Abstract: Methods and devices are provided such that electrical stimulation can be delivered to a patient's skeletal muscles in response to certain respiratory signals, such as when voluntary breathing is detected.

Abstract: One aspect of the present disclosure relates to a method for modulating, suppressing or preventing a medical condition in a subject. One step of the method can include positioning at least one electrode on or proximate to at least one of a vidian nerve (VN), a greater petrosal nerve (GPN), a deep petrosal nerve (DPN), or a branch thereof, of the subject. Next, the at least one electrode can be activated to apply an electrical signal to at least one of the VN, the GPN, the DPN, or the branch thereof.

Abstract: An electrical stimulation device and non-invasive method for treating dysphagia and artificially promoting swallowing by simultaneous electrical stimulation of the pharyngeal and facial muscles. The device includes a plurality of electrodes selectively placed in electrical contact with pharyngeal and oral-facial regions of a patient and a series of electrical pulses in electrical contact with each of the plurality of electrodes with a generator. The generator includes a pulse rate modulator for generating electrical pulses having a frequency generally fixed at 80 hertz, a pulse width modulator for generating a series of electrical pulses each at a duration fixed at 300 microseconds, and a governor for regulating the electrical pulses such that at least one of current does not to exceed 4.4 milliamps RMS or power does not to exceed 9.6 MW RMS. The electrical pulses selectively stimulate muscles located proximate to the electrodes to close the mouth and initiate swallowing.

Abstract: Apparatus and methods for muscle stimulation and control of muscle stimulators are disclosed. In at least one embodiment, an electrical muscle stimulator includes a belt having a plurality of stimulator pads, a pulse width modulator controlled by a feedback loop, the PWM providing output to control voltages of the stimulator pads, and a control unit to control the PWM and feedback loop. In various embodiments, the control unit monitors PWM output values during a rest phase of a cycle of the muscle stimulator, provides a contraction phase, and following a sag after the contraction phase, uses PWM values from the rest phase to set a voltage for a subsequent rest phase of a next cycle.

Abstract: A device for delivering energy as a function of degree coupling may include an external unit configured for location external to a body of a subject and at least one processor associated with the implant unit and configured for electrical communication with a power source. The device may further include a primary antenna associated with the at least one processor. The processor may be configured to determine a degree of coupling between the primary antenna and a secondary antenna associated with the implant unit, and regulate delivery of power to the implant unit based on the degree of coupling between the primary antenna and the secondary antenna.

Abstract: An implant unit according to some embodiments may include a flexible carrier, at least one pair of modulation electrodes on the flexible carrier, and at least one implantable circuit in electrical communication with the at least one pair of modulation electrodes. The at least one pair of modulation electrodes and the at least one circuit may be configured for implantation through derma on an underside of a subject's chin and for location proximate to terminal fibers of the medial branch of the subject's hypoglossal nerve, such that an electric field extending from the at least one pair of modulation electrodes can modulate one or more of the terminal fibers of the medial branch of the hypoglossal nerve.

Abstract: Devices and methods are disclosed that include an external unit comprising at least one processor. The processor may be configured to receive a signal indicative of tongue movement in a subject from an implant unit implanted in the subject, determine whether the tongue movement is representative of sleep disordered breathing, generate a modulation control signal to correct the sleep disordered breathing when the at least one processor determines an occurrence of sleep disordered breathing.

Abstract: A device according to some embodiments may include a housing configured for location external to a body of a subject. The device may also include at least one processor associated with the housing and configured for electrical communication with a power source, and an antenna associated with the at least one processor. The at least one processor may be configured to communicate with an implant circuit located within the body of the subject, cause the implant circuit to receive power in a first power mode and in a second power mode, wherein a first level of power delivered in the first power mode is less than a second level of power delivered in the second power mode, and wherein during a therapy period, power delivery in the first mode occurs over a total time that is greater than about 50% of the therapy period.

Abstract: An apparatus for the cardio-synchronized stimulation of skeletal or smooth muscle, but excluding the heart muscles, in a counterpulsation mode of a patient.

