CA2819596C - Systemes et procedes pour le traitement de la douleur grace a la stimulation de fibres nerveuses - Google Patents

Systemes et procedes pour le traitement de la douleur grace a la stimulation de fibres nerveuses Download PDF

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Publication number
CA2819596C
CA2819596C CA2819596A CA2819596A CA2819596C CA 2819596 C CA2819596 C CA 2819596C CA 2819596 A CA2819596 A CA 2819596A CA 2819596 A CA2819596 A CA 2819596A CA 2819596 C CA2819596 C CA 2819596C
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CA
Canada
Prior art keywords
fibers
pain
afferent
use according
stimulation
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.)
Active
Application number
CA2819596A
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English (en)
Other versions
CA2819596A1 (fr
Inventor
Maria E. Bennett
Joseph W. Ii Boggs
Warren M. Grill
John Chae
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
SPR Therapeutics Inc
Original Assignee
SPR Therapeutics Inc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by SPR Therapeutics Inc filed Critical SPR Therapeutics Inc
Publication of CA2819596A1 publication Critical patent/CA2819596A1/fr
Application granted granted Critical
Publication of CA2819596C publication Critical patent/CA2819596C/fr
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36071Pain
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0551Spinal or peripheral nerve electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014External stimulators, e.g. with patch electrodes
    • A61N1/36017External stimulators, e.g. with patch electrodes with leads or electrodes penetrating the skin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014External stimulators, e.g. with patch electrodes
    • A61N1/36021External stimulators, e.g. with patch electrodes for treatment of pain
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36067Movement disorders, e.g. tremor or Parkinson disease

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Radiology & Medical Imaging (AREA)
  • Neurosurgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Neurology (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Pain & Pain Management (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Electrotherapy Devices (AREA)

Abstract

Les formes de réalisation de la présente invention concernent des systèmes et des procédés pour le traitement de la douleur grâce à l'activation de fibres nerveuses sélectionnées. Les fibres nerveuses peuvent comprendre une ou plusieurs fibres nerveuses afférentes et/ou une ou plusieurs fibres nerveuses efférentes. Si des fibres afférentes sont stimulées, seules ou en combinaison avec des fibres efférentes, une quantité thérapeutiquement efficace de stimulation électrique est appliquée pour activer les voies afférentes d'une manière proche de l'activité afférente naturelle. Les fibres afférentes peuvent être associées aux récepteurs primaires des fuseaux neuromusculaires, des organes tendineux de Golgi, des récepteurs secondaires des fuseaux neuromusculaires, des récepteurs articulaires, des récepteurs tactiles, et d'autres types de mécanorécepteurs et/ou propriocepteurs. Si les fibres efférentes sont stimulées, seules ou en combinaison avec les fibres afférentes, une quantité thérapeutiquement efficace de stimulation électrique est appliquée pour activer les fibres musculaires intrafusales et/ou extrafusales, ce qui conduit à une activation indirecte des fibres afférentes associées à celles-ci.
CA2819596A 2010-12-01 2011-12-01 Systemes et procedes pour le traitement de la douleur grace a la stimulation de fibres nerveuses Active CA2819596C (fr)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US41876810P 2010-12-01 2010-12-01
US41880110P 2010-12-01 2010-12-01
US61/418,768 2010-12-01
US61/418,801 2010-12-01
PCT/US2011/062857 WO2012075265A1 (fr) 2010-12-01 2011-12-01 Systèmes et procédés pour le traitement de la douleur grâce à la stimulation de fibres nerveuses

Publications (2)

Publication Number Publication Date
CA2819596A1 CA2819596A1 (fr) 2012-06-07
CA2819596C true CA2819596C (fr) 2018-02-27

Family

ID=46172266

Family Applications (3)

Application Number Title Priority Date Filing Date
CA2819596A Active CA2819596C (fr) 2010-12-01 2011-12-01 Systemes et procedes pour le traitement de la douleur grace a la stimulation de fibres nerveuses
CA2819602A Active CA2819602C (fr) 2010-12-01 2011-12-01 Systemes et procedes de traitement de la douleur par le biais d'une stimulation neuronale des fibres
CA2819599A Active CA2819599C (fr) 2010-12-01 2011-12-01 Systemes et procedes pour le traitement de la douleur par stimulation des fibres neurales

Family Applications After (2)

Application Number Title Priority Date Filing Date
CA2819602A Active CA2819602C (fr) 2010-12-01 2011-12-01 Systemes et procedes de traitement de la douleur par le biais d'une stimulation neuronale des fibres
CA2819599A Active CA2819599C (fr) 2010-12-01 2011-12-01 Systemes et procedes pour le traitement de la douleur par stimulation des fibres neurales

Country Status (3)

Country Link
AU (3) AU2011336506B2 (fr)
CA (3) CA2819596C (fr)
WO (3) WO2012075281A1 (fr)

