SYSTEMS AND METHODS FOR CLINICIAN CONTROL OF STIMULATION SYSTEMS

Systems and methods for programming and logging medical device and patient data are provided. The systems include a handheld device, which is capable of communicating with a medical device, and a base station, which provides connectivity for the handheld device to accomplish various functions such as recharging, programming, data back-up and data entry. The methods comprise the steps of detecting a medical device, obtaining and recording information from the medical device. Additionally, medical device parameters may be modified and the recorded information may be archived for future reference. 113-. (canceled)14. A system comprising:a handheld device; anda housing configured to at least partially encase the handheld device, the housing comprising a communications module configured to communicate with both an implantable pulse generator (IPG) and with the handheld device.15. The system of claim 14 , wherein the communications module is configured to communicate with the implantable pulse generator via a wireless telemetry protocol.16. The system of claim 15 , wherein the communications module included in the housing is configured to communicate with the IPG while the communications module is up to six feet away from the IPG.17. The system of claim 14 , wherein the handheld device is configured to supply power to the communications module.18. The system of claim 14 , further comprising:a base station configured to receive the handheld device and the housing, the base station being further configured to provide power to the handheld device.19. The system of claim 18 , wherein the handheld device comprises a user interface that is configured to allow a user to control the base station.20. The system of claim 18 , wherein the base station comprises at least one port configured to provide both the handheld device and the housing with connectivity to at least one external device.21. The system of claim 14 , wherein the handheld device comprises a user interface.22. The ...

Systems and methods for clinician control of stimulation systems

Systems and methods for programming and logging medical device and patient data are provided. The systems include a handheld device, which is capable of communicating with a medical device, and a base station, which provides connectivity for the handheld device to accomplish various functions such as recharging, programming, data back-up and data entry. The methods comprise the steps of detecting a medical device, obtaining and recording information from the medical device. Additionally, medical device parameters may be modified and the recorded information may be archived for future reference.

Systems and methods for the treatment of pain through neural fiber stimulation

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith ...

System and method for treating shoulder pain related to subacromial impingement syndrome

Systems and methods are provided for treating chronic pain occurring secondarily to subacromial impingement syndrome in a human body. A system is provided to deliver percutaneous electrical stimulation through at least one electrode to neurological motor points of the posterior and middle deltoid muscles to mediate such pain. One-time, continued and/or periodic dosing of treatment methods according to the present invention may result in a change to central nervous system maladaptive neuroplasticity.

System and method for treatment of pain related to limb joint replacement surgery

It has been discovered that pain felt in a given region of the body can be treated by stimulating a peripheral nerve at a therapeutically effective distance from the region where pain is felt to generate a comfortable sensation (i.e., paresthesia) overlapping the regions of pain. A method has been developed to reduce pain in a painful region following limb joint replacement by stimulating a peripheral nerve innervating the painful region with an electrode inserted into tissue and spaced from the peripheral nerve. This method may be used to help alleviate postoperative pain in patients following total knee arthroplasty surgery or other limb joint replacement surgeries.

SYSTEMS AND METHODS FOR THE TREATMENT OF BLADDER DYSFUNCTIONS USING NEUROMODULATION

Systems and Methods treat bladder dysfunctions using neuromodulation stimulation. Bladder emptying through stimulation of urethral afferents, and continence through stimulation of the dorsal genital nerve, is provided with one or more implanted pulse generators and one or more leads. A simple surgical procedure preserves all existing functions. A stimulating catheter is provided to be used as a clinical screening tool. The stimulating catheter is used to measure bladder pressures and stimulate the urethra at the same time.

SYSTEMS AND METHODS FOR THE TREATMENT OF PAIN THROUGH NEURAL FIBER STIMULATION

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith. 1. A method comprising the step of:stimulating afferent nerve fibers in a predetermined manner to generate a stochastic response of action potentials in the nerve fibers in an animal to reduce a perception of pain by the animal.2. A method according to claim 1 , wherein the animal is a human.3. A method according to claim 2 , wherein the stimulating step comprises electrically stimulating the afferent nerve fibers.4. A method according to claim 3 , wherein the afferent nerve fibers are located outside a neural receptor and outside a central nervous system of the human.5. A method according to claim 4 , wherein the afferent nerve fibers are located between a neural receptor and the central nervous system of the human.6. A method according to claim 1 , wherein the afferent nerve fibers innervate neural receptors.7. A method according to claim 6 , wherein the neural receptors are proprioceptors.8. A method according to claim 1 , wherein the afferent nerve fibers are in neural ...

Systems and methods for the treatment of pain through neural fiber stimulation

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith ...

Systems and methods for bilateral stimulation of left and right branches of the dorsal genital nerves to treat urologic dysfunctions

Systems and methods treat urologic dysfunctions by implanting a lead and electrode in a tissue region affecting urologic function, and coupling the lead to an external pulse generator. If desired results are achieved, the external pulse generator is removed and an implantable pulse generator is implanted in an anterior pelvic region remote from the electrode. Bilateral stimulation of the left and/or right branches of the dorsal genital nerves using a single lead implanted in adipose or other tissue in the region at or near the pubic symphysis is able to treat urologic dysfunctions.

Systems and methods for the treatment of pain through neural fiber stimulation

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith ...

Electrical stimulator and mounting patch assembly

Electrical controller

Systems and methods for the treatment of pain through neural fiber stimulation

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith ...

Systems and methods to place one or more leads in muscle for providing electrical stimulation to treat pain

Systems and methods are adapted to provide the relief of pain. The systems and methods make possible the percutaneous placement of one or more intramuscular leads, without the need for fluoroscopy, for providing electrical stimulation to activate a motor point innervating the muscle, to provide the therapeutic relief of pain. The one or more intramuscular leads may be placed in muscle(s) to resist migration. The target nerves and their motor points innervate the muscles in which the one or more leads are placed. The systems and methods can include a two-stage solution. The first stage may include temporary systems and methods, including the use of an external pulse generator. The second stage may include more permanent systems and methods, including the use of an implanted pulse generator.

Systems and methods to place one or more leads in muscle for providing electrical stimulation to treat pain

Systems and methods are adapted to provide the relief of pain. The systems and methods make possible the percutaneous placement of one or more intramuscular leads, without the need for fluoroscopy, for providing electrical stimulation to activate a motor point innervating the muscle, to provide the therapeutic relief of pain. The one or more intramuscular leads may be placed in muscle(s) to resist migration. The target nerves and their motor points innervate the muscles in which the one or more leads are placed. The systems and methods can include a two-stage solution. The first stage may include temporary systems and methods, including the use of an external pulse generator. The second stage may include more permanent systems and methods, including the use of an implanted pulse generator.

Portable assemblies, systems, and methods for providing functional or therapeutic neurostimulation

Neurostimulation assemblies, systems, and methods make possible the providing of short-term therapy or diagnostic testing by providing electrical connections between muscles and/or nerves inside the body and stimulus generators and/or recording instruments mounted on the surface of the skin or carried outside the body. Neurostimulation assemblies, systems, and methods may include a carrier and an electronics pod, the electronics pod including stimulation generation circuitry and user interface components. A power source and/or flash memory may be incorporated in neurostimulation assembly and/or the return electrode. The assemblies, systems, and methods are adapted to provide coordinated neurostimulation to multiple regions of the body.

SYSTEMS AND METHODS FOR THE TREATMENT OF PAIN THROUGH NEURAL FIBER STIMULATION

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith. 1. A method comprising the step of:stimulating afferent nerve fibers in a predetermined manner to generate a stochastic response of action potentials in the nerve fibers in an animal to reduce a perception of pain by the animal.2. A method according to claim 1 , wherein the animal is a human.3. A method according to claim 2 , wherein the stimulating step comprises electrically stimulating the afferent nerve fibers.4. A method according to claim 3 , wherein the afferent nerve fibers are located outside a neural receptor and outside a central nervous system of the human.5. A method according to claim 4 , wherein the afferent nerve fibers are located between a neural receptor and the central nervous system of the human.6. A method according to claim 1 , wherein the afferent nerve fibers innervate neural receptors.7. A method according to claim 6 , wherein the neural receptors are proprioceptors.8. A method according to claim 1 , wherein the afferent nerve fibers are in neural ...

