[미국특허]
Electrical stimulator for treatment of back pain and methods of use
원문보기
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61B-018/14
A61N-001/05
A61N-001/06
A61N-001/372
A61B-017/00
A61B-018/00
A61B-018/12
A61N-001/36
A61B-034/20
출원번호
US-0849478
(2015-09-09)
등록번호
US-9861811
(2018-01-09)
발명자
/ 주소
Crosby, Peter Andrew
Sachs, Dan
Rawat, Prashant Brijmohansingh
Shiroff, Jason Alan
Heemels, Johannes Petrus
출원인 / 주소
Mainstay Medical Limited
대리인 / 주소
Foley & Lardner LLP
인용정보
피인용 횟수 :
1인용 특허 :
101
초록▼
Apparatus and methods for treating back pain are provided in which electrical stimulation therapy is designed to cause muscle contraction to rehabilitate the muscle, restore neural drive and restore spinal stability. In accordance with one aspect, electrical stimulation is applied through at least o
Apparatus and methods for treating back pain are provided in which electrical stimulation therapy is designed to cause muscle contraction to rehabilitate the muscle, restore neural drive and restore spinal stability. In accordance with one aspect, electrical stimulation is applied through at least one electrode to stimulate efferent motor nerve fibers to cause muscle contraction to facilitate rehabilitation without targeting stimulation of afferent nerve fibers. In accordance with another aspect, a stimulator further includes one or more of a number of additional therapeutic modalities, including a module that provides analgesic stimulation; a module that monitors muscle performance and adjusts the muscle stimulation regime; and/or a module that provides longer term pain relief by selectively and repeatedly ablating nerve fibers.
대표청구항▼
1. A method to alleviate back pain, the method comprising: placing at least one electrode within a tissue of a human such that the at least one electrode is implanted adjacent to efferent motor nerve fibers of at least one muscle supporting spinal stability of the human, andapplying electrical stimu
1. A method to alleviate back pain, the method comprising: placing at least one electrode within a tissue of a human such that the at least one electrode is implanted adjacent to efferent motor nerve fibers of at least one muscle supporting spinal stability of the human, andapplying electrical stimulation through the at least one electrode at a stimulation rate between 10-30 Hz to stimulate the efferent motor nerve fibers of the at least one muscle to cause contraction of the at least one muscle to facilitate rehabilitation without targeting stimulation of afferent nerve fibers. 2. The method of claim 1, further comprising: implanting at least one implantable pulse generator operatively coupled with the at least one electrode within the human having back pain, wherein the electrical stimulation is applied based on an electrical stimulation regime programmed in the at least one implantable pulse generator. 3. The method of claim 2, wherein the at least one implantable pulse generator further is programmed to cause direct stimulation of the at least one muscle. 4. The method of claim 2, wherein the at least one implantable pulse generator is programmed to cause direct stimulation of at least one nerve innervating the at least one muscle. 5. The method of claim 2, wherein the at least one implantable pulse generator is programmed to ramp up and ramp down a strength and duration of the electrical stimulation. 6. The method of claim 2, further comprising wirelessly communicating with the at least one implantable pulse generator. 7. The method of claim 2, wherein the at least one electrode is hardwired through at least one lead to the at least one implantable pulse generator. 8. The method of claim 1, wherein placing the at least one electrode comprises placing the at least one electrode within the at least one muscle located at a level selected from a group consisting of: sacral, lumbar, thoracic and cervical levels. 9. The method of claim 1, wherein applying the electrical stimulation causes contraction of the at least one muscle selected from a group consisting of: longissimus, iliocostalis, spinalis, and multifidus. 10. The method of claim 1, wherein applying the electrical stimulation causes contraction of the at least one muscle to enhance muscle tone. 11. The method of claim 1, wherein the electrical stimulation causes contraction by reflex activation. 12. The method of claim 1, wherein applying the electrical stimulation comprises applying the electrical stimulation to at least one nerve selected from a group consisting of: dorsal root of spinal nerve, ventral root of spinal nerve, and dorsal root ganglion. 13. The method of claim 1, wherein placing the at least one electrode further comprises placing a lead having the at least one electrode disposed thereon. 