There is provided a suture passer device used in procedures of robotic assisted minimally invasive suspension of the hyoid and tongue base in treatment of sleep apnea. The suture passer device is a dual use suture passer, having both suture insertor and extractor functionality on a single unitary instrument section of the device by means of insertion and extraction hooks positioned on an elongated needlelike body which is connected to a handle grip. The insertion and extraction hooks receive a suture via an opening in the body of the instrument, with the suture capable of removal and fastening to the extraction hook by robotic forceps. Procedures for using the device are disclosed which include a single point of entry on a patient and the device moved to first and second positions above and below the hyoid bone during robotic assisted surgery.

A heat exchanger is disclosed for causing cryolysis of adipose tissue of a human tongue. The heat exchanger includes a body having cooling channels for circulating fluids therein. The body forms a contact surface that contacts a portion of the dorsal surface of the tongue and a portion of the base of the tongue. The heat exchanger includes a pair of side walls extending from the body and forming a pair of side contact surfaces that are dimensioned so that they contact the dorsal and lateral surfaces of the tongue in a manner so as to constrict the tongue when the contact surface is in contact with the tongue. A method of treatment for apnea using the heat exchanger and/or administering a chemical adipolysis formulation/vasoconstriction agent is also disclosed.

A device is described for treating a nasal airway by modifying a property of a nasal tissue of or near a nasal valve of the airway, without using a surgical incision or an implant, to decrease airflow resistance or perceived airflow resistance in the nasal airway. Various embodiments include an elongate shaft, a bipolar radiofrequency delivery member extending from one end of the shaft, and a handle attached to the elongate shaft at an opposite end from the radiofrequency delivery member. The radiofrequency delivery member is sized to be inserted into a nose and configured to at least temporarily deform the nasal tissue and deliver radiofrequency energy. The radiofrequency delivery member includes two rows of protruding electrodes disposed on a tissue contact surface, and the device is configured to deliver radiofrequency energy from one row of electrodes to the other row of electrodes.

Disclosed embodiments include devices and methods for shaping, bending, and/or volumetrically reducing rigid cartilaginous structures, such as hyaline cartilage in the septum. In the case of septal cartilage, shaping, bending, or reducing the cartilage would be useful for reducing nasal obstruction or to improve the cosmetic appearance of the nose.

An implanted tongue pulling device including a pull plate, a pull line, a retractor and a method thereof are provided. The tongue pulling device is implanted in the mandible and tongue of a human body, respectively, for tightening the tongue dorsum and/or the tongue base for treating obstructive sleep apnea/hypopnea syndrome (OSAHS). At least three pull lines are used for positioning the pull plate, which is a flat object implanted beneath the tongue dorsum and/or the mucous membrane of the tongue base and includes through holes for the growth of tissues and pull line fixing mechanisms. The pull line includes a draw line and a sleeve. The retractor includes a casing, a control switch and a pull line fixing device mounted on the casing. A patient after surgery can adjust the tightening extent of the implanted tongue pulling device by pressing the skin outside the control switch, thereby preventing OSAHS.

A tongue advancer implant (101) or removal (1601) tool for a tongue manipulation system comprising: a loading mechanism configured to enable the loading of an implant or removal assembly; a propulsion element configured to be charged; a release mechanism configured to permit the propulsion element to propel the implant or removal assembly from the implant or removal tool.

A tongue advancer assembly (305) for a tongue manipulation system, the tongue advancer assembly (305) comprising: a core mount (703) comprising a connection rod coupling configured to couple the tongue advancer assembly to a distal end of a connection rod (303); and a tongue advancer (701) configured to be coupled to the core mount (703).

Devices and methods for improving the coupling between the soft palate and the genioglossus. This may be accomplished, for example, but shortening or stiffening the palatoglossal arch. Improved coupling between the soft palate and the genioglossus may be beneficial to a patient suffering from obstructive sleep apnea (OSA) as a stand-alone procedure, or in combination procedures and devices that cause anterior displacement of the tongue such as hypoglossal nerve stimulation, genioglossus advancement surgery, mandibular advancement surgery, mandibular advancement (oral) appliances, etc.

A lateral pharyngeal wall tractor comprises a bone fixer, a traction mechanism and a lateral pharyngeal wall fixer. The lateral pharyngeal wall fixer is fixed on an M. palatopharyngeus or other submucous tissues of a lateral pharyngeal wall. With the bone fixer fixed on a processus alveolaris or a hamulus pterygoideus or a processus pterygoideus as a supporting point, one end of the traction mechanism is connected to the bone fixer, the other end is connected to the lateral pharyngeal wall fixer, and as a result, the submucous tissue of the lateral pharyngeal wall is pulled outward. The elastic traction force produced by the traction mechanism is greater than the collapse force of the lateral pharyngeal wall which is produced by negative pressure during inspiration, but is less than the contraction force which is produced by the muscle of the lateral pharyngeal wall during deglutition.

An implanted tongue septum fascia retraction device includes a fascia fixer, a pull line and a mandible fixer. The fascia fixer is fixed to a tongue septum fascia by means of a fixing clamp, a fixing hook or a fixing ring, and the mandible fixer is fixed to a mandible. One end of the pull line is connected to the fascia fixer, and the other end of the pull line is fixed to the mandible fixer. By adjusting the tightness of a pull line, a tongue septum fascia may be retracted forwards, thus pulling a falling tongue base forwards, opening an obstructed upper airway, and fulfilling the aim of treating snoring and obstructive sleep apnea/hypopnea syndrome (OSA) caused by glossoptosis.