CA2819602C - Systemes et procedes de traitement de la douleur par le biais d'une stimulation neuronale des fibres - Google Patents

Systemes et procedes de traitement de la douleur par le biais d'une stimulation neuronale des fibres Download PDF

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Publication number
CA2819602C
CA2819602C CA2819602A CA2819602A CA2819602C CA 2819602 C CA2819602 C CA 2819602C CA 2819602 A CA2819602 A CA 2819602A CA 2819602 A CA2819602 A CA 2819602A CA 2819602 C CA2819602 C CA 2819602C
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Canada
Prior art keywords
pain
fibers
nerve fibers
afferent
target
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
CA2819602A
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English (en)
Other versions
CA2819602A1 (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
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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 CA2819602A1 publication Critical patent/CA2819602A1/fr
Application granted granted Critical
Publication of CA2819602C publication Critical patent/CA2819602C/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 modes de réalisation de la présente invention concernent des systèmes et des procédés de traitement de la douleur par le biais de l'activation de fibres neuronales choisies. Les fibres neuronales peuvent comprendre une ou plusieurs fibres neuronales afférentes et/ou une ou plusieurs fibres neuronales efférentes. Si les fibres afférentes sont stimulées, seules ou en association avec les fibres efférentes, une quantité thérapeutiquement efficace de stimulation électrique est appliquée dans le but d'activer les voies afférentes d'une manière approchant l'activité afférente naturelle. Les fibres afférentes peuvent être associées à des récepteurs primaires de fuseaux musculaires, d'organes tendineux de Golgi, des récepteurs secondaires de fuseaux musculaires, des récepteurs articulaires, des récepteurs tactiles, et d'autres types de mécanorécepteurs et/ou de propriocepteurs. Si les fibres efférentes sont stimulées, seules ou en association avec les fibres afférentes, une quantité thérapeutiquement efficace de stimulation électrique est appliquée dans le but d'activer les fibres musculaires intrafusales et/ou extrafusales, ce qui provoque une activation indirecte des fibres afférentes associées à celles-ci.
CA2819602A 2010-12-01 2011-12-01 Systemes et procedes de traitement de la douleur par le biais d'une stimulation neuronale des fibres Active CA2819602C (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/US2011/062906 WO2012075299A1 (fr) 2010-12-01 2011-12-01 Systèmes et procédés de traitement de la douleur par le biais d'une stimulation neuronale des fibres

Publications (2)

Publication Number Publication Date
CA2819602A1 CA2819602A1 (fr) 2012-06-07
CA2819602C true CA2819602C (fr) 2020-02-25

Family

ID=46172266

Family Applications (3)

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

Family Applications Before (2)

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

Country Status (3)

Country Link
AU (3) AU2011336506B2 (fr)
CA (3) CA2819599C (fr)
WO (3) WO2012075299A1 (fr)

Families Citing this family (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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
US8788048B2 (en) 2010-11-11 2014-07-22 Spr Therapeutics, Llc Systems and methods for the treatment of pain through neural fiber stimulation
CA2958210C (fr) 2014-08-15 2023-09-26 Axonics Modulation Technologies, Inc. Programmateur clinicien electromyographique integre destine a etre utilise avec un neurostimulateur implantable
JP6878269B2 (ja) 2014-08-15 2021-05-26 アクソニクス モジュレーション テクノロジーズ インコーポレイテッド 神経位置特定に基づく神経刺激電極構成のためのシステムおよび方法
WO2016025913A1 (fr) 2014-08-15 2016-02-18 Axonics Modulation Technologies, Inc. Positionnement d'une dérivation électromyographique et titrage de la stimulation dans un système de stimulation nerveuse pour le traitement de la vessie hyperactive
US11540973B2 (en) 2016-10-21 2023-01-03 Spr Therapeutics, Llc Method and system of mechanical nerve stimulation for pain relief
CN111133081A (zh) * 2017-09-06 2020-05-08 林德工程北美有限公司 用于在天然气液回收工厂中提供制冷的方法
WO2020242900A1 (fr) 2019-05-24 2020-12-03 Axonics Modulation Technologies, Inc. Dispositif d'entraînement pour un programmateur de neurostimulateur et procédés associés d'utilisation avec un système de neurostimulation
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
AU2003301481A1 (en) * 2002-10-15 2004-05-04 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
US7979131B2 (en) * 2006-01-26 2011-07-12 Advanced Neuromodulation Systems, Inc. Method of neurostimulation of distinct neural structures using single paddle lead to treat multiple pain locations and multi-column, multi-row paddle lead for such neurostimulation
US20100036280A1 (en) * 2006-09-08 2010-02-11 Ull Meter A/S Method of utilising measurements of threshold of pain
US8805518B2 (en) * 2008-05-09 2014-08-12 Medtronic, Inc. Peripheral nerve field stimulation control
EP2348981B1 (fr) * 2008-10-15 2017-08-30 Nuvasive, Inc. Système de surveillance neurophysiologique
WO2010065143A1 (fr) * 2008-12-05 2010-06-10 Ndi Medical, Llc Systèmes et procédés pour placer une ou plusieurs dérivations dans un tissu pour produire une stimulation fonctionnelle et/ou thérapeutique

Also Published As

Publication number Publication date
AU2011336490B2 (en) 2016-04-28
WO2012075281A1 (fr) 2012-06-07
CA2819599C (fr) 2018-06-19
WO2012075265A1 (fr) 2012-06-07
CA2819599A1 (fr) 2012-06-07
CA2819596C (fr) 2018-02-27
AU2011336430A1 (en) 2013-07-04
WO2012075299A1 (fr) 2012-06-07
AU2011336430B2 (en) 2016-09-29
CA2819602A1 (fr) 2012-06-07
AU2011336506A1 (en) 2013-07-04
AU2011336490A1 (en) 2013-07-04
CA2819596A1 (fr) 2012-06-07
AU2011336506B2 (en) 2015-10-08

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Effective date: 20161130