JP6905524B2 - 電気神経伝導ブロックを用いて神経障害を治療するシステム - Google Patents

電気神経伝導ブロックを用いて神経障害を治療するシステム Download PDF

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JP6905524B2
JP6905524B2 JP2018529015A JP2018529015A JP6905524B2 JP 6905524 B2 JP6905524 B2 JP 6905524B2 JP 2018529015 A JP2018529015 A JP 2018529015A JP 2018529015 A JP2018529015 A JP 2018529015A JP 6905524 B2 JP6905524 B2 JP 6905524B2
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encb
nerve
waveform
charge
block
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Japanese (ja)
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JP2018537200A (ja
Inventor
バドラ,ニロイ
バドラ,ナレンドラ
キルゴア,ケビン・エル
レンプカ,スコット
ウェーンライト,ジェシー
ヴラベッツ,ティナ
フランケ,マンフレート
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Case Western Reserve University
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Case Western Reserve University
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Priority claimed from US14/969,826 external-priority patent/US9694181B2/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36071Pain
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0551Spinal or peripheral nerve electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/06Electrodes for high-frequency therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/20Applying electric currents by contact electrodes continuous direct currents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014External stimulators, e.g. with patch electrodes
    • A61N1/36021External stimulators, e.g. with patch electrodes for treatment of pain
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36057Implantable neurostimulators for stimulating central or peripheral nerve system adapted for stimulating afferent nerves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36103Neuro-rehabilitation; Repair or reorganisation of neural tissue, e.g. after stroke
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36125Details of circuitry or electric components
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128Control systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128Control systems
    • A61N1/36146Control systems specified by the stimulation parameters
    • A61N1/36167Timing, e.g. stimulation onset
    • A61N1/36171Frequency
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128Control systems
    • A61N1/36146Control systems specified by the stimulation parameters
    • A61N1/36167Timing, e.g. stimulation onset
    • A61N1/36175Pulse width or duty cycle

Landscapes

  • Health & Medical Sciences (AREA)
  • Pain & Pain Management (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Electrotherapy Devices (AREA)
JP2018529015A 2015-12-15 2016-12-15 電気神経伝導ブロックを用いて神経障害を治療するシステム Active JP6905524B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US14/969,826 2015-12-15
US14/969,826 US9694181B2 (en) 2012-06-15 2015-12-15 Methods of treatment of a neurological disorder using electrical nerve conduction block
PCT/US2016/066960 WO2017106519A1 (fr) 2015-12-15 2016-12-15 Systèmes de traitement d'un trouble neurologique au moyen d'un bloc de conduction nerveuse électrique

Publications (2)

Publication Number Publication Date
JP2018537200A JP2018537200A (ja) 2018-12-20
JP6905524B2 true JP6905524B2 (ja) 2021-07-21

Family

ID=57777701

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2018529015A Active JP6905524B2 (ja) 2015-12-15 2016-12-15 電気神経伝導ブロックを用いて神経障害を治療するシステム

Country Status (6)

Country Link
US (1) US20240033514A1 (fr)
EP (1) EP3389769A1 (fr)
JP (1) JP6905524B2 (fr)
AU (5) AU2016369487B2 (fr)
CA (1) CA3008024C (fr)
WO (1) WO2017106519A1 (fr)

