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    • 3. 发明授权
    • Treatment for disorders by parasympathetic stimulation
    • 通过副交感神经刺激治疗疾病
    • US07908008B2
    • 2011-03-15
    • US11977646
    • 2007-10-24
    • Tamir Ben-DavidOmry Ben-EzraEhud Cohen
    • Tamir Ben-DavidOmry Ben-EzraEhud Cohen
    • A61N1/18
    • A61N1/0556A61N1/36114A61N1/36117A61N1/3621A61N1/395A61N1/3962
    • A treatment method is provided, including identifying a subject as one who is selected to undergo an interventional medical procedure, and, in response to the identifying, reducing a likelihood of a potential adverse effect of the procedure by applying an electrical current to a parasympathetic site of the subject selected from the group consisting of: a vagus nerve of the subject, an epicardial fat pad of the subject, a pulmonary vein of the subject, a carotid artery of the subject, a carotid sinus of the subject, a coronary sinus of the subject, a vena cava vein of the subject, a jugular vein of the subject, a right ventricle of the subject, a parasympathetic ganglion of the subject, and a parasympathetic nerve of the subject.
    • 提供了一种治疗方法,包括将受试者识别为被选择进行介入医疗程序的受试者,并且响应于鉴定,通过将电流施加到副交感神经部位来减少手术的潜在不利影响的可能性 所述对象选自:受试者的迷走神经,受试者的心外膜脂肪垫,受试者的肺静脉,受试者的颈动脉,受试者的颈动脉窦,冠状窦 受试者,受试者的静脉静脉,受试者的颈静脉,受试者的右心室,受试者的副交感神经节和受试者的副交感神经。
    • 4. 发明授权
    • Vagal stimulation for anti-embolic therapy
    • 迷走神经刺激用于抗栓塞治疗
    • US07885711B2
    • 2011-02-08
    • US10560654
    • 2004-06-10
    • Omry Ben-EzraEhud CohenTamir Ben-David
    • Omry Ben-EzraEhud CohenTamir Ben-David
    • A61N1/362
    • A61N1/0556A61B5/4035A61N1/36114A61N1/3621A61N1/395A61N1/3962
    • Apparatus (20) for treating a subject (30) suffering from spontaneous atrial fibrillation includes an electrode device (22), adapted to be coupled to a site of the subject (30) selected from the list consisting of: a vagus nerve (24) of the subject (30), an epicardial fat pad of the subject (30), a pulmonary vein of the subject (30), a carotid artery of the subject (30), a carotid sinus of the subject (30), a vena cava vein of the subject (30), and an internal jugular vein of the subject (30), and a control unit (32), adapted to drive the electrode device (22) to apply an electrical current to the site, and to configure the current to maintain the spontaneous AF for at least about 24 hours, so as to modify blood flow within the atria and reduce risk of thromboembolic events.
    • 用于治疗患有自发性心房颤动的受试者(30)的装置(20)包括电极装置(22),其适于耦合到选自以下的列表中的受试者(30)的位置:迷走神经(24) 受试者(30)的心外膜脂肪垫,受试者(30)的肺静脉,受试者(30)的颈动脉,受试者(30)的颈动脉窦,体外 受试者(30)的静脉和静脉内部的颈内静脉和控制单元(32),其适于驱动电极装置(22)向该部位施加电流,并且配置 目前为了维持自发性AF至少约24小时,以便改变心房内的血流量并降低血栓栓塞事件的风险。
    • 6. 发明申请
    • Parasympathetic stimulation for heart conditions
    • 副交感神经刺激心脏病
    • US20080125819A1
    • 2008-05-29
    • US11975241
    • 2007-10-17
    • Tamir Ben-DavidOmry Ben-EzraEhud Cohen
    • Tamir Ben-DavidOmry Ben-EzraEhud Cohen
    • A61N1/362
    • A61N1/36114A61N1/36053A61N1/36117A61N1/3621A61N1/395A61N1/3962
    • A method is provided for treating a subject, including applying a current to a site of the subject selected from the list consisting of: a vagus nerve of the subject, an epicardial fat pad of the subject, a pulmonary vein of the subject, a carotid artery of the subject, a carotid sinus of the subject, a vena cava vein of the subject, and an internal jugular vein of the subject. The method also includes configuring the current so as to treat a condition of the subject selected from the list consisting of: an autoimmune disease, an autoimmune inflammatory disease, multiple sclerosis, encephalitis, myelitis, immune-mediated neuropathy, myositis, dermatomyositis, polymyositis, inclusion body myositis, inflammatory demyelinating polyradiculoneuropathy, Guillain Barre syndrome, myasthenia gravis, inflammation of the nervous system, inflammatory bowel disease, Crohn's disease, ulcerative colitis, SLE (systemic lupus erythematosus), rheumatoid arthritis, vasculitis, polyarteritis nodosa, Sjogren syndrome, mixed connective tissue disease, glomerulonephritis, thyroid autoimmune disease, sepsis, meningitis, a bacterial infection, a viral infection, a fungal infection, sarcoidosis, hepatitis, and portal vein hypertension.
