Functional electrical stimulation systems

• US 10,016,598 B2
• Filed: 08/15/2016
• Issued: 07/10/2018
• Est. Priority Date: 05/01/2006
• Status: Active Grant

• Current Assignee: Bioness Neuromodulation Ltd.
• Original Assignee: Bioness Neuromodulation Ltd.
• Inventors: Lasko, Eyal, Springer, Shmuel, Rubin, Mark, Dar, Amit
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): Dinga, Roland
• Application Number:
  US15/237,208
• Publication Number:
  US 20170065815A1
• Time in Patent Office: 694 Days
• Field of Search: 607 11, 607 48, 607 49, 607108, 607144
• CPC Class Codes: A61B 5/1038 Measuring plantar pressure during gait
• CPC Class Codes: A61H 3/00 Appliances for aiding patients or disabled persons to walk about apparatus for helping babies to walk A47D13/04 ; applying electrical currents by contact electrodes for stimulating motor muscles, e.g. walking assistance A61N1/36003
• CPC Class Codes: A61N 1/0452 Specially adapted for transcutaneous muscle stimulation [TMS]
• CPC Class Codes: A61N 1/0484 Garment electrodes worn by the patient
• CPC Class Codes: A61N 1/36003 of motor muscles, e.g. for walking assistance
• CPC Class Codes: A61N 1/36031 using physiological parameters for adjustment
• CPC Class Codes: G01L 1/20 by measuring variations in ohmic resistance of solid materials or of electrically-conductive fluids of piezo-resistive materials G01L1/18; by making use of electrokinetic cells, i.e. liquid-containing cells wherein an electrical potential is produced or varied upon the application of stress
• CPC Class Codes: H01H 3/14 adapted for operation by a part of the human body other than the hand, e.g. by foot
• CPC Class Codes: H03K 17/9625 using a force resistance transducer

Abstract

A gait modulation system including: (a) a sensor device including a sensor adapted for associating with at least one lower limb of the patient, the sensor for transducing at least one parameter related to a gait of the patient, so as to obtain gait data related to the gait, and (b) a muscle stimulator including: (i) an electrical stimulation circuit, the circuit adapted to supply an electrical stimulation output to an electrode array for performing functional electrical stimulation of at least one muscle of the lower limb, and (ii) a microprocessor, operatively connected to the at least one sensor, the microprocessor adapted for: receiving a stream of gait information based on the gait data; processing the gait information, and controlling the stimulation output based on the processing of the gait information, and wherein the microprocessor is further adapted to identify a failure in the stream of gait information, and to consequently control the electrical stimulation circuit to deliver a fail-safe stimulation output over a portion of a duration of the failure.

Claims

1. A gait modulation system, comprising:

a sensor module configured to produce at least one of a gait signal and a validation signal, the gait signal including information related to a gait event of a patient; and

a stimulation system configured to be in electronic communication with the sensor module, the stimulation system configured to determine that electronic communication with the sensor module is functional when the validation signal is received from the sensor module;

the stimulation system configured to produce a first stimulation signal in response to the gait signal, the stimulation system configured to produce a second stimulation signal when neither the gait signal nor the validation signal is received within a predetermined time period.

2. The gait modulation system of claim 1, wherein:

the gait signal is a first gait signal from a plurality of gait signals produced by the sensor module; and

the sensor module is configured to calculate the predetermined time based on the plurality of gait signals.

3. The gait modulation system of claim 1, wherein the electronic communication includes wireless electronic communication.

4. The gait modulation system of claim 1, wherein the stimulation system is configured to verify the at least one of the gait signal and the validation signal based on a unique identifier associated with the sensor module.

5. The gait modulation system of claim 1, wherein the stimulation system is configured to produce the second stimulation signal for a pre-defined period of time.

6. The gait modulation system of claim 1, wherein the second stimulation signal produced by the stimulation system is configured to promote dorsiflexion of a foot of the patient.

7. A gait modulation system, comprising:

a stimulator configured to receive a first signal produced by a sensor via a communication pathway, the first signal produced by the sensor including information related to a gait event, the stimulator configured to produce a first stimulation signal in response to a signal received from the sensor via the communication pathway,

the stimulator configured to detect a failure of the communication pathway, the failure of the communication pathway including a failure to receive within a predetermined time a second signal including information related to the gait event, the stimulator configured to produce a second stimulation signal when the failure is detected.

8. The gait modulation system of claim 7, wherein:

the first signal is from a plurality of signals produced by the sensor, the plurality of signals including information related to a pattern of gait events; and

the stimulator is configured to produce the second stimulation signal at a predetermined time after failure is detected, the predetermined time associated with the pattern of gait events.

9. The gait modulation system of claim 7, wherein the communication pathway is wireless.

10. The gait modulation system of claim 7, wherein the stimulator is configured to verify the first signal based on a unique identifier associated with the sensor module.

11. The gait modulation system of claim 7, wherein the stimulation system is configured to produce the second stimulation signal for a pre-defined period of time.

12. The gait modulation system of claim 7, wherein the second stimulation signal produced by the stimulator is configured to promote dorsiflexion of a foot of a patient.

13. A gait modulation system, comprising:

a stimulator including a receiver, the stimulator configured to receive via a communication pathway a wireless signal produced by a sensor unit, the wireless signal related to a gait event, the stimulator configured to produce a first stimulation signal in response to receipt of the wireless signal from the sensor unit via the communication pathway,

the stimulator configured to detect a failure of the communication pathway, the failure of the communication pathway including at least one of a failure of the receiver to receive the wireless signal and a failure of the sensor unit to transmit the wireless signal,

the stimulator configured to produce a second stimulation signal when the failure is detected.

14. The gait modulation system of claim 13, wherein:

the wireless signal is a first signal from a plurality of signals produced by the sensor unit, the plurality of signals associated with a pattern of gait events; and

the stimulator is configured to produce the second stimulation signal at a predetermined time after failure is detected, the predetermined time associated with the pattern of gait events.

15. The gait modulation system of claim 13, wherein:

the wireless signal is a first signal from a plurality of signals produced by the sensor unit, the plurality of signals associated with a pattern of gait events; and

the stimulator is configured to produce the second stimulation signal at a predetermined time when the failure is detected, the predetermined time based on a stance time associated with the pattern of gait events.

16. The gait modulation system of claim 13, wherein the stimulator is configured to produce the second stimulation signal for a pre-defined period of time.

17. The gait modulation system of claim 13, wherein the second stimulation signal is different from the first stimulation signal.

18. The gait modulation system of claim 13, wherein the stimulator is configured to verify the wireless signal based on a unique identifier associated with the sensor unit.

19. The gait modulation system of claim 13, wherein the second stimulation signal produced by the stimulator is configured to promote dorsiflexion of a foot of a patient.