JP2018514265A - 神経システムのターゲットを捕捉するための治療用電界の発生システムおよび方法 - Google Patents

神経システムのターゲットを捕捉するための治療用電界の発生システムおよび方法 Download PDF

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Publication number
JP2018514265A
JP2018514265A JP2017553423A JP2017553423A JP2018514265A JP 2018514265 A JP2018514265 A JP 2018514265A JP 2017553423 A JP2017553423 A JP 2017553423A JP 2017553423 A JP2017553423 A JP 2017553423A JP 2018514265 A JP2018514265 A JP 2018514265A
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JP
Japan
Prior art keywords
cathode
electrodes
anode
electrode
neuromodulation
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JP2017553423A
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English (en)
Japanese (ja)
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JP2018514265A5 (enExample
Inventor
マッソン、スティーブ・シー
クチアラ、マイケル
ダルニーデル、ジーン
Original Assignee
ニューロトロニク アイ・ピー ホールディング （ジャージー） リミテッド
ニューロトロニク アイ・ピー ホールディング （ジャージー） リミテッド
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Publication of JP2018514265A publication Critical patent/JP2018514265A/ja
Publication of JP2018514265A5 publication Critical patent/JP2018514265A5/ja
Pending legal-status Critical Current

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    • 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
    • A61N1/02—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
    • 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
    • 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
    • A61N1/36135—Control systems using physiological parameters
    • 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
    • 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
    • A61N1/375—Constructional arrangements, e.g. casings
    • A61N1/37516—Intravascular implants
    • 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
    • A61N1/056—Transvascular endocardial electrode systems

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Neurosurgery (AREA)
  • Neurology (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physiology (AREA)
  • Biophysics (AREA)
  • Vascular Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Electrotherapy Devices (AREA)
JP2017553423A 2015-04-13 2016-04-13 神経システムのターゲットを捕捉するための治療用電界の発生システムおよび方法 Pending JP2018514265A (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201562146802P 2015-04-13 2015-04-13
US62/146,802 2015-04-13
PCT/US2016/027363 WO2016168357A1 (en) 2015-04-13 2016-04-13 Systems and methods for generating therapeutic electric fields for capture of nervous system targets

Publications (2)

Publication Number Publication Date
JP2018514265A true JP2018514265A (ja) 2018-06-07
JP2018514265A5 JP2018514265A5 (enExample) 2019-05-23

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
JP2017553423A Pending JP2018514265A (ja) 2015-04-13 2016-04-13 神経システムのターゲットを捕捉するための治療用電界の発生システムおよび方法

Country Status (6)

Country Link
US (1) US11185699B2 (enExample)
EP (1) EP3319689A4 (enExample)
JP (1) JP2018514265A (enExample)
AU (2) AU2016248118A1 (enExample)
CA (1) CA3021573A1 (enExample)
WO (1) WO2016168357A1 (enExample)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2021535776A (ja) * 2018-08-13 2021-12-23 カーディオノミック，インク． 心収縮及び／又は弛緩に作用するシステムおよび方法

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WO2008070189A2 (en) 2006-12-06 2008-06-12 The Cleveland Clinic Foundation Method and system for treating acute heart failure by neuromodulation
WO2013134543A1 (en) 2012-03-08 2013-09-12 Medtronic Ardian Luxembourg Sarl Immune system neuromodulation and associated systems and methods
US20190069949A1 (en) 2014-12-03 2019-03-07 Metavention, Inc. Systems and methods for modulatng nerves or other tissue
CA3015372A1 (en) 2016-03-09 2017-09-14 CARDIONOMIC, Inc. Cardiac contractility neurostimulation systems and methods
US10524859B2 (en) 2016-06-07 2020-01-07 Metavention, Inc. Therapeutic tissue modulation devices and methods
AU2018333929A1 (en) 2017-09-13 2020-04-09 CARDIONOMIC, Inc. Neurostimulation systems and methods for affecting cardiac contractility
EP3758791B1 (en) * 2018-03-02 2024-04-24 Medtronic, Inc. Implantable medical electrode assemblies and devices
AU2020269601A1 (en) 2019-05-06 2021-12-02 CARDIONOMIC, Inc. Systems and methods for denoising physiological signals during electrical neuromodulation
US12569686B2 (en) 2020-06-16 2026-03-10 Cardionomix, Inc. Chronically implantable systems and methods for affecting cardiac contractility and/or relaxation

