Inspire Procedure: Streamlined Instrument Set

“You know the novice because they do too much.” As my experience with Inspire grows, I am compelled to delete. Centimeters from an incision, superfluous surgical steps and unnecessary instruments are removed with more experience. After doing an accounting of my surgical trays (3) and total instruments (130) and with the support of my institution, I was able to draw this down to the 35 instruments seen here. Imagine the time, effort and money saved by not processing those extra 100 instruments 120+ times a year! Imagine the compounded time savings in room set up. I encourage you all to delete with experience.

Inspire hypoglossal nerve stimulator surgical instrument set in sterilization tray

35 Instrument Inspire Set

21 Types • 35 Total

Gerald Forcep, 7", W/O T

Codman 30-1214

2

Smooth, fine-tipped forcep that is perfect for grasping fine layers of fascia over the nerve.

Weitlaner Retractor, 6.5", Blunt

Codman 50-1197

2

Used during the chest dissection to aid in quick solo dissection down to the pectoralis fascia.

McCabe Nerve Dissector, No Ratchet

V Mueller RH1585

1

The best instrument for dissecting the hypoglossal nerve, separating nerve fibers, and removing fascia.

Titanium Bipolar Forcep

Ruggles/Aesculap R2691/US330

1

Helpful for hemostasis without transmitting energy to the nerve.

Pediatric Yankauer Suction, Detachable Tip

Aesculap MD613R

1

Gemini Right Angle Clamp, 7"

Symmetry 30-4492

1

Used in the right hand for cuff placement.

Plastic Army & Navy Retractor

Surgical Dynamics NF01R

2

Also known as TESSA retractors — more ergonomic than the standard Army & Navy retractor.

DeBakey Thoracic Forcep, 7.75"

Codman 37-1001

2

Webster Needle Holder, 5 3/8"

Aesculap BM013R

2

Crile-Wood Vascular Needle Holder, 7"

Aesculap BM017R

3

Adson Forceps with Teeth

—

2

Metzenbaum Scissors, 7" Curved

Jarit 101-258

1

Mayo Scissors, 6.75", Straight

Aesculap BC242R

1

Tonsil Clamp, 7.25", Curved

Aesculap BH957R

2

Great for initial dissection in the neck.

Kelly Clamp

Codman 33-4071

2

Used with a peanut for blunt dissection — one of the most commonly used tools.

Baby Right Angle Clamp, 5.25"

Codman 30-4485

1

Useful for breakpoint dissection.

Halstead Mosquito Clamp, 5", Curved

Aesculap BH111R

2

Research Crile

V. Mueller CH8610

2

Used in the left hand for grasping the cuff during placement.

Knife Handle #3, 5", Straight Flat

Codman 11-5530

2

Double Prong Skin Rakes

V Mueller D09 RH1135

2

Langenbeck Retractor, 14mm-70mm-8.75in

KLS Martin 15-317-07-07

1

Useful in higher BMI patients for better retraction in a deep pocket.

Practice: Reading NIM Signals

An interactive self-test on intraoperative hypoglossal NIM tracings: decide whether each signal is inclusion (genioglossus / transverse-vertical), exclusion (hyoglossus), or mixed. Study mode gives instant feedback; test mode scores you. 74 real signals.

Resident self-assessment

Inspire Surgical Knowledge Assessment

A 14-question test on hypoglossal nerve stimulator surgical anatomy and operative technique — incision planning, nerve dissection, NIM electrode placement, cuff inclusion and exclusion, and intraoperative troubleshooting. Instant feedback and a scored review.

Take the assessment →

Watch: The Genio Surgical Procedure

An annotated operative video of the Genio implant (Nyxoah) — bilateral hypoglossal nerve stimulation for obstructive sleep apnea — from the submental incision through confirmation of bilateral tongue motion. Real surgical footage, shared for education; a step-by-step outline of the procedure accompanies the video.

A second example case

Another five-minute video example of a Genio implant, from a second case.

Clinician tool

Genio Usage Report Builder

Genio usage data comes off the activation chip as a raw spreadsheet — one row per stimulation session, with no summary view to review in clinic or hand to a patient. I built this tool to turn that export into a clean, printable therapy report: nightly hours against the 4-hour adherence line, amplitude trend, adherence statistics, and the current stimulation settings. Everything runs in your browser — the file is never uploaded, so patient data stays on your device.

Open the report builder →

An independent convenience tool — not affiliated with or endorsed by Nyxoah SA.

Watch: The Inspire Surgical Procedure

An operative video of the Inspire implant (unilateral hypoglossal nerve stimulation for obstructive sleep apnea), focused on the neck portion of the procedure — exposure of the hypoglossal nerve and placement of the stimulation cuff. Real surgical footage, shared for education.