Abstract: In one embodiment, a method for defining a stimulation program for electrical stimulation of a patient, the method comprising: providing a single screen user interface that comprises a first plurality of controls and a second plurality of controls, the first plurality of controls allowing selection of multiple stimulation parameters for a plurality of stimulation sets, the second plurality of controls allowing selection of multiple stimulation parameters defining burst stimulation and tonic stimulation; receiving user input in one or more of the second plurality of controls; and automatically modifying parameters for one or more stimulation sets in response to receiving the user input in one or more of the second plurality of controls and modifying values displayed in one or more controls of the first plurality of controls according to the modified parameters, the modified parameters reflecting a stimulation program that includes an interleaved pattern of burst stimulation and tonic stimulation for delivery t
Abstract: In one aspect, an apparatus is provided for securing an electrical stimulation lead in position in a person's brain. The apparatus includes a flexible disc comprising a substantially radial slot adapted to secure the lead in position within the brain after implantation. The slot is adapted to elastically expand as the lead is inserted into the slot and is also adapted to elastically contract on the lead to secure the lead in position within the brain after implantation. The apparatus further includes a ring adapted to seat within a burr hole formed in the person's skull. The ring comprises a channel adapted to receive and secure the flexible disc.
Type:
Grant
Filed:
July 15, 2011
Date of Patent:
December 25, 2012
Assignee:
Advanced Neuromodulation Systems, Inc.
Inventors:
Peter R Lando, Terry D Daglow, John H Erickson
Abstract: The present invention relates to a percutaneous insertion-capable lead, wherein insertion made through a percutaneous insertion structure. For one embodiment of such lead, the electrode-supporting stimulation portion of the lead includes at least one waisted region, relative to a transverse dimension of the lead, to facilitate lead steerability.
Type:
Grant
Filed:
January 15, 2009
Date of Patent:
December 25, 2012
Assignee:
Advanced Neuromodulation Systems, Inc.
Inventors:
John H. Erickson, Scott F. Drees, Terry Daglow, John Connell Munson, Jr.
Abstract: Methods and devices for improved neurostimulation to treat obesity. Some methods include measuring temperature increases in Brown Adipose Tissue (BAT) during intraoperative test stimulations to determine the proper nerve electrode placement for implantation. Methods can include determining the side of the patient having the most BAT, and stimulating preferentially on that right or left side. The BAT maybe used to burn fat by stimulating the sympathetic nervous system innervating the BAT deposits.
Abstract: In one embodiment, a method of fabricating an implantable stimulation paddle comprises: providing a sheet of conductive material coupled to a first insulative layer; laser removing portions of the conductive material to form a pattern of conductive material, the pattern of conductive material including a plurality of isolated metal traces; providing a second insulative layer over the pattern of conductive material so that the pattern of conductive material is interposed between the first and second insulative layers; and exposing portions of the metal traces to form electrodes on the paddle for delivering electrical stimulation.
Abstract: A method comprises: selecting a plurality of electrodes of one or more stimulation leads, the selected plurality of electrodes defining a two-dimensional region; determining a calibration value for stimulation points defined by the plurality of electrodes; selecting a stimulation point within a boundary formed by the two-dimensional region; identifying points on the boundary that are axially displaced relative to the selected stimulation point; automatically calculating boundary calibration values for identified points, each boundary calibration value being calculated as a linear interpolation of calibration values of a pair of stimulation points determined for the plurality of electrodes; automatically assigning a calibration value to the selected stimulation point that is a summation of the calculated boundary calibration values; and using the automatically assigned calibration value for the stimulation point to control an amplitude of stimulation pulses applied to the patient.
Abstract: In one embodiment, an external charging device for recharging an implanted medical device, comprises: a battery for powering the external charging device; a coil for radiating RF power; drive circuitry for driving the coil according to a duty cycle; circuitry for generating a signal that is indicative of an amount of current flowing through the coil; and control circuitry for controlling the drive circuitry, wherein the control circuitry is operable to process the signal from the circuitry for generating to detect when a coil of the implantable medical device temporarily ceases absorbing RF power, the control circuitry modifying the duty cycle in response to detection of the coil of the implantable medical device temporarily ceasing absorbing RF power.