Abstract: An automated adaptive muscle stimulation system and method are disclosed. The stimulation system includes at least one electrode assembly adapted to deliver a muscle stimulation signal to the tissue of a user, a sensor system adapted to detect a muscle response, and an electrical stimulation device operably coupled to the at least on electrode assembly and the sensor system, the electrical stimulation device including a control system operable to automatically diagnose at least one characteristic of a muscle from the detected muscle response and adjust at least one parameter of the muscle stimulation signal in response thereto to deliver an adjusted muscle stimulation signal. A dual mode muscle stimulation system adapted to accept first and second data sets and provide first and second levels of treatment data is also disclosed.

Abstract: A non-invasive device for assisting the treatment of any kind of musculoskeletal disorder, including but not exclusive of those of joint, limb, and spine disorders, includes a brace, sleeve, flexible pad, or any combination of the three, a plurality of electrodes disposed thereon, wherein the plurality of electrodes transmit at least three electrophysical modalities, and a stimulation control unit having interactive software to establish a controlled sequence of transmission of the at least three electrophysical modalities and communicating the controlled sequence to the electrodes. The at least three electrophysical modalities are chosen from a group consisting of neuromodulating functional electrical stimulation, transcutaneous electrical nerve stimulation, pulsed electromagnetic field stimulation, and heat therapy stimulation.

Abstract: An implantable stimulation device comprises one or more electrodes, a receiving antenna coil, a transmitting antenna coil and a control circuit. The receiving antenna coil is in a first layer, the transmitting antenna coil is in a second layer and the control circuit is in a third layer between the first and second layers. The control circuit is configured to receive signals using the receiving antenna coil, transmit signals using the transmitting antenna coil, and deliver stimulation signals to the one or more electrodes. The receiving antenna coil, the transmitting antenna coil and the control circuit are contained in a hermetically sealed container.

Abstract: A method and apparatus for using low levels of electrical stimulation to treat focal dystonia by stimulating the afferent nervous system and/or altering the function of the gamma motor neurons innervating muscles which experience symptomatic spasms.

Abstract: The present disclosure relates to peripheral nerve interface system and method for prosthetic hand control, which may measure, analyze and control efferent motor nerve signals and afferent sensory nerve signals by regenerating a peripheral nerve and control an artificial prosthetic hand by means of the measurement, analysis and control of the signals. For this, the peripheral nerve interface system according to an embodiment of the present disclosure includes: a nerve conduit connected to a terminal of a damaged peripheral nerve at a cut body portion; a prosthesis for substituting for the cut body portion; and a peripheral nerve interface unit electrically connected to the nerve conduit and the prosthesis to restore a function of the damaged peripheral nerve and control operations of the prosthesis by transmitting and receiving signals of the damaged peripheral nerve.

Abstract: An embodiment of the invention resides in the apparatus and technique of dynamically measuring and storing a biological condition or disposition during the time that one set of conditions are imposed on a joint or body area and applying closed-loop therapeutic action so as to re-achieve that same biological condition or disposition during a subsequent time that another different set of conditions are imposed. Furthermore, dynamic potentials surrounding said joint or body area may be created, bolstered, and/or modulated through aspects of stimulation applied which are independent of those aspects utilized to counteract force incident on the joint or body area. Other embodiments are described herein.

Abstract: Methods and apparatuses for monitoring and regulating physiological states and functions are disclosed. Several embodiments include application of one or more microelectrode arrays to a dorsal root ganglion for measurement of sensory neuron activity, or stimulation of sensory reflex circuits. The methods and apparatuses can be used, for example, for monitoring or controlling bladder function in a patient.

Abstract: Apparatus and method support the configuration and testing of therapy parameters for a medical device system in the treatment of nervous system disorders. With the embodiment, the medical device system operates in a manual treatment therapy mode, in which the medical device system evaluates a set of information that is indicative of a system configuration. The medical device system determines if the set of information is acceptable. During the manual treatment therapy mode, the medical device system applies therapeutic treatment to a patient in accordance with the set of information. If the patient cannot tolerate the therapeutic treatment, the user indicates so through a user interface. The medical device system may associate the patient's intolerance to therapeutic treatments that equal or exceed the patient's level of tolerance. Moreover, the medical device system may use this information to prevent a delivery of therapeutic treatment that exceeds the patient's level of tolerance during a run mode.

Abstract: The present invention involves a system and methods for assessing the state of the neuromuscular pathway to ensure further nerve tests aimed at detecting at least one of a breach in a pedicle wall, nerve proximity, nerve direction, and nerve pathology, are not conducted when neuromuscular blockade levels may decrease the reliability of the results.

