BOSTON SCIENTIFIC NEUROMODULATION CORPORATION Patent applications |
Patent application number | Title | Published |
20160001080 | SYSTEM AND METHOD FOR DETERMINING TARGET STIMULATION VOLUMES - A system and method may include determining a target stimulation volume based on modifying a patient population image for which an efficacious volume had been determined. A system and method for suggesting stimulation devices may include determining which stimulation device is capable of producing an output volume of activation that most closely matches the target volume. A system and method for facilitating selection of stimulation parameters may include graphically identifying a maximum volume in which tissue is stimulatable by an implanted stimulation device. A system and method may pre-compute volumes of activation that result from a predetermined modification of programming settings. A system and method may transmit stimulation programming settings from a stimulation programming module to a stimulation generating device. | 01-07-2016 |
20140364919 | SYSTEM AND METHOD FOR DELIVERING SUB-THRESHOLD AND SUPER-THRESHOLD THERAPY TO A PATIENT - A neuromodulation system includes modulation output circuitry and control circuitry. The modulation output circuitry may be configured to deliver therapeutic electrical energy including therapeutic sub-threshold electrical energy and therapeutic a super-threshold electrical energy. The sub-threshold electrical energy is below a patient-perception threshold and the super-threshold electrical energy is above the patient-perception threshold. The patient-perception threshold is a boundary below which a patient does not sense delivery of the electrical energy and above which the patient does sense delivery of the electrical energy. The control circuitry is configured to control the modulation output circuitry to deliver the therapeutic electrical energy using alternating cycles of the sub-threshold electrical energy below the patient-perception threshold and the super-threshold electrical energy above the patient-perception-threshold. | 12-11-2014 |
20140358210 | METHODS FOR MANUFACTURING SEGMENTED ELECTRODE LEADS USING A REMOVABLE RING AND THE LEADS FORMED THEREBY - A method of making an electrical stimulation lead includes attaching segmented electrodes to an interior of a ring in a circumferentially spaced-apart arrangement; attaching a conductor wire to each of the segmented electrodes; coupling the ring with the segmented electrodes to a lead body; and, after coupling to the lead body, removing at least those portions of the ring between the segmented electrodes to separate the plurality of segmented electrodes from each other. | 12-04-2014 |
20140358209 | LEADS WITH SEGMENTED ELECTRODES AND METHODS OF MAKING AND USING THE LEADS - A stimulation lead includes a lead body. Terminals and electrodes are disposed along opposing end portions of the lead body and are electrically-coupled to one another via conductors. The electrodes include segmented electrodes. Each of the segmented electrodes includes a proximal end, a distal end, an exterior surface, an interior surface opposite the exterior surface, a first side-wall extending radially between the interior surface and the exterior surface from the distal end to the proximal end, and a second side-wall opposite to the first side-wall and extending radially between the interior surface and the exterior surface from the distal end to the proximal end. At least one of the segmented electrodes defines an open cavity that is formed along the first side-wall of the segmented electrode and that facilitates adhesion of the segmented electrode to the lead body. | 12-04-2014 |
20140358208 | SEGMENTED ELECTRODE LEADS FORMED FROM PRE-ELECTRODES WITH ALIGNMENT FEATURES AND METHODS OF MAKING AND USING THE LEADS - A pre-electrode for a stimulation lead includes a generally cylindrical body having an exterior surface, an interior surface, a proximal end, and a distal end. The body includes multiple segmented electrodes disposed along the body; connecting material disposed along the outer surface of the body and coupling each of the segmented electrodes to one another; and multiple cutouts defined between adjacent segmented electrodes. The body also includes one or more of the following 1) a end wall step section formed in the exterior surface of the body on either the distal end or the proximal end of the body; 2) an alignment feature selected from a slot or a notch extending inwardly from the exterior surface of the body, or 3) a longitudinal step section formed in the exterior surface of the body. | 12-04-2014 |
20140358207 | SEGMENTED ELECTRODE LEADS FORMED FROM PRE-ELECTRODES WITH DEPRESSIONS OR APERTURES AND METHODS OF MAKING AND USING - A pre-electrode for a stimulation lead includes a generally cylindrical body having an exterior surface, an interior surface, a proximal end, and a distal end. The body includes segmented electrodes disposed along the body in a spaced-apart configuration, connecting material coupling each of the segmented electrodes to one another and forming the exterior surface of the body, and cutouts defined between adjacent segmented electrodes. In some instances, the pre-electrode includes at least one depression in the exterior surface of the pre-electrode over one of the segmented electrode so that the pre-electrode is thinner at the depression than at immediately adjacent portions of the pre-electrode. In some instances, the pre-electrode includes at least one aperture extending into the body from the exterior surface and between two of the segmented electrodes with portions of the connecting material forming borders between the aperture and the proximal and distal ends of the pre-electrode. | 12-04-2014 |
20140358194 | External Device for Determining an Optimal Implantable Medical Device for a Patient Using Information Determined During an External Trial Stimulation Phase - An external controller is disclosed for communicating with an external trial stimulator (ETS) for an implantable medical device. The external controller is programmed with a battery algorithm able to assist a clinician in choosing a suitable implant for the patient based on battery performance parameters estimated for a number of implants during an external trial stimulation phase that precedes implantation of the implant. The algorithm is particularly useful in assisting the clinician in choosing between a rechargeable-battery implant or a primary-battery implant for the patient. | 12-04-2014 |
20140354211 | Solar-Powered External Charger and Solar-Powered External Charger Cradle for Medical Implantable Device Systems - Disclosed are an external charger including a solar cell array for charging or powering an implantable medical device (IMD), and a cradle including a solar cell array for charging or powering an external charger for charging or powering an implantable medical device. The disclosed improved external charger or improved cradle are particularly beneficial for charging a battery in an external charger used to charge or power an IMD when a power source is otherwise unavailable, such as a wall socket. | 12-04-2014 |
20140353001 | LEADS CONTAINING SEGMENTED ELECTRODES WITH NON-PERPENDICULAR LEGS AND METHODS OF MAKING AND USING - A method of making an electrical stimulation lead method includes attaching a pre-electrode to a lead body. The pre-electrode is a single, unitary, undifferentiated construct with a ring-shaped exterior. The method further includes attaching a plurality of conductor wires to the pre-electrode; and, after coupling to the lead body, removing an outer portion of the pre-electrode to separate remaining portions of the pre-electrode into a plurality of segmented electrodes spaced around the circumference of the lead body. When separated, each of the segmented electrodes includes a body and at least one leg extending inwardly from the body. The body defines an external stimulating surface and each of the at least one leg has an outer surface. For at least one of the at least one leg, the outer surface of the leg forms a non-perpendicular angle with the external stimulating surface of the body. | 12-04-2014 |
20140350966 | SYSTEMS AND METHODS FOR MANAGING MEDICAL SERVICES - Systems and methods are provided for managing patients during pain management treatment that includes a server and a medical database including patient information associated with patients within a territory, the medical information including a status of each patient indicating a stage of treatment between a candidate for treatment stage, one or more pre-treatment stages, and one or more treatment stages. The system also includes team electronic devices communicating with the server to add and/or update information regarding patients in the medical database and/or synchronize local databases of the team electronic devices with the medical database. | 11-27-2014 |
20140343656 | ELECTRICAL STIMULATION LEADS WITH ANCHORING UNIT AND ELECTRODE ARRANGEMENT AND METHODS OF MAKING AND USING - An electrical stimulation lead includes a lead body having a distal end portion, a proximal end portion, and a longitudinal length; and electrodes disposed along the distal end portion of the lead body. The electrodes include a first set of electrodes and a second set of electrodes. The electrodes of the first set are spaced apart by a first distance and the electrodes of the second set are spaced apart by a second distance that is greater than the first distance and the first set is spaced apart from the second set by a third distance that is greater than or equal to the second distance. The lead also includes terminals disposed along the proximal end portion of the lead body; conductors electrically coupling the terminals to the electrodes; and anchoring units disposed along the distal end portion of the lead body and proximal to the first set of electrodes. | 11-20-2014 |
20140343655 | SYSTEM AND METHOD FOR SPINAL CORD MODULATION TO TREAT MOTOT DISORDER WITHOUT PARESTHESIA - A method for of performing a medical procedure on a patient suffering from a movement disorder. The method comprises delivering electrical current having a defined pulse rate equal to or greater than 1500 Hz and/or a defined pulse duration equal to or less than 200 Hz to spinal cord tissue of the patient in a manner that modulates neuronal traffic in at least one dorsal column (DC) nerve fiber of the patient, thereby treating symptoms of the movement disorder without causing the patient to perceive paresthesia from the delivered electrical current. | 11-20-2014 |
20140343647 | SYSTEMS AND METHODS FOR MAKING AND USING TIP ELECTRODES FOR LEADS OF ELECTRICAL STIMULATION SYSTEMS - An implantable electrical stimulation lead includes a lead body, electrodes disposed along a distal end of the lead body, terminals disposed along the proximal end of the lead body, and conductors coupling the terminals to the electrodes. The electrodes include a tip electrode having an electrode body with an outer stimulating surface. An internal lumen is defined in the electrode body and extends inwardly from an opening in a proximal end of the electrode body. Side apertures are formed between the outer stimulating surface and the internal lumen. A portion of the lead body is disposed within the internal lumen and side apertures through the opening in the proximal end of the electrode body. That portion of the lead body facilitates retention of the tip electrode on a distal tip of the lead body. | 11-20-2014 |
20140343646 | DUAL SIDE LOAD ANCHOR FOR ELECTRODE LEAD, SYSTEMS CONTAINING THE ANCHOR, AND METHODS OF MAKING AND USING - An implantable lead anchor includes a first anchor shell and a second anchor shell. The first and second anchor shells define two parallel lead channels. The lead anchor also includes an actuating mechanism to operably adjust the first and second anchor shells between a load position and a lock position. In the lock position, the first and second anchor shells are closer together than in the load position and any lead disposed within one of She two parallel lead channels is locked in place. In the load position, the first and second anchor shells are sufficiently spaced apart so that a portion of a lead can be side-loaded between the first and second anchor shells. The lead anchor also includes at least one guide element that extends between the first and second anchor shells to maintain an orientation of the first and second anchor shells relative to each other. | 11-20-2014 |
20140343645 | ELECTRICAL STIMULATION LEADS AND SYSTEMS WITH ANCHORING UNITS AND METHODS OF MAKING AND USING - An electrical stimulation lead includes a lead body having a distal end portion, a proximal end portion, and a longitudinal length; electrodes disposed along the distal end portion of the lead body; terminals disposed along the proximal end portion of the lead body; conductors electrically coupling the terminals to the electrodes; and at least one anchoring unit disposed along the distal end portion of the lead body. Each anchoring unit includes a cylindrical lead attachment element defining a central lumen within which a portion of the lead is received, and at least one anchoring element this is disposed over the lead attachment element and extends away from the lead attachment element and is configured and arranged for contact with patient tissue to anchor the lead within the patient tissue. | 11-20-2014 |
20140324126 | Heating Control for an Inductive External Charger for an Implantable Medical Device - The disclosed technique for charging a battery in an implantable medical device using an external charger indirectly determines the total power dissipated as heat in the IPG (P_IPG) by accounting for the various powers in the external charger/IPG system which are either known or can be measured, such as the input power provided to the amplifier that drives the coil in the external charger (Psys), the power stored in the IPG's battery (Pstored), and the power dissipated in the external charger's charging coil as heat (P_EC) (which is measured). Determining P_IPG at the external charger in this manner allows the heat flux from the IPG to be calculated (F_IPG), and compared to a safe heat flux limit (F_IPG′) to allow for adjustment to the power of the magnetic charging field in a closed loop fashion. | 10-30-2014 |
20140324117 | LEAD AND METHODS FOR BRAIN MONITORING AND MODULATION - An apparatus, a system and methods for modulating and monitoring tissue have an elongate member with proximal and distal ends and a plurality of annular stimulating electrodes axially arranged along the elongate member. The stimulating electrodes are disposed near the distal end and are adapted to pass current into tissue. At least one of the annular stimulating electrodes has at least three independent stimulation points on the electrode. The apparatus also includes a plurality of recording electrodes that are adapted to measure local tissue potentials and a plurality of conductors are coupled with the recording and stimulating electrodes. An optional multiple contact connecting terminal may be coupled with the conductors and is disposed near the proximal end of the elongate member. | 10-30-2014 |
20140303689 | MANAGEMENT OF STIMULATION SAFETY LIMITS IN A NEUROSTIMULATION SYSTEM - An electrical stimulation system for use with a plurality of electrodes implanted within a tissue region comprises a neurostimulator configured for delivering electrical stimulation energy to the plurality of electrodes in accordance with a set of stimulation parameters, thereby injecting a charge into the tissue region, a control device configured for receiving user input to modify the set of stimulation parameters, and controller/processor circuitry configured for, in response to the user input computing a charge injection metric value as a function of a physical electrode parameter and an electrical source parameter for a first set of the electrodes, wherein the electrode set comprises at least two electrodes, comparing the computed charge injection metric value to a safety threshold value, and performing a corrective action based on the comparison. | 10-09-2014 |
20140277320 | SYSTEMS AND METHODS FOR MAKING AND USING PADDLE LEAD ASSEMBLIES FOR ELECTRICAL STIMULATION SYSTEMS - A paddle lead assembly for providing electrical stimulation of patient tissue includes a paddle body. The paddle body includes tour columns of electrodes, each column including at least one electrode. The columns include two outer columns flanking two inner columns. The paddle lead assembly further includes a plurality of lead bodies coupled to the paddle body. At least one terminal is disposed on each of the plurality of lead bodies. A plurality of conductive wires couple each of the electrodes to at least one of the plurality of terminals. | 09-18-2014 |
20140277314 | SYSTEMS AND METHODS FOR INPUTTING FLUID INTO A LEAD OF AN ELECTRICAL STIMULATION SYSTEM - An insertion kit for an electrical stimulation system includes a lead with a lead body and a jacket disposed over at least a portion of the lead body. Apertures are defined along an outer surface of the lead body with each of the apertures extending completely through the jacket to an inner surface. The apertures include at least one first aperture. Conductors electrically couple electrodes and terminals disposed along the lead. Conductor insulation is disposed over each of the conductors. At least a portion of the conductor insulation is in fluid communication with the local environment external to the lead via the apertures. A fluid-insertion assembly is configured and arranged for inputting fluid into the lead, via the at least one first aperture, prior to implantation of the lead into the patient. | 09-18-2014 |
20140277290 | Monitoring Electrode Voltages In An Implantable Medical Device System Having Daisy-Chained Electrode-Driver Integrated Circuits - Electrode voltage monitoring circuitry for an implantable neurostimulator system having a plurality of electrode-driver integrated circuits (ICs) in provided. Electrodes from either or both ICs can be chosen to provide stimulation, and one of the IC acts as the master while the other acts as the slave. Electrodes voltages on the slave IC are routed to the master IC, and thus the master IC can monitor both electrode voltages on the slave as well as electrode voltages on the master. Such voltages can be monitored for a variety of purposes, and in particular use of such voltage is disclosed for determining the resistance between electrodes and to set a compliance voltage for stimulation. | 09-18-2014 |
20140277287 | Efficient External Charger for an Implantable Medical Device Optimized for Fast Charging and Constrained by an Implant Power Dissipation Limit - An external charger for a battery in an implantable medical device and charging techniques are disclosed. Simulation data is used to model the power dissipation of the charging circuitry in the implant at varying levels of implant power. A power dissipation limit constrains the charging circuitry from producing an inordinate amount of heat to the tissue surrounding the implant, and duty cycles of a charging field are determined so as not to exceed that limit. A maximum simulated average battery current determines the optimal (i.e., quickest) battery charging current, and at least an optimal value for a parameter indicative of that current is determined and stored in the external charger. During charging, the actual value for that parameter is determined, and the intensity and/or duty cycle of the charging field are adjusted to ensure that charging is as fast as possible, while still not exceeding the power dissipation limit. | 09-18-2014 |
20140277284 | CLINICAL RESPONSE DATA MAPPING - A system and method include a processor that, based on at least a subset of stored data of clinical effects of one or more stimulations of anatomical tissue performed using electrodes of an implanted leadwire, generates and outputs at least one graphical marking representing the at least the subset of the stored data. Each of the at least one graphical marking represents a respective portion of the at least the subset of the stored data and is output in association with a respective set of values for each of at least two parameters by which one or more the stimulations were performed. The markings are plotted in a graph defined by axes corresponding to values of respective stimulation parameters. Alternative, the markings are arranged in a column of a tabular report. The markings are two-toned to provide respective information for both therapeutic and adverse side effects. | 09-18-2014 |
20140277282 | USE OF COMPOUND ACTION POTENTIALS TO AUTOMATICALLY ADJUST NEUROSTIMULATION THERAPY IN RESPONSE TO POSTURAL CHANGES OF PATIENT - A neurostimulation system and method of treating a patient. Electrical stimulation energy is delivered to a target tissue site in accordance with a stimulation parameter to treat the patient and evoke at least one compound action potential (CAP) in a population of neurons. A magnitude of the evoked CAP is measured. A function of the measured evoked CAP magnitude(s) is compared to a threshold value. The stimulation parameter is adjusted based on the comparison. | 09-18-2014 |
20140277281 | NEUROMODULATION SYSTEM AND METHOD FOR PROVIDING MULTIPLE MODULATION PATTERNS IN A SINGLE CHANNEL - A neuromodulation system and method includes delivering first electrical modulation energy to a patient through a timing channel at a relatively high energy level (e.g., at a frequency in the range of 2 KHz-50 KHz) during a first time period in accordance with a stored modulation energy delivery schedule, delivering second electrical modulation energy to the patient through the same timing channel at a relatively low energy level (e.g., at a frequency in the range of 2 Hz to 1500 Hz) during a second time period in accordance with the stored modulation energy delivery schedule. | 09-18-2014 |
