491 results about "Neurostimulation" patented technology

Systems, devices, and methods for electrically stimulating peripheral nerve(s) to treat various disorders are disclosed, as well as signal processing systems and methods for enhancing diagnostic and therapeutic protocols relating to the same. Personalized therapy based on algorithms and aggregated data are also provided.

Embodiments described herein relate to systems, devices, and methods for monitoring brain activity and delivering electrical brain stimulation to a patient. In some embodiments, a system can deliver responsive electrical stimulation in a closed-loop manner and can offer real-time or near real-time monitoring of induced neurophysiological effects. After detecting a targeted brain pattern (i.e., an epileptic seizure), the system may deliver high-intensity ultra-short electrical stimulation impulses non-invasively or minimal-invasively to diminish or stop the neural oscillations underlying the epileptic seizure. The stimuli are delivered in time and space, relative to the emerging seizure rhythm patterns, such that they diminish or terminate the seizure. The system may include an implantable device including one or more electrodes electrically coupled to one or more processors. The processor(s) may be operatively coupled to a memory, one or more communication modules, and may optionally be coupled to a battery and one or more additional sensor(s).

A headset for use in delivering electrical stimulation to the skin surface of the head or in sensing one or more parameters of the head of a user.

A wireless implant and associated system for motor function recovery after spinal cord injury, and more particularly a multi-channel wireless implant with small package size. The wireless implant can further be used in various medical applications, such as retinal prostheses, gastrointestinal implant, vagus nerve stimulation, and cortical neuromodulation. The system also includes a method and its implementation to acquire the impedance model of the electrode-tissue interface of the implant.

Systems and methods are disclosed for managing a tissue node potential of a neurostimulation system. The envisioned neurostimulation system can include an energy source, a housing or a housing portion, a stimulation node, a stimulation surface for contacting a tissue of a patient, and a control circuit. The control circuit can be configured to maintain at least one of the housing or housing portion, the stimulation node, or the stimulation surface at a predefined voltage or within a predefined voltage range.

Methods and systems for testing and treating spinal cord stimulation (SCS) patients are disclosed. Patients are eventually treated with sub-perception (paresthesia free) therapy. However, supra-perception stimulation is used during “sweet spot searching” during which active electrodes are selected for the patient. This allows sweet spot searching to occur much more quickly and without the need to wash in the various electrode combinations that are tried. After selecting electrodes using supra-perception therapy, therapy is titrated to sub-perception levels using the selected electrodes. Such sub-perception therapy has been investigated using pulses at or below 10 kHz, and it has been determined that a statistically significant correlation exists between pulse width (PW) and frequency (F) in this frequency range at which SCS patients experience significant reduction in symptoms such as back pain. Beneficially, sub-perception stimulation at such low frequencies significantly lowers power consumption in the patient's neurostimulator.

The present disclosure provides systems and methods for providing neurostimulation therapy according to patient features. The patient features may be analyzed to develop a patient model between physiological and / or patient reported features and optimal settings for a neurostimulation therapy using machine learning operations. The model is trained using data corresponding to time intervals in which electrical pulses are applied to the patient, including video kinematic data, patient reported pain levels, implanted or worn sensor patient data, and stimulation parameters. The model is used to control ongoing neurostimulation therapy for the patient.

The invention relates to the technical field of neural engineering and brain-computer interfaces, in particular to a closed-loop multi-modal nerve stimulation system and method based on time interference, and the system comprises a multi-modal stimulation module which is used for integrating electrical stimulation, magnetic stimulation and optical genetic stimulation, and generating a time interference field domain; the neural state sensing module is used for collecting real-time electroencephalogram signals, blood oxygen concentration and neural metabolite level data; the neural control center is used for fusing neural state data and stimulation parameters, and dynamically adjusting time interference frequency and stimulation intensity through an adaptive algorithm; the time sequence cooperation engine predicts a neural response time phase based on a deep learning model, and optimizes a stimulation time sequence and a mode switching strategy; and the visual interaction platform is used for rendering the nerve activation thermodynamic diagram and the stimulation parameter adjustment curve in real time. Therefore, the problems of adjustment strategy solidification, low adjustment precision, insufficient energy conversion efficiency and the like in the prior art are solved.