Abstract: Methods of neuromodulation in a live mammalian subject, such as a human patient. The method comprises applying an electrical signal to a target site in the nervous system, such as the brain, where the electrical signal comprises a series of pulses. The pulses includes a waveform shape that is more energy-efficient as compared to a corresponding rectangular waveform. Non-limiting examples of such energy-efficient waveforms include linear increasing, linear decreasing, exponential increasing, exponential decreasing, and Gaussian waveforms. Also described are apparatuses for neuromodulation and software for operating such apparatuses.

Abstract: This invention comprises a totally implantable Eustachian tube activation device which is intended for patients suffering from Eustachian Tube Dysfunction ailment. The device electrically stimulates the muscles activating the Eustachian tube to perform the opening maneuver of the Eustachian tube valve to aerate the middle ear cavity. The unit is hermetically sealed in a suitable biocompatible container and implanted in a suitable location in close proximity to Eustachian tube. The frequency of the stimulation of the implant may be fixed or can be altered depending on the condition of the patient.

Abstract: Methods and devices for treatment to at least interfere with the function of a muscle are described herein. These methods and devices may have application in cosmetic and plastic surgery, dermatology, suppression of tension and/or migraine-type headaches, pain management, one particular application of the subject matter deals primarily with reducing wrinkles caused by ongoing muscular activation. The devices and methods described herein allow medical practitioners to effectively identify selective nerves for paralyzingmuscles, without the need for injections of agents such as botulism toxin. Moreover, the devices and methods herein, may allow for artificial generation of signals in nerves that were otherwise damaged by stimulating transmission of nerve signals across damaged nerves.

Abstract: The disclosure described techniques for associating therapy adjustments with intended patient posture states. The techniques may include receiving a patient therapy adjustment to a parameter of a therapy program that defines electrical stimulation therapy delivered to the patient, identifying a posture state of the patient, and associating the patient therapy adjustment with the posture state when the patient therapy adjustment is within a range determined based on stored adjustment information for the identified posture state.

Abstract: By targeting on selected branches or fascicles of a vagus nerve using electrode placement and/or selection, one or more target branches of the vagus nerve are substantially activated by electrical stimulation pulses delivered to a branch without substantially activating one or more non-target branches. In one embodiment, vagus nerve stimulation is delivered through an electrode placed on a thoracic vagus nerve that is separated from a recurrent laryngeal nerve, such that the vagus nerve is stimulated without causing laryngeal muscle contractions. In another embodiment, vagus nerve stimulation is delivered through a multi-contact electrode with one or more contacts selected for delivering the electrical stimulation pulses to stimulate the vagus nerve without causing laryngeal muscle contractions.

Abstract: A pilomotor effect stimulating device is designed to electrically stimulate the arrector pili muscles of the skin to cause a pilomotor reaction in which goosebumps are formed in the affected area and the hairs are raised away from the skin. The device has a handle and a head at one end of the handle carrying electrodes for skin application. An electronic control unit in the handle is connected to the handles and includes a pulse generator configured to produce a pulsed electrical signal at the electrodes which is designed to stimulate the arrector pili muscles in the vicinity when the electrodes are applied to the skin. The device may be used as a shaving aid to raise the hairs in an area to be shaved, making it easier to cut the hairs closer to the skin when shaving.

Abstract: A bio-electricity system and method utilizes electrical muscle stimulation, interferential current, micro-current, Russian stimulation and tens-transcutaneous electric nerve stimulation. The system and method are adapted for treating maladies of physically out-of-balance users according to the teachings of an ancient art. Such treatment is for pain relief, reduction of inflammation, decreasing muscle spasms and reduction of edema to other areas outside of the acupoint area. The system and method include a plurality of components including probes, adhesive, electronic components, an instruction manual, an electronic device and a program in the electronic device to wirelessly activate probes positioned on a user in accordance with the instruction manual.

Abstract: Bioelectrical signals may be sensed within a brain of a patient with a plurality of sense electrode combinations. A stimulation electrode combination for delivering stimulation to the patient to manage a patient condition may be selected based on the frequency band characteristics of the sensed signals. In some examples, a stimulation electrode combination associated with the sense electrode combination that sensed a bioelectrical brain signal having a relatively highest relative beta band power level may be selected to deliver stimulation therapy to the patient. Other frequency bands characteristics may also be used to select the stimulation electrode combination.

