Abstract: Apparatus for use with a medical implant having a receiving coil. A flexible housing to be placed against skin of a subject includes a flexible transmitting coil and control circuitry for driving a current through the transmitting coil to induce a current in the receiving coil. A sensor coupled to the circuitry determines divergence of a resonance frequency of the transmitting coil when flexed from a nominal resonance frequency of the transmitting coil, occurring in the absence of any forces applied to the transmitting coil. One or more electrical components coupled to the circuitry tune the resonance frequency of the transmitting coil. A switch is coupled to each of the electrical components, the switches including transistors having capacitances that depend on the voltage applied to each switch. The circuitry applies a respective DC voltage to each switch. Other applications are also described.

Abstract: A housing placeable against skin of a subject includes a transmitting coil. Battery-powered control circuitry including a power stage transmits power to an implant by activating the power stage to drive a current through the transmitting coil to induce an induced current in a receiving coil of the implant. A sensor indicates divergence of a real-time resonance frequency of the transmitting coil with respect to a reference resonance frequency of the transmitting coil at which (a) efficiency of the power stage is at least 70% of a maximum efficiency as a function of the resonance frequency, and (b) the current driven through the transmitting coil is less than 960 of a maximum current drivable through the transmitting coil as a function of the resonance frequency. The circuitry reduces the divergence by tuning the resonance frequency of the transmitting coil. Other applications are also described.

Abstract: An apparatus includes an implant that includes circuitry and an elongate housing having a first half and a second half. A paresthesia-inducing electrode is disposed on the first half, and a blocking electrode is disposed on the second half. The circuitry has a first mode in which the circuitry simultaneously drives the paresthesia-inducing electrode to apply a paresthesia-inducing current having a frequency of 2-400 Hz, and the blocking electrode to apply a blocking current having a frequency of 1-20 kHz, and a second mode in which the circuitry drives the blocking electrode to apply the blocking current, but does not drive the paresthesia-inducing electrode to apply the paresthesia-inducing current. The implant is injectable into a subject along a longitudinal axis of the implant. Other embodiments are also described.

Abstract: An implant comprises: (a) an implant body that comprises: (i) at least a first longitudinal portion of the implant body that defines a given outer diameter; and (ii) a recessed longitudinal portion of the implant body that is radially recessed with respect to the first longitudinal portion of the implant body, such that an outer diameter of the recessed longitudinal portion is less than the outer diameter of the first longitudinal portion; and (b) a cuff coupled to the implant body around the recessed longitudinal portion of the implant body such that an outer diameter of the cuff does not exceed the outer diameter of the first longitudinal portion. The cuff defines a plurality of holes that are configured to facilitate anchoring of the implant body with respect to the subject's tissue, by facilitating tissue growth into the holes. Other embodiments are also described.

Abstract: Power is transmitted to an implanted receiving coil oriented such that an axis of the receiving coil is parallel to skin of a subject. A transmitting coil is in a housing, which is placed against the skin. A central axis of the transmitting coil is perpendicular to the skin. A portion of the transmitting coil is over the receiving coil. A first distance, from the axis of the transmitting coil to a center of the receiving coil, is greater than a second distance, from the axis of the transmitting coil to an inner edge of the portion of the transmitting coil. The first distance is less than a third distance, from the axis of the transmitting coil to an outer edge of the portion of the transmitting coil. Circuitry powers the implant by driving current through the transmitting coil that induces current in the receiving coil.

Abstract: Apparatus is provided for facilitating percutaneous delivery of an implant to a target site of a body of a subject. The apparatus includes a delivery tool that includes a needle that defines a lumen through which the implant passes. The needle has a proximal end and a distal end, and defines a triple-grind bevel at the distal end. The triple-grind bevel defines a primary grind and two side-grinds. The side-grinds do not extend to meet each other to define a point at a distal-most part of the needle. Other embodiments are also described.

Abstract: Apparatus for use with a medical implant having a receiving coil. A flexible housing to be placed against skin of a subject includes a flexible transmitting coil and control circuitry for driving a current through the transmitting coil to induce a current in the receiving coil. A sensor coupled to the circuitry determines divergence of a resonance frequency of the transmitting coil when flexed from a nominal resonance frequency of the transmitting coil, occurring in the absence of any forces applied to the transmitting coil. One or more electrical components coupled to the circuitry tune the resonance frequency of the transmitting coil. A switch is coupled to each of the electrical components, the switches including transistors having capacitances that depend on the voltage applied to each switch. The circuitry applies a respective DC voltage to each switch. Other applications are also described.

