JP2020518300A - 呼吸機能を可能にするための、脊髄ネットワークへのアクセス - Google Patents

呼吸機能を可能にするための、脊髄ネットワークへのアクセス Download PDF

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Publication number
JP2020518300A
JP2020518300A JP2019539960A JP2019539960A JP2020518300A JP 2020518300 A JP2020518300 A JP 2020518300A JP 2019539960 A JP2019539960 A JP 2019539960A JP 2019539960 A JP2019539960 A JP 2019539960A JP 2020518300 A JP2020518300 A JP 2020518300A
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Prior art keywords
stimulation
stimulator
spinal cord
epidural
frequency
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JP2019539960A
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Japanese (ja)
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JP2020518300A5 (https=
Inventor
ダニエル・シー・ルー
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University of California
University of California Los Angeles UCLA
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University of California San Diego UCSD
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Publication of JP2020518300A publication Critical patent/JP2020518300A/ja
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Priority to JP2023010295A priority Critical patent/JP2023055798A/ja
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Measuring devices for evaluating the respiratory organs
    • A61B5/0816Measuring devices for examining respiratory frequency
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4836Diagnosis combined with treatment in closed-loop systems or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4836Diagnosis combined with treatment in closed-loop systems or methods
    • A61B5/4839Diagnosis combined with treatment in closed-loop systems or methods combined with drug delivery
    • 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
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    • A61N1/02Details
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    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0502Skin piercing electrodes
    • AHUMAN NECESSITIES
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    • A61N1/0551Spinal or peripheral nerve electrodes
    • AHUMAN NECESSITIES
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    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3601Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of respiratory organs
    • AHUMAN NECESSITIES
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    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
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    • 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
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    • AHUMAN NECESSITIES
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    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
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    • 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
    • A61N1/36135Control systems using physiological parameters
    • A61N1/36139Control systems using physiological parameters with automatic adjustment
    • AHUMAN NECESSITIES
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    • 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
    • AHUMAN NECESSITIES
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    • 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
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    • A61N1/3615Intensity
    • AHUMAN NECESSITIES
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    • 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
    • A61N1/36189Control systems using modulation techniques
    • A61N1/36192Amplitude modulation
    • AHUMAN NECESSITIES
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    • 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
    • A61N1/36189Control systems using modulation techniques
    • A61N1/36196Frequency modulation
    • AHUMAN NECESSITIES
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    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N2/00Magnetotherapy
    • A61N2/004Magnetotherapy specially adapted for a specific therapy
    • A61N2/006Magnetotherapy specially adapted for a specific therapy for magnetic stimulation of nerve tissue
    • AHUMAN NECESSITIES
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    • A61N2/02Magnetotherapy using magnetic fields produced by coils, including single turn loops or electromagnets
    • AHUMAN NECESSITIES
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    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
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    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0551Spinal or peripheral nerve electrodes
    • A61N1/0553Paddle shaped electrodes, e.g. for laminotomy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
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    • 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
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    • 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
    • A61N1/36167Timing, e.g. stimulation onset
    • A61N1/36175Pulse width or duty cycle

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Biophysics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physiology (AREA)
  • Pulmonology (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Cardiology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Chemical & Material Sciences (AREA)
  • Electrotherapy Devices (AREA)
  • Magnetic Treatment Devices (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
JP2019539960A 2017-01-24 2018-01-24 呼吸機能を可能にするための、脊髄ネットワークへのアクセス Pending JP2020518300A (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2023010295A JP2023055798A (ja) 2017-01-24 2023-01-26 呼吸機能を可能にするための、脊髄ネットワークへのアクセス

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201762449993P 2017-01-24 2017-01-24
US62/449,993 2017-01-24
PCT/US2018/015098 WO2018140531A1 (en) 2017-01-24 2018-01-24 Accessing spinal network to enable respiratory function

Related Child Applications (1)

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JP2023010295A Division JP2023055798A (ja) 2017-01-24 2023-01-26 呼吸機能を可能にするための、脊髄ネットワークへのアクセス

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JP2020518300A true JP2020518300A (ja) 2020-06-25
JP2020518300A5 JP2020518300A5 (https=) 2021-03-11

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JP2019539960A Pending JP2020518300A (ja) 2017-01-24 2018-01-24 呼吸機能を可能にするための、脊髄ネットワークへのアクセス
JP2023010295A Pending JP2023055798A (ja) 2017-01-24 2023-01-26 呼吸機能を可能にするための、脊髄ネットワークへのアクセス

