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Inspire® Upper Airway Stimulation (UAS)

File photo of a couple sleeping in their bed, with an Inspire Sleep Therapy remote on the nightstand next to their bed.

Patient Information

What is Inspire Therapy?

Inspire® Upper Airway Stimulation (UAS) is the only FDA-approved implantable treatment for people with Obstructive Sleep Apnea, a sleep disorder that affects more than 22 million Americans. 

How does it work? 

Inspire works inside your body with your natural breathing process to treat obstructive sleep apnea. While you sleep, Inspire delivers mild stimulation to key airway muscles, allowing the airway to remain open. The Inspire system is controlled by a small handheld sleep remote. Simply turn Inspire on before bed and off in the morning when you wake up.

Inspire Sleep Therapy might be right for you if: 

  • You have moderate to severe obstructive sleep apnea.
  • You are unable to use or get consistent benefit from CPAP.
  • You are not significantly obese. 
  • You are over the age of 18. 

Call us at  (585) 758-5700 to make an appointment.

Meet Dr. Sveta Karelsky

Photo of Dr. Sveta Karelsky

Dr. Karelsky is an Associate Professor of Otolaryngology Head and Neck Surgery at the University of Rochester, specializing in surgical treatment of obstructive sleep apnea (OSA). She is the only doctor performing Inspire surgery in Rochester and one of the most experienced surgeons in this procedure in the country, having completed over 100 Inspire implant operations.

Dr. Karelsky focuses on providing a personalized, targeted treatment approach to patients with OSA who do not benefit from treatment with positive airway pressure devices (CPAP or BiPAP). After initial office consultation, patients undergo a procedure known as a sleep endoscopy in order to evaluate the cause of their OSA and determine the best treatment for them, including the Inspire device. They subsequently meet with Dr. Karelsky to plan optimal treatment together. Surgery takes place at UR Medicine’s Highland Hospital, which combines the advantages of a university medical center with those of a smaller facility.

Dr. Karelsky works closely with the University of Rochester Sleep Medicine service, which also has extensive experience with Inspire, as well as other sleep doctors throughout the region. She is part of a comprehensive Ear, Nose and Throat (ENT) department, with colleagues specializing in each of these areas collaborating to offer comprehensive treatment. She is also the Chief of Otolaryngology Head and Neck Surgery at Highland Hospital.

Dr. Karelsky frequently gives lectures about the surgical treatment of obstructive sleep apnea and has been featured on several television segments about the Inspire device.

In the News 

News 8: Inspire Device designed to stop sleep apnea and improve your sleep

WXXI: Interview with Dr. Karelsky on Second Opinion with Joan Lunden

13 ABC: Highland Hospital offers "Inspire" device to help sleep apnea patients