Abstract: A method of treating an upper airway of a patient. The method may include displacing a tongue of the patient while observing a response of the upper airway. The method may further include treating the upper airway based on the observed response, wherein treating the upper airway includes positioning an electrode adjacent a nerve innervating an upper airway muscle and delivering an electrical stimulation to the nerve to activate the upper airway muscle.

Abstract: A method of and apparatus for stimulating pelvic floor muscles in a patient comprises applying at least one electrode externally to each side of the patient's body in the region of the pelvis, and energising the electrodes to apply a muscular stimulation current which flows laterally across the patient through the patient's pelvic floor. Preferably a plurality of electrodes are applied symmetrically on each side of the body. The electrodes may be incorporated in a garment.

Abstract: Systems, methods and devices for paired training include timing controls so that training and neural stimulation can be provided simultaneously. Paired trainings may include therapies, rehabilitation and performance enhancement training. Stimulations of nerves such as the vagus nerve that affect subcortical regions such as the nucleus basalis, locus coeruleus or amygdala induce plasticity in the brain, enhancing the effects of a variety of therapies, such as those used to treat tinnitus, stroke, traumatic brain injury and post-traumatic stress disorder.

Abstract: An apparatus and method for improving mobility and/or the quality of synovial fluid of an affected articular joint are disclosed, wherein the joint is associated with at least a first muscle group and at least a second muscle group each having an antagonistic relationship for effecting mobility of the joint through a range of motion when recruited by natural neural impulses. An electro-medical device is configured to apply motor-level electrical stimulation in a multiphasic pattern via at least a first channel and at least a second channel. An applicator is worn on the articular segment such that the at least two first electrodes and the at least two second electrodes are disposed between the applicator and the articular segment and reduces compressive forces on at least one compartment of the affected joint.

Abstract: An electrical stimulation method for the reduction of joint compression utilizes an electrical stimulation device that includes a plurality of channels of electrodes each of which includes at least a first and second electrode positioned in electrical contact with tissue of at least two muscles crossing a joint. Agonist/antagonist muscles involved in abduction/adduction, flexion/extension, supination/pronation, protraction/retraction, and/or eversion/inversion of body regions via joint movement are stimulated with a patterned series of electrical pulses through channels of electrodes in accordance with a procedure for reducing joint compression. The patterned series of electrical pulses may comprise: a plurality of cycles of a biphasic sequential pulse train pattern; a plurality of cycles of a biphasic overlapping pulse train pattern; a plurality of cycles of a triphasic sequential pulse train pattern; and a plurality of cycles of a triphasic overlapping pulse train pattern.

Abstract: A treatment for Parkinson's Disease uses a stimulus electrode implanted in a subthalamic nucleus with a chemosensor implanted in a globus pallidus pars interna (GPi) of the subject. A level of a neurochemical is sensed with the chemosensor, and compared to a desired level. When the level of the neurochemical is less than desired, an electrical stimulation is provided to the stimulus electrode. In alternative embodiments, the neurochemical sensed is glutamate or dopamine. An alternative system uses a chemosensor implanted in the striatum instead of the GPi. An alternative system for treating benign essential tremor uses a stimulus electrode implanted in the thalamus with feedback taken from a chemosensor in the striatum.

Abstract: A system and method of treating hyperactivity of an eyelid closing muscle in a subject after facial nerve paralysis includes providing a stimulation system and selectively stimulating eyelid opening muscle(s) or innervating nerves, eyelid opening reflexes, or eyelid opening reflexes in non-muscular tissue, using the stimulation system, without substantially activating the eyelid closing muscle. The system and method evokes eyelid movement in the subject.

Abstract: In some embodiments, an apparatus includes a substrate, a power source, a connector, electrical circuitry, and an electrode assembly. The substrate has a first surface and a second surface different than the first surface. The power source has a positive terminal and a negative terminal Each of the positive terminal and the negative terminal are coupled to the substrate. The power source is configured to provide power to an external stimulator coupled to the apparatus. The connector is disposed proximate to the first surface of the substrate and is electrically coupled to at least one of the positive terminal and the negative terminal of the power source. The connector is configured to electrically couple the external stimulator to the power source. The electrical circuitry is coupled to the substrate. The electrical circuitry is configured to electrically couple the connector to at least one of the positive terminal and the negative terminal of the power source.

