Electrode implantation in a pelvic floor muscular structure
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61N-001/00
A61N-001/38
출원번호
US-0406434
(2009-03-18)
등록번호
US-9539433
(2017-01-10)
발명자
/ 주소
Wirbisky, Alan G.
VanDeWeghe, Andrew P.
Rehder, Peter
출원인 / 주소
Astora Women's Health, LLC
대리인 / 주소
Westman, Champlin & Koehler, P.A.
인용정보
피인용 횟수 :
0인용 특허 :
171
초록▼
In a method of implanting an electrode of an electronic stimulator device into a pelvic floor muscular structure of a patient, a stimulation lead having a proximal end and a distal end comprising an electrode is provided. The distal end of the stimulation lead is fed along a path, which is adjacent
In a method of implanting an electrode of an electronic stimulator device into a pelvic floor muscular structure of a patient, a stimulation lead having a proximal end and a distal end comprising an electrode is provided. The distal end of the stimulation lead is fed along a path, which is adjacent the pubic symphysis of a patient, toward a pelvic floor muscular structure of the patient. The distal end of the stimulation lead is then fed into the pelvic floor muscular structure of the patient. In one embodiment, the pelvic floor muscular structure comprises the external urinary sphincter of the patient. In accordance with other embodiments, the pelvic floor muscular structure comprises one of the external anal sphincter, the levator ani muscle, the puborectalis sling muscle and prostate tissue.
대표청구항▼
1. A method comprising: providing a stimulation lead having a proximal end and a distal end comprising an electrode;feeding the distal end of the stimulation lead along a path, which is adjacent the pubic symphysis of a patient, toward a pelvic floor muscular structure of the patient; andfeeding the
1. A method comprising: providing a stimulation lead having a proximal end and a distal end comprising an electrode;feeding the distal end of the stimulation lead along a path, which is adjacent the pubic symphysis of a patient, toward a pelvic floor muscular structure of the patient; andfeeding the distal end of the stimulation lead into the pelvic floor muscular structure. 2. The method of claim 1, wherein the method further comprises: making a first incision in the patient adjacent the notch in the posterior edge of the pubic symphysis; andfeeding the distal end of the stimulation lead from outside the patient's body through the first incision and toward the ventral face of the pubic symphysis. 3. The method of claim 2, wherein feeding the distal end of the stimulation lead into the pelvic floor muscular structure comprises: feeding the distal end of the stimulation lead toward the pelvic floor muscular structure;piercing the perineal membrane; andfeeding the distal end of the stimulation lead into the pelvic floor muscular structure. 4. The method of claim 3, wherein the pelvic floor muscular structure comprises at least one of the group consisting of the external urinary sphincter muscle, the external anal sphincter muscle, the levator ani muscle, the puborectalis sling muscle and prostate tissue of the patient. 5. The method of claim 4, wherein feeding the distal end of the stimulation lead into the pelvic floor muscular structure comprises feeding the distal end into an insertion point of the external urinary sphincter at an angle that is approximately 0-45 degrees to a plane extending perpendicular to a central axis of the urethra and through the insertion point. 6. The method of claim 4, wherein feeding the distal end of the stimulation lead into the pelvic floor muscular structure comprises feeding the distal end into the external urinary sphincter along a line that does not intersect the urethra. 7. The method of claim 4, wherein feeding the distal end of the stimulation lead into the pelvic floor muscular structure comprises: feeding a probe into the urethra of the patient and positioning the probe proximate a desired insertion point of the external urinary sphincter; andfeeding the distal end of the stimulation lead into the external urinary sphincter proximate the desired insertion point and the probe. 8. The method of claim 1, further comprising: connecting the proximal end of the stimulation lead to a control unit;generating electrical signals using the control unit; andapplying the electrical signals to the pelvic floor muscular structure through the electrode. 9. The method of claim 4, further comprising: making a second incision in the abdomen of the patient, wherein the second incision is displaced from the first incision; andfeeding the proximal end of the lead through a subcutaneous tunnel between the first incision and second incisions, and out the second incision. 