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WO2000001320A3 - Implantable stimulator system and method for treatment of urinary incontinence - Google Patents

Implantable stimulator system and method for treatment of urinary incontinence Download PDF

Info

Publication number
WO2000001320A3
WO2000001320A3 PCT/US1999/014775 US9914775W WO0001320A3 WO 2000001320 A3 WO2000001320 A3 WO 2000001320A3 US 9914775 W US9914775 W US 9914775W WO 0001320 A3 WO0001320 A3 WO 0001320A3
Authority
WO
WIPO (PCT)
Prior art keywords
bladder
physician
treatment
patient
emptying
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.)
Ceased
Application number
PCT/US1999/014775
Other languages
French (fr)
Other versions
WO2000001320A2 (en
WO2000001320A9 (en
Inventor
Gerald E Loeb
Carla M Mann
Francis J R Richmond
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Boston Scientific Neuromodulation Corp
Original Assignee
Advanced Bionics Corp
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Priority to CA002336190A priority Critical patent/CA2336190A1/en
Priority to AU49635/99A priority patent/AU745744B2/en
Priority to EP99933612A priority patent/EP1100402A4/en
Priority to JP2000557768A priority patent/JP2002519138A/en
Application filed by Advanced Bionics Corp filed Critical Advanced Bionics Corp
Publication of WO2000001320A2 publication Critical patent/WO2000001320A2/en
Publication of WO2000001320A3 publication Critical patent/WO2000001320A3/en
Priority to US09/642,979 priority patent/US6735474B1/en
Publication of WO2000001320A9 publication Critical patent/WO2000001320A9/en
Anticipated expiration legal-status Critical
Priority to US09/931,804 priority patent/US6941171B2/en
Priority to US11/156,360 priority patent/US7890176B2/en
Ceased 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
    • A61N1/36007—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of urogenital or gastrointestinal organs, e.g. for incontinence control
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/08—Arrangements or circuits for monitoring, protecting, controlling or indicating
    • 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
    • A61N1/37205—Microstimulators, e.g. implantable through a cannula

Landscapes

  • Health & Medical Sciences (AREA)
  • Gastroenterology & Hepatology (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)
  • Electrotherapy Devices (AREA)
  • Prostheses (AREA)
  • External Artificial Organs (AREA)

Abstract

A method and system for treatment of urinary incontinence includes the injection or laparoscopic implantation of one or more battery- or radiofrequency-powered microstimulators (10) beneath the skin of the perineum. The devices are programmed using radio-frequency control via an external controller (20, 30) that can be used by a physician to produce patterns of output stimulation pulses judged to be efficacious by appropriate clinical testing to diminish incontinence symptoms. The stimulation program is retained in the microstimulator device (10) or external controller (20) and is transmitted when commanded to start and stop by a signal from the patient or caregiver. The system and method reduce the incidence of unintentional episodes of bladder emptying by stimulating nerve pathways (8) that diminish involuntary bladder contractions, improve closure of the bladder outlet, and/or improve the long-term health of the urinary system by increasing bladder capacity and emptying. Further, the system and method allow a patient to be taught to receive one or more patterns of neural stimulation that can be prescribed by a physician and administered without continuous oversight by a clinical practitioner.
PCT/US1999/014775 1998-07-06 1999-06-29 Implantable stimulator system and method for treatment of urinary incontinence Ceased WO2000001320A2 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
CA002336190A CA2336190A1 (en) 1998-07-06 1999-06-29 Implantable stimulator system and method for treatment of urinary incontinence
AU49635/99A AU745744B2 (en) 1998-07-06 1999-06-29 Implantable stimulator system and method for treatment of urinary incontinence
EP99933612A EP1100402A4 (en) 1998-07-06 1999-06-29 Implantable stimulator system and method for treatment of urinary incontinence
JP2000557768A JP2002519138A (en) 1998-07-06 1999-06-29 Implantable stimulator system and method for therapeutic treatment of urinary incontinence
US09/642,979 US6735474B1 (en) 1998-07-06 2000-08-18 Implantable stimulator system and method for treatment of incontinence and pain
US09/931,804 US6941171B2 (en) 1998-07-06 2001-08-16 Implantable stimulator methods for treatment of incontinence and pain
US11/156,360 US7890176B2 (en) 1998-07-06 2005-06-17 Methods and systems for treating chronic pelvic pain

