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DE19211738T1 - Neuromodulationssystem - Google Patents

Neuromodulationssystem Download PDF

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Publication number
DE19211738T1
DE19211738T1 DE19211738.0T DE19211738T DE19211738T1 DE 19211738 T1 DE19211738 T1 DE 19211738T1 DE 19211738 T DE19211738 T DE 19211738T DE 19211738 T1 DE19211738 T1 DE 19211738T1
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DE
Germany
Prior art keywords
neuromodulation
series
event
events
planned
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
DE19211738.0T
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English (en)
Inventor
Mathieu Scheltienne
Jeroen Tol
Robin Brouns
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Onward Medical NV
Original Assignee
Onward Medical NV
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Filing date
Publication date
Application filed by Onward Medical NV filed Critical Onward Medical NV
Priority to DE19211738.0T priority Critical patent/DE19211738T1/de
Publication of DE19211738T1 publication Critical patent/DE19211738T1/de
Pending legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37235—Aspects of the external programmer
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128—Control systems
    • A61N1/36189—Control systems using modulation techniques
    • A61N1/36192—Amplitude modulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36067—Movement disorders, e.g. tremor or Parkinson disease
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128—Control systems
    • A61N1/36142—Control systems for improving safety
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128—Control systems
    • A61N1/36146—Control systems specified by the stimulation parameters
    • A61N1/36167—Timing, e.g. stimulation onset
    • A61N1/36175—Pulse width or duty cycle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128—Control systems
    • A61N1/36146—Control systems specified by the stimulation parameters
    • A61N1/36167—Timing, e.g. stimulation onset
    • A61N1/36178—Burst or pulse train parameters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128—Control systems
    • A61N1/36189—Control systems using modulation techniques
    • A61N1/36196—Frequency modulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014—External stimulators, e.g. with patch electrodes
    • A61N1/3603—Control systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128—Control systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128—Control systems
    • A61N1/36146—Control systems specified by the stimulation parameters
    • A61N1/36182—Direction of the electrical field, e.g. with sleeve around stimulating electrode
    • A61N1/36185—Selection of the electrode configuration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37235—Aspects of the external programmer
    • A61N1/37247—User interfaces, e.g. input or presentation means
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/30—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation

Landscapes

  • Health & Medical Sciences (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)
  • Hospice & Palliative Care (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Measuring Or Testing Involving Enzymes Or Micro-Organisms (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)

Abstract

Neuromodulationssystem (10, 110), aufweisend- mindestens ein Eingabemodul (12, 112) zum Eingeben eines geplanten Neuromodulationsereignisses oder eine Serie von Neuromodulationsereignissen,- mindestens ein Analysemodul (14, 114) zum Analysieren eines Neuromodulationsereignisses oder einer Serie von Neuromodulationsereignissen, wobei das Analysemodul (14, 114) und das Eingabemodul (12, 112) derart verbunden sind, dass das Eingabemodul (12, 112) dafür ausgelegt ist, das geplante Neuromodulationsereignis oder eine Serie von Neuromodulationsereignissen an das Analysemodul (14, 114) weiterzuleiten, und wobei das Analysemodul (14, 114) dafür ausgelegt ist, das geplante Neuromodulationsereignis oder eine Serie von Neuromodulationsereignissen hinsichtlich eines oder mehrerer möglicher Neuromodulationskonflikte zu analysieren.

Claims (10)

