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CN106823139A - A kind of implanted sacral nerve stimulator with electric field intensity measuring device - Google Patents

A kind of implanted sacral nerve stimulator with electric field intensity measuring device Download PDF

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Publication number
CN106823139A
CN106823139A CN201710026582.4A CN201710026582A CN106823139A CN 106823139 A CN106823139 A CN 106823139A CN 201710026582 A CN201710026582 A CN 201710026582A CN 106823139 A CN106823139 A CN 106823139A
Authority
CN
China
Prior art keywords
electric field
sensor
nerve stimulator
field intensity
field strength
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
CN201710026582.4A
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Chinese (zh)
Inventor
不公告发明人
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Beijing Pins Medical Co Ltd
Original Assignee
Beijing Pins Medical Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Beijing Pins Medical Co Ltd filed Critical Beijing Pins Medical Co Ltd
Priority to CN201710026582.4A priority Critical patent/CN106823139A/en
Publication of CN106823139A publication Critical patent/CN106823139A/en
Withdrawn legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/08Arrangements or circuits for monitoring, protecting, controlling or indicating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/08Arrangements or circuits for monitoring, protecting, controlling or indicating
    • A61N2001/083Monitoring integrity of contacts, e.g. by impedance measurement

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Electrotherapy Devices (AREA)

Abstract

The present invention relates to embedded nerve stimulator field, specifically disclose a kind of embedded nerve stimulator with electric field intensity measuring device, including external program controller, Implantable Pulse Generator and stimulating electrode, the embedded nerve stimulator also includes electric field strength transducer[sensor, the electric field strength transducer[sensor is arranged at target nerve, the electric field strength transducer[sensor is monitored to the electric-field intensity that the stimulating electrode is produced, and Monitoring Data is sent to the Implantable Pulse Generator or external program controller by the electric field strength transducer[sensor.The present invention can monitor the relative position of stimulating electrode, be adjustment stimulating electrode provides convenient when embedded nerve stimulator is installed.Also, during embedded nerve stimulator use, when stimulating electrode is subjected to displacement, patient and doctor can immediately appreciate that, it is ensured that therapeutic quality.

