CA2819599C - Systemes et procedes pour le traitement de la douleur par stimulation des fibres neurales - Google Patents

Systemes et procedes pour le traitement de la douleur par stimulation des fibres neurales Download PDF

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Publication number
CA2819599C
CA2819599C CA2819599A CA2819599A CA2819599C CA 2819599 C CA2819599 C CA 2819599C CA 2819599 A CA2819599 A CA 2819599A CA 2819599 A CA2819599 A CA 2819599A CA 2819599 C CA2819599 C CA 2819599C
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CA
Canada
Prior art keywords
pain
fibers
use according
nerve fibers
afferent
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
CA2819599A
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English (en)
Other versions
CA2819599A1 (fr
Inventor
Maria E. Bennett
Joseph W. Ii Boggs
Warren M. Grill
John Chae
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
SPR Therapeutics Inc
Original Assignee
SPR Therapeutics Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by SPR Therapeutics Inc filed Critical SPR Therapeutics Inc
Publication of CA2819599A1 publication Critical patent/CA2819599A1/fr
Application granted granted Critical
Publication of CA2819599C publication Critical patent/CA2819599C/fr
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36071—Pain
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0551—Spinal or peripheral nerve electrodes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014—External stimulators, e.g. with patch electrodes
    • A61N1/36017—External stimulators, e.g. with patch electrodes with leads or electrodes penetrating the skin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014—External stimulators, e.g. with patch electrodes
    • A61N1/36021—External stimulators, e.g. with patch electrodes for treatment of pain
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36067—Movement disorders, e.g. tremor or Parkinson disease

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Neurosurgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Neurology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Pain & Pain Management (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Electrotherapy Devices (AREA)

Abstract

Des modes de réalisation de la présente invention concernent des systèmes et procédés pour le traitement de la douleur par activation de fibres neurales sélectionnées. Les fibres neurales peuvent comprendre une ou plusieurs fibres neurales afférentes et/ou une ou plusieurs fibres neurales efférentes. Si des fibres afférentes sont stimulées, seules ou combinées à des fibres efférentes, une quantité thérapeutiquement efficace est appliquée pour activer des chemins afférents d'une manière approchant l'activité afférente naturelle. Les fibres afférentes peuvent être associés à des récepteurs primaires de fuseaux musculaires, d'organes tendineux de Golgi, de récepteurs secondaire de fuseaux musculaires, de récepteurs d'articulations, de récepteurs tactiles et d'autres types de mécanorécepteurs et/ou propriorécepteurs. Si des fibres efférentes sont stimulées, seules ou combinées à des fibres afférentes, une quantité thérapeutiquement efficace est appliquée pour activer des fibres intrafusales et/ou extrafusales musculaires, ce qui résulte en une activation indirecte de fibres afférentes qui leur sont associées.
CA2819599A 2010-12-01 2011-12-01 Systemes et procedes pour le traitement de la douleur par stimulation des fibres neurales Active CA2819599C (fr)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US41876810P 2010-12-01 2010-12-01
US41880110P 2010-12-01 2010-12-01
US61/418,768 2010-12-01
US61/418,801 2010-12-01
PCT/US2011/062882 WO2012075281A1 (fr) 2010-12-01 2011-12-01 Systèmes et procédés pour le traitement de la douleur par stimulation des fibres neurales

Publications (2)

Publication Number Publication Date
CA2819599A1 CA2819599A1 (fr) 2012-06-07
CA2819599C true CA2819599C (fr) 2018-06-19

Family

ID=46172266

Family Applications (3)

Application Number Title Priority Date Filing Date
CA2819599A Active CA2819599C (fr) 2010-12-01 2011-12-01 Systemes et procedes pour le traitement de la douleur par stimulation des fibres neurales
CA2819602A Active CA2819602C (fr) 2010-12-01 2011-12-01 Systemes et procedes de traitement de la douleur par le biais d'une stimulation neuronale des fibres
CA2819596A Active CA2819596C (fr) 2010-12-01 2011-12-01 Systemes et procedes pour le traitement de la douleur grace a la stimulation de fibres nerveuses

Family Applications After (2)

Application Number Title Priority Date Filing Date
CA2819602A Active CA2819602C (fr) 2010-12-01 2011-12-01 Systemes et procedes de traitement de la douleur par le biais d'une stimulation neuronale des fibres
CA2819596A Active CA2819596C (fr) 2010-12-01 2011-12-01 Systemes et procedes pour le traitement de la douleur grace a la stimulation de fibres nerveuses

Country Status (3)

Country Link
AU (3) AU2011336490B2 (fr)
CA (3) CA2819599C (fr)
WO (3) WO2012075281A1 (fr)