Abstract: A stimulation system and method for treating to a human subject having spasmodic dysphonia includes a sensing electrode configured to detect voice activity of a vocalizing muscle of the subject and to generate a first signal, and a processor configured to receive the first signal from the sensing electrode and to generate at least one stimulation parameter based on the first signal. The system further includes a mechanical actuator configured to receive the stimulation parameter from the processor and to activate a glottic closure reflex of the subject in response to the stimulation parameter and a stimulating electrode configured to receive the stimulation parameter from the processor and stimulate the recurrent laryngeal nerve or the vagus nerve of the subject based on the stimulation parameter.

Abstract: An electrostimulator includes a boost circuit supplying a stimulus signal, first and second electrodes disposed on a skin surface, detecting a voluntary myoelectric signal and giving the stimulus signal, an amplification circuit amplifying the voluntary myoelectric signal, a controller controlling the stimulus signal in accordance with the voluntary myoelectric signal, an H-bridge circuit including first and third switches connected in series and connected to the second electrode, and second and fourth switches connected in series and connected to the first electrode, the first to the fourth switches being connected in parallel, an isolated DC-DC converter supplying a power to the controller and the amplification circuit, a regulator outputting a midpoint voltage of a power-supply voltage, and a third electrode connected to the regulator and a reference terminal of the amplification circuit and disposed on the skin surface.

Abstract: The invention is directed to controlling therapy delivery based on a relative motion between a first and second activity sensor. The relative motion between the activity sensors is representative of the relative motion between the locations of the body of the patient at which the respective activity sensors are located. The use of relative motion, however, may substantially remove motion experienced by both the activity sensors, e.g., motion caused by the environment in which patient is located, thus providing a new reference frame from which to analyze the motion measurements. The relative motion may be used to detect a condition of a movement disorder and/or control delivery of the therapy delivered to patient to treat or reduce the condition.

Abstract: A universal closed-loop functional electrical stimulation system comprising at least one electrode assembly adapted to deliver an electrical stimulation signal to the central nervous system, peripheral nervous system, or muscles of a user, a sensor system adapted to detect a mechanical response to a muscle stimulation signal of at least one muscle associated with a muscle group stimulated through the nervous system or proximate to the electrode assembly. An electrical stimulation device operably coupled to at least one electrode assembly and the sensor system, the electrical stimulation device including a control system to automatically receive feedback from at least one characteristic of the muscle from the detected muscle response and adjust at least one parameter of the muscle stimulation signal in real-time and in response thereto and a programmed microprocessor for controlling said electrical stimulation and receiving input from said sensor system.

Abstract: A treatment for Parkinson's Disease uses a stimulus electrode implanted in a subthalamic nucleus with a chemosensor implanted in a globus pallidus pars interna (GPi) of the subject. A level of a neurochemical is sensed with the chemosensor, and compared to a desired level. When the level of the neurochemical is less than desired, an electrical stimulation is provided to the stimulus electrode. In alternative embodiments, the neurochemical sensed is glutamate or dopamine. An alternative system uses a chemosensor implanted in the striatum instead of the GPi. An alternative system for treating benign essential tremor uses a stimulus electrode implanted in the thalamus with feedback taken from a chemosensor in the striatum.

Abstract: A battery comprises a tubular housing. An external surface of the tubular housing comprises a biocompatible material. The battery further comprises a battery header secured to an open end of the tubular housing, and the tubular housing and the battery header combine to form a substantially sealed enclosure. The battery also comprises one or more voltaic cells within the substantially sealed enclosure, and a feedthrough electrically connected to the voltaic cells and extending through the battery header to form a battery terminal. The battery header includes a radial groove opposite the tubular housing, and the radial groove is configured to receive a mating snap-fit electronic component subassembly of an implantable medical device.

Abstract: An implantable medical device for treating the back of a patient. Stimulation energy is delivered to muscles or joint capsules or ligaments or nerve fibers to improve the heath of the back.

Abstract: Apparatus and methods for muscle stimulation and control of muscle stimulators are disclosed. In at least one embodiment, an electrical muscle stimulator includes a belt having a plurality of stimulator pads, a pulse width modulator controlled by a feedback loop, the PWM providing output to control voltages of the stimulator pads, and a control unit to control the PWM and feedback loop. In various embodiments, the control unit monitors PWM output values during a rest phase of a cycle of the muscle stimulator, provides a contraction phase, and following a sag after the contraction phase, uses PWM values from the rest phase to set a voltage for a subsequent rest phase of a next cycle.

