JP7432736B2 - 脳神経を刺激するためのシステム及び方法 - Google Patents
脳神経を刺激するためのシステム及び方法 Download PDFInfo
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Description
態様1は、主題(例えば、装置、方法、アクションを行うための手段、又は機械による実行時に、機械にアクションを実行させ得る命令を含む機械可読媒体)を含むか又は使用するように、以下の態様のうちの1つ又はいずれかの組み合わせの主題を含み得るか、又は任意選択的に、それと組み合わせられ得、例えば、脳神経の神経調節用の植込み型システムを含み得るか又は使用し得、このシステムは、患者の前頸部領域内に、患者の下顎骨に又はその下側に植込まれるように構成された第1のハウジングと、第1のハウジングに結合された第1の電極リード線であって、患者の体内の第1の脳神経標的に又はその近くに配置されるように構成された少なくとも1つの電極を含む第1の電極リード線と、第1のハウジング内に設けられ、且つ第1の電極リード線の少なくとも1つの電極を使用して、脳神経標的に届けられるような電気的な神経調節信号を発生させるように構成された信号発生回路とを含む。神経調節信号は、脳神経又は他の神経に行われる神経調節療法を使用して治療され得るように、いくつかある障害の中で特に、患者の呼吸障害又は睡眠障害を治療するように構成され得る。
態様6は、態様4又は5の一方又はそれらの組み合わせの主題を含み得るか又は使用し得る、又は任意選択的に、それと組み合わせられ得、任意選択的に、患者の顔面神経の枝を含む第2の脳神経標的を含む。
Claims (22)
- 脳神経の神経調節用の植込み型システムであって、
患者の前頸部領域内に、患者の下顎骨に又はその下側に植込まれるように構成された第1のハウジングと、
前記第1のハウジングに結合された第1の電極リード線であって、前記第1の電極リード線は、患者の体内の第1の脳神経標的に又はその近くに配置されるように構成された少なくとも1つの電極を含み、前記第1の脳神経標的は、患者の舌下神経の本体又は患者の舌下神経の枝を含む、第1の電極リード線と、
前記第1のハウジングに結合された第2の電極リード線であって、前記第2の電極リード線は、患者の体内の第2の脳神経標的に又はその近くに配置されるように構成された少なくとも1つの電極を含み、前記第2の脳神経標的は、患者の三叉神経の枝、患者の顔面神経の枝、及び、患者の舌咽神経の神経節又は枝、のうちの少なくとも1つを含む、第2の電極リード線と、
前記第1のハウジング内に設けられ、且つ前記第1及び第2の電極リード線の前記電極を使用して、前記第1及び第2の脳神経標的に届けるためのそれぞれの神経調節信号を発生させるように構成された信号発生回路と、を備え、
前記神経調節信号は、患者の呼吸障害又は睡眠障害を治療するように構成される、システム。 - 前記信号発生回路によって発生された前記神経調節信号は、閉塞性睡眠時無呼吸を治療するように構成される、請求項1に記載のシステム。
- 前記信号発生回路は、前記第1及び第2の電極リード線の前記電極に同時に前記神経調節信号をもたらすように構成される、請求項1に記載のシステム。
- 前記神経調節信号のうちの第1の信号に応答して生じる電気刺激ベクトルが、前記神経調節信号のうちの第2の信号に応答して生じる、異なる電気刺激ベクトルを修正するように構成される、請求項3に記載のシステム。
- 前記信号発生回路は、前記神経調節信号を前記第1及び第2の電極リード線のそれぞれの前記電極に時分割式に提供するように構成される、請求項1に記載のシステム。
- 前記信号発生回路は、前記神経調節信号を、少なくとも部分的に時間的に重なっている電気信号パルスとして提供するように構成される、請求項5に記載のシステム。
- 前記第1の脳神経標的は、患者の舌筋、顎舌骨筋、茎突舌骨筋、顎二腹筋、又は茎突咽頭筋のうちの1つ以上の活動に影響を及ぼす神経経路を含み、電気的な前記神経調節信号は、患者の閉塞性睡眠時無呼吸を治療するように構成される、請求項1に記載のシステム。
- 患者の体内の前記第1の脳神経標的は、患者の舌下神経の前枝又は後枝を含み、第1の電極は、患者の舌下神経の前枝又は後枝に又はその近くに植込まれるように構成される、請求項1に記載のシステム。
- 前記第1の電極リード線の長さ部分に沿って異なる位置に配置された第1及び第2の電極をさらに備え、
患者の体内の前記第1の脳神経標的は、患者の舌下神経の前枝及び後枝を含み、
前記第1及び第2の電極は、前記神経調節信号を舌下神経の前枝及び後枝にそれぞれ提供するように構成される、請求項1に記載のシステム。 - 前記第1及び第2の脳神経標的は、患者の矢状正中線の両側にある、請求項1に記載のシステム。
- 前記第1のハウジングは、互いに電気的に結合される第1の密閉容器及び異なる第2の密閉容器を含む、請求項10に記載のシステム。
- 前記第1及び第2の電極リード線は、前記第1の密閉容器及び前記異なる第2の密閉容器にそれぞれ結合される、請求項11に記載のシステム。
- 前記第1の密閉容器は電力貯蔵デバイスを含み、前記第2の密閉容器は前記信号発生回路を含み、前記第1及び第2の電極リード線は前記第2の密閉容器に結合される、請求項11に記載のシステム。
- 前記第1の密閉容器及び前記異なる第2の密閉容器は、患者の矢状正中線の両側に植込まれる、請求項11に記載のシステム。
- 前記第1及び第2の密閉容器は、それぞれ異なる前三角領域内に植込まれるように構成される、請求項11に記載のシステム。
- 前記第1の密閉容器は患者の顎下三角領域内に植込まれ、前記第2の密閉容器は患者の筋三角領域内に植込まれ、
前記顎下三角領域は、患者の下顎骨体によって、並びに顎二腹筋の前部及び後部によって境界がつけられ、
患者の筋三角領域は、患者の舌骨、矢状正中線、肩甲舌骨筋、及び胸鎖乳突筋の下部によって境界がつけられる、請求項15に記載のシステム。 - 前記第1の密閉容器は頸動脈三角領域内に植込まれるように構成され、前記第2の密閉容器は患者の顎下三角領域及びおとがい下三角領域の一方内に植込まれるように構成される、請求項15に記載のシステム。
- 前記第1のハウジング内の電力管理回路に結合された無線通信コイルをさらに備え、前記無線通信コイルは患者の前頸部領域内に配置されるように構成される、請求項1に記載のシステム。
- 前記第1のハウジング内の電力管理回路に結合された無線通信コイルをさらに備え、前記無線通信コイルは患者の下顎骨上に配置されるように構成される、請求項1に記載のシステム。