Systems and methods for providing percutaneous electrical stimulation

Systems and methods according to the present invention relate to a novel peripheral nerve stimulation system for the treatment of pain, such as pain that exists after amputation.

Systems and methods including lead and electrode structures sized and configured for implantation in adipose tissue

A stimulation electrode assembly comprises an elongated lead sized and configured to be implanted within an adipose tissue region. The lead includes an electrically conductive portion to apply electrical stimulation to nerve or muscle in the adipose tissue region and at least one expandable anchoring structure deployable from the lead to engage adipose tissue and resist dislodgment and/or migration of the electrically conductive portion within the adipose tissue region.

Methods for electrical stimulation of nerves in adipose tissue regions

Systems provide a stimulation electrode assembly sized and configured for placement in an adipose tissue region to stimulate a nerve in the adipose tissue region comprising an elongated lead sized and configured to be implanted within the adipose tissue region, the lead including at least two electrically conductive portions to apply electrical stimulation to nerve tissue in the adipose tissue region, and at least two expandable anchoring structures deployable from the lead to engage adipose tissue and resist dislodgment and/or migration of the at least two electrically conductive portions within the adipose tissue region.

Systems and methods for clinician control of stimulation systems

Systems and methods for programming and logging medical device and patient data are provided. The systems include a handheld device, which is capable of communicating with a medical device, and a base station, which provides connectivity for the handheld device to accomplish various functions such as recharging, programming, data back-up and data entry. The methods comprise the steps of detecting a medical device, obtaining and recording information from the medical device. Additionally, medical device parameters may be modified and the recorded information may be archived for future reference.

SYSTEM AND METHOD FOR TREATING SHOULDER PAIN RELATED TO SUBACROMIAL IMPINGEMENT SYNDROME

Systems and methods are provided for treating chronic pain occurring secondarily to subacromial impingement syndrome in a human body. A system is provided to deliver percutaneous electrical stimulation through at least one electrode to neurological motor points of the posterior and middle deltoid muscles to mediate such pain. One-time, continued and/or periodic dosing of treatment methods according to the present invention may result in a change to central nervous system maladaptive neuroplasticity.

SYSTEMS AND METHODS FOR THE TREATMENT OF PAIN THROUGH NEURAL FIBER STIMULATION

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith. 1. A method of reducing a perception of pain , the method comprising the steps of:inserting a single contact electrode in-vivo a therapeutically effective distance from a target afferent nerve fiber;electrically stimulating through the electrode the target afferent nerve fiber to generate an action potential in the target afferent nerve fiber while avoiding generation of unwanted responses in non-target nerve fiber.2. The method of claim 1 , wherein the therapeutically effective distance is greater that 1 mm from the target afferent nerve fiber.3. The method of claim 1 , wherein the target afferent nerve fiber comprises a Type Ia or Type Ib afferent nerve fiber.4. The method of claim 1 , wherein the generation of unwanted responses in the non-target nerve comprises generation of action potentials in a small sensory nerve fiber.5. The method of claim 1 , wherein the generation of unwanted responses in the non-target nerve fiber comprises generation of action potentials in Type III ...

Lead and electrode structures sized and configured for implantation in adipose tissue and associated methods of implantation

Systems and methods provide a stimulation electrode assembly comprising an elongated lead sized and configured to be implanted within an adipose tissue region. The lead includes an electrically conductive portion to apply electrical stimulation to nerve or muscle in the adipose tissue region and at least one expandable anchoring structure deployable from the lead to engage adipose tissue and resist dislodgment and/or migration of the electrically conductive portion within the adipose tissue region.

SYSTEMS AND METHODS FOR THE TREATMENT OF PAIN THROUGH NEURAL FIBER STIMULATION

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith. 1. A method comprising the step of:stimulating efferent nerve fibers to generate an action potential in the efferent nerve fibers in an animal to reduce a perception of pain by the animal.2. A method according to claim 1 , wherein the animal is a human.3. A method according to claim 2 , wherein the stimulating step comprises electrically stimulating the efferent nerve fibers.4. A method according to claim 3 , wherein the efferent nerve fibers are located outside a neurological motor point and outside a central nervous system of the human.5. A method according to claim 4 , wherein the efferent nerve fibers are located between a neurological motor point and the central nervous system of the human.6. A method according to claim 4 , the efferent nerve fibers comprising motor axons.7. A method according to claim 6 , the motor axons comprising Aα axons.8. A method according to claim 7 , further comprising the step of activating extrafusal muscle fibers.9. A method according to claim 6 , ...

SYSTEMS AND METHODS FOR PROVIDING PERCUTANEOUS ELECTRICAL STIMULATION

Systems and methods according to the present invention relate to a novel peripheral nerve stimulation system for the treatment of pain, such as pain that exists after amputation. 1. A system comprising:a patch member having an adhesive disposed on a first side and a patch mounting structure disposed on a second side, opposite the first side, and an electrically conductive return electrode material disposed between the first side and the second side; a housing having oppositely disposed, substantially planar top and bottom surfaces, wherein the top surface is imperforate;', 'a device mounting structure on the bottom surface physically mated with the patch mounting structure;', 'electrical stimulation generation circuitry disposed at least partially within the housing;', 'one or more of a rechargeable battery, an inductive charging circuit adapted to receive an inductive charging signal, and a wireless communication module adapted to receive wireless communications to select or a stimulation pattern to be generated by the electrical stimulation circuitry;', 'an electrode electrically coupled to the electrical stimulation generation circuitry., 'an electrical stimulation device comprising2. A system according to claim 1 , wherein the top surface and the bottom surface of the housing are separated by a device thickness claim 1 , wherein the housing further comprises a perimeter edge extending from the bottom surface and a sloped interface edge connecting the top surface to the perimeter edge along a majority of the perimeter thereof wherein the height of the perimeter edge claim 1 , measured perpendicular to the top and bottom surfaces claim 1 , is less than the device thickness.3. A method of treating bodily pain of an animal comprising the steps of:providing a patch member having an adhesive disposed on a first side and a patch mounting structure disposed on a second side, opposite the first side, and an electrically conductive return electrode material disposed ...

Systems and methods for a trial stage and/or long-term treatment of disorders of the body using neurostimulation

Systems and methods screen and/or treat disorders of the body using neurostimulation. A trial system implants a temporary or permanent percutaneous lead and couples the lead to an external pulse generator. The external pulse generator supplies a prescribed stimulation regime through the lead to a targeted tissue region. If an improvement in the treated disorder is achieved, use of the trial system may be continued, or an implantable system may be implanted.

SYSTEM AND METHOD FOR TREATMENT OF PAIN RELATED TO LIMB JOINT REPLACEMENT SURGERY

It has been discovered that pain felt in a given region of the body can be treated by stimulating a peripheral nerve at a therapeutically effective distance from the region where pain is felt to generate a comfortable sensation (i.e., paresthesia) overlapping the regions of pain. A method has been developed to reduce pain in a painful region following limb joint replacement by stimulating a peripheral nerve innervating the painful region with an electrode inserted into tissue and spaced from the peripheral nerve. This method may be used to help alleviate postoperative pain in patients following total knee arthroplasty surgery or other limb joint replacement surgeries. 1. A system to alleviate pain following a limb joint replacement surgery , the system comprising:at least one electrode inserted within a therapeutically effective distance from at least one nerve, wherein the at least one electrode is outside of a region of pain expected from the limb joint replacement surgery;an electrical stimulation device operatively coupled with the electrode, the electrical stimulation device applying electrical stimulation through the at least one electrode to affect the at least one nerve innervating the region of pain expected from the limb joint replacement surgery in advance of the limb joint replacement surgery; andwherein the electrical stimulation causes an area of paresthesia and the area of paresthesia is compared with the region of pain expected from the joint replacement surgery.2. The system of claim 1 , wherein the electrical stimulator device applies electrical stimulation through the at least one electrode after the limb joint replacement surgery.3. The system of claim 2 , wherein the at least one electrode is repositioned within the therapeutically effective distance from the at least one nerve.4. The system of claim 3 , wherein the electrical stimulation device applies electrical stimulation through the repositioned at least one electrode to affect the at least ...

