O2Vent Optima Oral Appliances User Guide

: June 1, 2024
: O2Vent

O2Vent Optima Oral Appliances User Guide

Introduction

Congratulations, you have taken the first steps to improve your sleep and well-being! Your Dental Healthcare Professional has chosen the O2Vent Optima® (O2Vent Optima) for your snoring and/or obstructive sleep apnea (OSA) therapy. OSA is a condition where a sufferer experiences repetitive episodes of partial or complete blockage of the upper-airway during sleep. This is caused by obstructions of the nose, soft palate and tongue.

Ensure that you read these Instructions for Use BEFORE inserting and using your O2Vent Optima

Indications for use

The O2Vent Optima is a removable medical device that is fitted in the patient’s mouth and is intended to reduce or alleviate snoring and mild or moderate obstructive sleep apnea (OSA). The device is indicated for use during sleep to aid in the treatment of these conditions.

O2Vent Optima is available in two design options to help your Dental Healthcare Professional provide the most suitable treatment for you.

The O2Vent Optima features an extended airway at the mouth opening.
The O2Vent Optima Mini comes without the extended airway.

The O2Vent Optima designs feature the following components:

O2Vent Optima parts (before assembly)

O2Vent Optima Mini parts (before assembly)

Each device features a lower tray, upper tray and connector bands

Your O2Vent Optima kit

Your O2Vent Optima is created specifically to fit your teeth.
Your device comes fully assembled with 19mm length connector bands. All O2Vent Optima kits contain:

One set of either ‘soft’ (light blue) or ‘firm’ (dark blue) connector bands, as selected by your Dental Healthcare Professional, to adjust titration. Each set of bands has 9 length size options ranging from 13-21mm. The size is marked on the band. The strength is marked on the opposite side with an ‘S’ for ‘soft’ (light blue bands) or an ‘F’ for ‘firm’ (dark blue bands).
Instructions for use
Warranty
Antibacterial cleanser tablets

‘Soft’ strength connector bands

‘Firm’ strength connector bands

How your O2Vent Optima device works

The O2Vent Optima process:
Regardless of the design (with or without the extended airway) the O2Vent Optima works in the following way.

O2Vent Optima advances the jaw, opens the airway and stabilises the tongue for continued nasal, or when needed, oral airflow
O2Vent Optima provides a unique air channel. When difficulty with nasal breathing occurs, it provides an alternative path so air can be drawn in
The integrated airway channel allows uninterrupted airflow to the back of the throat to support the upper airway

Using your O2Vent Optima

Inserting your O2Vent Optima
Before your sleep period

Inspect your O2Vent Optima; make sure the air channel is clear.
Make sure your O2Vent Optima is clean.
Rinse the O2Vent Optima and brush your teeth before inserting.
Using your thumbs, insert the upper tray and gently “push” onto the upper teeth; the tray should fit snugly.
Insert the lower tray, “push” onto the lower teeth; the tray should fit snugly
Removing your O2Vent Optima
After your sleep period
Remove your O2Vent Optima by gently opening your mouth, lift up the lower tray and then pull down on the upper tray. You might feel a little “resistance” initially.
Make sure BOTH trays are loosened before removing

The O2Vent Optima trays should never be worn separately. Always wear both trays (assembled with the connector bands) when using the device.

Please check to ensure your connector bands are securely fastened on your O2Vent Optima before using. Loose bands may pose a choking risk.

Using your O2Vent Optima CONTINUED

Finding the right titration setting

Adjustments to the nitration setting using connector bands are to be made under the direction of your treating Dental Healthcare Professional.
Your O2Vent Optima will be delivered ready to use, fitted with the 19mm connector bands as the recommended starting titration for all new users (unless a different band length is ordered).
During the initial phase of using your O2Vent Optima, you will work closely with your Dental Healthcare Professional to find the correct position. It is important that you wear your O2Vent Optima each sleep period according to your Dental Healthcare Professional recommendations.
Ensure the connector band lengths are the same on each side.
The titration may take several weeks or longer to achieve the best therapy.
If your Dental Healthcare Professional suggests a shorter or longer length band, refer to the diagram on page 14 for length and titration information.
After your settings have been established, you should wear your O2Vent Optima each sleep period.

