Class / Patent application number | Description | Number of patent applications / Date published |
607041000 | Incontinence control | 72 |
20080200965 | Electrically operable incontinence treatment apparatus - An apparatus for treating an anal or urinary incontinent patient comprises a constriction device applied on the patient's large intestine or urethra, and an electrically powered operation device, which is integrated with the constriction device and adapted to operate the latter to constrict the large intestine or urethra to close the intestinal or urethral lumen and to release the large intestine or urethra to open the intestinal or urethral lumen. An electric power supply is subcutaneously implanted in the patient remote from the constriction device and an insulated electric wire connects the power supply and the electrically powered operation device. The electric wire is resilient and extends helically between the electric power supply and the electrically powered operation device. As a result, the resilient helically extending electric wire is capable of addressing the movements from the large intestine or urethra, because it may easily be temporarily extended without risking breakage. | 08-21-2008 |
20080300650 | IMPLANTABLE MEDICAL LEAD INCLUDING VOIDING EVENT SENSOR - An implantable medical lead includes at least one stimulation electrode and at least one sensor configured to generate an electrical signal that varies as a function of a parameter associated with a voiding event of a patient. In some embodiments, the sensor may be at least one of a microphone that captures sounds associated with voiding events, a pressure sensor, a flow sensor, a strain gauge, a physiological parameter sensing electrode or a temperature sensor. The electrical signal generated by the sensor may used to detect an occurrence of a voiding event. Thus, the lead may be coupled wirelessly or via a wired connection to a device that processes the electrical signal from the sensor, generates voiding information based on the electrical signal, and in some cases, records the voiding information for later retrieval and analysis. | 12-04-2008 |
20080300651 | VOIDING EVENT IDENTIFICATION BASED ON PATIENT INPUT - An implantable medical device (IMD) is configured to operate as an automatic voiding diary for logging urinary and/or fecal voiding events. The IMD detects urinary and/or fecal voiding events and generates data that identifies detected events as voluntary or involuntary events. In particular, the IMD generates the identification data based on a patient defined action. In one embodiment, the patient defined action is the patient tapping on the skin located above the IMD. The IMD may generate the identification data based on one or more characteristics of the tapping, e.g., the number, frequency, duration, or pattern of taps. The IMD may also generate the identification data based on a lack of input during a specific range of time after a detected voiding event. In some embodiments, the identification data may be used to identify a false positive, i.e., an event that was incorrectly detected by the IMD. | 12-04-2008 |
20080312713 | SYSTEM AND METHOD FOR DETERMINING ELECTRODE-TISSUE CONTACT BASED ON AMPLITUDE MODULATION OF SENSED SIGNAL - Methods and systems for monitoring contact between a medical probe and tissue are provided. A medical probe is introduced into a patient adjacent the tissue. An electrical parameter, e.g., electrical admittance, is measuring between a first electrode located on the medical probe and a second electrode remote from the first electrode. The electrical parameter is amplitude modulated in response to a physiological cycle of the patient. Contact between the medical probe and the tissue is detected based on the amplitude modulation of the measured electrical parameter. | 12-18-2008 |
20090036946 | PELVIC DISORDER TREATMENTS - In a method, at least one electrode is implanted in a pelvic muscle of a patient and a control unit is provided. An electrical waveform is applied to the pelvic muscle through the at least one electrode using the control unit. A condition of the patient is treated in response to the application of the electrical waveform. The condition of the patient is fecal incontinence, interstitial cystitis, chronic pelvic pain or urine retention. | 02-05-2009 |
20090043356 | Electrode Sling for Treating Stress and Urge Incontinence - Apparatus is provided, including an implantable mechanical support comprising a mesh shaped to support a portion of a urethra of a patient. One or more electrodes, coupled to the mesh, so as to contact tissue of the patient when the mechanical support ( | 02-12-2009 |
20090054950 | Method and Apparatus for Treating Incontinence - A medical condition is treated using electrical stimulation of contractile tissue, such as a sphineter, as well as electrical stimulation of afferent nerves to illicite a neuron-modulation response. The device ( | 02-26-2009 |
20090138061 | Stimulator For The Control of a Bodily Function - The present invention provides a device for the stimulation of smooth muscle tissue. The device includes a stimulator arranged to provide a signal to the smooth muscle tissue to control response of the smooth muscle tissue, and an interface arranged to allow programming of a controller of the stimulator. The interface may interact with an external controller. The device finds use in controlling smooth muscle tissue, such as a neosphincter, for the control of urinary or faecal incontinence in a patient. | 05-28-2009 |
20090157139 | METHOD AND APPARATUS FOR PROVIDING CONTINENCE TO A GASTROINTESTINAL OSTOMY - An apparatus, and method, for providing continence to a gastrointestinal ostomy of a patient, the apparatus having a sealing device for retaining discharge of intestinal effluents and waste products from the ostomy, at least one pair of electrodes capable of delivering electrical stimulation to affect the smooth muscles of the patient's intestine and a stimulation generator in electrical communication with at least one pair of electrodes and capable of generating said electrical stimulation, wherein the electrical stimulation is selected to induce muscle contraction, relaxation, a tonic state or a flaccid state in the smooth muscles of the patient's intestine. | 06-18-2009 |
