Abstract: A method of treating hyaline cartilage of a subject is provided, the method including implanting a first exposed electrode surface in osteochondral tissue of the subject, and implanting a second exposed electrode surface in a body of the subject. Regeneration of the hyaline cartilage is promoted by activating control circuitry to drive the first and the second exposed electrode surfaces to drive nutrients toward the first exposed electrode surface. Other embodiments are also described.

Abstract: A system and method for electrical stimulation in an orthopedic implant that includes at least one implantable component with an implant body, a plurality of electrodes, and implant circuitry is effective to convert an external wireless power transmission to an electrical current and effective to control the plurality of electrodes; and at least one non-implant with a power source, and transmitter circuitry to generate the electromagnetic field that couples with the implant circuitry.

Abstract: An electrical venous stimulation apparatus comprising an electrical signal generator, the signal generator configured to generate a specified electrical output signal. The apparatus also includes a plurality of electrodes in electrical communication with the signal generator and configured to be placed in electrical communication with a subject. The electrical output signal sent to the subject includes an output voltage, electrical current, and waveform that changes with time in a preprogrammed repeating cycle. The output voltage, electrical current, and waveform are configured to elicit a physiological response that stimulates a plurality of peripheral nerves in the subject, activates a venous muscle pump mechanism in one or more limbs of the subject, and non-invasively alter the physiology of target vein(s), wherein the target vein(s) is caused to distend from under the surface of the subject's skin.

Abstract: Disclosed is a bone regeneration device which forms an electric field on a scaffold inserted into a bone damage site. The present bone regeneration device comprises: a battery; a first electric conductor to be connected to a first electrode of the battery and inserted into a bone located on one side of the scaffold; and a second electric conductor to be connected to a second electrode of the battery and inserted into a bone located on the other side of the scaffold, wherein the battery forms an electric field on the scaffold by applying voltage to the first electric conductor and the second electric conductor.

Abstract: An electrical venous stimulation apparatus comprising an electrical signal generator, the signal generator configured to generate a specified electrical output signal. The apparatus also includes a plurality of electrodes in electrical communication with the signal generator and configured to be placed in electrical communication with a subject. The electrical output signal sent to the subject includes an output voltage, electrical current, and waveform that changes with time in a preprogrammed repeating cycle. The output voltage, electrical current, and waveform are configured to elicit a physiological response that stimulates a plurality of peripheral nerves in the subject, activates a venous muscle pump mechanism in one or more limbs of the subject, and non-invasively alter the physiology of target vein(s), wherein the target vein(s) is caused to distend from under the surface of the subject's skin.

Abstract: A dual function bone implant provides both stabilization and stimulation for bone healing. The implant includes a fixation or stabilization hardware body, with an electromagnetic field generator mounted in or on the body. The hardware body stabilizes the bone, while the electromagnetic field generator stimulates bone growth and fusion by producing an electromagnetic field at the bone site.

Abstract: Devices and methods for preventing knee sprain injuries. To protect the knee joint from knee sprain injuries, the device comprises a sensing part configured to sense data associated with knee motion; an analyzing part configured to analyze the knee motion data to determine a knee articulation; and a stimulating part configured to stimulate one or more lower limb muscles to initiate an earlier muscle reaction than would naturally occur in response to the determined knee joint articulation. The determined knee joint articulation may include knee joint articulation or a particular type of articulation such as a knee sprain movement associated with knee sprain. The methods involve sensing data associated with knee joint motion, analyzing the data to determine a knee joint articulation; and stimulating one or more lower limb muscles to initiate an early muscle reaction within the determined knee joint articulation.

Abstract: A non-invasive electrical stimulation device shapes an elongated electric field of effect that can be oriented parallel to a long nerve, such as a vagus nerve in a patient's neck, producing a desired physiological response in the patient. The stimulator comprises a source of electrical power, at least one electrode and a continuous electrically conducting medium in which the electrode(s) are in contact. The stimulation device is configured to produce a peak pulse voltage that is sufficient to produce a physiologically effective electric field in the vicinity of a target nerve, but not to substantially stimulate other nerves and muscles that lie between the vicinity of the target nerve and patient's skin. Current is passed through the electrodes in bursts of preferably five sinusoidal pulses, wherein each pulse within a burst has a duration of preferably 200 microseconds, and bursts repeat at preferably at 15-50 bursts per second.