20140277270 | Low Power Loss Current Digital-to-Analog Converter Used in an Implantable Pulse Generator - An implantable stimulation device that includes output current sources and/or sinks configured to provide an output current for a load (i.e., tissue). The output path of the output current source or sink comprises a transistor which operates in a linear mode instead of a saturation mode. Because operation in a linear mode results in smaller drain-to-source voltage drops, power consumption in the output current source or sink (and hence in the implantable stimulator) is reduced, reducing battery or other power source requirements. Operation in the linear mode is facilitated by a load in an input path and a load in the output path (which bears the output current). The loads can be active transistors or passive resistors. A feedback circuit (e.g., an operational amplifier) receives voltages that build up across these loads, and sends a control signal to the gate of the transistor to ensure its linear operation. | 09-18-2014 |
20140277262 | TECHNIQUES FOR CURRENT STEERING DIRECTIONAL PROGRAMMING IN A NEUROSTIMULATION SYSTEM - A neurostimulation system comprises at least one neurostimulation lead configured for being implanted within tissue. The neurostimulation lead(s) carries a plurality of electrodes capable of being arranged in a two-dimensional pattern. The neurostimulation system further comprises a neurostimulator configured for delivering electrical stimulation energy to the electrodes to create a volume of activation, and an external control device including a current steering direction control element capable of being rotated about an axis. The external control device is configured for prompting the neurostimulator to deliver the electrical stimulation energy to the electrodes in a manner that gradually translates the volume of activation in a specific direction, and for defining the specific direction in which the volume of activation is translated in response to rotation of the direction control element about the axis. | 09-18-2014 |
20140277261 | TECHNIQUES FOR LOGGING AND USING PROGRAMMING HISTORY IN A NEUROSTIMULATION SYSTEM - An external control device, a neurostimulation system, and a method for providing therapy to a patient are provided. A plurality of stimulation parameter sets are defined, electrical stimulation energy is serially conveyed to tissue of the patient in accordance with the plurality of stimulation parameter sets, a historical log file is stored, and the plurality of stimulation parameter sets are logged in the historical log file. | 09-18-2014 |
20140277253 | NEUROMODULATION OF RENAL NERVE FOR TREATMENT OF HYPERTENSION - A system and method for treating a patient suffering from chronic hypertension. Electrical therapeutic energy is delivered to a nerve branch of a renal artery of the patient, thereby treating the chronic hypertension. Another system and method for treating a medical condition of a patient. Electrical stimulation energy is delivered to a stimulation site on the wall of a blood vessel, thereby evoking a compound action potential in a nerve branch associated with the blood vessel, sensing the evoked compound action potential at a sensing site on the wall of the blood vessel, identifying a circumferential location of the nerve branch as being adjacent the stimulation site or sensing site based on the sensed compound action potential(s), and delivering therapeutic energy to a therapeutic site on the wall of the blood vessel adjacent the circumferential location of the nerve branch, thereby modulating the nerve branch and treating the medical condition. | 09-18-2014 |
20140276927 | SYSTEM AND METHOD FOR MAKING AND USING A LEAD INTRODUCER FOR AN IMPLANTABLE ELECTRICAL STIMULATION SYSTEM - A lead introducer includes an insertion-needle assembly configured for receiving an electrical stimulation lead, and a splitable member that defines a lumen configured for receiving a portion of the insertion-needle assembly. The splitable member includes at least two pull-apart tabs disposed on a proximal hub of the splitable member and at least one splitable region extending along at least a portion of a longitudinal length of the splitable member from between the pull-apart tabs. The at least one splitable region is configured for separating when the pull-apart tabs are pulled apart from one another in directions approximately orthogonal to the splitable member. A lead-stabilization feature is configured for receiving, and temporarily retaining, a portion of an electrical stimulation lead extending outward from the splitable member such that the electrical stimulation lead does not move relative to the splitable member when the electrical stimulation lead is received by the lead-stabilization feature. | 09-18-2014 |
20140276707 | SYSTEM AND METHOD OF USING EVOKED COMPOUND ACTION POTENTIALS TO MINIMIZE VESSEL TRAUMA DURING NERVE ABLATION - A therapy system for use with a patient and a method of treating a medical condition of a patient. Electrical stimulation energy is delivered to a stimulation site on the wall of a blood vessel, thereby evoking at least one compound action potential in a nerve branch associated with the blood vessel. The evoked compound action potential(s) is sensed at a sensing site on the wall of the blood vessel. A circumferential location of the nerve branch is identified as being adjacent one of the stimulation site and the sensing site based on the sensed compound action potential(s). Ablation energy is delivered to an ablation site on the wall of the blood vessel adjacent the circumferential location of the nerve branch, thereby ablating the nerve branch and treating the medical condition. | 09-18-2014 |
20140266375 | Integrated Circuitry for Generating a Clock Signal in an Implantable Medical Device - Timer circuitry completely formable in an integrated circuit (IC) for generating a clock signal in an implantable medical device is disclosed. The timer circuitry can be formed on the same Application Specific Integrated Circuit typically used in the implant, and requires no external components. The timer circuitry comprises modification to a traditional astable timer circuit. A resistance in the disclosed timer circuit can be trimmed to adjust the frequency of the clock signal produced, thus allowing that frequency to be set to a precise value during manufacturing. Precision components are not needed in the RC circuit, which instead are used to set the rough value of the frequency of the clock signal. A regulator produces a power supply for the timer circuitry from a main power supply (Vcc), producing a clock signal with a frequency that is generally independent of temperature and Vcc fluctuations. | 09-18-2014 |
20140266101 | PROGRAMMABLE VOLTAGE REGULATOR - A programmable linear voltage regulator and system for programming the regulator that improves the speed, power usage, and stability over conventional linear voltage regulators is disclosed. A controller that has knowledge of the current or expected activation of various loads sends bias control signals to a programmable biasing circuit of an error amplifier in the voltage regulator to adjust the bias current in accordance with the load current the regulator produces or is expected to produce. A look up table associated with the controller can be used to correlate the bias control signals with current or expected load conditions. Programming of the programmable biasing circuit may precede the enablement of a new load condition to ready the voltage regulator to handle the upcoming change in load current. | 09-18-2014 |
20140257447 | SYSTEMS AND METHODS FOR ELECTRICALLY STIMULATING PATIENT TISSUE ON OR AROUND ONE OR MORE BONY STRUCTURES - An implantable lead assembly for providing electrical stimulation to a patient includes a lead body; a terminal disposed along a proximal end of the lead body; and an orthopedic implant coupled to a distal end of the lead body. The orthopedic implant is configured and arranged for anchoring to a bony structure. At least one mounting region is disposed along the orthopedic implant. The at least one mounting region is configured and arranged for anchoring the orthopedic implant to the at least one bony structure. An electrode is disposed along a stimulation region of the orthopedic implant. A conductor electrically couples the terminal to the electrode. | 09-11-2014 |
20140257432 | Switchable Dual-Coil Communication Circuitry for Extending Communication Range in an Implantable Medical Device System - Two LC circuits (each with its own coil) are used in either or both of an external controller or an implanted medical device to extend the range at which the two devices can communicate. Only one of the LC circuits (i.e., one of the coils) is used when the device is transmitting, while both LC circuits (i.e., both coils) are used when the device is receiving. When receiving, the LC circuits are preferably connected in series. The series connection of the LC circuits does not affect the resonant frequency, and thus this resonant frequency is the same for both transmission and reception despite the different LC circuits used. Switching circuitry is controlled to disconnect one of the LC circuits when the device is transmitting, and to connect the LC circuits in series during reception. | 09-11-2014 |
20140257428 | NEUROMODULATION USING MODULATED PULSE TRAIN - A neuromodulation system comprises a plurality of electrical terminals configured for being respectively coupled to a plurality of electrodes, a user interface configured for receiving input from a user that selects one of a plurality of different shapes of a modulating signal and/or selects one of a plurality of different electrical pulse parameters of an electrical pulse train, neuromodulation output circuitry configured for outputting an electrical pulse train to the plurality of electrical terminals, and pulse train modulation circuitry configured for modulating the electrical pulse train in accordance with the selected shape of the modulating signal and/or selected electrical pulse parameter of the electrical pulse train. | 09-11-2014 |
20140257427 | System for Deep Brain Stimulation Employing a Sensor for Monitoring Patient Movement and Providing Closed Loop Control - A closed loop system is disclosed for monitoring patient movements, such as tremors, and for automatically controlling an implantable stimulator device on the basis of the detected movements. The system includes a motion sensor such as a wearable item that contains an accelerometer to monitor a patient's movements, such as a ring locatable proximate to a patient's hand tremor. The motion sensor periodically transmits a feedback signal to the implantable stimulator device instructing it to change the stimulation parameters, such as current amplitude, in an attempt to reduce the tremor. The motion sensor can additionally communicate with other system components such as an external controller. In a preferred embodiment, the motion sensor and the implantable stimulator device communicate using short range electromagnetic radio waves. | 09-11-2014 |
20140249603 | Battery Charger Circuit for Battery Powered Implantable Neurostimulation Systems - An implantable device includes a stimulation electronic circuit, a battery, a receiver configured to receive energy from a source external to the implantable stimulation device, and a battery charger circuit configured to use the energy to charge the battery and power the stimulation electronic circuit, the battery charger circuit including a load switch for connecting/disconnecting the battery, the load switch being controlled by the stimulation electronic circuit. | 09-04-2014 |
20140249598 | DEVICES AND METHODS FOR BRAIN STIMULATION - A device for brain stimulation that includes n lead having a longitudinal surface; at least one stimulation electrode disposed along the longitudinal surface of the lead; and at least one recording electrode, separate from the at least one stimulation electrode, disposed along she longitudinal surface of the lead. | 09-04-2014 |
20140249542 | DEVICES WITH CANNULA AND ELECTRODE LEAD FOR BRAIN STIMULATION AND METHODS OF USE AND MANUFACTURE - A device for brain stimulation includes a cannula configured and arranged for insertion into a brain of a patient; at least one cannula electrode disposed on the cannula; and an electrode lead for insertion into the cannula, the electrode lead comprising at least one stimulating electrode. | 09-04-2014 |
20140243945 | BURR HOLE PLUG DESIGNS - The burr hole plug comprises a plug base configured for being mounted around a burr hole, and having an aperture through which an elongated medical device exiting the burr hole may pass. The burr hole plug further comprises a retainer configured for being mounted within the plug base aperture. The retainer includes a retainer support, a slot formed in the retainer support for receiving the medical device, and a clamping mechanism having a clamping bar and a flange slidably engaged with the retainer support to laterally slide the clamping bar to secure the medical device. A method comprises introducing the medical device through the burr hole, mounting the plug base around the burr hole, mounting the retainer within the plug base aperture, receiving the medical device into the slot, and sliding the slidable flange relative to the retainer support to laterally slide to secure the medical device. | 08-28-2014 |
20140243943 | SYSTEM AND METHOD FOR STIMULATING INTRAOSSEOUS NERVE FIBERS - A method for treating a patient having pain comprises applying electrical modulation energy to a target site adjacent an intraosseous nerve fiber of the patient to modulate pain traffic within the intraosseous nerve fiber, thereby treating the pain. | 08-28-2014 |
20140243927 | NEUROMODULATION SYSTEM WITH DUAL TELEMETRY SYSTEM - An implantable neuromodulation device includes a plurality of electrical terminals configured for being respectively coupled to a plurality of electrodes; analog output circuitry configured for delivering electrical modulation energy to the electrical terminals in accordance with programming data from a first external control device; a low-speed telemetry system configured for receiving the programming data; a high-speed telemetry system configured for receiving non-programming data from a second external control device; and memory configured for storing the programming data and the non-programming data. The low-speed telemetry system has a data transfer rate in the range of 2-800 kbits/sec, and the high-speed telemetry system has a data transfer rate in the range of 1-50 Mbits/sec. The high-speed telemetry system may have a greater telemetry range than the low-speed telemetry system. | 08-28-2014 |
20140243926 | NEUROSTIMULATION SYSTEM AND METHOD FOR AUTOMATICALLY ADJUSTING STIMULATION AND REDUCING ENERGY REQUIREMENTS USING EVOKED ACTION POTENTIAL - A neurostimulation system comprising stimulation output circuitry configured for delivering stimulation pulses to target tissue in accordance with a set of stimulation parameters. The neurostimulation system comprises monitoring circuitry configured for continuously measuring action potentials evoked in the target tissue in response to the delivery of the stimulation pulses to the target tissue, memory configured for storing a characteristic of a reference evoked action potential, and at least one processor configured for initiating an automatic mode, in which a characteristic of the measured evoked action potentials is compared to the corresponding characteristic of the reference evoked action potential, and one or more stimulation parameter values in the set of stimulation parameters are adjusted to decrease or increase the energy level of the stimulation pulses, thereby evoking action potentials in the target tissue having substantially the same corresponding characteristic as the reference evoked action potential. | 08-28-2014 |
20140243925 | NEUROMODULATION SYSTEM AND METHOD FOR AUTOMATICALLY ADJUSTING STIMULATION PARAMETERS TO OPTIMIZE POWER CONSUMPTION - An electrical neuromodulation system configured for minimizing energy consumption of a neuromodulation device includes an external control device configured for receiving input from a user, the neuromodulation device in communication with the external control device, and control/processing circuitry. The control/processing circuitry is configured for automatically (a) adjusting a modulation parameter value (e.g., by a step size) to create a currently adjusted modulation parameter value that decreases the energy consumption of the neuromodulation device, (b) instructing the neuromodulation device to deliver electrical energy to at least one electrode in accordance with the currently adjusted modulation parameter value, (c) determining whether a manual parameter adjustment was made by the user in response to step (b), and (d) if the manual parameter adjustment was not made, deeming the currently adjusted modulation parameter value as a previously adjusted modulation parameter value and repeating steps (a)-(d). | 08-28-2014 |
20140243924 | NEUROSTIMULATION SYSTEM HAVING INCREASED FLEXIBILITY FOR CREATING COMPLEX PULSE TRAINS - A neuromodulation system comprises electrical terminals configured for being respectively coupled to electrodes. The system further comprises modulation output circuitry configured for respectively outputting individual electrical pulse trains in timing channels to the electrical terminals, wherein each of the pulse trains has a modulation pulse, and at least one of the pulse trains has a charge recovery pulse associated with the modulation pulse of the respective pulse train. The neuromodulation system further comprises control circuitry configured for controlling the modulation output circuitry in a manner that sequentially outputs the modulation pulses of the respective pulse trains to a common set of the electrical terminals without an intervening charge recovery pulse, and outputting the charge recovery pulse(s) to the common set of the electrical terminals subsequent to the sequential modulation pulses, thereby creating a combined electrical pulse train at the common set of electrical terminals. | 08-28-2014 |
20140243923 | MULTI-CHANNEL NEUROMODULATION SYSTEM HAVING FREQUENCY MODULATION STIMULATION - A neuromodulation system comprises a plurality of electrical terminals configured for being respectively coupled to electrodes, modulation output circuitry configured for respectively outputting a plurality of individual electrical pulse trains in a plurality of timing channels to the electrical terminals, wherein each of the timing channels prevents the respective pulse train from having a specific characteristic, and control circuitry configured for controlling the modulation output circuitry in a manner that outputs the pulse trains to a common set of the electrical terminals, thereby creating a combined electrical pulse train at the common set of electrical terminals that has the specific characteristic. A method of providing therapy to a patient comprises delivering a plurality of electrical pulse trains respectively in a plurality of timing channels to a common set of electrodes implanted within the patient, thereby creating a combined electrical pulse train at the common set of electrical terminals. | 08-28-2014 |
20140236263 | Telemetry System For Use With Microstimulator - An implantable microstimulator configured to be implanted beneath a patient's skin for tissue stimulation employs a bi-directional RF telemetry link for allowing data-containing signals to be sent to and from the implantable microstimulator from at least two external devices. Further, a separate electromagnetic inductive telemetry link allows data containing signals to be sent to the implantable microstimulator from at least one of the two external devices. The RF bidirectional telemetry link allows the microstimulator to inform the patient or clinician regarding the status of the microstimulator device, including the charge level of a power source, and stimulation parameter states. The microstimulator has a cylindrical hermetically sealed case having a length no greater than about 27 mm and a diameter no greater than about 3.3 mm. A reference electrode is located on one end of the case and an active electrode is located on the other end of the case. | 08-21-2014 |
20140222111 | IMPLANTABLE MEDICAL DEVICE PROVIDING STIMULATION THERAPY - An electrical stimulation system provides stimulation therapy to a patient. The system includes a neurostimulation lead that contacts patient tissue and couples with an implantable stimulation device, such as an implantable pulse generator, that receives stimulation parameters for providing stimulation therapy to a patient. The implantable stimulation device includes a header with a plurality of connector assemblies that receive an end of the neurostimulation lead, and a case containing a charging coil and a telemetry coil coupled to programming circuitry on a printed circuit board, which is in turn coupled to the connector assemblies via a feedthrough assembly. The telemetry coil receives data from an external programmer and transmits the data to the programming circuitry, which in turn uses the data to communicate to the connector assemblies and the neurostimulation lead to provide stimulation therapy to a patient. | 08-07-2014 |
20140214131 | APPARATUS AND METHODS FOR DETECTING MIGRATION OF NEUROSTIMULATION LEADS - Apparatus and methods for detecting lead migration through the use of measured artifactual data about the tissue in the vicinity of the lead. | 07-31-2014 |
20140214130 | RF RESISTANT FEEDTHROUGH ASSEMBLY AND ELECTRICAL STIMULATION SYSTEMS CONTAINING THE ASSEMBLY - A control module for an electrical stimulation system includes a casing having an electrically-conductive portion; an electronic subassembly disposed in the casing; and a header portion coupled to the casing and including a connector for a lead or lead extension. The control module also includes a feedthrough assembly coupling the casing to the header portion. The feedthrough assembly includes a non-conductive ceramic block; conductive feedthrough pins passing through the ceramic block and electrically coupling the connector to the electronic subassembly disposed in the casing; a metal flange disposed around, and attached to, the ceramic block, and a non-conductive spacer attached to the metal flange and to the casing to raise the ceramic block above, and away from, the casing. Other control modules include a ceramic block that has a rim portion that raises the plate portion, through which the feedthrough pins pass, of the block away from the casing. | 07-31-2014 |
