Systems and methods for remote therapy and patient monitoring are provided. A method comprises contacting an outer skin surface of a patient with a contact surface of a stimulator and transmitting an electrical impulse from the stimulator transcutaneously through the outer skin surface to a nerve within the patient. Data related to parameters of the electrical impulse applied to the nerve is stored and transmitted to a remote source. The data may include duration of treatment, amplitude of the electrical impulse, compliance with a prescribed therapy regimen or other relevant data related to the therapy. The method may further include collecting patient status data, such as symptoms of a medical condition (e.g., severity of a headache) before, during and/or after stimulation. The patient status data is correlated with the treatment data to monitor compliance and/or the effectiveness of the therapy.

A device for stuttering alleviation is disclosed, comprising a speech sensor, configured to output signals indicative of speech, a processing unit configured to detect stuttering, log stuttering and/or produce stimulation indication based on stimulation rules Said device may further comprise a remote server and a server user interface, configured to allow the speech therapist access to the processing unit. Further provided is a method for accelerating the learning procedure for obtaining a permanent fluent speech, comprising receiving and analyzing speech parameters, determining whether a negative reinforcement is required and executing the negative reinforcement.

An oral appliance for treating sleep apnea in a user includes a mouthpiece configured for being positioned in an oral cavity of the user, and at least one pulse oximeter attached to the mouthpiece. According to an aspect, the pulse oximeter is configured to monitor actual oxygen saturation levels of hemoglobin of the user when the oral appliance is positioned in the oral cavity of the user. The oral appliance may include an additional sensor attached to the mouthpiece that includes at least one of an airflow sensor, a pressure sensor, a noise detector, and an actigraphy sensor.

A kit of parts and method for the control of a delivery of an electric or electromagnetic pulse to a vagus nerve by an implanted stimulating device is provided. The kit of parts includes an implantable stimulating device (10) that includes a cuff electrode/optrode for being coupled to a vagus nerve (Vn) of a patient to be treated, and an encapsulation unit (50) suitable for being subcutaneously implanted at a location separated from the vagus nerve coupling unit (60), and enclosing an energy pulse generator (51s), for delivering electrical or optical energy pulses, and coupled to the cuff electrode/optrode by one or more electrical conductors (41e) and/or optical fibres (41f), an external controller device (100) of the kit includes laryngeal electrodes (161) suitable for being coupled to a laryngeal region (Lx) of a patient for measuring a laryngeal electrical activity at the laryngeal region, the laryngeal electrodes being coupled to an external control unit (150). The unit includes a setting unit (151) for entering control pulse parameters of a control energy pulse an external emitter (153e) configured for sending a signal to the implanted controller (54) to deliver to the cuff electrode/optrode one or more control energy pulses defined by the control pulse parameters entered in the setting unit, and a visual (155) or acoustic (157) display indicative of the intensity of the laryngeal electrical activity.

Maxillary devices and Mandibular devices each have a first housing connectable to a tooth of a user or connectable or integral with a teeth covering, wherein the housing encloses an on-board circuit board and a power source. The first housing of the maxillary devices has a tooth connecting portion, a palate housing portion and/or a buccal housing portion. The first housing of the mandibular devices has a tooth connecting portion and a sublingual portion. Each of the palate housing portion and the buccal housing portion enclose a stimulator having an electrode electrically connected to the on-board circuit board and the power source, and can enclose a sensor and/or a medicament dispenser. The sublingual portion encloses a sensor and a medicament dispenser each of which are in electrical communication with the microprocessor of the on-board circuit board.

A system includes an endotracheal tube having a plurality of electrodes, wherein the electrodes include at least one stimulating electrode configured to stimulate tissue of a patient and at least one monitoring electrode configured to monitor at least one nerve of a patient. The system includes a nerve integrity monitor device configured to send a stimulation signal to the at least one stimulating electrode to evoke a reflex response, and configured to receive a monitoring signal from the at least one monitoring electrode.

A method for treating a human subject having unilateral vocal cord paralysis includes sensing electrical activity of a dysfunctional muscle of the subject, generating at least one stimulation parameter, using a processor, based on the sensed electrical activity, and stimulating the dysfunctional muscle, using a stimulating electrode, based on the at least one stimulation parameter. A stimulation system is also provided.

A method and apparatus for processing a set of communicated signals associated with a set of muscles, such as the muscles near the larynx of the person, or any other muscles the person use to achieve a desired response. The method may include attaching a sensor near an area of a user's body associated with speech production, detecting an electrical signal from the user's nervous system through the sensor, and processing the detected electrical signal to provide communication capability for the user. The processing may include extracting a set of features of the detected electrical signal. The extracted set of features may be compared with a set of prototype features. The set of prototype features may correspond to at least one of multiple response classes. The multiple response classes may include an affirmative response class and a negative response class.

An apparatus for monitoring EMG signals of a patient's laryngeal muscles includes an endotracheal tube having an exterior surface and a first location configured to be positioned at the patient's vocal folds. A first electrode is formed on the exterior surface of the endotracheal tube substantially below the first location to receive EMG signals primarily from below the vocal folds. A second electrode is formed on the exterior surface of the endotracheal tube substantially above the first location to receive EMG signals primarily from above the vocal folds. The first and second electrodes are configured to receive the EMG signals from the laryngeal muscles when the endotracheal tube is placed in a trachea of the patient.

A computer-implemented method for identifying tongue movement comprises detecting an electroencephalography (“EEG”) signal from an EEG sensor. The EEG sensor is configured to sense the EEG signal generated by a brain in association with a tongue movement. The method also comprises detecting the EMG signal from the EMG sensor. The EMG sensor is configured to sense the EMG signal generated by cranial nerve stimulation of muscles associated with the tongue movement. The method also includes identifying the tongue movement based on the EEG signal and the EMG signal. The method then includes correlating the tongue movement with one of a plurality of tongue location areas.