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eXciteOSA for snoring and sleep Apnoea

A Fatigued Tongue

Your tongue muscles are an important factor in a good night’s sleep

When you sleep your tongue and upper airway muscles relax. As you breath, air flows past these relaxed tissues making them vibrate, creating the snore sound.

collapsed airway due to relaxed muscles

Nearly everyone snores now and then, but for
some people it can be a chronic problem.

Treatments

There are several options for treating snoring and obstructive sleep apnea

Many snoring therapies focus on creating space in the airway. NMES does something unique.

1. Nighttime treatments

Uncomfortable. not suitable for all

eXciteOSA for Snoring is an alternative to an MAD
MAD

Mandibular (jaw) Advancement Device works by temporarily moving the jaw (and tongue) forward.

2. Surgical treatments

Invasive

Radioablation is an alterative treatment to eXciteOSA for snoring and for sleep Apnoea
Surgery

Surgery is usually an option after other treatments have failed. Examples include tissue or tonsil removal.

3. Daytime NMES therapy

Simple, effective & painless

eXciteOSA for snoring, exciteOSA for Sleep Apnoea delivers NMES to the tongue.
NMES

NMES physiologically retrains the upper airway and tongue, to stay in its natural position while you sleep.

A Daytime Therapy

Neuromuscular electrical stimulation (NMES) with eXciteOSA for snoring

NMES safely activates nerves and trains muscles. NMES is a familiar and well-established technique in medicine and athletics.

eXciteOSA for snoring applies this same technique to training the tongue and upper airway muscles.

NMES (eXciteOSA®)
NMES
MAD / CPAP
MAD / CPAP
surgery
SURGERY
Treats a root cause of snoring true false true
Nothing to wear at night true false true
Evidence based true true true
Low cost trial period true false false
Helps your body to help itself true false false

NMES is different

eXciteOSA for Snoring and Sleep Apnoea is daytime therapy for sleep apnoea and snoring

Convenient daytime therapy

Comfortable and painless leaving you with nothing to wear at night.

eXciteOSA for Snoring and Sleep Apnoea is clinical proven

95% responded to therapy

Of 115 patients, 95% responded to therapy. An average 41% reduction in snoring time (>40db) was seen across all patients2.

eXciteOSA for snoring targets the root cause of snoring icon

Retrains the upper airway

Physiologically retrains the upper airway. No other device currently on the market does that.

The App

You are in control

Use the eXciteOSA for snoring app to control the intensity of the stimulation and get guidance, reminders, and notifications about your therapy.

A picture of the eXciteOSA for Snoring and Sleep Apnoea App design - whimsical picture
A picture of the eXciteOSA for Snoring and Sleep Apnoea App is easy to use and compatible with Apple and Android

Pay later with Klarna & Paypal Paylater

Spread payments over 6, 12, 24 or 36 months with (Klarna) or split by 3 months (Paypal Paylater)

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Hear how eXciteOSA® has transformed peoples sleep

“Very easy to use and quite simple to just find 20-minutes at a time.”

Trusted by Experts

Backed by leading sleep specialists

A picture of Dr-Marina-Carrasco-Llatas

“We believe that eXciteOSA® therapy will be able to help many patients in the near future.”

— Dr. Marina Carrasco-Llatas

  • Specialist in ORL at Dr. Peset University Hospital, Valencia, Spain
  • Expert in Sleep Medicine
  • President of the Commission on Roncopathy and Sleep Apnoea of the Spanish Society of Otolaryngology and Head and Neck Surgery
Professor Atul_Malhotra uses eXciteOSA

“I am optimistic that this treatment will be an important treatment approach for patients with with mild sleep apnea and snoring.”

— Professor Atul Malhotra

  • M.D. Research Chief, Pulmonary, Critical Care and Sleep Medicine
  • Peter C. Farrell Presidential Chair and Professor in Respiratory Medicine
  • Former President, American Thoracic Society 2015- 2016

Long term snoring

It’s important to do something if you snore

Your snoring may lead to various health risks7-9 and may indicate the first stages of obstructive sleep apnoea (OSA)10.

It’s not justabout you

Your snoring may be causing stress and harming the long term health of your bed partner and other family members.

eXciteOSA for Snoring can help you and your bed partner sleep better

Frequently asked questions

Transcutaneous electrical nerve stimulation (TENS) machines stimulates the sensory nerves (the nerves that send signals from the body to the brain) with the purpose of disrupting the pain signal.

