Modular stimulator for treatment of back pain, implantable RF ablation system and methods of use
First Claim
1. A therapeutic electrical stimulation system comprising:
- an implantable housing;
one or more electrode leads coupled to the implantable housing and having a plurality of electrodes, wherein at least one of the one or more electrode leads is configured to be implanted adjacent to a spinal tissue;
a first circuitry module disposed within the implantable housing and operatively coupled to at least one of the one or more electrode leads, wherein the first circuitry module is configured to deliver electrical stimulation to a selected first subset of the plurality of electrodes to cause contraction of a spinal muscle associated with the spinal tissue;
a second circuitry module, adapted for long term pain relief, disposed within the implantable housing and operatively coupled to at least one of the one or more electrode leads, wherein the second circuitry module is configured to perform a function selected from a group consisting of;
analgesic stimulation of afferent nerve fibers associated with the spinal tissue;
muscle performance monitoring;
stimulation of efferent nerve fibers associated with the spinal tissue to reduce spasm, and radio frequency (RF) ablation; and
a controller disposed within the implantable housing and operatively coupled to the first circuitry module and the second circuitry module, wherein the controller is configured to cause simultaneous delivery of the electrical stimulation via the first circuitry module and performance of the function via the second circuitry module.
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Accused Products
Abstract
Apparatus and methods for treating back pain are provided, in which an implantable stimulator is configured to communicate with an external control system, the implantable stimulator providing a neuromuscular electrical stimulation therapy designed to cause muscle contraction to rehabilitate the muscle, restore neural drive and restore spinal stability; the implantable stimulator further including one or more of a number of additional therapeutic modalities, including a module that provides analgesic stimulation; a module that monitors muscle performance and adjusts the muscle stimulation regime; and/or a module that provides longer term pain relief by selectively and repeatedly ablating nerve fibers. In an alternative embodiment, a standalone implantable RF ablation system is described.
90 Citations
15 Claims
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1. A therapeutic electrical stimulation system comprising:
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an implantable housing; one or more electrode leads coupled to the implantable housing and having a plurality of electrodes, wherein at least one of the one or more electrode leads is configured to be implanted adjacent to a spinal tissue; a first circuitry module disposed within the implantable housing and operatively coupled to at least one of the one or more electrode leads, wherein the first circuitry module is configured to deliver electrical stimulation to a selected first subset of the plurality of electrodes to cause contraction of a spinal muscle associated with the spinal tissue; a second circuitry module, adapted for long term pain relief, disposed within the implantable housing and operatively coupled to at least one of the one or more electrode leads, wherein the second circuitry module is configured to perform a function selected from a group consisting of;
analgesic stimulation of afferent nerve fibers associated with the spinal tissue;
muscle performance monitoring;
stimulation of efferent nerve fibers associated with the spinal tissue to reduce spasm, and radio frequency (RF) ablation; anda controller disposed within the implantable housing and operatively coupled to the first circuitry module and the second circuitry module, wherein the controller is configured to cause simultaneous delivery of the electrical stimulation via the first circuitry module and performance of the function via the second circuitry module. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15)
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Specification