CA2065388A1 - Method and device for treating epilepsy_ - Google Patents
Method and device for treating epilepsy_Info
- Publication number
- CA2065388A1 CA2065388A1 CA002065388A CA2065388A CA2065388A1 CA 2065388 A1 CA2065388 A1 CA 2065388A1 CA 002065388 A CA002065388 A CA 002065388A CA 2065388 A CA2065388 A CA 2065388A CA 2065388 A1 CA2065388 A1 CA 2065388A1
- Authority
- CA
- Canada
- Prior art keywords
- electrodes
- pulses
- positive
- duration
- frequency
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
- A61N1/36128—Control systems
- A61N1/36146—Control systems specified by the stimulation parameters
- A61N1/36167—Timing, e.g. stimulation onset
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
- A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
- A61N1/36064—Epilepsy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
- A61N1/36128—Control systems
- A61N1/36146—Control systems specified by the stimulation parameters
- A61N1/3615—Intensity
- A61N1/36153—Voltage
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
- A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
- A61N1/36082—Cognitive or psychiatric applications, e.g. dementia or Alzheimer's disease
Landscapes
- Health & Medical Sciences (AREA)
- Neurosurgery (AREA)
- Radiology & Medical Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Neurology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Electrotherapy Devices (AREA)
Abstract
Description
wo 92/00119 2 a 6 5 3 8 8 PCTtBE91/~W~3 Procede et dispositif pour le traltement de l'épilepsie.
~,.`''' La présente invention concerne un procedé et un disposi_if pour le traitement de l~epilepsie par utilisation d'électrodes produisant des impulsions elect. ques appli~uees ~ la têt~ du patient.
' Il est connu ~ue des impulsions electriques peu~ent ser~i~
dans certains cas à traiter des malades atteints d'epilepsie, notamment à 1'aide d'electrodes implantees. Des frequences de 1'ordre du MHz sont par ailleurs utilisees à
divers autres titres thérapeutiques.
Il a maintenant ete trou~e qu'une efficacite supexieure et inattendue peut êtse atteinte en utilisant un procede et dispositif caract~rise en ce que des impulsions de ~réquences variant de l,5 a 28 Hz sont emises au moyen d'~lectrodes appli~uées simplement sur la tete du patient.
Les impulsions peuvent être positives ou negatives. Selon un mode particulier de mise en oeuvre de l'invention, les impulsions seront de pré~erence positives.
: ;
W092/00119 PCT/BE91/0~3 wo 92/00119 2 a 6 5 3 8 8 PCTtBE91 / ~ W ~ 3 Method and device for the treatment of epilepsy.
~, .` ''' The present invention relates to a method and a device for the treatment of epilepsy by use of electrodes producing elect pulses. what app ~ uees ~ the head ~ of the patient.
'' It is known ~ ue little electrical impulses ~ ent ser ~ i ~
in some cases to treat affected patients epilepsy, in particular using implanted electrodes. Of frequencies of the order of MHz are also used at various other therapeutic titles.
It has now been found that greater efficiency and unexpected can be achieved using a process and device characterized in that pulses of ~ frequencies ranging from 1.5 to 28 Hz are transmitted using of ~ electrodes applied simply on the patient's head.
The impulses can be positive or negative. According to a particular mode of implementing the invention, the impulses will be positive.
:;
W092 / 00119 PCT / BE91 / 0 ~ 3
2 U ~5 3 88 -2-Les impulsions peuvent aussi être des i~pulsions multiples constituels de ~ifferentes fréquancPs, utilisées soit séquentiellement, soit en alternance, ou encore en utilisant une fréquence porteuse ou une frequence modulée par une 5 autre fré~uence. ~
': .`
Selon un mode particulier de 1'invention, une onde essentielle rec~angulaire, négative est superposée a une impulsion généralement positive, de sorte que 1'énergie de la partie négative est essentiellement é~uivalente à
l'énergie de la partie positive. Tout phénomène d'électrolyse peu~être maîtrisé. `~
Selon l'invention on applique des electrodes produisant des impulsions electri~ues de basse fré~uence comprises entre les valeurs susmentionnées et de puissance pouvant varier de 1 à 170 V (voltage de crête).
La durée d'une impulsion pe~t varier de 2,5 ms à 0,025 ms, ~ , . .
de preference de 0,2 à 0,30 ms. On a avantageusement .. .... ... . .
appliqué une valeur de 0,25 ms (+/- 0,1).
On utilisera de préference trois ~lectrodes, soit par exemple une élec-~ode positi~e frontale et 2 élect-odes négatives a la base de la nuque. On peut egalement u',liser plus de trois eleclrodes.