Systems and methods for bilateral stimulation of left and right branches of the dorsal genital nerves to treat urologic dysfunctions

Systems and methods treat urologic dysfunctions by implanting a lead and electrode in a tissue region affecting urologic function, and implanting a pulse generator in an anterior pelvic region remote from the electrode. Bilateral stimulation of the left and/or right branches of the dorsal genital nerves using a single lead implanted in adipose or other tissue in the region at or near the pubic symphysis is able to treat urinary incontinence.

SYSTEMS AND METHODS FOR THE TREATMENT OF PAIN THROUGH NEURAL FIBER STIMULATION

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith. 1. A method comprising the step of:stimulating efferent nerve fibers to generate an action potential in the efferent nerve fibers in an animal to reduce a perception of pain by the animal.2. A method according to claim 1 , wherein the animal is a human.3. A method according to claim 2 , wherein the stimulating step comprises electrically stimulating the efferent nerve fibers.4. A method according to claim 3 , wherein the efferent nerve fibers are located outside a neurological motor point and outside a central nervous system of the human.5. A method according to claim 4 , wherein the efferent nerve fibers are located between a neurological motor point and the central nervous system of the human.6. A method according to claim 4 , the efferent nerve fibers comprising motor axons.7. A method according to claim 6 , the motor axons comprising Aα axons.8. A method according to claim 7 , further comprising the step of activating extrafusal muscle fibers.9. A method according to claim 6 , ...

SYSTEMS AND METHODS FOR THE TREATMENT OF PAIN THROUGH NEURAL FIBER STIMULATION

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith.

Systems and methods for patient control of stimulation systems

Provided is a portable controller and associated method that provides a patient or caregiver the ability to recharge and alter the parameters of an implanted medical device, while allowing the patient substantially unobstructed mobility. To enable mobility, the controller may be worn on a belt or clothing. The controller also allows the patient to turn device stimulation on and off, check battery status, and to vary stimulation parameters within ranges that may be predefined and programmed by a clinician. The controller communicates with the medical device to retrieve information and make parameter adjustments using wireless telemetry, and it can send and receive information from several feet away from the implanted medical device. Charging of a battery contained in the implanted medical device is achieved via an inductive radio frequency link using a charge coil placed in close proximity to the medical device.

Implantable pulse generator systems and methods for providing functional and / or therapeutic stimulation of muscles and / or nerves and / or central nervous system tissue

Improved assemblies, systems, and methods provide a stimulation system for prosthetic or therapeutic stimulation of muscles, nerves, or central nervous system tissue, or any combination. The stimulation system includes both implantable components and external components. The implantable components comprise a pulse generator including an operating system, a predefined set of stimulation parameters, a rechargeable battery, a power receiving coil, and a lead coupled to an electrode to provide electrical stimulation. An external clinical programmer system comprises a clinical programmer adapted for radio frequency wireless telemetry communication with the pulse generator, and a docking station, the docking station including a cradle to dock the hand held clinical programmer, the cradle adapted to provide access to a printer and/or non-volatile memory. An external patient controller system comprises a hand held implant charger controller adapted for radio frequency wireless telemetry communication ...

SYSTEMS AND METHODS FOR TREATING SHOULDER PAIN RELATED TO SUBACROMIAL IMPINGEMENT SYNDROME

Systems and methods are provided for treating chronic pain occurring secondarily to subacromial impingement syndrome in a human body. A system is provided to deliver percutaneous electrical stimulation through at least one electrode to neurological motor points of the posterior and middle deltoid muscles to mediate such pain. One-time, continued and/or periodic dosing of treatment methods according to the present invention may result in a change to central nervous system maladaptive neuroplasticity. 1. A method comprising the steps of:placing an electrode in subepidermal tissue of a human; anddelivering electrical stimulation through the electrode,wherein, after the delivering step, a level of pain perceived by the human, wherein the pain was caused by or occurring secondarily to subacromial impingement syndrome, is reduced.2. A method according to claim 1 , wherein during the delivering step claim 1 , a level of pain perceived by the human claim 1 , wherein the pain was caused by or occurring secondarily to subacromial impingement syndrome claim 1 , is reduced. This application claims the benefit of co-pending U.S. Provisional Patent Application No. 61/419,537, filed 3 Dec. 2010, and entitled “Systems and Methods for Treatment of Pain caused by Subacromial Impingement,” which is incorporated by reference herein in its entirety.This application also claims the benefit of co-pending U.S. Provisional Patent Application No. 61/540,934, filed 29 Sep. 2011, and entitled “Systems and Methods for Treating Shoulder Pain Related to Subacromial Impingement Syndrome,” which is incorporated by reference herein in its entirety.This application is also a continuation in part of co-pending U.S. Nonprovisional patent application Ser. No. 13/095,616, filed 27 Apr. 2011, and entitled “Systems and Methods for Percutaneous Electrical Stimulation,” which claims the benefit of U.S. Provisional Patent Application 61/343,325, filed 27 Apr. 2010, and entitled “Systems and Methods for ...

Systems and methods for clinician control of stimulation systems

Systems and methods for programming and logging medical device and patient data are provided. The systems include a handheld device, which is capable of communicating with a medical device, and a base station, which provides connectivity for the handheld device to accomplish various functions such as recharging, programming, data back-up and data entry. The methods comprise the steps of detecting a medical device, obtaining and recording information from the medical device. Additionally, medical device parameters may be modified and the recorded information may be archived for future reference.

PORTABLE ASSEMBLIES, SYSTEMS, AND METHODS FOR PROVIDING FUNCTIONAL OR THERAPEUTIC NEUROSTIMULATION

Neurostimulation assemblies, systems, and methods make possible the providing of short-term therapy or diagnostic testing by providing electrical connections between muscles and/or nerves inside the body and stimulus generators and/or recording instruments mounted on the surface of the skin or carried outside the body. Neurostimulation assemblies, systems, and methods may include a carrier and an electronics pod, the electronics pod including stimulation generation circuitry and user interface components. A power source and/or flash memory may be incorporated in neurostimulation assembly and/or the return electrode. The assemblies, systems, and methods are adapted to provide coordinated neurostimulation to multiple regions of the body. 1. A surface mounted electrode comprising:a top layer and a bottom layer, the bottom layer adapted to provide electrical contact and adhesion to a patient,a power source positioned between the top layer and the bottom layer, and electrically coupled to the bottom layer and a cable assembly, anda connector electrically coupled to the cable assembly, the cable assembly and connector adapted to provide electrical contact between the power source and a neurostimulation assembly.2. An electrode according to :wherein at least one conductor of the cable assembly comprises a carbon-fiber wire.3. An electrode according to :wherein the carbon-fiber wire is adapted to make intimate contact with the bottom layer.4. An electrode according to :wherein the top layer comprises an adhesive-backed fabric.5. An electrode according to :wherein the bottom layer comprises a conductive hydrogel material adapted to be placed on the skin.6. An electrode according to :wherein the power source is adapted to be sandwiched between layers of non-conductive material.7. An electrode according to :wherein the layers of non-conductive material and the power source sandwiched there between is sandwiched between the top layer and the bottom layer.8. An electrode ...

Systems and methods including lead and electrode structures sized and configured for implantation in adipose tissue

A stimulation electrode assembly comprises an elongated lead sized and configured to be implanted within an adipose tissue region. The lead includes an electrically conductive portion to apply electrical stimulation to nerve or muscle in the adipose tissue region and at least one expandable anchoring structure deployable from the lead to engage adipose tissue and resist dislodgment and/or migration of the electrically conductive portion within the adipose tissue region.

Portable assemblies, systems, and methods for providing functional or therapeutic neurostimulation

Neurostimulation assemblies, systems, and methods make possible the providing of short-term therapy or diagnostic testing by providing electrical connections between muscles and/or nerves inside the body and stimulus generators and/or recording instruments mounted on the surface of the skin or carried outside the body. Neurostimulation assemblies, systems, and methods may include a carrier and an electronics pod, the electronics pod including stimulation generation circuitry and user interface components. A power source and/or flash memory may be incorporated in neurostimulation assembly and/or the return electrode. The assemblies, systems, and methods are adapted to provide coordinated neurostimulation to multiple regions of the body.