10. The method of claim 9, further comprising: forming a subcutaneous pocket at the second incision;connecting the proximal end of the stimulation lead to a control unit; andimplanting the control unit in the subcutaneous pocket. 11. The method of claim 9, further comprising: making a third incision in the abdomen of the patient, wherein the third incision is displaced from the first and second incisions; andcoupling a first end of an extension lead to the proximal end of the stimulation lead; andfeeding a second end of the extension lead through a subcutaneous tunnel between the second incision and the third incision, and out the third incision. 12. The method of claim 11, further comprising: connecting the second end of the stimulation lead to a control unit;generating electrical signals using the control unit; andapplying the electrical signals to the external urinary sphincter through the electrode. 13. The method of claim 12, further comprising: disconnecting the second end of the extension lead from the control unit;disconnecting the first end of the extension lead from the proximal end of the stimulation lead;removing the extension lead from the subcutaneous tunnel;coupling the proximal end of the stimulation lead to the control unit;generating electrical signals using the control unit; anddelivering the electrical signals to the external urinary sphincter through the stimulation lead and the electrode. 14. The method of claim 1, wherein: the patient is a male patient; andfeeding the distal end of the stimulation lead along a path comprises feeding the distal end of the stimulation lead between the ventral face of the pubic symphysis and the penis of the patient. 15. A method comprising: providing a stimulation lead having a proximal end and a distal end comprising an electrode;making a first incision in the patient;feeding the distal end of the stimulation lead from outside the patient's body through the first incision and alongside the ventral face of the pubic symphysis and toward the external urinary sphincter of the patient; andfeeding the distal end of the stimulation lead into an insertion point of the external urinary sphincter at an angle that is approximately 0-45 degrees to a plane extending perpendicular to a central axis of the urethra and through the insertion point. 16. The method of claim 15, wherein feeding the distal end of the stimulation lead into the external urinary sphincter comprises: feeding the distal end of the stimulation lead toward the urinary sphincter;piercing the perineal membrane; andfeeding the distal end of the stimulation lead into the external urinary sphincter. 17. The method of claim 15, wherein feeding the distal end of the stimulation lead into an insertion point of the external urinary sphincter comprises: feeding a probe into the urethra of the patient and positioning the probe proximate the insertion point of the external urinary sphincter; andfeeding the distal end of the stimulation lead into the external urinary sphincter into the insertion point proximate the probe. 18. The method of claim 15, further comprising: connecting the proximal end of the stimulation lead to a control unit;generating electrical signals using the control unit; andapplying the electrical signals to the external urinary sphincter through the electrode. 19. The method of claim 18, further comprising: making a second incision in the abdomen of the patient, wherein the second incision is displaced from the first incision; andfeeding the proximal end of the lead through a subcutaneous tunnel between the first incision and second incisions, and out the second incision. 20. The method of claim 19, further comprising: forming a subcutaneous pocket at the second incision;connecting the proximal end of the stimulation lead to a control unit; andimplanting the control unit in the subcutaneous pocket.
Spreigl William T. ; Hess Douglas N ; Heynen Henri G.,NLX ; Struble Chester I.,NLX ; von Venrooij Paulus C.,NLX, Apparatus and method for fixing electrodes in a blood vessel.
Plevnik Stanislav (Brezovica pri Ljubljani YUX) Vrtacnik Peter (Kamnik YUX) Malezic Matija (Ljubljana YUX) Lukezic Marino (Portoroz YUX) Stanic Uros (Ljubljana YUX) Oblak Pavel (Ljubljana YUX), Control circuit of a therapeutic stimulator for the urinary incontinence.
Tanagho Emil A. (San Rafael CA) Schmidt Richard A. (San Francisco CA) Gleason Curtis A. (Palo Alto CA) Lue Tom F. (Millbrae CA), Control system for the stimulation of two bodily functions.
Sandow Jrgen K. (Knigstein/Taunus DEX) De Felice Wilfried (Kelkheim DEX) Pajunk Horst (Geisingen DEX) Pajunk Heinrich (Geisingen DEX), Device for the administration of implants.
Hochman Joel S. (121 Sandoval St. Santa Fe NM 87501), Device for the development, training and rehabilitation of the pubococcygeal and related perineal musculature of the fem.