20140214121 | METHOD FOR SELECTIVELY PERFORMING LOCAL AND RADIAL PERIPHERAL STIMULATION - A control system for use with a neurostimulator comprises a user interface for receiving an input from a user and a controller. The user interface has a first control and a second control. The controller is configured for, in response to actuating the first control, operating the neurostimulation control system in a PNFS programming mode, and for, in response to actuating the second control, operating the neurostimulation control system in a PNS programming mode. A method of providing therapy to a patient comprises initially conveying pulsed electrical current at a pulse width into a peripheral tissue region of the patient to create a side effect via stimulation of one of a nerve ending and neural axon, and subsequently conveying pulsed electrical current at an adjusted pulse width into the peripheral tissue region to create a therapeutic effect via stimulation of the other one of the nerve ending and neural axon. | 07-31-2014 |
20140213961 | TREATMENT OF MOOD AND/OR ANXIETY DISORDERS BY ELECTRICAL BRAIN STIMULATION AND/OR DRUG INFUSION - A system and method for introducing one or more stimulating drugs and/or applying electrical stimulation to the brain to treat mood and/or anxiety disorders uses an implantable system control unit (SCU), specifically an implantable signal/pulse generator (IPG) or microstimulator with one or more electrodes in the case of electrical stimulation, and an implantable pump with one or more catheters in the case of drug infusion. In cases requiring both electrical and drug stimulation, one or more SCUs are used. Alternatively and preferably, when needed, an SCU provides both electrical stimulation and one or more stimulating drugs. In a preferred embodiment, the system is capable of open- and closed-loop operation. In closed-loop operation, at least one SCU includes a sensor, and the sensed condition is used to adjust stimulation parameters. | 07-31-2014 |
20140207148 | SYSTEMS AND METHODS FOR PROVIDING ELECTRICAL STIMULATION OF MULTIPLE DORSAL ROOT GANGLIA WITH A SINGLE LEAD - A method for implanting an electrical stimulation lead into a patient includes advancing a distal end of a multi-armed lead into an epidural space of the patient. The multi-armed lead includes first and second stimulation arms extending from a main body portion. The first stimulation arm is guided into and through a first intervertebral foramen. The first stimulation arm is positioned in proximity to a first dorsal root ganglion. The first stimulation aim is positioned with electrodes disposed along the first stimulation arm in operational proximity to the first dorsal root ganglion. The second stimulation arm is guided into and through a second intervertebral foramen. The second stimulation arm is positioned in proximity to a second dorsal root ganglion. The second stimulation arm is positioned with electrodes disposed along the second stimulation arm in operational proximity to the second dorsal root ganglion. | 07-24-2014 |
20140200633 | VISUALIZATION OF RELEVANT STIMULATION LEADWIRE ELECTRODES RELATIVE TO SELECTED STIMULATION INFORMATION - A system and method for graphically identifying candidate electrodes of a leadwire for stimulation of a patient anatomy includes a processor obtaining data corresponding to an anatomic region, identifying a spatial relationship between electrodes of the leadwire to the anatomic region, based on the identifying, selecting a subset of the electrodes of the leadwire, generating, based on the obtained data and the selected subset, a graphical output arrangement that includes a model of the leadwire including graphical representations of at least some of the electrodes and a graphical selection marking identifying the selected subset of the electrodes. | 07-17-2014 |
20140200631 | Efficient External Charger for Charging a Plurality of Implantable Medical Devices - An external charger for a battery in an implantable medical device (implant), and technique for charging batteries in multiple implants using such improved external charger, is disclosed. During charging, values for a parameter measured in the implants are reported from the implants to the external charger. The external charger infers from the magnitudes of the parameters which of the implants has the highest (hot) and lowest (cold) coupling to the external charger. The intensity of the magnetic charging field is optimized for the cold implant to ensure that it is charged with a maximum (fastest) battery charging current. The duty cycle of the magnetic charging field is also optimized for the hot implant to ensure that it does not exceed a power dissipation limit. As a result, charging is optimized to be fast for all of the implants, while still safe from a tissue heating perspective. | 07-17-2014 |
20140197786 | SYSTEM FOR AN IMPLANTABLE MEDICAL DEVICE HAVING AN EXTERNAL CHARGER COUPLEABLE TO ACCESSORY CHARGING COILS - An external charger system is disclosed comprising an external charger with an internal charging coil, as well as an output port coupleable to one of a plurality of types of external accessory charging coils of varying shapes and sizes. If the internal charging coil of the external charger is sufficient for a given patient's charging needs, the accessory charging coils may be detached from the external charger, and the external charger may serve as a standalone self-contained external charger. The external charger can automatically detect which of the plurality of types of accessory charging coils is connected, and can adjust its operation accordingly. This versatile design allows the external charger system to be used by large numbers of patients, even if their particular implant charging scenarios are different. | 07-17-2014 |
20140194947 | Current Generation Architecture for an Implantable Stimulator Device Having Coarse and Fine Current Control - Disclosed herein are current output architectures for implantable stimulator devices. Current source and sink circuitry is divided into a plurality of stages, each of which is capable via an associated switch bank of sourcing or sinking an amount of current to or from any one of the electrodes of the device. The current source circuitry is distinct from the current sink circuitry, and the two share no common circuit nodes prior to connection to the electrodes. In other words, the current source circuitry and the current sink circuitry do not share a common node other than the electrodes. Each stage is preferably formed of a current mirror for receiving a reference current and outputting a scaled version of current to that stage's switch bank. The scalar at each stage can be set by wiring a desired number of output transistors in parallel. | 07-10-2014 |
20140190009 | STIMULATOR LEADS AND METHODS FOR LEAD FABRICATION - A lead for a stimulation device can include an array of electrodes with each electrode having a front surface and a back surface; a plurality of conductors; a carrier formed around the array of electrodes; and a biocompatible material that may be disposed over and/or joined with the carrier and the back surfaces of the electrodes. A conductor is attached to the back surface of each electrode. The carrier can be formed around the array of electrodes, but does not completely cover the front surface or back surface of the electrodes. | 07-10-2014 |
20140188201 | SYSTEMS AND METHODS FOR MAKING AND USING CONTACT ASSEMBLIES FOR LEADS OF ELECTRICAL STIMULATION SYSTEMS - A contact assembly of an electrical stimulation lead includes a body formed from an electrically-nonconductive, molded material. A first end of the body is configured for coupling to an end of an electrical stimulation lead. Side ports are defined along an outer side surface of the body. Each side port is longitudinally offset from the remaining side ports along a longitudinal length of the contact assembly. Conductor lumens are defined along the body. Each of the conductor lumens extends from the first end of the body and terminates with a different one of the side ports such that each of the conductor lumens has a different length than every other of the conductor lumens. A stylet lumen having a closed end is defined along the body. The stylet lumen extends longitudinally from the first end of body and terminates at the closed end. | 07-03-2014 |
20140188193 | SERVER FOR COMMUNICATION WITH AN IMPLANTABLE MEDICAL DEVICE - A system and method for modifying the parameters of an implantable medical device includes an implantable medical device that communicates with a remote control device that, in turn, communicates through the browser of a computer or any other device capable of using mark-up language protocol. The computer optionally communicates with other computers and/or devices through a network. | 07-03-2014 |
20140180371 | LEADS WITH PROXIMAL STIFFENING AND RELATED METHODS OF USE AND MANUFACTURE - An electrical stimulation lead includes a lead body; electrodes disposed along the distal portion of the lead body or on a paddle body coupled to the lead body; terminals disposed along the proximal portion of the lead body; and conductors coupling the terminals to the electrodes. The lead also includes a conductor guide disposed within the lead body and extending from the proximal portion of the lead body. The conductor guide defines a central lumen and a plurality of conductor lumens disposed around the central lumen. The lead further includes a stiffening agent disposed within at least one of the conductor lumens. The stiffening agent includes a) a material formed from a granular particulate material, b) a polymeric material having a durometer at least 10% greater than the durometer of the conductor guide, or c) a continuous epoxy layer within which discrete epoxy particles are also disposed. | 06-26-2014 |
20140180370 | METHODS OF MAKING A PADDLE LEAD WITH A CARRIER AND LEADS AND SYSTEMS FORMED THEREBY - A method of making an electrical stimulation lead includes coupling electrodes to a carrier. The carrier defines at least one set of perforations. The method further includes coupling the electrodes to conductors; forming a flexible paddle sheath over the carrier leaving a stimulation surface of each of the plurality of electrodes exposed; and, after forming the flexible paddle sheath, breaking the carrier along at least one of the at least one set of perforations. | 06-26-2014 |
20140180367 | SYMMETRICAL OUTPUT NEUROSTIMULATION DEVICE - A method and system of providing therapy to a patient using electrodes implanted adjacent tissue. The method comprises regulating a first voltage at an anode of the electrodes relative to the tissue, regulating a second voltage at a cathode of the electrodes relative to the tissue, and conveying electrical stimulation energy between the anode at the first voltage and the cathode at the second voltage, thereby stimulating the neural tissue. The system comprises a grounding electrode configured for being placed in contact with the tissue, electrical terminals configured for being respectively coupled to the electrodes, a first regulator configured for being electrically coupled between an anode of the electrodes and the grounding electrode, a second regulator configured for being electrically coupled between an anode of the electrodes and the grounding electrode, and control circuitry configured for controlling the regulators to convey electrical stimulation energy between the anode and cathode. | 06-26-2014 |
20140180363 | SYSTEM AND METHOD FOR ESTIMATING LEAD CONFIGURATION FROM NEIGHBORING RELATIONSHIP BETWEEN ELECTRODES - A method and neurostimulation control system for programming electrodes disposed adjacent tissue of a patient. A fixed spatial grid of electrode positions is generated. One of the electrodes is designated as a reference electrode to be currently examined, and assigned to one of the electrode grid positions. One or more previously unassigned ones of the electrodes neighboring the reference electrode are assigned respectively to one or more of the electrode grid positions immediately surrounding the electrode grid position to which the reference electrode is assigned. The electrodes are programmed based on the assignment of the electrodes to the electrode grid positions. | 06-26-2014 |
20140180350 | METHOD FOR IMPROVING FAR-FIELD ACTIVATION IN PERIPHERAL FIELD NERVE STIMULATION - A method of providing therapy to a patient having a disorder using an electrode located adjacent a peripheral target neural region. The method comprises conveying electrical stimulation energy from the electrode that stimulates a first set of nerve endings in the peripheral target neural region. The method further comprises increasing an activation threshold of a second set of nerve endings in the peripheral target neural region, thereby rendering the second set of nerve endings less excitable to the electrical stimulation energy. The first set of nerve endings are relatively far from the electrode and the second set of nerve endings are relatively near the electrode. | 06-26-2014 |
20140180349 | SYSTEMS AND METHODS FOR ADJUSTING ELECTRICAL NEUROMODULATION THERAPY IN MEDICATION THERAPEUTIC WINDOW - A neuromodulation system and method for managing electrical neuromodulation therapy for a patient in conjunction with administering a pharmacological agent to the patient. Electrical energy is delivered to a target tissue region of the patient, thereby electrically modulating the target tissue region providing therapy to the patient. The energy level of the electrical energy delivered to the tissue is automatically varied inversely to the effect of the pharmacological agent on the patient during a therapeutic window. An absorption level of the pharmacological agent in the patient may be continually detected, and the energy level of the delivered electrical energy automatically varied based on the detected absorption level of the pharmacological agent during a therapeutic window. | 06-26-2014 |
20140180305 | INSERTION TOOL FOR PADDLE-STYLE ELECTRODE - A system for lead implantation includes a lead having a paddle-style electrode extending from a proximal end to a distal end, the paddle-style electrode, having a back surface; an active surface; a plurality of electrode contacts disposed on the active surface; and a longitudinal lumen extending into the paddle-style electrode and defining an opening at the proximal end of the paddle-style electrode. The lead also has at least one lead body extending from the paddle-style electrode. The at least one lead body includes conductors that are electrically coupled to the electrode contracts. The system also includes an insertion tool having a distal portion for insertion into the longitudinal lumen of the paddle-style electrode. At least the distal portion of the insertion tool or the longitudinal lumen (or both) includes a low friction material forming a surface with a coefficient of friction of 0.1 or less. | 06-26-2014 |
20140176066 | Communication and Charging Circuitry for a Single-Coil Implantable Medical Device - Communication and charging circuitry for an implantable medical device is described having a single coil for receiving charging energy and for data telemetry. The circuitry removes from the AC side of the circuit a tuning capacitor and switch traditionally used to tune the tank circuitry to different frequencies for telemetry and charging. As such, the tank circuitry is simplified and contains no switchable components. A switch is serially connected to the storage capacitor on the DC side of the circuit. During telemetry, the switch is opened, thus disconnecting the storage capacitor from the tank circuit, and alleviating concerns that this capacitor will couple to the tank circuit and interfere with telemetry operations. During charging, the switch is closed, which allows the storage capacitor to couple to the tank circuitry through the rectifier during some portions of the tank circuitry's resonance. | 06-26-2014 |
20140172057 | SYSTEMS AND METHODS FOR MAKING AND USING PADDLE LEADS OF ELECTRICAL STIMULATION SYSTEMS - An electrical stimulation lead includes a paddle body with micro-circuit assemblies having micro-circuits laminated between electrically-nonconductive substrates. The micro-circuits have first end portions and opposing second end portions. Electrodes are electrically coupled to the first end portions of the micro-circuits. Distal end portions of one or more lead bodies are coupled to the paddle body. Terminals are disposed along proximal end portions of the one or more lead bodies. Lead-body conductors are coupled to the terminals and extend along the one or more lead bodies to distal end portions of the one or more lead bodies. The lead-body conductors are attached to the second end portions of the micro-circuits to electrically couple the terminals to the electrodes. | 06-19-2014 |
20140172056 | SYSTEMS AND METHODS FOR MAKING AND USING CONTACT ASSEMBLIES FOR LEADS OF ELECTRICAL STIMULATION SYSTEMS - First contacts are disposed along a distal end portion or a proximal end portion of a lead body of an electrical stimulation lead. A contact assembly is disposed along the other of the distal end portion or the proximal end portion of the lead body. The contact assembly includes a tubular-shaped composite structure formed from multiple layered elements mechanically coupled together and rolled together into a tube. Each of the layered elements includes a first electrically-nonconductive substrate, a second electrically-nonconductive substrate, and micro-circuits laminated therebetween. Second contacts are disposed over the composite structure and electrically coupled to a first end portion of at least one of the micro-circuits. Lead-body conductors electrically couple the first contacts to the second contacts. Each of each of the lead-body conductors is attached to a second end portion of at least one of the micro-circuits. | 06-19-2014 |
20140172055 | TORSED SLEEVE LEAD ANCHOR AND SYSTEMS AND METHODS OF MANUFACTURE AND USE THEREOF - A lead anchor includes a first outer shell and a second outer shell adjacent the first outer shell. The first outer shell defines a first opening and the second outer shell defines a second opening, and the first and second outer shells together define a lead lumen extending from the first opening to the second opening. The lead anchor also includes a flexible sleeve disposed in the lead lumen and attached to both the first outer shell and the second outer shell. The first and second outer shells are configured and arranged to rotate relative to each other and cause the flexible sleeve to twist within the lead lumen to facilitate gripping of a lead within the lead lumen. | 06-19-2014 |
20140172046 | SEAMLESS INTEGRATION OF DIFFERENT PROGRAMMING MODES FOR A NEUROSTIMULATOR PROGRAMMING SYSTEM - A system and method for programming a neurostimulation device coupled to a plurality of electrodes implanted adjacent tissue of a patient are provided. A first electrode configuration corresponding to a first mode of programming the neurostimulation device is defined. A second programming mode of programming the neurostimulation device different from the first programming mode is selected. A second electrode configuration is defined based on the first electrode configuration in response to the selection of the second programming mode. The neurostimulation device is programmed using the second programming mode. | 06-19-2014 |
20140172045 | METHOD FOR AUTOMATION OF THERAPY-BASED PROGRAMMING IN A TISSUE STIMULATOR USER INTERFACE - A method for programming a neurostimulator includes automatically performing a series of steps. One or more control elements may be actuated to select the series of steps from a plurality of series of steps stored in a memory of an external control device. One or more control elements may be actuated during the performance of the series of steps in order to cause one of the steps to pause, stop, restart, skip, or repeat. The series of steps may be a series of pre-programming steps, and the method may further include programming the neurostimulator after the series of pre-programming steps is performed. An external device for programming the neurostimulator includes control circuitry configured for automatically performing the series of steps, and a user interface including the one or more control elements configured for being actuated. The control device also includes the memory for storing the plurality of series of steps. | 06-19-2014 |
20140172044 | COMPUTATIONALLY EFFICIENT TECHNIQUE FOR DETERMINING ELECTRODE CURRENT DISTRIBUTION FROM A VIRTUAL MULTIPOLE - A system and method of providing therapy to a patient using a plurality of electrodes implanted within the patient. A virtual multipole configuration is defined relative to the plurality of electrodes. The distance between each of a group of the electrodes and a virtual pole of the virtual multipole configuration is determined. A stimulation amplitude distribution is determined for the electrode group based on the determined distances, thereby emulating the virtual multipole configuration. Electrical energy is conveyed from the electrode group in accordance with the computed stimulation amplitude distribution. | 06-19-2014 |
20140171961 | SYSTEMS AND METHODS FOR MAKING AND USING A TOOL FOR STEERING A PADDLE LEAD OF AN ELECTRICAL STIMULATION SYSTEM - A paddle lead insertion kit includes a paddle lead and an insertion kit. The paddle lead includes a stylet lumen defined in a paddle body. The insertion tool includes a stylet channel defined along the insertion tool. A stylet is disposed in the stylet channel and transitions between a refracted position and an extended position. When the stylet is in the retracted position, the stylet is disposed completely within the stylet channel. When the stylet is in the extended position, the stylet extends outwardly from the stylet channel and is insertable into the stylet lumen of the paddle lead. A slide assembly is coupled to the stylet and controls transitioning of the stylet between the retracted position and the extended position. | 06-19-2014 |