20090157140 | APPARATUS AND METHOD FOR PROVIDING CONTINENCE TO A GASTROINTESTINAL OSTOMY - An apparatus, and method, for providing continence to a gastrointestinal ostomy of a patient, the apparatus having a sealing device for retaining discharge of effluents or waste products from an ostomy, at least one pair of electrodes capable of delivering electrical stimulation to affect the smooth muscles of the patient's intestine and a stimulation generator in electrical communication with at least one pair of electrodes and capable of generating said electrical stimulation, wherein the electrical stimulation is selected to induce muscle contraction, relaxation, a tonic state or a flaccid state in the smooth muscles of the patient's intestine. | 06-18-2009 |
20090222058 | NEUROMODULATION DEVICE FOR PELVIC DYSFUNCTION - A wearable neuromodulation device ( | 09-03-2009 |
20090254144 | System and Method of Bladder and Sphincter Control - A method and system for bladder control are disclosed. In embodiments, a method for bladder control is provided that comprises coupling an electrode to an afferent nerve that is related to the bladder. Applying a plurality of pulse burst stimulations via the electrode causes voiding of urine from the bladder. In embodiments, the plurality of pulse burst stimulations to the afferent nerve reduces external urethral sphincter (EUS) contractions and evokes bladder contractions to expel urine from the subject. In embodiments, the plurality of pulse burst stimulations to the afferent nerve evokes bladder contractions alone to expel urine from the subject. In embodiments, a system for bladder control is provided that comprises an electrode for applying a pulse burst stimulus to an afferent nerve or dermatome to reduce reflex contractions and a signal generator for generating the pulse burst stimulus. | 10-08-2009 |
20090270942 | COLLECTING ACTIVITY INFORMATION TO EVALUATE THERAPY - A medical device delivers a therapy to a patient. The medical device may periodically determine an activity level of the patient, and associate each determined activity level with a current therapy parameter set. A value of at least one activity metric is determined for each of a plurality of therapy parameter sets based on the activity levels associated with that therapy parameter set. A list of the therapy parameter sets is presented to a user, such as a clinician, for evaluation of the relative efficacy of the therapy parameter sets. The list may be ordered according to the one or more activity metric values to aid in evaluation of the therapy parameter sets. Where values are determined for a plurality of activity metrics, the list may be ordered according to the one of the activity metrics selected by the user. | 10-29-2009 |
20090326602 | TREATMENT OF INDICATIONS USING ELECTRICAL STIMULATION - In one embodiment, a method includes implanting an implant entirely under the subject's skin. The implant includes a passive electrical conductor of sufficient length to extend from subcutaneous tissue located below one of a surface cathodic electrode and a surface anodic electrode to the tibial nerve. The surface electrodes are positioned in spaced relationship on the subject's skin, with one of the electrodes positioned over the pick-up end of the electrical conductor such that the portion of the current is transmitted through the conductor to the tibial nerve, and such that the current flows through the tibial nerve and returns to the other of the surface cathodic electrode and the surface anodic electrode. An electrical current is applied between the surface cathodic electrode and the surface anodic electrode to cause the portion of the electrical current to flow through the implant to stimulate the tibial nerve. | 12-31-2009 |
20090326603 | APPARATUS FOR STIMULATING COMPONENTS IN, ON, OR NEAR THE PUDENDAL NERVE OR ITS BRANCHES TO ACHIEVE SELECTIVE PHYSIOLOGIC RESPONSES - Apparatus to control physiological functions, including urinary track physiological functions are described. The apparatus includes an electrode(s) configured to be placed on or in a targeted component of a pudendal nerve and to stimulate the targeted pudendal nerve pudendal. The targeted component of the pudendal nerve includes a pudendal nerve urethral afferent, and afferent nerve fibers in the deep perineal nerve. The apparatus includes a controller coupled to the electrode to apply an electrical signal having an amplitude and a selected frequency chosen to stimulate the targeted component. The controller operates in a first mode to apply a first frequency without substantially changing the amplitude for achieving a first physiologic response and the controller operates in a second mode to apply a second frequency, different than the first frequency, for achieving a second physiologic response different than the first physiologic response. | 12-31-2009 |
20100010563 | Method and Apparatus for Treating Fecal Incontinence - The present invention relates to a method and apparatus for treating fecal incontinence. A smooth muscle sphincter is implanted about the distal part of the large intestine in the region of internal anal sphincter or the anal canal, the rectum or the sigmoid colon. The smooth muscle sphincter is electrically stimulated by a stimulator device, in order to contract the smooth muscle sphincter and maintain continence. Stimulation is ceased or varied in order to allow the smooth muscle sphincter to relax and the patient to defecate. | 01-14-2010 |
20100106216 | PROBE FOR ELECTRIC STIMULATOR HAVING VARIABLE VAGINAL ELECTRODE - A probe for an electric stimulator having a variable vaginal electrode constantly maintains the contact resistance by adjusting the diameter of the electrode corresponding to the user. Electrodes are provided on front and rear parts of a body of the probe, respectively. The electrodes are provided in a circular arrangement such that the electrodes move up and down. A rotating handle is formed at a side of the body such that the handle rotates at the side of the body. A shaft coupled to the handle rotates when the handle rotates, so a cam plate coupled to the shaft rotates, and the rotated cam plate pushes the electrodes, thereby expanding or reducing a diameter of the electrodes. | 04-29-2010 |
