WO2012103519A3 - Neural stimulator system - Google Patents

Neural stimulator system Download PDF

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Publication number
WO2012103519A3
WO2012103519A3 PCT/US2012/023029 US2012023029W WO2012103519A3 WO 2012103519 A3 WO2012103519 A3 WO 2012103519A3 US 2012023029 W US2012023029 W US 2012023029W WO 2012103519 A3 WO2012103519 A3 WO 2012103519A3
Authority
WO
WIPO (PCT)
Prior art keywords
antenna
electrodes
electrical
electrical pulses
feedback signal
Prior art date
Application number
PCT/US2012/023029
Other languages
French (fr)
Other versions
WO2012103519A2 (en
Inventor
Laura Tyler PERRYMAN
Patrick LARSON
Chad ANDRESEN
Original Assignee
Stimwave Technologies Incorporated
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Stimwave Technologies Incorporated filed Critical Stimwave Technologies Incorporated
Priority to EP12740011.7A priority Critical patent/EP2667942B1/en
Priority to JP2013551396A priority patent/JP6076915B2/en
Priority to BR112013018470-1A priority patent/BR112013018470B1/en
Priority to CA2831062A priority patent/CA2831062A1/en
Priority to AU2012211055A priority patent/AU2012211055B2/en
Priority to CN201611007072.4A priority patent/CN106902457B/en
Priority to EP19200181.6A priority patent/EP3685880B1/en
Priority to CN201280006578.7A priority patent/CN103796715B/en
Priority to MX2013008690A priority patent/MX340144B/en
Priority to EP20209052.8A priority patent/EP3821941A1/en
Priority to US13/551,050 priority patent/US9409030B2/en
Priority to CN201280037814.1A priority patent/CN104080509B/en
Priority to CN201710675346.5A priority patent/CN107789730B/en
Priority to EP12819482.6A priority patent/EP2736592B1/en
Priority to US13/562,221 priority patent/US9199089B2/en
Priority to PCT/US2012/048903 priority patent/WO2013019757A2/en
Priority to JP2014524017A priority patent/JP2014524279A/en
Priority to EP18150779.9A priority patent/EP3338855B1/en
Priority to EP20168726.6A priority patent/EP3747507B1/en
Publication of WO2012103519A2 publication Critical patent/WO2012103519A2/en
Priority to PCT/US2012/050633 priority patent/WO2013025632A1/en
Priority to US13/584,618 priority patent/US8849412B2/en
Priority to EP12824347.4A priority patent/EP2741810B1/en
Priority to EP21164580.9A priority patent/EP3912675A1/en
Priority to IL227210A priority patent/IL227210B/en
Priority to US14/068,750 priority patent/US9566449B2/en
Priority to US14/068,828 priority patent/US9757571B2/en
Publication of WO2012103519A3 publication Critical patent/WO2012103519A3/en
Priority to US14/445,159 priority patent/US10315039B2/en
Priority to US15/254,741 priority patent/US9925384B2/en
Priority to US15/694,330 priority patent/US10420947B2/en
Priority to US15/935,410 priority patent/US10471262B2/en
Priority to HK18111772.1A priority patent/HK1252467A1/en
Priority to US16/429,493 priority patent/US20190381327A1/en
Priority to US16/578,557 priority patent/US20200016415A1/en
Priority to US17/526,393 priority patent/US20220088398A1/en
Priority to US17/569,095 priority patent/US20220126105A1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37235—Aspects of the external programmer
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0551—Spinal or peripheral nerve electrodes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36067—Movement disorders, e.g. tremor or Parkinson disease
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36071—Pain
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36125—Details of circuitry or electric components
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128—Control systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128—Control systems
    • A61N1/36142—Control systems for improving safety
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128—Control systems
    • A61N1/36146—Control systems specified by the stimulation parameters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128—Control systems
    • A61N1/36146—Control systems specified by the stimulation parameters
    • A61N1/3615—Intensity
    • A61N1/36157—Current
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/37—Monitoring; Protecting
    • A61N1/3706—Pacemaker parameters
    • A61N1/3708—Pacemaker parameters for power depletion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37217—Means for communicating with stimulators characterised by the communication link, e.g. acoustic or tactile
    • A61N1/37223—Circuits for electromagnetic coupling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37235—Aspects of the external programmer
    • A61N1/37241—Aspects of the external programmer providing test stimulations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37235—Aspects of the external programmer
    • A61N1/37247—User interfaces, e.g. input or presentation means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37252—Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
    • A61N1/37258—Alerting the patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37252—Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
    • A61N1/3727—Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data characterised by the modulation technique
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/378—Electrical supply
    • A61N1/3787—Electrical supply from an external energy source
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/30—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation

Abstract

An implantable neural stimulator includes one or more electrodes, a first antenna, and one or more circuits. The one or more electrodes configured to apply one or more electrical pulses to neural tissue. The first antenna is a dipole antenna and is configured to receive an input signal containing electrical energy. The one or more circuits are configured to create one or more electrical pulses suitable using the electrical energy contained in the input signal; supply the one or more electrical pulses to the one or more electrodes such that the one or more electrodes apply the one or more electrical pulses to neural tissue; generate a stimulus feedback signal; and send the stimulus feedback signal to the dipole antenna such that the dipole antenna transmits the stimulus feedback signal to the second antenna through electrical radiative coupling.
PCT/US2012/023029 2011-01-28 2012-01-27 Neural stimulator system WO2012103519A2 (en)