Scheiner Avram (University Heights OH) Marsolais E. Byron (Shaker Heights OH) Mortimer J. Thomas (Cleveland Heights OH) Kicher Thomas P. (South Euclid OH), Double helix functional stimulation electrode.
Tippey Keith Edward (Knaresborough GBX) Axelgaard Jens (Fallbrook CA), Electrical stimulation for treatment of incontinence and other neuro-muscular disorders.
Tippey Keith E. (Knaresborough GB3) Axelgaard Jens (Fallbrook CA), Electrical stimulation for treatment of incontinence and other neuromuscular disorders.
Greene Donald R. (Phoenix AZ) Bradshaw James I. (Surfside TX), Extensible passive fixation mechanism for lead assembly of an implantable cardiac stimulator.
Whitehurst,Todd K; McGivern,James P; Mann,Carla M, Fully implantable neurostimulator for autonomic nerve fiber stimulation as a therapy for urinary and bowel dysfunction.
Whitehurst, Todd K.; McGivern, James P., Fully implantable neurostimulator for cavernous nerve stimulation as a therapy for erectile dysfunction and other sexual dysfunction.
Neisz, Johann J.; Westrum, Jr., John W.; Porter, Christopher H., Implantable article and method for treating urinary incontinence using means for repositioning the implantable article.
Naples Gregory G. (Brecksville OH) Sweeney James D. (Cleveland Heights OH) Mortimer J. Thomas (Cleveland Heights OH), Implantable cuff, method of manufacture, and method of installation.
Heilman Marlin S. (Gibsonia PA) Langer Alois A. (Pittsburgh PA) Mirowski Mieczyslaw (Owings Mills MD) Mower Morton M. (Baltimore MD) Reilly David M. (Pittsburgh PA), Implantable electrodes for accomplishing ventricular defibrillation and pacing and method of electrode implantation and.
Swoyer,John M.; Carlton,Keith; Gerber,Martin T.; Mamo,George J.; Spinelli,Michele; Hartle,Steven David, Implantable medical electrical stimulation lead fixation method and apparatus.
Schulman Joseph H. (Santa Clarita CA) Strojnik Primoz (Granada Hills CA) Meadows Paul (Altadena CA), Implantable microdevice with self-attaching electrodes.
Schulman Joseph H. (Santa Clarita CA) Loeb Gerald E. (Kingston CA CAX) Gord John C. (Venice CA) Strojnik Primoz (Granada Hills CA), Implantable microstimulator.
Schulman Joseph H. (Santa Clarita CA) Loeb Gerald E. (Kingston CAX) Gord John C. (Venice CA) Strojnik Primoz (Granada Hills CA), Implantable microstimulator.
Loeb Gerald E. (90 Bagot Street Kingston ; Ontario CAX K7L 3E5 ) Schulman Joseph H. (10650 Comet Way Santa Clarita CA 91351), Implantable multichannel stimulator.
Gleason Curtis A. (Palo Alto CA) Stoller Marshall L. (San Francisco CA) Lue Tom F. (Millbrae CA) Schmidt Richard A. (San Rafael CA) Tanagho Emil A. (San Rafael CA), Implantable nerve stimulation device.
Mann, Carla M.; Whitehurst, Todd K.; McGivern, James P.; Loeb, Gerald E.; Richmond, Frances J. R., Implantable stimulator methods for treatment of incontinence and pain.
Loeb, Gerald E.; Richmond, Francis J. R.; Mann, Carla M.; Faltys, Michael A.; Whitehurst, Todd K.; McGivern, James P., Implantable stimulator system and method for treatment of incontinence and pain.
Johnson Michael T. V. (Minneapolis MN) Maurer Donald D. (Anoka MN), Intravaginal electrode and stimulation system for controlling female urinary incontinence.
Schoolman Arnold (1000 E. 50th ; Suite 310 Kansas City MO 64110) Habib Henry N. (P.O. Box 1297 Osage Beach MO 65066-2197), Mechanical urinary sphincter device.
Petrofsky Jerrold S. (Beavercreek OH) Glaser Roger M. (Dayton OH) Phillips Chandler A. (Tipp City OH) Petrofsky Steven H. (Florissant MO), Method and apparatus for providing feedback-controlled muscle stimulation.