20100145409 | LAPAROSCOPIC IMPLANTATION OF NEUROSTIMULATORS - A method for altering operation of a nerve related to a given body condition includes the steps of identifying at least one nerve root of a nerve related to the given body condition; laparoscopically implanting at least one electrode on the nerve root; and operating the electrode to electrostimulate the nerve root and alter operation of the nerve. | 06-10-2010 |
20100228314 | REMOTE TITRATION OF THERAPY DELIVERED BY AN IMPLANTABLE MEDICAL DEVICE - Techniques for remotely titrating a therapy delivered using an implantable medical device system are disclosed. An implantable medical device delivers therapy according to a first program. The system collects patient data relating to at least one of an efficacy of, or side effects resulting from, the delivered therapy, and transmits the patient data to a remote network device. A clinician may then analyze the patient data and determine if changes to the therapy are warranted. The clinician may then transmit a programming change, e.g., a modification to the first program or a new, second program, to the implantable medical device system, and the implantable medical device may deliver therapy according to the changed programming. The process of receiving patient data and modifying the therapy programming may be repeated multiple times until the therapy is adequately titrated, e.g., until the patient data indicates adequate efficacy and/or acceptable side effects. | 09-09-2010 |
20100274310 | SYSTEMS AND METHODS FOR THE TREATMENT OF BLADDER DYSFUNCTIONS USING NEUROMODULATION - Systems and Methods treat bladder dysfunctions using neuromodulation stimulation. Bladder emptying through stimulation of urethral afferents, and continence through stimulation of the dorsal genital nerve, is provided with one or more implanted pulse generators and one or more leads. A simple surgical procedure preserves all existing functions. A stimulating catheter is provided to be used as a clinical screening tool. The stimulating catheter is used to measure bladder pressures and stimulate the urethra at the same time. | 10-28-2010 |
20110071590 | SACRAL NEUROSTIMULATION TO INDUCE MICTURITION IN PARAPLEGICS - It is an object of the present invention to provide a method and apparatus for enhanced bladder voidance which would have the advantages of a rhizotomy yet be temporary and reversible by combining low and high-frequency sacral nerve stimulation. Applicants propose a new sacral neurostimulation strategy based on a combination of nerve conduction blockade using high frequency signals and nerve stimulation using low-frequency signals. The method and apparatus enhances micturition in paraplegics by sacral neurostimulation involving a combination of a low-frequency electrical stimulation applied to one or more sacral nerves to induce bladder contraction and a high frequency electrical stimulation applied to at least one sacral nerve to cause nerve conduction blockade that prevents urethral sphincter dyssynergic contraction. | 03-24-2011 |
20110160793 | Multi-Zone Stimulation Implant System and Method - Various embodiments of an implant system are provided. The implant, such as a mesh implant, can include a support structure, e.g., mesh sling or implant, one or more stimulation elements (e.g., leads), and an energizing element. Leads or electrodes can be positioned in desired stimulation zones of the implant. As such, the implant can include multiple electrically isolated mesh electrode pads or regions. | 06-30-2011 |
20110190844 | TRANSMEMBRANE SENSING DEVICE FOR SENSING BLADDER CONDITION - The disclosure describes a sensing device that is implantable to sense bladder conditions, as well as a neurostimulation system and method that make use of such a sensor for alleviation of urinary incontinence. The sensing device is implantable outside the bladder, but includes a lead that penetrates the bladder wall to deploy a sensor within the bladder. Using the sensor on the lead, the sensing device outside the bladder is able to detect a condition within the interior of the bladder. In this sense, the sensing device provides transmembrane sensing of internal bladder conditions. The condition may be indicative of bladder filling or bladder contraction, and may be used to control electrical stimulation applied to the patient to alleviate urinary incontinence. | 08-04-2011 |
20110230931 | DEVICE FOR PERINEUM REEDUCATION - The invention provides a perineal rehabilitation device comprising an applicator that is either an endocavity applicator ( | 09-22-2011 |
20110264163 | System and Method for Nerve Stimulation - A system and method for stimulating a nerve, wherein the system includes a first waveform generator adapted to generate a first waveform having a frequency capable of stimulating a predetermined nerve of the mammal, a second waveform generator adapted to generate a carrier waveform having a frequency capable of passing through tissue of the mammal, a modulation device electrically coupled to the first and second waveform generators and adapted to modulate the first and carrier waveforms to create a modulated waveform, and an electrode electrically coupled to the modulation device and positioned substantially adjacent to skin of the mammal, and adapted to apply the modulated waveform thereto. | 10-27-2011 |
20110282412 | TREATMENT OF INDICATIONS USING ELECTRICAL STIMULATION - In one embodiment, a method includes implanting an implant entirely under the subject's skin. The implant includes a passive electrical conductor of sufficient length to extend from subcutaneous tissue located below one of a surface cathodic electrode and a surface anodic electrode to the tibial nerve. The surface electrodes are positioned in spaced relationship on the subject's skin, with one of the electrodes positioned over the pick-up end of the electrical conductor such that the portion of the current is transmitted through the conductor to the tibial nerve, and such that the current flows through the tibial nerve and returns to the other of the surface cathodic electrode and the surface anodic electrode. An electrical current is applied between the surface cathodic electrode and the surface anodic electrode to cause the portion of the electrical current to flow through the implant to stimulate the tibial nerve. | 11-17-2011 |
