Surgery: light – thermal – and electrical application – Light – thermal – and electrical application – Electrical therapeutic systems
Patent
1996-02-12
1997-07-01
Kamm, William E.
Surgery: light, thermal, and electrical application
Light, thermal, and electrical application
Electrical therapeutic systems
607 67, 607117, A61N 105
Patent
active
056433301
ABSTRACT:
Apparatus for multi-channel transverse epidural spinal cord stimulation uses a multi-channel pulse generator driving a plurality of electrodes mounted near the distal end of a lead. These electrodes are mounted in one or more lines, generally perpendicular to the lead axis, and have a planar surface along one surface of the lead. The lead is implanted adjacent to spinal cord dura mater with the electrodes transverse and facing the spinal cord. Pulses generated by the pulse generator for each channel are not simultaneous but are selectively offset in time and may be of equal or varying amplitude and of equal or varying duration. When the pulses given by the stimulator channels are offset in time and have sufficient amplitude and duration, overlapping areas of stimulation of the spinal area can be obtained. In the overlapping areas of stimulation, the frequency of stimulation is double the frequency of the pulses given by the each stimulator channel separately. Changes in pulse duration and magnitude permit shifting the electrical stimulation field and the resulting paresthesia pattern after installation to accommodate improper lead placement or postoperative dislocation and to minimize unwanted motor responses.
REFERENCES:
patent: 3646940 (1972-03-01), Timm et al.
patent: 3738368 (1973-06-01), Avery et al.
patent: 3822708 (1974-07-01), Zilber
patent: 3911930 (1975-10-01), Hagfors et al.
patent: 4125116 (1978-11-01), Fischell
patent: 4338945 (1982-07-01), Kosugi et al.
patent: 4342317 (1982-08-01), Axelgaard
patent: 4374524 (1983-02-01), Hudek et al.
patent: 4379462 (1983-04-01), Borkan et al.
patent: 4608985 (1986-09-01), Crish et al.
patent: 4628942 (1986-12-01), Sweeney et al.
patent: 4649936 (1987-03-01), Ungar et al.
patent: 4703755 (1987-11-01), Tanagho et al.
patent: 4969488 (1990-11-01), Byers et al.
patent: 5038781 (1991-08-01), Lynch
patent: 5092329 (1992-03-01), Groupe et al.
patent: 5121754 (1992-06-01), Mullett
patent: 5269304 (1993-12-01), Matthews
patent: 5344438 (1994-09-01), Testerman et al.
patent: 5417719 (1995-05-01), Hull et al.
patent: 5501703 (1996-03-01), Holsheimer et al.
"Electrical Stimulation of Pain and Touch" by Robert H. Gibson, Chapter II fron The Skin Senses by D.R. Kenshalo, pp. 223-261.
"Generation of Unidirectionally Propagated Action Potentials in a Peripheral Nerve by Brief Stimuli" by Christopher Van Den Honert and J. Thomas Mortimer, Science, vol. 206, Dec. 1979, pp. 1311-1312.
"Spinal Cord Stimulation for Chronic, Intractable Pain: Superiority of `Multi-Channel` Devices" by Richard B. North, et al., 1991 Elsevier Science Publishers B.V. 0304-3959/91/S03.50.
"The `Failed Back Syndrome` Treated by Percutaneous Spinal Stimulation," 2nd Annual Meeting of American Assoc. of Neurosurgery, San Diego, California, 1986; 7pp.
"Mapping of Sensory Responses to Epidural Stimulation of the Intraspinal Neural Structures in Man" by Giancarlo Barolat, M.D., et al., J. Neurosurg., vol. 78, Feb. 1993, pp. 233-239.
"Multielectrode Spiral Cuff for Ordered and Reversed Activation of Nerve Fibres" by J. Rozman, et al., J. Biomed. Eng, Mar. 1993, vol. 15.
"A Theoretical Study of Epidural Electrical Stimulation of the Spinal Cord--Part II: Effects on Long Myelinated Fibers" by Barry Coburn, IEEE Transactions on Biomedical Engineering, vol. BME-32, No. 11, Nov. 1985.
"A Theoretrical Study of Epidudral Electrical Stimulation of the Spinal Cord--Part I: Finite Element Analysis of Stimulus Fields" by Barry Coburn and Wing Kee Sin, IEEE Transactions on Biomedical Engineering, vol. BME-32, No. 11, Nov. 1985.
"Spinal Stimulation: Statistical Superiority of Monophasic Stimulation of Narrowly Separated, Longitudinal Bipoles Having Rostral Cathodes" by Jay D. Law, Proc. of Amer. Soc. Stereoctatic and Functional Neurosurgery, Durham, N.C., 1983, Appl. Neurophysiol. 46, pp. 129-137 (1983).
