Surgery: light – thermal – and electrical application – Light – thermal – and electrical application – Electrical therapeutic systems
Patent
1998-04-07
2000-01-11
Kamm, William E.
Surgery: light, thermal, and electrical application
Light, thermal, and electrical application
Electrical therapeutic systems
607 43, A61N 118, A61N 134
Patent
active
060145889
ABSTRACT:
An apparatus depolarizes the medial branch of the spinal nerve associated with a painful spinal facet joint so as to block pain impulses from reaching the spinal cord. The preferred apparatus includes a neurostimulator and two or more electrodes which carry electrical pulses to the target nerve or nerves. The impulses are intense enough to cause depolarization of a given medial branch and its articular branches, but not so large as to cause depolarization of the spinal cord itself. In the preferred embodiment the stimulator is physically small and battery operated, facilitating implantation underneath the skin. The stimulator includes a controller and appropriate electronics operative to generate electrical impulses tailored to an individual's need for appropriate pain relief in terms of pulse frequency, pulse width, and pulse amplitude. In an alternative embodiment, the stimulator further includes electrodes and electrical circuitry operative to monitor myoelectrical activity generated by the surrounding muscles and modulate the impulses generated by the stimulator to meet the demands of the individual's activity and/or prolong battery life.
REFERENCES:
patent: 4044774 (1977-08-01), Corbin et al.
patent: 4411258 (1983-10-01), Pujals, Jr.
patent: 4570640 (1986-02-01), Barsa
patent: 4633889 (1987-01-01), Talalla et al.
patent: 4803986 (1989-02-01), Dufresne et al.
patent: 5031618 (1991-07-01), Mullett
patent: 5041974 (1991-08-01), Walker et al.
patent: 5196015 (1993-03-01), Neubardt
patent: 5342409 (1994-08-01), Mullett
patent: 5358513 (1994-10-01), Powell, III et al.
patent: 5417719 (1995-05-01), Hull et al.
patent: 5423877 (1995-06-01), Mackey
patent: 5474558 (1995-12-01), Neubardt
patent: 5501703 (1996-03-01), Holshelmer et al.
patent: 5643330 (1997-07-01), Holsheimer et al.
patent: 5702429 (1997-12-01), King
patent: 5792187 (1998-08-01), Adams
R.E. Kinard, MD, "Diagnostic Spinal Injection Procedures," Neurosurgery Clinics of North America, vol. 7, No. 1, Jan. 1996, pp. 151-165.
C.N. Shealy, MD, "Facet Denervation in the Management of Back and Sciatic Pain," Clinical Orthopaedics and Related Research, No. 115, Mar.-Apr. 1976, pp. 157-164.
S.J. Dreyer, MD, P.H. Dreyfuss, MD, "Low Back Pain and the Zygapophysial (Facet) Joints," Arch Phys Med Rehabil, vol. 77, Mar. 1996, pp. 290-300.
R. North, D. Kidd, M. Lee, S. Piantodosi; "A Prospective, Randomized Study of Spinal Cord Simulation vs. Reoperation for Failed Back Surgery Syndrome: Initial Results," World Society for Stereotactic and Functional Neurosurgery, Oct. 1993, pp. 267-272.
K. Kumar, C. Toth, R. Nath, P. Laing; "Epidural Spinal Cord Stimulation for Treatment of Chronic Pain," Aug. 1996, pp. 110-121.
R. Segal, B. Stacey, T. Rudy, S. Baser, J. Markham; "Spinal Cord Stimulation Revisted,"Neurological Research, Jul. 1998, vol. 20, p. 391-6.
J. Turner, J. Loeser, K. Bell; "Spinal Cord Stimulation for Chronic Low Back Pain: A Systematic Literature Synthesis", Neurosurgery, vol. 37, No. 6, Dec. 1995, pp. 1088-1096.
D. Doleys, K. Olson; "Psychological Assessment and Intervention in Implantable Pain Therapies," Medtronic Brochure.
"Treating Pain Due to Spinal Stenosis with APT Neurostimulation," Medtronic Clinical Case Study.
"Treating Complex Regional Pain Syndrome with APT Neurostimulation," Medtronic Clinical Case Study.
T. Lehmann, D. Russell, K. Spratt, H. Colby, Y. Liu, M. Fairchild, S. Christensen, "Efficacy of Electroacupuncture and TENS in the Rehabilitaion of Chronic Low Back Pain Patients," Dept. of Orthopaedic Surgery, Univ. of Iowa, Dec. 1985, pp. 277-290.
Kamm William E.
Layno Carl H.
LandOfFree
Facet joint pain relief method and apparatus does not yet have a rating. At this time, there are no reviews or comments for this patent.
If you have personal experience with Facet joint pain relief method and apparatus, we encourage you to share that experience with our LandOfFree.com community. Your opinion is very important and Facet joint pain relief method and apparatus will most certainly appreciate the feedback.
Profile ID: LFUS-PAI-O-1469389