2~65388 WO 92/OOllg PCl'~BEg1/00043 ' 2 U ~ 5 3 88 -2-The pulses can also be multiple i ~ pulses constituents of ~ different frequencies, used either sequentially, either alternately, or using a carrier frequency or a frequency modulated by a 5 other fre ~ uence. ~
': .`
According to a particular embodiment of the invention, a wave essential rec ~ angular, negative is superimposed on a generally positive impulse, so that the energy of the negative part is essentially equivalent to the energy of the positive part. Any phenomenon little electrolysis ~ be controlled. `~
According to the invention, electrodes are applied which produce pulses electri ~ ues low fr ~ uence between the aforementioned and power values may vary from 1 to 170 V (peak voltage).
The duration of a pulse pe ~ t vary from 2.5 ms to 0.025 ms, ~,. .
preferably 0.2 to 0.30 ms. We have advantageously .. .... .... .
applied a value of 0.25 ms (+/- 0.1).
We will preferably use three ~ electrodes, either by example a front electro ~ positi ~ e and 2 electrodes negative at the base of the neck. We can also read more than three eleclrodes.
2 ~ 65388 WO 92 / OOllg PCl '~ BEg1 / 00043'
-3- ~
''~;,~' De manière caracteristi~ue, les malades sont traites en deux phases successives d'env~rcn 10 minutes, les frequences etant de 1,5 Hz ou d~environ 1,5 Hz pour la première phase pouvant durer 10 minutes t de 28 Hz ou d'environ 28 Hz pour la seconde phase de même duree. Les puissances doivent être adaptees à chaque cas par~iculiers et peu~ent varier de 1 à
170 Volts.
Chez les sujets épileptiques traites on a constaté une diminution du nombre de crises et chez la plupart d'entre eux o~ des contrôles néo-encéphalographiques (électroencephalogr~phie par ordinateur) ont eté exécutés, on a note une amélioration de l'ac~ivité électrique cérébrale. Certains malades ont répon~u favorablement à
- cette méthode alors que d'autres traitements s'étaient révelés inefficaces.
Le genérateur utilisé pour la mise en oeu~re de l'in~ention peut être facilement conçu par l'homme de l'art.
L'appareil pour la mise en oeuvre de l'invention peut fonctionner sur une batterie unique de 6 volts protegee.
Cette batterie es' rechar~eable sur secteur, avec protection empêchant toute utilisation sur secteur. Selon un mode de realisation particulier, l'appareil comprend deux entrees Jac~ mono, 2 potentiomètres dont un est muni d'un WO92/00119 PCT/BE91~00043 ;~
201~5388 -a- -. .~,..
interrupteur off/on, divers affichages digitaux. Il es.
ainsi avantageusemen. muni d'un affichage de frequence, un . `
affichage de puissance, un affichage de résistance et un -`
affichage de tension. L'appareil peut être muni d'un voyant 5 de charge. Il se met hors circuit lorsque la tension de la ~
batterie descend à 4,5 volts, afin d'eviter tou~e -déterioration prematurée de celle-ci.
Le ~oltm~tre et l'ampèremètre indiquent les valeurs de 10 crête. L'ohmètre indi~ue le résul~at de la division de la tension par le courant (R=U/I). Cette der~ière indication n'est donc significative que pour de valeurs de U et de I
suffi ant~s. `
15 L'appareil est de préference compact et transportable.
La figure 1 illustre la forme de 1'impulsion à vide et en charge.
20 Le schema-blocs de la fig 2 illustre l'invention de manière -~
exemplative. Les réf~rences de la figure se rapportent aux eléments sui~ants :
1 reseau 220 V
25 2 chargeur 3 controle -3- ~
''~;, ~ ' Characteristically, the patients are treated in two successive phases of approx ~ rcn 10 minutes, the frequencies being 1.5 Hz or ~ 1.5 Hz for the first phase which can last 10 minutes t of 28 Hz or about 28 Hz for the second phase of the same duration. The powers must be adapted to each case by ~ individual and little ~ ent vary from 1 to 170 Volts.
In treated epileptic subjects, a decrease in the number of seizures and in most of them o ~ neoencephalographic checks (computer electroencephalography) were performed, there has been an improvement in electrical activity cerebral. Some patients responded favorably to - this method while other treatments were found to be ineffective.
The generator used to implement the in ~ ention can be easily designed by those skilled in the art.
The apparatus for implementing the invention can operate on a single protected 6-volt battery.
This battery is rechargeable on mains, with protection preventing any use on sector. According to a mode of particular realization, the device includes two inputs Jac ~ mono, 2 potentiometers, one of which has a WO92 / 00119 PCT / BE91 ~ 00043; ~
201 ~ 5388 -at- -. . ~, ..
off / on switch, various digital displays. He is.
thus advantageously. provided with a frequency display, a. ``
power display, resistance display and a -`
voltage display. The device can be fitted with an indicator 5 charge. It turns off when the voltage of the ~
battery drops to 4.5 volts, to avoid tou ~ e -premature deterioration thereof.