The diagram below shows the lower jaw positioning range that can be set by the connector band lengths. This is a guide only.
Note: The shorter the connector band, the further the lower jaw is advanced. The longer the connector band, the less the lower jaw is advanced

O2Vent Optima lower jaw positioning range
Longer length band = less advanced jaw
Shorter length band = further advanced jaw

Titration length range: 13-21mm. The shorter the connector band length, the further the lower jaw is moved forward

Tips for wearing your O2Vent Optima

It is important to use your O2Vent Optima during each sleep period to receive the best possible outcome.

Tips

If you are having problems adapting, try wearing your O2Vent Optima while watching TV or reading. It will help you to get used to using it.

Morning Jaw Exercises
As recommended by the American Academy of Dental Sleep Medicine (AADSM), morning jaw exercises are often indicated to improve jaw discomfort. To help with jaw discomfort, some suggested activities include:

Moving the chin backwards and close your back teeth together while biting down. Repeat 5 to 10 times.
Eat breakfast or chew sugar-free gum; it will help to return to a normal bite.

Should you experience morning discomfort, seek the advice of your Dental Healthcare Professional.

Risks and Contraindications

What are the risks of OSA?

Detrimental effects on sleep-quality and health
Increases the risk of obesity
High blood pressure
Stroke
Heart attack
Type-2 diabetes
Depression, impotence, mood disorders and increased risk of motor vehicle and workplace accidents

Contraindications

The O2Vent Optima device is contraindicated for patients who:

Have central sleep apnea
Have severe respiratory disorders
Have loose teeth or advanced periodontal disease or restorative needs
Are under 18 years of age

O2Vent Optima cleaning instructions

Cleaning instructions

Recommended daily cleaning after each use

Step 1

Rinse the O2Vent Optima with lukewarm water and clean with a soft clean toothbrush (not the same toothbrush you use to brush your teeth, as toothpaste can damage the device).

Step 2

Using a suitable container and an antibacterial denture cleanser (free from chlorine, bleach, acetic acid or alcohol‑based products), fill the container to about ½” below the top with warm water.

Recommended daily cleaning

Step 2 continued

Place the antibacterial denture cleanser and the O2Vent Optima device in the water so that they are completely submerged and leave them to soak for 15 minutes if using the provided tablets, or follow the recommended time according to other antibacterial denture cleanser packet instructions.
Remove and rinse both the O2Vent Optima device and the container thoroughly with lukewarm water, including through the airway entry and exit points, to remove the cleaning agent.
Shake your device to clear any water and ensure the airway’s entry and exit are free from any debris.
Dry your device after cleaning, and store in a well ventilated area, to allow the internal airway to dry.

Daily soaking of your O2Vent Optima

O2Vent Optima cleaning instructions

Wash hands thoroughly before and after handling antibacterial denture cleanser tablets to soak your O2Vent Optima device. Do not mix tablets with other cleansers.

Many antibacterial denture cleansers contain persulfates which are a known allergen. Keep out of reach of children. Use only as directed. If product comes into contact with eyes, wash eyes thoroughly with water for several minutes. Do not put antibacterial denture cleanser tablets or cleaning solution in mouth. If ingested, seek medical assistance immediately.

Should a serious incident occur in relation to the device, please report this as soon as possible to the manufacturer and the competent authority of the Member State of the country in which you reside.

USA – call the Poison Control Center on 1-800-222-1222.
Canada – call your provincial or territorial Poison Centre.In an emergency call 911.
Australia – call the Poison Information Centre on 131 126.
New Zealand – call the National Poisons Centre on 0800 764 766.
European Union – contact your general practitioner or the National Helpdesk in the relevant EU state.
United Kingdom – contact your general practitioner or call the NHS by dialling 111.

