HRP20191032T1 - Trans-spinalni modulacijski sustavi istosmjerne struje - Google Patents

Trans-spinalni modulacijski sustavi istosmjerne struje Download PDF

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HRP20191032T1
HRP20191032T1 HRP20191032TT HRP20191032T HRP20191032T1 HR P20191032 T1 HRP20191032 T1 HR P20191032T1 HR P20191032T T HRP20191032T T HR P20191032TT HR P20191032 T HRP20191032 T HR P20191032T HR P20191032 T1 HRP20191032 T1 HR P20191032T1
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Croatia
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stimulation
component
current
electrical source
direct current
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HRP20191032TT
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English (en)
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Zaghloul Ahmed
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Research Foundation Of The City University Of New York
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/20Applying electric currents by contact electrodes continuous direct currents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/0404Electrodes for external use
    • A61N1/0408Use-related aspects
    • A61N1/0456Specially adapted for transcutaneous electrical nerve stimulation [TENS]
    • 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
    • A61N1/02Details
    • A61N1/08Arrangements or circuits for monitoring, protecting, controlling or indicating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/20Applying electric currents by contact electrodes continuous direct currents
    • A61N1/205Applying electric currents by contact electrodes continuous direct currents for promoting a biological process
    • 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
    • A61N1/36003Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of motor muscles, e.g. for walking assistance
    • 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
    • A61N1/3603Control systems
    • 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
    • A61N1/36062Spinal stimulation
    • 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
    • A61N1/36128Control systems
    • A61N1/36146Control systems specified by the stimulation parameters
    • A61N1/3615Intensity
    • A61N1/36157Current
    • 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
    • A61N1/36128Control systems
    • A61N1/36146Control systems specified by the stimulation parameters
    • A61N1/3615Intensity
    • A61N1/3616Voltage density or current density

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Cardiology (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Biophysics (AREA)
  • Electrotherapy Devices (AREA)
  • Magnetic Treatment Devices (AREA)
  • Amplifiers (AREA)
  • Amplitude Modulation (AREA)
  • Stabilization Of Oscillater, Synchronisation, Frequency Synthesizers (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Steroid Compounds (AREA)

Claims (15)