20110301663 | TREATMENT OF A PELVIC CONDITION THROUGH INDIRECT ELECTRICAL STIMULATION - Embodiments of the invention are generally directed to a method of treating a pelvic condition of a patient through the indirect stimulation of a pelvic neuromuscular structure of the patient. In one embodiment of the method, an electrical stimulation signal is applied to a first neuromuscular structure of the patient. The electrical stimulation signal is communicated through a neural pathway to a second pelvic neuromuscular structure of the patient. The second neuromuscular structure is stimulated in response to the electrical stimulation signal communicated through the neural pathway. The pelvic condition is treated in response to the stimulation of the second pelvic neuromuscular structure. | 12-08-2011 |
20120136407 | INCONTINENCE TREATMENT WITH URETHRAL GUIDE - Incontinence systems and methods for directing treatment to a target tissue of a patient comprise a guide having a first palpation member and a probe body having a treatment zone and a second palpation member. The guide is configured to be inserted into a urethra of the patient. The first palpation member is positioned in a fixed relationship to an anatomical landmark, such as a bladder neck. The probe body is configured to be inserted into a vagina of the patient. The second palpation member is registered proximal the first palpation member so as to position the treatment zone of the probe adjacent the target tissue of the patient and away from the nerves and/or tissues in the area of the bladder neck and bladder. | 05-31-2012 |
20120197336 | INTRA-BURST PULSE VARIATION FOR STIMULATION THERAPY - In general, the disclosure is directed to devices, systems, and techniques for delivering electrical stimulation to a patient with varying pulse frequencies within each burst of pulses. The pulse frequency variation within each burst of pulses may be between approximately 20 Hz and 40 Hz. In some examples, the pulse frequency may be increased, decreased, or polynomially varied within each burst. In other examples, the frequency of intrinsic nerve impulses may be detected and used to deliver pulses with the detected frequency or an inverse of the detected frequency. Electrical stimulation therapy with intra-burst pulse frequency variation may alleviate bladder dysfunction, bowel dysfunction, pain or other disorders. | 08-02-2012 |
20120197337 | BILATERAL ELECTRICAL STIMULATION THERAPY FOR BLADDER DYSFUNCTION - A medical device is configured to deliver a first stimulation therapy to a patient, and, upon detecting a trigger event, deliver a second stimulation therapy to the patient. In some examples, the first stimulation therapy includes bilateral stimulation in which stimulation is delivered at different times to two lateral sides of the patient and the second stimulation therapy includes substantially simultaneous bilateral stimulation therapy to two lateral sides of the patient. In some examples, the second stimulation therapy may elicit a stronger inhibitory physiological response related to incontinence (e.g., inhibition of bladder contractions) than the first stimulation therapy. The trigger event may include, for example, any one or more of detection of a physiological condition indicative of an increased possibility of an involuntary voiding event or an imminent involuntary voiding event, input from the patient, a predetermined time of day, or expiration of a timer. | 08-02-2012 |
20120197338 | STIMULATION THERAPY INCLUDING SUBSTANTIALLY SIMULTANEOUS BILATERAL STIMULATION - In some examples, a medical device delivers a first electrical stimulation therapy to a patient, and, upon detecting a trigger event, delivers a second electrical stimulation therapy to the patient. In some examples, the first stimulation therapy includes unilateral stimulation or stimulation delivered to both lateral sides of the patient at different times at a stimulation intensity lower than, equal to, or greater than a threshold intensity level for the patient, or bilateral stimulation delivered substantially simultaneously to both lateral sides of the patient, where one lateral side of the patient receives stimulation at an intensity level that is lower than the threshold intensity level and the other lateral side receives stimulation at an intensity level that is greater than or equal to the threshold intensity level. The second stimulation therapy may include substantially simultaneous bilateral stimulation therapy at an intensity level that at or above the threshold intensity level. | 08-02-2012 |
20120221073 | TRANSCUTANEOUS STIMULATION METHOD AND SYSTEM - Some embodiments relate to a method of treating a waste evacuation dysfunction, comprising administering transcutaneous electrical stimulation to at least one lumbar or abdominal region for at least one treatment period per day over a treatment term of at least one week. | 08-30-2012 |
20120239107 | RECHARGE SYSTEM AND METHOD FOR DEEP OR ANGLED DEVICES - Techniques are disclosed for recharging an Implantable Medical Device (IMD). In one embodiment, a first external coil is positioned on one side of a patient's body, such as on a front side of the torso in proximity to the IMD. A second external coil is positioned on an opposite side of the patient's body, such as on the back of the torso. A recharging device generates a current in each of the coils, inductively coupling the first and the second coils to the secondary recharge coil of the IMD. According to another aspect, each of the two external coils may wrap around a portion of the patient's body, such as the torso or head, and are positioned such that the IMD lies between the coils. According to this aspect, current generated in the coils inductively couples to a second recharge coil that is angled within the patient's body. | 09-20-2012 |
20120296389 | HIGH-FREQUENCY ELECTRICAL NERVE BLOCK - A method and apparatus that resulted in blocking an action potential in a nerve. | 11-22-2012 |
20130013022 | Enuresis Electroconditioner - An enuresis electroconditioner pertains to the field of medical appliances and includes a humidity sensor ( | 01-10-2013 |