Priority Applications (35)

Application Number Priority Date Filing Date Title
EP12740011.7A EP2667942B1 (en) 2011-01-28 2012-01-27 Neural stimulator system
JP2013551396A JP6076915B2 (en) 2011-01-28 2012-01-27 Nerve stimulator system
BR112013018470-1A BR112013018470B1 (en) 2011-01-28 2012-01-27 neural stimulator system
CA2831062A CA2831062A1 (en) 2011-01-28 2012-01-27 Neural stimulator system
AU2012211055A AU2012211055B2 (en) 2011-01-28 2012-01-27 Neural stimulator system
CN201611007072.4A CN106902457B (en) 2011-01-28 2012-01-27 Neurostimulator system
EP19200181.6A EP3685880B1 (en) 2011-01-28 2012-01-27 Neural stimulator system
CN201280006578.7A CN103796715B (en) 2011-01-28 2012-01-27 Nerve stimulator system
MX2013008690A MX340144B (en) 2011-01-28 2012-01-27 Neural stimulator system.
EP20209052.8A EP3821941A1 (en) 2011-01-28 2012-01-27 Neural stimulator system
US13/551,050 US9409030B2 (en) 2011-01-28 2012-07-17 Neural stimulator system
EP18150779.9A EP3338855B1 (en) 2011-07-29 2012-07-30 Remote control of power or polarity selection for a neural stimulator
EP20168726.6A EP3747507B1 (en) 2011-07-29 2012-07-30 Remote control of power or polarity selection for a neural stimulator
EP12819482.6A EP2736592B1 (en) 2011-07-29 2012-07-30 Remote control of power or polarity selection for a neural stimulator
US13/562,221 US9199089B2 (en) 2011-01-28 2012-07-30 Remote control of power or polarity selection for a neural stimulator
PCT/US2012/048903 WO2013019757A2 (en) 2011-07-29 2012-07-30 Remote control of power or polarity selection for a neural stimulator
JP2014524017A JP2014524279A (en) 2011-07-29 2012-07-30 Remote control of power or polarity selection for neurostimulators
CN201280037814.1A CN104080509B (en) 2011-07-29 2012-07-30 The remote control that power or polarity for nerve stimulator are selected
CN201710675346.5A CN107789730B (en) 2011-07-29 2012-07-30 Remote control of power or polarity selection for neurostimulator
PCT/US2012/050633 WO2013025632A1 (en) 2011-08-12 2012-08-13 Microwave field stimulator
US13/584,618 US8849412B2 (en) 2011-01-28 2012-08-13 Microwave field stimulator
EP12824347.4A EP2741810B1 (en) 2011-08-12 2012-08-13 Microwave field stimulator
EP21164580.9A EP3912675A1 (en) 2011-08-12 2012-08-13 Microwave field stimulator
IL227210A IL227210B (en) 2011-01-28 2013-06-27 Neural stimulator system
US14/068,750 US9566449B2 (en) 2011-01-28 2013-10-31 Neural stimulator system
US14/068,828 US9757571B2 (en) 2011-01-28 2013-10-31 Remote control of power or polarity selection for a neural stimulator
US14/445,159 US10315039B2 (en) 2011-01-28 2014-07-29 Microwave field stimulator
US15/254,741 US9925384B2 (en) 2011-01-28 2016-09-01 Neural stimulator system
US15/694,330 US10420947B2 (en) 2011-01-28 2018-03-08 Polarity reversing lead
US15/935,410 US10471262B2 (en) 2011-01-28 2018-03-26 Neural stimulator system
HK18111772.1A HK1252467A1 (en) 2011-07-29 2018-09-13 Remote control of power or polarity selection for a neural stimulator
US16/429,493 US20190381327A1 (en) 2011-01-28 2019-06-03 Microwave Field Stimulator
US16/578,557 US20200016415A1 (en) 2011-01-28 2019-09-23 Polarity Reversing Lead
US17/526,393 US20220088398A1 (en) 2011-01-28 2021-11-15 Polarity Reversing Lead
US17/569,095 US20220126105A1 (en) 2011-01-28 2022-01-05 Microwave Field Stimulator

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201161437561P 2011-01-28 2011-01-28
US61/437,561 2011-01-28

Related Child Applications (2)

Application Number Title Priority Date Filing Date
US13/551,050 Continuation US9409030B2 (en) 2011-01-28 2012-07-17 Neural stimulator system
US13/562,221 Continuation-In-Part US9199089B2 (en) 2011-01-28 2012-07-30 Remote control of power or polarity selection for a neural stimulator

Publications (2)

Publication Number Publication Date
WO2012103519A2 WO2012103519A2 (en) 2012-08-02
WO2012103519A3 true WO2012103519A3 (en) 2014-03-13

Family

ID=46581440

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2012/023029 WO2012103519A2 (en) 2011-01-28 2012-01-27 Neural stimulator system

Country Status (10)

Country Link
US (4) US9409030B2 (en)
EP (3) EP3685880B1 (en)
JP (1) JP6076915B2 (en)
CN (2) CN103796715B (en)
AU (1) AU2012211055B2 (en)
BR (1) BR112013018470B1 (en)
CA (1) CA2831062A1 (en)
IL (1) IL227210B (en)
MX (1) MX340144B (en)
WO (1) WO2012103519A2 (en)

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