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Stimulation components

a neurostimulation and component technology, applied in the field of neurostimulation methods and systems, can solve the problems of inability to precisely control the amount of stimulation energy needed to provide the desired amount of neurostimulation, inadvertent interference with nerve transmission pathways in adjacent nervous tissue, and difficulty in reducing the amount of stimulation energy needed to provide neurostimulation, so as to reduce the amount of electrical lead movement and reduce the effect of electrical lead movemen

Inactive Publication Date: 2006-03-09
THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIV
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

"The patent text describes various methods and devices for stimulating nerve tissue in the body, including the dorsal root ganglia, spinal cord, and nerve root ganglia. The technical effects of these methods and devices include treating pain, modulating nervous tissue, and improving the function of the spinal cord and other parts of the nervous system. The patent also describes a neurostimulation system that includes a pulse generator, electrode connector, and microelectrode lead for targeted stimulation of nerve tissue. Overall, the patent provides a comprehensive solution for stimulating nerve tissue for therapeutic purposes."

Problems solved by technology

Accordingly, electrical stimulation intended to manage / control one condition (for example, pain) often results in the inadvertent interference with nerve transmission pathways in adjacent nervous tissue (for example, motor nerves).
Moreover, these and other conventional, non-specific stimulation systems also apply stimulation energy to the spinal cord and to other neural tissue beyond the intended stimulation targets.
Moreover, larger epidural electrode arrays may alter cerebral spinal fluid (CSF) flow thus further altering local neural excitability states.
Another challenge confronting conventional neurostimulation systems is that since epidural electrodes must apply energy across a wide variety of tissues and fluids (i.e., CSF fluid amount varies along the spine as does pia matter thickness) the amount of stimulation energy needed to provide the desired amount of neurostimulation is difficult to precisely control.
However, as applied stimulation energy increases so too increases the likelihood of deleterious damage or stimulation of surrounding tissue, structures or neural pathways.
An improperly defined electric field may not only be ineffective in controlling / managing the desired condition(s) but may also inadvertently interfere with the proper neural pathways of adjacent spinal nervous tissue.

Method used

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Embodiment Construction

[0073] Embodiments of the present invention provide novel stimulation systems and methods that enable direct and specific neurostimulation techniques. For example, there is provided a method of stimulating a nerve root ganglion comprising implanting an electrode into the nerve root ganglion and activating the electrode to stimulate the nerve root ganglion. As discussed in greater detail below, the nerve root ganglion may be a dorsal root ganglion in some embodiments while in other embodiments the nerve root ganglion may be a nerve root ganglion in the sympathetic nervous system or other ganglion or tissue. In some embodiments, implanting the electrode includes forming an opening in the epinurium of the root ganglion and passing the electrode through the opening and into the interior space or interfascicular space of the ganglion.

[0074] In other embodiments, portions of an electrode body pass completely through a ganglion while maintaining an active electrode area appropriately posi...

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Abstract

Some embodiments of the present invention provide stimulation systems and components for selective stimulation and / or neuromodulation of one or more dorsal root ganglia through implantation of an electrode on, in or around a dorsal root ganglia. Some other embodiments of the present invention provide methods for selective neurostimulation of one or more dorsal root ganglia as well as techniques for applying neurostimulation to the spinal cord. Still other embodiments of the present invention provide stimulation systems and components for selective stimulation and / or neuromodulation of one or more dorsal root ganglia through implantation of an electrode on, in or around a dorsal root ganglia in combination with a pharmacological agent.

Description

CROSS-REFERENCE [0001] This application claims the benefit of U.S. Provisional Application No. 60 / 608,357 filed Sep. 8, 2004, which is incorporated herein by reference in its entirety.FIELD OF THE INVENTION [0002] The present invention relates to neurostimulation methods and systems that enable more precise stimulation of the nervous system. In particular, embodiments of the present invention provide for the controlled stimulation of spinal and paraspinal nerve root ganglion. In one embodiment, the ganglion is a dorsal root ganglion (DRG) and in another embodiment the ganglion is part of the sympathetic nervous system. BACKGROUND OF THE INVENTION [0003] Application of specific electrical energy to the spinal cord for the purpose of managing pain has been actively practiced since the 1960s. While a precise understanding of the interaction between the applied electrical energy and the nervous tissue is not fully appreciated, it is known that application of an electrical field to spina...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61N1/05
CPCA61N1/36139A61N1/36017A61N1/36021A61N1/36071A61N1/0568A61N1/0558A61N1/36171A61N1/0551A61N1/36067A61M5/142A61M25/06A61M2210/1003
Inventor KIM, DANIEL H.IMRAN, MIR A.
Owner THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIV
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