remedē System CSA Implant2022-10-10T10:26:09-07:00

remedē System CSA Implant

remedē System is an implant used to treat central sleep apnea (CSA), one of two primary types of sleep apneas. There is also obstructive sleep apnea (OSA), which can be treated with a CPAP machine or the Inspire implant. CSA leads to grogginess during the day and in extreme situations can negatively affect your professional and personal life. It causes low oxygen levels, which has been linked to high blood pressure and even heart attacks. Shortness of breath or failing to breathe for a period of time while asleep are key indicators of CSA.

At The Insomnia and Sleep Institute of Arizona, patients have access to cutting-edge sleep technology. Similar to treating OSA, CSA is first treated with adaptive servo ventilation (ASV) therapy. If the patient doesn’t respond well, s/he may be a candidate for a remedē System Implant.

By Anonymous -

“Working with the team at the institute and especially working with Dr. Krietsch has been an absolutely amazing life-changing experience. If someone had told me I’d be sleeping through the night AND getting up at 5:30 am every morning a few months ago… I would have told them they were crazy. My life is 100% better, I am keeping the institutes cards on hand and have handed them out to people who say they have insomnia.”

By Dena Deal -

“Professional and efficient from my first call to schedule and all the way to the end of my first appointment. Each office member you come in contact with will be courteous and kind. It didn’t take long to go back and see the doctor. Dr. Ramalingam was so thorough and calming. I highly recommend this caring office.”

By Angela Zavala -

“I had the best experience at The Insomnia and Sleep and Sleep Institute. The technicians are very friendly. I was very nervous and the technician was very patient and explained everything to me. She communicated to me every step of the way. Made feel at ease. I recommend this place.”

By Gail Wiens -

“I had the best experience at The Insomnia and Sleep and Sleep Institute. The technicians are very friendly. I was very nervous and the technician was vI love the people at this office! Everyone from Dr. Patel, the sleep study technician, the respiratory therapist, the lady from billing, and the office staff were all nice, helpful and pleasant. They took time to explain the results from the sleep study, which was very helpful.”

By William Riley -

“The staff is friendly and patient oriented. They seem interested in helping to overcome obstacles when they come up. There is a patient portal and all questions of mine have been answered quickly. The doctor is friendly, attentive, on time, and seems both up to date and knowledgeable in his field. This is, frankly, one of the few places I often contact about which I have no complaints. I’m happy to recommend this facility enthusiastically.”

By Anonymous -

“I have too much experience with sleep clinics so it’s easy for me to rate the clinic. Dr. Gunn is an excellent sleep doctor. The facility is clean, the rooms are spartan with a comfortable bed which it conducive for sleeping. My tech was Brandon and he was professional and a pleasure to work with. I strongly recommend this sleep clinic.”

By Anonymous -

“A great doctor. My long-term doctor had retired. I was referred to Dr. Patel. I was exceptionally pleased. He gave me a couple of pointers and even though I was doing well things got better. I will see him annually for sure.”

remedē System and Treating CSA

If you are interested in the remedē System, your sleep doctor will first need to evaluate your condition to determine if the remedē System is right for you. There are considerations any time you are thinking about a permanent, implanted device. For example, you will not be able to undergo an MRI or diathermy (certain heat therapies) if the remedē System is implanted. The remedē System can be used if you have other stimulation devices, such as a pacemaker or defibrillator, but special testing will be required to ensure the devices will not interact with one another.

If moderate to severe CSA is diagnosed by a sleep physician, the patient is then referred to one of our select cardiac electrophysiologists for implantation. Once the remedē System is placed, the patient returns to The Insomnia and Sleep Institute for long-term management of the device.

Both types of primary sleep apnea are serious and dangerous if left untreated. CSA has particularly strong links to heart health, making it paramount for patients to identify a sleep apnea strategy that works for them. CSA is very commonly found in cardiac patients, especially those with heart failure and atrial fibrillation, and also in patients with a history of a recent stroke. This connection between CSA and heart health is largely due to the fact that CSA causes disruptive breathing, poor sleep, and awakens the fight or flight response on a regular basis.

remedē System Videos

PAP machines can be great options for many people with sleep apnea—but not everyone. If you struggle with moderate to severe CSA, the remedē System can be a great option while giving you peace of mind knowing that your breathing is monitored and regulated around the clock.

remedē System Respicardia Implant for Central Sleep Apnea

What Is Central Sleep Apnea?


Does remedē System mean I can stop using an ASV machine entirely?2021-01-15T14:52:07-07:00

Yes! The remedē System completely fulfills the function of the ASV device for the treatment of CSA only, but it does so without using tubes, a mask, or an external machine. This results in patients feeling more independent.

How long does the remedē System last?2021-01-15T14:52:37-07:00

The remedē System is designed to last 3-5 years depending upon how the device is implanted.  If the lead to stimulate the phrenic nerve is placed on the right or the left will determine the longevity.  A lead placement on the left side will require less energy usage of the implant as it will be closer to the phrenic nerve then if the lead placement is on the right side.

Does the remedē System only work when I’m sleeping?2021-01-15T14:53:12-07:00

Yes. Unlike the Inspire Implant, which is designed for those with OSA, the remedē System turns on automatically at the pre-programmed time that the patient selects as his or her bedtime, lack of movement as per the internal accelerometer, and the position of sleep.

How exactly does the remedē System work?2021-01-15T14:54:13-07:00

The remedē System is a small device implanted in the upper chest during a fast outpatient procedure. It stimulates the phrenic nerve, which is in charge of sending messages to the diaphragm. It virtually mimics the communication that takes place in an individual who doesn’t suffer from central sleep apnea (CSA) where the brain signals breathing.