20140167317 | METHODS OF MANUFACTURING A CONTACT ARRAY ASSEMBLY AND LEADS AND SYSTEMS CONTAINING THE ASSEMBLY - A method of making an electrical stimulation lead includes disposing conductive contacts in a spaced-apart longitudinal arrangement within a mold. A portion of a stylet tube is disposed within the mold, and the stylet tube extends through the conductive contacts. Conductive wires are positioned external to the stylet tube and each contact is coupled to at least one of the wires. A non-conductive material is molded between adjacent pairs of the contacts, around the wires, and over the stylet tube, to form a portion of the lead. This portion includes the contacts, the stylet tube, the wires, and one or more non-conductive spacers formed from the non-conductive material. Finally, the portion of the lead is removed from the mold. Another method includes placing a temporary tube around the conductive contacts and forming spacers by introducing flowable, curable, non-conductive material within the tube and between the conductive contacts. | 06-19-2014 |
20140163657 | LEAD CONNECTOR FOR AN IMPLANTABLE ELECTRIC STIMULATION SYSTEM AND METHODS OF MAKING AND USING - A lead-connection system includes a lead and a connector. The lead includes a distal end, a proximal end, a plurality of electrodes disposed at the distal end, a plurality of terminals disposed at the proximal end, and a plurality of conductor wires electrically coupling each of the plurality of electrodes to a different one of the plurality of terminals. The connector defines a port for receiving the proximal end of the lead and a plurality of connector contacts. The number of connector contacts is greater than the number of terminals disposed on the proximal end of the lead. When the connector receives the proximal end of the lead, each of the terminals disposed on the proximal end of the lead makes electrical contact with at least one of the connector contacts of the connector and no two terminals make electrical contact with a same one of the connector contacts. | 06-12-2014 |
20140163656 | SYSTEMS AND METHODS OF FORMING CONTACT ASSEMBLIES FOR LEADS OF ELECTRICAL STIMULATION SYSTEMS - A method of forming an electrical stimulation lead includes molding an electrically-nonconductive substrate over and between spaced-apart electrically-conductive contacts to form a multi-contact lead assembly. The contacts are disposed along a first face of the substrate with a first face of each of the contacts exposed along the first face of the substrate and an opposing second face of each of the contacts covered by material forming a second face of the substrate. The multi-contact lead assembly is coupled along a first end portion of a lead body with the first face of the multi-contact lead assembly conforming to a shape of an outer surface of the lead body, and with the multi-contact lead assembly wrapping around the outer surface of the lead body. Conductors extending along a length of the lead body are electrically coupled to each of the contacts of the multi-contact lead assembly. | 06-12-2014 |
20140163639 | NEUROSTIMULATION SYSTEM WITH THREE-DIMENSIONAL LEAD MIGRATION DETECTION AND AUTOMATIC NEUROSTIMULATION CORRECTION - A neurostimulation system configured for providing therapy to a patient, comprises at least one implantable neurostimulation lead configured for being implanted adjacent target tissue of the patient, and an implantable neurostimulator configured for delivering electrical stimulation energy to the implantable neurostimulation lead(s) in accordance with a set of stimulation parameters capable, and monitoring circuitry configured for taking at least one measurement indicative of a three-dimensional migration of the neurostimulation lead(s) from a baseline position. The neurostimulation system further comprises at least one controller/processor configured for determining whether the three-dimensional migration of the neurostimulation lead(s) from the baseline position has occurred based on the measurement(s), and, based on the determined three-dimensional migration, generating a new set of stimulation parameters, and reprogramming the implantable neurostimulator with the new set of stimulation parameters. | 06-12-2014 |
20140163638 | Patient Posture Determination and Stimulation Program Adjustment in an Implantable Stimulator Device Using Impedance Fingerprinting - Methods and circuitry for determining an implanted-neurostimulator patient's position, and adjusting a situation program delivered by the neurostimulator based on the determined position, is disclosed. Impedance measurements of the patient's tissue are taken at the neurostimulator's electrodes, which measurements can comprise complex impedance measurements (magnitude and phase) taken at different frequencies. Such impedance measurements, which can be taken interleaved with stimulation therapy, are used to determine an “impedance fingerprint.” This fingerprint can be compared to other known fingerprints stored in the IPG, which known fingerprints are associated with particular stimulation programs. When a measured fingerprint matches one stored in the IPG, the stimulation program associated with the stored fingerprint is automatically used for patient therapy. As different measured fingerprints are encountered, the IPG can learn and store a new stimulation program for such fingerprint by remembering stimulation parameters selected by the patient when such fingerprint is encountered. | 06-12-2014 |
20140155971 | SYSTEMS AND METHODS FOR MAKING AND USING RADIALLY-ALIGNED SEGMENTED ELECTRODES FOR LEADS OF ELECTRICAL STIMULATION SYSTEMS - An electrical stimulation lead includes a lead body insertable into a patient. Electrodes are disposed along the lead body. The electrodes include at least two sets of segmented electrodes. Each set of segmented electrodes includes a first segmented electrode and a second segmented electrode radially spaced apart from one another around a circumference of the lead body. A tab is disposed on the first segmented electrode of each set of segmented electrodes. The tabs extend into the lead body. A guide feature is disposed on the tabs. The guide features are each radially aligned with one another along the length of the lead body. Conductors extend along the length of the lead body from a proximal end to the electrodes. Each of the conductors is electrically coupled to at least one of the electrodes. At least one of the conductors extends through the radially-aligned guide features of the tabs. | 06-05-2014 |
20140155970 | IMPLANTABLE MEDICAL DEVICE HAVING ELECTROMAGNETIC INTERFERENCE FILTER DEVICE TO REDUCE POCKET TISSUE HEATING - An active implantable medical device (AIMD) for use with a medical lead carrying at least one lead electrode. The AIMD comprises interior electronic circuitry configured for performing a medical function via the medical lead, an electrically conductive case containing the interior electronic circuitry, at least one electrical terminal configured for electrically coupling the electronic circuitry respectively to the lead electrode(s), and an inductive element coupled in series between the electrical terminal(s) and the case. The inductive element is configured for hindering the shunting of electrical current from the at least one electrical terminal to the case that has been induced by electromagnetic interference (EMI) impinging on the medical lead. | 06-05-2014 |
20140155969 | DISTALLY REINFORCED LEAD AND METHODS OF MAKING AND USING - An electrical stimulation lead includes a lead body that defines a central lumen extending along the longitudinal length of the lead body. The stimulation lead includes electrodes disposed along the distal end of the lead body, terminals disposed along the proximal end of the lead body, and conductors. Each conductor electrically couples at least one of the electrodes to at least one of the terminals. The stimulation lead also includes a tubular reinforcing member disposed in the central lumen of the lead body within a portion of the distal end of the lead body or at least one reinforcing member disposed upon the distal end of the lead body proximal of the plurality of electrodes. The reinforcing member stiffens a portion of the distal end of the lead body. | 06-05-2014 |
20140155968 | ELECTRICAL STIMULATION PADDLE LEADS AND METHODS OF MAKING AND USING - An electrical stimulation lead includes a paddle body, at least one lead body having a distal end, a proximal end, and a longitudinal length with the distal end of the lead body coupled to the paddle body. The lead further includes fixation elements and electrodes. The fixation elements are disposed entirely within the paddle body and the electrodes are disposed on the paddle body. Each of the electrodes includes a stimulating element with an exposed stimulation surface, and a piercing element extending from the stimulating element into the paddle body and making contact with at least one of the fixation elements. Further, the lead includes terminals disposed along the proximal end of the lead body and conductor wires electrically coupling the electrodes to the terminals. In addition, methods of making stimulation leads using sacrificial portions of electrodes are presented. | 06-05-2014 |
20140155967 | SYSTEMS AND METHODS FOR MAKING AND USING ELECTRICAL STIMULATION LEADS WITH SHAPED MESH CONTACT ASSEMBLIES - An electrical stimulation lead includes a lead body with electrodes disposed along the distal end portion of the lead body and terminals disposed along the proximal end portion of the lead body. Conductors electrically couple the terminals to the electrodes. A contact assembly is disposed at one of the proximal end portion or the distal end portion of the lead body. The contact assembly is formed from a shaped mesh and includes annular grooves defined along an outer surface of the shaped mesh; and a stylet tube disposed in a contact assembly lumen. Each of the conductors extends along at least a portion of the shaped mesh within the contact assembly lumen and external to the stylet tube. For each of the annular grooves, one of the electrodes or one of the terminals is disposed in the annular groove. | 06-05-2014 |
20140155957 | CONNECTOR ASSEMBLIES FOR IMPLANTABLE STIMULATORS - Exemplary systems include a stimulator configured to be implanted within a patient, the stimulator having a body defined by at least one side surface disposed in between distal and proximal end surfaces, and a connector assembly configured to be coupled to the stimulator and extend parallel to the at least one side surface of the stimulator. The connector assembly is further configured to facilitate removable coupling of a lead having one or more electrodes disposed thereon to the stimulator. | 06-05-2014 |
20140150957 | METHODS FOR MAKING ENHANCED END PORTIONS OF LEADS OF ELECTRICAL STIMULATION SYSTEMS - A method of forming a lead includes providing an elongated lead body defining an annular groove disposed around a circumference of the lead body along one of a distal end or a proximal end of the lead body. A pre-contact is disposed around the circumference of the lead body within the annular groove. The pre-contact includes a pre-contact body having opposing first and second ends and first and second tabs extending outwardly from the opposing first and second ends, respectively. The first and second tabs are crimped together and folded flat against an outer surface of the pre-contact body. A polymeric material of the lead body is re-flowed to facilitate coupling of the pre-contact to the lead body. An outer surface of the pre-contact body is ground down to form a contact disposed along the one of the distal end or the proximal end of the lead body. | 06-05-2014 |
20140149929 | SYSTEM AND METHOD FOR IMAGE REGISTRATION - A system and method for providing processable data associated with anatomical images may provide a user interface including a pivot and stem tool via which to align multiple images, a flashlight bar for viewing portions of an overlaid image, and/or user-movable markers for establishing a location of one or more anatomical landmarks with regions of one or more images. | 05-29-2014 |
20140148885 | SYSTEMS AND METHODS FOR MAKING AND USING IMPROVED CONNECTORS FOR ELECTRICAL STIMULATION SYSTEMS - A connector for an implantable medical device includes a lumen extending from a port defined along a length of a connector housing. Axially-spaced-apart connector couplers are disposed along the lumen and are configured to couple to a proximal end of an inserted lead or lead extension. Each of the connector couplers includes a plurality of circumferentially-spaced-apart coupling members and at least one elastic member. The plurality of circumferentially-spaced-apart coupling members each have inner surfaces and outer surfaces. The inner surfaces of the coupling members are configured and arranged to couple to the proximal end of the lead or lead extension when the proximal end of the lead or lead extension is inserted into the lumen. The at least one elastic member couples the coupling members to one another such that a distance between the coupling members is expandable. | 05-29-2014 |
20140148874 | SYSTEM AND METHOD FOR MAPPING ARBITRARY ELECTRIC FIELDS TO PRE-EXISTING LEAD ELECTRODES - A system for a neurostimulator coupled to electrodes, and a method of providing therapy to a patient using the electrodes implanted within the patient. A target multipole relative to the electrodes is defined. The target multipole is emulated by defining an initial electrical current distribution for the electrodes, such that a first set of active electrodes respectively has electrical current values of a first polarity. Each of the electrical current values of the first polarity is compared to a first threshold value, and at least one of the electrodes in the first active electrode set is zeroed-out based on the comparison. The electrical current value of each of the zeroed-out electrode(s) is redistributed to remaining ones of the electrodes to define a new electrical current distribution for the electrodes. Electrical current is conveyed to the electrodes in accordance with the new electrical current distribution, thereby providing the therapy. | 05-29-2014 |
20140148753 | SYSTEMS AND METHODS FOR MAKING AND USING AN ELECTRICAL STIMULATION SYSTEM WITH PHOTONIC STIMULATION CAPABILITIES - An electrical stimulation lead includes electrodes disposed along a distal end portion of a lead body; terminals disposed along a proximal end portion of the lead body; and stimulation conductors electrically coupling the terminals to the electrodes. A light-emitter is disposed along the distal end portion of the lead body. A light source is disposed along the at least one lead body and converts received electrical power into light. An optical transport medium is disposed along the at least one lead body. The optical transport medium extends between the light source and the light-emitter. A light source conductor electrically couples the light source and the terminals. A drug-dispensing port is defined along the distal end portion of the lead body. A drug-delivery channel is in fluid communication with the at least one drug-dispensing port and extends to the proximal end portion of the lead body. | 05-29-2014 |
20140142671 | DEEP BRAIN STIMULATION CURRENT STEERING WITH SPLIT ELECTRODES - A device for brain stimulation includes a lead having a longitudinal surface, a proximal end, a distal end and a lead body. The device also includes a plurality of electrodes disposed along the longitudinal surface of the lead near the distal end of the lead. The plurality of electrodes includes a first set of segmented electrodes comprising at least two segmented electrodes disposed around a circumference of the lead at a first longitudinal position along the lead; and a second set of segmented electrodes comprising at least two segmented electrodes disposed around a circumference of the lead at a second longitudinal position along the lead. The device further includes one or more conductors that electrically couple together all of the segmented electrodes of the first set of segmented electrodes. | 05-22-2014 |
20140135614 | SYSTEMS AND LEADS FOR IMPROVED RF COMPATIBILITY AND METHODS OF MANUFACTURE AND USE - An implantable electrical stimulation lead includes a lead body having a distal end, a proximal end, and a longitudinal length; a plurality of electrodes disposed along the distal end of the lead body; a plurality of terminals disposed along the proximal end of the lead body; and a plurality of conductors electrically coupling the plurality of electrodes to the plurality of terminals. To reduce or redistribute current induced in the conductors during an MRI procedure, an internal conductive structure, such as a dummy coil or hollow metal tube, or non-therapeutic electrodes may be provided. Alternatively or additionally, a multi-layer region of the conductors may extend beneath the electrodes or terminals or the electrodes or terminals may vary in size or surface area. | 05-15-2014 |
20140128956 | SYSTEM AND METHOD FOR INCREASING RELATIVE INTENSITY BETWEEN CATHODES AND ANODES OF NEUROSTIMULATION SYSTEM - A method and neurostimulation system for providing therapy to a patient is provided. A plurality of electrodes is placed adjacent to tissue of the patient. The electrodes include first and second electrodes, with the first electrode having a first tissue contacting surface area and the second electrode having a second tissue contact surface area greater than the first tissue contacting surface area. Anodic electrical current is simultaneously sourced from one of the first and second electrodes to the tissue and while cathodic electrical current is sunk from the tissue to another of the first and second electrodes to provide the therapy to the patient. | 05-08-2014 |
20140123484 | LEADS WITH RETENTION FEATURES FOR SEGMENTED ELECTRODES AND METHODS OF MAKING AND USING THE LEADS - One embodiment is a stimulation lead including a lead body comprising a longitudinal surface, a distal end, and a proximal end; and multiple electrodes disposed along the longitudinal surface of the lead body near the distal end of the lead body. The multiple electrodes include multiple segmented electrodes with each of the segmented electrodes having an exterior surface, an interior surface opposite the exterior surface, a proximal end, and a distal end. At least one of the segmented electrodes includes one or more of a) at least one channel formed in the segmented electrode and extending from the proximal end to the distal end of the segmented electrode, b) an arcuate groove formed in at least one of the distal end surface or the proximal end surface, or c) a notch formed in the segmented electrode and extending from the proximal end to the distal end of the segmented electrode. | 05-08-2014 |
20140122379 | SYSTEMS AND METHODS FOR VOA MODEL GENERATION AND USE - A computer implemented system and method provides a volume of activation (VOA) estimation model that receives as input two or more electric field values of a same or different data type at respective two or more positions of a neural element and determines based on such input an activation status of the neural element. A computer implemented system and method provides a machine learning system that automatically generates a computationally inexpensive VOA estimation model based on output of a computationally expensive system. | 05-01-2014 |
20140107752 | Current Generation Architecture for an Implantable Stimulator Device Having Coarse and Fine Current Control - A current generation architecture for an implantable stimulator device such as an Implantable Pulse Generator (IPG) is disclosed. Current source and sink circuitry are both divided into coarse and fine portions, which respectively can provide coarse and fine current resolutions to a specified electrode on the IPG. The coarse portion is distributed across all of the electrodes and so can source or sink current to any of the electrodes. The coarse portion is divided into a plurality of stages, each of which is capable via an associated switch bank of sourcing or sinking a coarse amount of current to or from any one of the electrodes on the device. The fine portion of the current generation circuit preferably includes source and sink circuitry dedicated to each of the electrode on the device, which can comprise digital-to-analog current converters (DACs). | 04-17-2014 |
20140107734 | Systems and Methods for Communicating with an Implantable Stimulator - An exemplary system for communicating with an implantable stimulator includes a coil configured to transmit a signal modulated with either on-off keying (OOK) modulation or Frequency Shift Keying (FSK) modulation. The system further includes a first telemetry receiver in the implantable stimulator configured to receive the signal in accordance with the OOK modulation and a second telemetry receiver in the implantable stimulator configured to receive the signal in accordance with the FSK modulation. | 04-17-2014 |
20140100643 | Current Output Architecture for an Implantable Stimulator Device - Disclosed herein are current output architectures for implantable stimulator devices. Current source and sink circuitry is divided into a plurality of stages, each of which is capable via an associated switch bank of sourcing or sinking an amount of current to or from any one of the electrodes of the device. The current source circuitry is distinct from the current sink circuitry, and the two share no common circuit nodes prior to connection to the electrodes. In other words, the current source circuitry and the current sink circuitry do not share a common node other than the electrodes. Each stage is preferably formed of a current mirror for receiving a reference current and outputting a scaled version of current to that stage's switch bank. The scalar at each stage can be set by wiring a desired number of output transistors in parallel. | 04-10-2014 |
20140100633 | IMPLANTABLE STIMULATOR - An implantable stimulator includes a tube assembly that is configured to house a number of components that are configured to apply at least one stimulus to at least one stimulation site within a patient. The tube assembly has a shape that allows the stimulator to be implanted within said patient in a pre-determined orientation. Exemplary methods of stimulating a stimulation site within a patient include applying an electrical stimulation current to a stimulation site via one or more electrodes extending along one or more sides of a stimulator. The stimulator has a shape allowing the stimulator to be implanted within the patient in a pre-determined orientation. | 04-10-2014 |
