- PDF Documents
- Tech Notes
- Indications
- Preparation
- Cementation
- Working Time
- ADA Codes
TECHNICAL NOTES
aveoTSD Sizes
- aveoTSD is available in three sizes — small, medium and large — to fit a broad range of tongue sizes. Medium is the standard size unit, being found to fit the majority of aveoTSD wearers.
- Less than 5 percent of the population requires a small or large size.
aveoTSD Care & Cleaning
- aveoTSD should be cleaned daily by rinsing in hot water.
- Once a week the aveoTSD should be given a thorough wash, then rinse. Allow to completely air dry.
- The aveoTSD can be sterilized by either cold sterilant or through clinical procedures, such as autoclave (134°C / 273°F).
- Using mouthwash to clean or store the device is not recommended, as the liquid may contain alcohol that will damage the medical silicone used to manufacture the aveoTSD.
aveoTSD Fitting Guide
1. Preparing to fit the device
- The regular (medium) size is recommended for most users.
- Before use, rinse the aveoTSD under warm water. This helps to ease the device onto the patients' tongue.
- Make sure the V-notch in the aveoTSD is facing down, to fit around the patients' lingual frenulum.
- Make sure the V-notch in the aveoTSD is facing down, to fit around the patients' lingual frenulum.
- In some extreme cases, a patient may require more room for the frenulum — the V-notch can be modified to provide this room.
2. Attaching the device to tongue
The device attaches through negative suction;
- Advise the patient to push tongue gently into the aveoTSD, until the tongue just touches the sides of the device.
- Gently squeeze the upper and lower ends of the bulb with forefinger and thumb.
- By using a gentle repeated pumping action, the tongue will be drawn gently into the aveoTSD.
- Draw the tongue into the device until the device is firmly attached, not too tight and not too loose. NOTE: Too much suction will cause discomfort; not enough will cause the aveoTSD to fall off.
- Help patients practice getting used to the best fit (correct suction level) to ensure the aveoTSD stays on throughout the night.
3. Recommend practice
To achieve optimum results:
- Repeat step 2 to achieve correct fit. This will help patients become accustomed to having the device attached to their tongue.
- Some patients adapt immediately to the aveoTSD, while others may take up to a week to adapt and achieve compliance.
- It is very important for the patient to be absolutely relaxed.
Troubleshooting
- Excessive salivation is common with some patients during the initial stages. This will subside over time. If the patient does find this a problem, recommend placing a towel over the pillow.
- If the patient continues to snore or the airway is still obstructed, there may be a need to get more of the tongue further forward to open the airway further. To achieve this, the patient may require a 'spacer', which is used to titrate or protrude the tongue further forward.
- If the patient is unable to get a good fit (i.e., device keeps falling off or is too tight), a different size may be required.
- More than 95 percent of users will fall into the medium size. If the person is obviously large or much smaller than average build, they would fall under the less than 5 percent of patients that require a smaller or larger version of the aveoTSD. See aveoTSD sizes for more information.
Checking tongue-tied status:
- Ask the patient to stick out their tongue. This is to make sure their tongue is free moving and the aveoTSD will be suitable.
- A small percentage of people cannot stick out their tongue beyond their lips. These are highly exceptional cases but very obvious. In such cases, the aveoTSD will not be suitable unless this is first resolved.
Sterilizing the aveoTSD Health Professional Patient Sizing Kit:
- The aveoTSD Health Professional Patient Sizing Kit can be sterilized between appointments using autoclave sterilization.
- For best results, sterilize the blue tray and its components (small, medium and large aveoTSDs and two Uni-Spacers) in a standard gravity steam sterilization cycle of 30 minutes at 1 Bar (14.5 PSI) and 248 degrees Fahrenheit. The aveoTSD devices and components can also be cleaned individually in a high-speed flash sterilization cycle of 15 minutes at 2 Bar (29 PSI) and 269 degrees Fahrenheit.
- The aveoTSD device is made of medical-grade silicone. Please note that it is normal for the device to lose its transparency and become opaque during the sterilization process. The silicone will return to its natural transparency. Should you need to use the aveoTSD to fit a patient directly after sterilization and before translucency re-appears, the opaque color will not affect the working properties of the device.
- The lid, base and tray of the aveoTSD Health Professional Patient Sizing Kit can also be sterilized. Sterilization temperature should not exceed 257 degrees Fahrenheit, or the parts may become deformed. Care must also be taken to ensure that substances added to the boiler feed water do not damage the kit (e.g., alkaline corrosion inhibitors). Furthermore, positioning of the kit is also crucial to preserving the molded shape of the lid, base and tray.
- The aveoTSD Health Professional Patient Sizing Kit has shown that up to 100 cycles at 248 to 257 degrees Fahrenheit, the kit components will retain their material properties. Repeated sterilization will increase the milky appearance of the device.
International Patents:
- Australian Patent Number: AU 776822
- Canadian Patent Number: CA 2432023
- European Patent Number: EP 1349521
- Hong Kong Patent Number: HK 1060041
- Japanese Patent Number: JP 544615/2001
- New Zealand Patent Number: NZ 526404
- United States Patent Number: US 7073506
Additional Patents Pending.
International Distributors:
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INDICATIONS / CONTRAINDICATIONS
Snoring is caused by the airway
narrowing or even occluding during sleep. This sleep disorder poses a
serious risk to personal relationships and health. The aveoTSD is a medical
device that treats problem snoring.
Snoring is caused by a narrowing of the upper airway during sleep due
to any or all of the following:
- Large tonsils and uvula, a soft palate, and over-relaxed muscles and
tongue falling back into the oropharynx.
- Snoring occurs because air travels faster through the narrowed
airway causing the relaxed soft tissues of the throat ( tonsils, soft
palate, uvula or excessive flabby tissue ) to vibrate. This vibration
is the sound of snoring.
- In some cases, nasal congestion from allergies, nasal cavity deformities
and internal obstructions, can contribute to narrowing of the airway.
The aveoTSD can take up to seven nights to achieve efficacy. Side effects may include: excessive salivation, dry mouth, and sensitive tongue. All of these are usually resolved with continued use.
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PREPARATION
No preparation or impressions necessary.
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CEMENTATION
No cementation necessary.
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WORKING TIME
aveoTSD is not a custom device. aveoTSD does not require any lab work.
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CODES
Using the cross medical/dental billing codes below will help offset costs to the patient when you can bill medical and dental codes at the same time:
Medical Code Usage - CPT 95806 (Watch-PAT 100 home sleep study) and ICD 780.53 (Obstructive Sleep Apnea with Hypersomnia).
Dental Code Usage - D21110 (Oral Appliance), D21089 (Oral Appliance), D99070 (Diagnostic Study Models), D92520 (Pharyngometer-Laryngeal Function Study), and D92512 (Rhinometer-Nasal Function Study).
Please note that all dental patients must be first referred by a medical doctor to a dental office for the treatment of sleep apnea.
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