Abstract: Methods and devices for delivering electrical stimulation to the sympathetic nervous system in response to the onset of eating. In some methods, swallowing is detected which then initiates a dose of stimulation which can vary in intensity, frequency, or both over the dose length. In some methods, the dose length is between about one quarter hour and one hour. The dose frequency may increase, hold steady, then decrease over the dose duration so as to mimic the response of the gut stretch and nutrient receptors to receiving food. The dose can drive biomarkers indicative of eating, for example glucagon, glucose, FFA or glycerol to at least about half of their normal post eating levels and then stop so as to retain stimulation effectiveness for subsequent doses and to prolong battery life.
Abstract: An implantable, substantially isodiametric, low resistance implantable lead having at least one electrode positioned in a stimulation/sensing portion of the lead as well as a method of manufacturing the same. At least the stimulation/sensing portion is unitized through partially surrounding and supporting insulation and conductive element(s) of the stimulation/sensing portion with a fused matrix of material having mechanical properties consistent with a body of the lead.
Type:
Grant
Filed:
December 4, 2009
Date of Patent:
November 27, 2012
Assignee:
Advanced Neuromodulation Systems, Inc.
Inventors:
Damon Ray Black, Terry Daglow, John Erickson, Robert Earl Jones, B. Reno Lauro
Abstract: In one embodiment, a pulse generator for generating electrical stimulation for delivery to a patient, comprises: a hermetically sealed housing containing pulse generating circuitry; a header coupled to the housing for receiving one or more stimulation leads, wherein feedthrough wires are provided to conduct electrical pulses from the pulse generating circuitry to the header; the header comprising a plurality of connectors for electrically connecting to each terminal of the one or more stimulation leads, wherein an inductive winding is disposed around or adjacent to each of the connector structures and is electrically connected between the respective connector structure and a corresponding feedthrough wire to limit MRI induced heating of a respective electrode of the one or more stimulation leads.
Abstract: The present invention relates to a method of identifying a target such as within the subgenual area by measuring neuronal activity in response to a stimulus. Once the target is identified, it can be stimulated to treat a neurological disorder, such as a mood disorder or an anxiety disorder.
Abstract: In one embodiment, a kit, for securing a lead or cannula within a burr hole, comprises: a base structure to be positioned immediately adjacent to or partially within the burr hole; a lead securing member for securing the lead within the burr hole, the lead securing member comprising a first arm structure and a second arm structure, at least one spring loaded structure adapted to exert a force to bring the first arm structure and the second arm structure together; and a positioning tool having a distal end adapted to be inserted within the lead securing member; wherein when the distal end of the positioning tool is positioned within the lead securing member, the distal end holds the first and second arm structures a sufficient distance apart to receive a lead or a cannula between the first and second arm structures.
Abstract: There is disclosed various embodiments of an implantable anchor for anchoring a medical lead within a patient. The implantable anchor includes a body having at least one lumen for receiving a medical lead, a cam integrated with the body and rotatable to extend into the lumen for engaging, compressing and twisting the medical lead to inhibit the movement of the lead with respect to the anchor. The body of the anchor may include at least one slot, sized and positioned to receive a portion of the lead to further facilitate the inhibition of the movement of the lead. The cam may include a handle for facilitating the rotation and locking of the cam.
Abstract: A method for treatment of obesity or other disorders by electrical activation or inhibition of nerves is disclosed. This activation or inhibition can be accomplished by stimulating a nerve using an electrode. The method further comprises performing a surgical procedure and/or administering a weight loss drug.