Systems and methods for treating shoulder pain related to subacromial impingement syndrome

Systems and methods are provided for treating chronic pain occurring secondarily to subacromial impingement syndrome in a human body. A system is provided to deliver percutaneous electrical stimulation through at least one electrode to neurological motor points of the posterior and middle deltoid muscles to mediate such pain. One-time, continued and/or periodic dosing of treatment methods according to the present invention may result in a change to central nervous system maladaptive neuroplasticity.

Systems and methods for bilateral stimulation of left and right branches of the dorsal genital nerves to treat dysfunctions, such as urinary incontinence

Systems and methods treat urinary incontinence by the bilateral stimulation of the left and/or right branches of the dorsal genital nerves using a single lead implanted in adipose or other tissue in the region at or near the pubic symphysis.

Systems and methods for clinician control of stimulation system

Systems and methods for programming and logging medical device and patient data are provided. The systems include a handheld device, which is capable of communicating with a medical device, and a base station, which provides connectivity for the handheld device to accomplish various functions such as recharging, programming, data back-up and data entry. The methods comprise the steps of detecting a medical device, obtaining and recording information from the medical device. Additionally, medical device parameters may be modified and the recorded information may be archived for future reference.

SYSTEMS AND METHODS FOR CLINICIAN CONTROL OF STIMULATION SYSTEM

Systems and methods for programming and logging medical device and patient data are provided. The systems include a handheld device, which is capable of communicating with a medical device, and a base station, which provides connectivity for the handheld device to accomplish various functions such as recharging, programming, data back-up and data entry. The methods comprise the steps of detecting a medical device, obtaining and recording information from the medical device. Additionally, medical device parameters may be modified and the recorded information may be archived for future reference.

SYSTEMS AND METHODS TO PLACE ONE OR MORE LEADS IN MUSCLE FOR PROVIDING ELECTRICAL STIMULATION TO TREAT PAIN

Systems and methods are adapted to provide the relief of pain. The systems and methods make possible the percutaneous placement of one or more intramuscular leads, without the need for fluoroscopy, for providing electrical stimulation to activate a motor point innervating the muscle, to provide the therapeutic relief of pain. The one or more intramuscular leads may be placed in muscle(s) to resist migration. The target nerves and their motor points innervate the muscles in which the one or more leads are placed. The systems and methods can include a two-stage solution. The first stage may include temporary systems and methods, including the use of an external pulse generator. The second stage may include more permanent systems and methods, including the use of an implanted pulse generator. 1. A method to reduce and/or relieve pain comprising:percutaneously placing an intramuscular lead into a muscle in a region where pain is felt, such that the lead is in electrical proximity, but not touching, a motor point within the muscle, andelectrically stimulating the motor point within the muscle where the lead is placed to reduce and/or relieve the pain in the region where the pain is felt.2. A method according to :wherein the intramuscular lead includes at least one anchoring member to anchor the lead in the muscle.3. A method according to :wherein electrically stimulating the motor point reduces and/or relieves the pain without any functional movement or response.4. A method according to :wherein the region where the pain is felt comprises the muscle where the intramuscular lead is placed.5. A system for providing therapeutic electrical stimulation to a muscle region where pain is felt to reduce the perception of pain in a muscle region claim 1 , the system comprising:an intramuscular lead having at least one electrode, the lead and electrode adapted to be placed between motor points of at least two muscles, anda pulse generator adapted to provide the therapeutic ...

SYSTEMS AND METHODS FOR THE TREATMENT OF PAIN THROUGH NEURAL FIBER STIMULATION

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith. 1. A method comprising the step of:stimulating afferent nerve fibers in a predetermined manner to generate an action potential in the nerve fibers in an animal to reduce a perception of pain by the animal.2. A method according to claim 1 , wherein the animal is a human.3. A method according to claim 2 , wherein the stimulating step comprises electrically stimulating the afferent nerve fibers.4. A method according to claim 3 , wherein the afferent nerve fibers are located outside a neural receptor and outside a central nervous system of the human.5. A method according to claim 4 , wherein the afferent nerve fibers are located between a neural receptor and the central nervous system of the human.6. A method according to claim 1 , wherein the afferent nerve fibers innervate neural receptors.7. A method according to claim 6 , wherein the neural receptors are proprioceptors.8. A method according to claim 1 , wherein the afferent nerve fibers are in neural communication with neural ...

Systems and Methods for Providing Percutaneous Electrical Stimulation

Systems and methods according to the present invention relate to a novel peripheral nerve stimulation system for the treatment of pain, such as pain that exists after amputation. 1. A system comprising:a patch member having an adhesive disposed on a first side and a patch mounting structure disposed on a second side, opposite the first side, and an electrically conductive return electrode material disposed between the first side and the second side; a housing having oppositely disposed, substantially planar top and bottom surfaces, wherein the top surface is imperforate;', 'a device mounting structure on the bottom surface physically mated with the patch mounting structure;', 'electrical stimulation generation circuitry disposed at least partially within the housing;', 'one or more of a rechargeable battery, an inductive charging circuit adapted to receive an inductive charging signal, and a wireless communication module adapted to receive wireless communications to select or a stimulation pattern to be generated by the electrical stimulation circuitry;, 'an electrical stimulation device comprisingan electrode electrically coupled to the electrical stimulation generation circuitry.2. A system according to claim 1 , wherein the top surface and the bottom surface of the housing are separated by a device thickness claim 1 , wherein the housing further comprises a perimeter edge extending from the bottom surface and a sloped interface edge connecting the top surface to the perimeter edge along a majority of the perimeter thereof wherein the height of the perimeter edge claim 1 , measured perpendicular to the top and bottom surfaces claim 1 , is less than the device thickness.3. A method of treating bodily pain of an animal comprising the steps of:providing a patch member having an adhesive disposed on a first side and a patch mounting structure disposed on a second side, opposite the first side, and an electrically conductive return electrode material disposed between ...

SYSTEM AND METHOD FOR TREATMENT OF PAIN RELATED TO LIMB JOINT REPLACEMENT SURGERY

It has been discovered that pain felt in a given region of the body can be treated by stimulating a peripheral nerve at a therapeutically effective distance from the region where pain is felt to generate a comfortable sensation (i.e., paresthesia) overlapping the regions of pain. A method has been developed to reduce pain in a painful region following limb joint replacement by stimulating a peripheral nerve innervating the painful region with an electrode inserted into tissue and spaced from the peripheral nerve. This method may be used to help alleviate postoperative pain in patients following total knee arthroplasty surgery or other limb joint replacement surgeries. 1. An electrical stimulation device comprising:at least one percutaneous lead adapted for insertion within tissue of an animal body; anda pulse generator operatively coupled with the at least one lead, wherein the pulse generator is configured to stimulate at least one nerve innervating a region of pain following a limb joint replacement surgery.2. The electrical stimulation device of claim 1 , wherein the limb joint replacement surgery is a total knee arthroplasty.3. The electrical stimulation device of claim 1 , wherein the limb joint replacement surgery claim 1 , including claim 1 , without limitation claim 1 , total and partial limb joint replacement claim 1 , is selected from a group consisting of: a shoulder claim 1 , elbow claim 1 , wrist claim 1 , finger joint claim 1 , hip claim 1 , knee claim 1 , ankle and toe joint.4. The electrical stimulation device of claim 1 , wherein stimulating the at least one nerve results in paresthesia to the painful region.5. The electrical stimulation device of claim 1 , wherein the at least one nerve is selected from a group consisting of a femoral nerve claim 1 , a sciatic nerve claim 1 , lateral femoral cutaneous nerve claim 1 , and an obturator nerve.6. The electrical stimulation device of claim 5 , wherein the at least one nerve includes the branches ...