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US (1) US20190381313A1 (https=)
EP (2) EP3573517B1 (https=)
JP (2) JP2020518300A (https=)
CA (1) CA3051401A1 (https=)
WO (1) WO2018140531A1 (https=)

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JP2024513975A (ja) * 2021-04-14 2024-03-27 ザ リージェンツ オブ ザ ユニバーシティ オブ カリフォルニア 呼吸筋をコンディショニングするための脊髄刺激療法

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JP2014533183A (ja) 2011-11-11 2014-12-11 ニューロイネイブリング テクノロジーズ インコーポレイテッド 運動神経、感覚、自律、性的、血管運動および認知機能の回復を可能にするための非侵襲性神経調節装置
US9415218B2 (en) 2011-11-11 2016-08-16 The Regents Of The University Of California Transcutaneous spinal cord stimulation: noninvasive tool for activation of locomotor circuitry
AU2014228794B2 (en) 2013-03-15 2019-04-18 The Regents Of The University Of California Multi-site transcutaneous electrical stimulation of the spinal cord for facilitation of locomotion
US10137299B2 (en) 2013-09-27 2018-11-27 The Regents Of The University Of California Engaging the cervical spinal cord circuitry to re-enable volitional control of hand function in tetraplegic subjects
AU2015305237B2 (en) 2014-08-21 2020-06-18 The Regents Of The University Of California Regulation of autonomic control of bladder voiding after a complete spinal cord injury
EP3185946B1 (en) 2014-08-27 2019-10-09 The Regents Of The University Of California Multi-electrode array for spinal cord epidural stimulation
US11298533B2 (en) 2015-08-26 2022-04-12 The Regents Of The University Of California Concerted use of noninvasive neuromodulation device with exoskeleton to enable voluntary movement and greater muscle activation when stepping in a chronically paralyzed subject
US11097122B2 (en) 2015-11-04 2021-08-24 The Regents Of The University Of California Magnetic stimulation of the spinal cord to restore control of bladder and/or bowel
US11235154B2 (en) 2017-02-17 2022-02-01 The University Of British Columbia Apparatus and methods for maintaining physiological functions
WO2018217791A1 (en) 2017-05-23 2018-11-29 The Regents Of The University Of California Accessing spinal networks to address sexual dysfunction
DE20168827T1 (de) 2017-06-30 2021-01-21 Gtx Medical B.V. System zur neuromodulierung
US12357828B2 (en) 2017-12-05 2025-07-15 Ecole Polytechnique Federale De Lausanne (Epfl) System for planning and/or providing neuromodulation
ES3058711T3 (en) 2017-12-05 2026-03-12 Ecole Polytechnique Fed Lausanne Epfl A system for planning and/or providing neuromodulation
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US20210236837A1 (en) * 2018-08-21 2021-08-05 The Regents Of The University Of California Transcutaneous electrical and/or magnetic spinal stimulation for bladder or bowel control in subjects without cns injury
JP2021534877A (ja) 2018-08-23 2021-12-16 ザ リージェンツ オブ ザ ユニバーシティ オブ カリフォルニアThe Regents Of The University Of California 神経根麻痺、馬尾症候群、及び上肢機能の回復のための非侵襲性脊髄刺激
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DE18205817T1 (de) 2018-11-13 2020-12-24 Gtx Medical B.V. Sensor in bekleidung von gliedmassen oder schuhwerk
ES2911465T3 (es) 2018-11-13 2022-05-19 Onward Medical N V Sistema de control para la reconstrucción y/o restauración del movimiento de un paciente
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US20220233848A1 (en) * 2019-05-22 2022-07-28 The Regents Of The University Of California Transcutaneous electrical spinal cord neuromodulator and uses thereof
EP3827875B1 (en) 2019-11-27 2023-07-05 ONWARD Medical N.V. Neuromodulation system
DE19211698T1 (de) 2019-11-27 2021-09-02 Onward Medical B.V. Neuromodulation system
DE20160841T1 (de) * 2020-03-04 2021-12-09 Onward Medical B.V. Ein neuromodulationssystem
CN111887866B (zh) * 2020-06-11 2022-09-23 杭州师范大学 坐垫式实时多动症监测系统及方法
GB202107670D0 (en) * 2021-05-28 2021-07-14 Univ Oxford Innovation Ltd System and method for stimulating a nerve, automated resuscitation system
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CN116172541B (zh) * 2022-07-13 2025-06-27 中国科学院心理研究所 一种脊髓静息态功能磁共振图像获取和分析方法
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