DK3870274T3 - Apparat til kontrolleret neurostimulation - Google Patents
Apparat til kontrolleret neurostimulation Download PDFInfo
- Publication number
- DK3870274T3 DK3870274T3 DK19876581.0T DK19876581T DK3870274T3 DK 3870274 T3 DK3870274 T3 DK 3870274T3 DK 19876581 T DK19876581 T DK 19876581T DK 3870274 T3 DK3870274 T3 DK 3870274T3
- Authority
- DK
- Denmark
- Prior art keywords
- neurostimulation
- controlled
- controlled neurostimulation
- Prior art date
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
- A61N1/3615—Intensity
- A61N1/36157—Current
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/0526—Head electrodes
- A61N1/0529—Electrodes for brain stimulation
- A61N1/0534—Electrodes for deep brain stimulation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/0551—Spinal or peripheral nerve electrodes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
-
- 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
- A61N1/36062—Spinal stimulation
-
- 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
- A61N1/36125—Details of circuitry or electric components
-
- 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
-
- 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
- A61N1/36164—Sub-threshold or non-excitatory signals
-
- 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
- A61N1/36182—Direction of the electrical field, e.g. with sleeve around stimulating electrode
- A61N1/36185—Selection of the electrode configuration
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
- A61B2562/04—Arrangements of multiple sensors of the same type
- A61B2562/046—Arrangements of multiple sensors of the same type in a matrix array
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/388—Nerve conduction study, e.g. detecting action potential of peripheral nerves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
-
- 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
- A61N1/36067—Movement disorders, e.g. tremor or Parkinson disease
-
- 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
- A61N1/36071—Pain
-
- 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
- A61N1/36135—Control systems using physiological parameters
- A61N1/36139—Control systems using physiological parameters with automatic adjustment
-
- 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
- A61N1/36142—Control systems for improving safety
Landscapes
- Health & Medical Sciences (AREA)
- Neurology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Neurosurgery (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Radiology & Medical Imaging (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Heart & Thoracic Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Cardiology (AREA)
- Psychology (AREA)
- Biophysics (AREA)
- Physics & Mathematics (AREA)
- Pathology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Physiology (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU2018904011A AU2018904011A0 (en) | 2018-10-23 | Method and Device for Controlled Neural Stimulation | |
PCT/AU2019/051151 WO2020082118A1 (en) | 2018-10-23 | 2019-10-22 | Method and device for controlled neural stimulation |
Publications (1)
Publication Number | Publication Date |
---|---|
DK3870274T3 true DK3870274T3 (da) | 2023-12-04 |
Family
ID=70330770
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DK19876581.0T DK3870274T3 (da) | 2018-10-23 | 2019-10-22 | Apparat til kontrolleret neurostimulation |
Country Status (9)
Country | Link |
---|---|
US (1) | US20210379386A1 (da) |
EP (1) | EP3870274B1 (da) |
JP (1) | JP2022505570A (da) |
CN (1) | CN113226449A (da) |
AU (1) | AU2019365575A1 (da) |
CA (1) | CA3117230A1 (da) |
DK (1) | DK3870274T3 (da) |
ES (1) | ES2966511T3 (da) |
WO (1) | WO2020082118A1 (da) |
Families Citing this family (19)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
ES2694156T3 (es) | 2011-05-13 | 2018-12-18 | Saluda Medical Pty Limited | Aparato para la medición de la respuesta neural |
US10568559B2 (en) | 2011-05-13 | 2020-02-25 | Saluda Medical Pty Ltd | Method and apparatus for measurement of neural response |
US9974455B2 (en) | 2011-05-13 | 2018-05-22 | Saluda Medical Pty Ltd. | Method and apparatus for estimating neural recruitment |
US9872990B2 (en) | 2011-05-13 | 2018-01-23 | Saluda Medical Pty Limited | Method and apparatus for application of a neural stimulus |
WO2014071445A1 (en) | 2012-11-06 | 2014-05-15 | Saluda Medical Pty Ltd | Method and system for controlling electrical conditions of tissue |
AU2014351064B2 (en) | 2013-11-15 | 2019-07-04 | Closed Loop Medical Pty Ltd | Monitoring brain neural potentials |
US10426409B2 (en) | 2013-11-22 | 2019-10-01 | Saluda Medical Pty Ltd | Method and device for detecting a neural response in a neural measurement |
ES2801348T3 (es) | 2014-05-05 | 2021-01-11 | Saluda Medical Pty Ltd | Medición neurológica mejorada |
WO2016090436A1 (en) | 2014-12-11 | 2016-06-16 | Saluda Medical Pty Ltd | Method and device for feedback control of neural stimulation |