1. Sustav za modulaciju spinalnih neurona povezan s regulacijom djelovanja efektorskih organa u tijelu kralješnjaka, sustav obuhvaća: prvu stimulacijsku komponentu konfiguriranu na način da omogućava stimulaciju živca povezanog s ciljnim efektorskim organom; pri čemu je prva stimulacijska komponenta konfigurirana na način da pruža električnu stimulaciju istosmjernom strujom; te drugu stimulacijsku komponentu konfiguriranu na način da omogućava stimulaciju istosmjernom strujom povezanu s modulacijom navedenog ciljanog efektorskog organa; pri čemu je druga stimulacijska komponenta konfigurirana na način da pruža spinalnu kontinuiranu stimulaciju konstantnom istosmjernom strujom; i kontrolnu komponentu konfiguriranu na način da simultano kontrolira doseg struje koju dovode prva i druga stimulacijska komponenta i uspostavlja gornju granicu struje prve komponente ne višu od struje na drugoj stimulacijskoj komponenti.
2. Sustav sukladno zahtjevu 1 pri čemu je prva stimulacijska komponenta konfigurirana na način da omogućava: (a) kontinuiranu stimulaciju konstantnom električnom strujom; ili (b) pulsirajuću električnu stimulaciju.
3. Sustav sukladno zahtjevu 1 nadalje obuhvaća kontrolnu komponentu konfiguriranu na način da simultano kontrolira opseg struje koja se pruža pomoću prve i druge stimulacijske komponente i uspostavlja gornju granicu struje prve komponente ne višu od struje na drugoj stimulacijskoj komponenti i dinamički prilagođava gornju granicu simultano s prilagođavanjem druge struje.
4. Sustav sukladno zahtjevu 1 nadalje obuhvaća prvu komponentu struje konfiguriranu da pruža kontinuiranu konstantnu istosmjernu struju za stimulaciju živca povezanog s ciljnim efektorskim organom.
5. Sustav sukladno zahtjevu 1 nadalje obuhvaća prvi električni izvor s pozitivnim i negativnim terminalima koji omogućuju stimulacijsku struju na stimulacijske elektrode, uključujući dvije elektrode za stimulaciju živca povezanog s ciljnim efektorskim organom; jedna elektroda operativno je povezana s pozitivnim terminalom i druga elektroda operativno povezana s negativnim terminalom; svaka od dvije elektrode električno je izolirana od druge elektrode.
6. Sustav sukladno zahtjevu 5 pri čemu su dvije elektrode konfigurirane na način da budu pričvršćene za dio živca povezan s ciljnim mišićem radi omogućavanja kontinuirane električne stimulacije konstantnom istosmjernom strujom na dio živca mišića.
7. Sustav sukladno zahtjevu 6 nadalje obuhvaća drugi električni izvor koji ima drugi pozitivni terminal i drugi negativni terminal; prvu elektrodu smještenu na mjesto leđne moždine; i drugu elektrodu koja se nalazi na drugom odabranom mjestu na spinalnoj kolumni ili mjestu distalno od kralježnice; jedna od prve ili druge elektrode operativno je spojena na drugi pozitivni terminal i druga od prve ili druge elektrode operativno je spojena na drugi negativni terminal.
8. Sustav sukladno zahtjevu 7 pri čemu su prvi električni izvor i drugi električni izvor isti električni izvor; te pri čemu je isti električni izvor onaj izvor koji proizvodi konstantnu istosmjernu struju.
9. Sustav sukladno zahtjevu 1 pri čemu je navedena istosmjerna struja za spinalnu stimulaciju opsega od otprilke 2 ma do otprilike 5mA za terapiju mišićnog tonusa kod ljudi.
10. Sustav sukladno zahtjevu 9 pri čemu su dvije elektrode usađene.
11. Sustav sukladno zahtjevu 1 pri čemu je prvi električni izvor također usađen; i pri čemu je kontrolna komponenta operativno povezana s prvim električnim izvorom pomoću bežične veze.
12. Sustav sukladno zahtjevu 11 pri čemu je kontrolna komponenta smještena u nosivom kućištu.
13. Sustav sukladno zahtjevu 12 pri čemu je drugi električni izvor također smješten u nosivom kućištu.
14. Sustav sukladno zahtjevu 13 pri čemu su kontrolna komponenta i isti električni izvor smješteni u nosivom kućištu.
15. Sustav sukladno zahtjevu 1 pri čemu je prva stimulacijska komponenta konfigurirana na način da omogući pulsirajuću električnu stimulaciju.
HRP20191032TT 2013-12-22 2019-06-07 Trans-spinalni modulacijski sustavi istosmjerne struje HRP20191032T1 (hr)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201361919806P 2013-12-22 2013-12-22
US201461925423P 2014-01-09 2014-01-09
US201462092214P 2014-12-15 2014-12-15
PCT/US2014/071959 WO2015095880A2 (en) 2013-12-22 2014-12-22 Trans-spinal direct current modulation systems
EP14872635.9A EP3082947B1 (en) 2013-12-22 2014-12-22 Trans-spinal direct current modulation systems

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HRP20191032T1 true HRP20191032T1 (hr) 2019-08-23

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US (3) US9283391B2 (hr)
EP (2) EP3082947B1 (hr)
JP (1) JP6518251B2 (hr)
KR (2) KR20160105822A (hr)
CN (2) CN109432596B (hr)
AU (1) AU2014368874B2 (hr)
CA (1) CA2932000C (hr)
CY (1) CY1122116T1 (hr)
DK (1) DK3082947T3 (hr)
ES (2) ES2732734T3 (hr)
HR (1) HRP20191032T1 (hr)
HU (1) HUE045175T2 (hr)
IL (1) IL246430B (hr)
LT (1) LT3082947T (hr)
MX (1) MX366919B (hr)
PL (1) PL3082947T3 (hr)
PT (1) PT3082947T (hr)
SG (1) SG11201604288WA (hr)
SI (1) SI3082947T1 (hr)
WO (1) WO2015095880A2 (hr)

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