JP5542208B2 - 最大公約数規則を用いてマルチチャンネル神経刺激システムにおける周波数同期を回避する方法 - Google Patents
最大公約数規則を用いてマルチチャンネル神経刺激システムにおける周波数同期を回避する方法 Download PDFInfo
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- JP5542208B2 JP5542208B2 JP2012527048A JP2012527048A JP5542208B2 JP 5542208 B2 JP5542208 B2 JP 5542208B2 JP 2012527048 A JP2012527048 A JP 2012527048A JP 2012527048 A JP2012527048 A JP 2012527048A JP 5542208 B2 JP5542208 B2 JP 5542208B2
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- pulse
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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
- A61N1/18—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
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- Health & Medical Sciences (AREA)
- Neurology (AREA)
- Neurosurgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Electrotherapy Devices (AREA)
Description
14 埋め込み可能パルス発生器(IPG)
16 外部遠隔コントローラ(RC)
18 プログラム作成器(CP)
20 外部試験刺激器(ETS)
Claims (10)
- 神経刺激デバイス(14)のための外部制御デバイス(16,18)であって、
ユーザから入力を受け取るように構成されたユーザインタフェースと、
遠隔測定回路(68,86)と、
前記ユーザからの前記入力に応答して複数のパルス電気波形(100a−100b,110a−100b,120a−120c,130a−130d)を定義し、該パルス電気波形(100a−100b,110a−100b,120a−120c,130a−130d)の周期(t1−tx)の最大公約数(GCD)を計算し、該パルス電気波形(100a−100b,110a−100b,120a−120c,130a−130d)のパルス幅(T1−Tx)の和を計算し、かつ該最大公約数(GCD)が該和に等しいか又はそれよりも大きい場合に、前記遠隔測定回路(68,86)を通じて、神経刺激デバイス(14)における複数のタイミングチャンネルを該パルス電気波形(100a−100b,110a−100b,120a−120c,130a−130d)を用いてプログラムするように構成されたプロセッサ(64,80)と、
を含むことを特徴とする外部制御デバイス(16,18)。 - 前記複数のタイミングチャンネルのうちの少なくとも2つが、共通の電極(26)を用いてプログラムされることを特徴とする請求項1に記載の外部制御デバイス(16,18)。
- 前記複数のパルス電気波形(100a−100b,110a−100b,120a−120c,130a−130d)は、異なる周期(t1−tx)を有することを特徴とする請求項1に記載の外部制御デバイス(16,18)。
- 前記複数のパルス電気波形は、少なくとも3つのパルス電気波形(120a−120c,130a−130d)を含むことを特徴とする請求項1に記載の外部制御デバイス(16,18)。
- 前記パルス電気波形(100a−100b,110a−100b,120a−120c,130a−130d)は、ユーザ入力に応答して定義されることを特徴とする請求項1に記載の外部制御デバイス(16,18)。
- 前記タイミングチャンネルは、どのパルスも別のパルスと時間的に重複しないように前記神経刺激デバイス(14)においてプログラムされることを特徴とする請求項1に記載の外部制御デバイス(16,18)。
- 前記プロセッサ(64,80)は、2つ又はそれよりも多くのパルス電気波形(130b,130c)を単一のパルス波形(130d)で交互配置するように更に構成され、
前記複数のパルス電気波形(130a−130d)は、前記単一のパルス波形(130d)を含み、前記タイミングチャンネルのうちの2つ又はそれよりも多くが、前記2つ又はそれよりも多くのパルス波形(130b,130c)を用いてそれぞれプログラムされることを可能にされる、
ことを特徴とする請求項1に記載の外部制御デバイス(16,18)。 - 前記2つ又はそれよりも多くのパルス電気波形(130b,130c)の周波数が等しいことを特徴とする請求項7に記載の外部制御デバイス(16,18)。
- 前記プロセッサ(64,80)は、患者(50)に治療を提供するために刺激エネルギが前記プログラムされたパルス電気波形(100a−100b,110a−100b,120a−120c,130a−130d)に従って前記神経刺激デバイス(14)から送出されるように前記タイミングチャンネルをプログラムするように構成されることを特徴とする請求項1に記載の外部制御デバイス(16,18)。
- 前記プロセッサ(64,80)は、前記患者(50)の異なる組織領域が前記送出される刺激エネルギによってそれぞれ刺激されるように前記タイミングチャンネルをプログラムするように構成されることを特徴とする請求項9に記載の外部制御デバイス(16,18)。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/550,185 US8768481B2 (en) | 2009-08-28 | 2009-08-28 | Methods to avoid frequency locking in a multi-channel neurostimulation system using a greatest common divisor rule |
US12/550,185 | 2009-08-28 | ||
PCT/US2010/047037 WO2011025983A1 (en) | 2009-08-28 | 2010-08-27 | Methods to avoid frequency locking in a multi-channel neurostimulation system using a greatest common divisor rule |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2013503017A JP2013503017A (ja) | 2013-01-31 |