Abstract: A method for treating an impaired body function in a patient, including the steps of (a) laparoscopically implanting at least one neuroprothesis electrode on a least one endopelvic nerve root of a patient; (b) electrostimulating the nerve root with the electrode for a predetermined time period to induce a body function of the patient; and (c) during the predetermined time period, instructing the patient to mentally concentrate on performing the body function.

Abstract: A method of toning the facial muscles and tissues in selected target areas involves applying predetermined galvanic currents, frequencies, and polarities to the target areas in specific patters and with particular repetitions and movements selected to provide enhanced cosmetic effects, such as reduced lines and wrinkles, reduced depth of folds, and improved circulation to promote health and vitality.

Abstract: Systems, devices and methods for modulation of sirtuins by neurostimulation. In particular, sirtuins may be modulated by stimulation of the vagus nerve. Further described herein generally are methods, systems and devices, for specifically modulating sirtuins, including sub-sets (types or localized regions) of sirtuins by vagus nerve stimulation (VNS).

Abstract: The invention provides an implant, system and method for electrically stimulating a target tissue to either activate or block neural impulses. The implant provides a conductive pathway for a portion of electrical current flowing between surface electrodes positioned on the skin and transmits that current to the target tissue. The implant has a passive electrical conductor of sufficient length to extend from subcutaneous tissue located below a surface cathodic electrode to the target tissue. The conductor has a pick-up end which forms an electrical termination having a sufficient surface area to allow a sufficient portion of the electrical current to flow through the conductor, in preference to flowing through body tissue between the surface electrodes, such that the target tissue is stimulated to either activate or block neural impulses. The conductor also has a stimulating end which forms an electrical termination for delivering the current to the target body tissue.

Abstract: Transcutaneous electrical and magnetic nerve stimulation devices are disclosed, along with methods of averting imminent medical attacks using energy that is delivered noninvasively by the devices. The attacks comprise asthma attack, epileptic seizure, attacks of migraine headache, transient ischemic attack or stroke, onset of atrial fibrillation, myocardial infarction, onset of ventricular fibrillation or tachycardia, panic attack, and attacks of acute depression. The imminence of an attack is forecasted using grey-box or black-box models as used in control theory. In preferred embodiments of the disclosed methods, a vagus nerve in the neck of a patient is stimulated noninvasively to avert the attack.

Abstract: Various aspects of the present subject matter provide a device. In various embodiments, the device comprises a port adapted to connect a lead, a pulse generator connected to the port and adapted to provide a neural stimulation signal to the lead, and a signal processing module connected to the port and adapted to receive and process a nerve traffic signal from the lead into a signal indicative of the nerve traffic. The device includes a controller connected to the pulse generator and the signal processing module. The controller is adapted to implement a stimulation protocol to provide the neural stimulation signal with desired neural stimulation parameters based on the signal indicative of the nerve traffic. Other aspects are provided herein.

Abstract: A method for detecting potential failures by a lead of an implantable medical device is provided. The method includes sensing a first signal over a first channel between a first combination of electrodes on the lead and sensing a second signal from a second channel between a second combination of electrodes on the lead. The method determines whether at least one of the first and second signals is representative of a potential failure in the lead and identifies a failure and the electrode associated with the failure based on which of the first and second sensed signals is representative of the potential failure. Optionally, when the first and second sensed signals are both representative of the potential failure, the method further includes determining whether the first and second sensed signals are correlated with one another. When the first and second sensed signals are correlated, the method declares an electrode common to both of the first and second combinations to be associated with the failure.

Abstract: A hand-held disposable combination surgical nerve evaluator and locator is provided. The device includes a housing that serves as a handpiece and that accommodates a printed circuit board, a DC voltage source and a compressed gas source. Two pre-programmed settings are provided by way of a nerve evaluation switch and a nerve location switch. By choosing a nerve evaluation switch, a pulsed current is sent down one electrical lead that extends outward from the housing. A return electrical lead is provided that also extends outward from the housing in a parallel, but spaced-apart relationship from the other electrical lead. Compressed gas is delivered to the distal ends of the first and second electrical leads by a cannula that is connected to the compressed gas source. It will also be noted that the return or the second electrical lead can also serve as a cannula for the delivery of compressed gas.