DK2024006T3 - Apparat til stimulation af en nerve af en patient - Google Patents
Apparat til stimulation af en nerve af en patient Download PDFInfo
- Publication number
- DK2024006T3 DK2024006T3 DK07794979.0T DK07794979T DK2024006T3 DK 2024006 T3 DK2024006 T3 DK 2024006T3 DK 07794979 T DK07794979 T DK 07794979T DK 2024006 T3 DK2024006 T3 DK 2024006T3
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- DK
- Denmark
- Prior art keywords
- therapy
- current
- test
- fuse
- wires
- Prior art date
Links
- 210000005036 nerve Anatomy 0.000 title claims description 30
- 230000000638 stimulation Effects 0.000 title description 18
- 238000002560 therapeutic procedure Methods 0.000 claims description 89
- 238000012360 testing method Methods 0.000 claims description 58
- 230000007246 mechanism Effects 0.000 claims description 11
- 230000007383 nerve stimulation Effects 0.000 claims description 10
- 230000004044 response Effects 0.000 claims description 8
- 230000004936 stimulating effect Effects 0.000 claims description 6
- 238000013100 final test Methods 0.000 claims description 5
- 230000000977 initiatory effect Effects 0.000 claims 5
- 238000011282 treatment Methods 0.000 description 31
- WABPQHHGFIMREM-UHFFFAOYSA-N lead(0) Chemical compound [Pb] WABPQHHGFIMREM-UHFFFAOYSA-N 0.000 description 11
- 238000000034 method Methods 0.000 description 11
- 238000003780 insertion Methods 0.000 description 8
- 230000037431 insertion Effects 0.000 description 8
- 210000002414 leg Anatomy 0.000 description 8
- 208000024891 symptom Diseases 0.000 description 8
- 210000002972 tibial nerve Anatomy 0.000 description 8
- 210000003205 muscle Anatomy 0.000 description 7
- 206010036018 Pollakiuria Diseases 0.000 description 6
- 208000022934 urinary frequency Diseases 0.000 description 6
- 230000036318 urination frequency Effects 0.000 description 6
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 4
- 206010027566 Micturition urgency Diseases 0.000 description 4
- 208000002193 Pain Diseases 0.000 description 4
- 208000000921 Urge Urinary Incontinence Diseases 0.000 description 4
- 230000007423 decrease Effects 0.000 description 4
- 210000002683 foot Anatomy 0.000 description 4
- 208000000450 Pelvic Pain Diseases 0.000 description 3
- 239000010410 layer Substances 0.000 description 3
- 208000000094 Chronic Pain Diseases 0.000 description 2
- 208000034347 Faecal incontinence Diseases 0.000 description 2
- 206010020853 Hypertonic bladder Diseases 0.000 description 2
- 206010021639 Incontinence Diseases 0.000 description 2
- 208000005615 Interstitial Cystitis Diseases 0.000 description 2
- 208000009722 Overactive Urinary Bladder Diseases 0.000 description 2
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- 230000007433 nerve pathway Effects 0.000 description 2
- 230000000422 nocturnal effect Effects 0.000 description 2
- 208000020629 overactive bladder Diseases 0.000 description 2
- 210000003903 pelvic floor Anatomy 0.000 description 2
- 210000002303 tibia Anatomy 0.000 description 2
- 238000002646 transcutaneous electrical nerve stimulation Methods 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- IAYPIBMASNFSPL-UHFFFAOYSA-N Ethylene oxide Chemical compound C1CO1 IAYPIBMASNFSPL-UHFFFAOYSA-N 0.000 description 1
- 206010063782 Implant site pain Diseases 0.000 description 1
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- 206010046543 Urinary incontinence Diseases 0.000 description 1
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- 210000005014 lower spinal cord Anatomy 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 235000020824 obesity Nutrition 0.000 description 1
- 238000011369 optimal treatment Methods 0.000 description 1
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- 230000037368 penetrate the skin Effects 0.000 description 1
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Classifications
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- 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
- A61N1/36007—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of urogenital or gastrointestinal organs, e.g. for incontinence control
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0814—Preventing re-use
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/375—Constructional arrangements, e.g. casings
- A61N1/3752—Details of casing-lead connections
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Biophysics (AREA)
- Heart & Thoracic Surgery (AREA)
- Pain & Pain Management (AREA)
- Gastroenterology & Hepatology (AREA)
- Electrotherapy Devices (AREA)
Claims (4)