Description

A kind of implanted sacral nerve stimulator with electric field intensity measuring device
Technical field
The present invention relates to embedded nerve stimulator, and in particular to a kind of implanted god with electric field intensity measuring device Through stimulator.
Background technology
Embedded nerve stimulator delivers electrical stimulation signal by stimulating electrode to target nerve, but with the body of patient Body activity, stimulating electrode may be subjected to displacement in bodily tissue, so as to influence the therapeutic effect of electro photoluminescence.Although prior art There is provided various fixing devices, it is used to prevent stimulating electrode from position displacement, such as US7865250B2 occurring in bodily tissue (Medtronic)、US8145323 B2(Medtronic)、US8260436 B2(Medtronic)、US8019443B2(Boston medical science), but It is that can not definitely avoid electrode from being subjected to displacement.Also, after stimulating electrode is subjected to displacement, patient and doctor can not anticipate immediately Know, this can cause the decline of therapeutic effect.
In addition, in the operation implantation process of stimulating electrode, how to aid in doctor to be quickly installed in place electrode is to need The problem to be solved.
Finally, target neural tissue is often in the side of stimulating electrode, and segmented electrode is have also appeared in the prior art (segment electrode), relative to ring electrode(ring electrode), the applying direction of electric field is can adjust, so that Being delivered there is provided more accurate objective stimulates, it is to avoid the stimulation meaningless to its hetero-organization, reduces side effect, for example: US20150360023A1(Boston medical science).But after stimulating electrode implantation, how quickly to adjust segmented electrode(segment electrode)Electric field apply direction, be the problem for needing to solve with accurately stimulation target nerve fiber.
The content of the invention
Embedded nerve stimulator of the present invention with electric field intensity measuring device sets electric-field intensity at target nerve Sensor, is monitored to the electric-field intensity at target nerve, and Monitoring Data is sent to implantation by electric field strength transducer[sensor in time Formula impulse generator IPG, to monitor the relative position of stimulating electrode, carries for adjustment stimulating electrode and adjustment electric field apply direction Supplier is just.
In order to solve the above-mentioned technical problem, a kind of implantable nerve with electric field intensity measuring device of the present invention stimulates Device, including external program controller, Implantable Pulse Generator and stimulating electrode, the embedded nerve stimulator also include electricity Field intensity sensor, the electric field strength transducer[sensor is arranged at target nerve, and the electric field strength transducer[sensor is to the stimulation The electric-field intensity that electrode is produced is monitored, and Monitoring Data is sent to the type implanting pulse hair by the electric field strength transducer[sensor Raw device or external program controller.
Further, wired connection or wireless connection between the electric field strength transducer[sensor and Implantable Pulse Generator.
Further, usually in a dormant state, the Implantable Pulse Generator is regular for the electric field strength transducer[sensor The electric field strength transducer[sensor for waking up in a dormant state carries out electric-field intensity test.
Further, the stimulating electrode has multiple segmented electrodes, and the impulse generator can be to each of which electricity Pole section individually applies pulse, or applies pulse to multiple electrodes therein section, or applies arteries and veins together to all of electrode section Punching.Multiple segmented electrodes are used to adjust the applying direction of electric field.
Further, the electric field strength transducer[sensor is fitted on target nerve, is conducive to accurately monitoring objective nerve The electric-field intensity at place.
Further, the electric field strength transducer[sensor has storage device, the electric field of the target nerve for storing detection Intensity.
The electric field strength transducer[sensor also has rechargable power supplies, and the rechargable power supplies are used to pass the electric-field intensity Sensor carries out external charging.
Further, the Implantable Pulse Generator or external program controller can according to the Monitoring Data, with And expected electric-field intensity, determine the relative position of the stimulating electrode.
Specifically, the embedded nerve stimulator is implanted sacral nerve stimulator,
The present invention has the advantages that:Embedded nerve stimulator with electric field intensity measuring device of the invention, At target nerve set electric field strength transducer[sensor, the electric-field intensity at target nerve is monitored, electric field strength transducer[sensor and When Monitoring Data is sent to Implantable Pulse Generator, to monitor the relative position of stimulating electrode, install implantable nerve It is adjustment stimulating electrode provides convenient during stimulator.Also, during embedded nerve stimulator use, when stimulating electrode hair During raw displacement, patient and doctor can immediately appreciate that, it is ensured that therapeutic quality.
Brief description of the drawings
In order to illustrate more clearly of technical scheme, below will be to being wanted needed for embodiment or description of the prior art The accompanying drawing for using is briefly described, it should be apparent that, drawings in the following description are only some embodiments of the present invention, right For those of ordinary skill in the art, on the premise of not paying creative work, it can also be obtained according to these accompanying drawings Its accompanying drawing.
Fig. 1 is the structural representation of embedded nerve stimulator of the present invention.
Fig. 2 is the flow chart of embedded nerve stimulator work of the present invention.
In figure:1- Implantable Pulse Generators;2- stimulating electrodes;3- electric field strength transducer[sensors;4- target nerves;Outside 5- Cyclelog;6- wires.
Specific embodiment
The technical scheme in inventive embodiments will be clearly and completely described below, it is clear that described embodiment Only a part of embodiment of the invention, rather than whole embodiments.Based on embodiments of the invention, ordinary skill The every other embodiment that personnel are obtained on the premise of creative work is not made, belongs to the model of present invention protection Enclose.
In one embodiment of the invention, as shown in Figure 1 to Figure 2, the present invention is a kind of has electric field intensity measuring device Embedded nerve stimulator, the embedded nerve stimulator be embedded nerve stimulator, for patient target spot god Apply electro photoluminescence through region, the embedded nerve stimulator includes external program controller 5, the and of Implantable Pulse Generator 1 Stimulating electrode 2, the Implantable Pulse Generator 1 and stimulating electrode implantation within a patient, the external program controller 5 will be believed Breath is delivered to Implantable Pulse Generator 1, and impulse generator 1 sends signal to stimulating electrode 2, by stimulating electrode 2 to target Nerve 4 carries out electronic stimulation.
Embedded nerve stimulator of the present invention also includes electric field strength transducer[sensor 3, and the electric field strength transducer[sensor 3 is used In the electric-field intensity of detection target nerve 4, and detection data is sent to Implantable Pulse Generator or external program controller. The Implantable Pulse Generator or external program controller can according to the Monitoring Data, and expected electric-field intensity, Determine the relative position of the stimulating electrode.Preferably, determine that the relative position of the stimulating electrode can be combined with patient and exist Medical image before implantable stimulation electrode and/or after implantable stimulation electrode, exports according to stimulating electrode and configures, and electromagnetic field point Cloth model determines the position of stimulating electrode, and the change with expected position.
The implantation within a patient of the electric field strength transducer[sensor 3 is simultaneously arranged at target nerve 4, such as described electric-field intensity is passed Sensor 3 is fitted on target nerve 4, and the electric field strength transducer[sensor 3 is received to target nerve 4 and produced from the stimulating electrode 2 Raw electric-field intensity is monitored, then monitoring information is sent into internal impulse generator by inter-process.The electric field Intensity sensor 3 has storage device, the electric-field intensity of the target nerve for storing detection.The electric field strength transducer[sensor 3 Also there are rechargable power supplies, for external charging, the stimulating electrode 2 has at least one segmented electrode, for adjusting electric field Applying direction, stimulate to provide the delivering of more accurate objective, the electric field strength transducer[sensor 3 is sent out with type implanting pulse Wired connection or wireless connection between raw device 1.
The electric field strength transducer[sensor 3 it is flat when in a dormant state, the periodic wakeup of the Implantable Pulse Generator 1 is in The electric field strength transducer[sensor 3 of resting state carries out electric-field intensity test, to adjust the electric field applying side of stimulating electrode 2 in time To, it is to avoid the stimulation meaningless to other nerve fibers, so as to reduce side effect.
The present invention has the advantages that:Implantable nerve with electric field intensity measuring device of the invention stimulates Device, sets electric field strength transducer[sensor at target nerve, and the electric-field intensity at target nerve is monitored, electric-field intensity sensing Monitoring Data is sent to Implantable Pulse Generator by device in time, to monitor the relative position of stimulating electrode, is installing implanted It is adjustment stimulating electrode provides convenient during nerve stimulator.Also, it is electric when stimulating during embedded nerve stimulator use When pole is subjected to displacement, patient and doctor can immediately appreciate that, it is ensured that therapeutic quality.
Above disclosed is only several preferred embodiments of the invention, can not limit the power of the present invention with this certainly Sharp scope, therefore the equivalent variations made according to the claims in the present invention, still belong to the scope that the present invention is covered.

