WO2017139800A3 - Apparatus and methods for screening patients for bladder control via pudendal nerve stimulation - Google Patents

Apparatus and methods for screening patients for bladder control via pudendal nerve stimulation Download PDF

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Publication number
WO2017139800A3
WO2017139800A3 PCT/US2017/017733 US2017017733W WO2017139800A3 WO 2017139800 A3 WO2017139800 A3 WO 2017139800A3 US 2017017733 W US2017017733 W US 2017017733W WO 2017139800 A3 WO2017139800 A3 WO 2017139800A3
Authority
WO
Grant status
Application
Patent type
Prior art keywords
bladder
apparatus
methods
urinary
pudendal nerve
Prior art date
Application number
PCT/US2017/017733
Other languages
French (fr)
Other versions
WO2017139800A2 (en )
Inventor
Mir Imran
Original Assignee
Incube Labs, Llc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Detecting, measuring or recording for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4848Monitoring or testing the effects of treatment, e.g. of medication
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Detecting, measuring or recording for diagnostic purposes; Identification of persons
    • A61B5/20Detecting, measuring or recording for diagnostic purposes; Identification of persons for measuring urological functions restricted to the evaluation of the urinary system
    • A61B5/202Assessing bladder functions, e.g. incontinence assessment
    • A61B5/205Determining bladder or urethral pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0507Electrodes for the digestive system
    • A61N1/0514Electrodes for the urinary tract
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • 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
    • A61N1/36007Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of urogenital or gastrointestinal organs, e.g. for incontinence control
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • 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
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/37211Means for communicating with stimulators
    • A61N1/37235Aspects of the external programmer
    • A61N1/37247User interfaces, e.g. input or presentation means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Detecting, measuring or recording for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852Catheters

Abstract

Embodiments of the invention provide apparatus and methods for testing the efficacy of nerve stimulation therapy to treat patients who have urinary dysfunction prior to the implantation of an apparatus to treat the dysfunction. The apparatus and methods provide means to selectively stimulate the pudendal nerve with high and low frequency current to produce a physiologic response involved in the urination process (e.g., relaxation of the urinary sphincter and contraction of the bladder) and then measure information relating to the response. Particular embodiments involve the introduction of a urethral catheter configured to both fill the bladder and test the ability to control bladder voiding by applying stimulation current to the pudendal nerve and then measure the response information such as bladder pressure, urinary sphincter pressure and urinary flow rate. The catheter can include at least two electrodes and separate pressure sensors positioned for measuring the urinary sphincter and bladder pressure.
PCT/US2017/017733 2015-05-12 2017-02-13 Apparatus and methods for screening patients for bladder control via pudendal nerve stimulation WO2017139800A3 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
US201662294613 true 2016-02-12 2016-02-12
US62/294,613 2016-02-12
US15/153,314 2016-05-12
US15153314 US20160331294A1 (en) 2015-05-12 2016-05-12 Device, system and methods for measurement of pressures in the urinary tract

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CA 3014200 CA3014200A1 (en) 2016-02-12 2017-02-13 Apparatus and methods for screening patients for bladder control via pudendal nerve stimulation

Publications (2)

Publication Number Publication Date
WO2017139800A2 true WO2017139800A2 (en) 2017-08-17
WO2017139800A3 true true WO2017139800A3 (en) 2017-10-12

Family

ID=59564007

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2017/017733 WO2017139800A3 (en) 2015-05-12 2017-02-13 Apparatus and methods for screening patients for bladder control via pudendal nerve stimulation

Country Status (2)

Country Link
CA (1) CA3014200A1 (en)
WO (1) WO2017139800A3 (en)

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4063548A (en) * 1975-04-07 1977-12-20 American Medical Systems, Inc. Method and apparatus for micturition analysis
US20100274310A1 (en) * 2004-06-10 2010-10-28 Ndi Medical, Inc. Systems and methods for the treatment of bladder dysfunctions using neuromodulation
US20130018281A1 (en) * 2011-07-15 2013-01-17 Sandra Nagale Systems and Methods for Monitoring Organ Activity
US20140249595A1 (en) * 2007-08-02 2014-09-04 University Of Pittsburgh - Of The Commonwealth System Of Higher Education Methods and Systems for Achieving a Physiological Response by Pudendal Nerve Stimulation and Blockade
US20150257695A1 (en) * 2011-04-29 2015-09-17 Pneumoflex Systems, Llc Urinary catheter system for diagnosing a physiological abnormality such as stress urinary incontinence
US20150328454A1 (en) * 2014-05-14 2015-11-19 Bio Health Frontiers, Incorporated Electrical neuromodulation stimulation system and method for treating urinary incontinence

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4063548A (en) * 1975-04-07 1977-12-20 American Medical Systems, Inc. Method and apparatus for micturition analysis
US20100274310A1 (en) * 2004-06-10 2010-10-28 Ndi Medical, Inc. Systems and methods for the treatment of bladder dysfunctions using neuromodulation
US20140249595A1 (en) * 2007-08-02 2014-09-04 University Of Pittsburgh - Of The Commonwealth System Of Higher Education Methods and Systems for Achieving a Physiological Response by Pudendal Nerve Stimulation and Blockade
US20150257695A1 (en) * 2011-04-29 2015-09-17 Pneumoflex Systems, Llc Urinary catheter system for diagnosing a physiological abnormality such as stress urinary incontinence
US20130018281A1 (en) * 2011-07-15 2013-01-17 Sandra Nagale Systems and Methods for Monitoring Organ Activity
US20150328454A1 (en) * 2014-05-14 2015-11-19 Bio Health Frontiers, Incorporated Electrical neuromodulation stimulation system and method for treating urinary incontinence

Also Published As

Publication number Publication date Type
CA3014200A1 (en) 2017-08-17 application
WO2017139800A2 (en) 2017-08-17 application

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