Effects of targeted activation of tongue muscles on oropharyngeal patency in the rat.

Laboratory rats were acutely implanted with an electrode array composed of eight independently controllable contacts applied to ventral and dorsal aspects of the left and right hypoglossal nerves (HGNs) and their branches. Bipolar intramuscular electromyographic (EMG) electrodes were implanted into the left and right genioglossus, hyoglossus and styloglossus muscles to identify which muscles were activated during stimulation via the contacts. Elicited movements, including changes in the position of the tongue and in the size and the shape of the airway, were documented video-graphically through a surgery microscope and an endoscope.

Implant technology and usability.

Implanted electrical stimulation technology has changed greatly in the roughly five decades of its existence. Many factors determine the viability of the technology and whether the systems and products developed ultimately go on to help the target patient population. This article describes the successful introduction of an implanted system and the challenges to implanted system development, acceptance, and usability of these systems by the patient and clinical communities.