The invention discloses percutaneous nerve field vagus nerve stimulation diagnosis and treatment equipment and a diagnosis and treatment method thereof, and particularly relates to the technical field of neuromedicine, intelligent medical equipment and multi-mode physical therapy. The equipment comprises a neural signal acquisition module, a nerve positioning module, a data processing and analysis module, a treatment execution module and a diagnosis result output module; the system is further provided with a battery power management module, a self-adaptive closed-loop cloud platform and a wearable fixing device, by collecting bioelectricity signals, light absorptivity and temperature data of an ear nerve area, ear target cranial nerve branches are positioned, a dynamic diagnosis map is constructed, and a diagnosis result and personalized treatment parameters are generated. Electric pulse, near-infrared light and local thermal therapy multi-mode collaborative stimulation is adopted for treatment, and parameters are monitored and adjusted in real time through a cloud platform. According to the invention, accurate diagnosis and personalized treatment can be realized, the medical efficiency and the treatment effect are improved, and an effective means is provided for nerve disease diagnosis and treatment and pain relief.

The invention discloses a brain deep nerve stimulation method and system based on adaptive adjustment, and relates to the technical field of brain deep nerve regulation, and the method comprises the steps: collecting a local field potential signal of a brain deep target region of a target patient, and extracting a beta frequency band power spectrum density and a gamma frequency band phase synchronization index as neural activity characteristic parameters; determining an individual baseline value and a preset threshold value based on historical data, and outputting a stimulation adjustment trigger signal when the beta frequency band power spectral density exceeds the individual baseline value and the gamma frequency band phase synchronization index is lower than the preset threshold value; in response to the trigger signal, calculating an optimal stimulation parameter combination through a gradient descent optimization algorithm and executing nerve regulation; and monitoring the signal change after regulation and control, calculating a relative change rate and updating a threshold value. Through a two-parameter joint judgment mechanism and a threshold updating strategy, individualized adaptive adjustment of stimulation parameters is realized, and the stimulation accuracy and the treatment effect are improved.

At least some embodiments of the present disclosure are directed to systems and methods for managing sleep disordered breathing (e.g., obstructive sleep apnea) for a patient. A first implantable electrode delivers a first stimulation signal proximate to a first nerve of the patient to stimulate the first nerve and activate at least one first muscle for an upper airway dilation of the person. A second implantable electrode delivers a second stimulation signal proximate to a second nerve to stimulate the second nerve and activate at least one second muscle for a caudal tracheal traction for an upper airway of the person. A stimulation signal generator generates the first and second stimulation signals and coordinates the delivery of the first stimulation signal with the delivery of the second stimulation signal.

A neurostimulation system may include an implantable neurostimulator. An implantable neurostimulator may include a first sensor configured to sense internal data relating to a symptom of a neurological movement disorder of a patient. An implantable neurostimulator may include an internal stimulator configured to provide an internal stimulation output to an internal target area of a patient. An implantable neurostimulator may include a first wireless communication device configured to communicate internal data with a network. A neurostimulation system may include a wearable neurostimulator. A wearable neurostimulator may include a second sensor configured to sense external data of a patient. A wearable neurostimulator may include an external stimulator configured to provide an external stimulation output to an external target area of a patient. A wearable neurostimulator may include a second wireless communication device configured to communicate external data with a network and receive internal data from the network.

An example of a system for delivering neurostimulation may include a programming control circuit and a user interface. The programming control circuit may be configured to generate stimulation parameters controlling delivery of the neurostimulation according to a pulse sequence. The pulse sequence may include a series of neurostimulation pulses and be defined by sequence parameters and one or more modulation functions each modulating an adjustable parameter selected from the sequence parameters. The user interface may be configured to set the pulse sequence to a tonic pulse sequence by determining an initial value for each adjustable parameter and set the pulse sequence to a modulated pulse sequence by selecting one or more adjustable parameters, determining a modulation function for each selected adjustable parameter, and applying the determined modulation function to that selected adjustable parameter to modulate the tonic pulse sequence.

A system to configure a neurostimulation signal to a patient's body has a neurostimulator to create a base stimulation signal which has a series of first pulses. A computer processor within the neurostimulator deconstructs the first series of pulses into a first and second partial pulse series which have respective first and second partial electrical pulses where the first and second partial electrical pulses substantially summate to the base stimulation signal. A programmable signal generator provides a constant amplitude of combined stimulation pulses by applying the first and second partial pulses to a number of contacts of an electrode positionally located to stimulate a target tissue in the patient's body.