20140100632 | NEUROSTIMULATION PROGRAMMER AND METHOD FOR DIRECTLY ASSIGNING PARAMETER VALUES TO ELECTRODES - An external control device for use with a neurostimulator coupled to a plurality of electrodes capable of conveying electrical stimulation energy into tissue in which the electrodes are implanted. The external control device comprises a user interface configured for receiving direct input from a user specifying a target value for a target electrode. The user interface includes a display screen configured for displaying graphical representations of the electrodes. The user interface comprises a controller/processor configured for, in response to the direct user input, assigning a new stimulation amplitude value to the target electrode, and output circuitry configured for transmitting the new stimulation amplitude value to the neurostimulator. | 04-10-2014 |
20140100631 | NEUROSTIMULATION PROGRAMMER AND METHOD FOR GLOBALLY ASSIGNING PARAMETER VALUES TO ELECTRODES - An external control device for use with a neurostimulator coupled to electrodes. The external control device comprises a user interface configured for receiving input from a user, and including a display screen configured for displaying graphical representations of the electrodes. The external control device further comprises a controller/processor configured for, in response to the input from the user, linking a subset of the electrodes together, and globally assigning at least one of the same stimulation amplitude value and same on/off state to each of the electrodes. The controller/processor may also be configured for, in response to the input from the user, assigning at least one stimulation parameter value to one of the electrodes, copying/cutting the at least one stimulation parameter value from the one electrode, and pasting the at least one stimulation parameter value to the other electrode and modifying current values of other electrodes to maintain 100% current. | 04-10-2014 |
20140100586 | INSERTION TOOL FOR PADDLE-STYLE ELECTRODE - The present disclosure describes various embodiments of an insertion tool that affords steerability of the paddle-style electrode during implantation without causing damage to the insulation and/or the contacts of the paddle-style electrode. One embodiment is described as having a “pin fork” configuration; another a “shovel” configuration; and yet another has tabs or a lumen on the paddle-style electrode for facilitating the insertion of a stylet. The various embodiments for the insertion tool allow for adjustments of the paddle-style electrode in both the medial/lateral and inferior/superior directions allowing the surgeon to steer the paddle-style electrode to the desired stimulation site within the epidural space of the spinal column. | 04-10-2014 |
20140094886 | METHOD FOR TREATING DEPRESSION BY INDIRECTLY STIMULATING RAPHE NUCLEI - A method for treating a patient suffering from depression, the method including applying electrical stimulation energy to afferent nerve fibers leading to the medial preoptic region of the hypothalamus of the patient, thereby activating serotonin in the raphe nuclei to treat depression. | 04-03-2014 |
20140094823 | MICRO-ELECTRODE RECORDING-GUIDED IMPLANTATION OF DIRECTIONAL LEADS - A method for implanting a lead within brain tissue of a patient, wherein the lead comprises a set of radially segmented electrodes on a distal end of the lead is provided. The method includes performing a plurality of microelectrode recordings through a respective plurality of recording tracts in the brain tissue; based on the microelectrode recordings, creating a three-dimensional map of a brain structure; positioning a graphical representation of the radially segmented electrodes over the map of the brain structure to create a graphical depiction of a desired depth and a desired radial orientation of the lead within the brain tissue; and implanting the lead in the brain tissue in accordance with the desired depth and desired radial orientation. A device for determining a radial orientation of the lead includes a radially directional ruler and an indicator for indicating which electrode is in contact with the ruler. | 04-03-2014 |
20140088674 | METHOD FOR EPIDURAL STIMULATION OF NEURAL STRUCTURES - A method for treating a patient having nociceptive pain in a body region using at least one electrode implanted within a spinal column of the patient. The method comprises conveying electrical stimulation energy from the at least one implanted electrode to an efferent motor neural structure innervating the body region, thereby inducing an endogenous chemical response within a spinal cord of the patient that treats the nociceptive pain. Another method for treating a patient suffering from a medical ailment. The other method comprises applying electrical stimulation energy to an efferent neural structure, thereby increasing the activation threshold of the efferent neural structure relative an afferent neural structure, and applying electrical stimulation energy to the afferent neural structure while the activation threshold of the efferent neural structure is increased, thereby modulating activity of the afferent neural structure to treat the medical ailment while minimizing stimulation of the efferent neural structure. | 03-27-2014 |
20140088672 | DEVICES AND METHODS FOR TISSUE MODULATION AND MONITORING - A tissue stimulating device has an elongate member, a proximal annular stimulating region and a distal annular stimulating region. Each of the annular stimulating regions circumscribe the elongate member, and each has a plurality of independently energizable electrodes that deliver current into tissue. Adjacent electrodes in the annular stimulating regions are separated from one another by an insulating member. The annular stimulating regions are axially separated from one another by a gap. An internal electrical connector electrically couples a first electrode in the proximal annular stimulating region with a first electrode in the distal annular stimulating region. The first internal electrical connector is disposed within the elongate member, and extends across the gap between annular stimulating regions. A recording electrode is disposed in the gap and is adapted to record local tissue potentials from the tissue. | 03-27-2014 |
20140088646 | TISSUE FIXATION DELIVERY APPARATUS - A device for deploying a tissue fixation apparatus of the type including first and second tissue anchors coupled together by an adjustable suture assembly. The device comprises a handle mechanism and a needle cartridge assembly releasably coupled to the handle mechanism. The needle cartridge assembly includes a needle cannula with a side opening through which a tissue anchor can be loaded into an internal chamber of the needle cannula. A push rod is disposed in the needle cannula and is operable between an extended position in which the push rod prevents the tissue anchor from entering the chamber through the side opening, and a retracted configuration in which the tissue anchor can be pushed into the chamber under the action of a resilient band positioned over the side opening. | 03-27-2014 |
20140084860 | APPARATUS AND METHODS FOR CHARGING AN IMPLANTED MEDICAL DEVICE POWER SOURCE - Apparatus and methods for charging an implanted medical device. | 03-27-2014 |
20140081366 | MEDICAL DEVICE ANCHORING SYSTEMS AND METHODS - An anchor assembly includes an anchoring member having a body portion. The anchoring member defines a longitudinal lumen in the body portion to slidably receive a portion of an electrode assembly. The anchor assembly also includes a shell assembly having first and second mating shell portions to be disposed on opposites sides of the anchoring member and to be coupled together to anchor the electrode assembly within the anchoring member. Each of the first and second mating shell portions includes a center portion and two lateral portions. The center portion fits over the anchoring member. The lateral portions of the first mating shell portion each have a prong member and the lateral portions of the second mating shell portion each have an aperture. The prong members and apertures mate to form a locking arrangement. | 03-20-2014 |
20140081350 | METHOD FOR ESTIMATING DESIRED STIMULATION AMPLITUDE FOR ELECTRODE CONFIGURATION - A method of providing therapy to a patient comprises (a) receiving input from a user, (b) selecting a first electrode configuration in response to receiving the user input, (c) predicting a neural response induced by electrical energy theoretically conveyed by the first electrode configuration at a specified amplitude, (d) deriving a metric value from the predicted neural response, (e) comparing the metric value to a reference threshold value, (f) adjusting the specified amplitude of the electrical energy if the metric value is not in a specified range relative to the reference threshold value, (g) repeating steps (c)-(f) using the adjusted amplitude as the specified amplitude until the metric value is in the specific range relative to the reference threshold value, and (h) instructing a neurostimulation device to deliver the electrical energy at the adjusted amplitude via the first electrode configuration to stimulate the patient. | 03-20-2014 |
20140081349 | METHOD FOR SELECTIVELY MODULATING NEURAL ELEMENTS IN THE DORSAL HORN - A method of providing therapy to a patient. The method comprises conveying pulsed electrical current at a defined pulse width and a defined pulse rate into spinal cord tissue. The defined pulse width is equal to or less than 200 μs, and the defined pulse rate is less than 1500 Hz, such that neural elements in the dorsal horn are modulated and/or the patient does not perceive paresthesia during the conveyance of the pulsed electrical current into the spinal cord tissue. | 03-20-2014 |
20140081345 | METHOD FOR TREATING HYPERTENSION VIA ELECTRICAL STIMULATION OF NEURAL STRUCTURES - A neuromodulation system comprises a sensor configured for sensing a blood pressure of a patient, modulation output circuitry configured for conveying electrical modulation energy to at least one electrode, and a controller/processor coupled to the sensor and the modulation output circuitry. The controller/processor is configured for comparing the blood pressure sensed by the sensor to a first threshold blood pressure, and instructing the modulation output circuitry to convey the electrical modulation energy to the at least one electrode if the sensed blood pressure is greater than the first threshold blood pressure. A method for treating chronic hypertension comprises applying electrical modulation energy to a neural target site, thereby modulating an afferent nerve innervating a patient's kidney, thereby treating the chronic hypertension. | 03-20-2014 |
20140074202 | ANCHORING APPARATUS AND METHODS FOR USE - An apparatus for securing an implantable lead within tissue of a patient includes a base adapted to be secured to a patient's skull adjacent a craniotomy. The base has an upper surface and a lower surface with a central passage therebetween. The central passage is adapted to receive the implantable lead therethrough. The apparatus also has a cover that is releasably coupled to the base so as to substantially cover the central passage and capture the implantable lead therebetween. A first rotating member is also coupled with the base and the first member is rotationally movable so as to meet and engage the implantable lead at a plurality of positions within the central passage. | 03-13-2014 |
20140074190 | SYSTEM AND METHOD FOR INDEPENDENTLY OPERATING MULTIPLE NEUROSTIMULATION CHANNELS - A multi-channel neurostimulation system comprises a plurality of electrical terminals configured for being respectively coupled to a plurality of electrodes, stimulation output circuitry including electrical source circuitry of the same polarity configured for generating a plurality of pulsed electrical waveforms in a plurality of timing channels, and control circuitry configured for instructing the stimulation output circuitry to serially couple the electrical source circuitry to different sets of the electrodes when pulses of the respective pulsed electrical waveforms do not temporally overlap each other, and for instructing the stimulation output circuitry to couple the electrical source circuitry to a union of the different electrode sets when pulses of the respective pulsed electrical waveforms temporally overlap each other. | 03-13-2014 |
20140074189 | COUPLED MONOPOLAR AND MULTIPOLAR PULSING FOR CONDITIONING AND STIMULATION - A method and neurostimulation system of providing therapy to a patient is provided. A plurality of electrodes are placed in contact with tissue of a patient, a conditioning pulse is conveyed from the plurality of electrodes in one of a monopolar manner and a multipolar manner, and a stimulation pulse is conveyed from the plurality of electrodes in a different one of the monopolar manner and the multipolar manner. As one example, the sub-threshold conditioning pulse may be a depolarizing pulse conveyed from the plurality of electrodes to render a first region of the tissue less excitable to stimulation, and the stimulation pulse may be conveyed from the plurality of electrodes to stimulate a second different region of the tissue. | 03-13-2014 |
20140067035 | SYSTEMS AND METHODS FOR COUPLING CONDUCTORS TO CONDUCTIVE CONTACTS OF ELECTRICAL STIMULATION SYSTEMS - An electrical stimulation lead includes a plurality of conductive contacts disposed at a distal end and a proximal end of a lead body. The plurality of conductive contacts includes a plurality of electrodes and a plurality of terminals. At least one of the conductive contacts is a first conductive contact that includes at least one adhesive aperture defined between an inner surface and an outer surface of the at least one conductive contact. A plurality of conductors each electrically couple at least one of the electrodes to at least one of the terminals. Each first conductive contact has a conductor associated with, and electrically coupled to that first conductive contact. The adhesive is disposed in proximity to the at least one adhesive aperture of at least one first conductive contact to adhesively couple that first conductive contact to the at least one associated conductor. | 03-06-2014 |
20140067022 | POINT-AND-CLICK PROGRAMMING FOR DEEP BRAIN STIMULATION USING REAL-TIME MONOPOLAR REVIEW TRENDLINES - A system and method for selecting leadwire stimulation parameters includes a processor iteratively performing, for each of a plurality of values for a particular stimulation parameter, each value corresponding to a respective current field: (a) shifting the current field longitudinally and/or rotationally to a respective plurality of locations about the leadwire; and (b) for each of the respective plurality of locations, obtaining clinical effect information regarding a respective stimulation of the patient tissue produced by the respective current field at the respective location; and displaying a graph plotting the clinical effect information against values for the particular stimulation parameter and locations about the leadwire, and/or based on the obtained clinical effect information, identifying an optimal combination of a selected value for the particular stimulation parameter and selected location about the leadwire at which to perform a stimulation using the selected value. | 03-06-2014 |
20140067019 | SYSTEM AND METHOD FOR CONNECTING DEVICES TO A NEUROSTIMULATOR - A method for defining connections between a plurality of lead bodies and a plurality of output ports of a neurostimulator, and an external control device for performing the method are disclosed. The external control device includes a user interface and control circuitry. The method includes displaying the lead bodies and the output ports of the neurostimulator; selecting a first one of the lead bodies; dragging a connector from the first lead body to a first one of the output ports of the neurostimulator; and dropping the connector onto the first output port of the neurostimulator, thereby defining a connection between the first lead body and the first output port of the neurostimulator. In another embodiment, a method includes defining the connection between the first lead body and the first output port, and graphically displaying the connection between the first lead body and the first output port of the neurostimulator. | 03-06-2014 |
20140067018 | PARAMETER VISUALIZATION, SELECTION, AND ANNOTATION INTERFACE - A system and method for providing a user interface by which to display and/or control stimulation parameter settings includes a processor displaying a ray at an angle from a predetermined direction, and about a point representing a leadwire, that corresponds to a direction at which an electrical field is produced by respective electrical settings of one or more directional electrodes of the leadwire, and whose ray length corresponds to an electrical amplitude of an electrical parameter of the one or more directional electrodes. | 03-06-2014 |
20140067015 | SYSTEM AND METHOD FOR IDENTIFYING AVAILABILITY OF CLINICIAN DEFINED PROGRAMMING SETTINGS FOR A PATIENT - An external control device for indicating whether a stimulation parameter set for use in a neurostimulator is available on a remote control in communication with the external control device is provided. The device includes a user interface configured for displaying the stimulation parameter set and an indicator that indicates whether the stimulation parameter set is available to the patient from the remote control. The device also includes control circuitry configured for, in response to input from the user (e.g., actuating the indicator), selectively turning the indicator on or off. The indicator may be an icon, and the icon may be a graphical depiction of a remote control. The user interface may be further configured for receiving additional input from the user, and the control circuitry may be further configured for, in response to the additional input from the user, programming the remote control with the stimulation parameter set. | 03-06-2014 |
20140067004 | METHODS AND SYSTEMS FOR TREATING SEIZURES CAUSED BY BRAIN STIMULATION - Methods for treating seizures caused by brain stimulation include providing a stimulator, programming the stimulator with one or more stimulation parameters configured to treat a medical condition, applying at least one stimulus with the stimulator to a stimulation site within the brain of a patient in accordance with the one or more stimulation parameters, and monitoring the patient for a seizure caused by the at least one stimulus. | 03-06-2014 |
20140066999 | CAPTURE AND VISUALIZATION OF CLINICAL EFFECTS DATA IN RELATION TO A LEAD AND/OR LOCUS OF STIMULATION - A system and method for outputting historical stimulation information includes a processor configured to assign individual display regions, e.g., pixels or voxels, (or a larger region) a score based on those volumes of activations (VOA) in which the individual display region had been included and the scores assigned to those VOAs, and display in a display device a map of varying graphical indicia based on the different scores assigned to the elemental display regions. | 03-06-2014 |
20140058488 | ELECTRICAL STIMULATION LEAD WITH JUNCTION AND METHODS OF MAKING AND USING - A lead arrangement includes a plurality of proximal leads, a distal lead, and a junction electrically and mechanically coupling the plurality of proximal leads to the at least one distal lead. Each proximal lead has a proximal end and a distal end and includes conductive contacts disposed along the proximal end and conductive wires coupled to the conductive contacts and extending to the distal end of the proximal lead. Each distal lead has a proximal end and a distal end and includes electrodes disposed along the distal end and conductive wires coupled to the electrodes and extending to the proximal end of the distal lead. The junction includes conductive tabs and a non-conductive material encapsulating the conductive tabs. The conductive wires of the at least one distal lead and the conductive wires of the plurality of proximal leads are attached to the conductive tabs of the junction. | 02-27-2014 |
20140058487 | SYSTEMS AND METHODS FOR IMPROVING RF COMPATIBILITY OF ELECTRICAL STIMULATION LEADS - An implantable lead for stimulating patient tissue includes a lead body. A jacket is disposed over at least a portion of a length of the lead body. The jacket has an outer surface and an opposing inner surface. At least a portion of the outer surface of the jacket forms at least a portion of an outer surface of the lead. At least a portion of the inner surface of the jacket is open to the lead body. The jacket defines apertures each extending completely through the jacket. Electrodes are disposed along a distal end of the lead body. Terminals are disposed along a proximal end of the lead body. Conductors electrically couple the electrodes to the terminals. Conductor insulation is disposed over each of the conductors. At least a portion of the conductor insulation is in fluid communication with the local environment external to the lead via the apertures. | 02-27-2014 |
20140058482 | IMPLANTABLE ELECTRICAL STIMULATION SYSTEMS WITH SHIELDED CONTROL MODULE AND METHODS FOR MAKING AND USING - An implantable control module for an electrical stimulation system includes a header coupled a sealed body. The header includes at least one connector assembly. The control module also includes a conductive shield disposed over at least a portion of the connector assembly or connector assemblies of the header. The conductive shield is provided to hinder generation of current in the header or in a portion of a lead received in the header in response to application of an external radiofrequency (RF) or magnetic field. A similar shield can also be used to shield a connector assembly disposed on the end of a lead extension or any other component of the electrical stimulation system. | 02-27-2014 |
