JP5188494B2 - 埋め込み刺激装置のセットアップ間における電極調節のために複数のタイミングチャネルを用いるシステムと方法 - Google Patents
埋め込み刺激装置のセットアップ間における電極調節のために複数のタイミングチャネルを用いるシステムと方法 Download PDFInfo
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- JP5188494B2 JP5188494B2 JP2009504173A JP2009504173A JP5188494B2 JP 5188494 B2 JP5188494 B2 JP 5188494B2 JP 2009504173 A JP2009504173 A JP 2009504173A JP 2009504173 A JP2009504173 A JP 2009504173A JP 5188494 B2 JP5188494 B2 JP 5188494B2
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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
- A61N1/18—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
- A61N1/02—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
- A61N1/0531—Brain cortex electrodes
-
- 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
- A61N1/0526—Head electrodes
- A61N1/0541—Cochlear electrodes
-
- 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
- A61N1/0543—Retinal electrodes
Description
れる。
この初期条件は、ある程度の実験の後に達すると思われ、患者が比較的良好な反応を感じる条件となり得るが、この反応はまだ完全には最適化されていない。
明する前に、本技術が使用され得る埋め込み可能な刺激装置の回路、構造、機能を、完全を期すために説明する。
、バッテリー電圧の監視を可能にする。プロセッサ160'は、IPG100'内で利用される他の個々のASICへの必要な通信リンクをさらに含む。プロセッサ160'は、全ての同様なプロセッサのように、記憶回路内に保存されたプログラムに従って動作する。
はなく、代わりに、図14の左半分に示すように、電極E2/タイミングチャネルBで電流が次第に増加するにつれても、全電流(10 mA)がタイミングチャネルAに残ってもよい。、一旦全電流が徐々に電極E2/タイミングチャネルBに確立されると、その後は、図14の右半分に示すように、電極E1/タイミングチャネルAの電流は徐々に減少する可能性がある。
開示された技術と併用することができる。例えば、図15で示すステップを実行した後(例えば553の後)、もしくはある中間ステップにおいてさえ、全体的に電流を調節することが望ましいことがある。例えば、図15で示すステップを完了した後、10 mAの初期値から高い値(例えば12 mA)もしくは低い値(例えば8 mA)に総ソース電流を調節することが望ましいことがある。そのような従来の電流調節手段は、周知のようにHHP202もしくはCP204(図7)のプログラミングを利用する。
Claims (3)
- 第一のセットの刺激パルスを第一のタイミングチャネル内で少なくとも一つの電極に供給すると共に、第二のセットの刺激パルスを第二のタイミングチャネル内で少なくとも一つの電極に供給するように構成された埋め込み刺激装置と、
前記第一のセットの刺激パルスの第一の振幅を維持しながら、前記第二のセットの刺激パルスの振幅を段階的に増加させ、一旦、前記第二のセットの刺激パルスが第二の振幅まで増加すると、前記第二のセットの刺激パルスの前記第二の振幅を維持しながら、前記第一のセットの刺激パルスの振幅を段階的に減少させることにより、前記第一のタイミングチャネル内で第一のセットの刺激パルスを活性化することから、前記第二のタイミングチャネル内で第二のセットの刺激パルスを活性化することへ徐々に移行するように構成された外部のプログラマと、
を含み、前記第一と第二のセットの前記パルスがインターリーブされる刺激システム。 - 前記第一と第二のセットの前記パルスが同じ周波数を持つ、請求項1の刺激システム。
- 前記第一と第二のタイミングチャネルが、どの電極がソースもしくはシンク電極として機能するかを規定する、請求項1又は2に記載の刺激システム。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/US2006/012855 WO2007117232A1 (en) | 2006-04-07 | 2006-04-07 | System and method using multiple timing channels for electrode adjustment during set up of an implanted stimulator device |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2009533082A JP2009533082A (ja) | 2009-09-17 |
JP5188494B2 true JP5188494B2 (ja) | 2013-04-24 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2009504173A Expired - Fee Related JP5188494B2 (ja) | 2006-04-07 | 2006-04-07 | 埋め込み刺激装置のセットアップ間における電極調節のために複数のタイミングチャネルを用いるシステムと方法 |
Country Status (6)
Country | Link |
---|---|
EP (1) | EP2004281B1 (ja) |
JP (1) | JP5188494B2 (ja) |
AU (1) | AU2006341583B2 (ja) |
CA (1) | CA2645996C (ja) |
ES (1) | ES2635714T3 (ja) |
WO (1) | WO2007117232A1 (ja) |
Families Citing this family (27)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20070073354A1 (en) | 2005-09-26 | 2007-03-29 | Knudson Mark B | Neural blocking therapy |