General warnings and precautions

Use of the O2Vent Optima may cause the following side effects:

Tooth movement, discomfort, pain or changes in dental occlusion
Dental soreness
Pain or soreness to the temporize mandibular joint (TMJ)
Excessive salivation
Cheek or tongue pain
Jaw discomfort, pain or jaw set (clenched jaw)
Temporary bite change. This may subside approximately 30 minutes after the O2Vent Optima is taken out of the mouth after each sleep period
Permanent bite change may occur as a result of long term use
Gingivitis. This is a common and mild form of gum disease (periodontal disease) that causes irritation, redness and swelling (inflammation) of your gingiva, the part of your gum around the base of your teeth. Untreated gingivitis can progress to gum disease that spreads to underlying tissue and bone. This is known as Periodontitis, a much more serious condition that can lead to tooth loss. Should you experience any of these symptoms, seek the advice of your Dental Healthcare Professional.
Dry mouth. This is a common side effect of using oral appliances. Dry mouth can lead to gum disease such as gingivitis. Should you experience this symptom, seek the advice of your Dental Healthcare Professional.

If any side effects or ongoing band breakages or dental issues persist while using the O2Vent Optima, please seek advice from your Dental Healthcare Professional.

General warnings and precautions CONTINUED

Precautions :

Dental Healthcare Professionals should consider the medical history of the patient, including history of asthma, breathing, or respiratory disorders, or other relevant health problems, and refer the patient to the appropriate healthcare provider before prescribing the O2Vent Optima device.
O2Vent Optima devices are made from medical grade nylon material. Intolerance and allergy to this material is rare. If you suffer a reaction, stop wearing the device and consult your Healthcare professional.
Never use chlorine, bleach, acetic acid or alcohol-based products (including mouthwash) to clean your O2Vent Optima
Only use warm water, not to exceed 45°C or 113°F (boiling water may cause damage)
Do not use toothpaste on mouthwash to clean your device
If you require dental work such as fillings, crowns, extractions etc., there may change the fit of your O2Vent Optima. Always discuss this with your Dental Healthcare Professional
The O2Vent Optima may change color over time, which could be due to certain foods/liquids. This will not change the effectiveness of the device. If you use colored mouthwash after cleaning your teeth, wait 15 minutes before inserting your O2Vent Optima, to avoid discoloration. For best results, follow the recommended cleaning instructions.
The O2Vent Optima trays should never be worn separately. Always wear both trays (assembled with the connector bands) when using the device.
Check to ensure your connector bands are securely fastened on your O2Vent Optima before using. Loose bands may pose a choking risk

Replacing Connector Bands

Once you have determined the band length that optimises your therapy, you can re-order them in packs of 25.

To re-order the connector bands, ask your Dental Health Professional.

The O2Vent Optima connector bands have a recommended usage time frame of one month, as usage can affect the band length and the titration of your device.

The connector bands (bands) are essential for keeping your O2Vent Optima device assembled and to maintain the lower jaw position.

Routine band replacement

It is recommended to change both bands monthly as they may lose elasticity.

How to identify that the bands need changing

If the length of the current band is longer than a new band
If the band’s holes have stretched from circular to oval shape
If your Dental Healthcare Professional recommends changing the band strength (soft v/s firm), you may need to trial a different length band to achieve treatment success.

Replacing Connector Bands CONTINUED

Replacing connector bands on your O2Vent Optima
Step 1 – Separate the upper and lower device trays, as shown.

Step 2 – To remove, peel the band away from the wide end of the lug. Repeat on the second side.

Step 3 – Add the new band with the size/ number facing out, by hooking the band opening over the narrow end of the lug and pulling it over the wide end. Repeat this action with the other end of the band to connect the upper and lower trays.
Replacing connector bands
Step 4 – Repeat step 3 with the second band.

Limited Warranty

This Limited Warranty is provided by Open Airway Dental Solutions Australia Pty Ltd, and its Affiliates (“Open Airway”), and warrants that all O2Vent Optima Devices (“Device”) supplied shall be free from Defects in materials and workmanship and will perform in accordance with product specifications during the Warranty Period (specified in Section B below). All capitalised terms not defined in‑text are defined in Section A.

This Limited Warranty gives you specific legal rights, and you may also have other rights and remedies available under applicable laws in the Area where your Device was supplied.

Open Airway’s obligations under this Limited Warranty are expressly limited to repairing or replacing any Device found, in the sole discretion of Open Airway, to have a Defect during the Warranty Period.

A. Definitions
“Affiliates” means Open Airway Dental Solutions Pty Ltd.
“Area” or “Areas” means a State, Province, Territory, or other governmental region.

“Defect” means faulty componentry or Device functionality resulting from product design or manufacturing.

