Method, system and device for treating disorders of the pelvic floor by electrical stimulation of the sacral and/or pudendal nerves
First Claim
1. A method of treating orgasmic dysfunction the method comprising:
- identifying a patient with orgasmic dysfunction;
implanting a distal end of a first implantable medical electrical lead in a first tissue volume of the patient adjacent around or in a left sacral nerve or branches or portions thereof;
implanting a distal end of a second implantable medical electrical lead in a second tissue volume of the patient adjacent, around or in a right sacral nerve or branches or portions thereof;
operably connecting a proximal end of the first lead to an hermetically sealed implantable electrical pulse generator configured to provide at least first and second electrical stimulation pulse regimes via at least the first and second leads;
operably connecting a proximal end of the second lead to the implantable pulse generator;
implanting the implantable pulse generator within the patient; and
delivering, from the implantable pulse generator, first electrical stimulation pulses to the left sacral nerve or branches or portions thereof through the first lead and at least the first electrode, the first pulses being provided in accordance with the first electrical stimulation pulse regime;
delivering, from the implantable pulse generator, second electrical stimulation pulses to the right sacral nerve or branches or portions thereof through the second lead and at least the second electrode, the second pulses being provided in accordance with the second electrical stimulation pulse regime;
wherein the combination of the first and the second electrical pulse regimes is delivered through the first and second leads in a configuration effective to provide at least partial relief from orgasmic dysfunction.
1 Assignment
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Accused Products
Abstract
Described are implantable devices and methods for treating various disorders of the pelvic floor by means of electrical stimulation of tissue volumes at two or more locations adjacent sacral nerves or portions thereof, and/or pudendal nerves of portions thereof. Two or more electrical stimulation regimes are applied on a continuous, alternating, intermittent or other basis to the respective tissue volumes in an amount and manner effective to treat a number of disorders, including, but not limited to, urinary and/or fecal voiding dysfurictions such as constipation, incontinence disorders such as urge frequency and urinary retention disorders, sexual dysfunctions such as orgasmic and erectile dysfunction, pelvic pain, prostatitis, prostatalgia and prostatodynia.
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Citations
26 Claims
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1. A method of treating orgasmic dysfunction the method comprising:
- identifying a patient with orgasmic dysfunction;
implanting a distal end of a first implantable medical electrical lead in a first tissue volume of the patient adjacent around or in a left sacral nerve or branches or portions thereof; implanting a distal end of a second implantable medical electrical lead in a second tissue volume of the patient adjacent, around or in a right sacral nerve or branches or portions thereof; operably connecting a proximal end of the first lead to an hermetically sealed implantable electrical pulse generator configured to provide at least first and second electrical stimulation pulse regimes via at least the first and second leads; operably connecting a proximal end of the second lead to the implantable pulse generator; implanting the implantable pulse generator within the patient; and delivering, from the implantable pulse generator, first electrical stimulation pulses to the left sacral nerve or branches or portions thereof through the first lead and at least the first electrode, the first pulses being provided in accordance with the first electrical stimulation pulse regime; delivering, from the implantable pulse generator, second electrical stimulation pulses to the right sacral nerve or branches or portions thereof through the second lead and at least the second electrode, the second pulses being provided in accordance with the second electrical stimulation pulse regime; wherein the combination of the first and the second electrical pulse regimes is delivered through the first and second leads in a configuration effective to provide at least partial relief from orgasmic dysfunction. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22)
- identifying a patient with orgasmic dysfunction;
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23. A method of treating erectile dysunction, the method comprising:
- identifying a patient with erectile dysfunction;
implanting a distal end of a first implantable medical electrical lead in a first tissue volume of the patient adjacent, around or in a pudendal nerve or branches or portions thereof; implanting a distal end of a second implantable medical electrical lead in a second tissue volume of the patient adjacent, around or in one of the pudendal nerve, another pudendal nerve, a sacral nerve, or branches or portions thereof; operably connecting a proximal end of the first lead to an hermetically sealed implantable electrical pulse generator configured to provide at least first and second electrical stimulation pulse regimes via at least the first and second leads; operably connecting a proximal end of the second lead to the implantable pulse generator; implanting the implantable pulse generator within the patient; and delivering, from the implantable pulse generator, first electrical stimulation pulses to the pudendal nerve or branches or portions thereof through the first lead and at least the first electrode, the first pulses being provided in accordance with the first electrical stimulation pulse regime; delivering, from the implantable pulse generators second electrical stimulation pulses to the one of the pudendal nerve, another pudendal nerve, sacral nerve, or branches or portions thereof through the second lead and at least the second electrode, the second pulses being provided in accordance with the second electrical stimulation pulse regime; wherein the combination of the first and the second electrical pulse regimes is delivered through the first and second leads in a configuration effective to provide at least partial relief from erecrile dysfunction. - View Dependent Claims (24, 25)
- identifying a patient with erectile dysfunction;
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26. A method of treating at least one diagnosed pelvic floor disorder in a patient, the at least one disorder being selected from the group consisting of urinary voiding dysfunction, fecal voiding dysfunction, constipation, stress incontinence, urge incontinence, urinary retention disorder, sexual dysfunction, orgasmic dysfunction, erectile dysfunction, pelvic pain, prostatitis, prostatalgia and prostatodynia, the method comprising:
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implanting a distal end of a first implantable medical electrical lead in a first tissue volume of the patient adjacent, around or in a sacral nerve or branches or portions thereof on a first side of a patient; implanting a distal end of a second implantable medical electrical lead in a second tissue volume of the patient adjacent, around or in a pudendal nerve or branches or portions thereof on a second side of a patient; operably connecting a proximal end of the first lead to an hermetically sealed implantable electrical pulse generator configured to provide at least first and second electrical stimulation pulse regimes via at least the first and second leads; operably connecting a proximal end of the second lead to the implantable pulse generator; implanting the implantable pulse generator within the patient; and delivering, from the implantable pulse generator, first electrical stimulation pulses to the sacral nerve or branches or portions thereof on a first side of a patient through the first lead and at least the first electrode, the first pulses being provided in accordance with the first electrical stimulation pulse regime; delivering, from the implantable pulse generator, second electrical stimulation pulses to the pudendal nerve or branches or portions thereof on a second side of a patient through the second lead and at least the second electrode, the second pulses being provided in accordance wit the second electrical stimulation pulse regime; wherein the combination of the first and the second electrical pulse regimes is delivered through the first and second leads in a configuration effective to provide at least partial relief from at least one of urinary voiding dysfunction, fecal voiding dysftmnction, constipation, stress incontinence, urge incontinence, urinary retention disorder, sexual dysfunction, orgasmic dysfunction, erectile dysfunction, pelvic pain, prostatitis, prostatalgia or prostatodynia.
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Specification