ELECTRICAL STIMULATION DEVICE HAVING MULTIPLE STIMULATION CHANNELS

• US 20140257424A1
• Filed: 10/16/2012
• Published: 09/11/2014
• Est. Priority Date: 10/20/2011
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Ams Research Corporation (Endo International PLC)
• Inventors: Yonce, David J.
• Granted Patent: US 9,180,294 B2
• Time in Patent Office: Days
• US Class Current: 607/41
• CPC Class Codes: A61N 1/36007 of urogenital or gastrointestinal organs, e.g. for incontinence control
• CPC Class Codes: A61N 1/36125 Details of circuitry or electric components

Abstract

An implantable electrical stimulation device configured to treat multiple pelvic conditions of a patient includes a pulse generator, memory, first and second electrode leads comprising one or more electrodes, a switch and a controller. The switch has a first state, in which the first electrode lead is electrically coupled to the pulse generator, and a second state, in which the second electrode lead is electrically coupled to the pulse generator. The controller includes at least one processor that is configured to execute at least one stimulation program stored in the memory. The controller is also configured to selectively set the switch in the first or second state. Electrical stimulation pulses generated by the pulse generator responsive to the execution of the stimulation program are delivered to the first or second electrode lead depending on the state of the switch.

Claims

1. Implantable electrical stimulation device comprising:

a pulse generator;

memory;

first and second electrode leads each comprising one or more electrodes;

a switch having a first state in which the first electrode lead is electrically coupled to the pulse generator, and a second state in which the second electrode lead is electrically coupled to the pulse generator; and

a controller comprising at least one processor configured to execute at least one stimulation program stored in the memory, the controller configured to selectively set the switch in the first or second state;

wherein electrical stimulation pulses generated by the pulse generator responsive to the execution of the stimulation program are delivered to the first or second electrode lead based on the state of the switch.

2. The device of claim 1, wherein:

the memory contains a first stimulation program and a second stimulation program;

electrical stimulation pulses generated by the pulse generator are delivered to the first electrode lead responsive to the execution of the first stimulation program by the at least one processor when the switch is in the first state; and

electrical stimulation pulses generated by the pulse generator and delivered to the second electrode lead responsive to the execution of the second stimulation program by the at least one processor when the switch is in the second state.

3. The device of claim 2, wherein:

the stimulation pulses generated by the pulse generator in response to the execution of the first stimulation program are configured to treat a first pelvic condition; and

the stimulation pulses produced by the pulse generator in response to the execution of the second stimulation program are configured to treat a second pelvic condition that is different from the first pelvic condition.

4. The device of claim 3, wherein the first and second pelvic conditions are selected from the group consisting of urinary incontinence, fecal incontinence, pain due to interstitial cystitis and urine retention.

5. An implantable electrical stimulation device comprising:

first and second pulse generators;

memory; and

a controller comprising at least one processor configured to execute at least one stimulation program stored in the memory;

wherein the first and second pulse generators are each configured to produce stimulation pulses responsive to the execution of the at least one stimulation program.

6. The device of claim 5, wherein:

the memory contains a first stimulation program and a second stimulation program;

the first pulse generator produces stimulation pulses responsive to the execution of the first stimulation program by the at least one processor; and

the second pulse generator produces stimulation pulses responsive to the execution of the second stimulation program by the at least one processor.

7. The device of claim 6, wherein:

the stimulation pulses produced by the first pulse generator in response to the execution of the first stimulation program are configured to treat a first pelvic condition; and

the stimulation pulses produced by the second pulse generator in response to the execution of the second stimulation program are configured to treat a second pelvic condition that is different from the first pelvic condition.

8. The device of claim 7, wherein the first and second pelvic conditions are selected from the group consisting of urinary incontinence, fecal incontinence, pain due to interstitial cystitis and urine retention.

9. The device of claim 5, further comprising:

at least a first electrode lead comprising one or more electrodes electrically coupled to the first pulse generator; and

at least a second electrode lead comprising one or more electrodes electrically coupled to the second pulse generator.

10. A method of treating pelvic conditions of a patient comprising:

implanting an electrical stimulation device comprising a control unit and first and second electrode leads in a patient, wherein the first electrode lead comprises one or more electrodes positioned at a first stimulation site, and the second electrode lead comprises one or more electrodes positioned at a second stimulation site that is different from the first stimulation site;

performing a first stimulation treatment comprising delivering electrical stimulation signals to the first stimulation site through the first electrode lead;

treating a first pelvic condition of the patient responsive to the first stimulation treatment;

performing a second stimulation treatment comprising delivering electrical stimulation signals to the second stimulation site through the second electrode lead; and

treating a second pelvic condition of the patient responsive to the second stimulation treatment.

11. The method of claim 10, wherein:

the control unit comprises a first pulse generator electrically coupled to the first electrode lead, and a second pulse generator electrically coupled to the second electrode lead;

performing a first stimulation treatment comprises generating electrical stimulation pulses using the first pulse generator and delivering the electrical stimulation pulses to the first stimulation site through the first electrode lead;

performing a second stimulation treatment comprises generally generating electrical stimulation pulses using the second pulse generator and delivering the electrical stimulation pulses to the second stimulation site through the second electrode lead.

12. The method of claim 10, wherein:

the control unit comprises a pulse generator and a switch having a first state in which the pulse generator is electrically coupled to the first electrode lead, and a second state in which the pulse generator is electrically coupled to the second electrode lead;

performing a first stimulation treatment comprises placing the switch in the first state, generating electrical stimulation pulses using the pulse generator, and delivering the electrical stimulation pulses to the first stimulation site through the first electrode lead;

performing a second stimulation treatment comprises placing the switch in the second state, generating electrical stimulation pulses using the pulse generator, and delivering the stimulation pulses to the second stimulation site through the second electrode lead.

13. The method of claim 10, wherein implanting electrical stimulation device comprises implanting the one or more electrodes of the first electrode lead in the urinary sphincter of the patient, and implanting the one or more electrodes of the second electrode lead in the anal sphincter of the patient.

14. The method of claim 13, wherein:

treating a first pelvic condition of the patient comprises treating urinary incontinence; and

treating a second pelvic condition of the patient comprises treating fecal incontinence.

15. The method of claim 10, wherein the first and second pelvic conditions are selected from the group consisting of urinary incontinence, fecal incontinence, pain due to interstitial cystitis and urine retention.