Systems and apparatus for gait modulation and methods of use

• US 10,086,196 B2
• Filed: 01/16/2018
• Issued: 10/02/2018
• Est. Priority Date: 03/24/2014
• Status: Active Grant

• Current Assignee: Bioness Inc. (Smith & Nephew PLC)
• Original Assignee: Bioness Inc. (Smith & Nephew PLC)
• Inventors: Glukhovsky, Arkady, McBride, Keith
• Primary Examiner(s): Mahmood, Nadia A
• Application Number:
  US15/872,634
• Publication Number:
  US 20180140833A1
• Time in Patent Office: 259 Days
• Field of Search: 607 2, 607 49
• CPC Class Codes: A61B 5/1038 Measuring plantar pressure during gait
• CPC Class Codes: A61B 5/112 Gait analysis
• CPC Class Codes: A61B 5/4836 Diagnosis combined with treatment in closed-loop systems or methods A61B5/0036 takes precedence
• CPC Class Codes: A61B 5/4851 Prosthesis assessment or monitoring
• CPC Class Codes: A61B 5/6807 Footwear
• CPC Class Codes: A61B 5/6811 External prosthesis
• CPC Class Codes: A61B 5/6828 Leg
• CPC Class Codes: A61F 5/01 Orthopaedic devices, e.g. splints, casts or braces
• 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

Abstract

An apparatus includes a frame, a sensor, and an electric stimulator. The frame is removably couplable to a portion of a limb. The sensor is configured to produce a first signal associated with a gait characteristic at a first time, and a second signal associated with the gait characteristic at a second time, after the first time. The electric stimulator is removably coupled to the frame and is in electrical communication with an electrode assembly and the sensor to receive the first signal substantially at the first time and the second signal substantially at the second time. Based in part on the gait characteristic at the first time, the electric stimulator sends a third signal to the electrode assembly to provide an electric stimulation to a portion of a neuromuscular system of the limb substantially during a time period defined between the first time and the second time.

Claims

1. A method, comprising:

receiving, at an electric stimulator and from a sensor, the sensor being one of a tilt sensor, an accelerometer, or a gyroscope, a first signal associated with a gait characteristic;

calculating one or more system parameters based at least in part on the first signal associated with the gait characteristic;

sending a signal, based at least in part on the one or more system parameters, from the electric stimulator to an electrode assembly to cause the electrode assembly to provide an electric stimulation to a portion of a neuromuscular system of a limb;

receiving, at the electric stimulator and from the sensor, a second signal associated with the gait characteristic; and

terminating the electric stimulation of the portion of the neuromuscular system of the limb based on the receiving of the second signal associated with the gait characteristic.

2. The method of claim 1, wherein the sensor is at least partially integrated with the electric stimulator.

3. The method of claim 1, wherein the electric stimulator is in wireless electrical communication with a control device, the calculating one or more system parameters includes calculating one or more system parameters defined by the control device.

4. The method of claim 1, wherein the receiving of the first signal associated with the gait characteristic is via a wireless communication mode;

and

the receiving of the second signal associated with the gait characteristic is via the wireless communication mode.

5. The method of claim 1, wherein the sending the signal from the electric stimulator to the electrode assembly to cause the electrode assembly to provide an electric stimulation to a portion of a neuromuscular system of a limb is associated with a heel-off event during ambulatory motion of the limb;

and

the terminating the electric stimulation of the portion of a neuromuscular system of the limb is associated with a heel-on event during the ambulatory motion of the limb.

6. The method of claim 1, wherein the receiving the first signal associated with the gait characteristic is at a first time;

the receiving the second signal associated with the gait characteristic is at a second time, after the first time; and

the sending the signal to the electrode assembly to cause the electrode assembly to provide the electric stimulation to the portion of the neuromuscular system of the limb includes providing the electric stimulation during a time period defined between the first time and the second time.

7. A method of using an electric stimulator having a sensor and an electrode assembly in electrical communication with a portion of a neuromuscular system of a limb, the method comprising:

receiving, at the electric stimulator, a first signal, the first signal sent from a control device via a first communication channel, the first communication channel associated with a wireless communication over a network, the first signal associated with a system parameter;

sending, from the electric stimulator and via the first communication channel, a second signal, the second signal sent to the control device and being associated with a confirmation of the system parameter;

receiving, at the electric stimulator a third signal, the third signal sent from the sensor via a second communication channel different from the first communication channel, the third signal associated with a gait characteristic; and

sending, from the electric stimulator and to the electrode assembly, a fourth signal, the fourth signal operable to cause the electrode assembly to provide an electric stimulation to the portion of the neuromuscular system of the limb based at least in part on the system parameter and the gait characteristic.

8. The method of claim 7, wherein the control device is at least one of a personal computer, laptop, tablet, smart phone, personal digital assistant, or console.

9. The method of claim 7, further comprising:

receiving, at the electric stimulator, a fifth signal, the fifth signal sent from the sensor via the second communication channel and being associated with the gait characteristic; and

terminating the electric stimulation of the portion of the neuromuscular system of the limb based at least in part on the receiving, at the electric stimulator, the fifth signal.

10. The method of claim 7, wherein the gait characteristic is a first gait characteristic and the sensor is a first sensor, the first sensor at least partially integrated with the electric stimulator, the method further comprising:

receiving, at the electric stimulator a fifth signal, the fifth signal sent from a second sensor via a third communication channel, different from the first communication channel and the second communication channel, the second sensor being physically distinct from the electric stimulator, the third communication channel associated with a wireless communication mode, the fifth signal associated with a second gait characteristic; and

the sending the fourth signal to the electrode assembly to cause the electrode assembly to provide an electric stimulation to the portion of the neuromuscular system of the limb is based at least in part on the system parameter and the first gait characteristic and the second gait characteristic.

11. The method of claim 7, wherein the electric stimulator is a first electric stimulator and the portion of the neuromuscular system of the limb is a first portion of the neuromuscular system of the limb, the method further comprising:

sending, from the first electric stimulator, a fifth signal via a third communication channel, different from the first communication channel and the second communication channel, the fifth signal being sent to a second electric stimulator including an electrode assembly in electrical communication with a second portion of the neuromuscular system of the limb, the fifth signal operable to cause the electrode assembly of the second electric stimulator to provide an electric stimulation to the second portion of the neuromuscular system of the limb based at least in part on the system parameter and the gait characteristic.