21, wherein the data is collected during an oral appliance titration study of the patient while the patient is sleeping with the remote-control mandibular protruder. 23. A non-transitory computer-readable recording medium for identifying a candidate for oral appliance therapy having computer-executable instructions stored thereon that, when executed by a computing device, cause the computing device to: receive data from a patient associated with one or more periods of rapid eye movement (REM) sleep and non-REM sleep, wherein the data is received from a sleep data collection system, and wherein the data is collected from a patient, using the sleep data collection system, while the patient is sleeping with a dental appliance;identify at least a portion of the data from a period of REM sleep;identify a number of respiratory disturbances in the portion of the data from the period of REM sleep; andprospectively determine whether the patient is a favorable candidate for oral appliance therapy based on the number of respiratory disturbances in the portion of the data from the period of REM sleep,wherein the determination of whether the patient is a favorable candidate for oral appliance therapy is made by evaluating the number of respiratory disturbances identified in data collected during REM sleep only;wherein a favorable candidate for oral appliance therapy achieves a therapeutic end-point during oral appliance therapy; andwherein the favorable candidate experiences less than a predetermined maximum number of respiratory disturbances during oral appliance therapy. 24. The non-transitory computer-readable recording medium of claim 23, wherein the sleep data collection system is a polysomnogram device or a portable sleep monitor. 25. The non-transitory computer-readable recording medium of claim 23, wherein the dental appliance is a remote-control mandibular protruder. 26. The non-transitory computer-readable recording medium of claim 25, wherein the data is collected during an oral appliance titration study of the patient while the patient is sleeping with the remote-control mandibular protruder.
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이 특허에 인용된 특허 (68)
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Halstrom Leonard W. (140 Isleview Pl. Lions Bay ; British Columbia CAX V0N 2E0), Adjustable dental applicance for treatment of snoring and obstructive sleep apnea.
Thornton W. Keith (5524 Edlen Dallas ; Dallas County TX 75220) Jamieson Andrew Orr (9426 Hillview Dr. Dallas ; Dallas County TX 75231), Apparatus for adjusting a dental device.
Remmers John E.,CAX ; Hajduk Eric A.,CAX ; Platt Ronald S.,CAX ; Lowe Alan A.,CAX, Remote-controlled mandibular positioning device and method of using the device.
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Buzzard Ronald D. (Pittsburg KS) Buzzard Larry D. (Grove OK) Kenyon Peggy L. (Pittsburg KS) Agre Brian T. (Tulsa OK), Universal, user-adjustable oral cavity appliance to control snoring and reduce episodes of obstructive sleep apnea.
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