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Method and system for providing electrical pulses for neuromodulation of vagus nerve(s), using rechargeable implanted pulse generator

机译:使用可充电植入式脉冲发生器为迷走神经的神经调节提供电脉冲的方法和系统

摘要

A method and system of providing electrical pulses to vagal nerve(s) using rechargeable implantable pulse generator for stimulation and/or blocking to provide therapy for neurological and neuropsychiatric disorders comprises implantable and external components. These disorders include (but are not limited to) epilepsy, partial complex epilepsy, generalized epilepsy, and involuntary movement disorders such as in Parkinson's disease, depression, bipolar depression, schizophrenia, anxiety disorders, neurogenic/psycogenic pain, compulsive eating disorders, obesity, obsessive compulsive disorders, dementia including Alzheimer's disease, sleep disorders, learning difficulties, migraines and cardiac disorders such as atrial fibrillation and congestive heart failure (CHF). The implantable components are a lead and an implantable pulse generator, comprising rechargeable lithium-ion or lithium-ion polymer battery. The external components are a programmer and an external recharger. In one embodiment, the implanted pulse generator may also comprise stimulus-receiver means, and a pulse generator means with rechargeable battery. The implanted stimulus-receiver is adapted to work in conjunction with an external stimulator. In another embodiment, the implanted pulse generator is adapted to be rechargeable, utilizing inductive coupling with an external recharger. Existing vagal nerve stimulators may also be adapted to be used with rechargeable power sources as disclosed herein. The implanted system may also use a lead with two or more electrodes, for vagus nerve(s) modulation with selective stimulation and/or blocking.
机译:一种使用可再充电的植入式脉冲发生器为迷走神经提供电脉冲的方法和系统,用于刺激和/或阻断以提供对神经系统和神经精神疾病的治疗,该方法和系统包括植入式和外部组件。这些疾病包括(但不限于)癫痫,部分复杂性癫痫,全身性癫痫和非自愿运动疾病,例如帕金森氏病,抑郁症,双相抑郁症,精神分裂症,焦虑症,神经源性/精神病性疼痛,强迫性进食障碍,肥胖症,强迫症,痴呆症(包括阿尔茨海默氏病),睡眠障碍,学习困难,偏头痛和心脏疾病,如心房颤动和充血性心力衰竭(CHF)。可植入部件是引线和可植入脉冲发生器,包括可充电锂离子或锂离子聚合物电池。外部组件是编程器和外部充电器。在一个实施例中,植入的脉冲发生器还可以包括刺激接收器装置和具有可再充电电池的脉冲发生器装置。植入的刺激接收器适于与外部刺激器一起工作。在另一个实施例中,利用与外部充电器的电感耦合,植入的脉冲发生器适于可再充电。现有的迷走神经刺激器也可以适于与本文公开的可再充电电源一起使用。植入的系统还可以使用具有两个或多个电极的导线,以通过选择性刺激和/或阻断来调制迷走神经。

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