- 前記第1のハウジング、及び前記第1のハウジング内の回路に結合される無線通信コイルは、患者のそれぞれ異なる前三角領域内に植込まれるように構成される、請求項1に記載のシステム。
- 前記無線通信コイル用の支持部材をさらに備え、前記支持部材は、患者の顎二腹筋の前部及び後部に結合されるように構成される、請求項20に記載のシステム。
- 前記無線通信コイル用の支持部材をさらに備え、前記支持部材は、患者の顎舌骨筋に結合されるように構成される、請求項20に記載のシステム。
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US20220134102A1 (en) | 2020-11-04 | 2022-05-05 | Invicta Medical, Inc. | Implantable electrodes with remote power delivery for treating sleep apnea, and associated systems and methods |
AU2022332909A1 (en) * | 2021-08-24 | 2024-04-04 | Avivomed, Inc. | Cranial nerve stimulator with therapeutic feedback |
WO2024025899A1 (en) * | 2022-07-26 | 2024-02-01 | Cardiac Pacemakers, Inc. | Detection of implantable device rotation using respiratory signals |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2010512843A (ja) | 2006-12-15 | 2010-04-30 | メドトロニック・ゾーメド・インコーポレーテッド | 嚥下を助けるシステム及び方法 |
JP2011500143A (ja) | 2007-10-09 | 2011-01-06 | イムセラ・メディカル・インコーポレーテッド | 選択的刺激のための装置、システム、及び方法 |
JP2012504467A (ja) | 2008-10-01 | 2012-02-23 | インスパイア・メディカル・システムズ・インコーポレイテッド | 睡眠時無呼吸を治療する経静脈法 |
WO2018132412A1 (en) | 2017-01-10 | 2018-07-19 | Inspire Medical Systems, Inc. | Power element for an implantable medical device |
JP2019503722A (ja) | 2015-11-17 | 2019-02-14 | インスパイア・メディカル・システムズ・インコーポレイテッドInspire Medical Systems, Inc. | 睡眠呼吸障害(sdb)微小刺激治療装置 |
Family Cites Families (24)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2007092330A1 (en) | 2006-02-03 | 2007-08-16 | Synecor, Llc | Intravascular device for neuromodulation |
CA2641821C (en) | 2006-02-16 | 2017-10-10 | Imthera Medical, Inc. | An rfid-based apparatus, system, and method for therapeutic treatment of a patient |
US9186511B2 (en) * | 2006-10-13 | 2015-11-17 | Cyberonics, Inc. | Obstructive sleep apnea treatment devices, systems and methods |
US9205262B2 (en) | 2011-05-12 | 2015-12-08 | Cyberonics, Inc. | Devices and methods for sleep apnea treatment |
CA2666529A1 (en) * | 2006-10-13 | 2008-04-24 | Apnex Medical, Inc. | Obstructive sleep apnea treatment devices, systems and methods |
EP2349139B1 (en) | 2008-10-09 | 2017-05-31 | Imthera Medical, Inc. | Stimulation of a hypoglossal nerve for controlling the position of a patient's tongue |
US9415216B2 (en) | 2009-10-20 | 2016-08-16 | Nyxoah SA | Devices for treatment of sleep apnea |
US9409013B2 (en) | 2009-10-20 | 2016-08-09 | Nyxoah SA | Method for controlling energy delivery as a function of degree of coupling |
BR112012010986A2 (pt) | 2009-11-10 | 2016-04-12 | Imthera Medical Inc | sistema para estimular um nervo hipoglosso para o controle da posição da língua de um paciente |
US9457186B2 (en) * | 2010-11-15 | 2016-10-04 | Bluewind Medical Ltd. | Bilateral feedback |
CN109985308B (zh) * | 2011-09-30 | 2023-11-28 | 尼科索亚股份有限公司 | 用于影响血压的高血压治疗植入单元 |
WO2013173214A1 (en) | 2012-05-15 | 2013-11-21 | Imthera Medical, Inc. | Stimulation of a hypoglossal nerve for controlling the position of a patient's tongue |