  1. Neuromodulationssystem (10, 110), aufweisend - mindestens ein Eingabemodul (12, 112) zum Eingeben eines geplanten Neuromodulationsereignisses oder eine Serie von Neuromodulationsereignissen, - mindestens ein Analysemodul (14, 114) zum Analysieren eines Neuromodulationsereignisses oder einer Serie von Neuromodulationsereignissen, wobei das Analysemodul (14, 114) und das Eingabemodul (12, 112) derart verbunden sind, dass das Eingabemodul (12, 112) dafür ausgelegt ist, das geplante Neuromodulationsereignis oder eine Serie von Neuromodulationsereignissen an das Analysemodul (14, 114) weiterzuleiten, und wobei das Analysemodul (14, 114) dafür ausgelegt ist, das geplante Neuromodulationsereignis oder eine Serie von Neuromodulationsereignissen hinsichtlich eines oder mehrerer möglicher Neuromodulationskonflikte zu analysieren.
  2. Neurostimulationssystem (10, 110) nach Anspruch 1, dadurch gekennzeichnet, dass das Neuromodulationssystem (10, 110) darüber hinaus mindestens ein Korrekturmodul (116) umfasst, das dafür ausgelegt ist, das geplante Neuromodulationsereignis oder eine Serie von Neuromodulationsereignissen derart zu ändern, dass bei Erkennung eines Neurostimulationskonflikts das Neuromodulationsereignis oder eine Serie von Neuromodulationsereignissen so geändert wird/werden, dass der Neuromodulationskonflikt vermieden wird.
  3. Neurostimulationssystem (10, 110) nach Anspruch 1 oder Anspruch 2, dadurch gekennzeichnet, dass das Neuromodulationssystem (10, 110) darüber hinaus ein Ausgabemittel (118) umfasst, wobei das Ausgabemittel (118) mit dem Analysemodul (14, 114) verbunden und dafür ausgelegt ist, zumindest teilweise eine visuelle Ausgabe der vom Analysemodul (14, 114) durchgeführten Analyse und/oder des geplanten Neuromodulationsereignisses oder einer Serie von Neuromodulationsereignissen und/oder des Neuromodulationskonflikts/der Neuromodulationskonflikte und/oder der Korrektur des geplanten Neuromodulationsereignisses oder einer Serie von Neuromodulationsereignissen bereitzustellen.
  4. Neurostimulationssystem (10, 110) nach einem der vorhergehenden Ansprüche, dadurch gekennzeichnet, dass das Neuromodulationssystem (10, 110) für eine halbautomatische oder automatische Korrektur des Neuromodulationskonflikts ausgelegt ist.
  5. Neurostimulationssystem (10, 110) nach einem der vorhergehenden Ansprüche, dadurch gekennzeichnet, dass der eine oder die mehreren möglichen Neuromodulationskonflikte mit mindestens einem der folgenden Punkte zusammenhängt/zusammenhängen: Neuromodulationssicherheit, Hardware-Ressourcen, Software-Ressourcen.
  6. Neurostimulationssystem (10, 110) nach einem der vorhergehenden Ansprüche, dadurch gekennzeichnet, dass das Neurostimulationssystem (10, 110) eine Neurostimulationsanordnung mit einer Anordnung (A) aus mehreren Elektroden ist oder aufweist, und wobei ein Neuromodulationskonflikt erkannt wird, falls das geplante Neuromodulationsereignis oder eine Serie von Neuromodulationsereignissen eine unmögliche Elektrodenkonfiguration erfordert.
  7. Verfahren zur Durchführung einer Neuromodulation, wobei das Verfahren mindestens die folgenden Schritte umfasst: - Analysieren eines Neuromodulationsereignisses oder einer Serie von Neuromodulationsereignissen, wobei das Analysieren die Analyse umfasst, ob das geplante Neuromodulationsereignis oder eine Serie von Neuromodulationsereignissen einen oder mehrere mögliche Neuromodulationskonflikte beinhaltet.
  8. Verfahren nach Anspruch 7, dadurch gekennzeichnet, dass das Verfahren darüber hinaus den Schritt des Korrigierens des Neuromodulationsereignisses oder einer Serie von Neuromodulationsereignissen umfasst, derart, dass der eine oder die mehreren möglichen Neuromodulationskonflikte vermieden wird/werden.
  9. Verfahren nach Anspruch 7 oder 8, dadurch gekennzeichnet, dass der eine oder die mehreren möglichen Neuromodulationskonflikte mit mindestens einem der folgenden Punkte zusammenhängt/zusammenhängen: Neuromodulationssicherheit, Hardware-Ressourcen, Software-Ressourcen.
  10. Verfahren nach einem der Ansprüche 7 bis 9, dadurch gekennzeichnet, dass das Verfahren mit einem Neuromodulationssystem nach einem der Ansprüche 1 bis 6 durchgeführt wird.
DE19211738.0T 2019-11-27 2019-11-27 Neuromodulationssystem Pending DE19211738T1 (de)

Priority Applications (1)

Application Number Priority Date Filing Date Title
DE19211738.0T DE19211738T1 (de) 2019-11-27 2019-11-27 Neuromodulationssystem

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE19211738.0T DE19211738T1 (de) 2019-11-27 2019-11-27 Neuromodulationssystem
EP19211738.0A EP3827875B1 (de) 2019-11-27 2019-11-27 Neuromodulationssystem

Publications (1)

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DE19211738T1 true DE19211738T1 (de) 2021-09-09

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Family Applications (1)

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DE19211738.0T Pending DE19211738T1 (de) 2019-11-27 2019-11-27 Neuromodulationssystem

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US (2) US11491336B2 (de)
EP (1) EP3827875B1 (de)
JP (1) JP7563949B2 (de)
DE (1) DE19211738T1 (de)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3827875B1 (de) 2019-11-27 2023-07-05 ONWARD Medical N.V. Neuromodulationssystem
EP4291293B1 (de) * 2021-02-15 2024-12-25 Boston Scientific Neuromodulation Corporation Systeme zur programmierung von neuromodulationssequenzen
USD1067921S1 (en) * 2021-03-18 2025-03-25 Onward Medical N.V. Display screen with a graphical user interface
JP7376866B1 (ja) * 2023-01-27 2023-11-09 株式会社レイアンドカンパニー 電位治療器

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US11491336B2 (en) 2022-11-08
JP2021084025A (ja) 2021-06-03
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EP3827875B1 (de) 2023-07-05
US20220409906A1 (en) 2022-12-29
JP7563949B2 (ja) 2024-10-08
US20210154481A1 (en) 2021-05-27

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