20130072998 | STIMULATION THERAPY FOR BLADDER DYSFUNCTION - A medical system may include a control module and a therapy delivery module configured to generate and deliver electrical stimulation therapy to a patient. The control module may be configured to control the therapy delivery module to deliver electrical stimulation at a first stimulation intensity for a first time period, to deliver electrical stimulation at a second stimulation intensity for a second time period immediately following the first time period, and to deliver electrical stimulation at the first stimulation intensity for a third time period immediately following the second time period. The second stimulation intensity may be less than the first stimulation intensity. The electrical stimulation may elicit a first inhibitory physiological response during the first time period and a second inhibitory physiological response during the second time period. The second inhibitory physiological response may be greater than the first inhibitory physiological response. | 03-21-2013 |
20130079840 | SELECTIVE TERMINATION OF STIMULATION TO DELIVER POST-STIMULATION THERAPEUTIC EFFECT - In some examples, electrical stimulation is delivered to a patient such that selective termination of the stimulation causes a therapeutic effect in the patient after termination of the electrical stimulation to the patient. The electrical stimulation may be insufficient to produce a desired therapeutic effect in the patient during stimulation, but sufficient to induce a post-stimulation desired therapeutic effect following termination of the stimulation. In some examples, the electrical stimulation may be sub-threshold electrical stimulation. In some examples, the desired therapeutic effect may alleviate bladder dysfunction, bowel dysfunction, or other disorders. The stimulation may be selectively terminated in response to one or more therapy trigger events to induce the post-stimulation therapeutic effect. | 03-28-2013 |
20130079841 | ADAPTIVE STIMULATION FOR TREATING URGENCY OR INCONTINENCE - In one example, a system includes a therapy module and a processor. The processor detects a voiding event of a patient and controls the therapy module to deliver electrical stimulation to the patient at a first intensity level for a period of time in response to the detection of the voiding event. Immediately following the period of time, the processor controls the therapy module to increase intensity of the electrical stimulation from the first intensity level to a second intensity level before a subsequent voiding event of the patient by at least controlling the therapy module to deliver stimulation to the patient at a plurality of intermediate intensity levels between the first and second intensity levels prior to delivering stimulation to the patient at the second intensity level following the detection of the voiding event. | 03-28-2013 |
20130158624 | INCONTINENCE TREATMENT - The present invention describes the use of transcutaneous electrical stimulation of a nerve emanating from the sacral plexus for the treatment or alleviation of incontinence. In preferred embodiments, the lateral popliteal nerve is stimulated in the region of the popliteal fossa. The stimulation is noninvasive. | 06-20-2013 |
20130184778 | METHOD AND DEVICE FOR TREATING FEMALE PELVIC NERVE DYSFUNCTION - A method and devices for stimulating visceral pelvic or somatic nerves or their pathways of a female person suffering from a pelvic condition of nerve dysfunction in which non-electrical, external physical stimulation is applied to the clitoral region of the person. | 07-18-2013 |
20130204313 | SYSTEM TO DIAGNOSE THE FUNCTION OF INTRINSIC SPHINCTERS - A system treats at least one of the urethral and anal sphincters. A muscle contraction device is located on at least one of the urethral and anal sphincters. A controller is connected to the muscle contraction device and operative to transmit control signals to the muscle contraction device located on at least one of the urethral and anal sphincters to contract the muscle during an inspiratory phase of respiration. | 08-08-2013 |
20130218229 | System and Method for Electrical Stimulation of Anorectal Structures to Treat Anal Dysfunction - A system and method for treating anorectal dysfunction includes implanting, in a minimally invasive manner, an electro-medical device for stimulation of two or more separate and distinct anatomical or histological structures of the anorectal region. Electrodes operably connected to the device are positioned proximate the target anatomical or histological structures. The device provides either the same or different stimulation algorithms to each anatomical or histological structure. Smooth muscle, such as the internal anal sphincter, is provided with a continuous stimulation algorithm, while skeletal muscle, such as the external anal sphincter, is provided with an on demand stimulation algorithm. Varying stimulation algorithms applied to multiple structures results in improved anorectal function without developing muscle fatigue and tolerance. | 08-22-2013 |
20130261692 | NEUROMODULATION SYSTEM AND RELATED METHODS - Embodiments of the present invention describe a system and method of stimulating nerves during a medical procedure including positioning one or more electrodes in electrical contact with one or more nerves of a patient and electrically stimulating the one or more nerves during a lower urinary, rectal or medical procedure affecting the bowel sufficient to affect one or more of bladder activity, prostate function, incontinence, or pain. | 10-03-2013 |
20130274823 | VAGINAL REHABILITATIVE DEVICE - A vaginal rehabilitative device comprising: a vaginal electrical stimulation applicator; and a control module connectable by a wire to said applicator and comprising a user interface for controlling electrical stimuli by said applicator and a display module configured to display data received from said applicator. | 10-17-2013 |
20130289647 | SYSTEM AND METHOD OF BLADDER AND SPHINCTER CONTROL - A method and system for bladder control are disclosed. In embodiments, a method for bladder control is provided that comprises coupling an electrode to an afferent nerve that is related to the bladder. Applying a plurality of pulse burst stimulations via the electrode causes voiding of urine from the bladder. In embodiments, the plurality of pulse burst stimulations to the afferent nerve reduces external urethral sphincter (EUS) contractions and evokes bladder contractions to expel urine from the subject. In embodiments, the plurality of pulse burst stimulations to the afferent nerve evokes bladder contractions alone to expel urine from the subject. In embodiments, a system for bladder control is provided that comprises an electrode for applying a pulse burst stimulus to an afferent nerve or dermatome to reduce reflex contractions and a signal generator for generating the pulse burst stimulus. | 10-31-2013 |