SYSTEM AND METHOD FOR TREATING SHOULDER PAIN RELATED TO SUBACROMIAL IMPINGEMENT SYNDROME

Systems and methods are provided for treating chronic pain occurring secondarily to subacromial impingement syndrome in a human body. A system is provided to deliver percutaneous electrical stimulation through at least one electrode to neurological motor points of the posterior and middle deltoid muscles to mediate such pain. One-time, continued and/or periodic dosing of treatment methods according to the present invention may result in a change to central nervous system maladaptive neuroplasticity. 1. A method comprising the steps of:placing an electrode in subepidermal tissue of a human; anddelivering electrical stimulation through the electrode,wherein, after the delivering step, a level of pain perceived by the human, wherein the pain was caused by or occurring secondarily to subacromial impingement syndrome, is reduced.2. A method according to claim 1 , wherein during the delivering step claim 1 , a level of pain perceived by the human claim 1 , wherein the pain was caused by or occurring secondarily to subacromial impingement syndrome claim 1 , is reduced. This application claims the benefit of co-pending U.S. Provisional Patent Application No. 61/419,537, filed 3 Dec. 2010, and entitled “Systems and Methods for Treatment of Pain caused by Subacromial Impingement,” which is incorporated by reference herein in its entirety.This application also claims the benefit of co-pending U.S. Provisional Patent Application No. 61/540,934, filed 29 Sep. 2011, and entitled “Systems and Methods for Treating Shoulder Pain Related to Subacromial Impingement Syndrome,” which is incorporated by reference herein in its entirety.This application is also a continuation in part of co-pending U.S. Nonprovisional patent application Ser. No. 13/095,616, filed 27 Apr. 2011, and entitled “Systems and Methods for Percutaneous Electrical Stimulation,” which claims the benefit of U.S. Provisional Patent Application 61/343,325, filed 27 Apr. 2010, and entitled “Systems and Methods for ...

SYSTEMS AND METHODS FOR THE TREATMENT OF PAIN THROUGH NEURAL FIBER STIMULATION

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith. 1. An electrical stimulation system comprising:a single contact electrode insertable in-vivo a therapeutically effective distance from a target afferent nerve fiber;an electrical stimulator operatively coupled with the single contact electrode to provide electrical stimulation through the single contact electrode to the target afferent nerve fiber generating an action potential in the target afferent nerve fiber while avoiding generation of unwanted responses in non-target nerve fiber.2. The electrical stimulation system of claim 1 , wherein the therapeutically effective distance is greater that 1 mm from the target afferent nerve fiber.3. The electrical stimulation system of claim 1 , wherein the generation of unwanted responses in the non-target nerve comprises generation of action potentials in a small sensory nerve fiber.4. The electrical stimulation system of claim 1 , wherein the generation of unwanted responses in the non-target nerve fiber comprises generation of action ...

SYSTEMS AND METHODS FOR TREATING SHOULDER PAIN RELATED TO SUBACROMIAL IMPINGEMENT SYNDROME

Systems and methods are provided for treating chronic pain occurring secondarily to subacromial impingement syndrome in a human body. A system is provided to deliver percutaneous electrical stimulation through at least one electrode to neurological motor points of the posterior and middle deltoid muscles to mediate such pain. One-time, continued and/or periodic dosing of treatment methods according to the present invention may result in a change to central nervous system maladaptive neuroplasticity. 1. A method comprising the steps of:placing an electrode in subepidermal tissue of a human; anddelivering electrical stimulation through the electrode,wherein, after the delivering step, a level of pain perceived by the human, wherein the pain was caused by or occurring secondarily to subacromial impingement syndrome, is reduced.2. A method according to claim 1 , wherein during the delivering step claim 1 , a level of pain perceived by the human claim 1 , wherein the pain was caused by or occurring secondarily to subacromial impingement syndrome claim 1 , is reduced. This application claims the benefit of co-pending U.S. Provisional Patent Application No. 61/419,537, filed 3 Dec. 2010, and entitled “Systems and Methods for Treatment of Pain caused by Subacromial Impingement,” which is incorporated by reference herein in its entirety.This application also claims the benefit of co-pending U.S. Provisional Patent Application No. 61/540,934, filed 29 Sep. 2011, and entitled “Systems and Methods for Treating Shoulder Pain Related to Subacromial Impingement Syndrome,” which is incorporated by reference herein in its entirety.This application is also a continuation in part cf co-pending U.S. Nonprovisional patent application Ser. No. 13/04,616, filed 27 Apr. 2011, and entitled “Systems and Methods for Percutaneous Electrical Stimulation,” which claims the benefit of U.S. Provisional Patent Application 61/343,325, filed 27 Apr. 2010, and entitled “Systems and Methods for ...

Systems and methods for treating shoulder pain related to subacromial impingement syndrome

Systems and methods are provided for treating chronic pain occurring secondarily to subacromial impingement syndrome in a human body. A system is provided to deliver percutaneous electrical stimulation through at least one electrode to neurological motor points of the posterior and middle deltoid muscles to mediate such pain. One-time, continued and/or periodic dosing of treatment methods according to the present invention may result in a change to central nervous system maladaptive neuroplasticity.

SYSTEMS AND METHODS FOR TREATING SHOULDER PAIN RELATED TO SUBACROMIAL IMPINGEMENT SYNDROME

Systems and methods are provided for treating chronic pain occurring secondarily to subacromial impingement syndrome in a human body. A system is provided to deliver percutaneous electrical stimulation through at least one electrode to neurological motor points of the posterior and middle deltoid muscles to mediate such pain. One-time, continued and/or periodic dosing of treatment methods according to the present invention may result in a change to central nervous system maladaptive neuroplasticity. 1. (canceled)2. (canceled)3. An electrical stimulation system comprising:a lead;at least one electrode insertable into a patient, the at least one electrode operatively coupled with the lead; andan electrical stimulator operatively coupled with the lead, wherein the electrical stimulator delivers electrical stimulation through the at least one electrode to at least one of an axillary nerve or a femoral nerve to produce a muscle contraction providing physiologic activation of afferent input to a central nervous system of the patient to treat pain.4. The electrical stimulation system of claim 3 , wherein the at least one electrode is formed as part of the lead.5. The electrical stimulation system of claim 4 , wherein the at least one electrode extends from a conductor attached with the lead.6. The electrical stimulation system of claim 4 , wherein the lead includes a portion having an insulated body and the at least one electrode is formed from a portion of the lead free of the insulated body.7. The electrical stimulation system of claim 3 , wherein the electrical stimulator is an implantable electrical stimulator.8. The electrical system of claim 3 , wherein the at least one electrode comprises a single electrode.9. An electrical stimulation system comprising:a lead;an electrode insertable into subepidermal tissue of a patient, the electrode operatively coupled with the lead; andan electrical stimulator operatively coupled with the lead, wherein the electrical stimulator ...

SYSTEMS AND METHODS FOR CLINICIAN CONTROL OF STIMULATION SYSTEMS

Systems and methods for programming and logging medical device and patient data are provided. The systems include a handheld device, which is capable of communicating with a medical device, and a base station, which provides connectivity for the handheld device to accomplish various functions such as recharging, programming, data back-up and data entry. The methods comprise the steps of detecting a medical device, obtaining and recording information from the medical device. Additionally, medical device parameters may be modified and the recorded information may be archived for future reference.

SYSTEMS AND METHODS FOR THE TREATMENT OF PAIN THROUGH NEURAL FIBER STIMULATION

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith. 1. A method comprising the steps of:percutaneously inserting or instructing insertion of a single contact electrode operatively coupled with a lead in-vivo in a patient a therapeutically effective distance from a target efferent nerve fiber, wherein the therapeutically effective distance comprises 1 mm;electrically stimulating or instructing electrical stimulation through the lead and electrode the target efferent nerve fiber to generate an action potential in the target efferent nerve fiber while avoiding generation of action potentials in a small sensory nerve fiber to generate or modulate response afferent activity by contracting muscle fibers to reduce a perception of pain in the patient.2. The method of claim 1 , wherein the target efferent nerve fibers comprise motor axons.3. The method of further comprising activation of intrafusal or extrafusal muscle fibers.4. A method of reducing a perception of pain claim 1 , the method comprising the steps of:percutaneously inserting ...

