Adam Hurd's Inspire Sleep Device Update

Introduction

• Presenter: Adam Hurd
• Recent surgery for Inspire upper airway stimulation device
• Device stimulates hypoglossal nerve, controlling the tongue
• Surgical option for obstructive sleep apnea (OSA)

Adam's Experience

Updates cover a period of around six months post-surgery:

• Initial complications: infection in incision leading to delayed activation
  • Gradual adjustment through remote levels, experiencing discomfort but no pain
  • Support from Inspire representative and doctor's office for adjustments

Device Activation and Adjustment

• Started with rocky adjustment phase, too strong or uncomfortable settings
• By last video, aimed to be on the seventh hash mark on the remote
• Actual usage vs. intended usage discrepancy: device active only 1.5 to 2 hours a night
• Prescribed sleep medication to increase device usage duration
• Successful increase to 4 hours per night, enabling a sleep study

Sleep Study Results

• Optimal level for Adam determined to be 2MHz (two levels below doctor’s previous recommendation)
• Remote settings adjusted: third hash mark = previous seventh hash mark
• First hash mark is now optimal setting

Outcome and Recommendations

• Improved sleep quality with optimal settings and sleep medication
• Strongly recommends Inspire for those who struggle with CPAP
• Encourages watching previous videos for detailed experience
• Open to answering questions

Expert Insight: Fred Lynn, Surgeon

• Surgeon at Mount Sinai Hospital, specializes in Inspire device implantation
• Procedure details:
  • Three incisions: neck, upper chest, lower rib
  • Device configuration: sensor measures breathing, implant stimulates nerve to pull tongue forward during breathing
• Post-surgery recovery:
  • Same-day discharge
  • Minimal restrictions, quick return to normal activities
• Patient feedback: improved sleep quality, reduced snoring, increased daytime energy

Conclusion

• Inspire device as an effective alternative for OSA patients intolerant to CPAP
• Positive patient outcomes and satisfaction
• Encourage seeking detailed experiences and expert guidance for potential candidates