Families Citing this family (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA2876297C (fr) 2012-06-15 2019-02-26 Case Western Reserve University Dispositifs d'administration de therapie et methodes pour ne pas endommager un bloc de conduction de tissu neural
US10195434B2 (en) 2012-06-15 2019-02-05 Case Western Reserve University Treatment of pain using electrical nerve conduction block
US20150238764A1 (en) 2013-05-10 2015-08-27 Case Western Reserve University Systems and methods for preventing noise in an electric waveform for neural stimulation, block, or sensing
AU2016335931B2 (en) 2015-10-06 2019-06-27 Case Western Reserve University High-charge capacity electrodes to deliver direct current nerve conduction block
US10864373B2 (en) 2015-12-15 2020-12-15 Case Western Reserve University Systems for treatment of a neurological disorder using electrical nerve conduction block
AU2018249498B2 (en) 2017-04-03 2023-12-14 Presidio Medical, Inc. Systems and methods for direct current nerve conduction block
US12465260B2 (en) 2018-02-09 2025-11-11 Presidio Medical, Inc. Systems and methods for cardiac conduction block
US11813459B2 (en) * 2018-02-20 2023-11-14 Presidio Medical, Inc. Methods and systems for nerve conduction block
US11752329B2 (en) 2018-07-01 2023-09-12 Presidio Medical, Inc. Systems and methods for nerve conduction block
AU2019325250B2 (en) * 2018-08-20 2025-03-06 Neuros Medical, Inc. Apparatuses and methods for adjusting a therapeutic electrical dose
US11318330B2 (en) * 2018-09-26 2022-05-03 General Electric Company Neuromodulation techniques
WO2021102448A1 (fr) 2019-11-24 2021-05-27 Presidio Medical, Inc. Systèmes de moteurs de stimulation et de génération d'impulsions
EP4061269A4 (fr) 2019-11-24 2023-11-08 Presidio Medical, Inc. Polarisation de courant en tant que mécanisme de commande de fonctionnement d'électrode

Family Cites Families (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7561922B2 (en) * 2004-12-22 2009-07-14 Biocontrol Medical Ltd. Construction of electrode assembly for nerve control
CA2553901C (fr) * 2004-01-22 2015-01-20 Rehabtronics Inc. Procede d'acheminement de courant electrique a des tissus corporels via des conducteurs passifs implantes
CA2703867C (fr) * 2007-10-29 2017-06-20 Case Western Reserve University Anesthesie tronculaire haute frequence d'attenuation d'attaque
WO2009111142A2 (fr) * 2008-03-06 2009-09-11 Stryker Corporation Ensemble de réseau d'électrodes implantable, pliable et outil pour implanter celui-ci
US9008800B2 (en) * 2009-11-23 2015-04-14 Case Western Reserve University Separated-interface nerve electrode
CN102821814B (zh) * 2009-12-23 2015-07-15 赛博恩特医疗器械公司 用于治疗慢性炎症的神经刺激设备和系统
EP2709717B1 (fr) * 2011-05-19 2020-02-26 Neuros Medical, Inc. Électrode à manchon et un générateur pour le blocage de nerfs électrique réversible
CA2876297C (fr) * 2012-06-15 2019-02-26 Case Western Reserve University Dispositifs d'administration de therapie et methodes pour ne pas endommager un bloc de conduction de tissu neural
EP4241832A3 (fr) * 2012-12-05 2023-11-22 Curonix LLC Dispositifs et procédés de connexion de dispositifs implantables à de l'énergie sans fil
US20140324129A1 (en) * 2013-04-30 2014-10-30 Case Western Reserve University Systems and methods for temporary, incomplete, bi-directional, adjustable electrical nerve block
WO2015142838A1 (fr) * 2014-03-18 2015-09-24 Case Western Reserve University Systèmes et procédés de blocage nerveux rapide et réversible

Also Published As

Publication number Publication date
AU2016369487A1 (en) 2018-07-12
AU2023206092B2 (en) 2025-08-07
JP2018537200A (ja) 2018-12-20
AU2021225216A1 (en) 2021-09-30
WO2017106519A1 (fr) 2017-06-22
AU2019203633A1 (en) 2019-06-13
AU2019203633B2 (en) 2021-06-17
US20240033514A1 (en) 2024-02-01
AU2021225216B2 (en) 2023-04-20
EP3389769A1 (fr) 2018-10-24
CA3008024A1 (fr) 2017-06-22
AU2025205471A1 (en) 2025-07-31
AU2016369487B2 (en) 2019-10-10
AU2023206092A1 (en) 2023-08-10
CA3008024C (fr) 2024-04-02

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US11779762B2 (en) Systems for treatment of a neurological disorder using electrical nerve conduction block
JP6905524B2 (ja) 電気神経伝導ブロックを用いて神経障害を治療するシステム
US11872394B2 (en) Treatment of pain using electrical nerve conduction block
US9694181B2 (en) Methods of treatment of a neurological disorder using electrical nerve conduction block
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