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    • 1. 发明授权
    • Means and method for the intracranial placement of a neurostimulator
    • 用于颅内放置神经刺激器的方法和方法
    • US06427086B1
    • 2002-07-30
    • US09557168
    • 2000-04-21
    • Robert E. FischellDavid R. FischellAdrian R. M. UptonDennis R. PottsBenjamin D. Pless
    • Robert E. FischellDavid R. FischellAdrian R. M. UptonDennis R. PottsBenjamin D. Pless
    • A61N136
    • A61B5/6814A61B5/0476A61B5/4094A61N1/36017A61N1/36025A61N1/3605A61N1/36064A61N1/37235
    • Disclosed is a means and method for placing an implantable neurostimulator control module into a place in the cranium where cranial bone has been removed. The method for accomplishing this cranial implantation is by first removing a patient's hair over the site of the implant, then cutting the scalp at that site and pulling it back to expose the cranium. A neurosurgeon would then remove a portion of the cranial bone to accept a control module to be implanted within that hole. The control module would then be placed into that hole. It is also conceived that the control module would be fixed in place by the use of one or more attachment devices such as a multiplicity of bone screws placed through holes in one or more flanges that extend over the cranium beyond the control module. The implantation could also include a fairing placed around the control module to provide a smooth contour under the patient's scalp. Also described is a spacer shim placed under the flange(s) to adjust the position of the control module so that its bottom surface does not put pressure on the dura mater lying directly over the brain tissue at the bottom of the hole. It is also envisioned that a resorbable disk could be placed under the bottom surface of the control module to further protect the brain and/or to elute an anti-biotic or anti-inflammatory substance to reduce the possibility of infection and/or inflammation.
    • 公开了一种用于将可植入的神经刺激器控制模块放置在颅骨已被移除的头颅中的位置的手段和方法。 完成这种颅骨植入的方法是首先将患者的头发去除植入物的部位,然后在该部位切割头皮并将其拉回以暴露颅骨。 然后,神经外科医生将去除颅骨的一部分以接受待植入该孔内的控制模块。 然后将控制模块放入该孔中。 还可以想到,控制模块将通过使用一个或多个附接装置固定在适当的位置,例如通过一个或多个凸缘中的孔布置的多个骨螺钉,所述多个骨螺钉在颅骨上延伸超过控制模块。 植入还可以包括放置在控制模块周围的整流罩,以在患者的头皮下面提供平滑的轮廓。 还描述了放置在凸缘下方的间隔垫片,以调节控制模块的位置,使得其底部表面不对直接位于孔底部的脑组织的硬脑膜施加压力。 还可以设想,可再吸收的盘可以放置在控制模块的底表面下方以进一步保护大脑和/或洗脱抗生素或抗炎物质以减少感染和/或炎症的可能性。
    • 4. 发明授权
    • System for treatment of neurological disorders
    • 神经障碍治疗系统
    • US6016449A
    • 2000-01-18
    • US957869
    • 1997-10-27
    • Robert E. FischellDavid R. FischellAdrian R. M. Upton
    • Robert E. FischellDavid R. FischellAdrian R. M. Upton
    • A61N1/36
    • A61B5/0476A61B5/4094A61B5/6814A61N1/3605A61N1/36025A61N1/36082A61N1/37211
    • Disclosed is a multiple electrode, closed-loop, responsive system for the treatment of certain neurological diseases such as epilepsy, migraine headaches and Parkinson's disease. Brain electrodes would be placed in close proximity to the brain or deep within brain tissue. When a neurological event such as the onset of an epileptic seizure occurs, EEG signals from the electrodes are processed by signal conditioning means in a control module that can be placed beneath the patient's scalp, within the patient's chest, or situated externally on the patient. Neurological event detection means in the control module will then cause a response to be generated for stopping the neurological event. The response could be an electrical signal to brain electrodes or to electrodes located remotely in the patient's body. The response could also be the release of medication or the application of a sensory input such as sound, light or mechanical vibration or electrical stimulation of the skin. The response to the neurological event can originate from devices either internal or external to the patient. The system also has the capability for multi-channel recording of EEG related signals that occur both before and after the detection of a neurological event. Programmability of many different operating parameters of the system by means of external equipment provides adaptability for treating patients who manifest different symptoms and who respond differently to the response generated by the system.