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US9176298P 1998-07-06 1998-07-06
US60/091,762 1998-07-06

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US09/642,979 Continuation-In-Part US6735474B1 (en) 1998-07-06 2000-08-18 Implantable stimulator system and method for treatment of incontinence and pain

Publications (3)

Publication Number Publication Date
WO2000001320A2 WO2000001320A2 (en) 2000-01-13
WO2000001320A3 true WO2000001320A3 (en) 2000-06-22
WO2000001320A9 WO2000001320A9 (en) 2000-11-02

Family

ID=22229542

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1999/014775 Ceased WO2000001320A2 (en) 1998-07-06 1999-06-29 Implantable stimulator system and method for treatment of urinary incontinence

Country Status (5)

Country Link
EP (1) EP1100402A4 (en)
JP (1) JP2002519138A (en)
AU (1) AU745744B2 (en)
CA (1) CA2336190A1 (en)
WO (1) WO2000001320A2 (en)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6735474B1 (en) 1998-07-06 2004-05-11 Advanced Bionics Corporation Implantable stimulator system and method for treatment of incontinence and pain
US7103408B2 (en) 2002-06-28 2006-09-05 Advanced Bionics Corporation Electrode assembly for a microstimulator
US7428438B2 (en) 2002-06-28 2008-09-23 Boston Scientific Neuromodulation Corporation Systems and methods for providing power to a battery in an implantable stimulator
US7890176B2 (en) 1998-07-06 2011-02-15 Boston Scientific Neuromodulation Corporation Methods and systems for treating chronic pelvic pain
US8588917B2 (en) 2000-08-18 2013-11-19 Boston Scientific Neuromodulation Corporation Fully implantable neurostimulator for autonomic nerve fiber stimulation as a therapy for urinary and bowel dysfunction
US11672969B2 (en) 2012-12-07 2023-06-13 Medtronic, Inc. Minimally invasive implantable neurostimulation system

