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Complete overview of the transitional oral appliance for sleep apnea the ApneaRx. This is an excellent device to 1. manage jaw position in order to decrease CPAP pressure 2 support the mandible to reduce cpap mask leaks 3 evaluate a patients response to jaw position relative to their Snoring or OSA
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Introducing ApneaRx
Easy to Use Titratable Transition Oral Appliance
Designed for Non Sleep Dentists
Important!!
ApneaRx = More Sleep Apnea Patients
How Does MAD Work?
3© 2012 CareFusion Corporation or one of its subsidiaries. All rights reserved.
Opens Airway!!
2006 AASM - Practice Guidelines
Oral appliances (OAs) are indicated for use in patients• with mild to moderate OSA who, prefer them to
continuous positive airway pressure (CPAP) therapy,
• who do not respond to, are not appropriate candidates for, who fail, treatment attempts with CPAP.
Key Product Features
Comfort-Fit Thermally molded to patient’s mouth in 10 minutes.
Advance Design – No screws, springs, rubber bands to adjust and maintain jaw position.
V-FlowAssures full air flow and device alignment for stability & better fit.
Micro-Fit 1mm jaw advancement for more comfort and clinical efficacy.
Posi-Lock Jaw position can be set and relocked at anytime.
Competition
Somnoguard AP
Apnea Guard
Snore Silencer
MATRx
ApneaRx
Key Clinical Applications• Reduce Snoring• Predictor Device for Custom Oral Appliance
Therapy• Combo Therapy with CPAP• Stand Alone Usage
T
Preliminary Study Results
• Dr. Patrick Wolcott – San Diego• 18 patients with f/u sleep studies• Results
• Average base line AHI = 17
• Average AHI after using ApneaRx = 9.5 • Average reduction in AHI is 44% • 4 of 10 patients > 50% reduction in AHI.
• ApneaRx is too big for about 40% of patients - especially women.
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Reimbursement• Prefabricated Oral Appliance - HCPCS E0485
A prefabricated device is defined as one that may be trimmed, bent, molded (with or without heat), or otherwise modified for use by a specific patient i.e., custom fitted. An OAOSA that is assembled from prefabricated components is considered prefabricated. Any device that does not meet the definition of a custom-fabricated item is considered prefabricated.
• Custom Fabricated Oral Appliance – HCPCS E0486
A custom-fabricated OAOSA is defined as one that is individually made for a specific patient (no other patient would be able to use this item) starting with basic materials. It involves substantial work to produce, usually by a specialized lab. It may involve the incorporation of some prefabricated components. It involves more than trimming, bending, or making other modifications to a substantially prefabricated item.
Who Reimburses for E0485• Payers:
• Aetna• Anthem• BCBS • Cigna • United Health
• Amount = $300+• Patient needs to confirm
policy guidelines for each plan and each insurer.
Why ApneaRx for Sleep Apnea
Other Applications• Non Compliant CPAP Patients• Frequent Travelers • Patients without Insurance or with High Deductible Plans.• Snorers
Remember • No Risk Guarantee – 30 day refund & 90 days replacement
Sleep MDs DMEs Sleep Dentists• Predictor• Alternative Treatment
• New Revenue• Combo with CPAP
• Repairs• Trial for Custom OA
Sleep Apnea - New Clinical Algorithm with ApneaRx
Sleep Test
Severe OSA > 30
ApneaRx (as Predictor)
Sleep Study
OSA < 30 OSA >30
Custom Oral Appliance
Sleep Study
CPAP
Compliant• ApneaRx for Travel
Non-compliant• Combo Therapy• ApneaRx• Custom OA
Mild to Moderate OSA < 30
Why ApneaRx for Snoring
• More Patients for Sleep Centers – Feeder Program
• Targets - General Dentists/PCPs• New Revenue
• Existing Patients
• Helps Solve Huge Sleep Problem
• For General Dentists – Feeds Custom OA Program (if Sleep Center has one)
Snorer - Clinical Algorithm
OSA Screen
Snorer
Positive • Sleep Test
Negative• ApneaRx
OSA < 30• CPAP• ApneaRx• Custom OA
Non-compliant• Combo Therapy• ApneaRx• Custom OA
OSA > 30• CPAP
Compliant• ApneaRx for Travel
General Dentists – Potential $’s
# Adult
Patients
Patientsper
Week
New Profit $’s
Patients Visits 3,000 60
Patients (50%) 1,500 30
Snorers (30%) 500 10 *$57,300
Snorers with Sleep Apnea (33%)
165 3.3 **$60,500
* 60% of patients = 300 @ $191 = $57,300** 70% of custom OA candidates with mild to moderate OSA - 120 @ $500= $60,000
Sleep Tests Add Up !!
Each Rep
(Sleep Tests)
Sleep & Wellness50
(Sleep Tests)
100% of Potential
1 conversion 165 8,250
10 conversions 1,650 82,500
25% of Potential
1 conversion 41 2,050
10 conversions 412 20,600
Summary - Target Customers
Key to Success – Mutual Benefit
• General Dentists and PCPs – Start with snoring application More $$
• Partner DMEs - More referrals & f/u sleep studies More $$
• Sleep Clinicians - As predictor device - more f/u sleep studies More $$
Need to Know
• ApneaRx should be used on large jawed patients
• If not adjusted properly EVA insert will dislodge
• New ApneaRx by Summer• Smaller standard size• Easier to adjust • Bonded – will not dislodge• Better Retention
Need to Know
• Words - Use “transition” or “predictor” OA vs OA
• Personally in-service 1st use of the device
• Keep ApneaRx in your hands until customer can adjust it.
• Do not leave ApneaRx with customer until they can demonstrate how to adjust it.
• Remember - No Risk Guarantee
Sales Support
General Sales Sheet
Patient Sales Sheet
Sleep Diagnostic & Therapy Article
Practice Builder
Table Top Display
Mailer - eBlast
ApneaRx.com Website
• www.apnearx.com
• Fitting Video
• Testimonials
• Sales Sheets
• OA Clinical Studies
• FAQS
Questions