JP5542208B2 true JP5542208B2 (ja) | 2014-07-09 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2012527048A Expired - Fee Related JP5542208B2 (ja) | 2009-08-28 | 2010-08-27 | 最大公約数規則を用いてマルチチャンネル神経刺激システムにおける周波数同期を回避する方法 |
Country Status (7)
Country | Link |
---|---|
US (1) | US8768481B2 (ja) |
EP (1) | EP2470261B1 (ja) |
JP (1) | JP5542208B2 (ja) |
AU (1) | AU2010286537A1 (ja) |
CA (1) | CA2772570C (ja) |
ES (1) | ES2599074T3 (ja) |
WO (1) | WO2011025983A1 (ja) |
Families Citing this family (32)
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AU2010336976B2 (en) * | 2009-12-30 | 2015-08-27 | Boston Scientific Neuromodulation Corporation | System for independently operating multiple neurostimulation channels |
US9713721B2 (en) | 2010-11-10 | 2017-07-25 | Boston Scientific Neuromodulation Corporation | System and method for storing application specific and lead configuration information in neurostimulation device |
EP2866888B1 (en) | 2012-06-30 | 2018-11-07 | Boston Scientific Neuromodulation Corporation | System for compounding low-frequency sources for high-frequency neuromodulation |
WO2016044169A1 (en) | 2014-09-15 | 2016-03-24 | Boston Scientific Neuromodulation Corporation | Graphical user interface for programming neurostimulation pulse patterns |
CN107073269B (zh) | 2014-11-04 | 2020-05-22 | 波士顿科学神经调制公司 | 用于编程复杂神经刺激模式的方法和装置 |
US9956404B2 (en) | 2014-11-19 | 2018-05-01 | Medtronic, Inc. | Electrical stimulation to inhibit bladder and/or bowel contraction |
CN107921255B (zh) | 2015-07-30 | 2021-02-26 | 波士顿科学神经调制公司 | 用于定制模式的电刺激的用户界面 |
HUP1500436A2 (hu) | 2015-09-29 | 2017-04-28 | Papp Janos Dr | Sokcsatornás fizikoterápiás berendezés és eljárás annak alkalmazására |
EP3362139B1 (en) | 2015-10-15 | 2020-07-29 | Boston Scientific Neuromodulation Corporation | User interface for neurostimulation waveform composition |
WO2017106503A1 (en) | 2015-12-18 | 2017-06-22 | Medtronic, Inc. | High duty cycle electrical stimulation therapy |
US10525268B2 (en) | 2016-08-23 | 2020-01-07 | Medtronic, Inc. | Delivery of independent interleaved programs to produce higher-frequency electrical stimulation therapy |
US10569088B2 (en) | 2016-09-16 | 2020-02-25 | Medtronic, Inc. | Dorsal spinal column characterization with evoked potentials |
EP4230253A1 (en) | 2016-10-28 | 2023-08-23 | Medtronic, Inc. | High frequency stimulation based on low frequency titration gauge |
US11045650B2 (en) | 2016-12-06 | 2021-06-29 | Medtronic, Inc. | High frequency neurostimulation for pelvic symptom control |
WO2018187734A1 (en) | 2017-04-07 | 2018-10-11 | Medtronic, Inc. | Complex variation of electrical stimulation therapy parameters |
EP3974021B1 (en) | 2017-06-30 | 2023-06-14 | ONWARD Medical N.V. | A system for neuromodulation |
WO2019074949A1 (en) | 2017-10-10 | 2019-04-18 | Medtronic, Inc. | TREATMENT MANAGEMENT BY ELECTRICAL STIMULATION |