Abstract: In various embodiments, a surgical instrument is provided that may comprise an end effector for performing a surgical procedure on tissue, for example. The end effector may comprise a pair of jaws, a closure beam, and a cutting member. The closure beam and the cutting member may be releasably coupled together by an interlocking member such that movement of the cutting member may cause the closure beam to also move relative to the jaws and cause the jaws to close and grip tissue, for example. The interlocking member may then unlock, allowing the cutting member to move through the gripped tissue and relative to the closure beam. Additionally, the cutting member and closure beam may be operated by a single trigger, which may be configured to provide haptic feedback to a user at various stages. Further, the jaws may be electrically energized to deliver energy and/or seal the gripped tissue.

Abstract: The present invention provides a packaging technique and apparatus that incorporates a flexible substrate package with a three-axis magnetic sensor for three-axis sensing in an implantable medical device. The apparatus includes three single-axis magnetic sensor integrated circuits (ICs) that are mounted to a substrate and encapsulated with a polymer mold compound. The substrate is excised around each of the sensor ICs to form panels that are folded to align the three single-axis sensors in the x, y and z axis.

Abstract: Devices and methods for stimulation of the vagus nerve to modulate (e.g., reduce, suppress, etc.) bone erosion. Methods and apparatus for modulating bone erosion may modulate levels of Receptor Activator for Nuclear Factor ?B Ligand (RANKL), and/or to modulate (increase, enhance, etc.) osteoprotegerin (OPG) and/or OPG/RANKL ratio. Devices may include electrical stimulation devices that may be implanted, and may be activated to apply current for a proscribed duration, followed by a period without stimulation.

Abstract: Embodiments are generally directed to improving the interface between one or more electrode contacts of a medical implant and the neurons of a recipient of the medical implant. In an embodiment, a growth factor is applied to stimulate the growth of peripheral processes (also referred to as dendrites). Then an electric field is applied to direct the growth of the peripheral processes towards the electrode contact. Growing peripheral processes towards the electrode contacts may reduce the charge required to stimulate the peripheral processes and improve operation of the medical implant.

Abstract: Methods and devices for providing electromagnetic field treatment to a subject having a metal-containing implant or prosthesis at or near the treatment site. These treatment methods can include calibrating the treatment devices such that the treatment field provided is not distorted or affected by the presence of metal in the target location. Additionally, embodiments of the invention provide for wearable and adjustable electromagnetic treatment devices with reinforcing support members to maintain the structure of flexible metal applicators, which generate the therapeutic electromagnetic field.

Abstract: A system for transferring spinal cord signals comprises a superior electrode and an inferior electrode. The superior electrode interfaces with a first portion of a spinal cord of a human body; and the inferior electrode interfaces with a second portion of the spinal cord. The superior electrode has at least one superior contact for receiving signals from the first portion of the spinal cord to transmit to the inferior electrode; and the inferior electrode has at least one inferior contact for transmitting signals received from the superior electrode to the second portion of the spinal cord.

Abstract: An electrical stimulation system for providing non-invasive therapeutic stimulation to a large animal includes a surcingle for placement around a girth of the large animal. The surcingle includes a non-stretchable first element and a stretchable second element. Foam wedges are disposed on the first element for flanking a spine of the large animal during stimulation. A control module with a signal generator is coupleable to the first element. A treatment electrode is disposed on a lead that is electrically coupleable to the control module. The treatment electrode has a conductive inner surface for disposing over skin of the large animal at a target stimulation location. The treatment electrode transmits to the target stimulation location electrical signals received from the signal generator. A return electrode disposed on the first element is electrically coupled to the control module and receives electrical signals output from the treatment electrode.

