Abstract:
A system (110) for automatic categorization and assessment of billing narratives has a semantic engine (154) that classifies billing entries (152) with descriptions expressed in natural language into standardized categories of activity and task objective. The classification is by machine learning methods via training data (210) that is maintained, updated and extended as needed. A rules engine (162) applies rules to the categorized invoice data (160) to analyze the data, report violations to a user/consumer of billed services and to perform related calculations.
Abstract:
Methods and devices for rhinoplasty and treating nasal valve stenosis are disclosed herein. The nasal valve (122) acts as a flow-limiter and can contribute to airway obstruction if resistance within the nasal valve (122) is excessive. In one embodiment, a system (312) for treating nasal valve stenosis includes a first elongate implant (316) and a second elongate implant (316) configured to support the nasal valves (122) when implanted. The implants (316) can be coupled together by connecting elements, such as eyelets (284), tethers (296, 304), complementary socket joints (256, 260), and button-rivet supports (320, 324, 328).
Abstract:
Methods and devices are disclosed for manipulating the tongue, and more particularly for temporarily suspending the tongue. One embodiment of the device comprises an elongate member with a retractable distal tissue-engaging tip that is movable within the lumen of tubular member configured for insertion into the tongue, preferably from an inferior surface of the jaw. The device may be used diagnostically assess the effect of performing tongue suspension in a patient prior to permanent implantation of a glossopexy device. The retractable distal tissue-engaging tip may be removed after diagnostic assessment, or left in place and attached to a temporary external securing device.
Abstract:
Methods and devices are disclosed for manipulating the tongue (9). An implant (3038) is positioned within at least a portion of the tongue (9) and may be secured to other surrounding structures such as the mandible (13) and/or hyoid bone (15). In general, the implant (3038) is manipulated to displace at least a portion of the posterior tongue in an anterior or lateral direction, or to alter the tissue tension or compliance of the tongue (9). Methods and devices for engaging the tongue (9) are also disclosed. One embodiment of a tongue remodeling system includes an elongate implant (3038) configured to be positioned within a selected region of the tongue (9) and a tether (3041) configured to suspend the tongue (9). The tether (3041) can be configured to be looped around the elongate implant (3038) and connected to another structure.
Abstract:
Methods and devices are disclosed for manipulating the airway, such as to treat obstructive sleep apnea. An implant (60, 70, 90, 100, 120, 122, 145, 150, 170, 10, 195, 214, 215, 225) is positioned within the body with respect to the airway. The spatial orientation of the airway is manipulated, directly or indirectly, to affect the configuration of the airway. In general, the implant (60, 70, 90, 100, 120, 122, 145, 150, 170, 10, 195, 214, 215, 225) is manipulated to displace the trachea (50) in an inferior direction, resist superior displacement of the trachea (50) and/or to alter the tracheal wall tension. The implant (60, 70, 90, 100, 120, 122, 145, 150, 170, 10, 195, 214, 215, 225) restrains the trachea (50) in the manipulated configuration.
Abstract:
Methods and devices are disclosed for manipulating the hyoid bone, such as to treat obstructive sleep apnea. An implant is positioned adjacent a hyoid bone. The spatial orientation of the hyoid bone is manipulated, to affect the configuration of the airway. The implant restrains the hyoid bone in the manipulated configuration. The implant is positioned adjacent to pharyngeal structures to dilate the pharyngeal airway and/or to support the pharyngeal wall against collapse.
Abstract:
Methods and devices are disclosed for manipulating the tongue, and more particularly for temporarily suspending the tongue. One embodiment of the device comprises an elongate member with a retractable distal tissue-engaging tip that is movable within the lumen of tubular member configured for insertion into the tongue, preferably from an inferior surface of the jaw. The device may be used diagnostically assess the effect of performing tongue suspension in a patient prior to permanent implantation of a glossopexy device. The retractable distal tissue-engaging tip may be removed after diagnostic assessment, or left in place and attached to a temporary external securing device.
Abstract:
Methods and devices are disclosed for manipulating the airway, such as to treat obstructive sleep apnea. An implant (60, 70, 90, 100, 120, 122, 145, 150, 170, 10, 195, 214, 215, 225) is positioned within the body with respect to the airway. The spatial orientation of the airway is manipulated, directly or indirectly, to affect the configuration of the airway. In general, the implant (60, 70, 90, 100, 120, 122, 145, 150, 170, 10, 195, 214, 215, 225) is manipulated to displace the trachea (50) in an inferior direction, resist superior displacement of the trachea (50) and/or to alter the tracheal wall tension. The implant (60, 70, 90, 100, 120, 122, 145, 150, 170, 10, 195, 214, 215, 225) restrains the trachea (50) in the manipulated configuration.
Abstract:
Methods and devices are disclosed for manipulating the tongue (9). An implant (3038) is positioned within at least a portion of the tongue (9) and may be secured to other surrounding structures such as the mandible (13) and/or hyoid bone (15). In general, the implant (3038) is manipulated to displace at least a portion of the posterior tongue in an anterior or lateral direction, or to alter the tissue tension or compliance of the tongue (9). Methods and devices for engaging the tongue (9) are also disclosed. One embodiment of a tongue remodeling system includes an elongate implant (3038) configured to be positioned within a selected region of the tongue (9) and a tether (3041) configured to suspend the tongue (9). The tether (3041) can be configured to be looped around the elongate implant (3038) and connected to another structure.
Abstract:
Methods and devices are disclosed for manipulating the tongue (9). An implant (500) is positioned within at least a portion of the tongue (9) and may be secured to other surrounding structures such as the mandible (13) and/or hyoid bone (15). In general, the implant (500) is manipulated to displace at least a portion of the posterior tongue (410) in an anterior or lateral direction, or to alter the tissue tension or compliance of the tongue. Methods and devices for adjusting a glossopexy system are also disclosed. Furthermore, methods and devices for tensioning a glossopexy system are disclosed. A tether (2135) can include a tether protection element (2130) configured to prevent overextension of the tether (2135).