Chachques Juan C. (Savigny Sur Orge FRX) Grandjean Pierre A. (Heerlen NLX) Smits Karel (Oirsbeek NLX), Method and apparatus including a sliding insulation lead for cardiac assistance.
Tanagho Emil A. (San Rafael CA) Schmidt Richard A. (San Francisco CA) Gleason Curtis A. (Palo Alto CA) Lue Tom F. (Millbrae CA), Method and system for controlling bladder evacuation.
Mrva,Joseph J.; Strother,Robert B.; Thrope,Geoffrey B.; Grill,Julie; Bennett,Maria, Method for affecting urinary function with electrode implantation in adipose tissue.
Lue Tom (Millbrae CA) Tanagho Emil A. (San Rafael CA) Schmidt Richard (San Francisco CA) Gleason Curtis A. (Palo Alto CA), Method for stimulating pelvic floor muscles for regulating pelvic viscera.
Carman Brent (R.R. #1 Millarville ; Alberta CAX), Method of varying appropriate muscle strength of a person to alleviate urinary or fecal urgency or incontinence or vagin.
Spinelli; Michele, Malaguti; Sylvia, Gerber; Martin T., Giardiello; Gianluca, Method, system and device for treating disorders of the pelvic floor by means of electrical stimulation of the pudendal and associated nerves, and the optional delivery of drugs in association therewith.
Shlomo Raz ; Mordechay Beyar IL; Oren Globerman IL, Methods and apparatus for correction of urinary and gynecological pathologies including treatment of male incontinence and female cystocele.
Martin Theodore Gerber ; Michael C. Sherman, Minimally invasive surgical techniques for implanting devices that deliver stimulant to the nervous system.
Eisman Eugene (3209 N. Summit Ave. Milwaukee WI 53211) Tries Jeannette (3125 S. 57 St. Milwaukee WI 53219), Multiple electrode myographic probe and method.
Morgan,Kevin L.; Yang,Michael; Williams,Sheldon; McGarvey,Andrew W., Passive fixation mechanism for epicardial sensing and stimulation lead placed through pericardial access.
Thrope,Geoffrey B.; Strother,Robert B.; Mrva,Joseph J., Portable assemblies, systems and methods for providing functional or therapeutic neuromuscular stimulation.
Costello Kevin J. ; Nair Chandra ; Roth Cynthia ; Mitchell Dennis A., Portable electronic data collection apparatus for monitoring musculoskeletal stresses.
Robertson Jack R. (1430 E. Main St. ; Suite 202 Santa Maria CA 93454), Refined suspension procedure with implement for treating female stress incontinence.
Leonardo Cammilli IT; Gino Grassi IT, SINGLE PASS MULTIPLE CHAMBER IMPLANTABLE ELECTRO-CATHETER FOR MULTI-SITE ELECTRICAL THERAPY OF UP TO FOUR CARDIAC CHAMBERS, INDICATED IN THE TREATMENT OF SUCH PATHOLOGIES AS ATRIAL FIBRILLATION AND C.
Moumane Farid,FRX ; Robinet Jean,FRX ; Deruyver Benoit,FRX ; Mezera Ronald Lee ; Pearson Robert Mark ; Fontecchio John Anthony, Sacral medical electrical lead.
Schulman Joseph H. (Santa Clarita CA) Loeb Gerald E. (Kingston CA CAX) Gord John C. (Venice CA) Strojnik Primoz (Granada Hills CA), Structure and method of manufacture of an implantable microstimulator.
Schulman Joseph H. (Santa Clarita CA) Loeb Gerald E. (Kingston CAX) Gord John C. (Venice) Strojnik Primoz (Sylmar CA), Structure and method of manufacture of an implantable microstimulator.
Duysens Victor P. J.,NLX ; Pearson Robert M. ; Bonde Eric H., System and method for providing medical electrical stimulation to a portion of the nervous system.
Tanagho Emil A. (San Rafael CA) Schmidt Richard A. (San Francisco CA) Gleason Curtis A. (Palo Alto CA) Lue Tom F. (Millbrae CA), System for controlling bladder evacuation.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.