JP5922817B2 - 脊髄組織を神経調節する方法、システム、およびデバイス - Google Patents
脊髄組織を神経調節する方法、システム、およびデバイス Download PDFInfo
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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
- A61N1/02—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
- A61N1/36071—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
- A61N1/0551—Spinal or peripheral nerve electrodes
- A61N1/0558—Anchoring or fixation means therefor
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Description
1)術後腰下肢痛
2)以下の理由による慢性難治性腰痛
A)未知の原因
B)診断的神経ブロックによる腰椎椎間関節症
C)診断的神経ブロックにより明らかとなった仙腸関節性腰痛症
D)脊柱管狭窄症
E)神経根障害−非手術対象者
F)椎間板性疼痛−椎間板造影法による
4)複合性局所疼痛症候群
5)帯状疱疹後神経痛
6)有痛性糖尿病末梢神経痛
7)難治性疼痛性末梢血行障害
8)レイノー症候群
9)幻肢痛
10)全身性除神経後痛症候群
11)慢性難治性咽喉痛
12)難治性顔面痛
13)さまざまな内臓痛(膵炎等)
14)乳腺切除術後疼痛
15)慢性陰部痛
16)膝痛
17)疼痛性自己免疫疾患
18)限定的領域における中枢性卒中後痛
19)反復的限定的スィッコセル障害
20)腰椎神経根障害
21)胸椎神経根障害
22)頸椎根症
23)頚椎捻挫、「むちうち」
24)限定的領域における多発性硬化症
1)パーキンソン病
2)多発性硬化症
3)脱髄性運動障害
4)神経刺激法を用いた物理作業療法
5)脊椎損傷−神経再生支援治療
6)ぜんそく
7)慢性心臓病
8)肥満
9)発作−急性虚血
Claims (10)
- 体内の第1および第2の脊椎組織を神経調節するリードであって、
遠位先端部を有するシャフトであって、シャフトの一部が骨孔を介して延び、シャフトが椎弓根の少なくとも一部の周りで湾曲させることができるように構成されたシャフトと、
遠位先端部に向かってシャフト内に延びるルーメンであって、湾曲したスタイレットがルーメン内に案内されると、スタイレットの曲率半径に応じてシャフトを湾曲させるように、スタイレットがルーメン内に案内されるような大きさと構成を有するルーメンと、
シャフトに沿って遠位先端部に近接して配設された第1グループの電極と、
シャフトに沿って第1グループの電極から所定の距離だけ近位側に配設された第2グループの電極とを有し、
シャフトは、第1グループの電極と第2グループの電極との間に所定の距離を設けたことにより、第1グループの少なくとも1つの電極を第1の脊椎レベルにある第1の脊椎組織に位置合わせし、第1グループの電極と第2グループの電極との間のシャフトを椎弓根の少なくとも一部の周りで湾曲させ、第2グループの少なくとも1つの電極を第2の脊椎レベルにある第2の脊椎組織に位置合わせするように構成され、
プログラムされた刺激情報に基づいて、第1グループの電極と第2グループの電極のそれぞれを独立して刺激させることを特徴とするリード。 - 第1および/または第2の脊椎組織は、後根神経節であることを特徴とする請求項1に記載のリード。
- 第1グループの電極と第2グループの電極との間の所定の距離は、30mm〜65mmであることを特徴とする請求項1に記載のリード。
- シャフトは、硬膜外針を通って移動するような寸法を有することを特徴とする請求項1に記載のリード。
- 第1および第2の脊椎レベルは、互いに隣接していることを特徴とする請求項1に記載のリード。
- 第1および第2の脊椎レベルは、互いに隣接していないことを特徴とする請求項1に記載のリード。
- シャフトの一部が別の骨孔を介して延びるように構成されたことを特徴とする請求項1に記載のリード。
- シャフトは、外部から内部へ第1の脊椎組織に向かって案内されるように構成されたことを特徴とする請求項1に記載のリード。
- シャフトは、湾曲したシースを移動させることにより、湾曲させることができる硬さを有することを特徴とする請求項1に記載のリード。
- 第1グループの電極は、脊椎レベルの1/2倍、1倍、2倍、3倍、4倍、5倍、6倍、またはそれ以上倍の長さだけ遠位先端部の近位側に配置されたことを特徴とする請求項1に記載のリード。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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US17884709P | 2009-05-15 | 2009-05-15 | |
US61/178,847 | 2009-05-15 |
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JP2012511051A Division JP5711221B2 (ja) | 2009-05-15 | 2010-05-14 | 脊髄組織を神経調節する方法、システム、およびデバイス |
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Publication Number | Publication Date |
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JP2015097964A JP2015097964A (ja) | 2015-05-28 |
JP5922817B2 true JP5922817B2 (ja) | 2016-05-24 |
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JP2012511051A Expired - Fee Related JP5711221B2 (ja) | 2009-05-15 | 2010-05-14 | 脊髄組織を神経調節する方法、システム、およびデバイス |
JP2015043882A Active JP5922817B2 (ja) | 2009-05-15 | 2015-03-05 | 脊髄組織を神経調節する方法、システム、およびデバイス |
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JP2012511051A Expired - Fee Related JP5711221B2 (ja) | 2009-05-15 | 2010-05-14 | 脊髄組織を神経調節する方法、システム、およびデバイス |
Country Status (7)
Country | Link |
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US (1) | US9259569B2 (ja) |
EP (1) | EP2429407B1 (ja) |
JP (2) | JP5711221B2 (ja) |
CN (1) | CN102497823B (ja) |
AU (1) | AU2010248802B2 (ja) |
CA (1) | CA2761778A1 (ja) |
WO (1) | WO2010132816A2 (ja) |
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2010
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- 2010-05-14 EP EP10775625.6A patent/EP2429407B1/en active Active
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EP2429407A4 (en) | 2014-01-01 |
JP5711221B2 (ja) | 2015-04-30 |
EP2429407B1 (en) | 2018-10-17 |
JP2015097964A (ja) | 2015-05-28 |
AU2010248802A1 (en) | 2011-12-01 |
US9259569B2 (en) | 2016-02-16 |
WO2010132816A3 (en) | 2011-03-31 |
WO2010132816A2 (en) | 2010-11-18 |
CN102497823A (zh) | 2012-06-13 |
JP2012526638A (ja) | 2012-11-01 |
CN102497823B (zh) | 2016-05-11 |
AU2010248802B2 (en) | 2017-02-02 |
EP2429407A2 (en) | 2012-03-21 |
CA2761778A1 (en) | 2010-11-18 |
US20100292769A1 (en) | 2010-11-18 |
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