The ~ oltm ~ tre and the ammeter indicate the values of 10 peak. The ohmmeter indicates the result of the division of the voltage by current (R = U / I). This last indication is therefore only significant for values of U and I
enough ant ~ s. ``
15 The device is preferably compact and transportable.
Figure 1 illustrates the shape of the vacuum pulse and charge.
20 The block diagram of FIG 2 illustrates the invention in a way - ~
illustrative. The references in the figure relate to following elements:
1 network 220 V
25 2 charger 3 control
4 accumulateur W092/00119 2 0 6 5 3 8 8 PCT/BE9l/0~43 4 accumulator W092 / 00119 2 0 6 5 3 8 8 PCT / BE9l / 0 ~ 43
5 relais 5 relays
6 alimentation 6 feeding
7 reglage de fre~uence 7 setting of fre ~ uence
8 oscillateur ~:
5 9 frequencemètre -~
10 mise en ~orme ~
11 reglage ~-12 buffer -13 connecteurs de sortie vers électrodes 10 14 buffer U .
15 buffer I ;~
16 memo U ;~:
17 memo I
18 contrôle 15 19 diviseur U/I
20 ohmètre-21 voltmètre 22 ampéremètre .
20 De nombreux autres schemas équivalents peuvent être adoptes sans sortir du cadre de`l'invention. 8 oscillator ~:
5 9 frequency counter - ~
10 setting ~ elm ~
11 setting ~ -12 buffer -13 output connectors to electrodes 10 14 buffer U.
15 buffer I; ~
16 memo U; ~:
17 memo I
18 control 15 19 U / I divider 20 ohm-21 voltmeter 22 ammeter.
20 Many other equivalent schemes can be adopted without departing from the scope of the invention.
Claims (14)
8 caractérisé en ce qu'il comprend les circuits électroniques de la fig. lb. ou des circuits équivalents. 9) Apparatus according to any of claims 1 to 8 characterized in that it comprises the circuits electronics of fig. lbs. or equivalent circuits.
12 pour le traitement de l'épilepsie ou de maladies connexes. 13) Use of an apparatus according to claims 1 to 12 for the treatment of epilepsy or diseases related.
ms, de voltage variant de 1 à 170 Volts et de fréquence variant de 1 à 100 Hz, de préférence de 1,5 à 28 Hz. 14) Method for treating the human body characterized in that that at least two electrodes are applied to the head of a epileptic patient and that said electrodes emit positive electrical impulses of duration varying from 0.025 to ms, of voltage varying from 1 to 170 Volts and of frequency varying from 1 to 100 Hz, preferably from 1.5 to 28 Hz.
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
BE9000660 | 1990-06-28 | ||
BE9000660 | 1990-06-28 | ||
BE9100054 | 1991-01-23 | ||
BE9100054 | 1991-01-23 |
Publications (1)
Publication Number | Publication Date |
---|---|
CA2065388A1 true CA2065388A1 (en) | 1991-12-29 |
Family
ID=25662538
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002065388A Abandoned CA2065388A1 (en) | 1990-06-28 | 1991-06-27 | Method and device for treating epilepsy_ |
Country Status (10)
Country | Link |
---|---|
EP (1) | EP0489879A1 (en) |
JP (1) | JPH05502608A (en) |
AU (1) | AU8095491A (en) |
CA (1) | CA2065388A1 (en) |
IE (1) | IE912227A1 (en) |
IL (1) | IL98656A0 (en) |
MX (1) | MX9100005A (en) |
NO (1) | NO920780D0 (en) |
PT (1) | PT98122A (en) |
WO (1) | WO1992000119A1 (en) |
Families Citing this family (23)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5752979A (en) * | 1996-11-01 | 1998-05-19 | Medtronic, Inc. | Method of controlling epilepsy by brain stimulation |
US8762065B2 (en) | 1998-08-05 | 2014-06-24 | Cyberonics, Inc. | Closed-loop feedback-driven neuromodulation |
US9415222B2 (en) | 1998-08-05 | 2016-08-16 | Cyberonics, Inc. | Monitoring an epilepsy disease state with a supervisory module |
US9113801B2 (en) | 1998-08-05 | 2015-08-25 | Cyberonics, Inc. | Methods and systems for continuous EEG monitoring |
US9042988B2 (en) | 1998-08-05 | 2015-05-26 | Cyberonics, Inc. | Closed-loop vagus nerve stimulation |
US7747325B2 (en) | 1998-08-05 | 2010-06-29 | Neurovista Corporation | Systems and methods for monitoring a patient's neurological disease state |
US9375573B2 (en) | 1998-08-05 | 2016-06-28 | Cyberonics, Inc. | Systems and methods for monitoring a patient's neurological disease state |