Abstract: Devices and methods for preventing ankle sprain injuries. To protect the ankle joint from acute ankle supination or inversion sprain injuries, the device comprises a sensing part configured to sense data of an ankle motion; an analyzing part configured to analyze the data to judge whether the motion is a sprain motion; and a stimulating part configured to stimulate one or more lower limb muscles against the motion in light of a result of the analyzing. The method also involves sensing data of an ankle motion; analyzing the data to judge whether the motion is a sprain motion; and stimulating one or more lower limb muscles against the motion if the motion is a sprain motion.

Abstract: A method of treating a wide variety of heretofore considered unrelated ailments comprises delivering electricity through a circuit in the body. The circuit includes at least four nerves leading from at least two of the patient's extremities to various nerve roots adjacent the spinal column. Electrical energy from an electrical interferential therapy device is delivered through electrodes on the extremities adjacent the nerve endings until symptoms of the diagnosed ailment ameliorates. Sending impulses from the periphery to the central nervous system appears to the help the body manufacture various neuropeptides and other chemicals which control the essential basics of the body's health and well being.

Abstract: The invention relates to a biomechanical stimulation apparatus for bone regeneration which comprises at least one displaceable element (101) configured to be in contact with at least one part of a body of a living being, to exert a mechanical stimulus on said part of the body; and displacement means (103-106) configured to displace said at least one displaceable element (101). The apparatus is configured to displace said at least one displaceable element (101) such that said at least one displaceable element performs a movement according to a biometric wave. The invention also relates to a biomechanical stimulation method and to a method for programming the apparatus.

Abstract: A method, system, and an apparatus for providing a therapy neurostimulation signal. The apparatus includes a sealed housing being of a total volume of less than about 14.5 cc and a power supply contained within the sealed housing. The power supply includes a charge capacity of at least about 100 milliAmpHours. The apparatus also includes a controller to control an operation of the power supply and to provide an electrical neurostimulation signal for stimulating a portion of a neural tissue. The apparatus also provides for implementing an interrupt-driven architecture into an implantable medical device.

Abstract: The invention is directed to techniques in which magnetic resonance imaging (MRI) is coordinated with the operation of an implantable medical device (IMD). By using an IMD to sense conditions, MRI can be improved because the sensed conditions can accurately define timing for application of electromagnetic radiation bursts. Moreover, by applying stimulation pulses specifically to coordinate the electromagnetic radiation bursts, the MRI may also be improved.

Abstract: Methods of treating osteoarthritis include applying at least one stimulus to a stimulation site within a patient with an implanted system control unit in accordance with one or more stimulation parameters. Systems for treating osteoarthritis include a system control unit configured to apply at least one stimulus to a stimulation site within a patient in accordance with one or more stimulation parameters.

Abstract: Compact electronic modules, which may be used with implantable microstimulators and other medical and non-medical devices, and manufacture/assembly of such modules are described. Component and circuitry designs utilize unique redistribution techniques and attachment methods. A number of component designs and packaging configurations maximize the volume efficiency of electronic modules. Also included are improved processes and systems enabling the manufacture and assembly of such compact packages.

Abstract: A method for activating a vascular endothelial growth factor (VEGF) receptor of one or more cells includes positioning an electromagnetic field generator in proximity to a VEGF receptor such that the flux of an electromagnetic field generated by the electromagnetic field generator will extend through the VEGF receptor. The method also includes generating an electromagnetic field, using the electromagnetic field generator, having a rate of fluctuation that activates the VEGF receptor.

Abstract: An electrosurgical medical device and method for creating thermal welds in engaged tissue. In one embodiment, at least one jaw of the instrument defines a tissue engagement plane that carries a recessed central portion. In another embodiment, the controller coupled to the Rf source is adapted to switch from a power control operational mode to a voltage controlled operational mode at a selected transition impedance level.