CN107530543B (zh) | 2015-04-09 | 2021-03-02 | 萨鲁达医疗有限公司 | 电极到神经距离估计 |
CN107614055B (zh) | 2015-05-31 | 2022-02-25 | 闭环医疗私人有限公司 | 脑神经刺激器电极装配 |
ES2888773T3 (es) | 2016-04-05 | 2022-01-07 | Saluda Medical Pty Ltd | Control de retroalimentación de la neuromodulación mejorado |
JP7278076B2 (ja) | 2016-06-24 | 2023-05-19 | サルーダ・メディカル・ピーティーワイ・リミテッド | アーチファクトを低減するための神経刺激 |
EP3784338A4 (en) | 2018-04-27 | 2022-01-19 | Saluda Medical Pty Ltd | NEUROSTIMULATION OF MIXED NERVES |
WO2023081180A1 (en) * | 2021-11-05 | 2023-05-11 | Boston Scientific Neuromodulation Corporation | Closed loop stimulation based on response avoidance |
CN114404800B (zh) * | 2021-12-22 | 2022-09-27 | 应脉医疗科技(上海)有限公司 | 神经刺激装置、系统、电子设备及存储介质 |
WO2023141677A1 (en) * | 2022-01-28 | 2023-08-03 | Saluda Medical Pty Ltd | Improved programming of neural stimulation therapy |
WO2023212581A1 (en) * | 2022-04-25 | 2023-11-02 | Nevro Corp. | Systems and methods for concurrently delivering high frequency and long pulse width electrical stimulation |
WO2024002822A1 (en) * | 2022-07-01 | 2024-01-04 | Biotronik Se & Co. Kg | System and method for feedback control of neural stimulation |
Family Cites Families (18)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5785651A (en) | 1995-06-07 | 1998-07-28 | Keravision, Inc. | Distance measuring confocal microscope |
US5702429A (en) | 1996-04-04 | 1997-12-30 | Medtronic, Inc. | Neural stimulation techniques with feedback |
US7062330B1 (en) * | 1998-10-26 | 2006-06-13 | Boveja Birinder R | Electrical stimulation adjunct (Add-ON) therapy for urinary incontinence and urological disorders using implanted lead stimulus-receiver and an external pulse generator |
EP1385417B1 (en) * | 2001-04-18 | 2016-04-06 | Cochlear Limited | System for measurement of evoked neural response |
US7603174B2 (en) * | 2004-10-21 | 2009-10-13 | Advanced Neuromodulation Systems, Inc. | Stimulation of the amygdalohippocampal complex to treat neurological conditions |
US8929991B2 (en) * | 2005-10-19 | 2015-01-06 | Advanced Neuromodulation Systems, Inc. | Methods for establishing parameters for neural stimulation, including via performance of working memory tasks, and associated kits |
US7689289B2 (en) | 2006-03-22 | 2010-03-30 | Medtronic, Inc. | Technique for adjusting the locus of excitation of electrically excitable tissue with paired pulses |
US8494640B2 (en) * | 2008-07-28 | 2013-07-23 | Boston Scientific Neuromodulation Corporation | System and method for increasing relative intensity between cathodes and anodes of neurostimulation system |
ES2694156T3 (es) | 2011-05-13 | 2018-12-18 | Saluda Medical Pty Limited | Aparato para la medición de la respuesta neural |
CN113368397A (zh) * | 2013-03-15 | 2021-09-10 | 波士顿科学神经调制公司 | 用于递送亚阈值治疗到患者的系统和方法 |
EP3013413B1 (en) * | 2013-06-28 | 2017-05-10 | Boston Scientific Neuromodulation Corporation | Electrode selection for sub-threshold modulation therapy |
EP3171929B1 (en) * | 2014-07-25 | 2021-03-24 | Saluda Medical Pty Limited | Neural stimulation dosing |
EP3197540A1 (en) * | 2014-09-23 | 2017-08-02 | Boston Scientific Neuromodulation Corporation | Short pulse width stimulation |
US9597507B2 (en) * | 2014-10-31 | 2017-03-21 | Medtronic, Inc. | Paired stimulation pulses based on sensed compound action potential |
JP7278076B2 (ja) * | 2016-06-24 | 2023-05-19 | サルーダ・メディカル・ピーティーワイ・リミテッド | アーチファクトを低減するための神経刺激 |
US20180104493A1 (en) * | 2016-10-19 | 2018-04-19 | Boston Scientific Neuromodulation Corporation | Methods to program sub-perception spinal cord stimulation |
EP3434321A1 (en) * | 2017-07-26 | 2019-01-30 | BIOTRONIK SE & Co. KG | Neural stimulation and recording, particularly for neuromodulation closed-loop control |
AU2019276972B2 (en) * | 2018-06-01 | 2022-02-10 | Boston Scientific Neuromodulation Corporation | Artifact reduction in a sensed neural response |
-
2019
- 2019-10-22 JP JP2021521958A patent/JP2022505570A/ja active Pending
- 2019-10-22 EP EP19876581.0A patent/EP3870274B1/en active Active
- 2019-10-22 ES ES19876581T patent/ES2966511T3/es active Active
- 2019-10-22 WO PCT/AU2019/051151 patent/WO2020082118A1/en unknown
- 2019-10-22 US US17/287,494 patent/US20210379386A1/en active Pending
- 2019-10-22 CN CN201980085396.5A patent/CN113226449A/zh active Pending
- 2019-10-22 AU AU2019365575A patent/AU2019365575A1/en active Pending
- 2019-10-22 DK DK19876581.0T patent/DK3870274T3/da active
- 2019-10-22 CA CA3117230A patent/CA3117230A1/en active Pending
Also Published As
Publication number | Publication date |
---|---|
EP3870274B1 (en) | 2023-09-13 |
AU2019365575A1 (en) | 2021-05-20 |
CN113226449A (zh) | 2021-08-06 |
CA3117230A1 (en) | 2020-04-30 |
US20210379386A1 (en) | 2021-12-09 |
ES2966511T3 (es) | 2024-04-22 |
EP3870274A1 (en) | 2021-09-01 |
EP3870274A4 (en) | 2022-07-13 |
JP2022505570A (ja) | 2022-01-14 |
WO2020082118A1 (en) | 2020-04-30 |
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