EP3463556A4 - Method and system for improving stimulation of excitable tissue - Google Patents
Method and system for improving stimulation of excitable tissue Download PDFInfo
- Publication number
- EP3463556A4 EP3463556A4 EP16904183.7A EP16904183A EP3463556A4 EP 3463556 A4 EP3463556 A4 EP 3463556A4 EP 16904183 A EP16904183 A EP 16904183A EP 3463556 A4 EP3463556 A4 EP 3463556A4
- Authority
- EP
- European Patent Office
- Prior art keywords
- excitable tissue
- improving stimulation
- stimulation
- improving
- excitable
- 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.)
- Pending
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
- A61N1/36132—Control systems using patient feedback
-
- 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
- A61N1/36146—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
- 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
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/37211—Means for communicating with stimulators
- A61N1/37235—Aspects of the external programmer
- A61N1/37247—User interfaces, e.g. input or presentation means
-
- 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
-
- 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
- A61N1/18—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
- A61N1/3606—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
- A61N1/3606—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
- A61N1/36085—Eating disorders or obesity
-
- 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
- A61N1/36096—Mood disorders, e.g. depression, anxiety or panic disorder
-
- 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
- A61N1/36114—Cardiac control, e.g. by vagal stimulation
- A61N1/36117—Cardiac control, e.g. by vagal stimulation for treating hypertension
-
- 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
- A61N1/36171—Frequency
-
- 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
- A61N1/36175—Pulse width or duty cycle
-
- 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
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/37211—Means for communicating with stimulators
- A61N1/37235—Aspects of the external programmer
- A61N1/37241—Aspects of the external programmer providing test stimulations
-
- 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
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/378—Electrical supply
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/SE2016/050534 WO2016195587A1 (en) | 2015-06-05 | 2016-06-03 | Method and system for improving stimulation of excitable tissue |
PCT/SE2016/050698 WO2017010930A1 (en) | 2015-07-10 | 2016-07-07 | Method and system for improving stimulation of excitable tissue |
PCT/SE2016/051227 WO2017209673A1 (en) | 2016-06-03 | 2016-12-07 | Method and system for improving stimulation of excitable tissue |
Publications (2)
Publication Number | Publication Date |
---|---|
EP3463556A1 EP3463556A1 (en) | 2019-04-10 |
EP3463556A4 true EP3463556A4 (en) | 2019-11-20 |
Family
ID=65622110
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP16904183.7A Pending EP3463556A4 (en) | 2016-06-03 | 2016-12-07 | Method and system for improving stimulation of excitable tissue |
Country Status (2)
Country | Link |
---|---|
EP (1) | EP3463556A4 (en) |
WO (1) | WO2017209673A1 (en) |
Families Citing this family (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
AU2014207265B2 (en) | 2013-01-21 | 2017-04-20 | Cala Health, Inc. | Devices and methods for controlling tremor |
CN114768093A (en) | 2014-06-02 | 2022-07-22 | 卡拉健康公司 | Systems and methods for peripheral nerve stimulation to treat tremor |
CA2988586A1 (en) | 2015-06-10 | 2016-12-15 | Cala Health, Inc. | Neuromodulation system for peripheral nerve stimulation with detachable therapy unit |
US10603482B2 (en) | 2015-09-23 | 2020-03-31 | Cala Health, Inc. | Systems and methods for peripheral nerve stimulation in the finger or hand to treat hand tremors |
AU2017211048B2 (en) | 2016-01-21 | 2022-03-10 | Cala Health, Inc. | Systems, methods and devices for peripheral neuromodulation for treating diseases related to overactive bladder |
JP7077297B2 (en) | 2016-07-08 | 2022-05-30 | カラ ヘルス,インコーポレイテッド | Systems and methods for stimulating N nerves with strictly N electrodes and improved drywall |
CN110809486A (en) | 2017-04-03 | 2020-02-18 | 卡拉健康公司 | Peripheral neuromodulation systems, methods, and devices for treating diseases associated with overactive bladder |
US11857778B2 (en) | 2018-01-17 | 2024-01-02 | Cala Health, Inc. | Systems and methods for treating inflammatory bowel disease through peripheral nerve stimulation |
US11395920B2 (en) | 2019-01-22 | 2022-07-26 | General Electric Company | Brain connectivity atlas for personalized functional neurosurgery targeting and brain stimulation programming |
US10905882B2 (en) | 2019-01-22 | 2021-02-02 | General Electric Company | Systems and methods for predicting optimal deep brain stimulation parameters |