20130331905 | DEVICES AND METHODS FOR STIMULATING NERVES - A device for stimulating nerves adjacent the vagina includes a nerve stimulating element coupled to a body. The nerve stimulating element is positioned to stimulate the vesical, Frankenhauser's and/or inferior hypogastric plexuses. The device may reside in the vaginal formices. | 12-12-2013 |
20140058474 | DEVICES AND METHODS FOR STIMULATING NERVES - A device for stimulating nerves adjacent the vagina includes a nerve stimulating element coupled to a body. The nerve stimulating element is positioned to stimulate the vesical, Frankenhauser's and/or inferior hypogastric plexuses. The device may reside in the vaginal fornices. | 02-27-2014 |
20140088663 | DEVICES AND METHODS FOR STIMULATING NERVES - A device for stimulating nerves adjacent the vagina includes a nerve stimulating element coupled to a body. The nerve stimulating element is positioned and designed to stimulate the vesical, Frankenhauser's and/or inferior hypogastric plexuses. The device may reside in the vaginal fornices. | 03-27-2014 |
20140148871 | TRANSCUTANEOUS STIMULATION METHOD AND SYSTEM - A method of treating a waste evacuation dysfunction comprising administering transcutaneous electrical stimulation (TES) to at least one lower pelvic and/or sacral region for a specific treatment regimens. Also disclosed is a system for configuring a stimulation device to deliver transcutaneous electrical stimulation (TES) the system comprising: a computing device storing or having access to a plurality or TES settings and comprising a user interface to enable authorised selection of at least on of the TES settings for provision of TES by the stimulation device according to the at least one selected TES setting and the stimulation device communicatively coupled to the computing device to receive and store the selected at least one TES setting the stimulation device being of a size to be readily carried on a body and configured to selectively provide current to external electrode according to the one TES setting. | 05-29-2014 |
20140243922 | DEVICES AND METHODS FOR STIMULATING NERVES - A device for stimulating nerves adjacent the vagina includes a nerve stimulating element coupled to a main body. The nerve stimulating element is positioned and designed to stimulate the vesical, Frankenhauser's and/or inferior hypogastric plexuses. The device may reside in the vaginal fornices. An implant is also provided which has a nerve stimulating element in contact with a uterosacral ligament. | 08-28-2014 |
20140249597 | HIGH-FREQUENCY ELECTRICAL NERVE BLOCK - A method and apparatus that resulted in blocking an action potential in a nerve. | 09-04-2014 |
20140257424 | ELECTRICAL STIMULATION DEVICE HAVING MULTIPLE STIMULATION CHANNELS - An implantable electrical stimulation device configured to treat multiple pelvic conditions of a patient includes a pulse generator, memory, first and second electrode leads comprising one or more electrodes, a switch and a controller. The switch has a first state, in which the first electrode lead is electrically coupled to the pulse generator, and a second state, in which the second electrode lead is electrically coupled to the pulse generator. The controller includes at least one processor that is configured to execute at least one stimulation program stored in the memory. The controller is also configured to selectively set the switch in the first or second state. Electrical stimulation pulses generated by the pulse generator responsive to the execution of the stimulation program are delivered to the first or second electrode lead depending on the state of the switch. | 09-11-2014 |
20140277251 | IMPLANTABLE MEDICAL DEVICE PROVIDING ADAPTIVE NEUROSTIMULATION THERAPY - In general, the disclosure is directed to an implantable neurostimulator and system capable of providing adaptive neurostimulation therapy to alleviate incontinence. The neurostimulator operates according to a set of stimulation parameters stored in memory. During operation, information is obtained from the patient, the implanted neurostimulator, one or more implanted sensors, or some combination thereof. A processor analyzes the information to automatically generate proposed adjustments to the stimulation parameters applied by the neurostimulator. The adjustments provide an adaptive neurostimulation therapy that supports or enhances therapeutic efficacy based on the information. | 09-18-2014 |
20140288612 | SYSTEM TO TREAT AT LEAST ONE OF THE URETHRAL AND ANAL SPHINCTERS - A system to prevent incontinence in a patient includes transducers positioned subcutaneously at the interior surface of the medial border of the costal margin of at least one of ribs 8, 9 and 10 that detect movement of at least one of those ribs and generates signals indicative of that movement during the inspiratory phase of respiration. Muscle stimulators include electrodes connected to muscles of the urethral sphincter. A controller is connected to the electrodes and the transducers. This controller receives the signals generated from the transducers indicative of the movement of the ribs during the inspiratory phase of respiration and in response, generates and transmits electrical control signals to the electrodes connected to the muscles of the urethral sphincter to stimulate electrically the muscles of the urethral sphincter to close the urethral sphincter during the inspiratory phase of respiration. | 09-25-2014 |
20140288613 | PERCUTANEOUS TIBIAL NERVE STIMULATOR - A method for treating incontinence includes positioning a transcutaneous electrode on skin of a patient adjacent a stimulation site; inserting a leading end of a percutaneous needle electrode through the skin adjacent the stimulation site, the percutaneous needle electrode including a lead wire disposed opposite the leading end; securing a neurostimulator unit to the transcutaneous electrode such that the neurostimulator unit is electrically coupled to the transcutaneous electrode with no lead wire disposed between the neurostimulator unit and the transcutaneous electrode, the neurostimulator unit including a pulse generator; connecting the lead wire of the percutaneous needle electrode to the neurostimulator unit for electrically coupling the needle electrode to the neurostimulator unit; and activating the pulse generator such that current pulses traverse the stimulation site by passing between the transcutaneous electrode pad and the percutaneous needle electrode. | 09-25-2014 |