Neuromuscular electrical stimulation (NMES) also uses electrical stimulation, but targets the motor nerves (the nerves that send signals from the brain to the body) in order to stimulate the muscles directly.

Sensory and motor nerves fire at different frequencies, which is how TENS and NMES devices are able to impact them differently.

eXciteOSA® for snoring is a user-controllable neuromuscular electrical stimulator (NMES) that delivers a mild electrical current with defined frequencies to stimulate and improve muscle function in the mouth and tongue.

Unlike traditional snoring therapies, eXciteOSA® strengthens tongue and throat muscle tone, to prevent excessive muscle relaxation during sleep, reducing airway collapse and therefore snoring.

A daytime therapy with no night-time wearable necessary for a better night’s sleep.

There are several options for treating snoring.

Mandibular (jaw) advancement devices (MADs) work by temporarily moving the jaw forward, in order to create more space in the airway.

Surgery is usually an option to consider after other treatments have failed. Examples include removal of soft tissues from the airway, or procedures designed to stiffen the airway.

NMES physiologically retrains the upper airway and tongue to maintain the tongue’s natural position while you sleep, effectively helping your body help itself. eXciteOSA for snoring is the only device in the world that can deliver NMES directly to your tongue and surrounding soft tissue.

Let’s talk

Speak to one of our patient advocates for a no-obligation discussion around your needs for a better night’s sleep.

Risk-free trial

* Terms and Condition of the Sleep Guarantee: You must start using the device within 1 x calendar week of receiving your eXciteOSA. For optimal results, you should use it every day for 6 weeks. However, we know that we are all only human and people forget things – so we ask that you use it for a total of 6 weeks (a total of 42 days) within an 8 week period (56 days). A session is equivalent to 20 minutes. In addition, it is recommended that you increase the therapy intensity gradually over the treatment period to ensure that you give the treatment every chance of being effective. Please note that once the initial therapy is finished and to maintain the treatment you need to use the device at least twice a week forever.

The mouthpiece is a precision piece of engineering responsible for delivering neuromuscular electrical stimulation targeted primarily at the tongue. It needs to be replaced every 3 months and therefore will not be refunded as part of the ‘try before you buy offer’. We will deduct £54 + VAT from the final refund amount. Signifier will send you a return label for the device to be returned. Please contact Signifier Medical to arrange this.

References

  1. Kotecha B, Wong PY, Zhang H, Hassaan A. A novel intraoral neuromuscular stimulation device for treating sleep-disordered breathing. Sleep Breath 2021;25(4):2083-2090.
  2. Baptista PM, Martinez Ruiz de Apodaca P, Carrasco M, Fernandez S, Wong PY, Zhang H, Hassaan A, Kotecha B. Daytime neuromuscular electrical therapy of tongue muscles in improving snoring in individuals with primary snoring and mild obstructive sleep apnea. J Clin Med 2021;10(9):1-11.
  3. Nokes B, Baptista PM, Martínez Ruiz de Apodaca P, Carrasco-Llatas M, Fernandez S, Kotecha B, Wong PY, Zhang H, Hassaan A, Malhotra A. Transoral awake state neuromuscular therapy for mild obstructive sleep apnea. Sleep Breath [accepted; in-press].
  4. Lofaso F, Coste A, Gilain L, Harf A, Guilleminault C, Goldenberg F. Sleep fragmentation as a risk factor for hypertension in middle-aged nonapneic snorers. Chest 1996;109(4):896-900
  5. Kalchiem-Dekel O, Westreich R, Regev A, Novack V, Goldberg M, Maimon N. Snoring intensity and excessive daytime sleepiness in subjects without obstructive sleep apnea. Laryngoscope 2016;126(7):1696-1701
  6. Gottlieb DJ, Yao Q, Redline S, Ali T, Mahowald MW. Does snoring predict sleepiness independently of apnea and hypopnea frequency? Am J Respir Crit Care Med 2000;162(4 Pt 1):1512-1517
  7. Hu FB, Willett WC, Manson JE, Colditz GA, Rimm EB, Speizer FE, Hennekens CH, Stampfer MJ. Snoring and risk of cardiovascular disease in women. J Am Coll Cardiol 2000;35(2):308-313.
  8. Deeb R, Judge P, Peterson E, Lin JC, Yaremchuk K. Snoring and carotid artery intima-media thickness. Laryngoscope 2014;124(6):1486-1491.
  9. Scher AI, Lipton RB, Stewart WF. Habitual snoring as a risk factor for chronic daily headache. Neurology 2003;60(8):1366-1368.
  10. Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med 2002;165(9):1217-1239.