Neurostimulation site screening
First Claim
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1. A neurostimulation screening device comprising:
- a transcutaneous electrical neurostimulation electrode array for application to an epidermal region adjacent a neuralgic region of a patient; and
a controller coupled to the transcutaneous electrical neurostimulation electrode array to selectively apply stimulation energy to different combinations of electrodes within the array at different stimulation regions, and record patient feedback relating to perceived efficacy of the different combinations,wherein the controller comprises at least one input medium to mark one or more of the stimulation regions when the patient feedback is favorable.
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Abstract
The disclosure describes a process for non-invasively screening a patient to select a stimulation site for treatment of head, neck or facial pain and tension symptoms caused by disorders such as occipital neuralgia. The screening process involves application of a transcutaneous stimulation screening device, a percutaneous micro-electrode screening device, and a temporary implantable screening device to the patient to select a site for chronic implantation.
140 Citations
27 Claims
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1. A neurostimulation screening device comprising:
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a transcutaneous electrical neurostimulation electrode array for application to an epidermal region adjacent a neuralgic region of a patient; and a controller coupled to the transcutaneous electrical neurostimulation electrode array to selectively apply stimulation energy to different combinations of electrodes within the array at different stimulation regions, and record patient feedback relating to perceived efficacy of the different combinations, wherein the controller comprises at least one input medium to mark one or more of the stimulation regions when the patient feedback is favorable. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
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9. A neurostimulation screening device comprising:
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an array of percutaneous needle electrodes for penetration of an epidermal region adjacent a neuralgic region of a patient; and a controller coupled to the needle electrodes to selectively apply stimulation energy to different combinations of the needle electrodes within the array at different stimulation sites, wherein the controller comprises an input device to record patient feedback relating to perceived efficacy of the different combinations, and at least one input medium to mark one or more of the stimulation sites when the patient feedback is favorable. - View Dependent Claims (10, 11, 12, 13)
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14. A neurostimulation screening device comprising:
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a transcutaneous electrical neurostimulation electrode array for application to an epidermal region adjacent a neuralgic region of a patient; an array of percutaneous needle electrodes for penetration of the epidermal region adjacent the neuralgic region of a patient; and a controller to selectively apply stimulation energy to different combinations of electrodes within the transcutaneous electrical neurostimulation electrode array at different stimulation regions, and selectively apply stimulation energy to different combinations of the needle electrodes within the array at different stimulation sites within one of the stimulation regions. - View Dependent Claims (15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27)
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Specification