公开(公告)号：US20060009816A1

公开(公告)日：2006-01-12

申请号：US11228084

申请日：2005-09-16

申请人： Zi-Ping Fang ,  Soheyl Pourmehdi

发明人： Zi-Ping Fang ,  Soheyl Pourmehdi

IPC分类号： A61N1/18

CPC分类号： A61N1/36003

摘要： A percutaneous, intramuscular stimulation system for therapeutic electrical stimulation of select muscles of a patient includes a plurality of intramuscular stimulation electrodes (50) for implantation directly into select muscles of a patient and an external battery-operated, microprocessor-based stimulation pulse train generator (10) for generating select electrical stimulation pulse train signals (T). A plurality of insulated electrode leads (40) percutaneously, electrically interconnect the plurality of intramuscular stimulation electrodes (50) to the external stimulation pulse train generator (10), respectively. The external pulse train generator (10) includes a plurality of electrical stimulation pulse train output channels (E) connected respectively to the plurality of percutaneous electrode leads (40) and input means (24,26,28) for operator selection of stimulation pulse train parameters (PA,PD,PF) for each of the stimulation pulse train output channels (E) independently of the other channels. Visual output means (20) provides visual output data to an operator of the pulse train generator (10). Non-volatile memory means (66,68) stores the stimulation pulse train parameters for each of the plurality of stimulation pulse train output channels (E). The generator (10) includes means for generating stimulation pulse train signals (100,102) with the selected pulse train parameters on each of the plurality of stimulation pulse train output channels (E) so that stimulus pulses of the pulse train signals having the select stimulation pulse train parameters pass between the intramuscular electrodes (50) respectively connected to the stimulation pulse train output channels (E) and a reference electrode (52).

摘要翻译： 用于对患者的选择肌肉进行治疗性电刺激的经皮肌肉内刺激系统包括多个肌内刺激电极（50），其直接植入患者的选择肌肉和外部电池供电的基于微处理器的刺激脉冲串发生器（ 10）用于产生选择电刺激脉冲串信号（T）。 多个绝缘电极引线（40）经皮地将多个肌内刺激电极（50）电连接到外部刺激脉冲串发生器（10）。 外部脉冲串发生器（10）包括分别连接到多个经皮电极引线（40）和输入装置（24,26,28）的多个电刺激脉冲串输出通道（E），用于操作者选择刺激脉冲串 每个刺激脉冲串输出通道（E）的参数（PA，PD，PF）独立于其他通道。 视觉输出装置（20）向脉冲串发生器（10）的操作者提供视觉输出数据。 非易失性存储装置（66,68）存储多个刺激脉冲串输出通道（E）中的每一个的刺激脉冲序列参数。 发生器（10）包括用于在多个刺激脉冲串输出通道（E）中的每一个上产生具有所选脉冲序列参数的刺激脉冲序列信号（100,102）的装置，使得具有选择刺激脉冲的脉冲序列信号的激励脉冲 分别连接到刺激脉冲串输出通道（E）的肌内电极（50）和参考电极（52）之间通过列车参数。

公开(公告)号：US06845271B2

公开(公告)日：2005-01-18

申请号：US10138791

申请日：2002-05-03

申请人： Zi-Ping Fang ,  Maria Walker

发明人： Zi-Ping Fang ,  Maria Walker

IPC分类号： A61N1/36

CPC分类号： A61N1/36003 ,  A61N1/36017

摘要： A method of treating shoulder dysfunction involves the use of a percutaneous, intramuscular stimulation system. A plurality of intramuscular stimulation electrodes are implanted directly into select shoulder muscles of a patient who has suffered a disruption of the central nervous system such as a stroke, traumatic brain injury, spinal cord injury or cerebral palsy. An external microprocessor based multi-channel stimulation pulse train generator is used for generating select electrical stimulation pulse train signals. A plurality of insulated electrode leads percutaneously, electrically interconnect the plurality of intramuscular stimulation electrodes to the external stimulation pulse train generator, respectively. Stimulation pulse train parameters for each of the stimulation pulse train output channels are selected independently of the other channels. The shoulder is evaluated for subluxation in more than one dimension. More than one muscle or muscle group is simultaneously subjected to a pulse train dosage. Preferably, the at least two dosages are delivered asynchronously to two muscle groups comprising the supraspinatus in combination with the middle deltoid, and the trapezious in combination with the posterior deltoid.

摘要翻译： 治疗肩功能障碍的方法涉及使用经皮肌肉内刺激系统。 将多个肌内刺激电极直接植入患有中枢神经系统如脑卒中，创伤性脑损伤，脊髓损伤或脑瘫的中断的患者的选择的肩部肌肉。 用于产生选择电刺激脉冲串信号的外部基于微处理器的多通道刺激脉冲串发生器被使用。 多个绝缘电极引线经皮地将多个肌内刺激电极分别电连接到外部刺激脉冲串发生器。 每个刺激脉冲串输出通道的刺激脉冲序列参数独立于其它通道进行选择。 评估肩膀在多于一个维度的半脱位。 多个肌肉组或肌肉组同时进行脉搏训练。 优选地，将至少两种剂量异步地递送到包括上棘的两个肌肉组合，与中间三角肌组合，并且与后三角肌组合呈梯形。