EP3720338A1 (en) | 2017-12-05 | 2020-10-14 | Ecole Polytechnique Federale de Lausanne (EPFL) | A system for planning and/or providing neuromodulation |
AU2019288752A1 (en) | 2018-06-21 | 2021-02-18 | Medtronic, Inc. | ECAP based control of electrical stimulation therapy |
EP4085971B1 (en) | 2018-06-21 | 2023-12-13 | Medtronic, Inc. | Ecap based control of electrical stimulation therapy |
DE18205821T1 (de) | 2018-11-13 | 2020-12-24 | Gtx Medical B.V. | Steuerungssystem zur bewegungsrekonstruktion und/oder wiederherstellung für einen patienten |
DE18205817T1 (de) | 2018-11-13 | 2020-12-24 | Gtx Medical B.V. | Sensor in bekleidung von gliedmassen oder schuhwerk |
EP3695878B1 (en) | 2019-02-12 | 2023-04-19 | ONWARD Medical N.V. | A system for neuromodulation |
EP3738644B1 (en) | 2019-05-13 | 2022-11-16 | ONWARD Medical N.V. | Method and system for providing multi-channel and/or variable neurostimulation |
EP3738645A1 (en) | 2019-05-13 | 2020-11-18 | GTX medical B.V. | Method and system for providing multi-channel and/or variable neurostimulation |
US11547855B2 (en) | 2019-10-25 | 2023-01-10 | Medtronic, Inc. | ECAP sensing for high frequency neurostimulation |
US11931582B2 (en) | 2019-10-25 | 2024-03-19 | Medtronic, Inc. | Managing transient overstimulation based on ECAPs |
EP3827871A1 (en) | 2019-11-27 | 2021-06-02 | ONWARD Medical B.V. | Neuromodulation system |
EP3888737A1 (en) | 2020-04-03 | 2021-10-06 | ONWARD Medical B.V. | Method and system for providing neuromodulation |
US11857793B2 (en) | 2020-06-10 | 2024-01-02 | Medtronic, Inc. | Managing storage of sensed information |
US11707626B2 (en) | 2020-09-02 | 2023-07-25 | Medtronic, Inc. | Analyzing ECAP signals |
US11896828B2 (en) | 2020-10-30 | 2024-02-13 | Medtronic, Inc. | Implantable lead location using ECAP |
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US7035690B2 (en) | 2002-11-15 | 2006-04-25 | Medtronic, Inc. | Human-implantable-neurostimulator user interface having multiple levels of abstraction |
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-
2009
- 2009-08-28 US US12/550,185 patent/US8768481B2/en not_active Expired - Fee Related
-
2010
- 2010-08-27 CA CA2772570A patent/CA2772570C/en not_active Expired - Fee Related
- 2010-08-27 JP JP2012527048A patent/JP5542208B2/ja not_active Expired - Fee Related
- 2010-08-27 WO PCT/US2010/047037 patent/WO2011025983A1/en active Application Filing
- 2010-08-27 ES ES10748216.8T patent/ES2599074T3/es active Active
- 2010-08-27 AU AU2010286537A patent/AU2010286537A1/en not_active Abandoned
- 2010-08-27 EP EP10748216.8A patent/EP2470261B1/en not_active Not-in-force
Also Published As
Publication number | Publication date |
---|---|
US8768481B2 (en) | 2014-07-01 |
CA2772570A1 (en) | 2011-03-03 |
WO2011025983A1 (en) | 2011-03-03 |
CA2772570C (en) | 2017-03-14 |
JP2013503017A (ja) | 2013-01-31 |
ES2599074T3 (es) | 2017-01-31 |
EP2470261B1 (en) | 2016-08-03 |
EP2470261A1 (en) | 2012-07-04 |
US20110054570A1 (en) | 2011-03-03 |
AU2010286537A1 (en) | 2012-03-15 |
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