Abstract: Methods for healing bone fractures are provided. The methods as provided herein involve the application of resonant frequency stimulation to promote fracture healing and also to diagnose status of fracture healing. The methods of the present invention are particularly desirable because they are site-specific, non-invasive and require a minimum amount of early healing or callus formation.

Abstract: A system for therapeutic treatment of bone includes a source of energy for stimulating a bone, a feedback loop for receiving response information from the bone generated by the stimulation and an adjustment device for adjusting the energy source according to predetermined criteria. A method of therapeutically treating bone includes the steps of providing a source of energy for stimulating a bone, feedback means for receiving response information from the bone generated by the stimulation and adjustment means for adjusting the energy source according to predetermined criteria, applying energy to cyclically stimulate the bone, collecting response information from the bone due to the stimulation, comparing the response information to the predetermined criteria and adjusting the energy source to obtain a response in accordance with the predetermined criteria. The system and method ensure, augment and accelerate the bone healing process.

Abstract: A system for application of electromechanical energy to generate full cycle linear oscillations imposing soft tissue strains which activate natural biochemical mechanisms whereby wound healing is enhanced through reduced scar tissue formation, swelling, pain, healing time, and increased wound strength is thereby provided. In essence, the device and method of this invention provides such enhanced wound healing by utilization of an applicator head which is mounted on the skin adjacent to a wound site, a cable for attachment to opposite ends of an incision's longitudinal axis which is coupled to the applicator head, a motor means for driving the cable in linear oscillations in opposite directions through alternating half cycles of a predetermined span, and an actuator means for regulating the timing and breadth of the predetermined span of each half cycle.

Abstract: Invented are methods and an apparatus for faradic stimulation of osteogenesis by control of electrochemical reactions through maintenance of a stimulus between a cathode and anode yielding only beneficial electrochemical reactions at the cathode, the site of desired osteogenesis, while preventing any detrimental reaction at the same. Said methods and apparatus maintain a stimulus yielding the maximum acceptable level of oxygen consumption and pH elevation at the cathode, either with or without the formation of hydrogen peroxide as only an intermediate chemical species, while preventing the initiation of hydrogen gas evolution at the same such that the stimulus results in depression of oxygen tension plus elevation of pH, environmental effects that favor osteogenesis, and prevents a reaction resulting in elevation of pH plus hydrogen gas evolution, the latter effect being detrimental to the same.

Abstract: A medical treatment installation having an imaging system and a transmitter which generates a focused therapy field, such as focused shockwaves, for treating a pathology in a region of a patient includes components for displacing the position of the focal point of the therapy field relative to the region to be treated so that the focus therapy field is successively incident at a number of locations in the region during treatment, and a mark generator, which interacts with the imaging system, for generating an indicator in the image corresponding to each of the locations of the focused therapy field in the region. The mark may identify each location at which the region has been subjected to the therapy field during treatment, so that repetitive administration of the therapy field at a location which has already been treated can be avoided.

Abstract: An apparatus and method for preventing and therapeutically treating osteoporosis are provided. The apparatus includes a magnetic field generator for producing a controlled, fluctuating, directionally oriented magnetic field parallel to a predetermined axis projecting through the target bone or skeletal system. In one aspect, a field detector samples the magnetic flux density along the predetermined axis and provides a signal to a microprocessor which determines the average value of the flux density. The applied magnetic field is oscillated at predetermined frequencies to maintain a preselected ratio of frequency to average flux density which controls osteoporosis. This ratio is maintained by adjusting the frequency of the fluctuating magnetic field and/or by adjusting the intensity of the applied magnetic field as the composite magnetic flux density changes in response to changes in the local magnetic field to which the target bone is subjected.

Abstract: A method including applying varying signals to a first electrode at the tissue site and a second electrode remote from the tissue site and monitoring the results to determine a distinctive transition in the current-voltage characteristics of the electrode pair. A signal is then selected and applied to the electrodes to operate beyond the transition. Periodically, a varying signal is applied to the electrodes and the monitoring process reperformed to determine a new transition and an appropriate signal is selected to operate beyond the transition.