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    • 3. 发明申请
    • METHODS AND SYSTEMS FOR ESTABLISHING NEURAL STIMULATION PARAMETERS AND PROVIDING NEURAL STIMULATION
    • 建立神经刺激参数并提供神经刺激的方法和系统
    • WO2008130837A1
    • 2008-10-30
    • PCT/US2008/059645
    • 2008-04-08
    • NORTHSTAR NEUROSCIENCE, INC.FOWLER, BradHULVERSHORN, JustinGLINER, Bradford, EvanSLOAN, Leif, R.
    • FOWLER, BradHULVERSHORN, JustinGLINER, Bradford, EvanSLOAN, Leif, R.
    • A61N1/36
    • A61N1/36082A61N1/36025
    • Methods for providing electrical stimulation therapy to a cortex of a patient via a plurality of electrodes proximate to the cortex and a pulse generator implanted in the patient. One embodiment of a method in accordance with the invention comprises determining whether the current applied via the plurality of electrodes results in a sufficient current density in the cortex. The current density, for example, may need to be high enough to induce a response in the patient for determining the activation threshold of the specific stimulation site, or the current density may need to be high enough to perform a specific therapy. If the current density is not sufficient, the method continues by selecting a subset of the plurality of electrodes, and applying electrical current to the cortex via the subset of the electrodes. For example, if the current density is not sufficient when the current is applied to the full plurality of electrodes at approximately the maximum output of the pulse generator, then the current level from the pulse generator can be applied to only a subset of the electrodes to effectively increase the current density in the cortex at the active electrodes.
    • 用于通过靠近皮层的多个电极和植入患者中的脉冲发生器向患者的皮层提供电刺激治疗的方法。 根据本发明的方法的一个实施例包括确定经由多个电极施加的电流是否导致皮层中的足够的电流密度。 例如,电流密度可能需要足够高以在患者中诱导用于确定特定刺激部位的激活阈值的响应,或者电流密度可能需要足够高以执行特定治疗。 如果电流密度不足,则该方法通过选择多个电极的子集,并且经由电极的子集将电流施加到皮层来继续。 例如,如果电流密度在脉冲发生器的大致最大输出处施加到整个多个电极上时电流密度不足,则来自脉冲发生器的电流电平可以仅施加到电极的子集 有效增加有源电极皮质中的电流密度。