公开(公告)号：US11938316B2

公开(公告)日：2024-03-26

申请号：US18167218

申请日：2023-02-10

Applicant: Advanced Neuromodulation Systems, Inc.

Inventor： Joshua R. Feler ,  Claudio A. Feler

IPC: A61N1/05

CPC classification number: A61N1/0553

Abstract: Paddle lead including a lead body having a distal end, a proximal end, and a central axis extending therebetween. The lead body includes opposite first and second sides that extend between the distal and proximal ends. The paddle lead also includes electrodes disposed along the first side of the lead body that are configured to apply neurostimulation therapy within an epidural space of a patient. The electrodes are electrically coupled to conductive pathways that extend through the proximal end of the lead body. The lead body includes a flexible material a flexible material that is configured to flex when a fluid pressure is imposed on the lead body in the epidural space. The lead body is configured to have a non-planar contour that folds or curves about the central axis when experiencing the fluid pressure.

公开(公告)号：US20230191119A1

公开(公告)日：2023-06-22

申请号：US18167218

申请日：2023-02-10

Applicant: Advanced Neuromodulation Systems, Inc. dba St. Jude Neuromodulation Division

Inventor： Joshua R. Feler ,  Claudio A. Feler

IPC: A61N1/05

CPC classification number: A61N1/0553

Abstract: Paddle lead including a lead body having a distal end, a proximal end, and a central axis extending therebetween. The lead body includes opposite first and second sides that extend between the distal and proximal ends. The paddle lead also includes electrodes disposed along the first side of the lead body that are configured to apply neurostimulation therapy within an epidural space of a patient. The electrodes are electrically coupled to conductive pathways that extend through the proximal end of the lead body. The lead body includes a flexible material a flexible material that is configured to flex when a fluid pressure is imposed on the lead body in the epidural space. The lead body is configured to have a non-planar contour that folds or curves about the central axis when experiencing the fluid pressure.

公开(公告)号：US11607539B2

公开(公告)日：2023-03-21

申请号：US16565178

申请日：2019-09-09

Applicant: Advanced Neuromodulation Systems, Inc.

Inventor： Joshua R. Feler ,  Claudio A. Feler

IPC: A61N1/05

Abstract: Paddle lead including a lead body having a distal end, a proximal end, and a central axis extending therebetween. The lead body includes opposite first and second sides that extend between the distal and proximal ends. The paddle lead also includes electrodes disposed along the first side of the lead body that are configured to apply neurostimulation therapy within an epidural space of a patient. The electrodes are electrically coupled to conductive pathways that extend through the proximal end of the lead body. The lead body includes a flexible material a flexible material that is configured to flex when a fluid pressure is imposed on the lead body in the epidural space. The lead body is configured to have a non-planar contour that folds or curves about the central axis when experiencing the fluid pressure.

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：US20140343564A1

公开(公告)日：2014-11-20

申请号：US14198260

申请日：2014-03-05

Applicant: Advanced Neuromodulation Systems, Inc. dba St. Jude Neuromodulation Division

Inventor： Joshua R. Feler ,  Claudio A. Feler

IPC: A61N1/05

CPC classification number: A61N1/0553

Abstract: Paddle lead including a lead body having a distal end, a proximal end, and a central axis extending therebetween. The lead body includes opposite first and second sides that extend between the distal and proximal ends. The paddle lead also includes electrodes disposed along the first side of the lead body that are configured to apply neurostimulation therapy within an epidural space of a patient. The electrodes are electrically coupled to conductive pathways that extend through the proximal end of the lead body. The lead body includes a flexible material a flexible material that is configured to flex when a fluid pressure is imposed on the lead body in the epidural space. The lead body is configured to have a non-planar contour that folds or curves about the central axis when experiencing the fluid pressure.

Abstract translation: 桨导线包括具有远端的引线本体，近端和在其间延伸的中心轴线。 引线体包括在远端和近端之间延伸的相对的第一和第二侧。 桨引线还包括沿着引线主体的第一侧布置的电极，其被配置为在患者的硬膜外腔内施加神经刺激疗法。 电极电连接到延伸穿过引线主体的近端的导电路径。 引导体包括柔性材料，柔性材料被构造成当在硬膜外腔中的引线体上施加流体压力时弯曲。 引线体被构造成具有在遇到流体压力时绕中心轴线折叠或弯曲的非平面轮廓。

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：US20200016397A1

公开(公告)日：2020-01-16

申请号：US16565178

申请日：2019-09-09

Applicant: Advanced Neuromodulation Systems, Inc. dba St. Jude Neuromodulation Division

Inventor： Joshua R. Feler ,  Claudio A. Feler

IPC: A61N1/05

Abstract: Paddle lead including a lead body having a distal end, a proximal end, and a central axis extending therebetween. The lead body includes opposite first and second sides that extend between the distal and proximal ends. The paddle lead also includes electrodes disposed along the first side of the lead body that are configured to apply neurostimulation therapy within an epidural space of a patient. The electrodes are electrically coupled to conductive pathways that extend through the proximal end of the lead body. The lead body includes a flexible material a flexible material that is configured to flex when a fluid pressure is imposed on the lead body in the epidural space. The lead body is configured to have a non-planar contour that folds or curves about the central axis when experiencing the fluid pressure.

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。