20140296933 | DEVICES AND METHODS FOR STIMULATING NERVES - A device for stimulating nerves adjacent the vagina includes a nerve stimulating element coupled to a main body. The nerve stimulating element is positioned and designed to stimulate the vesical, Frankenhauser's and/or inferior hypogastric plexuses. The device may reside in the vaginal formices. An implant is also provided which has a nerve stimulating element in contact with a uterosacral ligament. The device positioned in the vagina may be used to charge a power source for an implant, which may be a capacitor. | 10-02-2014 |
20140303682 | NONINVASIVE OR PERCUTANEOUS NERVE STIMULATION - A system and method of stimulating a nerve of a patient is provided. A electro-therapy device is used that includes a signal generator and two electrodes. The first electrode is positioned on an epidermis of the patient over the nerve to be stimulated. The second electrode is positioned on an epidermis of the patient at a second location. A The electro-therapy device is configured to alternately deliver to a first and second electrode a summation of first and second signals which result in a therapeutic signal encompassing the nerve of the patient. The intensity of the first and second signal is adjusted over time. | 10-09-2014 |
20140309708 | System and Method for Electrical Stimulation of Anorectal Structures to Treat Anal Dysfunction - A system and method for treating anorectal dysfunction includes implanting, in a minimally invasive manner, an electro-medical device for stimulation of two or more separate and distinct anatomical or histological structures of the anorectal region. Electrodes operably connected to the device are positioned proximate the target anatomical or histological structures. The device provides either the same or different stimulation algorithms to each anatomical or histological structure. Smooth muscle, such as the internal anal sphincter, is provided with a continuous stimulation algorithm, while skeletal muscle, such as the external anal sphincter, is provided with an on demand stimulation algorithm. Varying stimulation algorithms applied to multiple structures results in improved anorectal function without developing muscle fatigue and tolerance. | 10-16-2014 |
20140350633 | SYSTEMS AND METHODS THAT PROVIDE ELECTRICAL STIMULATION TO A NERVE TO REDUCE A REFLEX THAT AFFECTS A BODILY FUNCTION - One aspect of the present disclosure relates to a system for electrical stimulation. A waveform generator can be configured to generate an electrical waveform. An electrode can be electrically coupled to the waveform generator and configured to deliver the electrical waveform to a nerve to reduce at least one reflex that affects a bodily function. | 11-27-2014 |
20150025594 | APPARATUS FOR TREATING PELVIC FLOOR DISORDERS AND RELATED METHODS OF USE - A method of optimizing the electrical stimulation of a bladder of a patient including selecting a first subset of electrodes from a set of electrodes positioned adjacent to a set of nerves associated with the bladder. The set of electrodes may include one or more electrodes, each of which may be configured to deliver electrical stimulation pulses generated by a stimulator device to the nerves. The method may further include delivering an electrical stimulation pulse through the selected first subset of electrodes and recording at least one parameter of the electrical stimulation pulse after receiving patient feedback. | 01-22-2015 |
20150119954 | SYSTEMS AND METHODS THAT PROVIDE ELECTRICAL STIMULATION TO A NERVE TO REDUCE A REFLEX THAT AFFECT A BODILY FUNCTION - One aspect of the present disclosure relates to a system for electrical stimulation. A waveform generator can be configured to generate an electrical waveform. An electrode can be electrically coupled to the waveform generator and configured to deliver the electrical waveform to a nerve to reduce at least one reflex that affects a bodily function. | 04-30-2015 |
20150134026 | PUDENDAL AND SACRAL NERVE STIMULATION SWEEP ALGORITHM AND METHOD - In response to input from a patient who is being treated by a sacral nerve stimulation therapy, an electronic diary is generated that includes a plurality of voiding responses of the patient over a period of time. The sacral nerve stimulation therapy includes electrical pulses delivered to the patient according to a first stimulation program and via a first subset of electrode contacts on a lead that is implanted in the patient. The lead has a plurality of electrode contacts that include the first subset. Based on the voiding responses in the electronic diary, a loss of efficacy of the sacral nerve stimulation therapy is detected. The sacral nerve stimulation therapy is automatically adjusted in response to the detected loss of efficacy. The automatically adjustment of the sacral nerve stimulation therapy may include either a program-based sweep or a contact-based sweep. | 05-14-2015 |
20150134027 | METHODS, SYSTEMS AND DEVICES FOR DETERMINING OPTIMAL PLACEMENT FOR PUDENDAL NERVE STIMULATION LEAD USING PATIENT FEEDBACK - The present disclosure involves a method of measuring a physiological feedback from a patient in response to electrical stimulation. A stimulation parameter of a sacral nerve stimulation therapy is ramped up. The sacral nerve stimulation therapy includes electrical pulses generated by a pulse generator based on programming instructions received from an electronic programmer. The electrical pulses are delivered to a patient via a stimulation lead that is implanted in the patient. Via an anal electrode device that is at least partially inserted inside an anal canal of the patient, a compound motor action potential (CMAP) is measured from an anal sphincter of the patient while the stimulation parameter of the sacral nerve stimulation therapy is being ramped up. A stimulation threshold is determined based on the measured CMAP. | 05-14-2015 |