20140058479 | Minimizing Interference Between Charging and Telemetry Coils in an Implantable Medical Device - An improved implantable pulse generator (IPG) containing improved telemetry circuitry is disclosed. The IPG includes charging and telemetry coils within the IPG case, which increases their mutual inductance and potential to interfere with each other; particularly problematic is interference to the telemetry coil caused by the charging coil. To combat this, improved telemetry circuitry includes decoupling circuitry for decoupling the charging coil during periods of telemetry between the IPG and an external controller. Such decoupling circuitry can comprise use of pre-existing LSK circuitry during telemetry, or new discrete circuitry dedicated to decoupling. The decoupling circuitry is designed to prevent or at least reduce induced current flowing through the charging coil during data telemetry. The decoupling circuitry can be controlled by the microcontroller in the IPG, or can automatically decouple the charging coil at appropriate times to mitigate an induced current without instruction from the microcontroller. | 02-27-2014 |
20140056965 | METHOD AND SYSTEM FOR TREATING DEPRESSION OR EPILEPSY - A removable patch configured to be applied over a skin surface, comprises an adhesive layer disposed on the removable patch, and a delivery layer disposed on the removable patch. The delivery layer carries an activating chemical neuromodulator adapted to be transcutaneously applied to afferent A fibers disposed under the skin surface. The delivery layer further carries an inhibiting chemical neuromodulator adapted to be transcutaneously applied to C fibers disposed under the skin surface. A method for treating a patient suffering from a neurological disorder comprises transcutaneously applying an activating chemical neuromodulator over a skin surface adjacent to a trigeminal nerve tissue of the patient, and activating afferent A fibers in the trigeminal nerve, the activation being carried out by the chemical neuromodulator. | 02-27-2014 |
20140053401 | ELECTRODE ARRAY ASSEMBLY AND METHOD OF MAKING SAME - A lead assembly and a method of making a lead are provided. The method of making a multi-contact lead assembly comprises placing monofilament placed in the void spaces not occupied by the plurality of conductor wires and, in one embodiment, thermally fusing the monofilament to the like material spacer by applying heat just below the melting temperature of the monofilament and spacer material. Alternatively, the monofilament and spacer may be of different materials and heat is applied to cause at least one material to thermally reflow or melt. The conductive contacts may be located at either the distal end and/or proximal end of the lead. Oversized spacers may be used in order to provide extra material to fill voids during the thermal fusion/reflow process. | 02-27-2014 |
20140052229 | ELECTRODES FOR STIMULATION LEADS AND METHODS OF MANUFACTURE AND USE - An electrode has a unitary ring with an exterior surface, interior surface, and at least two edges. The electrode also includes a seat formed in at least the exterior surface of the unitary ring. The seat is configured and arranged for attachment of a terminal end of a lead wire, disposed in the seat, to the electrode. A lead includes a lead body; a plurality of electrodes disposed at the distal end of the lead body; and a plurality of lead wires. Each electrode includes a unitary ring and a seat in the unitary ring. The unitary ring has an exterior surface and an interior surface and defines a hollow center region. The seat is formed as a depression of a portion of the unitary ring. Each of the lead wires extends along the lead body and is attached to a corresponding electrode at the seat of the corresponding electrode. | 02-20-2014 |
20140052218 | Method for Controlling Telemetry in an Implantable Medical Device Based on Power Source Capacity - An implantable microstimulator configured for implantation beneath a patient's skin for tissue stimulation to prevent and/or treat various disorders, uses a self-contained power source. Periodic or occasional replenishment of the power source is accomplished, for example, by inductive coupling with an external device. A bidirectional telemetry link allows the microstimulator to provide information regarding the system's status, including the power source's charge level, and stimulation parameter states. Processing circuitry automatically controls the applied stimulation pulses to match a set of programmed stimulation parameters established for a particular patient. The microstimulator preferably has a cylindrical hermetically sealed case having a length no greater than about 27 mm and a diameter no greater than about 3.3 mm. A reference electrode is located on one end of the case and an active electrode is located on the other end. The case is externally coated on selected areas with conductive and non-conductive materials. | 02-20-2014 |
20140052215 | External Device for an Implantable Medical System Having Accessible Contraindication Information - Disclosed is a remote controller for an implantable medical device having stored contraindication information, which includes information which a patient or clinician might wish to review when assessing the compatibility of a given therapeutic or diagnostic technique or activity with the patient's implant. The stored contraindication information is available through a display of the remote controller or via a wired, wireless, or portable drive connection with an external device. By storing contraindication information with the implant's remote controller, patient and clinician can more easily determine the safety of a particular therapeutic or diagnostic technique or physical activity with the patient's implant, perhaps without the need to contact the manufacturer's service representative. | 02-20-2014 |
20140046405 | Pressure-Sensitive External Charger for an Implantable Medical Device - An improved external charger for an implantable medical device is disclosed in which charging is at least partially controlled based on a sensed pressure impingent on its case, which pressure is indicative of the pressure between the external charger and a patient's tissue. The improved external charger includes pressure detection circuitry coupled to one or more pressure sensors for controlling the external device in accordance with the sensed impingent pressure. The sensed pressure can be used to control charging, for example, by suspending charging, by adjusting a maximum set point temperature for the external charger based on the measured pressure, or by issuing an alert via a suitable user interface. By so controlling the external charger on the basis of the measured pressure, the external charger is less likely to create potentially problematic or uncomfortable conditions for the user. | 02-13-2014 |
20140046403 | External Charger Usable with an Implantable Medical Device Having a Programmable or Time-Varying Temperature Set Point - An improved external charger for charging the battery within or providing power to an implantable medical device is disclosed. The improved external charger includes circuitry for detecting the temperature of the external charger and for controlling charging to prevent exceeding a maximum temperature. The external charger in some embodiments includes a user interface for allowing a patient to set the external charger's maximum temperature. The user interface can be used to select either constant maximum temperatures, or can allow the user to choose from a number of stored charging programs, which programs can control the maximum temperature to vary over time. Alternatively, a charging program in the external charger can vary the maximum temperature set point automatically. By controlling the maximum temperature of the external charger during charging in these manners, the time needed to charge can be minimized while still ensuring a temperature that is comfortable for that patient. | 02-13-2014 |
20140039590 | METHODS FOR MAKING LEADS WITH SEGMENTED ELECTRODES FOR ELECTRICAL STIMULATION SYSTEMS - One embodiment is a stimulation lead including a lead body comprising a longitudinal surface, a distal end, and a proximal end; and multiple electrodes disposed along the longitudinal surface of the lead body near the distal end of the lead body. The multiple electrodes include multiple segmented electrodes. At least a first portion of the lead body, proximal to the electrodes, is transparent or translucent and at least a second portion of the lead body, separating two or more of the segmented electrodes, is opaque so that the segmented electrodes separated by the second portion of the lead body are visually distinct. Alternatively or additionally, the stimulation lead can include an indicator ring, a stripe, a groove, or a marking aligned with one or more of the segmented electrodes. | 02-06-2014 |
20140039587 | LEADS WITH ELECTRODE CARRIER FOR SEGMENTED ELECTRODES AND METHODS OF MAKING AND USING - A stimulation lead includes a lead body having a longitudinal length, a distal portion, and a proximal portion; terminals disposed along the proximal portion of the lead body; an electrode carrier coupled to, or disposed along, the distal portion of the lead body; segmented electrodes disposed along the electrode carrier; and conductors extending along the lead body and coupling the segmented electrodes to the terminals. The electrode carrier includes a lattice region defining segmented electrode receiving openings. Each of the segmented electrodes extends around no more than 75% of a circumference of the lead and is disposed in a different one of the segmented electrode receiving openings of the electrode carrier. | 02-06-2014 |
20140039586 | SYSTEMS AND METHODS FOR MAKING AND USING A MULTI-LEAD INTRODUCER FOR USE WITH ELECTRICAL STIMULATION SYSTEMS - A multi-lead introducer for facilitating implantation of stimulation leads includes a needle assembly for concurrently implanting multiple leads into a patient. The needle assembly includes a first needle with a first needle lumen configured to receive a first lead. A first sharpened tip is disposed along a first end of the first needle for piercing patient tissue. A second needle defines a second needle lumen configured to receive a second lead. A second sharpened tip is disposed along a first end of the second needle for piercing patient tissue. A hub is coupled to second ends of both the first needle and the second needle. The hub defines a hub lumen that is in communication with both the first needle lumen and the second needle lumen. The hub lumen is configured to concurrently receive both the first lead and the second lead. | 02-06-2014 |
20140039578 | IMPLANTABLE MICROSTIMULATORS AND METHODS FOR UNIDIRECTIONAL PROPAGATION OF ACTION POTENTIALS - Miniature implantable stimulators (i.e., microstimulators) are capable of producing unidirectionally propagating action potentials (UPAPs). The methods and configurations described may, for instance, arrest action potentials traveling in one direction, arrest action potentials of small diameters nerve fibers, arrest action potentials of large diameter nerve fibers. These methods and systems may limit side effects of bidirectional and/or less targeted stimulation. | 02-06-2014 |
20140039577 | TECHNIQUES AND METHODS FOR STORING AND TRANSFERRING REGISTRATION, ATLAS, AND LEAD INFORMATION BETWEEN MEDICAL DEVICES - A neurostimulator system includes a portable component configured for storing patient-specific data, and an external control device configured for obtaining the patient-specific data from the portable component. The portable component is an implantable neurostimulator, a patient's remote controller, and/or an external charger. The patient-specific data is imaging-related data. A method of storing data in a neurostimulation system includes generating patient-specific data, and storing the patient-specific data in at least one of the portable components. A method for programming the implantable neurostimulator includes receiving the patient-specific data from the portable component, simulating a volume of tissue activation for each of one or more candidate stimulation parameters, wherein the simulation is based at least in part on the patient-specific data, selecting at least one of the candidate stimulation parameters, and programming the implantable neurostimulator with the selected stimulation parameters. | 02-06-2014 |
20140039575 | SYSTEM AND METHOD FOR POST-STROKE NEURAL REHABILITATION - A method for treating a patient suffering from loss of muscle control and/or function in a body region after a stroke includes epidurally applying electrical stimulation to a spinocerebellar tract of the patient (e.g., at or above the vertebral level of the spinal cord where the sensory and motor mapping for the body region are located), thereby increasing cortical excitability and facilitating the patient regaining muscle control and/or function in the body region. The method may include using cortical mapping to determine a cortical region having a residual motor response in or near the body region, implanting an electrode in a lateral epidural space, and applying the electrical stimulation in a manner that causes excitability in the cortical region having the residual motor response, wherein the stimulation is applied by the implanted electrode. The method may include exercising the body region while simultaneously applying the electrical stimulation. | 02-06-2014 |
20140039574 | SYSTEM AND METHOD FOR MUSCLE RECONDITIONING AND NEURAL REHABILITATION - A method for treating a patient requiring conditioning of one or more muscle groups comprises applying electrical stimulation to a ventral epidural space of the patient, thereby activating the muscles. The method includes conveying the stimulation energy to one or more motor efferents associated with the muscles through respective one or more electrodes implanted within the ventral epidural space, and thus activating the muscles. | 02-06-2014 |
20140039572 | SYSTEM AND METHOD FOR TREATING DEPRESSION AND EPILEPSY - A method for treating a patient suffering from epilepsy and/or depression includes applying electrical stimulation energy to a first cervical segment and/or a second cervical segment of a spinal cord of the patient, thereby treating the epilepsy and/or depression. The electrical stimulation energy may be epidurally applied to the first cervical segment and/or the second cervical segment of the spinal cord of the patient by an electrode implanted within an epidural space of the patient adjacent to the first or second cervical segment of the spinal cord. The electrode may be implanted adjacent to the first cervical vertebra and/or the second cervical vertebra of the patient. Applying the electrical stimulation energy may include applying electrical activation energy to activate afferent pathways that feed collateral nerve fibers into a trigeminocervical complex of the patient. The applied electrical stimulation energy may have a frequency in the range of 40-50 Hz. | 02-06-2014 |
20140031908 | SYSTEM AND METHOD FOR ENHANCING LARGE DIAMETER NERVE FIBER STIMULATION USING SEQUENTIAL ACTIVATION OF ELECTRODES - A system and method of providing therapy to a patient with electrodes extending along the longitudinal axes of large and small diameter nerve fibers. Electrical energy is delivered from a first electrode at an initial axial location, thereby evoking initial action potentials in the large and small fibers. The initial action potentials are allowed to be conducted along the large and small fibers in a first axial direction. Electrical energy is delivered from a second electrode at a second axial location at an instant in time when the initial action potential conducted along the large fiber has passed the second axial location and the initial action potential conducted along the small fiber is at the second axial location, thereby allowing a subsequent action potential to be evoked in the large fiber while preventing a subsequent action potential from being evoked in the small fiber. | 01-30-2014 |
20140025140 | Self-Affixing External Charging System for an Implantable Medical Device - An external charging system for charging or powering an implantable medical device is disclosed which is self-affixing to the patient without the need for a holding device. The charging system can comprise two modules attached to opposite ends of a flexible member. The flexible member is bendable, and when bent will firmly hold its position on the patient. The two modules can comprise a coil module containing a charging coil, and an electronics module including a user interface and the necessary electronics for activating the charging coil to produce a magnetic charging field. Wires can couple the charging coil in the coil module to the electronics in the electronics modules. The entire assembly can be encased in a water proof sleeve having a high-friction surface, which protects the charging system and helps the charging system to adhere to the patient. | 01-23-2014 |
20140025139 | Receiver With Dual Band Pass Filters and Demodulation Circuitry for an External Controller Useable in an Implantable Medical Device System - Receiver and demodulation circuitry for an external controller for an implantable medical device is disclosed. The circuitry comprises two high Quality-factor band pass filters (BFPs) connected in series. Each BFP is tuned to a different center frequency, such that these center frequencies are outside the band of frequencies transmitted form the IMD. The resulting frequency response is suitably wide to receive the band without attenuation, but sharply rejects noise outside of the band. The resulting filtered signal is input to a comparator to produce a square wave of the filtered signal, which maintains the frequencies of the received signal and is suitable for input to a digital input of a microcontroller in the external controller. Demodulation of the square wave occurs in the microcontroller, and involves assessing the time between transitions in the square wave. These transmission timings are compared to expected transition times for the logic states in the transmitted data. The results of these comparisons are stored and filtered to remove noise and to recover the transmitted data. | 01-23-2014 |
20140018894 | DEVICES WITH CANNULA AND ELECTRODE LEAD FOR BRAIN STIMULATION AND METHODS OF USE AND MANUFACTURE - A device for brain stimulation includes a cannula configured and arranged for insertion into a brain of a patient; at least one cannula electrode disposed on the cannula; and an electrode lead for insertion into the cannula, the electrode lead comprising at least one stimulating electrode. | 01-16-2014 |
20140018883 | Techniques for Sensing and Adjusting a Compliance Voltage in an Implantable Stimulator Device - Disclosed herein are methods and circuitry for monitoring and adjusting a compliance voltage in an implantable stimulator devices to an optimal value that is sufficiently high to allow for proper circuit performance (i.e., sufficient current output), but low enough that power is not needlessly wasted via excessive voltage drops across the current output circuitry. The algorithm measures output voltages across the current source and sink circuitry during at least periods of actual stimulation when both the current sources and sinks are operable, and adjusts the compliance voltage so as to reduce these output voltages to within guard band values preferably indicative for operation in transistor saturation. The output voltages can additionally be monitored during periods between stimulation pulses to improve the accuracy of the measurement, and is further beneficial in that such additional measurements are not perceptible to the patient. | 01-16-2014 |
20140012358 | LEAD CONNECTION SYSTEM FOR AN IMPLANTABLE ELECTRICAL STIMULATION SYSTEM AND METHODS FOR MAKING AND USING THE SYSTEMS - A lead connection system includes a connector housing. A plurality of lead retainers disposed in the connector housing are configured and arranged to removably attach to a proximal end of one of a received plurality of leads. The plurality of lead retainers include at least one of a slidable drawer and at least one pivotable hinged panel, A plurality of connector contacts are configured and arranged for making electrical contact with one or more of the terminals of one or more of the plurality of received leads. A single connector cable has a distil end that is electrically coupled to the plurality of connector contacts and a proximal end that is configured and arranged for insertion into a trial stimulator. A cable connector is electrically coupled, via the connector contacts, to at least one terminal of each of the received plurality of leads. | 01-09-2014 |
20140012352 | External Charger for a Medical Implantable Device Using Field Inducing Coils to Improve Coupling - By incorporating magnetic field-inducing position determination coils (PDCs) in an external charger, it is possible to determine the position of an implantable device by actively inducing magnetic fields using the PDCs and sensing the reflected magnetic field from the implant. In one embodiment, the PDCs are driven by an AC power source with a frequency equal to the charging coil. In another embodiment, the PDCs are driven by an AC power source at a frequency different from that of the charging coil. By comparing the relative reflected magnetic field strengths at each of the PDCs, the position of the implant relative to the external charger can be determined. Audio and/or visual feedback can then be communicated to the patient to allow the patient to improve the alignment of the charger. | 01-09-2014 |
20130331918 | ANCHORING UNITS FOR LEADS OF IMPLANTABLE ELECTRIC STIMULATION SYSTEMS AND METHODS OF MAKING AND USING - A nerve stimulation lead has a distal end, a proximal end, and a longitudinal length. The nerve stimulation lead includes a plurality of electrodes disposed at the distal end, a plurality of terminals disposed at the proximal end, and a plurality of conductive wires electrically coupling the plurality of electrodes electrically to the plurality of terminals. The nerve stimulation lead also includes at least one anchoring unit disposed on the nerve stimulation lead. The at least one anchoring unit is configured and arranged for anchoring the nerve stimulation lead against a bony structure. | 12-12-2013 |
