DETERMINING A LEVEL OF COMPLIANCE USING A DEVICE FOR TREATMENT OF DISORDERED BREATHING
A device is disclosed that can include a number of contacts to provide a first signal indicative of one or more states of the patient's upper airway, and can include a control circuit configured to determine a presence of disordered breathing in the patient, provide electrical stimulation to a portion of the patient's upper airway based on the presence of disordered breathing, and determine a level of compliance of the patient's use of the device based.
1 . A device comprising:
a number of contacts adapted to make electrical contact with portions of an oral cavity of a patient and configured to provide a first signal indicative of one or more states of the patient's upper airway; and
a control circuit coupled to the contacts and configured to:
determine a presence of disordered breathing in the patient based, at least in part, on the first signal;
provide electrical stimulation to a portion of the patient's upper airway, via the number of contacts, based on the presence of disordered breathing in the patient; and
determine a level of compliance of the patient's use of the device based, at least in part, on the first signal.
2 . The device of claim 1 , wherein the control circuit is configured to determine the level of compliance by:
determining an impedance level between at least two of the contacts; and
determining whether the device is located at least partially within the patient's oral cavity based, at least in part, on the determined impedance level.
3 . The device of claim 2 , wherein the control circuit is further configured to:
detect a state of compliance based on the determined impedance level being less than a value; and
detect a state of non-compliance based on the determined impedance level being greater than or equal to the value.
4 . The device of claim 3 , wherein the control circuit is further configured to:
determine a first portion of a time period associated with the detected state of compliance;
determine a second portion of the time period associated with the detected state of non-compliance; and
generate an indication of compliance or non-compliance based on a comparison between the first and second portions.
5 . The device of claim 4 , wherein the control circuit is further configured to:
transmit, to a remote compliance monitoring device, either the indication of compliance or the indication of non-compliance.
6 . The device of claim 1 , wherein a portion of two of the contacts are adapted to be positioned posterior to a last molar location of the patient.
7 . The device of claim 1 , wherein the electrical stimulation is configured to target the patient's Palatoglossus muscle and to avoid targeting the patient's Hypoglossal nerve.
8 . The device of claim 1 , wherein:
the device comprises a sensor configured to provide a second signal indicating an amount of airflow in the patient's upper airway; and
the control circuit is configured to determine the presence of disordered breathing based on the first signal and the second signal.
9 . The device of claim 8 , wherein:
the first signal is indicative of at least one of electrical activity in the patient's upper airway, movement of the patient's upper airway, and a change in the patient's respiration rate; and
the second signal is indicative of at least one of an amount of airflow in the patient's upper airway, a movement of the patient's chest, a movement of the patient's abdomen, a movement in the patient's jaw, an oxygenation level, and a heartrate.
10 . A method comprising:
receiving, from a number of contacts positioned within an oral cavity of a patient, a first signal indicative of one or more states of the patient's upper airway;
determining a presence of disordered breathing in the patient based, at least in part, on the first signal;
providing electrical stimulation to a portion of the patient's upper airway, via the number of contacts, based on the presence of disordered breathing in the patient; and
determining a level of compliance of the patient's use of the device based, at least in part, on the first signal.
11 . The method of claim 10 , wherein determining the level of compliance comprises:
determining an impedance level between at least two of the contacts; and
determining whether the device is located at least partially within the patient's oral cavity based, at least in part, on the determined impedance level.
12 . The method of claim 11 , further comprising:
detecting a state of compliance based on the determined impedance level being less than a value; and
detecting a state of non-compliance based on the determined impedance level being greater than or equal to the value.
13 . The method of claim 12 , further comprising:
determining a first portion of a time period associated with the detected state of compliance;
determining a second portion of the time period associated with the detected state of non-compliance; and
generating an indication of compliance or non-compliance based on a comparison between the first and second portions.
14 . The method of claim 13 , further comprising:
transmitting, to a remote compliance monitoring device, either the indication of compliance or the indication of non-compliance.
15 . The method of claim 10 , wherein a portion of two of the contacts are adapted to be positioned posterior to a last molar location of the patient.
16 . The method of claim 10 , wherein the electrical stimulation is configured to target the patient's Palatoglossus muscle and to avoid targeting the patient's Hypoglossal nerve.
17 . The method of claim 10 , further comprising:
receiving, from one or more sensors, a second signal indicating an amount of airflow in the patient's upper airway, wherein determining the presence of disordered breathing is based on the first signal and the second signal.
18 . The method of claim 17 , wherein:
the first signal is indicative of at least one of electrical activity in the patient's upper airway, movement of the patient's upper airway, and a change in the patient's respiration rate; and
the second signal is indicative of at least one of an amount of airflow in the patient's upper airway, a movement of the patient's chest, a movement of the patient's abdomen, a movement in the patient's jaw, an oxygenation level, and a heartrate.