Abstract: Apparatus is provided for use with a medical implant having a receiving coil. A flexible housing to be placed against skin of a subject includes a flexible transmitting coil and control circuitry for driving a current through the transmitting coil to induce a current in the receiving coil. A sensor coupled to the circuitry determines divergence of a resonance frequency of the transmitting coil when flexed from a nominal resonance frequency of the transmitting coil, occurring in the absence of any forces applied to the transmitting coil. One or more electrical components coupled to the circuitry tune the resonance frequency of the transmitting coil. A switch is coupled to each of the electrical components, the switches including transistors having capacitances that depend on the voltage applied to each switch. The circuitry applies a voltage of 30-300 volts to each switch. Other applications are also described.

Abstract: An excitation unit is configured to induce action potentials by applying an excitatory current to a nerve. A blocking unit is configured to block the induced action potentials from propagating along the nerve by applying a blocking current to the nerve. A sensor unit is configured to detect the induced action potentials in the nerve, and to responsively provide a sensor signal that conveys information about the detected induced action potentials. Circuitry is configured (i) to drive the excitation unit to apply the excitatory current, (ii) to drive the blocking unit to apply the blocking current, (iii) while driving the blocking unit to apply the blocking current, to drive the sensor unit to detect the induced action potentials and provide the sensor signal, (iv) to receive the sensor signal, and (v) in response to the sensor signal, to alter a parameter of the blocking current.

Abstract: An excitation unit is configured to induce action potentials by applying an excitatory current to a nerve. A blocking unit is configured to block the induced action potentials from propagating along the nerve by applying a blocking current to the nerve. A sensor unit is configured to detect the induced action potentials in the nerve, and to responsively provide a sensor signal that conveys information about the detected induced action potentials. Circuitry is configured (i) to drive the excitation unit to apply the excitatory current, (ii) to drive the blocking unit to apply the blocking current, (iii) while driving the blocking unit to apply the blocking current, to drive the sensor unit to detect the induced action potentials and provide the sensor signal, (iv) to receive the sensor signal, and (v) in response to the sensor signal, to alter a parameter of the blocking current.

Abstract: Apparatus is provided for facilitating percutaneous delivery of an implant to a target site of a body of a subject. The apparatus includes a delivery tool that includes a needle that defines a lumen through which the implant passes. The needle has a proximal end and a distal end, and defines a triple-grind bevel at the distal end. The triple-grind bevel defines a primary grind and two side-grinds. The side-grinds do not extend to meet each other to define a point at a distal-most part of the needle. Other embodiments are also described.

Abstract: A method is described for percutaneously delivering an implant through a region of a body of a subject, the region including a fascia and non-fascia tissue. A hollow needle of a delivery tool is advanced distally through the fascia, while the delivery tool is in a first state in which the implant is entirely housed within the needle. The delivery tool is switched to a second state in which a proximal portion of the implant is housed within the needle and a distal portion of the implant is exposed from a distal end of the needle. While the delivery tool is in the second state the hollow needle is advanced distally through non-fascia tissue. Other embodiments are also described.

Abstract: Power is transmitted to an implanted receiving coil oriented such that an axis of the receiving coil is parallel to skin of a subject. A transmitting coil is in a housing, which is placed against the skin. A central axis of the transmitting coil is perpendicular to the skin. A portion of the transmitting coil is over the receiving coil. A first distance, from the axis of the transmitting coil to a center of the receiving coil, is greater than a second distance, from the axis of the transmitting coil to an inner edge of the portion of the transmitting coil. The first distance is less than a third distance, from the axis of the transmitting coil to an outer edge of the portion of the transmitting coil. Circuitry powers the implant by driving current through the transmitting coil that induces current in the receiving coil.

Abstract: An electrostimulator implant comprises (i) an implant body, the implant being injectable into tissue of a subject along a longitudinal axis of the implant body, (ii) first and second electrodes, disposed on respective first and second portions of the implant body; (iii) circuitry, disposed inside the implant body, and configured to drive the electrodes to apply current to the tissue; and (iv) a mesh. The mesh is configured to serve as an anchor of the implant, is disposed over a third portion of the implant body that is longitudinally between the first and second portions of the implant body, and has a first end and a second end. Each of the ends is fixedly attached to respective first and second sites of the implant body, the respective sites being longitudinally between the first and second electrodes.