20130331912 | METHOD AND APPARATUS FOR ALERTING A USER OF NEUROSTIMULATION LEAD MIGRATION - A neurostimulation system comprises an implantable neurostimulation lead, an implantable neurostimulator configured for delivering stimulation energy to the lead, an indicator configured for outputting a user-discernible alert signal indicating that the lead has migrated from a baseline position, memory configured for storing a threshold value, and a processor configured for determining a magnitude at which the lead has migrated from the baseline position, comparing the determined magnitude to the threshold value, and prompting the indicator to output the alert signal based on the comparison. A method of alerting a user to the migration of a neurostimulation lead implanted within the user comprises determining a magnitude at which an implanted neurostimulation lead has migrated from a baseline position, comparing the determined magnitude to a threshold value, and outputting a user-discernible alert signal indicating that the implanted lead has migrated based on the comparison. | 12-12-2013 |
20130331911 | NEURAL STIMULATION SYSTEM PROVIDING AUTO ADJUSTMENT OF STIMULUS OUTPUT AS A FUNCTION OF SENSED IMPEDANCE - A neural stimulation system automatically corrects or adjusts the stimulus magnitude (stimulation energy) in order to maintain a comfortable and effective stimulation therapy. Because the changes in impedance associated with the electrode-tissue interface can indicate obstruction of current flow and positional lead displacement, lead impedance can indicate the quantity of electrical stimulation energy that should be delivered to the target neural tissue to provide corrective adjustment. Hence, a change in impedance or morphology of an impedance curve may be used in a feedback loop to indicate that the stimulation energy needs to be adjusted and the system can effectively auto correct the magnitude of stimulation energy to maintain a desired therapeutic effect. | 12-12-2013 |
20130331910 | Power Architecture for an Implantable Medical Device Having a Non-Rechargeable Battery - An improved architecture for an implantable medical device using a primary battery is disclosed which reduces the need for boosting the voltage of the primary battery, and hence reduces the power draw in the implant. The architecture includes a boost converter for boosting the voltage of the primary battery and for supplying that boosted voltage to certain of the circuit blocks, which is particularly useful if the battery voltage is necessarily lower than the minimal input power supply voltage necessary for the circuit blocks to operate. However, circuitry capable of operation even at low battery voltages—including the telemetry tank circuitry and the compliance voltage generator—receives the battery voltage directly without boosting, thus saving power. | 12-12-2013 |
20130325084 | ELECTRICAL STIMULATION METHOD FOR MODULATION ON SENSORY INFORMATION AROUND DORSAL ROOT GANGLIA - A method of treating a patient with an ailment, comprises delivering first energy to a dorsal root ganglia (DRG), thereby modulating the DRG, and delivering second energy to at least one of a central neural axon extending from the DRG and a peripheral neural axon extending from the DRG, thereby modulating the at least one of the central neural axon and the peripheral neural axon. | 12-05-2013 |
20130317588 | DISTALLY CURVED ELECTRICAL STIMULATION LEAD AND METHODS OF MAKING AND USING - An implantable electrical stimulation lead including a lead body having a distal end, a proximal end, and a longitudinal length, wherein the distal end of the lead body is formed into a hook or coil shape; a plurality of electrodes disposed along the hook or coil at the distal end of the lead body; a plurality of terminals disposed on the proximal end of the lead body; and a plurality of conductors, each conductor electrically coupling at least one of the electrodes to at least one of the terminals. The lead can be used to stimulate, for example, a dorsal root ganglion with the hook-shaped or coil-shaped distal end disposed around a portion of the dorsal root ganglion. | 11-28-2013 |
20130317587 | METHODS FOR STIMULATING THE DORSAL ROOT GANGLION WITH A LEAD HAVING SEGMENTED ELECTRODES - A method of stimulating a dorsal root ganglion includes providing an electrical stimulation lead having a distal end, a proximal end, a longitudinal length, a circumference, a plurality of electrodes disposed along the distal end of the lead, a plurality of terminals disposed along the proximal end of the lead, and a plurality of conductors. Each conductor electrically couples at least one of the electrodes to at least one of the terminals. The plurality of electrodes includes a plurality of segmented electrodes and each of the segmented electrodes extends around no more than 75% of the circumference of the lead. The method further includes implanting the electrical stimulation lead adjacent to the dorsal root ganglion and applying electrical stimulation to the dorsal root ganglion using at least one of the plurality of segmented electrodes of the electrical stimulation lead. | 11-28-2013 |
20130317586 | SYSTEMS AND METHODS FOR PROVIDING ELECTRICAL STIMULATION OF MULTIPLE DORSAL ROOT GANGLIA WITH A SINGLE LEAD - A method for implanting an electrical stimulation lead into a patient includes advancing a distal end of a multi-armed lead into an epidural space of the patient. The multi-armed lead includes first and second stimulation arms extending from a main body portion. The first stimulation arm is guided into and through a first intervertebral foramen. The first stimulation arm is positioned in proximity to a first dorsal root ganglion. The first stimulation arm is positioned with electrodes disposed along the first stimulation arm in operational proximity to the first dorsal root ganglion. The second stimulation arm is guided into and through a second intervertebral foramen. The second stimulation arm is positioned in proximity to a second dorsal root ganglion. The second stimulation arm is positioned with electrodes disposed along the second stimulation arm in operational proximity to the second dorsal root ganglion. | 11-28-2013 |
20130317585 | SYSTEMS AND METHODS FOR ELECTRICALLY STIMULATING PATIENT TISSUE ON OR AROUND ONE OR MORE BONY STRUCTURES - An implantable lead assembly for providing electrical stimulation to a patient includes a lead body; a terminal disposed along a proximal end of the lead body; and an orthopedic implant coupled to a distal end of the lead body. The orthopedic implant is configured and arranged for anchoring to a bony structure. At least one mounting region is disposed along the orthopedic implant. The at least one mounting region is configured and arranged for anchoring the orthopedic implant to the at least one bony structure. An electrode is disposed along a stimulation region of the orthopedic implant. A conductor electrically couples the terminal to the electrode. | 11-28-2013 |
20130317583 | PERCUTANEOUS IMPLANTATION OF AN ELECTRICAL STIMULATION LEAD FOR STIMULATING DORSAL ROOT GANGLION - A method of implanting an electrical stimulation lead to stimulate a dorsal root ganglion includes providing an electrical stimulation lead having a distal end, a proximal end, a longitudinal length, electrodes disposed along the distal end of the lead, terminals disposed on the proximal end of the body, a plurality of conductors electrically coupling the electrodes to the terminals. The method further includes sequentially inserting a series of hollow introducers into the back of a patient to open a passage to the dorsal root ganglion. Each introducer in the series has an inner diameter larger than an inner diameter of a preceding introducer in the series. The method also includes implanting the electrical stimulation lead through the passage formed using the series of hollow introducers. Upon implantation of the electrical stimulation lead, at least one of the plurality of electrodes is adjacent the dorsal root ganglion. | 11-28-2013 |
20130317573 | COMBINATION ELECTRICAL STIMULATION AND LOW-LEVEL LASER THERAPY - A neuromodulation lead, comprising an elongated body, at least one electrode carried by the distal end of the elongated body, and at least one optical element carried by the distal end of the elongated body. The electrode(s) is configured for conveying electrical energy capable of modulating a neuronal element, and the optical element(s) is configured for conveying low-level laser energy capable of modulating a neuronal element. A method of treating a patient with an ailment comprises conveying electrical energy to a first neuronal element, thereby modulating the first neuronal element, and conveying low-level laser energy having a wavelength in the range of 600 nm-2500 nm to the first neuronal element, thereby modulating the first neuronal element. At least one of the conveyance of the electrical energy and the conveyance of the low-level laser energy treats the ailment. | 11-28-2013 |
20130317572 | LOW-LEVEL LASER THERAPY - A method of treating a patient with an ailment using an optical element implanted within the patient, comprising conveying low-level laser energy having a wavelength in the range of 600 nm-2500 nm from the optical element to a neuronal element of the patient, thereby modulating the neuronal element to treat the ailment. | 11-28-2013 |
20130317518 | SYSTEMS AND METHODS FOR IMPLANTING AN ELECTRICAL STIMULATION LEAD USING A SHEATH - A method for implanting an electrical stimulation lead into a patient includes inserting an elongated sheath into a patient. The sheath includes a sheath body with a proximal end and a distal tip. The sheath defines a lumen extending from the proximal end of the sheath to the distal tip. The distal tip of the sheath is advanced to the patient's epidural space. The distal tip of the sheath is positioned at a target implantation location. A lead is advanced along the lumen of the sheath from the proximal end of the sheath body to the distal tip. The lead includes a lead body and a plurality of electrodes disposed along a distal end of the lead body. The sheath is removed from the patient while leaving the distal end of the lead at the target implantation location. | 11-28-2013 |
20130310900 | SYSTEMS AND METHODS FOR IMPROVING RF COMPATIBILITY OF ELECTRICAL STIMULATION LEADS - An implantable lead assembly for an electrical stimulation system includes a first lead configured for insertion into a patient. A current-limiting arrangement is coupleable with the first lead. The current-limiting arrangement is configured for limiting the amount of RF-induced current propagating along a body of the first lead during an MRI procedure. The current-liming arrangement includes a safety device configured to couple to the lead body when the lead body is implanted in the patient. The safety device defines a first port extending along a length of the safety device. The first port is configured for receiving a proximal end portion of the lead body and covering each of multiple terminals disposed along the lead body to prevent the terminals from contacting patient tissue. The safety device provides an impedance of at least 50 ohms at one or more MRI RF frequencies. | 11-21-2013 |
20130304173 | PADDLE LEAD CONFIGURATIONS FOR ELECTRICAL STIMULATION SYSTEMS AND METHODS OF MAKING AND USING - A paddle lead includes a paddle body with a plurality of electrodes disposed on the paddle body. The plurality of electrodes includes a first electrode and a second electrode. The first electrode and the second electrode are disposed laterally around the circumference of the paddle body. At least one connecting wire is disposed on, or within, the paddle body to electrically couple the first electrode and the second electrode. | 11-14-2013 |
20130304152 | SYSTEM AND METHOD FOR SHAPED PHASED CURRENT DELIVERY - A method of treating an ailment suffered by a patient using one or more electrodes adjacent spinal column tissue of the patient, comprises delivering electrical modulation energy from the one or more electrodes to the spinal column tissue in accordance with a continuous bi-phasic waveform having a positive phase and a negative phase, thereby modulating the spinal column tissue to treat the ailment. An implantable electrical modulation system, comprises one or more electrical terminals configured for being coupled to one or more modulation leads, output modulation circuitry capable of outputting electrical modulation energy to the electrical terminal(s) in accordance with a continuous bi-phasic waveform, and control circuitry configured for modifying a shape of the continuous bi-phasic waveform, thereby changing the characteristics of the electrical modulation energy outputted to the electrode(s). | 11-14-2013 |
20130304140 | SYSTEMS AND METHODS FOR MAKING AND USING IMPROVED CONNECTOR CONTACTS FOR ELECTRICAL STIMULATION SYSTEMS - A port for receiving a lead is defined at a first end of a connector housing of a connector assembly for an implantable electrical medical device. A lumen extends from the port along a longitudinal axis of the connector housing. At least one of a plurality of connector contacts disposed in the connector housing couples to a terminal of the lead when the lead is received by the connector housing. The connector contacts include spring contact probes spaced apart from one another along the longitudinal axis of the connector housing with at least a portion of each of the spring contact probes extending along a first transverse axis into the lumen of the connector housing. The plurality of spring contact probes physically contact the terminals of the lead solely along the first transverse axis when the lead is received by the connector housing. | 11-14-2013 |
20130289665 | Real Time Compliance Voltage Generation for an Implantable Stimulator - Circuitry for generating a compliance voltage (V+) for the current sources and/or sinks in an implantable stimulator device is disclosed. The improved compliance voltage generation circuitry adjusts V+ to an optimal value in real time, even during the provision of a stimulation current. The circuitry uses amplifiers to measure the voltage drop across an active PDACs (current sources) and/or NDAC (current sinks) The measured voltages are input to a V+ regulator, which compares the measured voltage drops across the DACs to optimal values, and which feeds an optimized value for V+ back to the DACs in real time to keep the voltage drop(s) at those optimal levels during the stimulation current for efficient DAC operation. | 10-31-2013 |
20130289661 | Timing Channel Circuitry for Creating Pulses in an Implantable Stimulator Device - Timing channel circuitry for controlling stimulation circuitry in an implantable stimulator is disclosed. The timing channel circuitry comprises a addressable memory. Data for the various phases of a desired pulse are stored in the memory using different numbers of words, including a command indicative of the number of words in the phase, a next address for the next phase stored in the memory, and a pulse width or duration of the current phase, control data for the stimulation circuitry, pulse amplitude, and electrode data. The command data is used to address through the words in the current phase via the address bus, which words are sent to a control register for the stimulation circuitry. After the duration of the pulse width for the current phase has passed, the stored next address is used to access the data for the next phase stored in the memory. | 10-31-2013 |
20130282091 | SYSTEMS AND METHODS FOR MAKING AND USING IMPROVED ELECTRODES FOR IMPLANTABLE PADDLE LEADS - A paddle lead assembly for providing electrical stimulation of patient tissue includes a paddle body having a longitudinal axis and a transverse axis transverse to the longitudinal axis. A plurality of electrodes are disposed along the paddle body. Each of the plurality of electrodes has a five-sided shape. At least one lead body is coupled to the paddle body. A plurality of terminals are disposed on the at least one lead body. The paddle lead assembly further includes a plurality of conductive wires. Each conductive wire couples one of the plurality of terminals to at least one of the plurality of electrodes. | 10-24-2013 |
20130282086 | SYSTEMS AND METHODS FOR MAKING AND USING ELECTRODE OR TERMINAL EXTENSIONS FOR COUPLING TO LEADS OF IMPLATANTABLE ELECTRICAL SYSTEMS - A lead assembly includes an implantable lead. Electrodes are disposed along a distal end of the lead in an electrode array. Terminals are disposed along a proximal end of the lead in a proximal-most terminal array and a medial terminal array. A terminal extension electrically couples to the medial terminal array. A port is defined in a connector at a first end of the terminal extension. The port has a first end and an opposing second end and forms a continuous passageway therebetween. The port receives the medial terminal array. A contact array includes connector contacts that are disposed within the port and that couple electrically with a terminal array disposed along a second end of the terminal extension. The contact array couples electrically with terminals of the medial terminal array of the lead when the medial terminal array is received by the port. | 10-24-2013 |
20130274844 | LEAD WITH CONTACT END CONDUCTOR GUIDE AND METHODS OF MAKING AND USING - An electrical stimulation lead includes a cog-shaped conductor guide disposed either at the proximal end or the distal end of the lead. The cog-shaped conductor guide includes a central core and multiple protrusions extending outwards from the core. Conductor tracks are defined within the cog-shaped conductor guide between adjacent protrusions. Electrodes are provided along the distal end of the lead, terminals are provided along the proximal end of the lead, and conductors couple the electrodes to the terminals. An elongated lead body extends from the electrodes to the terminals of the lead. Each of the conductors has an end portion positioned within one of the conductor tracks of the cog-shaped conductor guide. | 10-17-2013 |
20130274843 | LEAD CONSTRUCTION FOR DEEP BRAIN STIMULATION - A stimulation lead extends from a proximal end to a distal end and includes a plurality of electrodes disposed along the distal end of the lead; a plurality of terminals disposed along the proximal end of the lead; and an elongated body separating the plurality of electrodes from the plurality of terminals. The elongated body includes an outer tube of insulative material, and a cog-shaped conductor guide disposed within the outer tube. The conductor guide includes a central core and a plurality of protrusions extending outward from the central core. The plurality of protrusions and the outer tube define a plurality of pocket regions. The stimulation further includes a plurality of conductors disposed within the plurality of pocket regions, each conductor coupling at least one of the plurality of electrodes to at least one of the plurality of terminals. | 10-17-2013 |
20130274829 | NEUROSTIMULATION DEVICE HAVING FREQUENCY SELECTIVE SURFACE TO PREVENT ELECTROMAGNETIC INTERFERENCE DURING MRI - An implantable medical device comprises an antenna configured for wirelessly receiving energy of a first frequency from an external device, electronic circuitry configured for performing a function in response to the receipt of the received energy, and a biocompatible housing containing the electronic circuitry and antenna. The housing includes a substrate structure and a two-dimensional array of elements disposed on the substrate structure. The array of elements and substrate structure are arranged in a manner that creates a frequency selective surface capable of reflecting at least a portion of energy of a second frequency incident on the housing, while passing at least a portion of energy of the first frequency incident on the housing to the antenna. | 10-17-2013 |
20130274820 | SYSTEMS AND METHODS FOR MAKING AND USING ELECTRICAL STIMULATION SYSTEMS WITH IMPROVED RF COMPATIBILITY - An implantable control module for an electrical stimulation system includes an electronic subassembly disposed in a casing. A sealed feedthrough housing is disposed along a portion of the casing. An electrically-conductive portion of the feedthrough housing is electrically coupled to an electrically-conductive portion of the casing. Feedthrough pins extend through the feedthrough housing and couple to the electronic subassembly via conductive pathways disposed in the casing. At least a portion of the conductive pathways extend along a non-conductive substrate. An RF-diverting assembly is disposed in the casing. The RF-diverting assembly includes a feedthrough ground electrically coupled to the electrically-conductive portion of the feedthrough housing. The RF-diverting assembly also includes a plurality of capacitive elements each coupling a different one of the plurality of conductive pathways to the feedthrough ground. | 10-17-2013 |
20130268026 | NEUROSTIMULATION SYSTEM AND METHOD FOR CONSTRUCTING STIMULATION PROGRAMS - A device for use with a stimulation system comprises a user interface for receiving input from a user, displaying graphical parameter objects respectively corresponding to stimulation parameter sets, and displaying graphical program objects corresponding to stimulation programs. The device further comprises a controller/processor for selecting a graphical parameter object, dragging the graphical parameter object, dropping the graphical parameter object into a graphical program object, and storing the stimulation parameter set corresponding to the graphical parameter object in association with the stimulation program corresponding to the graphical program object. The user interface may further display graphical program objects corresponding to stimulation programs, and a graphical schedule object. The controller/processor may select a graphical program object, drag the graphical program object, drop the graphical program object into a time period of the graphical schedule object, and store the time period in association with the stimulation program corresponding to the graphical program object. | 10-10-2013 |