Described herein are systems, devices, and methods for delivering enhanced stimulation to provide therapy for a patient. A neurostimulation system may include an implantable stimulation device, a base station, and an external device. The external device may include a first antenna for communicating with the implantable device, and a second antenna for receiving power from the base station. Additionally, the external device may have one or more shielding layers between the first and second antennae. A method for reprogramming a neurostimulation system may include receiving data at a base station via a remote connection, transferring the data from the base station to an external device via a location connection, and instructing an implantable stimulation device to stimulation tissue of a patient using the data.

Systems, devices, and methods for neurostimulation using a combination of implantable and external devices to treat pain are disclosed.

A method for determining the condition of hydrogel pads of a transcutaneous neurostimulation system includes providing one or more stimulation electrodes comprising a hydrogel pad through which a transcutaneous neurostimulation signal is applied to skin of the subject. The method also includes providing a controller operatively connected to the stimulation electrodes and being configured to supply a modulated electrical stimulation signal to the stimulation electrodes. The method further includes configuring the controller to measure impedance values of the system and assess changes in system impedance as an indication of the condition of the hydrogel pads.

A system for automated programming of stimulation devices uses machine learning with multimodal medical imaging data to determine optimal patient-specific parameters. The system stores voxel-level intensity and functional imaging data from patients who previously underwent stimulation therapy. Similarity metrics calculated directly between the raw imaging data are used to cluster patients into phenotypic groups. Known therapeutic outcomes for each patient are linked to the associated stimulation parameters. For a new patient, biomarkers are extracted from their medical imaging data and used to identify phenotypically similar groups. The stimulation parameters with beneficial outcomes in those groups are analyzed to determine target recommended settings or discard suboptimal settings for the new patient. This data-driven approach leverages machine learning on multimodal medical imaging to automate patient-specific programming of stimulation therapy devices for optimal therapeutic benefit without requiring spatial normalization or atlas registration.

The disclosure provides devices, systems, and methods for physical therapy. Electrical signals are applied to a subject via electrodes in a device worn on the body part receiving the therapy. The device can be operated remotely. The device can use artificial intelligence to evaluate and design physical therapy routines using the electrodes.

The invention discloses a hidden multi-mode brain state real-time monitoring and closed-loop intervention system, and relates to the technical field of intelligent wearable equipment. The system comprises a cap body, and further comprises a multi-point electrode array used for collecting EEG (electroencephalogram) signals, EOG (eye movement) signals and EMG (electromyography) signals of a human body; the brain blood oxygen monitoring module is used for monitoring brain blood oxygen saturation; the signal receiving and processing module is used for preprocessing and analyzing data acquired by the multi-point electrode array and the brain blood oxygen monitoring module; the multi-mode stimulation module is used for implementing sensory and nerve stimulation on the user according to a judgment result of the state judgment module so as to intervene in a drowsiness or attention decline state; and the power supply module and the communication unit are used for providing a working power supply for the modules needing power supply in the system and carrying out data communication with external terminal equipment. The system can monitor the waking degree of the user with high precision and carry out closed-loop feedback intervention by various stimulation means.

The invention belongs to the field of big data, and provides a wearable nerve regulation and control method and system based on cloud AI control, and the method comprises the steps: collecting user data through a wearable nerve regulation and control device worn on the limb part of a user, the user data being physiological data and / or motion data; uploading the user data to a cloud server, wherein the cloud server is provided with an artificial intelligence model; the artificial intelligence model receives the user data, and generates personalized nerve electrical stimulation parameters in combination with pre-stored user historical treatment data and / or medical history data; the cloud server issues the personalized nerve electrical stimulation parameters to the wearable nerve regulation and control device, and the wearable nerve regulation and control device executes transcutaneous nerve electrical stimulation operation based on the personalized nerve electrical stimulation parameters.

A system for personalized neuromodulation includes a neuroimaging recording device including sensors for detecting neural activity in a patient. An optimization module determines a personalized neuromodulation treatment protocol for the patient. The optimization module includes a neuromodulation target optimization module for determining neural targets in the patient for the personalized neuromodulation treatment protocol. The optimization module includes a neuromodulation parameters optimization module for determining optimized neural stimulation parameters for the personalized neuromodulation treatment protocol. A personalized neural stimulation device receives the neural targets from the neuromodulation target optimization module and receives the optimized neural stimulation parameters from the neuromodulation parameters optimization module. The personalized neural stimulation device delivers the personalized neuromodulation treatment protocol to the patient. The personalized neural stimulation device includes at least one neural stimulation device for stimulating the targets in the patient. A neuroimaging navigation system determines a placement of the neural stimulation device(s) about the patient.