Abstract: Apparatus includes an implant and an introducer. The implant includes an injectable housing, an electrode disposed on an outer surface of the housing, and circuitry. The circuitry is configured to alternate between a first mode in which the circuitry drives the electrode to apply a first electrical current having a frequency of 1-100 Hz, and a second mode in which the implant applies a second electrical current having a frequency of 1-10 kHz. The introducer includes a tube that defines a lumen and is percutaneously-advanceable into tissue of the subject, the lumen being dimensioned to at least temporarily house the implant. The introducer is configured to deploy the implant from a distal end of the lumen by moving the implant and the distal end of the lumen relative to each other. Other embodiments are also described.

Abstract: A method is described for percutaneously delivering an implant through a region of a body of a subject, the region including a fascia and non-fascia tissue. A hollow needle of a delivery tool is advanced distally through the fascia, while the delivery tool is in a first state in which the implant is entirely housed within the needle. The delivery tool is switched to a second state in which a proximal portion of the implant is housed within the needle and a distal portion of the implant is exposed from a distal end of the needle. While the delivery tool is in the second state the hollow needle is advanced distally through non-fascia tissue. Other embodiments are also described.

Abstract: An excitation unit is configured to induce action potentials by applying an excitatory current to a nerve. A blocking unit is configured to block the induced action potentials from propagating along the nerve by applying a blocking current to the nerve. A sensor unit is configured to detect the induced action potentials in the nerve, and to responsively provide a sensor signal that conveys information about the detected induced action potentials. Circuitry is configured (i) to drive the excitation unit to apply the excitatory current, (ii) to drive the blocking unit to apply the blocking current, (iii) while driving the blocking unit to apply the blocking current, to drive the sensor unit to detect the induced action potentials and provide the sensor signal, (iv) to receive the sensor signal, and (v) in response to the sensor signal, to alter a parameter of the blocking current.

Abstract: Power is transmitted to an implanted receiving coil oriented such that an axis of the receiving coil is parallel to skin of a subject. A transmitting coil is in a housing, which is placed against the skin. A central axis of the transmitting coil is perpendicular to the skin. A portion of the transmitting coil is over the receiving coil. A first distance, from the axis of the transmitting coil to a center of the receiving coil, is greater than a second distance, from the axis of the transmitting coil to an inner edge of the portion of the transmitting coil. The first distance is less than a third distance, from the axis of the transmitting coil to an outer edge of the portion of the transmitting coil. Circuitry powers the implant by driving current through the transmitting coil that induces current is the receiving coil.

Abstract: An implant comprises: (a) an implant body that comprises: (i) at least a first longitudinal portion of the implant body that defines a given outer diameter; and (ii) a recessed longitudinal portion of the implant body that is radially recessed with respect to the first longitudinal portion of the implant body, such that an outer diameter of the recessed longitudinal portion is less than the outer diameter of the first longitudinal portion; and (b) a cuff coupled to the implant body around the recessed longitudinal portion of the implant body such that an outer diameter of the cuff does not exceed the outer diameter of the first longitudinal portion. The cuff defines a plurality of holes that are configured to facilitate anchoring of the implant body with respect to the subject's tissue, by facilitating tissue growth into the holes. Other embodiments are also described.

Abstract: Apparatus is provided, comprising: (a) an implantable excitation unit, configured to induce action potentials in a nerve of a subject by applying an excitatory current; (b) an implantable blocking unit, configured to block the induced action potentials from propagating along the nerve by applying a blocking current; and (c) an extracorporeal controller, comprising circuitry configured: (i) to wirelessly drive the excitation unit to apply the excitatory current, (ii) in a first mode, to wirelessly drive the blocking unit to apply the blocking current while not driving the excitation unit to apply the excitatory current, (iii) in a second mode, to wirelessly drive the blocking unit to apply the blocking current while driving the excitation unit to apply the excitatory current, and (iv) to wirelessly alter a parameter of the blocking current, based on sensing performed while the extracorporeal controller is in the second mode.