Families Citing this family (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8788048B2 (en) 2010-11-11 2014-07-22 Spr Therapeutics, Llc Systems and methods for the treatment of pain through neural fiber stimulation
US8788046B2 (en) 2010-11-11 2014-07-22 Spr Therapeutics, Llc Systems and methods for the treatment of pain through neural fiber stimulation
US8788047B2 (en) 2010-11-11 2014-07-22 Spr Therapeutics, Llc Systems and methods for the treatment of pain through neural fiber stimulation
EP3180072B1 (fr) 2014-08-15 2018-11-28 Axonics Modulation Technologies Inc. Positionnement d'une dérivation électromyographique et titrage de la stimulation dans un système de stimulation nerveuse pour le traitement de la vessie hyperactive
AU2015301400B2 (en) 2014-08-15 2020-05-28 Axonics Modulation Technologies, Inc. Systems and methods for neurostimulation electrode configurations based on neural localization
JP6779860B2 (ja) 2014-08-15 2020-11-04 アクソニクス モジュレーション テクノロジーズ インコーポレイテッド 埋込可能神経刺激装置と共に用いるための統合型筋電図臨床医用プログラム装置
US11540973B2 (en) 2016-10-21 2023-01-03 Spr Therapeutics, Llc Method and system of mechanical nerve stimulation for pain relief
AU2018328192B2 (en) * 2017-09-06 2023-08-24 Linde Engineering North America, Inc. Methods for providing refrigeration in natural gas liquids recovery plants
US11439829B2 (en) 2019-05-24 2022-09-13 Axonics, Inc. Clinician programmer methods and systems for maintaining target operating temperatures
WO2020242900A1 (fr) 2019-05-24 2020-12-03 Axonics Modulation Technologies, Inc. Dispositif d'entraînement pour un programmateur de neurostimulateur et procédés associés d'utilisation avec un système de neurostimulation

Family Cites Families (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6167304A (en) * 1993-05-28 2000-12-26 Loos; Hendricus G. Pulse variability in electric field manipulation of nervous systems
US5653739A (en) * 1995-09-13 1997-08-05 Empi, Inc. Electronic pain feedback system and method
US8626302B2 (en) * 1998-06-03 2014-01-07 Spr Therapeutics, Llc Systems and methods to place one or more leads in muscle for providing electrical stimulation to treat pain
US6600954B2 (en) * 2001-01-25 2003-07-29 Biocontrol Medical Bcm Ltd. Method and apparatus for selective control of nerve fibers
US6735475B1 (en) * 2001-01-30 2004-05-11 Advanced Bionics Corporation Fully implantable miniature neurostimulator for stimulation as a therapy for headache and/or facial pain
US6892098B2 (en) * 2001-04-26 2005-05-10 Biocontrol Medical Ltd. Nerve stimulation for treating spasticity, tremor, muscle weakness, and other motor disorders
US20040193230A1 (en) * 2001-08-17 2004-09-30 Overstreet Edward H. Gradual recruitment of muscle/neural excitable tissue using high-rate electrical stimulation parameters
EP1578487B1 (fr) * 2002-10-15 2012-01-25 Medtronic, Inc. Desactivation selective de canaux dans un systeme de dispositif medical
US8219189B2 (en) * 2004-12-01 2012-07-10 Penny Knoblich Method and apparatus for improving renal function
WO2007087626A2 (fr) * 2006-01-26 2007-08-02 Advanced Neuromodulation Systems, Inc. Procédé de neurostimulation de structures neuronales distinctes mettant en oeuvre un réseau d'électrode unique pour le traitement d'une pluralité de zones douloureuses et réseau d'électrodes à colonnes multiples, à rangées multiples pour une telle neurostimulation
AU2007293613A1 (en) * 2006-09-08 2008-03-13 Ull Meter A/S Method of utilising measurements of threshold of pain
WO2009137119A1 (fr) * 2008-05-09 2009-11-12 Medtronic, Inc. Contrôle de la stimulation du domaine du nerf périphérique
AU2009303836A1 (en) * 2008-10-15 2010-04-22 Nuvasive, Inc. Neurophysiologic monitoring system and related methods
CA3153124C (fr) * 2008-12-05 2024-05-14 Joseph W. Ii Boggs Systemes et procedes pour placer une ou plusieurs derivations dans un tissu pour stimuler electriquement des nerfs de passage pour traiter la douleur

Also Published As

Publication number Publication date
WO2012075265A1 (fr) 2012-06-07
AU2011336490A1 (en) 2013-07-04
AU2011336430A1 (en) 2013-07-04
WO2012075299A1 (fr) 2012-06-07
AU2011336490B2 (en) 2016-04-28
WO2012075281A1 (fr) 2012-06-07
CA2819602A1 (fr) 2012-06-07
CA2819596C (fr) 2018-02-27
AU2011336430B2 (en) 2016-09-29
CA2819602C (fr) 2020-02-25
CA2819596A1 (fr) 2012-06-07
AU2011336506B2 (en) 2015-10-08
CA2819599A1 (fr) 2012-06-07
AU2011336506A1 (en) 2013-07-04

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