Claims (8)

1. a kind of embedded nerve stimulator with electric field intensity measuring device, including external program controller, implanted arteries and veins Rush generator(1)And stimulating electrode(2), it is characterised in that the embedded nerve stimulator also includes electric field strength transducer[sensor (3), the electric field strength transducer[sensor is arranged on target nerve(4)Place, the electric field strength transducer[sensor(3)To the stimulating electrode (2)The electric-field intensity of generation is monitored, the electric field strength transducer[sensor(3)Monitoring Data is sent to the type implanting pulse Generator(1)Or external program controller.
2. the embedded nerve stimulator with electric field intensity measuring device according to claim 1, it is characterised in that institute State electric field strength transducer[sensor(3)With Implantable Pulse Generator(1)Between wired connection or wireless connection.
3. the embedded nerve stimulator with electric field intensity measuring device according to claim 1, it is characterised in that institute State Implantable Pulse Generator(1)Periodic wakeup electric field strength transducer[sensor in a dormant state(3)Carry out electric-field intensity test.
4. the embedded nerve stimulator with electric field intensity measuring device according to claim any one of 1-3, it is special Levy and be, the electric field strength transducer[sensor(3)Fit to target nerve(4)On.
5. the embedded nerve stimulator with electric field intensity measuring device according to claim any one of 1-3, it is special Levy and be, the electric field strength transducer[sensor(3)With storage device.
6. the embedded nerve stimulator with electric field intensity measuring device according to any one in claim 1-3, The electric field strength transducer[sensor(3)Also there are rechargable power supplies, the rechargable power supplies are used for the electric field strength transducer[sensor (3)External charging is carried out for external charging.
7. the embedded nerve stimulator with electric field intensity measuring device according to any one in claim 1-3, Characterized in that, the embedded nerve stimulator is implanted sacral nerve stimulator.
8. the embedded nerve stimulator with electric field intensity measuring device according to any one in claim 1-3, Characterized in that, the Implantable Pulse Generator or external program controller according to the Monitoring Data, and can be expected Electric-field intensity, determine the relative position of the stimulating electrode.
CN201710026582.4A 2017-01-14 2017-01-14 A kind of implanted sacral nerve stimulator with electric field intensity measuring device Withdrawn CN106823139A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201710026582.4A CN106823139A (en) 2017-01-14 2017-01-14 A kind of implanted sacral nerve stimulator with electric field intensity measuring device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201710026582.4A CN106823139A (en) 2017-01-14 2017-01-14 A kind of implanted sacral nerve stimulator with electric field intensity measuring device

