System and method for spinal cord stimulation to treat motor disorders

• US 8,688,233 B2
• Filed: 06/21/2012
• Issued: 04/01/2014
• Est. Priority Date: 06/23/2011
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Lee, Dongchul, Bradley, Kerry
• Primary Examiner(s): MANUEL, GEORGE C
• Application Number:
  US13/529,906
• Publication Number:
  US 20120330391A1
• Time in Patent Office: 649 Days
• Field of Search: 607/117
• US Class Current: 607/117
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/0553 Paddle shaped electrodes, e.g. for laminotomy
• CPC Class Codes: A61N 1/36067 Movement disorders, e.g. tremor or Parkinson disease stimulating motor muscle A61N1/36003
• CPC Class Codes: A61N 1/36171 Frequency
• CPC Class Codes: A61N 1/36175 Pulse width or duty cycle

Abstract

A method for using spinal cord stimulation to treat symptoms of motor disorders includes implanting a stimulation lead within a ventral portion of the epidural space. The lead is implanted with at least a portion of the electrodes facing the spinal cord. In a method for providing therapy to a patient suffering from a motor disorder, electrical stimulation energy is applied to at least one ventral column nerve fiber through the implanted stimulation lead. A peripheral region of the patient'"'"'s body exhibits the symptoms of the motor disorder, and the ventral column nerve fiber to which the stimulation is applied innervates that peripheral region.

Claims

1. A method for of performing a medical procedure on a patient suffering from a motor disorder, the method using a stimulation lead having at least one electrode, the method comprising:

introducing a stimulation lead having at least one electrode within a ventral portion of an epidural space of the patient;

facing at least a portion of the at least one electrode toward a spinal cord of the patient; and

affixing the lead within the patient, such that the portion of the at least one electrode faces the spinal cord.

2. The method of claim 1, wherein the lead is affixed parallel to the spinal cord.

3. The method of claim 1, wherein the lead is a paddle lead and the at least one electrode comprises a plurality of electrodes disposed on the same side of the paddle lead.

4. The method of claim 1, wherein the motor disorder affects a peripheral region of the patient, and wherein the lead is affixed such that the at least one electrode is located at an area of the spinal cord having a ventral column nerve fiber that innervates the peripheral region.

5. The method of claim 1, wherein the lead is a cylindrical lead and the at least one electrode comprises a plurality of radially segmented electrodes.

6. The method of claim 1, wherein the lead is a cylindrical lead and the at least one electrode comprises a plurality of ring electrodes.

7. A method for providing therapy to a patient suffering from a motor disorder using at least one electrode implanted within a ventral portion of an epidural space of the patient, the method comprising:

applying electrical stimulation energy to at least one ventral column nerve fiber of the patient, thereby treating symptoms of the motor disorder.

8. The method of claim 7, wherein the applied electrical stimulation energy inhibits nerve impulses traveling from the patient'"'"'s brain to a peripheral region exhibiting the symptoms of the motor disorder.

9. The method of claim 7, wherein the motor disorder affects a peripheral region of the patient, and wherein the at least one ventral column nerve fiber innervates the peripheral region.

10. The method of claim 7, wherein the electrical stimulation energy is applied at a frequency above 100 Hz.

11. The method of claim 7, wherein the electrical stimulation energy is applied at a pulse width of less than 20 μ

s.