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Assessing Neural State from Action Potentials

a neural state and action potential technology, applied in the field of neural potential assessment, can solve the problems of difficult diagnosis of neuropathic disease and monitoring progress, difficult treatment of neuropathic pain, and poor response to standard pain treatmen

Inactive Publication Date: 2017-05-18
SALUDA MEDICAL PTY LTD
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The present invention may provide a method for identifying the location of certain types of pain, called neuropathic pain, by applying a stimulus to one neural site and recording the resulting response. This method may also allow for monitoring the progress of a sympathectomy procedure in real-time, which may help improve its efficacy. In simpler terms, this patent provides a way to better understand and treat chronic pain.

Problems solved by technology

Consequently, it is difficult to diagnose neuropathic disease and to monitor the progress of neuropathic disease.
Neuropathic pain is also difficult to treat and often responds poorly to standard pain treatments.
Careful documentation and appropriate monitoring of treatment are important for the safe and effective use of such medications, however this is difficult to achieve due to the difficulty of determining the disease state or monitoring the progress of the disease or symptoms.

Method used

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  • Assessing Neural State from Action Potentials
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  • Assessing Neural State from Action Potentials

Examples

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examples

[0060]Comparison of ECAP measurements from the dorsal column of a number of different human subjects was undertaken in order to identify systematic differences which relate to either genetic or pathological differences between subjects. Measurements of dorsal column evoked compound action potentials show distinct differences between the ECAP shapes measured at different electrodes along the array.

[0061]FIG. 3 shows a “normal” ECAP, being a triphasic P1, N1, P2 response, as obtained from “patient 25”. The use of epidural ground inverts the N1 at a time when the response passes the ground electrode. As the recorded response of FIG. 3 exhibits no significant abnormalities as compared to the predicted response of FIG. 2, Patient 25 can be diagnosed as having no measurable neuropathic disease.

[0062]In contrast, FIG. 4 shows data from patient 34, measured in both the orthodromic and antidromic directions at respective electrodes either side of the stimulus electrode, each spaced apart fro...

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Abstract

The neural health or state of a subject is assessed. A recording is obtained of a compound action potential arising in neural tissue of the subject. The recording is processed to determine whether a profile of the recorded compound action potential is anomalous, such as by exhibiting doublets, peak broadening or deformation, or other anomaly. An indication is output regarding the neural state of the subject based on determined anomalies in the recorded compound action potential.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS[0001]This application claims the benefit of Australian Provisional Patent Application No. 2014901110 filed 28 Mar. 2014, which is incorporated herein by reference.TECHNICAL FIELD[0002]The present invention relates to assessing a neural state from neural potentials, and in particular relates to obtaining a recording of a neural potential arising on neural tissue, and monitoring for an anomalous profile of the recording, in order to assess the existence, state or progress of a neural disease.BACKGROUND OF THE INVENTION[0003]Neuropathic pain arises from damage or disease affecting the somatosensory system, and may result from disorders of the peripheral nervous system or the central nervous system. For example, complex regional pain syndrome (CRPS) is a severe type of pain disorder.[0004]There is no known single pathognomonic symptom or sign of neuropathic disease. Consequently, it is difficult to diagnose neuropathic disease and to monitor the p...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61B5/00A61N1/36A61B5/04
CPCA61B5/4076A61B5/04001A61B5/4041A61B5/407A61N1/36185A61B5/4836A61N1/36071A61N1/36135A61B5/4824A61B5/24A61B5/291A61B5/388
Inventor PARKER, JOHN LOUIS
Owner SALUDA MEDICAL PTY LTD
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