"Targeting a Spinal Stimulator to Treat the `Failed Back Surgery Syndrome`" by Jay D. Law, Proceedings of the Meeting of the American Society for Stereotaltic Functional Neurosurgery, Montreal 1987, Appl. Neurophysiol. 50, pp. 437-438 (1987).
"Simulation of Multipolar Fiber Selective Neural Stimulation Using Intrafascicular Electrodes" by J.H. Meier, et al., IEEE Transactions on Biomedical Engineering, vol. 39, No. 2, Feb. 1992, pp. 122-134.
"Reduction of Electrical Interaction in Auditory Prostheses" by Brent Townshend and Robert L. White, IEEE Transactions on Biomedical Engineering, vol. BME-34, No. 11, Nov. 1987, pp. 891-897.
"Selective Control of Muscle Activation with a Multipolar Nerve Cuff Electrode" by Claude Veraart, et al., IEEE Transactions on Biomedical Engineering, vol. 40, No. 7, Jul., 1993, pp. 640-653.
"A Nerve Cuff Technique for Selective Excitation of Peripheral Nerve Trunk Regions" by James D. Sweeney, et al., IEEE Transactions on Biomedical Engineering, vol. 37, No. 7, Jul. 1990, pp. 706-715.
"Failed Back Surgery Syndrome: 5-Year Follow-Up after Spinal Cord Stimulator Implantation" by Richard B. North, et al., Neurosurgery, 28, 5, May 1991, pp. 692-699.
"Multifactorial Analysis of Epidural Spinal Cord Stimulation" by Giancaro Barolat, et al., Stereotact Funct Neurosurg 1991, 56, pp. 77-103.
"Recruitment of Dorsal Column Fibers in Spinal Cord Stimulation: Influence of Collateral Branching" by Struijk, et al., IEEE Transactions on Biomedical Engineering, vol. 39, No. 9, Sep. 1992, pp. 903-912.
"Electrode Geometry and Preferential Stimulation of Spinal Nerve Figers Having Different Orientations: A Modeling Study" by Jan Holsheimer and Johannes J. Struijk, Proc. 14th Ann Int Conf IEEE Eng in Med & Biol Soc, Paris (France) 1992; pp. 1374-1375.
"Selective Activation of Small Motor Axons by Quasitrapezoidal Current Pulses" by Zi-Ping Fang and J. Thomas Mortimer, IEEE Transactions on Biomedical Engineering, vol. 38, No. 2, Feb. 1991, pp. 168-174.
"A Method to Effect Physiological Recruitment Order in Electrically Activated Muscle" by Z-Ping Fang and J. Thomas Mortimer, IEEE Transactions on Biomedical Engineering, vol. 38, No. 2, Feb. 1991, pp. 175-179.
"Orderly Stimulation of Skeletal Muscle Motor Units with Tripolar Nerve Cuff Electrode" by Richard Baratta, et al., IEEE Transactions on Biomedical Engineering, vol. 36, No. 8, Aug. 1989, pp. 836-843.
"How Do Geometric Factors Influence Epidural Spinal Cord Stimulation? A Quantitative Analysis by Computer Modeling" by J. Holsheimer, Ph.D. and J.J. Struijk, Ph.D., Stereotactic and Functional Neurosurgery, 1991; 56, pp. 234-249.
"Contact Combinations in Epidural Spinal Cord Stimulation--A Comparison by Computer Modeling" by J. Holsheimer, J.J. Struijk, N.J.M. Rijkhoff, Stereotactic and Functional Neurosurgery, 1991; 56:220-233.
"Parethesia Thresholds in Spinal Cord Stimulation: A Comparison of Theoretical REsults with Clinical Data" by Johannes J. Struijk, et al., IEEE Transactions on Rehabilitation Engineering, vol. 1, No. 2, Jun. 1993, pp. 101-108.
"Excitation of Dorsal Root Fibers in Spinal Cord Stimulation: A Theoretical Study" by Johannes J. Struijk, et al., IEEE Transactions on Biomedical Engineering, vol. 40, No. 7, Jul. 1993, pp. 632-639.
"Differential electrical excitation of the auditory nerve," by R.C. Black and G.M. Clark, Journal of Acoustical Society of America, 67(3), Mar. 1980, pp. 868-874.
Holsheimer Jan
Struijk Johannes J.
Evanisko George R.
Kamm William E.
Kinghorn Curtis D.
Medtronic Inc.
Patton Harold R.
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