    • 提供了一种用于治疗受试者的方法,包括将电流施加到从包括受试者的迷走神经,受试者的心外膜脂肪垫,受试者的肺静脉,颈动脉 受试者的动脉,受试者的颈动脉窦,受试者的腔静脉和受试者的颈内静脉。 该方法还包括配置电流以便治疗从以下列表中选择的受试者的状况:自身免疫疾病,自身免疫性炎性疾病,多发性硬化症,脑炎,脊髓炎,免疫介导的神经病,肌炎,皮肌炎,多发性肌炎, 包涵体肌炎,炎性脱髓鞘多发性神经病,吉兰巴利综合征,重症肌无力,神经系统炎症,炎性肠病,克罗恩病,溃疡性结肠炎,SLE(系统性红斑狼疮),类风湿性关节炎,血管炎,结节性多动脉炎,干燥综合征,混合 结缔组织病,肾小球性肾炎,甲状腺自身免疫性疾病,败血症,脑膜炎,细菌感染,病毒感染,真菌感染,结节病,肝炎和门静脉高血压。
    • 8. 发明申请
    • Nerve-branch-specific action-potential activation,inhibition, and monitoring
    • 神经分支特异性动作电位激活,抑制和监测
    • US20050149154A1
    • 2005-07-07
    • US10745514
    • 2003-12-29
    • Ehud CohenTamir Ben-DavidShai AyalOmry Ben-Ezra
    • Ehud CohenTamir Ben-DavidShai AyalOmry Ben-Ezra
    • A61N1/05
    • A61N1/0551A61N1/0556
    • A dual electrode arrangement, is provided, wherein two, preferably unidirectional, electrode configurations flank a nerve junction from which a preselected nerve branch issues, proximally and distally to the junction, with respect to the brain. The arrangement is conducive to the following: generating efferent action-potential propagations, substantially restricted to the preselected nerve branch, inhibiting afferent action-potential propagations, from the preselected nerve branch, selectively generating action-potential propagations, in a subset of nerve fibers of a predetermined diameter range, substantially restricted to the preselected nerve branch, and selectively inhibiting action-potential propagations, in a subset of nerve fibers of a predetermined diameter range, substantially restricted to the preselected nerve branch. The dual electrode arrangement is further conducive to monitoring naturally-occurring, efferent action-potential propagations, heading towards the preselected nerve branch, and monitoring naturally-occurring, afferent action-potential propagations, from the preselected nerve branch. The unidirectional electrode configurations may be monopolar, bipolar, tripolar, or multipolar. Communication with extracorporeal stations, and closed loop operations are also provided.
    • 提供了双电极布置,其中两个,优选单向的电极构型位于神经交界处,神经交叉点相对于脑,预选的神经分支向近端向近端和远端发出接合。 该装置有利于:产生传播动作电位传播,基本上限于预选的神经分支,抑制来自预选神经分支的传入动作潜在传播,选择性地产生动作电位传播,在神经纤维的子集中 基本上限于预选神经分支的预定直径范围,以及基本上限于预选神经分支的预定直径范围的神经纤维的子集中选择性抑制动作电位传播。 双电极布置还有助于监测自然发生的,传出的动作电位传播,朝向预选的神经分支,并且从预选的神经分支监测天然存在的,传入的动作电位传播。 单向电极配置可以是单极性,双极性,三极性或多极性。 还提供与体外站的沟通和闭环操作。
    • 10. 发明授权
    • Techniques for reducing pain associated with nerve stimulation
    • 降低神经刺激相关疼痛的技术
    • US08571651B2
    • 2013-10-29
    • US13022199
    • 2011-02-07
    • Omry Ben-EzraTamir Ben-DavidEhud Cohen
    • Omry Ben-EzraTamir Ben-DavidEhud Cohen
    • A61N1/36
    • A61N1/36071A61N1/36114
    • Apparatus is provided including an electrode device and a control unit. The electrode device is configured to be coupled to a site of a subject selected from the group consisting of: a vagus nerve, an epicardial fat pad, a pulmonary vein, a carotid artery, a carotid sinus, a coronary sinus, a vena cava vein, a right ventricle, a right atrium, and a jugular vein. The control unit is configured to drive the electrode device to apply to the site a current in at least first and second bursts, the first burst including a plurality of pulses, and the second burst including at least one pulse, and set (a) a pulse repetition interval (PRI) of the first burst to be on average at least 20 ms, (b) an interburst interval between initiation of the first burst and initiation of the second burst to be less than 10 seconds, (c) an interburst gap between a conclusion of the first burst and the initiation of the second burst to have a duration greater than the average PRI, and (d) a burst duration of the first burst to be less than a percentage of the interburst interval between, the percentage being less than 67%. Other embodiments are also described.
    • 提供了包括电极装置和控制单元的装置。 电极装置被配置为耦合到选自以下的对象的部位:迷走神经,心外膜脂肪垫,肺静脉,颈动脉,颈动脉窦,冠状窦,腔静脉 ,右心室,右心房和颈静脉。 所述控制单元被配置为驱动所述电极装置以至少第一和第二脉冲串向所述现场应用电流,所述第一脉冲串包括多个脉冲,所述第二脉冲串包括至少一个脉冲,并且设置(a) 脉冲重复间隔(PRI)平均至少为20ms,(b)第一脉冲串的起始与第二脉冲串的起始之间的间歇间隔小于10秒,(c)突发间隙 在第一突发的结论和第二突发的开始之间具有大于平均PRI的持续时间,以及(d)第一突发的突发持续时间小于突发间间隔的百分比,百分比为 小于67%。 还描述了其它实施例。