Integrated electromyographic clinician programmer for use with an implantable neurostimulator
First Claim
1. An integrated electromyography (EMG) and signal generation clinician programmer coupleable with an implantable temporary or permanent lead in a patient and at least one EMG sensing electrode minimally invasively positioned on a skin surface or within the patient, the integrated clinician programmer comprising:
- a portable housing having an external surface and enclosing circuitry at least partially disposed within the housing;
a lead connector disposed on the housing for electrical connection with the implantable lead;
a signal generator disposed within the housing and configured to deliver test stimulation to a nerve tissue of the patient via the implantable lead;
an EMG signal processor disposed within the housing and configured to record a stimulation-induced EMG motor response for each test stimulation via the at least one EMG sensing electrode;
a graphical user interface at least partially comprising the external surface of the housing and configured to facilitate positioning and programming of the implantable lead based at least on the EMG recording; and
a memory having recorded thereon instructions for effecting each of;
a lead placement procedure, anda programming procedure,wherein the lead placement procedure includes;
a foramen needle placement procedure that detects connection with the foramen needle via a foramen needle stimulation connector on the housing and delivers stimulation to the foramen needle in response to a stimulation input received via the graphical user interface, andan implantable lead placement procedure that detects connection with the implantable lead via the lead connector and delivers stimulation to the lead through the lead connector in response to the stimulation input received via the graphical user interface.
2 Assignments
0 Petitions
Accused Products
Abstract
An integrated electromyography (EMG) and signal/stimulation generation clinician programmer may be coupled with an implantable temporary or permanent lead in a patient and at least one EMG sensing electrode minimally invasively positioned on a skin surface or within the patient. Generally, the integrated clinician programmer may comprise a portable housing, a signal/stimulation generator, and EMG signal processor, and a graphical user interface. The signal/stimulation generator may be disposed within the housing and configured to deliver test stimulation to a nerve tissue of the patient via the implantable lead. The EMG signal processor may be disposed within the housing and configured to record a stimulation-induced EMG motor response for each test stimulation via the at least one EMG sensing electrode. The graphical user interface at least partially comprises the external surface of the housing and has a touch screen display for direct user interaction or a keyboard, mouse, or the like.
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Citations
20 Claims
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1. An integrated electromyography (EMG) and signal generation clinician programmer coupleable with an implantable temporary or permanent lead in a patient and at least one EMG sensing electrode minimally invasively positioned on a skin surface or within the patient, the integrated clinician programmer comprising:
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a portable housing having an external surface and enclosing circuitry at least partially disposed within the housing; a lead connector disposed on the housing for electrical connection with the implantable lead; a signal generator disposed within the housing and configured to deliver test stimulation to a nerve tissue of the patient via the implantable lead; an EMG signal processor disposed within the housing and configured to record a stimulation-induced EMG motor response for each test stimulation via the at least one EMG sensing electrode; a graphical user interface at least partially comprising the external surface of the housing and configured to facilitate positioning and programming of the implantable lead based at least on the EMG recording; and a memory having recorded thereon instructions for effecting each of; a lead placement procedure, and a programming procedure, wherein the lead placement procedure includes; a foramen needle placement procedure that detects connection with the foramen needle via a foramen needle stimulation connector on the housing and delivers stimulation to the foramen needle in response to a stimulation input received via the graphical user interface, and an implantable lead placement procedure that detects connection with the implantable lead via the lead connector and delivers stimulation to the lead through the lead connector in response to the stimulation input received via the graphical user interface. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19)
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20. An integrated electromyography (EMG) and signal generation clinician programmer coupleable with an implantable temporary or permanent lead in a patient and at least one EMG sensing electrode minimally invasively positioned on a skin surface or within the patient, the integrated clinician programmer comprising:
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a portable housing having an external surface and enclosing circuitry at least partially disposed within the housing; a lead connector disposed on the housing for electrical connection with the implantable lead; a signal generator disposed within the housing and configured to deliver test stimulation to a nerve tissue of the patient via the implantable lead; an EMG signal processor disposed within the housing and configured to record a stimulation-induced EMG motor response for each test stimulation via the at least one EMG sensing electrode; and a graphical user interface at least partially comprising the external surface of the housing and configured to facilitate positioning and programming of the implantable lead based at least on the EMG recording; wherein the clinician programmer includes at least one EMG connector on the housing for connection with the at least one EMG sensing electrodes, and a memory having recorded thereon instructions for effecting each of; a lead placement procedure, and a programming procedure, wherein the instructions are further configured such that; absent detection of EMG electrodes connected to the at least one EMG connector, the graphical user interface performs the lead placement and programming procedures based on responses input by the clinician via the graphical user interface; and upon detection of EMG electrodes connected to the at least one EMG connector, the graphical user interface performs the lead placement and programming procedures based on EMG responses received via the at least one EMG connector and displayed on the graphical user interface.
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Specification