US11273310B2 (en) | 2019-01-22 | 2022-03-15 | General Electric Company | Systems and methods for predicting optimal deep brain stimulation parameters |
US11890468B1 (en) | 2019-10-03 | 2024-02-06 | Cala Health, Inc. | Neurostimulation systems with event pattern detection and classification |
JP2024508722A (en) * | 2021-02-11 | 2024-02-28 | コンフィア エスアー | Electrical stimulation system and method for functional recovery and treatment of sexual disorders |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8527059B2 (en) * | 2006-03-23 | 2013-09-03 | Medtronic, Inc. | Guided programming with feedback |
US20150005842A1 (en) * | 2013-06-28 | 2015-01-01 | Boston Scientific Neuromodulation Corporation | Electrode selection for sub-threshold modulation therapy |
EP2968952A2 (en) * | 2013-03-15 | 2016-01-20 | Boston Scientific Neuromodulation Corporation | Clinical response data mapping |
Family Cites Families (19)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7555346B1 (en) * | 1999-01-07 | 2009-06-30 | Boston Scientific Neuromodulation Corporation | Implantable pulse generator having current steering means |
US6909917B2 (en) * | 1999-01-07 | 2005-06-21 | Advanced Bionics Corporation | Implantable generator having current steering means |
US7463928B2 (en) * | 2003-04-25 | 2008-12-09 | Medtronic, Inc. | Identifying combinations of electrodes for neurostimulation therapy |
US7239926B2 (en) * | 2003-09-15 | 2007-07-03 | Medtronic, Inc. | Selection of neurostimulator parameter configurations using genetic algorithms |
US10537741B2 (en) * | 2004-12-03 | 2020-01-21 | Boston Scientific Neuromodulation Corporation | System and method for choosing electrodes in an implanted stimulator device |
US7231256B2 (en) * | 2005-03-11 | 2007-06-12 | Medtronic, Inc. | Neurostimulation site screening |
US8380321B2 (en) * | 2006-02-24 | 2013-02-19 | Medtronic, Inc. | Programming interface with a cross-sectional view of a stimulation lead with complex electrode array geometry |
WO2008005144A2 (en) * | 2006-06-30 | 2008-01-10 | Medtronic, Inc. | Selecting electrode combinations for stimulation therapy |
US8321025B2 (en) * | 2006-07-31 | 2012-11-27 | Cranial Medical Systems, Inc. | Lead and methods for brain monitoring and modulation |
GB2473163B (en) * | 2008-06-25 | 2012-07-18 | Advanced Neuromodulation Sys | A system for electrically stimulating tissue of a patient by shifting a locus of stimulaton |
US9623232B2 (en) * | 2008-12-03 | 2017-04-18 | Boston Scientific Neuromodulation Corporation | Method and apparatus for identifying middle lead in a tri-lead configuration |
US9067052B2 (en) * | 2009-03-02 | 2015-06-30 | Yeda Research And Development Co., Ltd. At The Weizmann Institute Of Science | Magnetic configuration and timing scheme for transcranial magnetic stimulation |
US8190250B2 (en) * | 2009-10-15 | 2012-05-29 | Boston Scientific Neuromodulation Corporation | System and method for estimating volume of activation in tissue |
US8532757B2 (en) * | 2009-12-16 | 2013-09-10 | Medtronic, Inc. | Stimulation electrode selection |
EP2600936B1 (en) * | 2010-08-06 | 2018-09-19 | Cardiac Pacemakers, Inc. | User interface system for use with multipolar pacing leads |
US8583237B2 (en) * | 2010-09-13 | 2013-11-12 | Cranial Medical Systems, Inc. | Devices and methods for tissue modulation and monitoring |
US9358398B2 (en) * | 2011-05-27 | 2016-06-07 | Boston Scientific Neuromodulation Corporation | Collection of clinical data for graphical representation and analysis |
US9144680B2 (en) * | 2011-05-31 | 2015-09-29 | Greatbatch Ltd. | System and method of establishing a protocol for providing electrical stimulation with a stimulation system to treat a patient |
WO2013046049A2 (en) * | 2011-09-30 | 2013-04-04 | Adi Mashiach | Devices and methods for delivering energy as a function of condition severity |
-
2016
- 2016-12-07 WO PCT/SE2016/051227 patent/WO2017209673A1/en active Search and Examination
- 2016-12-07 EP EP16904183.7A patent/EP3463556A4/en active Pending
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8527059B2 (en) * | 2006-03-23 | 2013-09-03 | Medtronic, Inc. | Guided programming with feedback |
EP2968952A2 (en) * | 2013-03-15 | 2016-01-20 | Boston Scientific Neuromodulation Corporation | Clinical response data mapping |
US20150005842A1 (en) * | 2013-06-28 | 2015-01-01 | Boston Scientific Neuromodulation Corporation | Electrode selection for sub-threshold modulation therapy |
Non-Patent Citations (1)
Title |
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See also references of WO2017209673A1 * |
Also Published As
Publication number | Publication date |
---|---|
EP3463556A1 (en) | 2019-04-10 |
WO2017209673A1 (en) | 2017-12-07 |
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A4 | Supplementary search report drawn up and despatched |
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