EP1984066B1 (en) | 2006-02-16 | 2020-05-06 | Imthera Medical, Inc. | An rfid based system for therapeutic treatment of a patient |
WO2009048580A1 (en) | 2007-10-09 | 2009-04-16 | Imthera Medical, Inc. | Apparatus, system, and method for selective stimulation |
US20090204173A1 (en) * | 2007-11-05 | 2009-08-13 | Zi-Ping Fang | Multi-Frequency Neural Treatments and Associated Systems and Methods |
US8428725B2 (en) | 2008-10-09 | 2013-04-23 | Imthera Medical, Inc. | Method of stimulating a Hypoglossal nerve for controlling the position of a patient's tongue |
US9327121B2 (en) | 2011-09-08 | 2016-05-03 | Nevro Corporation | Selective high frequency spinal cord modulation for inhibiting pain, including cephalic and/or total body pain with reduced side effects, and associated systems and methods |
US8255057B2 (en) | 2009-01-29 | 2012-08-28 | Nevro Corporation | Systems and methods for producing asynchronous neural responses to treat pain and/or other patient conditions |
ES2718088T3 (es) * | 2009-04-16 | 2019-06-27 | Boston Scient Neuromodulation Corp | Conducción de corriente de estimulación cerebral profunda con electrodos divididos |
ES2942684T3 (es) | 2009-04-22 | 2023-06-05 | Nevro Corp | Sistemas de modulación de la médula espinal para inducir efectos parestésicos y anestésicos |
ES2624748T3 (es) | 2009-04-22 | 2017-07-17 | Nevro Corporation | Modulación de alta frecuencia selectiva de la médula espinal para la inhibición del dolor con efectos secundarios reducidos, y sistemas y métodos asociados |
US8498710B2 (en) | 2009-07-28 | 2013-07-30 | Nevro Corporation | Linked area parameter adjustment for spinal cord stimulation and associated systems and methods |
US20110112601A1 (en) | 2009-11-10 | 2011-05-12 | Imthera Medical, Inc. | System for stimulating a hypoglossal nerve for controlling the position of a patient's tongue |
JP5830090B2 (ja) * | 2010-06-14 | 2015-12-09 | ボストン サイエンティフィック ニューロモデュレイション コーポレイション | 脊髄神経調節のためのプログラミングインターフェイス |
US9669226B2 (en) | 2010-09-07 | 2017-06-06 | Empi, Inc. | Methods and systems for reducing interference in stimulation treatment |
US8649874B2 (en) | 2010-11-30 | 2014-02-11 | Nevro Corporation | Extended pain relief via high frequency spinal cord modulation, and associated systems and methods |
CN103608069B (zh) * | 2011-03-24 | 2017-03-29 | 加利福尼亚理工学院 | 神经刺激器 |
US20130184794A1 (en) | 2012-01-16 | 2013-07-18 | Boston Scientific Neuromodulation Corporation | Architectures for an Implantable Stimulator Device Having a Plurality of Electrode Driver Integrated Circuits with Shorted Electrode Outputs |
US9833614B1 (en) | 2012-06-22 | 2017-12-05 | Nevro Corp. | Autonomic nervous system control via high frequency spinal cord modulation, and associated systems and methods |
US9895539B1 (en) | 2013-06-10 | 2018-02-20 | Nevro Corp. | Methods and systems for disease treatment using electrical stimulation |
