The Cleveland Clinic Hypoglossal Nerve Stimulation Course 2026 follows the patient journey from initial screening to implant surgery, programming, and long-term follow-up. Directed by Vaishal Shah, MD, MPH, it examines patient selection, drug-induced sleep endoscopy, surgical outcomes, and the teamwork needed to build an HNS program. Interactive cases connect these steps with everyday care, while dedicated sessions address pediatric patients and co-morbid insomnia with sleep apnea. The one-day program was held on October 1, 2026, at the Cleveland Clinic Administrative Campus in Beachwood, Ohio, with a livestream option. It is intended for clinicians involved in sleep medicine, sleep surgery, and multidisciplinary HNS care.
Learning Objectives
By the end of this course, participants will be able to:
- Describe the evolution, mechanism, and clinical indications for hypoglossal nerve stimulation.
- Apply evidence-based criteria for patient selection and pre-implant screening.
- Understand DISE and surgical implant procedure.
- Deliver optimal perioperative and post-implant care to maximize patient outcomes.
- Address special considerations in pediatric and COMISA (Co-morbid Insomnia with Sleep Apnea) patient populations.
- Develop strategies to initiate and grow a multidisciplinary HNS program.
Course Director and Faculty
Cleveland Clinic Symposium Director
Vaishal Shah, MD, MPH
- Director, Sleep Disorders Center
- Medical Director, HSN Program
Cleveland Clinic Faculty
- Brian Chen, MD — HNS Sleep Medicine Staff
- Christen Cheuvront, MSN, APRN — Nurse Practitioner, HNS Sleep Medicine
- Michelle Drerup, PsyD, DBSM — Director, Behavioral Sleep Medicine
- Margaret Heidenreich, MSN, APRN — Nurse Practitioner, HNS Sleep Medicine
- Brandon Hopkins, MD — Section Head Pediatric Otolaryngology & Pediatric HNS Surgeon
- Alan Kominsky, MD — Head, Section of Surgical Sleep and Snoring
- Noordeep Panesar, MD, MHS, MS — HNS Sleep Medicine Staff
- Vaibhav Ramprasad, MD — HNS Otolaryngology Surgeon
- Eric Yeh, MD — HNS Sleep Medicine Staff
Inspire Medical System Faculty
- Patrick Ortman
- Frank Heuber
- Brett Geib
This was a non-CME educational activity. The original hands-on programming breakouts were for in-person participants; livestream attendees could observe only. The agenda lists the original activities and does not establish that every session, breakout, or social event is included in the recordings.
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Thursday, October 1, 2026
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7:00–7:45 am
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Registration & Continental Breakfast Cleveland Clinic Administrative Campus Building 4, 4th Floor Foyer |
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7:45–8:00 am
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Welcome & Introduction Vaishal Shah, MD |
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8:00–8:30 am
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Past, Present & Future: Evolution of Sleep Surgery & HNS Alan Kominsky, MD |
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8:30–9:00 am
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Screening, Patient Selection & Pre-Implant Care Brian Chen, MD |
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9:00–9:15 am
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Break & Potpourri Noordeep Panesar, MD, MHS, MS |
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9:15–9:45 am
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DISE, Implant Procedure & Surgical Outcomes Vaibhav Ramprasad, MD |
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9:45–10:15 am
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Post-Implant Care Path & Patient Outcomes Vaishal Shah, MD |
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10:15–10:45 am
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Break & Potpourri Noordeep Panesar, MD, MHS, MS |
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10:45–11:45 am
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How to Develop a Successful HNS Program: Guided Panel Vaishal Shah, MD and Alan Kominsky, MD |
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11:45–12:30 pm
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Optimizing Outcomes Through Multidisciplinary Team – Interactive Cases Margaret Heidenreich, MSN, APRN, Christen Cheuvront, MSN, APRN and Eric Yeh, MD |
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12:30–1:30 pm
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Lunch Inspire Patient Panel |
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1:30–2:00 pm
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Pediatric HNS Brandon Hopkins, MD |
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2:00–2:30 pm
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COMISA and HNS Michelle Drerup, PsyD |
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2:30–4:15 pm
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Hands-on Programming Breakout Sessions* Inspire Support Specialist *Live Stream attendees observation only |
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4:15 pm
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Adjourn |
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4:45–7:00 pm
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Reception and DinnerCleveland Clinic Inspire Program |