SYSTEMS AND METHODS FOR PATIENT CONTROL OF STIMULATION SYSTEMS

Provided is a portable controller and associated method that provides a patient or caregiver the ability to recharge and alter the parameters of an implanted medical device, while allowing the patient substantially unobstructed mobility. To enable mobility, the controller may be worn on a belt or clothing. The controller also allows the patient to turn device stimulation on and off, check battery status, and to vary stimulation parameters within ranges that may be predefined and programmed by a clinician. The controller communicates with the medical device to retrieve information and make parameter adjustments using wireless telemetry, and it can send and receive information from several feet away from the implanted medical device. Charging of a battery contained in the implanted medical device is achieved via an inductive radio frequency link using a charge coil placed in close proximity to the medical device. 133.-. (canceled)34: A method for communicating with an implanted medical device , the method comprising the steps of:a. providing a portable communicative device having a user input interface and a user output interface, said communicative device capable of non-inductive radio frequency (RF) communication;b. supplying electric power to the portable communicative device;c. activating the portable communicative device;d. broadcasting a wireless communication message from portable communicative device;e. receiving a wireless communication response from the implanted medical device; andf. indicating a status of the implanted medical device on the user output interface.3520: The method of claim , wherein the activating step is carried out through the user input interface.3620: The method of claim , wherein the broadcasted message contains a predetermined medical device identifier.37: A method for detecting proper positioning of a transcutaneous recharger for an implanted medical device the method comprising the steps of:a. providing a handheld controller ...

SYSTEMS AND METHODS FOR THE TREATMENT OF PAIN THROUGH NEURAL FIBER STIMULATION

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary, receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith. 1. A method of reducing a perception of pain , the method comprising:percutaneously inserting a lead comprising at least one electrode in-vivo a therapeutically effective distance from a target afferent nerve fiber; andelectrically stimulating through the at least one electrode the target afferent nerve fiber at a first frequency of 1 kHz to 20 kHz and at a second frequency of 1 Hz to 30 Hz preventing stimulation-induced pain while generating a desired response in the target afferent nerve fiber to cause pain relief while avoiding generation of an unwanted response in a non-target nerve fiber.2. The method of claim 1 , wherein the therapeutically effective distance is 1 mm.3. The method of claim 1 , wherein the lead comprises first and second electrodes.4. The method of claim 3 , wherein the first electrode applies the first frequency and the second electrode applies the second frequency.5. The method of claim 1 , wherein the first frequency comprises 4 kHz to 20 kHz.6. The ...

SYSTEMS AND METHODS FOR TREATING SHOULDER PAIN RELATED TO SUBACROMIAL IMPINGEMENT SYNDROME

Systems and methods are provided for treating chronic pain occurring secondarily to subacromial impingement syndrome in a human body. A system is provided to deliver percutaneous electrical stimulation through at least one electrode to neurological motor points of the posterior and middle deltoid muscles to mediate such pain. One-time, continued and/or periodic dosing of treatment methods according to the present invention may result in a change to central nervous system maladaptive neuroplasticity. 1. (canceled)2. (canceled)3. An electrical stimulation system comprising:an intramuscular lead;at least one electrode insertable into a patient, the at least one electrode operatively coupled with the intramuscular lead;an electrical stimulator operatively coupled with the intramuscular lead, wherein the electrical stimulator delivers electrical stimulation through the at least one electrode to produce a muscle contraction in a target area providing physiologic activation of muscle spindles and golgi tendon organs and afferent input to a central nervous system of the patient to treat pain.4. The electrical stimulation system of claim 3 , wherein the at least one electrode is formed as part of the intramuscular lead.5. The electrical stimulation system of claim 4 , wherein the at least one electrode extends from a conductor attached with the intramuscular lead.6. The electrical stimulation system of claim 3 , wherein the lead includes a portion having an insulated body and the at least one electrode is formed from a portion of the intramuscular lead free of the insulated body.7. The electrical stimulation system of claim 1 , wherein the electrical stimulator is external to the patient.8. The electrical stimulation system of claim 3 , wherein the electrical stimulator is implanted in the patient.9. The electrical stimulation system of claim 3 , wherein the intramuscular lead comprises an insulated coiled portion.10. The electrical system of further comprising an introducer ...

System and method for treatment of pain related to limb joint replacement surgery

It has been discovered that pain felt in a given region of the body can be treated by stimulating a peripheral nerve at a therapeutically effective distance from the region where pain is felt to generate a comfortable sensation (i.e., paresthesia) overlapping the regions of pain. A method has been developed to reduce pain in a painful region following limb joint replacement by stimulating a peripheral nerve innervating the painful region with an electrode inserted into tissue and spaced from the peripheral nerve. This method may be used to help alleviate postoperative pain in patients following total knee arthroplasty surgery or other limb joint replacement surgeries.

Systems and methods for the treatment of pain through neural fiber stimulation

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith.

SYSTEMS AND METHODS RELATED TO THE TREATMENT OF BACK PAIN

The present invention reduces pain and improves function long-term in persons with back pain using electrical stimulation in the back. This approach involves an electrical stimulation device including at least one electrode adapted for insertion within an animal body with back pain and at least one pulse generator operatively coupled with the at least one electrode, wherein the pulse generator delivers electrical stimulation activating at least a nerve innervating at least a paraspinal muscle in a back of the animal body for pain relief. 1. A method to alleviate back pain , the method comprising the steps of:placing at least one electrode within a tissue of an animal body, andapplying electrical stimulation through the at least one electrode to activate at least one nerve near the dorsal ramus of the animal body for pain relief.2. The method of claim 1 , further comprising the step of modulating central neural processing through the activation of the at least one nerve near the dorsal ramus of the animal body.3. The method of claim 2 , further comprising the step of activating at least one paraspinal muscle of the animal body through the activation of the at least one nerve near the dorsal root of the animal body.4. The method of claim 3 , wherein the activation of the at least one paraspinal muscle does not affect the strength of the paraspinal muscle.5. The method of claim 4 , further comprising the step of producing an increase in stimulation-evoked neural encoded signals.6. The method of claim 5 , further comprising the step of producing a change in afferent and/or efferent nerve activity.7. The method of claim 6 , further comprising the steps of evaluating an area of back pain.8. The method of claim 7 , further comprising the step of repositioning the at least one electrode at a location based on the area of back pain.9. The method of claim 8 , further comprising the step of applying electrical stimulation through the repositioned electrode.10. The method of ...

SYSTEMS AND METHODS RELATED TO THE TREATMENT OF BACK PAIN

The present invention reduces pain and improves function long-term in persons with back pain using electrical stimulation in the back. This approach involves an electrical stimulation device including at least one electrode adapted for insertion within an animal body with back pain and at least one pulse generator operatively coupled with the at least one electrode, wherein the pulse generator delivers electrical stimulation activating at least one muscle in a back of the animal body for pain relief. 1. A system comprising:a lead percutaneously insertable into tissue of an animal body, the lead having an insulated and a de-insulated portion;a single electrode, wherein the single electrode is formed from the de-insulated portion; andan electrical stimulator operatively coupled with the lead, the electrical stimulator configured to apply an intensity of electrical stimulation through the single electrode to activate motor axons of at least one muscle in a back of the animal body with back pain causing muscle contraction of the at least one muscle without activation of painful sensory axons.2. The system of claim 1 , wherein the electrical stimulator is configured to apply a first set of electrical stimulation parameters.3. The system of claim 2 , wherein the electrical stimulator is configured to apply a second set of electrical stimulation parameters claim 2 , wherein the first electrical stimulation parameters are different from the first electrical stimulation parameters.4. The system of claim 2 , wherein the first and second set of electrical stimulation parameters are selected from a group consisting of:frequency, pulse duration, amplitude, duty cycle, pattern of stimulus pulses, polarity, number of phases, and waveform shape.5. The system of claim 1 , further comprising a second electrode operatively coupled with the electrical stimulator.6. The system of claim 1 , wherein the electrical stimulator is an external electrical stimulator attachable to a body.7. The ...

