SleepFlexTM Treatment of Obstructive Sleep Apnea

SleepFlexTM Treatment of Obstructive Sleep Apnea

The purpose of this study is to evaluate the safety and effectiveness of the SleepFlex program for treatment of mild to moderate OSA

Inclusion Criteria:

• Age 21 years and older
• Mild to moderate OSA, defined as AHI >10 - 30 events/hour, documented by polysomnogram or home sleep apnea test within 180 days prior to study enrollment
• Central or mixed disordered breathing events (≤25% of total number of events)
• Unable to tolerate or decline positive airway pressure therapy
• Body mass index ≤32 kg/m2
• Able to protrude tongue ≥20 mm beyond maxillary incisors
• Absence of markedly enlarged tonsils, defined as 3+ or 4+ according to the Brodsky classification
• No uncontrolled sleep disorder other than OSA such as narcolepsy, chronic insomnia, restless legs syndrome, or REM behavior disorder
• Absence of excessive daytime sleepiness, defined by Epworth Sleepiness Scale score >10
• No uncontrolled nasal obstruction
• Absence of moderate to severe mandibular insufficiency
• No previous surgery involving the oral cavity or pharynx other than tonsillectomy
• No previous radiation therapy to the head and neck
• No known neurologic, cardiac (other than hypertension controlled with a single medication), pulmonary, renal, hepatic, or psychiatric disorders
• No psychiatric diagnoses other than treated depression or mild anxiety
• Stable medication regimen for ≥1 month
• No acute illness or infection
• Ownership of personal smartphone with iOS or Android operating system
• No known hypersensitivity to any material of the SleepFlex devices

Exclusion Criteria:

• Unwilling or unable to provide informed written consent in English
• Pregnancy, breastfeeding, or plans to become pregnant
• Smoker (tobacco or recreational drugs) in the past month
• Alcohol consumption, averaged over the previous month, greater than 2 alcoholic beverages per day
• Significant vision or hearing problems
• Unwilling or incapable of returning for all follow-up visits and conduct sleep studies at home, including the evaluation procedures and filling out questionnaires
• Any other reason the investigator determines as being unfit for study participation