Peripheral nerve field stimulation and spinal cord stimulation
First Claim
1. A method for treating pain of a patient comprising:
- delivering peripheral nerve field stimulation to a specific location of a body of the patient at which the patient experiences pain, wherein delivering peripheral nerve field stimulation comprises delivering peripheral nerve field stimulation via a first set of one or more electrodes implanted in the specific location, and wherein delivering peripheral nerve field stimulation to the specific location does not include directly delivering stimulation to any specific peripheral nerve; and
delivering spinal cord stimulation to the patient via a second set of one or more electrodes implanted in an epidural space proximate to a spinal cord of the patient in combination with the peripheral nerve field stimulation.
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Accused Products
Abstract
Delivery of peripheral nerve field stimulation (PNFS) in combination with one or more other therapies is described. The other therapy delivered in combination with PNFS may be, for example, a different type of neurostimulation, such as spinal cord stimulation (SCS), or a drug. PNFS and the other therapy may be delivered simultaneously, in an alternating fashion, according to a schedule, and/or selectively, e.g., in response to a request received from a patient or clinician. A combination therapy that includes PNFS may be able to more completely address complex or multifocal pain than would be possible through delivery of either PNFS or other therapies alone. Further, the combination of PNFS with one or more other therapies may reduce the likelihood that neural accommodation will impair the perceived effectiveness PNFS or the other therapies.
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Citations
35 Claims
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1. A method for treating pain of a patient comprising:
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delivering peripheral nerve field stimulation to a specific location of a body of the patient at which the patient experiences pain, wherein delivering peripheral nerve field stimulation comprises delivering peripheral nerve field stimulation via a first set of one or more electrodes implanted in the specific location, and wherein delivering peripheral nerve field stimulation to the specific location does not include directly delivering stimulation to any specific peripheral nerve; and delivering spinal cord stimulation to the patient via a second set of one or more electrodes implanted in an epidural space proximate to a spinal cord of the patient in combination with the peripheral nerve field stimulation. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
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15. A system for treating pain of a patient comprising:
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a first set of one or more electrodes implanted in a specific location of a body of the patient at which the patient experiences pain; a second set of one or more electrodes implanted in an epidural space proximate to a spinal cord of the patient; and an implantable medical device coupled to the first and second sets of electrodes that delivers peripheral nerve field stimulation via the first set of electrodes and spinal cord stimulation via the second set of a electrodes, wherein delivering peripheral nerve field stimulation via the first set of one or more electrodes to the specific location does not include directly delivering stimulation to any specific peripheral nerve. - View Dependent Claims (16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27)
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28. A system for treating pain of a patient comprising:
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a first set of one or more electrodes implanted in specific location of a back of the patient that is laterally displaced from a spinal cord in the back of the patient; a second set of one or more electrodes implanted within a region from a seventh thoracic vertebrae to a first lumbar vertebrae of the patient; and an implantable medical device coupled to the first and second sets of electrodes that delivers peripheral nerve field stimulation via the first set of electrodes and spinal cord stimulation via the second set of a electrodes, wherein delivering peripheral nerve field stimulation via the first set of one or more electrodes to the specific location does not include directly delivering stimulation to any specific peripheral nerve. - View Dependent Claims (29, 30, 31, 32, 33, 34)
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35. A system for treating pain of a patient comprising:
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a first set of one or more electrodes implanted in a specific location of a back of the patient at which the patient experiences pain, wherein the specific location is laterally displaced from a spinal cord in the back of the patient; a second set of one or more electrodes implanted in an epidural space proximate to a spinal cord of the patient; and an implantable medical device coupled to the first and second sets of electrodes that delivers peripheral nerve field stimulation via the first set of electrodes and spinal cord stimulation via the second set of a electrodes, wherein delivering peripheral nerve field stimulation via the first set of one or more electrodes to the specific location does not include directly delivering stimulation to any specific peripheral nerve; and wherein the implantable medical device alternates delivery of the peripheral nerve field stimulation and the spinal cord stimulation, and the implantable medical device delivers peripheral nerve field stimulation according to a peripheral nerve field stimulation program group and spinal cord stimulation according to a spinal cord stimulation program group.
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Specification