Families Citing this family (42)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6941171B2 (en) 1998-07-06 2005-09-06 Advanced Bionics Corporation Implantable stimulator methods for treatment of incontinence and pain
AU6118699A (en) 1998-10-06 2000-04-26 Bio Control Medical, Ltd. Control of urge incontinence
IL127481A (en) 1998-10-06 2004-05-12 Bio Control Medical Ltd Incontinence treatment device
SE514718C2 (en) 1999-06-29 2001-04-09 Jan Otto Solem Apparatus for treating defective closure of the mitral valve apparatus
US6393323B1 (en) 2000-01-31 2002-05-21 Mcgill University Electronic stimulator implant for modulating and synchronizing bladder and sphincter function
US6402683B1 (en) * 2000-02-17 2002-06-11 Jean-Claude Marty Vaginal stimulator and device for the treatment of female urinary incontinence
JP2004526510A (en) 2001-03-30 2004-09-02 ケース ウエスタン リザーブ ユニバーシティ Systems and methods for selectively stimulating components in, on, or near pudendal nerves or pudendal nerve branches to achieve selective physiological responses
US7047078B2 (en) 2001-03-30 2006-05-16 Case Western Reserve University Methods for stimulating components in, on, or near the pudendal nerve or its branches to achieve selective physiologic responses
US7613516B2 (en) 2001-11-29 2009-11-03 Ams Research Corporation Pelvic disorder treatment device
EP1509281B1 (en) * 2002-06-03 2013-08-07 Med-El Elektromedizinische Geräte GmbH Implantable device with flexible interconnect to coil
US8386048B2 (en) 2002-06-28 2013-02-26 Boston Scientific Neuromodulation Corporation Systems and methods for communicating with or providing power to an implantable stimulator
US7822480B2 (en) 2002-06-28 2010-10-26 Boston Scientific Neuromodulation Corporation Systems and methods for communicating with an implantable stimulator
US7155279B2 (en) 2003-03-28 2006-12-26 Advanced Bionics Corporation Treatment of movement disorders with drug therapy
US20090054950A1 (en) * 2005-03-02 2009-02-26 Continence Control Systems International Pyt Ltd. Method and Apparatus for Treating Incontinence
US7763034B2 (en) 2006-01-24 2010-07-27 Medtronic, Inc. Transobturator lead implantation for pelvic floor stimulation
US8195296B2 (en) 2006-03-03 2012-06-05 Ams Research Corporation Apparatus for treating stress and urge incontinence
US9539433B1 (en) 2009-03-18 2017-01-10 Astora Women's Health, Llc Electrode implantation in a pelvic floor muscular structure
DE112010003698T5 (en) * 2009-09-17 2013-04-11 Panasonic Corporation Device for the treatment of urinary dysfunction
US8380312B2 (en) 2009-12-31 2013-02-19 Ams Research Corporation Multi-zone stimulation implant system and method
CA2817589A1 (en) 2010-11-16 2012-05-24 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for treatment of dry eye
US9821159B2 (en) 2010-11-16 2017-11-21 The Board Of Trustees Of The Leland Stanford Junior University Stimulation devices and methods
EP2694156B8 (en) * 2011-04-07 2017-08-09 Oculeve, Inc. Stimulation devices
US9731112B2 (en) 2011-09-08 2017-08-15 Paul J. Gindele Implantable electrode assembly
EP2967817B1 (en) 2013-03-12 2021-03-10 Oculeve, Inc. Implant delivery devices and systems
CN105307718B (en) 2013-04-19 2018-05-11 奥库利维公司 Nasal stimulation devices and methods
WO2015130707A2 (en) 2014-02-25 2015-09-03 Oculeve, Inc. Polymer formulations for nasolacrimal stimulation
DK3171928T3 (en) 2014-07-25 2020-05-18 Oculeve Inc STIMULATION PATTERNS FOR TREATMENT OF DRY EYES
WO2016025915A1 (en) 2014-08-15 2016-02-18 Axonics Modulation Technologies, Inc. Integrated electromyographic clinician programmer for use with an implantable neurostimulator
ES2782556T3 (en) 2014-08-15 2020-09-15 Axonics Modulation Tech Inc System for neurostimulation electrode configurations based on neuronal location
WO2016025913A1 (en) 2014-08-15 2016-02-18 Axonics Modulation Technologies, Inc. Electromyographic lead positioning and stimulation titration in a nerve stimulation system for treatment of overactive bladder
AU2015335776B2 (en) 2014-10-22 2020-09-03 Oculeve, Inc. Stimulation devices and methods for treating dry eye
EP3209370A4 (en) 2014-10-22 2018-05-30 Oculeve, Inc. Contact lens for increasing tear production
US10426958B2 (en) 2015-12-04 2019-10-01 Oculeve, Inc. Intranasal stimulation for enhanced release of ocular mucins and other tear proteins
US10252048B2 (en) 2016-02-19 2019-04-09 Oculeve, Inc. Nasal stimulation for rhinitis, nasal congestion, and ocular allergies
US10918864B2 (en) 2016-05-02 2021-02-16 Oculeve, Inc. Intranasal stimulation for treatment of meibomian gland disease and blepharitis
AU2017368154A1 (en) 2016-12-02 2019-06-13 Oculeve, Inc. Apparatus and method for dry eye forecast and treatment recommendation
US11896823B2 (en) 2017-04-04 2024-02-13 Btl Healthcare Technologies A.S. Method and device for pelvic floor tissue treatment
US11848090B2 (en) 2019-05-24 2023-12-19 Axonics, Inc. Trainer for a neurostimulator programmer and associated methods of use with a neurostimulation system
US11439829B2 (en) 2019-05-24 2022-09-13 Axonics, Inc. Clinician programmer methods and systems for maintaining target operating temperatures
US12076564B2 (en) 2020-04-14 2024-09-03 Medtronic, Inc. Patient specific optimization algorithm
US12311184B2 (en) 2020-11-02 2025-05-27 Medtronic, Inc. Method and user interface for managing duty-cycled electrical nerve stimulation
US12274878B2 (en) 2020-11-06 2025-04-15 Medtronic, Inc. Low healthcare provider interaction and outcome based programming