US7209787B2 (en) | 1998-08-05 | 2007-04-24 | Bioneuronics Corporation | Apparatus and method for closed-loop intracranial stimulation for optimal control of neurological disease |
DE10300069A1 (en) * | 2003-01-03 | 2004-07-22 | Grönemeyer, Dietrich H. W., Prof. Dr.med. | EP trainer |
US8725243B2 (en) | 2005-12-28 | 2014-05-13 | Cyberonics, Inc. | Methods and systems for recommending an appropriate pharmacological treatment to a patient for managing epilepsy and other neurological disorders |
US8868172B2 (en) | 2005-12-28 | 2014-10-21 | Cyberonics, Inc. | Methods and systems for recommending an appropriate action to a patient for managing epilepsy and other neurological disorders |
US7676263B2 (en) | 2006-06-23 | 2010-03-09 | Neurovista Corporation | Minimally invasive system for selecting patient-specific therapy parameters |
US8295934B2 (en) | 2006-11-14 | 2012-10-23 | Neurovista Corporation | Systems and methods of reducing artifact in neurological stimulation systems |
US20080183097A1 (en) | 2007-01-25 | 2008-07-31 | Leyde Kent W | Methods and Systems for Measuring a Subject's Susceptibility to a Seizure |
WO2008092119A2 (en) | 2007-01-25 | 2008-07-31 | Neurovista Corporation | Systems and methods for identifying a contra-ictal condition in a subject |
US8036736B2 (en) | 2007-03-21 | 2011-10-11 | Neuro Vista Corporation | Implantable systems and methods for identifying a contra-ictal condition in a subject |
US9788744B2 (en) | 2007-07-27 | 2017-10-17 | Cyberonics, Inc. | Systems for monitoring brain activity and patient advisory device |
US9259591B2 (en) | 2007-12-28 | 2016-02-16 | Cyberonics, Inc. | Housing for an implantable medical device |
US20090171168A1 (en) | 2007-12-28 | 2009-07-02 | Leyde Kent W | Systems and Method for Recording Clinical Manifestations of a Seizure |
US8849390B2 (en) | 2008-12-29 | 2014-09-30 | Cyberonics, Inc. | Processing for multi-channel signals |
US8588933B2 (en) | 2009-01-09 | 2013-11-19 | Cyberonics, Inc. | Medical lead termination sleeve for implantable medical devices |
US8786624B2 (en) | 2009-06-02 | 2014-07-22 | Cyberonics, Inc. | Processing for multi-channel signals |
US9643019B2 (en) | 2010-02-12 | 2017-05-09 | Cyberonics, Inc. | Neurological monitoring and alerts |
Family Cites Families (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3918461A (en) * | 1974-01-31 | 1975-11-11 | Irving S Cooper | Method for electrically stimulating the human brain |
EP0156854B1 (en) * | 1983-09-14 | 1990-09-05 | ZABARA, Jacob | Neurocybernetic prosthesis |
US4646744A (en) * | 1984-06-29 | 1987-03-03 | Zion Foundation | Method and treatment with transcranially applied electrical signals |
EP0272318A1 (en) * | 1986-06-16 | 1988-06-29 | Elefant, Mordecai | Method and apparatus for delivering a prescriptive electrical signal |
GB8904998D0 (en) * | 1989-03-04 | 1989-04-19 | Matthews Tony | Anaesthetising apparatus |
-
1991
- 1991-06-26 IE IE222791A patent/IE912227A1/en unknown
- 1991-06-27 CA CA002065388A patent/CA2065388A1/en not_active Abandoned
- 1991-06-27 EP EP91910970A patent/EP0489879A1/en not_active Withdrawn
- 1991-06-27 PT PT98122A patent/PT98122A/en not_active Application Discontinuation
- 1991-06-27 IL IL98656A patent/IL98656A0/en unknown
- 1991-06-27 AU AU80954/91A patent/AU8095491A/en not_active Abandoned
- 1991-06-27 JP JP3510685A patent/JPH05502608A/en active Pending
- 1991-06-27 WO PCT/BE1991/000043 patent/WO1992000119A1/en not_active Application Discontinuation
- 1991-07-04 MX MX919100005A patent/MX9100005A/en unknown
-
1992
- 1992-02-27 NO NO920780A patent/NO920780D0/en unknown
Also Published As
Publication number | Publication date |
---|---|
IL98656A0 (en) | 1992-07-15 |
AU8095491A (en) | 1992-01-23 |
NO920780L (en) | 1992-02-27 |
WO1992000119A1 (en) | 1992-01-09 |
JPH05502608A (en) | 1993-05-13 |
PT98122A (en) | 1993-09-30 |
MX9100005A (en) | 1992-02-03 |
EP0489879A1 (en) | 1992-06-17 |
NO920780D0 (en) | 1992-02-27 |
IE912227A1 (en) | 1992-01-01 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
FZDE | Discontinued |