公开(公告)号：US09962543B2

公开(公告)日：2018-05-08

申请号：US14085147

申请日：2013-11-20

Applicant: Advanced Neuromodulation Systems, Inc.

Inventor： Claudio A. Feler ,  John H. Erickson

IPC: A61N1/05 ,  A61N1/36

CPC classification number: A61N1/0553 ,  A61N1/36071 ,  A61N1/36185

Abstract: In some embodiments, a paddle lead is implanted within a patient such that the electrodes are positioned within the cervical or thoracic spinal levels. An electrode combination on a first row of electrodes can be determined that is effective for a first pain location with minimal effects on other regions of the body. The first pain location can be addressed by stimulating a first dorsal column fiber due to the relatively fine electrical field resolution achievable by the multiple columns. Then, another electrode combination on a second row of electrodes can be determined for a second pain location with minimal effects on other regions. The second pain location could be addressed by stimulating a second dorsal column fiber. After the determination of the appropriate electrodes for stimulation, the patient's IPG can be programmed to deliver pulses using the first and second rows according to the determined electrode combinations.

公开(公告)号：US20130030501A1

公开(公告)日：2013-01-31

申请号：US13646389

申请日：2012-10-05

Applicant: ADVANCED NEUROMODULATION SYSTEMS, INC.

Inventor： Claudio A. Feler ,  John H. Erickson

IPC: A61N1/36

CPC classification number: A61N1/0553 ,  A61N1/36071 ,  A61N1/36185

Abstract: In some embodiments, a paddle lead is implanted within a patient such that the electrodes are positioned within the cervical or thoracic spinal levels. An electrode combination on a first row of electrodes can be determined that is effective for a first pain location with minimal effects on other regions of the body. The first pain location can be addressed by stimulating a first dorsal column fiber due to the relatively fine electrical field resolution achievable by the multiple columns. Then, another electrode combination on a second row of electrodes can be determined for a second pain location with minimal effects on other regions. The second pain location could be addressed by stimulating a second dorsal column fiber. After the determination of the appropriate electrodes for stimulation, the patient's IPG can be programmed to deliver pulses using the first and second rows according to the determined electrode combinations.

Abstract translation: 在一些实施例中，将桨引线植入患者体内，使得电极定位在子宫颈或胸部脊柱水平内。 可以确定在第一排电极上的电极组合，对于第一疼痛位置是有效的，对身体的其他区域的影响最小。 可以通过刺激第一背侧列纤维来解决第一个疼痛位置，这是由于多列可实现的相对精细的电场分辨率。 然后，可以确定第二排电极上的另一电极组合用于第二疼痛位置，对其他区域的影响最小。 可以通过刺激第二背侧纤维来解决第二个疼痛位置。 在确定用于刺激的适当电极之后，可以根据所确定的电极组合，将患者的IPG编程为使用第一和第二行递送脉冲。

公开(公告)号：US20140081351A1

公开(公告)日：2014-03-20

申请号：US14085147

申请日：2013-11-20

Applicant: Advanced Neuromodulation Systems, Inc. d/b/a St. Jude Medical Neuromodulation Division

Inventor： Claudio A. Feler ,  John H. Erickson

IPC: A61N1/05

CPC classification number: A61N1/0553 ,  A61N1/36071 ,  A61N1/36185

Abstract: In some embodiments, a paddle lead is implanted within a patient such that the electrodes are positioned within the cervical or thoracic spinal levels. An electrode combination on a first row of electrodes can be determined that is effective for a first pain location with minimal effects on other regions of the body. The first pain location can be addressed by stimulating a first dorsal column fiber due to the relatively fine electrical field resolution achievable by the multiple columns. Then, another electrode combination on a second row of electrodes can be determined for a second pain location with minimal effects on other regions. The second pain location could be addressed by stimulating a second dorsal column fiber. After the determination of the appropriate electrodes for stimulation, the patient's IPG can be programmed to deliver pulses using the first and second rows according to the determined electrode combinations.

Abstract translation: 在一些实施例中，将桨引线植入患者体内，使得电极定位在子宫颈或胸部脊柱水平内。 可以确定在第一排电极上的电极组合，对于第一疼痛位置是有效的，对身体的其他区域的影响最小。 可以通过刺激第一背侧列纤维来解决第一个疼痛位置，这是由于多列可实现的相对精细的电场分辨率。 然后，可以确定第二排电极上的另一电极组合用于第二疼痛位置，对其他区域的影响最小。 可以通过刺激第二背侧纤维来解决第二个疼痛位置。 在确定用于刺激的适当电极之后，可以根据所确定的电极组合，将患者的IPG编程为使用第一和第二行递送脉冲。

公开(公告)号：US08615300B2

公开(公告)日：2013-12-24

申请号：US13646389

申请日：2012-10-05

Applicant: Advanced Neuromodulation Systems, Inc.