Abstract: The present invention relates to a method of identifying a region of the brain by measuring neuronal firing and/or local field potentials by recording discharges from at least one implanted electrode and analyzing the recording of the discharges within the beta frequency band range to determine an area of beta oscillatory activity. Once the region of the brain is identified, this region may be stimulated to disrupt the beta oscillatory activity thereby treating a movement disorder.
Abstract: A method of fabricating a stimulation lead by supplying a lead body with a plurality wire conductors extending the length of the lead body and being within insulative material therein; providing a plurality of terminals and electrodes on the ends of the lead body, wherein the plurality of terminals and electrodes are electrically coupled, wherein the providing comprises: (i) positioning a conductive band about the lead body that is adapted to be clasped about the lead body; (ii) positioning a conductor wire between an exterior surface of the first end and an interior surface of the second end of the conductive band; (iii) closing overlapping ends of the conductive band about the conductor wire; and (iv) welding the ends to seal the conductive band about the lead body.
Abstract: In one embodiment, a paddle-style lead for implantation in the epidural space, the paddle-style lead comprising: a paddle structure that comprises a frame of rigid material, the frame comprising first, second, and third longitudinal members, a distal linking portion that is mechanically coupled to the first, second, and third longitudinal members, and a proximal linking portion that is mechanically coupled to the first, second, and third longitudinal members; wherein a respective plurality of electrodes are provided for each of the first, second, and third longitudinal members, each plurality of electrodes being electrically coupled to conductors of a lead body; wherein the distal and proximal linking portions are adapted to permit compression of the first and third longitudinal members toward each other and to permit the second longitudinal member to move out of plane relative to the first and third longitudinal members when a compressive force is applied to the paddle.
Abstract: In one embodiment, a method, of fabricating a stimulation lead for stimulating tissue of a patient, comprises: providing a lead body, the lead body comprising a plurality of conductors embedded within insulating material; providing a plurality of terminals; electrically coupling the plurality of terminals with the plurality of conductors; providing a plurality of electrodes, the plurality of electrodes comprising a plurality of substantially continuous longitudinal trenches on a surface of the electrodes, the electrodes comprising areas of reflow material forming microstructures substantially continuously along walls of the longitudinal trenches; and electrically coupling the plurality of electrodes with the plurality of conductors.
Type:
Grant
Filed:
October 22, 2009
Date of Patent:
September 18, 2012
Assignee:
Advanced Neuromodulation Systems, Inc.
Inventors:
John Swanson, Anna Norlin-Weissenrieder
Abstract: In one embodiment, an apparatus comprises: a base structure adapted to be inserted within the burr hole; a lead securing member for securing the lead, the lead securing member comprising a first arm structure and a second arm structure, at least one spring loaded structure adapted to exert a force to bring the first arm structure and the second arm structure together; and a positioning tool having a distal end adapted to be inserted within the lead securing member. When the positioning tool is positioned within the lead securing member, the distal end holds the first and second arm structures a sufficient distance apart to receive a lead between the first and second arm structures; wherein the positioning tool comprises a control structure at a proximal end that, when engaged, causes the distal end of the positioning tool to be released from between the first and second arm structures.
Abstract: The present disclosure is directed generally to techniques for selecting signal delivery sites and other signal delivery parameters for treating depression and other neurological disorders, and associated systems and methods. A method in accordance with a particular embodiment includes obtaining first imaging information corresponding to a first region of a patient's brain, the first imaging information being based at least in part on functional characteristics of the first region. The method further includes obtaining second imaging information corresponding to a second region of the patient's brain, the second region being a subset of the first region, the second imaging information being based at least in part on functional or structural characteristics of the second region. A target neural population is then selected based at least in part on the second imaging information. The method still further includes applying an electromagnetic signal to the target neural population to improve a patient function.
Type:
Grant
Filed:
February 27, 2009
Date of Patent:
September 11, 2012
Assignee:
Advanced Neuromodulation Systems, Inc.
Inventors:
Justin Hulvershorn, Bradford E. Gliner, Brian Kopell