Publications (1)

Publication Number Publication Date
CN106823139A true CN106823139A (en) 2017-06-13

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107261323A (en) * 2017-07-07 2017-10-20 北京品驰医疗设备有限公司 A kind of implanted is without wire sacral nerve stimulator
WO2021216551A1 (en) * 2020-04-24 2021-10-28 Medtronic, Inc. Electrode position detection
WO2023185403A1 (en) * 2022-03-30 2023-10-05 苏州景昱医疗器械有限公司 Control method and related apparatus

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080125833A1 (en) * 2001-12-04 2008-05-29 Advanced Bionics Corporation Apparatus and method for determining the relative position and orientation of neurostimulation leads
CN101516439A (en) * 2006-09-26 2009-08-26 皇家飞利浦电子股份有限公司 Tissue stimulation method and appartus
CN101883607A (en) * 2007-10-03 2010-11-10 伊西康公司 Implantable pulse generators and methods for selective nerve stimulation
CN102665540A (en) * 2009-10-16 2012-09-12 神经连结科技公司 Neural interface system
CN204767042U (en) * 2015-06-30 2015-11-18 广州绿松生物科技有限公司 Biological electric excitation therapies appearance of intelligence frequency conversion
US20160243358A1 (en) * 2015-02-24 2016-08-25 Neurostim Solutions LLC Topical Nerve Stimulator and Sensor for Control of Autonomic Function

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080125833A1 (en) * 2001-12-04 2008-05-29 Advanced Bionics Corporation Apparatus and method for determining the relative position and orientation of neurostimulation leads
CN101516439A (en) * 2006-09-26 2009-08-26 皇家飞利浦电子股份有限公司 Tissue stimulation method and appartus
CN101883607A (en) * 2007-10-03 2010-11-10 伊西康公司 Implantable pulse generators and methods for selective nerve stimulation
CN102665540A (en) * 2009-10-16 2012-09-12 神经连结科技公司 Neural interface system
US20160243358A1 (en) * 2015-02-24 2016-08-25 Neurostim Solutions LLC Topical Nerve Stimulator and Sensor for Control of Autonomic Function
CN204767042U (en) * 2015-06-30 2015-11-18 广州绿松生物科技有限公司 Biological electric excitation therapies appearance of intelligence frequency conversion

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107261323A (en) * 2017-07-07 2017-10-20 北京品驰医疗设备有限公司 A kind of implanted is without wire sacral nerve stimulator
WO2021216551A1 (en) * 2020-04-24 2021-10-28 Medtronic, Inc. Electrode position detection
US11554264B2 (en) 2020-04-24 2023-01-17 Medtronic, Inc. Electrode position detection
US12138459B2 (en) 2020-04-24 2024-11-12 Medtronic, Inc. Electrode position detection
WO2023185403A1 (en) * 2022-03-30 2023-10-05 苏州景昱医疗器械有限公司 Control method and related apparatus

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Application publication date: 20170613