B. What does the Limited Warranty cover?
During the Warranty Period, as set out below, Open Airway will repair or replace (at the discretion of Open Airway) any Device with a Defect, subject to the terms of this Limited Warranty

The Warranty Period for a Device begins on the date you receive your prescribed Device from your Dental Healthcare Professional (“Delivery Date”) and ends when the Warranty Period below has elapsed:

DEVICE	WARRANTY PERIOD
O2Vent Optima® nylon device-upper and lower tray	36 months from the Delivery

Date*

The Warranty Period is not extended if the Device is adjusted or Open Airway repairs or replaces the Device, except as provided in Section C3.

C. What conditions apply to this Limited Warranty?

This Limited Warranty is subject to the following conditions:

The Device must have been used, maintained and cleaned only in accordance with the Instructions for Use included with the Device and must only have been used by the individual for whom it was supplied.
Minor adjustments to the Device may be performed from time to time by a licensed Dental Healthcare Professional qualified through appropriate education and training in your Area. The Dental Healthcare Professional must perform such adjustments according to any directions and requirements provided by Open Airway, as updated from time to time. Open Airway shall not be responsible for the failure of any adjustment or fitting made by unqualified or unlicensed persons or for any act, omission, or negligence of a Dental Healthcare Professional.
This Limited Warranty is void if, following a proper fitting, the patient receives any dental work, or suffers injury, damage, or changes to the mouth or teeth, unrelated to the Device, that changes the Device fit, requiring a new Device and warranty.

Limitations
The following limitations apply to this Limited Warranty:

This Limited Warranty is not transferable or exchangeable and it extends only to the person for whom it was supplied by a licensed Dental Healthcare Professional.
This Limited Warranty only applies in the Area where the Device was supplied.
This Limited Warranty does not cover damage caused by (a) improper or unreasonable use, (b) unauthorized modifications or repair, or (c) wear and tear due to normal use, including any change of color that may occur over time.
This Limited Warranty excludes coverage of, and does not provide relief for, incidental, consequential, special or punitive damages or losses of any kind or nature, including but not limited to loss of use or inconvenience. Some Areas may not allow the exclusion of incidental or consequential damages, so the above exclusion may not apply to you.
Open Airway may request or require proof of purchase, photographs, invoice copies or other information from the customer relevant to the Device to assess any claim under this Limited Warranty.
Open Airway explicitly excludes any liability for any personal injury, unforeseeable risks, or events beyond its reasonable control, including but not limited to labour shortages, government action, natural disasters, pandemics and epidemics.
This Limited Warranty supersedes any and all other warranties or representations made by Open Airway, whether written or oral.
To the extent permissible by applicable law, this Limited Warranty replaces all other expressed or implied warranties, including warranties of merchantability and fitness for a particular purpose. If applicable law prohibits this disclaimer of an implied warranty, then OpenAirway limits the duration of all implied warranties to the duration of this express Limited Warranty. Some Areas may not allow limitations on how long an implied warranty lasts, so the above limitation may not apply to you.

How do I make a claim under this Limited Warranty?
To make a claim for your Device under the Limited Warranty, you must return the Device to the Dental Healthcare Professional who supplied it to you within 30 days of becoming aware of the claimed Defect. Your claim must be received within the Warranty Period (i.e. within 36 months from the Delivery Date).

The Dental Healthcare Professional and Open Airway will assess the Device for required repairs or Defects and will determine whether to send your Device to an authorized Open Airway facility for servicing. You may need to attend your Dental Health Professional’s office in person for such assessment.

Warranty claims for a Device must be accompanied by dated proof of when supplied by the Dental Healthcare Professional.

Return postage fees will be assessed on a case by case basis when making a claim under this Limited Warranty. You are otherwise responsible for any costs and expenses, including for example transport costs, in making a claim under this Limited Warranty

Questions (all countries)
For the questions related to this Limited Warranty, contact your Dental Healthcare Professional, or you may contact Open Airway as follows:

For all markets:
+61-1300-533-159 (Toll Free)
info@openairway.com

MANUFACTURER AND AUSTRALIAN SPONSOR:
Open Airway Dental Solutions Australia Pty Ltd 5 Moorak Street, Taringa QLD 4068 Australia
Ph: +61-1300-533-159
info@openairway.com
www.openairway.au