18 English Inspire System Models 3024, 4063, 4323
200-079-101 Rev A
3024EN_ch.fm 5/6/14 10:31 pm
4.625 x 6 inches (117 mm x 152 mm)
Inspire Medical Confidential
Procedure Overview
The implant procedure begins with preoperative planning. It is recommended that the
stimulation lead be the first Inspire component to be implanted. Secondly, a subcutaneous
pocket is created for the IPG. The connector end of the leads will be tunneled to this pocket.
After the stimulation lead is implanted, the respiratory sensing lead is implanted. After tunneling
the connector end of the leads to the IPG pocket, the leads are connected to the IPG and the
IPG is secured in the subcutaneous pocket.
Patient Preparation
• Ensure the tongue is visible during the surgical procedure in order to observe the response
to intraoperative test stimulation.
• The recommended body side for system implantation is the right side.
• Extend the patient’s right arm away from his or her side to allow access to the thorax for
respiratory sensor implantation.
• The patient's head and neck should be positioned to provide optimal access to the
hypoglossal nerve.
– Antimicrobial incise drape may be used.
– Use only short acting paralytic agent to preserve tongue response.
• A nerve monitoring system is recommended to locate the hypoglossal nerve and confirm
nerve recruitment.
• Surgical incisions are recommended to be made on natural skin creases to minimize
visible scarring.
• The patient should be given antibiotics preoperatively as well as postoperatively.
Surgical Materials
An Inspire system implant requires typical surgical equipment used during neck surgeries. The
following is a list of additional materials typically used during the system implant procedure:
• Sterile sleeve, bag or equivalent (to bring the telemetry cable into the sterile field)
• Right angled forceps or hemostat (for cuff electrode placement)
• A nerve monitoring and stimulation system (to locate the hypoglossal nerve and confirm
nerve recruitment)
Precautions for Handling Components
• The implanted components of this system should be carefully handled to avoid damage by
excessive traction or sharp instruments. Any component showing signs of damage should
not be used.
Caution: No instrument of any type should touch the sensor membrane. The
sensor membrane covers the sensor, the flat square recessed surface near the
tip of the respiratory sensing lead. Touching the sensor membrane will result in
damage to the sensor.
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