US10149978B1 (en) | 2013-11-07 | 2018-12-11 | Nevro Corp. | Spinal cord modulation for inhibiting pain via short pulse width waveforms, and associated systems and methods |
US11318310B1 (en) | 2015-10-26 | 2022-05-03 | Nevro Corp. | Neuromodulation for altering autonomic functions, and associated systems and methods |
WO2017132174A1 (en) | 2016-01-25 | 2017-08-03 | Nevro Corp. | Treatment of congestive heart failure with electrical stimulation, and associated systems and methods |
US10799701B2 (en) | 2016-03-30 | 2020-10-13 | Nevro Corp. | Systems and methods for identifying and treating patients with high-frequency electrical signals |
US11446504B1 (en) | 2016-05-27 | 2022-09-20 | Nevro Corp. | High frequency electromagnetic stimulation for modulating cells, including spontaneously active and quiescent cells, and associated systems and methods |
WO2020150647A1 (en) | 2019-01-17 | 2020-07-23 | Nevro Corp. | Sensory threshold and/or adaptation for neurological therapy screening and/or parameter selection, and associated systems and methods |
US11590352B2 (en) | 2019-01-29 | 2023-02-28 | Nevro Corp. | Ramped therapeutic signals for modulating inhibitory interneurons, and associated systems and methods |
AU2021409714A1 (en) * | 2020-12-23 | 2023-08-10 | Medtronic, Inc. | Electrical stimulation therapy |
Family Cites Families (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5938690A (en) * | 1996-06-07 | 1999-08-17 | Advanced Neuromodulation Systems, Inc. | Pain management system and method |
US6909917B2 (en) * | 1999-01-07 | 2005-06-21 | Advanced Bionics Corporation | Implantable generator having current steering means |
US6516227B1 (en) | 1999-07-27 | 2003-02-04 | Advanced Bionics Corporation | Rechargeable spinal cord stimulator system |
DE60017205T2 (de) * | 2000-07-26 | 2006-01-12 | Advanced Bionics Corp., Sylmar | Wiederaufladbare vorrichtung zur stimulation des rückenmarks |
WO2006110690A1 (en) * | 2005-04-11 | 2006-10-19 | Medtronic, Inc. | Shifting between electrode combinations in electrical stimulation device |
US20060229687A1 (en) * | 2005-04-11 | 2006-10-12 | Medtronic, Inc. | Shifting between electrode combinations in electrical stimulation device |
-
2006
- 2006-04-07 CA CA2645996A patent/CA2645996C/en not_active Expired - Fee Related
- 2006-04-07 EP EP06740639.7A patent/EP2004281B1/en active Active
- 2006-04-07 JP JP2009504173A patent/JP5188494B2/ja not_active Expired - Fee Related
- 2006-04-07 WO PCT/US2006/012855 patent/WO2007117232A1/en active Application Filing
- 2006-04-07 AU AU2006341583A patent/AU2006341583B2/en active Active
- 2006-04-07 ES ES06740639.7T patent/ES2635714T3/es active Active
Also Published As
Publication number | Publication date |
---|---|
EP2004281A1 (en) | 2008-12-24 |
AU2006341583B2 (en) | 2010-05-13 |
EP2004281B1 (en) | 2017-05-17 |
AU2006341583A1 (en) | 2007-10-18 |
WO2007117232A1 (en) | 2007-10-18 |
JP2009533082A (ja) | 2009-09-17 |
CA2645996A1 (en) | 2007-10-18 |
ES2635714T3 (es) | 2017-10-04 |
CA2645996C (en) | 2014-10-21 |
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