公开(公告)号：US20150134041A1

公开(公告)日：2015-05-14

申请号：US14535386

申请日：2014-11-07

Applicant: Greatbatch Ltd.

Inventor： Steven Siegel ,  Michele Spinelli ,  Scott F. Drees ,  Giancarlo Barolat ,  John M. Swoyer

IPC: A61N1/05

CPC classification number: A61N1/0558 ,  A61N1/05 ,  A61N1/0512 ,  A61N1/0551 ,  A61N1/36007 ,  A61N1/3606 ,  A61N1/36132 ,  A61N1/36146 ,  A61N1/37235 ,  A61N1/37247

Abstract: In various examples, an apparatus includes a stimulation lead including an elongate body including a distal end and a proximal end. At least one first electrode is disposed proximate the distal end of the elongate body and is configured to stimulate a first target nerve. At least one second electrode is disposed between the at least one first electrode and the proximal end of the elongate body and is configured to stimulate a second target nerve. At least one first fixation structure is disposed between the at least one second electrode and the proximal end of the elongate body. The at least one first fixation structure is configured to anchor the stimulation lead proximate the sacrum, wherein the at least one first fixation structure is located on the elongate body and spaced a first distance proximally along the elongate body from the at least one first electrode.

Abstract translation: 在各种示例中，一种装置包括刺激引线，其包括包括远端和近端的细长主体。 至少一个第一电极设置在细长体的远端附近并且被配置成刺激第一目标神经。 至少一个第二电极设置在所述至少一个第一电极和所述细长主体的近端之间，并且被配置成刺激第二目标神经。 至少一个第一固定结构设置在所述至少一个第二电极和所述细长主体的近端之间。 所述至少一个第一固定结构被配置为将刺激引线靠近骶骨固定，其中所述至少一个第一固定结构位于所述细长主体上并且沿着所述细长主体从所述至少一个第一电极向近侧间隔开第一距离。

公开(公告)号：US20150134038A1

公开(公告)日：2015-05-14

申请号：US14537051

申请日：2014-11-10

Applicant: Greatbatch Ltd.

Inventor： Michele Spinelli ,  John M. Swoyer

IPC: A61N1/05

CPC classification number: A61N1/0558 ,  A61N1/05 ,  A61N1/0512 ,  A61N1/0551 ,  A61N1/36007 ,  A61N1/3606 ,  A61N1/36132 ,  A61N1/36146 ,  A61N1/37235 ,  A61N1/37247

Abstract: In various examples, a stimulation lead for at least partial implantation within a patient includes an elongate lead body and a sheath selectively attachable to the lead body. The sheath includes a fixation member. The fixation member includes a retracted configuration in which the fixation member is disposed proximate the sheath. In a deployed configuration, the fixation member extends radially outwardly from the sheath to anchor the stimulation lead within the patient. In a removal configuration, the fixation member is radially inwardly collapsible toward the longitudinal sheath axis with the lead body removed from within the sheath.

Abstract translation: 在各种示例中，用于在患者内至少部分植入的刺激引线包括细长引线体和可选择性地附接到引线体的护套。 鞘包括固定构件。 固定构件包括缩回构型，其中固定构件设置在护套附近。 在展开的构造中，固定构件从护套径向向外延伸以将刺激引线锚定在患者体内。 在去除构造中，固定构件朝着纵向护套轴线径向向内折叠，并且引线体从护套内移除。

公开(公告)号：US20150134027A1

公开(公告)日：2015-05-14

申请号：US14537235

申请日：2014-11-10

Applicant: Greatbatch Ltd.

Inventor： Norbert Kaula ,  Yohannes Iyassu ,  Steven Siegel ,  Michele Spinelli

IPC: A61N1/36 ,  A61N1/05

CPC classification number: A61N1/0558 ,  A61N1/05 ,  A61N1/0512 ,  A61N1/0551 ,  A61N1/36007 ,  A61N1/3606 ,  A61N1/36132 ,  A61N1/36146 ,  A61N1/37235 ,  A61N1/37247

Abstract: The present disclosure involves a method of measuring a physiological feedback from a patient in response to electrical stimulation. A stimulation parameter of a sacral nerve stimulation therapy is ramped up. The sacral nerve stimulation therapy includes electrical pulses generated by a pulse generator based on programming instructions received from an electronic programmer. The electrical pulses are delivered to a patient via a stimulation lead that is implanted in the patient. Via an anal electrode device that is at least partially inserted inside an anal canal of the patient, a compound motor action potential (CMAP) is measured from an anal sphincter of the patient while the stimulation parameter of the sacral nerve stimulation therapy is being ramped up. A stimulation threshold is determined based on the measured CMAP.

Abstract translation: 本公开涉及一种响应于电刺激来测量来自患者的生理反馈的方法。 骶神经刺激治疗的刺激参数升高。 骶神经刺激治疗包括基于从电子编程器接收的编程指令由脉冲发生器产生的电脉冲。 通过植入患者的刺激引线将电脉冲输送给患者。 通过至少部分插入患者肛管内的肛门电极装置，在骶神经刺激治疗的刺激参数正在上升的同时，从患者的肛门括约肌测​​量复合运动动作电位（CMAP） 。 基于测量的CMAP确定刺激阈值。