Inventor： Claudio A. Feler ,  John H. Erickson

IPC: A61N1/05

CPC classification number: A61N1/0553 ,  A61N1/36071 ,  A61N1/36185

Abstract: In some embodiments, a paddle lead is implanted within a patient such that the electrodes are positioned within the cervical or thoracic spinal levels. An electrode combination on a first row of electrodes can be determined that is effective for a first pain location with minimal effects on other regions of the body. The first pain location can be addressed by stimulating a first dorsal column fiber due to the relatively fine electrical field resolution achievable by the multiple columns. Then, another electrode combination on a second row of electrodes can be determined for a second pain location with minimal effects on other regions. The second pain location could be addressed by stimulating a second dorsal column fiber. After the determination of the appropriate electrodes for stimulation, the patient's IPG can be programmed to deliver pulses using the first and second rows according to the determined electrode combinations.

Abstract translation: 在一些实施例中，将桨引线植入患者体内，使得电极定位在子宫颈或胸部脊柱水平内。 可以确定在第一排电极上的电极组合，对于第一疼痛位置是有效的，对身体的其他区域的影响最小。 可以通过刺激第一背侧列纤维来解决第一个疼痛位置，这是由于多列可实现的相对精细的电场分辨率。 然后，可以确定第二排电极上的另一电极组合用于第二疼痛位置，对其他区域的影响最小。 可以通过刺激第二背侧纤维来解决第二个疼痛位置。 在确定用于刺激的适当电极之后，可以根据所确定的电极组合，将患者的IPG编程为使用第一和第二行递送脉冲。

公开(公告)号：US09144679B2

公开(公告)日：2015-09-29

申请号：US13716968

申请日：2012-12-17

Applicant: Advanced Neuromodulation Systems, Inc.

Inventor： Patrick M. Cullen ,  John H. Erickson

IPC: A61N1/00 ,  A61N1/36 ,  A61N1/05 ,  A61N1/372 ,  G06F19/00

CPC classification number: A61N1/36128 ,  A61N1/05 ,  A61N1/0553 ,  A61N1/36178 ,  A61N1/37247 ,  G06F19/00 ,  G16H40/63

Abstract: In one embodiment, a method for defining a stimulation program for electrical stimulation of a patient, the method comprising: providing a single screen user interface that comprises a first plurality of controls and a second plurality of controls, the first plurality of controls allowing selection of multiple stimulation parameters for a plurality of stimulation sets, the second plurality of controls allowing selection of multiple stimulation parameters defining burst stimulation and tonic stimulation; receiving user input in one or more of the second plurality of controls; and automatically modifying parameters for one or more stimulation sets in response to receiving the user input in one or more of the second plurality of controls and modifying values displayed in one or more controls of the first plurality of controls according to the modified parameters, the modified parameters reflecting a stimulation program that includes an interleaved pattern of burst stimulation and tonic stimulation for delivery to the patient.

Abstract translation: 在一个实施例中，一种用于定义用于电刺激患者的刺激程序的方法，所述方法包括：提供包括第一多个控制和第二多个控制的单个屏幕用户界面，所述第一多个控件允许选择 用于多个刺激组的多个刺激参数，所述第二多个控制允许选择限定突发刺激和强直刺激的多个刺激参数; 在所述第二多个控制中的一个或多个中接收用户输入; 以及响应于在所述第二多个控制中的一个或多个控制中接收到所述用户输入并根据所述修改的参数修改显示在所述第一多个控件的一个或多个控制中的值，自动修改针对一个或多个刺激集的参数， 反映刺激程序的参数，其包括突发刺激的交替模式和用于递送给患者的补品刺激。

公开(公告)号：US20130116753A1

公开(公告)日：2013-05-09

申请号：US13663145

申请日：2012-10-29

Applicant: Advanced Neuromodulation Systems, Inc.

Inventor： John H. Erickson

IPC: A61N1/375 ,  A61N1/40

CPC classification number: A61N1/37 ,  A61N1/086 ,  A61N1/3718

Abstract: In one embodiment, a pulse generator for generating electrical stimulation for delivery to a patient, comprises: a hermetically sealed housing containing pulse generating circuitry; a header coupled to the housing for receiving one or more stimulation leads, wherein feedthrough wires are provided to conduct electrical pulses from the pulse generating circuitry to the header; the header comprising a plurality of connectors for electrically connecting to each terminal of the one or more stimulation leads, wherein an inductive winding is disposed around or adjacent to each of the connector structures and is electrically connected between the respective connector structure and a corresponding feedthrough wire to limit MRI induced heating of a respective electrode of the one or more stimulation leads.

Abstract translation: 在一个实施例中，用于产生用于递送给患者的电刺激的脉冲发生器包括：包含脉冲发生电路的密封外壳; 连接到所述壳体以用于接收一个或多个刺激引线的头部，其中提供穿通线以将电脉冲从所述脉冲发生电路传导到所述头部; 所述头部包括用于电连接到所述一个或多个刺激引线的每个端子的多个连接器，其中感应绕组设置在每个所述连接器结构的周围或附近，并且电连接在相应的连接器结构和相应的馈通线 以限制一个或多个刺激引线的相应电极的MRI诱导加热。