    • 公开了一种用于治疗某些神经系统疾病如癫痫,偏头痛和帕金森病的多重电极闭环应答系统。 脑电极将放置在靠近脑部或脑组织深处。 当出现诸如癫痫发作的神经系统事件时,来自电极的EEG信号由控制模块中的信号调节装置处理,该控制模块可以放置在患者的头皮之下,患者的胸部内,或者位于病人的外部。 然后,控制模块中的神经事件检测装置将产生用于停止神经系统事件的响应。 响应可以是对脑电极或位于病人身体远端的电极的电信号。 该反应也可以是药物的释放或者诸如声音,光或机械振动或电刺激皮肤的感觉输入的应用。 对神经系统事件的反应可以来自患者内部或外部的装置。 该系统还具有在检测神经系统事件之前和之后发生的EEG相关信号的多通道记录的能力。 通过外部设备对系统的许多不同操作参数的可编程性提供了适应性,用于治疗表现不同症状的患者,并且对系统产生的反应有不同的反应。
    • 8. 发明授权
    • Means and method for the treatment of migraine headaches
    • 用于治疗偏头痛的方法和方法
    • US06402678B1
    • 2002-06-11
    • US09629210
    • 2000-07-31
    • Robert E. FischellDavid R. FischellAdrian R. M. Upton
    • Robert E. FischellDavid R. FischellAdrian R. M. Upton
    • A61N204
    • A61N2/02
    • Disclosed is a means and method for the treatment of migraine headaches. Patients who have migraine headaches typically have a band of excited brain neurons that are a precursor of the headache. By placing an intense alternating magnetic field onto a certain region of the brain, an electrical current can be generated in the cerebral cortex that can depolarize these excited brain neurons. This procedure can stop a migraine headache in some patients or at least decrease its severity. The device to perform this function can be called a “magnetic depolarizer”. The magnetic depolarizer can be placed in some headgear such as a bicycle helmet in order to place the magnetic field at the correct location relative to the patient's cerebral cortex. This technique can be particularly valuable for patients who have a perceptible aura that occurs prior to the onset of a migraine headache. A visual aura caused by the progression of an excited band of neurons in a patient's occipital lobe, which aura occurs 20 to 30 minutes prior to the onset of head pain, would be particularly well treated by means of the magnetic depolarizer.
    • 披露了治疗偏头痛的手段和方法。 患有偏头痛头痛的患者通常具有一系列兴奋的脑神经元,这是头痛的前兆。 通过将强烈的交变磁场置于大脑的某一区域,可以在大脑皮质中产生电流,这可以使这些兴奋的脑神经元去极化。 该程序可以阻止一些患者的偏头痛,或至少降低其严重程度。 执行此功能的设备可称为“磁去极化器”。 磁性去极化器可以放置在诸如自行车头盔的某些头盔中,以便将磁场放置在相对于患者大脑皮质的正确位置。 这种技术对于在偏头痛发作之前出现可感知的光环的患者可能是特别有价值的。 通过磁性去极化器特别良好地治疗患者枕叶中激发的神经元带的进展引起的视觉光环,其在头痛发作之前20至30分钟发生的光环。
    • 9. 发明授权
    • Responsive implantable system for the treatment of neurological disorders
    • 用于治疗神经系统疾病的反应性植入式系统
    • US6134474A
    • 2000-10-17
    • US483806
    • 2000-01-15
    • Robert E. FischellDavid R. FischellAdrian R. M. Upton
    • Robert E. FischellDavid R. FischellAdrian R. M. Upton
    • A61N1/36
    • A61B5/0476A61B5/4094A61B5/6814A61N1/3605A61N1/36025A61N1/36082A61N1/37211
    • Disclosed is a multiple electrode, closed-loop, responsive system for the treatment of certain neurological diseases such as epilepsy, migraine headaches and Parkinson's disease. Brain electrodes would be placed in close proximity to the brain or deep within brain tissue. When a neurological event such as the onset of an epileptic seizure occurs, EEG signals from the electrodes are processed by signal conditioning means in a control module that can be placed beneath the patient's scalp, within the patient's chest, or situated externally on the patient. Neurological event detection means in the control module will then cause a response to be generated for stopping the neurological event. The response could be an electrical signal to brain electrodes or to electrodes located remotely in the patient's body. The response could also be the release of medication or the application of a sensory input such as sound, light or mechanical vibration or electrical stimulation of the skin. The response to the neurological event can originate from devices either internal or external to the patient. The system also has the capability for multi-channel recording of EEG related signals that occur both before and after the detection of a neurological event. Programmability of many different operating parameters of the system by means of external equipment provides adaptability for treating patients who manifest different symptoms and who respond differently to the response generated by the system.