SYSTEMS AND METHODS RELATED TO THE TREATMENT OF BACK PAIN

The present invention reduces pain and improves function long-term in persons with back pain using electrical stimulation in the back. This approach involves an electrical stimulation device including at least one electrode adapted for insertion within an animal body with back pain and at least one pulse generator operatively coupled with the at least one electrode, wherein the pulse generator delivers electrical stimulation activating at least a nerve innervating at least a paraspinal muscle in a back of the animal body for pain relief. 1. An electrical stimulation device comprising:a monopolar electrode adapted for insertion within an animal body;a percutaneous lead operatively coupled with the monopolar electrode; andan ex-vivo pulse generator operatively coupled with the electrode through the percutaneous lead, wherein the pulse generator delivers electrical stimulation of peripheral nerves activating central pain processing via generation of afferent signals without requiring stabilization of the spine, musculature or connective tissue.2. The electrical stimulation device of claim 1 , wherein the percutaneous lead is a coiled lead.3. The electrical stimulation device of claim 1 , wherein the percutaneous lead includes an insulated portion and a deinsulated portion whereby the deinsulated portion forms the monopolar electrode.4. The electrical stimulation device of claim 3 , wherein the percutaneous lead includes a barb formed from the deinsulated portion.5. The electrical stimulation device of claim 3 , wherein the percutaneous lead includes a taper between the insulated portion and deinsulated portion.6. The electrical stimulation device of claim 1 , wherein the pulse generator is wirelessly powered.7. The electrical stimulation device of claim 1 , wherein the generator comprises a housing with a clip configured to attach to a belt.8. The electrical stimulation device of claim 1 , wherein the pulse generator comprises a display.9. The electrical stimulation ...

SYSTEM AND METHOD FOR TREATMENT OF PAIN RELATED TO LIMB JOINT REPLACEMENT SURGERY

It has been discovered that pain felt in a given region of the body can be treated by stimulating a peripheral nerve at a therapeutically effective distance from the region where pain is felt to generate a comfortable sensation (i.e., paresthesia) overlapping the regions of pain. A method has been developed to reduce pain in a painful region following limb joint replacement by stimulating a peripheral nerve innervating the painful region with an electrode inserted into tissue and spaced from the peripheral nerve. This method may be used to help alleviate postoperative pain in patients following total knee arthroplasty surgery or other limb joint replacement surgeries. 1. A method to alleviate pain post limb joint replacement surgery , the method comprising:identifying a tissue region outside of an expected targeted region of pain resulting from the limb joint replacement surgery;placing at least one percutaneous lead within the tissue region near a peripheral nerve innervating the expected targeted region of pain; andapplying electrical stimulation to the peripheral nerve after the limb joint replacement surgery using a pulse generator operatively coupled with the at least one lead; andevoking a post-surgical area of paresthesia without functional nerve stimulation at a motor point and without damaging the peripheral nerve.2. The method of claim 1 , wherein the limb joint replacement surgery comprises a total knee arthroplasty.3. The method of claim 1 , wherein the limb joint replacement surgery comprises claim 1 , total and partial limb joint replacement claim 1 , and is selected from a group consisting of: a shoulder claim 1 , elbow claim 1 , wrist claim 1 , finger joint claim 1 , hip claim 1 , knee claim 1 , ankle and toe joint.4. The method of claim 1 , wherein the peripheral nerve is selected from a group consisting of a femoral nerve claim 1 , a sciatic nerve claim 1 , lateral femoral cutaneous nerve claim 1 , and an obturator nerve.5. The method of claim 1 , ...

SYSTEMS AND METHODS FOR THE TREATMENT OF PAIN THROUGH NEURAL FIBER STIMULATION

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith. 1. A system for reducing the perception of pain in a human by generating action potentials in targeted nerve fibers with electrical stimulation while avoiding action potential in non-targeted nerve fibers comprising:a percutaneous lead carrying a single contact electrode proximate to a distal tip of the lead; andpulse generator connected to the lead delivering electrical stimulation to the electrode at an intensity between 0.1 mA and 40 mA and having a monophasic, bisphasic, or multi-phasic pulse with a pulse width between 40 μs and 1000 μs and waveform shape that is rectangular, exponential, or a combination of rectangular and exponential.2. The system of further comprising an introducer.3. The system of wherein the percutaneous lead includes a coiled metal wire with an open core.4. The system of wherein the wire includes at least one material selected from polyfluorocarbon claim 3 , polyimide claim 3 , parylene claim 3 , and a textured bacteriostatic material.5. The system of ...

Systems and methods for the treatment of pain through neural fiber stimulation

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith.

Systems and methods for the treatment of pain through neural fiber stimulation

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith.

Portable assemblies, systems, and methods for providing functional or therapeutic neurostimulation

Neurostimulation assemblies, systems, and methods make possible the providing of short-term therapy or diagnostic testing by providing electrical connections between muscles and/or nerves inside the body and stimulus generators and/or recording instruments mounted on the surface of the skin or carried outside the body. Neurostimulation assemblies, systems, and methods may include a carrier and an electronics pod, the electronics pod including stimulation generation circuitry and user interface components. A power source and/or flash memory may be incorporated in neurostimulation assembly and/or the return electrode. The assemblies, systems, and methods are adapted to provide coordinated neurostimulation to multiple regions of the body.

Systems and methods to place one or more leads in muscle for providing electrical stimulation to treat pain

Systems and methods are adapted to provide the relief of pain. The systems and methods make possible the percutaneous placement of one or more intramuscular leads, without the need for fluoroscopy, for providing electrical stimulation to activate a motor point innervating the muscle, to provide the therapeutic relief of pain. The one or more intramuscular leads may be placed in muscle (s) to resist migration. The target nerves and their motor points innervate the muscles in which the one or more leads are placed. The systems and methods can include a two-stage solution. The first stage may include temporary systems and methods, including the use of an external pulse generator. The second stage may include more permanent systems and methods, including the use of an implanted pulse generator.

Portable assemblies, systems, and methods for providing functional or therapeutic neurostimulation

Portable assemblies and systems for providing functional or therapeutic neurostimulation

Systems and methods for treating shoulder pain related to subacromial impingement syndrome

Systems and methods are provided for treating chronic pain occurring secondarily to subacromial impingement syndrome in a human body. A system is provided to deliver percutaneous electrical stimulation through at least one electrode to neurological motor points of the posterior and middle deltoid muscles to mediate such pain. One-time, continued and/or periodic dosing of treatment methods according to the present invention may result in a change to central nervous system maladaptive neuroplasticity.

Systems and methods for the treatment of pain through neural fiber stimulation

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith.

Systems and methods for bilateral stimulation of left and right branches of the dorsal genital nerves to treat urologic dysfunctions

Systems and methods treat urologic dysfunctions by implanting a lead and electrode in a tissue region affecting urologic function, and coupling the lead to an external pulse generator. If desired results are achieved, the external pulse generator is removed and an implantable pulse generator is implanted in an anterior pelvic region remote from the electrode. Bilateral stimulation of the left and/or right branches of the dorsal genital nerves using a single lead implanted in adipose or other tissue in the region at or near the pubic symphysis is able to treat urologic dysfunctions.

Electrical controller

Systems and methods for the treatment of pain through neural fiber stimulation

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith.

Systems and methods for treating shoulder pain related to subacromial impingement syndrome

Systems and methods are provided for treating chronic pain occurring secondarily to subacromial impingement syndrome in a human body. A system is provided to deliver percutaneous electrical stimulation through at least one electrode to neurological motor points of the posterior and middle deltoid muscles to mediate such pain. One-time, continued and/or periodic dosing of treatment methods according to the present invention may result in a change to central nervous system maladaptive neuroplasticity.

Systems and methods for the treatment of pain through neural fiber stimulation

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith.

Systems and methods to place one or more leads in muscle for providing electrical stimulation to treat pain

Systems and methods are adapted to provide the relief of pain. The systems and methods make possible the percutaneous placement of one or more intramuscular leads, without the need for fluoroscopy, for providing electrical stimulation to activate a motor point innervating the muscle, to provide the therapeutic relief of pain. The one or more intramuscular leads may be placed in muscle (s) to resist migration. The target nerves and their motor points innervate the muscles in which the one or more leads are placed. The systems and methods can include a two-stage solution. The first stage may include temporary systems and methods, including the use of an external pulse generator. The second stage may include more permanent systems and methods, including the use of an implanted pulse generator.

