Methods for implanting a spinal cord stimulator

Abstract

Methods for implanting spinal cord stimulators are provided, including implanting at least one electrode in an anterolateral area of the spine. Stimulation provided by the stimulator(s) may be used to treat patients with chronic pain. The stimulator(s) use a power source / storage device, such as a rechargeable battery. Periodic recharging of such a power source / storage device is accomplished, for example, by inductive coupling with an external applience. The stimulators provide means of stimulating a nerve(s) or other tissue when desired, without the need for external appliances during the stimulation session. When necessary, external appliances are used for the transmission of data to and / or from the stimulator(s) and for the transmission of power, if necessary. In a preferred embodiment, the system is capable of open- and closed-loop operation. In closed-loop operation, at least one implant includes at least one sensor, and the sensed condition is used to adjust stimulation parameters.

Description

[0001] The present application is a continuation of U.S. patent application Ser. No. 09 / 929,597, filed Aug. 13, 2001, now allowed, which application claims the benefit of U.S. Provisional Patent Application Ser. No. 60 / 226,333, filed Aug. 18, 2000. These applications are incorporated herein by reference in their entirety.FIELD OF THE INVENTION [0002] The present invention generally relates to implantable stimulator systems, and more particularly relates to an implantable stimulator system utilizing one or more implantable microstimulators for treating chronic pain. BACKGROUND OF THE INVENTION [0003] Chronic pain is usually a multidimensional phenomenon involving complex physiological and emotional interactions. For instance, one type of chronic pain, complex regional pain syndrome (CRPS)—which includes the disorder formerly referred to as reflex sympathetic dystrophy (RSD)—most often occurs after an injury, such as a bone fracture. The pain is considered “complex regional” since it ...

AI Technical Summary

Benefits of technology

[0022] According to one embodiment of the invention, chronic pain may be treated with stimulation to decrease excitement of targeted nerve roots, spinal nerves, and / or areas of the spinal cord; high-frequency electrical stimulation of such nerve fibers is likely to produce such inhibition. According to another embodiment of the invention, the stimulation can increase excitement of targeted nerve roots, spinal nerves, and / or areas of the spinal cord; low-frequency electrical stimulation of such nerve fibers is likely to produce such excitement.

[0023] The neurostimulator also includes a means of stimulating a nerve either intermittently or continuously. Specific stimulation parameters may provide therapeutic advantages for various forms of pain.

[0027] an electrical coil or other means of receiving energy and / or information inside the package, which receives power and / or data by inductive or radio-frequency (RF) coupling to a transmitting coil placed outside the body, thus avoiding the need for electrical leads to connect devices to a central implanted or external controller;

[0032] Thus, the present invention provides a therapy for chronic pain that utilizes one or more miniature neurostimulators and is minimally invasive. The simple implant procedure results in minimal surgical time and possible error, with associated advantages over known treatments in terms of reduced expense and opportunity for infection or other complications. Other advantages, inter alia, of the present invention include the system's monitoring and programming capabilities, the power source, storage, and transfer mechanisms, the activation of the device by the patient or clinician, the system's open and closed-loop capabilities and closed-loop capabilities coupled with sensing a need for and / or response to treatment, coordinated use of one or more stimulators, and the small size of the stimulator.

Problems solved by technology

All of the devices currently available for producing therapeutic stimulation have drawbacks.

TENS devices can produce significant discomfort and can only be used intermittently.

These devices may only be used acutely, and may cause significant discomfort.

Implantable, chronic stimulation devices are available, but these currently require a significant surgical procedure for implantation.

The implantable devices are relatively large and expensive.

In addition, they require significant surgical procedures for placement of electrodes, leads, and processing units.

Drawbacks, such as size (of internal and / or external components), discomfort, inconvenience, complex surgical procedures, and / or only acute or intermittent use has generally confined their use to patients with severe symptoms and the capacity to finance the surgery.

The gate control theory has always been controversial, as there are certain conditions such as hyperalgesia, which it does not fully explain.

A damaged nerve may be sensitive to slight mechanical stimuli (motion) and / or noradrenaline (a chemical utilized by the sympathetic nervous system), which in turn results in abnormal firing of the nerve's pain fibers.

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