20150290450 | Device to Treat Incontinence - A skin surface electrode used in the treatment of incontinence. The electrode has one or more conductive regions and an egress through which bodily fluid may pass without substantially adversely affecting tissue contact in the conductive regions of the electrode. The electrode is configured for placement proximate a patient's perineal tissues. An incontinence treatment system includes an electrode, wearable signal generator and interface module. | 10-15-2015 |
20160051816 | ELECTRICAL STIMULATION DEVICE HAVING MULTIPLE STIMULATION CHANNELS - An implantable electrical stimulation device configured to treat multiple pelvic conditions of a patient includes a pulse generator, memory, first and second electrode leads comprising one or more electrodes, a switch and a controller. The switch has a first state, in which the first electrode lead is electrically coupled to the pulse generator, and a second state, in which the second electrode lead is electrically coupled to the pulse generator. The controller includes at least one processor that is configured to execute at least one stimulation program stored in the memory. The controller is also configured to selectively set the switch in the first or second state. Electrical stimulation pulses generated by the pulse generator responsive to the execution of the stimulation program are delivered to the first or second electrode lead depending on the state of the switch. | 02-25-2016 |
20160096026 | COMPRESSIBLE DEVICE - An electro-stimulation device for the treatment of anterior and posterior pelvic floor muscle dysfunction is reversibly compressible and is fully self-contained. The device requires no external power sources or control and may be inserted into the vagina or anus through the use of an applicator. In the compressed state the device may be of tampon proportions and after use may easily be removed. The device utilizes a compressible electrode component. | 04-07-2016 |
20160114154 | PERINEAL PROBE FOR ASYMMETRIC TREATMENTS - Provided is a perineal probe for asymmetric treatments extending primarily along a longitudinal axis and including: a main rod extending primarily along the longitudinal axis; a plurality of electrodes, the perpendicular projection of which along said longitudinal axis is substantially in the same position, and reciprocally spaced in directions perpendicular to the longitudinal axis and connected to the main rod by means of deformable arms, and sensing means to detect the deformation of the arms. | 04-28-2016 |
20160114167 | Systems and Methods for Neurostimulation Electrode Configurations Based on Neural Localization - Methods and systems for obtaining and analyzing electromyography responses of electrodes of an implanted neurostimulation lead for use neurostimulation programming are provided herein. System setups for neural localization and/or programming include a clinician programmer coupleable with a temporary or permanent lead implantable in a patient and at least one pair of EMG sensing electrodes minimally invasively positioned on a skin surface or within the patient. The clinician programmer is configured to determine a plurality of recommended electrode configurations based on thresholds and EMG responses of the plurality of electrodes and rank the electrode configuration according to pre-determined criteria. The clinician programmer further includes graphical user interface on which the plurality of recommended electrode configurations are displayed for modification and/or selection by a clinician in programming an IPG or EPG coupled with the lead to apply a neurostimulation treatment according to the selected electrode configuration. | 04-28-2016 |
20160121123 | Electromyographic Lead Positioning and Stimulation Titration in a Nerve Stimulation System for Treatment of Overactive Bladder - The present invention provides improved methods for positioning of an implantable lead in a patient with an integrated EMG and stimulation clinician programmer. The integrated clinician programmer is coupled to the implantable lead, wherein the implantable lead comprises at least four electrodes, and to at least one EMG sensing electrode minimally invasively positioned on a skin surface or within the patient. The method comprises delivering a test stimulation at a stimulation amplitude level from the integrated clinician programmer to a nerve tissue of the patient with a principal electrode of the implantable lead. Test stimulations are delivered at a same stimulation amplitude level for a same period of time sequentially to each of the four electrodes of the implantable lead. A stimulation-induced EMG motor response is recorded with the integrated clinician programmer for each test stimulation on each electrode of the implantable lead via the at least one pair of EMG sensing electrodes so as to facilitate initial positioning of the implantable lead at a target stimulation region. | 05-05-2016 |
20160136420 | ELECTRICAL STIMULATION TO INHIBIT BLADDER AND/OR BOWEL CONTRACTION - In one example, a method including generating electrical stimulation therapy with a frequency of approximately 500 hertz or greater, and controlling delivery of the electrical stimulation therapy to a patient via a medical device between at least one of contractions of a bladder or contractions of a bowel of a patient, wherein the electrical stimulation therapy comprises electrical stimulation therapy configured to inhibit contraction of the bladder when the electrical stimulation is delivered between the contractions of the bladder, wherein the electrical stimulation therapy comprises electrical stimulation therapy configured to inhibit contraction of the bowel when the electrical stimulation is delivered between the contractions of the bowel, and wherein at least one of the generating and controlling is performed via one or more processors. | 05-19-2016 |
20160136421 | VAGINAL REHABILITATIVE DEVICE - A vaginal rehabilitative device comprising: a vaginal electrical stimulation applicator; and a control module connectable by a wire to said applicator and comprising a user interface for controlling electrical stimuli by said applicator and a display module configured to display data received from said applicator. | 05-19-2016 |
20160193466 | METHODS AND DEVICES FOR PERFORMING ELECTRICAL STIMULATION TO TREAT VARIOUS CONDITIONS | 07-07-2016 |