US20200129762A1 (en) * | 2013-05-30 | 2020-04-30 | Neurostim Technologies Llc | Detection and treatment of obstructive sleep apnea |
WO2015051140A1 (en) | 2013-10-02 | 2015-04-09 | Cyberonics, Inc. | Obstructive sleep apnea treatment screening methods |
EP3071288B1 (en) * | 2013-11-19 | 2018-11-14 | The Cleveland Clinic Foundation | System for treating obstructive sleep apnea using a neuromuscular stimulator |
US11383083B2 (en) | 2014-02-11 | 2022-07-12 | Livanova Usa, Inc. | Systems and methods of detecting and treating obstructive sleep apnea |
WO2015200272A2 (en) | 2014-06-23 | 2015-12-30 | Sabic Global Technologies B.V. | Filler reinforced thermoplastic compositions with improved bonding strength |
EP3171772B1 (en) | 2014-07-22 | 2024-05-15 | Imthera Medical, Inc. | System for adjusting stimulation of a hypoglossal nerve |
WO2017197150A1 (en) | 2016-05-11 | 2017-11-16 | The Regents Of The University Of California | Device, system and method for mechanical cutaneous nerve stimulation for pain, stroke, mood, breathing, movement, sleep, and vascular action |
US20180013347A1 (en) | 2016-07-11 | 2018-01-11 | Apple Inc. | Slew Mode Control of Transient Phase Based on Output Voltage Slope of Multiphase DC-DC Power Converter |
CN113382683A (zh) | 2018-09-14 | 2021-09-10 | 纽罗因恒思蒙特实验有限责任公司 | 改善睡眠的系统和方法 |
US20200282215A1 (en) | 2019-03-06 | 2020-09-10 | Medtronic Xomed, LLC | Evaluating stimulation eficacy for treating sleep apnea and lingual muscle tone sensing system for improved osa therapy |
IL268936A (en) | 2019-08-26 | 2021-03-01 | Nyxoah SA | Method and process for placing and fixing a surgical implant |
WO2021142278A1 (en) | 2020-01-10 | 2021-07-15 | Nuxcel2, L.L.C. | Systems and methods for stimulation of cranial nerves |
-
2021
- 2021-01-08 WO PCT/US2021/012723 patent/WO2021142278A1/en unknown
- 2021-01-08 JP JP2022542496A patent/JP7432736B2/ja active Active
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-
2022
- 2022-07-06 US US17/858,668 patent/US20220339441A1/en active Pending
- 2022-07-08 US US17/860,346 patent/US11857792B2/en active Active
-
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- 2023-10-04 US US18/376,780 patent/US20240100341A1/en active Pending
-
2024
- 2024-02-05 JP JP2024015590A patent/JP2024036500A/ja active Pending
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2010512843A (ja) | 2006-12-15 | 2010-04-30 | メドトロニック・ゾーメド・インコーポレーテッド | 嚥下を助けるシステム及び方法 |
JP2011500143A (ja) | 2007-10-09 | 2011-01-06 | イムセラ・メディカル・インコーポレーテッド | 選択的刺激のための装置、システム、及び方法 |
JP2012504467A (ja) | 2008-10-01 | 2012-02-23 | インスパイア・メディカル・システムズ・インコーポレイテッド | 睡眠時無呼吸を治療する経静脈法 |
JP2019503722A (ja) | 2015-11-17 | 2019-02-14 | インスパイア・メディカル・システムズ・インコーポレイテッドInspire Medical Systems, Inc. | 睡眠呼吸障害(sdb)微小刺激治療装置 |
WO2018132412A1 (en) | 2017-01-10 | 2018-07-19 | Inspire Medical Systems, Inc. | Power element for an implantable medical device |
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