14. The method of claim 13, wherein placing the lead comprises percutaneously placing the lead. 15. The method of claim 13, wherein placing the lead comprises implanting the lead in the tissue of the human. 16. The method of claim 1, wherein the electrical stimulation stimulating the efferent motor nerve fibers of the at least one muscle is applied for a treatment period. 17. The method of claim 16, wherein the treatment period is repeated over a period of a few weeks. 18. The method of claim 16, wherein the treatment period is selected to provide extended back pain relief. 19. The method of claim 18, wherein the treatment period is selected to provide extended back pain relief for no less than a period of time approximately a same length as the treatment period. 20. The method of claim 1, wherein the electrical stimulation is applied for a prescribed period of time. 21. The method of claim 20, wherein the prescribed period of time is approximately one hour per day over a period of a few weeks. 22. The method of claim 1, further comprising evaluating the electrical stimulation by identifying a target muscle. 23. The method of claim 1, further comprising positioning the at least one electrode at a location based on a target muscle location. 24. The method of claim 23, further comprising: placing at least one other electrode at a location different from the at least one electrode,applying electrical stimulation through the at least one other electrode positioned at the different location; andmodifying the electrical stimulation based on at least one muscle characteristic resulting from the electrical stimulation through the at least one other electrode positioned at the different location. 25. The method of claim 24, wherein modifying the electrical stimulation comprises adjusting electrical stimulation parameters. 26. The method of claim 25, wherein the electrical stimulation parameters are selected from a group consisting of: frequency, pulse duration, amplitude, duty cycle, pattern of stimulus pulses, polarity, number of phases, and waveform shape.
Friedman Harry G. (Plymouth MN) Wickham ; Jr. Robert W. (Harris MN), Apparatus and method for optimum electrode placement in the treatment of disease syndromes such as spinal curvature.
Crosby, Peter Andrew; Kim, Choll; Shiroff, Jason Alan; Rawat, Prashant Brijmohansingh; Sachs, Dan, Apparatus and methods for anchoring electrode leads for use with implantable neuromuscular electrical stimulator.
Jula James L. (3880 Oak Terrace White Bear Lake MN 55110) Zeidler Dennis E. (1835 134th Lane NE. Anoka MN 55303), Auxiliary tool for removing electrode from holder.
Dufresne Joel R. (St. Paul MN) Sondermann William L. (Minneapolis MN), Biological tissue stimulator with adjustable high voltage power supply dependent upon load impedance.
Kieturakis Maciej J. (San Carlos CA) Mollenauer Kenneth H. (Santa Clara CA) Monfort Michelle Y. (Los Gatos CA), Expansible tunneling apparatus for creating an anatomic working space.
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.
Sakai, Johnathan L.; Bennett, Maria E.; Boggs, II, Joseph W.; Strother, Robert B.; Thrope, Geoffrey B.; Rundle, Kenneth P.; Rubin, Stuart F., Portable assemblies, systems, and methods for providing functional or therapeutic neurostimulation.
Barolat,Giancarlo; Cameron,Tracy L.; Chavez,Christopher G., System and method for neurological stimulation of peripheral nerves to treat low back pain.
Bennett, Maria E.; Boggs, Joseph W.; Wongsarnpigoon, Amorn; Chae, John; Grill, Warren P.; Stager, Kathryn; Zang, Rosemary, System and method for treatment of pain related to limb joint replacement surgery.
Pierre Andre Grandjean BE; David E. Francischelli ; Kendra K. Gealow ; Robert Leinders NL; Martinus A. G. M. Bakx NL; Koen J. Weijand NL, System and method of determining skeletal muscle contraction by serial lead impedance measurements.
Sachs, Dan; Rawat, Prashant Brijmohansingh; Shiroff, Jason Alan; Crosby, Peter Andrew, Systems and methods for restoring muscle function to the lumbar spine.
King Gary W. ; Gielen Frans,NLX ; Petersen Daryle ; Rise Mark T. ; Schendel Michael ; Starkebaum Warren, Techniques for positioning therapy delivery elements within a spinal cord or a brain.
Shi,Jess Weigian; He,Yuping; Doan,Que T.; Peterson,David K. L., Techniques for sensing and adjusting a compliance voltage in an implantable stimulator device.
LeVeen Eric G. (3-3 Woodlake Rd. Albany NY 12208) LeVeen Robert F. (312 Lombard St. Philadelphia PA 19147) Rubricius Jeanette L. (321 Confederate Cir. Charleston SC 29407), Vein and tubing passer surgical instrument.
Shiroff, Jason Alan; Skubitz, Jason John; Rawat, Prashant Brijmohansingh, Electrode leads for use with implantable neuromuscular electrical stimulator.
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