    • 公开了一种用于治疗某些神经系统疾病如癫痫,偏头痛和帕金森病的多重电极闭环应答系统。 脑电极将放置在靠近脑部或脑组织深处。 当出现诸如癫痫发作的神经系统事件时,来自电极的EEG信号由控制模块中的信号调节装置处理,该控制模块可以放置在患者的头皮之下,患者的胸部内,或者位于病人的外部。 然后,控制模块中的神经事件检测装置将产生用于停止神经系统事件的响应。 响应可以是对脑电极或位于病人身体远端的电极的电信号。 该反应也可以是药物的释放或者诸如声音,光或机械振动或电刺激皮肤的感觉输入的应用。 对神经系统事件的反应可以来自患者内部或外部的设备。 该系统还具有在检测神经系统事件之前和之后发生的EEG相关信号的多通道记录的能力。 通过外部设备对系统的许多不同操作参数的可编程性提供了适应性,用于治疗表现不同症状的患者,并且对系统产生的反应有不同的反应。
    • 10. 发明授权
    • Methods for responsively treating neurological disorders
    • 反应性治疗神经系统疾病的方法
    • US06459936B2
    • 2002-10-01
    • US09932175
    • 2001-08-17
    • Robert E. FischellDavid R. FischellAdrian R. M. Upton
    • Robert E. FischellDavid R. FischellAdrian R. M. Upton
    • A61N118
    • A61N1/36135A61N1/36017A61N1/36025A61N1/36064A61N1/36067A61N1/36075A61N1/37252
    • Disclosed is a multiple electrode, closed-loop, responsive system for the treatment of certain neurological diseases such as epilepsy, migraine headaches and Parkinson's disease. Brain electrodes would be placed in close proximity to the brain or deep within brain tissue. When a neurological event such as the onset of an epileptic seizure occurs, EEG signals from the electrodes are processed by signal conditioning means in a control module that can be placed beneath the patient's scalp, within the patient's chest, or situated externally on the patient. Neurological event detection means in the control module will then cause a response to be generated for stopping the neurological event. The response could be an electrical signal to brain electrodes or to electrodes located remotely in the patient's body. The response could also be the release of medication or the application of a sensory input such as sound, light or mechanical vibration or electrical stimulation of the skin. The response to the neurological event can originate from devices either internal or external to the patient. The system also has the capability for multi-channel recording of EEG related signals that occur both before and after the detection of a neurological event. Programmability of many different operating parameters of the system by means of external equipment provides adaptability for treating patients who manifest different symptoms and who respond differently to the response generated by the system.
    • 公开了一种用于治疗某些神经系统疾病如癫痫,偏头痛和帕金森病的多重电极闭环应答系统。 脑电极将放置在靠近脑部或脑组织深处。 当出现诸如癫痫发作的神经系统事件时,来自电极的EEG信号由控制模块中的信号调节装置处理,该控制模块可以放置在患者的头皮之下,患者的胸部内,或者位于病人的外部。 然后,控制模块中的神经事件检测装置将产生用于停止神经系统事件的响应。 响应可以是对脑电极或位于病人身体远端的电极的电信号。 该反应也可以是药物的释放或者诸如声音,光或机械振动或电刺激皮肤的感觉输入的应用。 对神经系统事件的反应可以来自患者内部或外部的装置。 该系统还具有在检测神经系统事件之前和之后发生的EEG相关信号的多通道记录的能力。 通过外部设备对系统的许多不同操作参数的可编程性提供了适应性,用于治疗表现不同症状的患者,并且对系统产生的反应有不同的反应。