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    • 92. 发明授权
    • Electrode contact configurations for an implantable stimulator
    • 可植入刺激器的电极接触配置
    • US07702385B2
    • 2010-04-20
    • US11280582
    • 2005-11-16
    • Michael A. MoffittRafael CarbunaruTodd K. WhitehurstAlfred E. Mann
    • Michael A. MoffittRafael CarbunaruTodd K. WhitehurstAlfred E. Mann
    • A61N1/05
    • A61N1/375A61N1/3605A61N1/37205A61N1/3756
    • An exemplary implantable stimulator includes at least one electrode contact array and at least one additional electrode contact. Both the electrode contact array and the additional electrode contact are disposed on an external surface of the stimulator. The electrode contact array includes multiple electrode contacts that are configured to have a first polarity. The additional electrode is configured to have a second polarity. One or more of the electrode contacts disposed on the stimulator are configured to deliver monopolar stimulation and/or multipolar stimulation. Exemplary methods of stimulating a stimulation site within a patient include providing at least one electrode contact array and at least one additional electrode contact. Both the electrode contact array and the additional electrode contact are disposed on an external surface of the stimulator. The electrode contact array includes multiple electrode contacts that are configured to have a first polarity. The additional electrode is configured to have a second polarity. The method further includes applying an electrical stimulation current to the stimulation site via one or more of the electrode contacts that are disposed on the stimulator.
    • 示例性可植入刺激器包括至少一个电极接触阵列和至少一个附加电极接触。 电极接触阵列和附加电极接触都设置在刺激器的外表面上。 电极接触阵列包括被配置为具有第一极性的多个电极接触。 附加电极被配置为具有第二极性。 设置在刺激器上的一个或多个电极接触器被配置成传递单极刺激和/或多极刺激。 刺激患者内的刺激部位的示例性方法包括提供至少一个电极接触阵列和至少一个另外的电极接触。 电极接触阵列和附加电极接触都设置在刺激器的外表面上。 电极接触阵列包括被配置为具有第一极性的多个电极接触。 附加电极被配置为具有第二极性。 该方法还包括经由设置在刺激器上的一个或多个电极接触件向刺激部位施加电刺激电流。
    • 98. 发明授权
    • Curved paddle electrode for use with a neurostimulator
    • 用于神经刺激器的弯曲电极
    • US07006875B1
    • 2006-02-28
    • US10809747
    • 2004-03-25
    • Janusz A. KuzmaTodd K. Whitehurst
    • Janusz A. KuzmaTodd K. Whitehurst
    • A61N1/05
    • A61N1/0553A61N1/0556
    • A curved paddle electrode allows the electrode to be placed over a relatively flat or oval shaped nerve bundle attached to fascia tissue without having to separate the nerve bundle from the fascia tissue. The electrode includes at least one suture hole that allows the electrode to be held in place over the nerve bundle through a clip-on stitch, or equivalent. In one embodiment, the curved paddle electrode provides a tripolar electrode configuration that allows three spaced-apart parallel electrode contacts to be positioned transverse to a target nerve bundle. Such electrode configuration allows bipolar or tripolar stimulation to occur. Other embodiments employ less or more than three electrode contacts. A preferred application of the curved paddle electrode is for the treatment of erectile dysfunction (ED), where the electrode is placed over the neurovascular bundle attached to the rectal fascia tissue near the rectum.
    • 弯曲的桨电极允许电极放置在附着于筋膜组织的相对平坦或椭圆形的神经束上,而不必将神经束与筋膜组织分开。 电极包括至少一个缝合孔,其允许电极通过夹线或等同物保持在神经束上的适当位置。 在一个实施例中,弯曲桨电极提供三极电极配置,其允许三个间隔开的平行电极触点横向于目标神经束定位。 这种电极配置允许发生双极或三极刺激。 其他实施例使用较少或多于三个电极触点。 弯曲桨电极的优选应用是用于治疗勃起功能障碍(ED),其中电极置于附着在直肠附近的直肠筋膜组织的神经血管束上。
    • 99. 发明授权
    • Treatment of epilepsy by brain stimulation
    • 通过脑刺激治疗癫痫
    • US07003352B1
    • 2006-02-21
    • US10428743
    • 2003-05-02
    • Todd K. Whitehurst
    • Todd K. Whitehurst
    • A61N1/18
    • A61N1/36171A61M5/14276A61N1/36064
    • Introducing one or more stimulating drugs to the brain and/or applying electrical stimulation to the brain is used to treat epilepsy. At least one implantable system control unit (SCU) produces electrical pulses delivered via electrodes implanted in the brain and/or drug infusion pulses delivered via a catheter implanted in the brain. The stimulation is delivered to targeted brain structures to adjust the activity of those structures. The small size of the SCUs of the invention allow SCU implantation directly and entirely within the skull and/or brain. Simplicity of the preferred systems and methods and compactness of the preferred system are enabled by the modest control parameter set of these SCU, which do not require or include a sensing feature.
    • 使用一种或多种刺激性药物引入脑部和/或对脑部施加电刺激来治疗癫痫。 至少一个可植入系统控制单元(SCU)产生通过植入在脑中的电极传送的电脉冲和/或通过植入在脑中的导管递送的药物输注脉冲。 刺激被传递到目标脑结构以调节这些结构的活性。 本发明的SCU的小尺寸允许SCU直接且完全在颅骨和/或脑内植入。 优选系统和方法的简单性以及优选系统的紧凑性通过这些SCU的适度的控制参数集来实现,这些SCU不需要或包括感测特征。