Methods and systems for treating chronic pelvic pain

• US 7,890,176 B2
• Filed: 06/17/2005
• Issued: 02/15/2011
• Est. Priority Date: 07/06/1998
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Jaax, Kristen N., Woods, Carla Mann, Carbunaru, Rafael, Whitehurst, Todd K.
• Primary Examiner(s): Bockelman; Mark W
• Assistant Examiner(s): So; Elizabeth K
• Application Number:
  US11/156,360
• Publication Number:
  US 20050228451A1
• Time in Patent Office: 2,069 Days
• Field of Search: 607 1- 2, 607/39, 607115-118, 607/138
• US Class Current: 607/39
• CPC Class Codes: A61N 1/36007 of urogenital or gastrointestinal organs, e.g. for incontinence control
• CPC Class Codes: A61N 1/36017 with leads or electrodes penetrating the skin
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36135 using physiological parameters
• CPC Class Codes: A61N 1/37205 Microstimulators, e.g. implantable through a cannula

Abstract

Methods of treating chronic pelvic pain include applying at least one stimulus to a stimulation site within a patient with an implanted system control unit in accordance with one or more stimulation parameters. Systems for treating chronic pelvic pain include a system control unit configured to apply at least one stimulus to a stimulation site within a patient in accordance with one or more stimulation parameters.

Claims

1. A method of treating a patient with chronic pelvic pain, said method comprising:

implanting a system control unit at least partially within said patient;

implanting one or more electrodes at a stimulation site within said patient, wherein said system control unit is coupled to the one or more electrodes;

configuring one or more stimulation parameters to treat chronic pelvic pain;

programming said system control unit with said one or more stimulation parameters;

generating a stimulus configured to treat said chronic pelvic pain with said system control unit in accordance with said one or more stimulation parameters; and

applying said stimulus to the stimulation site within said patient using said electrodes;

wherein said stimulation site comprises at least one or more of a frankenhauser'"'"'s ganglion, a cauda equina, a thalamus, a motor cortex, a frontal cortex, an arterial supply to a reproductive organ, and an arterial supply to a pelvic floor.

2. The method of claim 1, wherein said stimulus further comprises stimulation via one or more drugs delivered to said stimulation site.

3. The method of claim 1, wherein said stimulus comprises a stimulation current delivered to said stimulation site and a stimulation via one or more drugs delivered to said stimulation site.

4. The method of claim 1, further comprising sensing at least one indicator related to said chronic pelvic pain and using said at least one sensed indicator to adjust one or more of said stimulation parameters.

5. The method of claim 4, wherein said at least one indicator comprises at least one or more of an electrical activity of a brain, a neurotransmitter level, a hormone level, and a medication level.

6. The method of claim 1, wherein said system control unit comprises a microstimulator.

7. The method of claim 1, wherein said one or more electrodes are disposed on an outer surface of said system control.

8. The method of claim 1, wherein the stimulation site comprises or the frankenhauser'"'"'s ganglion.

9. The method of claim 1, wherein the stimulation site comprises the cauda equina.

10. The method of claim 1, wherein the stimulation site comprises the thalamus.

11. The method of claim 1, wherein the stimulation site comprises the motor cortex.

12. The method of claim 1, wherein the stimulation site comprises the frontal cortex.

13. A method of treating a patient with chronic pelvic pain, said method comprising:

implanting a system control unit within said patient;

implanting one or more electrodes at a stimulation site within said patient, wherein said system control unit is coupled to the one or more electrodes;

configuring one or more stimulation parameters to treat chronic pelvic pain;

programming said system control unit with said one or more stimulation parameters;

generating a stimulation current configured to treat said chronic pelvic pain with said system control unit in accordance with said one or more stimulation parameters; and

applying said stimulation current to the stimulation site within said patient using said one or more electrodes;

wherein said stimulation site comprises at least one or more of a frankenhauser'"'"'s ganglion, a cauda equina, a thalamus, a motor cortex, a frontal cortex, an arterial supply to a reproductive organ, and an arterial supply to a pelvic floor.

14. The method of claim 13, further comprising sensing at least one indicator related to said chronic pelvic pain and using said at least one sensed indicator to adjust one or more of said stimulation parameters.