Citations (1)

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US5405367A (en) * 1991-12-18 1995-04-11 Alfred E. Mann Foundation For Scientific Research Structure and method of manufacture of an implantable microstimulator

Family Cites Families (1)

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AU1057697A (en) * 1995-11-24 1997-06-11 Advanced Bionics Corporation System and method for conditioning pelvic musculature using an implanted microstimulator

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5405367A (en) * 1991-12-18 1995-04-11 Alfred E. Mann Foundation For Scientific Research Structure and method of manufacture of an implantable microstimulator

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP1100402A4 *

Cited By (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7890176B2 (en) 1998-07-06 2011-02-15 Boston Scientific Neuromodulation Corporation Methods and systems for treating chronic pelvic pain
US6735474B1 (en) 1998-07-06 2004-05-11 Advanced Bionics Corporation Implantable stimulator system and method for treatment of incontinence and pain
US8588917B2 (en) 2000-08-18 2013-11-19 Boston Scientific Neuromodulation Corporation Fully implantable neurostimulator for autonomic nerve fiber stimulation as a therapy for urinary and bowel dysfunction
US8571679B2 (en) 2002-06-28 2013-10-29 Boston Scientific Neuromodulation Corporation Method for controlling telemetry in an implantable medical device based on power source capacity
US8914129B2 (en) 2002-06-28 2014-12-16 Boston Scientific Neuromodulation Corporation Method for controlling telemetry in an implantable medical device based on power source capacity
US7428438B2 (en) 2002-06-28 2008-09-23 Boston Scientific Neuromodulation Corporation Systems and methods for providing power to a battery in an implantable stimulator
US7437193B2 (en) 2002-06-28 2008-10-14 Boston Scientific Neuromodulation Corporation Microstimulator employing improved recharging reporting and telemetry techniques
US7132173B2 (en) 2002-06-28 2006-11-07 Advanced Bionics Corporation Self-centering braze assembly
US7120992B2 (en) 2002-06-28 2006-10-17 Advanced Bionics Corporation Method of making an electronic module
US7103408B2 (en) 2002-06-28 2006-09-05 Advanced Bionics Corporation Electrode assembly for a microstimulator
US7177698B2 (en) 2002-06-28 2007-02-13 Advanced Bionics Corporation Telemetry system for use with microstimulator
US9162071B2 (en) 2002-06-28 2015-10-20 Boston Scientific Neuromodulation Corporation Method for controlling telemetry in an implantable medical device based on power source capacity
US11672969B2 (en) 2012-12-07 2023-06-13 Medtronic, Inc. Minimally invasive implantable neurostimulation system
US11730948B2 (en) 2012-12-07 2023-08-22 Medtronic, Inc. Minimally invasive implantable neurostimulation system
US11730949B2 (en) 2012-12-07 2023-08-22 Medtronic, Inc. Minimally invasive implantable neurostimulation system
US11730947B2 (en) 2012-12-07 2023-08-22 Medtronic, Inc. Minimally invasive implantable neurostimulation system
US11793998B2 (en) 2012-12-07 2023-10-24 Medtronic, Inc. Minimally invasive implantable neurostimulation system
US11957893B2 (en) 2012-12-07 2024-04-16 Medtronic, Inc. Minimally invasive implantable neurostimulation system
US11957894B2 (en) 2012-12-07 2024-04-16 Medtronic, Inc. Minimally invasive implantable neurostimulation system

Also Published As

Publication number Publication date
JP2002519138A (en) 2002-07-02
WO2000001320A2 (en) 2000-01-13
CA2336190A1 (en) 2000-01-13
EP1100402A2 (en) 2001-05-23
AU745744B2 (en) 2002-03-28
EP1100402A4 (en) 2008-12-10
AU4963599A (en) 2000-01-24
WO2000001320A9 (en) 2000-11-02

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