Systems and methods for varying electromagnetic and adjunctive neural therapies
First Claim
1. A method for treating a neural condition, comprising:
- directing an application of electromagnetic signals to a target neural population of a patient over a first period of time in accordance with a first mode; and
directing an application of electromagnetic signals to the patient over a second period of time different than the first period of time in accordance with a second mode different than the first mode, wherein each of the first and second modes is selected from among the following modes;
(a) a CNS implant mode in which electromagnetic signals are applied to the patient'"'"'s central nervous system via at least one electrode implanted in the patient'"'"'s body;
(b) a CNS non-implant mode in which electromagnetic signals are applied to the patient'"'"'s central nervous system from a signal delivery device that is not implanted in the patient'"'"'s body;
(c) a peripheral implant mode in which electromagnetic signals are applied to the patient'"'"'s peripheral nervous system via at least one electrode implanted in the patient'"'"'s body; and
(d) a peripheral non-implant mode in which electromagnetic signals are applied to the patient'"'"'s peripheral nervous system from a signal delivery device that is not implanted in the patient'"'"'s body.
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Abstract
Systems and methods for varying electromagnetic and adjunctive neural therapies are disclosed. A method in accordance with one embodiment includes applying electromagnetic signals to a target neural population of a patient over a first period of time in accordance with a first mode (e.g., including signal delivery to the central nervous system or peripheral nervous system, via implanted or non-implanted devices). The method can further include applying electromagnetic stimulation to the patient over a second period of time in accordance with a second mode different than the first mode. Varying the mode between the first period of time and second period of time can increase the efficacy and/or longevity of the stimulation. Systems in accordance with other embodiments can support multiple signal delivery devices.
256 Citations
83 Claims
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1. A method for treating a neural condition, comprising:
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directing an application of electromagnetic signals to a target neural population of a patient over a first period of time in accordance with a first mode; and
directing an application of electromagnetic signals to the patient over a second period of time different than the first period of time in accordance with a second mode different than the first mode, wherein each of the first and second modes is selected from among the following modes;
(a) a CNS implant mode in which electromagnetic signals are applied to the patient'"'"'s central nervous system via at least one electrode implanted in the patient'"'"'s body;
(b) a CNS non-implant mode in which electromagnetic signals are applied to the patient'"'"'s central nervous system from a signal delivery device that is not implanted in the patient'"'"'s body;
(c) a peripheral implant mode in which electromagnetic signals are applied to the patient'"'"'s peripheral nervous system via at least one electrode implanted in the patient'"'"'s body; and
(d) a peripheral non-implant mode in which electromagnetic signals are applied to the patient'"'"'s peripheral nervous system from a signal delivery device that is not implanted in the patient'"'"'s body. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30)
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31. A method for treating a neural condition, comprising:
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directing an application of electromagnetic signals to a target neural population of a patient at a subthreshold level over a first period of time in accordance with a first mode and in association with behavioral therapy; and
directing an application of electromagnetic signals to the patient at a subthreshold level over a second period of time different than the first period of time in accordance with a second mode different than the first mode and in association with behavioral therapy, wherein each of the first and second modes is selected from among the following modes;
(a) a CNS implant mode in which electromagnetic signals are applied to the patient'"'"'s central nervous system via at least one electrode implanted in the patient'"'"'s body;
(b) a CNS non-implant mode in which electromagnetic signals are applied to the patient'"'"'s central nervous system from a signal delivery device that is not implanted in the patient'"'"'s body;
(c) a peripheral implant mode in which electromagnetic signals are applied to at least one of the patient'"'"'s peripheral nervous system via at least one electrode implanted in the patient'"'"'s body; and
(d) a peripheral non-implant mode in which electromagnetic signals are applied to the patient'"'"'s peripheral nervous system from a signal delivery device that is not implanted in the patient'"'"'s body. - View Dependent Claims (32, 33)
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34. A method for treating a neural condition, comprising:
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directing an application of electromagnetic signals to a target neural population of a patient during a treatment regimen;
directing the patient to undergo a first adjunctive therapy for a first treatment period of weeks or months during the treatment regimen, the first adjunctive therapy being different than the electromagnetic signals; and
directing the patient to undergo a second adjunctive therapy for a second treatment period of weeks or months following the first period, wherein at least one characteristic of the second adjunctive therapy is different than the first adjunctive therapy and the electromagnetic signals. - View Dependent Claims (35, 36, 37, 38, 39, 40, 41, 42)
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43. A method for treating a neural condition, comprising:
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directing an application of first electromagnetic signals to a first target neural population of a patient, the first target neural population being a cortical neural population; and
directing an application of second electromagnetic signals to a second target neural population of the patient, the second target neural population being a sub-cortical neural population. - View Dependent Claims (44, 45, 46, 47, 48, 49, 50)
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51. A method for treating a neural condition, comprising:
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directing an application of first electromagnetic signals to a first target neural population of a patient, the first target neural population being a cortical population; and
directing an application of second electromagnetic signals to a second target neural population of the patient, the second target neural population being a vagal population. - View Dependent Claims (52, 53, 54, 55, 56, 57)
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58. A method for treating a neural condition, comprising:
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directing an application of first electromagnetic signals to a first target neural population of a patient, the first target neural population being a cortical population; and
directing an application of second electromagnetic signals to a second target neural population of the patient, the second target neural population being a spinal cord population. - View Dependent Claims (59, 60, 61, 62, 63, 64, 65)
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66. A method for treating a neural condition, comprising:
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during a first portion of a patient'"'"'s treatment regimen, directly supervising (a) application of first electromagnetic signals to a target neural population of the patient, (b) the patient'"'"'s performance of a first adjunctive therapy, or (c) both (a) and (b); and
instructing the patient to undergo a second portion of the treatment regimen without directly supervising (d) application of second electromagnetic signals to a target neural population of the patient, (e) the patient'"'"'s performance of a second adjunctive therapy, or (f) both (d) and (e), wherein a characteristic of the electromagnetic signals, the adjunctive therapies, or both is different during the first portion than it is during the second portion. - View Dependent Claims (67, 68, 69, 70, 71, 72)
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73. A system for controlling electromagnetic signals applied to a patient, comprising:
a controller coupleable to a first patient signal delivery device having a first configuration and a second patient signal delivery device having a second configuration different than the first, the controller being configured to direct electromagnetic signals to a patient via the first and second signal delivery devices, the controller having a first selectable control mode when coupled to the first patient signal delivery device, and a second selectable control mode when coupled to the second patient signal delivery device, wherein;
when the controller is coupled to the first patient signal delivery device, the controller automatically directs first signals in the first control mode; and
when the controller is coupled to the second patient signal delivery device, the controller automatically directs second signals in the second control mode. - View Dependent Claims (74, 75, 76, 77, 78, 79, 80, 81, 82, 83)
Specification