Citations (3)

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JP2010516353A (ja) * 2007-01-29 2010-05-20 サイモン フレーザー ユニバーシティー 経血管的神経刺激装置および方法
US20130131743A1 (en) * 2011-11-07 2013-05-23 Medtronic Ardian Luxembourg S.A.R.L. Endovascular Nerve Monitoring Devices and Associated Systems and Methods
JP2014527843A (ja) * 2011-07-11 2014-10-23 インターベンショナル オートノミックス コーポレーション 神経変調療法のためのシステムおよび方法

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US7653438B2 (en) * 2002-04-08 2010-01-26 Ardian, Inc. Methods and apparatus for renal neuromodulation
US9026228B2 (en) * 2004-10-21 2015-05-05 Medtronic, Inc. Transverse tripole neurostimulation lead, system and method
US8792991B2 (en) * 2008-04-29 2014-07-29 Medtronic, Inc. Therapy program modification based on therapy guidelines
JP2012519574A (ja) * 2009-03-09 2012-08-30 カーディアック ペースメイカーズ， インコーポレイテッド リンパ管に埋め込み可能な電極を含む自律神経調整のためのシステム
US8577468B2 (en) * 2011-09-30 2013-11-05 Nyxoah SA Apparatus and method for extending implant life using a dual power scheme
US8494654B2 (en) * 2010-09-22 2013-07-23 Boston Scientific Neuromodulation Corporation Systems and methods for making and using paddle leads with adjustable spacing between adjacent electrodes
US9446240B2 (en) * 2011-07-11 2016-09-20 Interventional Autonomics Corporation System and method for neuromodulation
EP2822645B1 (en) * 2012-03-05 2017-05-03 Simon Fraser University Transvascular nerve stimulation apparatus
US9833608B2 (en) * 2012-11-20 2017-12-05 NeuroTronik IP Holding (Jersey) Limited Positioning methods for intravascular electrode arrays for neuromodulation
US9175276B2 (en) 2013-02-12 2015-11-03 Novozymes, Inc. Polypeptides having endoglucanase activity and polynucleotides encoding same

Patent Citations (3)

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Publication number Priority date Publication date Assignee Title
JP2010516353A (ja) * 2007-01-29 2010-05-20 サイモン フレーザー ユニバーシティー 経血管的神経刺激装置および方法
JP2014527843A (ja) * 2011-07-11 2014-10-23 インターベンショナル オートノミックス コーポレーション 神経変調療法のためのシステムおよび方法
US20130131743A1 (en) * 2011-11-07 2013-05-23 Medtronic Ardian Luxembourg S.A.R.L. Endovascular Nerve Monitoring Devices and Associated Systems and Methods

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2021535776A (ja) * 2018-08-13 2021-12-23 カーディオノミック，インク． 心収縮及び／又は弛緩に作用するシステムおよび方法

Also Published As

Publication number Publication date
AU2020250217A1 (en) 2020-11-05
EP3319689A4 (en) 2019-05-08
US11185699B2 (en) 2021-11-30
WO2016168357A1 (en) 2016-10-20
US20200269052A1 (en) 2020-08-27
AU2020250217B2 (en) 2021-04-29
WO2016168357A8 (en) 2018-03-22
EP3319689A1 (en) 2018-05-16
AU2016248118A1 (en) 2018-02-22
CA3021573A1 (en) 2016-10-20

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