20130268025 | Verifying Correct Operation of an Implantable Neurostimulator Device Using Current Distribution Circuitry - Monitoring circuitry for an implantable stimulator device is disclosed. A switching matrix allows current from a current source to be distributed to any of a plurality of electrodes. A voltage drop across the active switches in the switch matrix is monitored and is compared to an expected voltage based upon the amplitude of the current and the known on resistance of the switch. If the monitored and expected voltages differ significantly, then a failure condition can be inferred, and an appropriate action can be taken, such shutting down stimulation. Using the already-existing switches in the switching matrix in this fashion is beneficial because it allows the current through the electrodes to be monitored without providing additional structures in the therapeutic current path, which would increase complexity and add unwanted resistance. | 10-10-2013 |
20130268021 | METHOD FOR ACHIEVING LOW-BACK SPINAL CORD STIMULATION WITHOUT SIGNIFICANT SIDE-EFFECTS - A method for treating an ailment of a patient using at least one electrode implanted within a spinal column of the patient at a T4-T6 spinal nerve level. The method comprises increasing an activation threshold of a side-effect exhibiting neural structure relative to the activation threshold of a dorsal column (DC) nerve fiber of the patient, and applying electrical stimulation energy to the DC nerve fiber via the at least one electrode while the activation threshold of the neural structure is increased, thereby treating the ailment while minimizing stimulation of the neural structure. Another method comprises applying electrical stimulation energy to the spinal column of the patient via the plurality of electrodes, thereby generating a medio-lateral electrical field relative to the spinal column of the patient and treating the ailment. | 10-10-2013 |
20130261718 | METHOD AND APPARATUS FOR DETERMINING RELATIVE POSITIONING BETWEEN NEUROSTIMULATION LEADS - A method and neurostimulation control system for operating two leads disposed adjacent tissue of a patient are provided. A plurality of cross-lead electrical parameters are measured to generate a measured electrical profile of the electrode leads. A plurality of cross-lead electrical parameters are estimated to generate a first reference electrical profile for the electrode leads in a first known staggered configuration. The first reference electrical profile is spatially shifted to generate a second reference electrical profile for the electrode leads in a second known staggered configuration. The measured electrical profile is compared to the first and second reference electrical profiles, and a longitudinal stagger between the electrode leads is quantified based on the comparison. | 10-03-2013 |
20130261684 | LEADS WITH X-RAY FLUORESCENT CAPSULES FOR ELECTRODE IDENTIFICATION AND METHODS OF MANUFACTURE AND USE - An implantable lead for an electrical stimulation system includes a lead body having a distal end, a proximal end, a longitudinal length, and a circumference; a plurality of electrodes disposed along the distal end of the lead body in an electrode array; a plurality of terminals disposed along the proximal end of the lead body; a plurality of conductors electrically coupling the plurality of electrodes to the plurality of terminals; and at least one capsule including an x-ray fluorescent material and disposed along the distal end of the lead body relative to the electrode array to indicate, when viewed fluoroscopically, an orientation of the electrode array. The plurality of electrodes includes a plurality of segmented electrodes. Each of the plurality of segmented electrodes extends partially around the circumference of the lead body. | 10-03-2013 |
20130253611 | HEURISTIC SAFETY NET FOR TRANSITIONING CONFIGURATIONS IN A NEURAL STIMULATION SYSTEM - A system and method using a plurality of electrodes. An immediate electrode configuration is defined, electrical energy is conveyed to the electrodes in accordance with the immediate electrode configuration, a final electrode configuration is defined, a series of intermediate electrode configurations is defined using a heuristic set of rules based on the immediate electrode configuration and the final electrode configuration, electrical energy is conveyed to the electrodes in accordance with the series of intermediate electrode configurations, and electrical energy is conveyed to the electrodes in accordance with the subsequent electrode configuration. | 09-26-2013 |
20130253610 | HEURISTIC SAFETY NET FOR TRANSITIONING CONFIGURATIONS IN A NEURAL STIMULATION SYSTEM - A system and method using a plurality of electrodes. An immediate virtual multipole is defined, an immediate electrode configuration emulating the immediate virtual multipole is defined, electrical energy is conveyed to the electrodes in accordance with the immediate electrode configuration, a new virtual multipole is defined by changing a parameter of the immediate virtual multipole by a step size, a new electrode configuration that emulates the new virtual multipole is defined, a difference value as a function of the immediate virtual multipole and the new virtual multipole is computed, the different value is compared to a limit value, electrical energy is conveyed to the electrodes in accordance with the new electrode configuration if the difference value does not exceed the limit value, and the absolute value of the step size is decreased to create a new step size if the difference value does exceed the limit value. | 09-26-2013 |
20130245741 | MRI-SAFE HIGH IMPEDANCE LEAD SYSTEMS - Some embodiments are directed to MRI/RF compatible medical interventional devices. A plurality of spaced apart high impedance circuit segments are configured to have a high Impedance at a high range of radiofrequencies and a low impedance at a low range of frequencies. The high impedance circuit segments may comprise co-wound coiled inductors and can reduce, block or inhibit RJ-transmission along the lead system ( | 09-19-2013 |
20130245738 | ELECTRODE ARRAY WITH ELECTRODES HAVING CUTOUT PORTIONS AND METHODS OF MAKING THE SAME - A lead for brain stimulation includes a lead body having a distal end. At least one cable extends within the lead body, each cable comprising at least one conductor. The lead further includes a plurality of electrodes coupled to the at least one cable. Each of the plurality of electrodes defines a cutout portion that receives and attaches to a one of the at least one cable. | 09-19-2013 |
20130245734 | NEUROSTIMULATION LEAD DESIGN WITH VARYING RF IMPEDANCE FILARS - An implantable stimulation lead includes a lead body having a proximal end and a distal end; a plurality of electrodes disposed along the distal end of the lead body; a plurality of terminals disposed along the proximal end of the lead body, and a plurality of conductors disposed in the lead body and including a first conductor and a second conductor. Each conductor electrically couples at least one of the electrodes to at least one of the terminals. The first conductor has a RF impedance that is at least 25% greater in magnitude than the second conductor. | 09-19-2013 |
20130245723 | NEUROSTIMULATION SYSTEM FOR PREVENTING MAGNETICALLY INDUCED CURRENTS IN ELECTRONIC CIRCUITRY - A neurostimulation device capable of being placed between an active stimulation state and an inactive stimulation state and method of using same. The neurostimulation device comprises a plurality of electrical terminals configured for being respectively coupled to a plurality of stimulation electrodes, a first solid-state switching device coupled to a first one of the electrical terminals, a variable power source coupled to the first switching device, and a controller configured for, when the neurostimulation device is in the inactive stimulation state, prompting the variable power source to selectively output a relatively low voltage to place the first switching device into a first open state and a relatively high voltage to place the first switching device into a second open state. | 09-19-2013 |
20130245721 | External Controller/Charger System for an Implantable Medical Device Capable of Automatically Providing Data Telemetry Through a Charging Coil During a Charging Session - An external controller/charger system for an implantable medical device is disclosed, in which the external controller/charger system provides automatic switching between telemetry and charging without any manual intervention by the patient. The external controller/charger system includes an external controller which houses a telemetry coil and an external charging coil coupled to the external controller. Normally, a charging session is carried out using the external charging coil, and a telemetry session is carried out using the telemetry coil. However, when a patient requests to carry out telemetry during a charging session, the external charging coil is used instead of the internal telemetry coil. | 09-19-2013 |
20130245720 | Using the Case of an Implantable Medical Device to Broaden Communication Bandwidth - An improved implantable pulse generator (IPG) containing improved telemetry circuitry is disclosed. The IPG includes a telemetry coil within the conductive IPG case, not in the non-conductive header as is typical, which simplifies IPG design. The improved resonant circuit of which the coil is a part does not include a discrete tuning resistor with the coil, which tuning resistor was traditionally used to increase communication bandwidth of the coil to render it suitable for FSK telemetry. In lieu of the tuning resistor, the coil is intentionally inductively coupled to the case by positioning the coil a certain distance away from the case. Such coupling decreases the effective inductance and increases the effective series resistance in the improved resonant circuit, both of which increase the communication bandwidth. As such, suitable FSK telemetry can be achieved, even though the improved resonant circuit without the case would not on its own have suitable bandwidth. | 09-19-2013 |
20130245719 | SYSTEM AND METHOD FOR ESTIMATING LOCATION AND DEPTH OF STIMULATION LEADS - A method and external control device for performing a medical procedure on a patient in which at least one stimulation lead is implanted. An electrical signal is conveyed from the stimulation lead into tissue of the patient. An electrical parameter indicative of tissue impedance is measured in response to the conveyance of the electrical signal. One of a plurality of different anatomical regions in which the stimulation lead is implanted is selected and/or a depth in which the stimulation is implanted is determined based on the measured electrical parameter. A stimulation parameter is defined based on the selected one anatomical region and/or implantation depth. Electrical stimulation energy from the stimulation lead is conveyed into the one determined anatomical region in accordance with the defined stimulation parameter. | 09-19-2013 |
20130245715 | FIELD AUGMENTED CURRENT STEERING USING VOLTAGE SOURCES - A neurostimulation comprises a plurality of electrical terminals configured for being respectively coupled to an array of electrodes, at least three configurable sources respectively coupled to at least three of the electrical terminals, and control circuitry configured for programming each of the at least three configurable sources to be either a current source or a voltage source. A method of providing neurostimulation therapy to a patient using an array of electrodes implanted adjacent neural tissue of the patient, comprises conveying electrical stimulation energy between a first one the electrodes and a second one of the electrodes, thereby creating an electrical field potential within the neural tissue, regulating a first current flowing through the first electrode, and regulating a first voltage at a third different one of the electrodes, thereby modifying a shape of the electrical field potential within the neural tissue. | 09-19-2013 |
20130241573 | SYSTEMS AND METHODS FOR OBTAINING AND USING INCIDENT FIELD TRANSFER FUNCTIONS OF ELECTRICAL STIMULATION SYSTEMS - A method of estimating response of a medical lead to an electromagnetic field includes providing a medical lead having a proximal end, a distal end, a plurality of electrodes disposed along the distal end, a plurality of terminals disposed along the proximal end, and a plurality of conductors extending along the medical lead and electrically coupling the electrodes to the terminals; individually applying a test field at each of a plurality of test positions along the medical lead using at least one excitation probe; for each application of the test field, determining a response to the application of the test field at one or more of the electrodes or terminals; generating a transfer function using a combination of the responses determined for the applications of the test field; and using the transfer function to estimate a response of the medical lead to an electromagnetic field. | 09-19-2013 |
20130238055 | Method for Controlled Shutdown of an Implantable Medical Device - An improved implantable pulse generator (IPG) containing graceful shutdown circuitry is disclosed. A magnet sensor senses the presence of an emergency shutdown magnet. Output of the magnet sensor is conditioned by a signal conditioning circuit. Output of the signal conditioning circuit is delayed by a delay element before being fed to a power cut-off switch, which cuts-off power to the IPG circuitry. An interrupt signal is routed from before the delay element to the IPG processor as an indicator of imminent shutdown. The processor launches shutdown routine that carries out shutdown operations such as logging the emergency shutdown event, saving and closing open files, saving data from volatile memory to non-volatile memory, etc., before the power cut-off switch is activated upon elapsing of delay provided by the delay element. The magnet sensor, signal conditioning circuit, and delay element are powered separately from the rest of the circuitry of the IPG. | 09-12-2013 |
20130238023 | SYSTEM AND METHOD FOR SECURING AN IMPLANT TO TISSUE - A system and method for securing a medical implant within a patient. The method comprises disposing an anchor element around the implant, the anchor element including a pair of tabs each including an eyelet, and a flexible intermediate portion between the tabs, wherein disposing the anchor element around the implant includes positioning the implant within the intermediate portion and folding the anchor element such that the tabs contact one another and the eyelets aligned. The anchor element is positioned at a desired implantation position with the tabs positioned proximate soft tissue of the patient. The method further comprises inserting a distal tip of a fixation element delivery tool through the eyelets and into the soft tissue, the fixation element including at least one tissue anchor and an adjustable suture arrangement coupled to the tissue anchor. The at least one tissue anchor is deployed from the delivery tool and into the soft tissue of the patient. The delivery tool is withdrawn from the soft tissue and the eyelets of the anchor element, and the adjustable suture arrangement is tightened to secure the anchor element against the soft tissue. | 09-12-2013 |
20130237994 | MINIMALLY INVASIVE METHODS FOR LOCATING AN OPTIMAL LOCATION FOR DEEP BRAIN STIMULATION - Methods of locating an optimal site within a brain of a patient for deep brain stimulation include positioning a guiding cannula in a lumen of a main cannula, passing a microelectrode through a lumen of the guiding cannula into the brain, adjusting an insertion depth and a longitudinal angle of the guiding cannula such that the microelectrode locates the optimal site for the deep brain stimulation, and passing a distal end of a macroelectrode or a deep brain stimulation lead through the lumen of the main cannula and into the brain at the optimal site. | 09-12-2013 |
20130231636 | METHODS AND SYSTEMS FOR FACILITATING STIMULATION OF ONE OR MORE STIMULATION SITES - Methods and systems of facilitating stimulation of a stimulation site within a patient include implanting a distal portion of a stimulating member such that the distal portion of the stimulating member is in communication with a stimulation site located within a patient, securing the distal portion of the stimulating member at a first securing site with a first securing device, forming at least two curves of opposite concavity with a proximal portion of the stimulating member, securing the stimulating member at a second securing site with a second securing device, and coupling a proximal end of the stimulating member to a stimulator. In some examples, the at least two curves of opposite concavity are located in between the first and second securing devices. | 09-05-2013 |
20130226266 | SYSTEMS AND METHODS FOR MODIFYING IMPEDANCE ALONG ELECTRICAL PATHS OF ELECTRICAL STIMULATION SYSTEMS - An implantable medical device system includes a control module with a connector assembly for electrically coupling to a lead. The control module includes a plurality of feedthrough interconnects extending from the connector assembly to an electronic subassembly disposed in a sealed housing. The plurality of feedthrough interconnects include a first feedthrough interconnect and a second feedthrough interconnect. Impedance circuitry disposed in the control module modulates impedance associated with terminals and conductors of the lead. The impedance circuitry includes a plurality of impedance elements each coupled electrically to a different feedthrough interconnect. Each impedance element has a pre-defined impedance. The plurality of impedance elements include a first impedance element electrically coupled to the first feedthrough interconnect and a second impedance element electrically coupled to the second feedthrough interconnect. The pre-defined impedance of the first impedance element is different than the pre-defined impedance of the second impedance element. | 08-29-2013 |
20130218248 | MULTIPLE TUNABLE CENTRAL CATHODES ON A PADDLE FOR INCREASED MEDIAL-LATERAL AND ROSTRAL-CAUDAL FLEXIBILITY VIA CURRENT STEERING - A neurostimulation paddle lead, method of neurostimulation, and neurostimulation system are provided. The neurostimulation paddle lead carries a plurality of electrodes comprising at least four columns of electrodes having a spacing between two inner electrode columns less than a spacing between the inner electrode columns and adjacent outer electrode columns. The inner electrode columns may also be longitudinally offset from the outer electrode columns. The methods and neurostimulation systems steer current between the electrodes to modify a medial-lateral electrical field created adjacent spinal cord tissue. | 08-22-2013 |
20130218154 | SYSTEMS AND METHODS FOR MAKING AND USING IMPLANTABLE ELECTRICAL SYSTEMS WITH LEADS THAT COUPLE TO MULTIPLE CONNECTOR PORTS - An electrical stimulation system includes a lead and a connector assembly. The lead includes electrodes, a first terminal array, a second terminal array, and conductors electrically coupling the electrodes to the terminal arrays. The connector assembly includes a first connector port that is open at opposing ends and that electrically couples to the first terminal array. The connector assembly also includes a second connector port that is open at a first end and electrically couples to the second terminal array. The lead and connector assembly simultaneously receive a first portion of the lead, containing the first terminal array, within the first connector port; extend a second portion of the lead out of one end of the first connector port and into the second connector port; and receive a third portion of the lead, containing the second terminal array, within the second connector port of the connector assembly. | 08-22-2013 |
20130211528 | CAM LOCK BURR HOLE PLUG FOR SECURING STIMULATION LEAD - A burr hole plug comprises a plug base configured for being mounted around a cranial burr hole. The plug base includes an aperture through which an elongated medical device exiting the burr hole may pass. The burr hole plug further comprises a retainer configured for being mounted within the aperture of the plug base. The retainer includes a retainer support, a slot formed in the retainer support for receiving the medical device, and a clamping mechanism having a movable clamping element and a cam configured for being rotated relative to the retainer support to linearly translate the movable clamping element into the slot, thereby securing the medical device. The retainer further comprises another clamping mechanism having another movable clamping element and another cam configured for being rotated relative to the retainer support to linearly translate the other movable clamping element, thereby laterally securing the retainer within the plug base. | 08-15-2013 |
20130211469 | Power Architecture for an Implantable Medical Device Having a Non-Rechargeable Battery - An improved architecture for an implantable medical device using a primary battery is disclosed which reduces the circumstances in which the voltage of the primary battery is boosted, and hence reduces the power draw in the implant. The architecture includes a boost converter for selectively boosting the voltage of the primary battery and for supplying that boosted voltage to certain of the circuit blocks, including digital circuitry, analog circuitry, and memory. However, the boost converter is only used to boost the battery voltage when its magnitude is below a threshold; if above the threshold, the battery voltage is passed to the circuit blocks without boosting. Additionally, some circuitry capable of operation even at low battery voltages—including the telemetry tank circuitry and the compliance voltage generator—receives the battery voltage directly without boosting, and without regard to the current magnitude of the battery voltage. | 08-15-2013 |