1. Apparat til stimulation af en nerve, hvilket apparat omfatter: midler til at bestemme et initialt terapistrømniveau for en patient, hvilke bestem- i melsesmidler omfatter en testtilstandstyremekanisme der er tilvejebragt på en håndholdt styreenhed (21), hvilken styreenhed (21) har et forbindelsessted der er monteret deri til at modtage et sæt ledninger (23), hvilket sæt ledninger har et antal ledninger (16,18, 25, 26,102,104,108,110,114,116, A, B) der er anbragt deri og koblet til elektroder (27, 28) som er påsat patienten, og et antal ledninger ) (17,19, A, B, C, D) der er koblet til et statusflagelement (13, 120, 122, 123, 124, 126, 128) som er anbragt deri, hvilket forbindelsessted tilvejebringer elektriske forbindelser til ledningerne der er koblet til elektroderne, og til ledningerne der er koblet til statusflagselementet, styreenheden (21) til initiering af en testtilstand (42), hvori elektronik i styreenheden tilvejebringer en teststrøm (43) til de elektri-i ske forbindelser til ledningerne der er koblet til elektroderne for at indstille teststrømmen på det endelige teststrøm niveau (43, 46), der er baseret på patientens respons på stimulation af nerven ved hjælp af teststrømmen (45), hvilket initiale terapistrømniveau for patienten er lig med det endelige teststrøm niveau (48); midler til at aflevere en terapistrøm til nerven gennem ledningssættet, der udtryk- ) ker en "brugs-status”, hvilken terapistrøm sættes til det initiale terapistrømniveau ved begyndelsen af leveringen af terapistrømmen, hvor leveringsmidlerne omfatter en terapistilstandstyremekanisme der er tilvejebragt på styreenheden (21) til initiering af en terapitilstanden (52), i hvilken elektronik i styreenheden tilvejebringer terapistrømmen (53) til de elektriske forbindelser til ledningerne der er koblet i til elektroderne, hvilken terapistrøm oprindeligt er indstillet til det initiale terapi strømniveau (53); og midler til at ændre ledningssættet til at udtrykke en "brug ikke-status” inden for en forudbestemt tid efter starten af levering af terapistrømmen, hvor skiftemidlet omfatter elektronik i styreenheden til at indstille statusflagelementet til "ikke brug" ) (54, 55) gennem de elektriske forbindelser til ledningerne der er koblet til status flagelementet, mens terapistrømmen tilvejebringes; hvor styreenheden endvidere omfatter et kredsløb til detektering af status af ledningsindstilling som angivet (51,58) ved statusflagselementet gennem de elektriske forbindelser til ledningerne der er koblet til statusflagelementet, og til at deaktivere initiering af terapistilstanden (59), når statusflagelementet er indstillet til "brug ikke", hvor statusflagelementet er en sikring (13, 120), og elektronikken i styreenheden anvender en første spænding på de elektriske forbindelser til ledningerne der er koblet til sikringen, medens terapistrømmen tilvejebringes til at springe sikringen (55), og hvor kredsløb i styreenheden anvender en anden spænding til de elektriske forbindelser til ledningerne der er koblet til sikringen for at detektere, når sikringen er sprunget (51) og til at deaktivere initiering af terapitilstanden, når sikringen er sprunget (59).
2. Apparatet til stimulation af en nerve ifølge krav 1, der yderligere omfatter en strømjusteringsstyremekanisme som er tilvejebragt på styreenheden (21), hvor: strømjusteringsstyremekanisme er effektiv under testtilstanden for at variere teststrømmen (43, 46); og strømjusteringsstyremekanisme er effektiv under terapitilstanden for at variere terapistrømmen (37).
3. Apparatet til stimulation af en nerve ifølge krav 1, hvor testtilstandsstyremeka-nismen omfatter: en testtilstandsknap til at initiere testtilstanden; og en strømjusteringsknap til at indstille teststrømmen af det endelige teststrømni-veau, der er baseret på patientens respons på stimulation af nerven ved hjælp af teststrømmen.
4. Apparatet til stimulation af en nerve ifølge krav 1, hvor terapistilstandskontrolmekanismen omfatter: en terapistilstandsknap til initiering af terapistilstanden; og en strømjusteringsknap til at variere niveauet af terapistrømmen under terapitilstanden.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US80129606P | 2006-05-18 | 2006-05-18 | |
| PCT/US2007/011820 WO2007136694A2 (en) | 2006-05-18 | 2007-05-17 | Method and apparatus for stimulating a nerve of a patient |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| DK2024006T3 true DK2024006T3 (da) | 2019-02-04 |
Family
ID=38723829
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DK07794979.0T DK2024006T3 (da) | 2006-05-18 | 2007-05-17 | Apparat til stimulation af en nerve af en patient |
Country Status (4)
| Country | Link |
|---|---|
| US (2) | US7668598B2 (da) |
| EP (1) | EP2024006B1 (da) |
| DK (1) | DK2024006T3 (da) |
| WO (1) | WO2007136694A2 (da) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US12377272B2 (en) | 2018-12-07 | 2025-08-05 | Avent, Inc. | Device and method to selectively and reversibly modulate a nervous system structure to inhibit pain |
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| US20080033510A1 (en) | 2008-02-07 |
| US20100114259A1 (en) | 2010-05-06 |
| EP2024006B1 (en) | 2018-10-10 |
| WO2007136694A2 (en) | 2007-11-29 |
| EP2024006A4 (en) | 2009-05-27 |
| WO2007136694A3 (en) | 2008-10-23 |
| US8046082B2 (en) | 2011-10-25 |
| US7668598B2 (en) | 2010-02-23 |
| EP2024006A2 (en) | 2009-02-18 |
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