Systems and methods for patient control of stimulation systems

Provided is a portable controller and associated method that provides a patient or caregiver the ability to recharge and alter the parameters of an implanted medical device, while allowing the patient substantially unobstructed mobility. To enable mobility, the controller may be worn on a belt or clothing. The controller also allows the patient to turn device stimulation on and off, check battery status, and to vary stimulation parameters within ranges that may be predefined and programmed by a clinician. The controller communicates with the medical device to retrieve information and make parameter adjustments using wireless telemetry, and it can send and receive information from several feet away from the implanted medical device. Charging of a battery contained in the implanted medical device is achieved via an inductive radio frequency link using a charge coil placed in close proximity to the medical device.

Systems and methods related to the treatment of back pain

The present invention reduces pain and improves function long-term in persons with back pain using electrical stimulation in the back. This approach involves an electrical stimulation device including at least one electrode adapted for insertion within an animal body with back pain and at least one pulse generator operatively coupled with the at least one electrode, wherein the pulse generator delivers electrical stimulation activating at least a nerve innervating at least a paraspinal muscle in a back of the animal body for pain relief.

Systems and methods related to the treatment of back pain

The present invention reduces pain and improves function long-term in persons with back pain using electrical stimulation in the back. This approach involves an electrical stimulation device including at least one electrode adapted for insertion within an animal body with back pain and at least one pulse generator operatively coupled with the at least one electrode, wherein the pulse generator delivers electrical stimulation activating at least one muscle in a back of the animal body for pain relief.

Systems and methods for treating shoulder pain related to subacromial impingement syndrome

Systems and methods are provided for treating chronic pain occurring secondarily to subacromial impingement syndrome in a human body. A system is provided to deliver percutaneous electrical stimulation through at least one electrode to neurological motor points of the posterior and middle deltoid muscles to mediate such pain. One-time, continued and/or periodic dosing of treatment methods according to the present invention may result in a change to central nervous system maladaptive neuroplasticity.

System and method for treatment of pain related to limb joint replacement surgery

Systems and methods for clinician control of stimulation systems

Systems and methods for programming and logging medical device and patient data are provided. The systems include a handheld device, which is capable of communicating with a medical device, and a base station, which provides connectivity for the handheld device to accomplish various functions such as recharging, programming, data back-up and data entry. The methods comprise the steps of detecting a medical device, obtaining and recording information from the medical device. Additionally, medical device parameters may be modified and the recorded information may be archived for future reference.

Systems and methods related to the treatment of back pain

The present invention reduces pain and improves function long-term in persons with back pain using electrical stimulation in the back. This approach involves an electrical stimulation device including at least one electrode adapted for insertion within an animal body with back pain and at least one pulse generator operatively coupled with the at least one electrode, wherein the pulse generator delivers electrical stimulation activating at least a nerve innervating at least a paraspinal muscle in a back of the animal body for pain relief.

System and method for treatment of pain related to limb joint replacement surgery

It has been discovered that pain felt in a given region of the body can be treated by stimulating a peripheral nerve at a therapeutically effective distance from the region where pain is felt to generate a comfortable sensation (i.e., paresthesia) overlapping the regions of pain, A method has been developed to reduce pain in a painful region following limb joint replacement by stimulating a peripheral nerve innervating the painful region with an electrode inserted into tissue and spaced from the peripheral nerve. This method may be used to help alleviate postoperative pain in patients following total knee arthroplasty surgery or other limb joint replacement surgeries.

System and method for treatment of pain related to limb joint replacement surgery

It has been discovered that pain felt in a given region of the body can be treated by stimulating a peripheral nerve at a therapeutically effective distance from the region where pain is felt to generate a comfortable sensation (i.e., paresthesia) overlapping the regions of pain. A method has been developed to reduce pain in a painful region following limb joint replacement by stimulating a peripheral nerve innervating the painful region with an electrode inserted into tissue and spaced from the peripheral nerve. This method may be used to help alleviate postoperative pain in patients following total knee arthroplasty surgery or other limb joint replacement surgeries.

Systems and methods for clinician control of stimulation systems

Systems and methods for programming and logging medical device and patient data are provided. The systems include a handheld device, which is capable of communicating with a medical device, and a base station, which provides connectivity for the handheld device to accomplish various functions such as recharging, programming, data back-up and data entry. The methods comprise the steps of detecting a medical device, obtaining and recording information from the medical device. Additionally, medical device parameters may be modified and the recorded information may be archived for future reference.

Systems and methods for the treatment of pain through neural fiber stimulation

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith.

System and method for treatment of pain related to limb joint replacement surgery

It has been discovered that pain felt in a given region of the body can be treated by stimulating a peripheral nerve at a therapeutically effective distance from the region where pain is felt to generate a comfortable sensation (i.e., paresthesia) overlapping the regions of pain. A method has been developed to reduce pain in a painful region following limb joint replacement by stimulating a peripheral nerve innervating the painful region with an electrode inserted into tissue and spaced from the peripheral nerve. This method may be used to help alleviate postoperative pain in patients following total knee arthroplasty surgery or other limb joint replacement surgeries.

Systems and methods related to the treatment of back pain

The present invention reduces pain and improves function long-term in persons with back pain using electrical stimulation in the back. This approach involves an electrical stimulation device including at least one electrode adapted for insertion within an animal body with back pain and at least one pulse generator operatively coupled with the at least one electrode, wherein the pulse generator delivers electrical stimulation activating at least one muscle in a back of the animal body for pain relief.

Systems and methods for the treatment of pain through neural fiber stimulation

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith.

Systems and methods for the treatment of pain through neural fiber stimulation

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith.

Systems and methods for treating shoulder pain related to subacromial impingement syndrome

Systems and methods are provided for treating chronic pain occurring secondarily to subacromial impingement syndrome in a human body. A system is provided to deliver percutaneous electrical stimulation through at least one electrode to neurological motor points of the posterior and middle deltoid muscles to mediate such pain. One-time, continued and/or periodic dosing of treatment methods according to the present invention may result in a change to central nervous system maladaptive neuroplasticity.

Systems and methods for the treatment of pain through neural fiber stimulation generating a stochastic response

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith.

Systems and methods for the treatment of pain through neural fiber stimulation of efferent nerve fiber

Embodiments of the present invention provide systems and methods for the treatment of pain through activation of select neural fibers. The neural fibers may comprise one or more afferent neural fibers and/or one or more efferent neural fibers. If afferent fibers are stimulated, alone or in combination with efferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate afferent pathways in a manner approximating natural afferent activity. The afferent fibers may be associated with primary receptors of muscle spindles, golgi tendon organs, secondary receptors of muscle spindles, joint receptors, touch receptors, and other types of mechanoreceptors and/or proprioceptors. If efferent fibers are stimulated, alone or in combination with afferent fibers, a therapeutically effective amount of electrical stimulation is applied to activate intrafusal and/or extrafusal muscle fibers, which results in an indirect activation of afferent fibers associated therewith.

System and method for treatment of pain related to limb joint replacement surgery

It has been discovered that pain felt in a given region of the body can be treated by stimulating a peripheral nerve at a therapeutically effective distance from the region where pain is felt to generate a comfortable sensation (i.e., paresthesia) overlapping the regions of pain. A method has been developed to reduce pain in a painful region following limb joint replacement by stimulating a peripheral nerve innervating the painful region with an electrode inserted into tissue and spaced from the peripheral nerve. This method may be used to help alleviate postoperative pain in patients following total knee arthroplasty surgery or other limb joint replacement surgeries.

Systems and methods for patient control of stimulation systems

Provided is a portable controller and associated method that provides a patient or caregiver the ability to recharge and alter the parameters of an implanted medical device, while allowing the patient substantially unobstructed mobility. To enable mobility, the controller may be worn on a belt or clothing. The controller also allows the patient to turn device stimulation on and off, check battery status, and to vary stimulation parameters within ranges that may be predefined and programmed by a clinician. The controller communicates with the medical device to retrieve information and make parameter adjustments using wireless telemetry, and it can send and receive information from several feet away from the implanted medical device. Charging of a battery contained in the implanted medical device is achieved via an inductive radio frequency link using a charge coil placed in close proximity to the medical device.