Systems, devices, and methods for electrically stimulating peripheral nerve(s) to treat various disorders are disclosed, as well as signal processing systems and methods for enhancing diagnostic and therapeutic protocols relating to the same.

A combined neuromodulation and / or neurostimulation system for mitigating locomotor deficits of / or neuronal disorders, especially Parkinson's disease, said system comprises: at least one Deep Brain Stimulation System for providing Deep Brain Stimulation to brain tissue of a subject, at least one control unit, configured and adapted to provide stimulation data, at least one stimulation unit, operatively connected to the at least one control unit, the at least one stimulation unit being configured and adapted to deliver epidural electrical stimulation to the dorsal side of the spinal cord of said subject, and at least one implantable pulse generator, wherein the at least one stimulation unit includes one or more electrodes configured to be implanted epidurally, the one or more electrodes being operatively connected to the at least one IPG.

The present application discloses and describes neurostimulation systems and methods that include, among other features, (i) neural stimulation through audio with dynamic modulation characteristics, (ii) audio content serving and creation based on modulation characteristics, (iii) extending audio tracks while avoiding audio discontinuities, and (iv) non-auditory neurostimulation and methods, including non-auditory neurostimulation for anesthesia recovery.

A neurostimulation system can include a skin electrode pad configured to be attached to an external electrostimulation electronics unit for treating a subject using transcutaneous neurostimulation therapy, and the electrode pad can include a rehydratable hydrophilic foam layer. The rehydratable hydrophilic foam layer can be sized and shaped to be received within a receptacle of an electrode rehydrator to recurrently receive moisture from the electrode rehydrator to be rehydrated.

An implantable device for controllably delivering neural stimuli, comprising a stimulus source configured to provide neural stimuli to be delivered via one or more stimulus electrodes to a neural pathway of a patient; measurement circuitry configured to capture signal windows from signals sensed on the neural pathway by one or more measurement electrodes subsequent to respective neural stimuli; and a control unit. The control unit is configured to: control the stimulus source to provide a direct current (DC) pulse according to a stimulus intensity parameter; control the stimulus source to provide a titration pulse in order to evoke a neural response from the neural pathway; measure an intensity of an evoked neural response in a captured signal window subsequent to the titration pulse; and adjust, using a feedback controller, the stimulus intensity parameter so as to maintain the measured intensity at or near a target value.

The utility model provides an expansion device with a nerve monitoring function. The expansion device comprises a base and a function switching circuit, the base is provided with a high-frequency connecting end used for being connected with high-frequency generator equipment, a nerve monitoring connecting end used for being connected with a nerve monitor and an equipment connecting end used for being connected with surgical equipment, and the high-frequency connecting end is matched with the interface type of the equipment connecting end; the function switching circuit comprises a first input end, a second input end and an output end; under the condition that the first input end is electrically connected with the output end, the function switching circuit outputs a high-frequency excitation signal output by the high-frequency generator equipment to the surgical equipment through the output end, so that the surgical equipment realizes an electrocoagulation and electroresection function; under the condition that the second input end is electrically connected with the output end, the function switching circuit transmits the nerve stimulation signal output by the nerve monitor to the surgical equipment so that the surgical equipment can achieve the nerve monitoring function, and therefore the nerve monitoring function can be expanded for the surgical equipment connected with the expansion device in an inserted mode.

A magnetic tissue stimulator 100 comprising a coil 106, a first magnetic layer 122 having a first end 127 and a second end 123 and a second magnetic layer 124 having a first end 129 and a second end 125. The second end 123 of the first magnetic layer 122 is in contact 126 with the second end 125 of the second magnetic layer 124 and the first end 127 of the first magnetic layer 122 is separated from the first end 129 of the second magnetic layer 124 by a gap 128. A portion of the coil 106 is positioned between the first magnetic layer 122 and the second magnetic layer 124.

A system and method for locating and guiding a peripheral nerve evaluation (PNE) lead. The system comprising an X-ray system to capture images of the patient. The images are processed by the system and are provided to a user to utilize an augmented reality (AR) system for inserting a needle for placing leads for the PNE procedure.