Families Citing this family (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8788048B2 (en) 2010-11-11 2014-07-22 Spr Therapeutics, Llc Systems and methods for the treatment of pain through neural fiber stimulation
US8788047B2 (en) 2010-11-11 2014-07-22 Spr Therapeutics, Llc Systems and methods for the treatment of pain through neural fiber stimulation
US8788046B2 (en) 2010-11-11 2014-07-22 Spr Therapeutics, Llc Systems and methods for the treatment of pain through neural fiber stimulation
AU2015301401B2 (en) 2014-08-15 2020-01-16 Axonics Modulation Technologies, Inc. Electromyographic lead positioning and stimulation titration in a nerve stimulation system for treatment of overactive bladder
CN106999709B (zh) 2014-08-15 2021-07-09 艾克索尼克斯股份有限公司 用于与可植入神经刺激器一起使用的集成肌电图临床医生程控器
AU2015301400B2 (en) 2014-08-15 2020-05-28 Axonics Modulation Technologies, Inc. Systems and methods for neurostimulation electrode configurations based on neural localization
US11540973B2 (en) 2016-10-21 2023-01-03 Spr Therapeutics, Llc Method and system of mechanical nerve stimulation for pain relief
RU2763101C2 (ru) * 2017-09-06 2021-12-27 Линде Инжиниринг Норт Америка, Инк. Способы холодоснабжения в установках для извлечения газоконденсатных жидкостей
US11848090B2 (en) 2019-05-24 2023-12-19 Axonics, Inc. Trainer for a neurostimulator programmer and associated methods of use with a neurostimulation system
US11439829B2 (en) 2019-05-24 2022-09-13 Axonics, Inc. Clinician programmer methods and systems for maintaining target operating temperatures

Family Cites Families (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6167304A (en) * 1993-05-28 2000-12-26 Loos; Hendricus G. Pulse variability in electric field manipulation of nervous systems
US5653739A (en) * 1995-09-13 1997-08-05 Empi, Inc. Electronic pain feedback system and method
US8626302B2 (en) * 1998-06-03 2014-01-07 Spr Therapeutics, Llc Systems and methods to place one or more leads in muscle for providing electrical stimulation to treat pain
US6600954B2 (en) * 2001-01-25 2003-07-29 Biocontrol Medical Bcm Ltd. Method and apparatus for selective control of nerve fibers
US6735475B1 (en) * 2001-01-30 2004-05-11 Advanced Bionics Corporation Fully implantable miniature neurostimulator for stimulation as a therapy for headache and/or facial pain
US6892098B2 (en) * 2001-04-26 2005-05-10 Biocontrol Medical Ltd. Nerve stimulation for treating spasticity, tremor, muscle weakness, and other motor disorders
US20040193230A1 (en) * 2001-08-17 2004-09-30 Overstreet Edward H. Gradual recruitment of muscle/neural excitable tissue using high-rate electrical stimulation parameters
US7242983B2 (en) * 2002-10-15 2007-07-10 Medtronic, Inc. Channel-selective blanking for a medical device system
US8219189B2 (en) * 2004-12-01 2012-07-10 Penny Knoblich Method and apparatus for improving renal function
WO2007087626A2 (fr) * 2006-01-26 2007-08-02 Advanced Neuromodulation Systems, Inc. Procédé de neurostimulation de structures neuronales distinctes mettant en oeuvre un réseau d'électrode unique pour le traitement d'une pluralité de zones douloureuses et réseau d'électrodes à colonnes multiples, à rangées multiples pour une telle neurostimulation
WO2008028976A1 (fr) * 2006-09-08 2008-03-13 Ull Meter A/S Procédé d'utilisation de mesures de seuil de douleur
WO2009137119A1 (fr) * 2008-05-09 2009-11-12 Medtronic, Inc. Contrôle de la stimulation du domaine du nerf périphérique
EP2348981B1 (fr) * 2008-10-15 2017-08-30 Nuvasive, Inc. Système de surveillance neurophysiologique
CA2761530C (fr) * 2008-12-05 2018-09-04 Spr Therapeutics, Llc Systemes et procedes pour placer une ou plusieurs derivations dans un tissu pour produire une stimulation fonctionnelle et/ou therapeutique

Also Published As

Publication number Publication date
AU2011336430B2 (en) 2016-09-29
WO2012075281A1 (fr) 2012-06-07
AU2011336490A1 (en) 2013-07-04
AU2011336506B2 (en) 2015-10-08
CA2819602C (fr) 2020-02-25
AU2011336430A1 (en) 2013-07-04
CA2819599A1 (fr) 2012-06-07
CA2819596A1 (fr) 2012-06-07
WO2012075299A1 (fr) 2012-06-07
AU2011336506A1 (en) 2013-07-04
AU2011336490B2 (en) 2016-04-28
WO2012075265A1 (fr) 2012-06-07
CA2819599C (fr) 2018-06-19
CA2819602A1 (fr) 2012-06-07

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Effective date: 20161130