The present technology is directed generally to electrical stimulation and associated systems and methods. For example, the present technology provides stimulation schedules/regimens that are expected to reduce the amount of power required for paresthesia-free stimulation, while maintaining the benefits of paresthesia- free stimulation. This is accomplished by reducing the dose of paresthesia-free neurostimulation provided to a patient over time. The dose can be reduced without a corresponding reduction, or significant reduction, in effectiveness.
Systems for disease treatment using electrical stimulation are disclosed. A representative method for treating a patient includes changing an activity, expression, or both activity and expression of a fast sodium channel, a glial cell, or both a fast sodium channel and a glial cell of the patient by applying to a target neural population of the patient an electrical therapy signal having a frequency in a frequency range of 1.5 kHz to 100 KHz.
A61N 1/36 - Applying electric currents by contact electrodes alternating or intermittent currents for stimulation, e.g. heart pace-makers
3.
HIGH FREQUENCY STIMULATION FOR TREATING SENSORY AND/OR MOTOR DEFICITS IN PATIENTS WITH SPINAL CORD INJURIES AND/OR PERIPHERAL POLYNEUROPATHY, AND ASSOCIATED SYSTEMS AND METHODS
High frequency stimulation for treating sensory and/or motor deficits in patients with spinal cord injuries and/or peripheral polyneuropathy, and associated systems and methods. A representative method includes addressing the patient's somatosensory dysfunction and/or motor dysfunction, resulting from neuropathy and/or spinal cord injury, by directing an electrical therapy signal to the patient's spinal cord region, the therapy signal having a frequency in a frequency range from 1.5 kHz to 100 KHz.
The present technology provides systems and methods for directly suppressing nerve cells by delivering electrical stimulation having relatively long pulse widths and at amplitudes below an activation threshold of the nerve cells. For example, some embodiments include delivering a therapy signal having individual pulses with pulse widths of between about 5 ms and 100 ms. Directly suppressing the nerve cells is expected to reduce the transmission of pain signals.
Medical and surgical instruments and apparatus and components therefor, namely, devices for use in tissue and neural tissue for modulating neurological signals; medical device for use in tissue and neural tissue for modulating neurological signals for pain control; electrical neuromodulation therapy device for pain control; medical device, namely, an electrical stimulation device for stimulating nerves or neural tissue for pain control; medical device, namely, an implantable electrical stimulation device for pain control
Medical and surgical instruments and apparatus and components therefor, namely, devices for use in tissue and neural tissue for modulating neurological signals; medical device for use in tissue and neural tissue for modulating neurological signals for pain control; electrical neuromodulation therapy device for pain control; medical device, namely, an electrical stimulation device for stimulating nerves or neural tissue for pain control; medical device, namely, an implantable electrical stimulation device for pain control
7.
TREATMENT OF NEURODEGENERATIVE DISEASE WITH HIGH FREQUENCY STIMULATION, AND ASSOCIATED SYSTEMS AND METHODS
Systems and methods for treating neurodegenerative disorders with high frequency stimulation are disclosed. A representative method for treating a patient includes applying an electrical signal to the patient via a treatment system that includes a signal delivery element positioned at or within a white matter of the patient's brain, spinal cord, or both, the electrical signal having a frequency of from about 1.5 kHz to about 100 kHz.
Stimulation for treating sensory deficits in patients with spinal cord injuries and/or peripheral polyneuropathy, and associated systems and methods. A representative method includes addressing the patient's somatosensory dysfunction, resulting from neuropathy and/or spinal cord injury, by directing an electrical therapy signal to the patient's spinal cord region, the therapy signal having a frequency in a frequency range from 200 Hz to 100 KHz.
The present technology is directed generally to electrical stimulation and associated systems and methods. For example, in some embodiments a first electrical signal can be applied to a target neural population via two or more electrodes on a signal delivery element, and a second electrical signal can be applied to two or more different electrodes on the signal delivery element. The first electrical signal and the second electrical signal can have different parameters. For example, the first electrical signal can have a frequency under 1.2 kHz and the second electrical signal can have a frequency greater than 1.2 kHz. In some embodiments, the first electrical signal has a relatively long pulse width, such as between about 5 milliseconds and about 2 seconds, such that it approximates a direct current signal.
Variable amplitude signals for neurological therapy, and associated systems and methods are disclosed. A representative method includes activating automatic delivery of an electrical therapy signal to a patient's spinal cord region at a frequency in a frequency range between 1.5 kHz and 100 kHz, via at least one signal delivery contact carried by an implanted signal delivery device. The delivery can include repeatedly and automatically delivering the electrical therapy signal at each of multiple therapy signal amplitudes to the at least one signal delivery contact, without the therapy signal generating paresthesia in the patient. The foregoing process can be used as a screening tool to screen responders from non-responders in the context of a non-paresthesia-generating therapy, and/or can be used during long-term treatment, for example, for chronic pain.
Electrical therapy applied to the brain with increased efficacy and/or decreased undesirable side effects, and associated systems and methods, are disclosed. A representative method includes applying a therapy signal to a patient, via at least one electrode at a subdural or epidural location at the patient's brain, to provide effective therapy that reduces or eliminates the effects of a patient disorder. The therapy signal does not induce any non-therapeutic side effects, and has a frequency in a frequency range of from 1.2 kHz to 500 kHz, an amplitude in an amplitude range from 0.1 to 20 mA, and a pulse width in a pulse width range from 1 microsecond to 400 microseconds.
The present technology is directed generally to electrical stimulation and associated systems and methods for preferentially and/or selectively activating and suppressing motor neurons and/or motor responses, such as to treat a motor dysfunction in patients. For example, in some embodiments high frequency electrical stimulation can be administered to a target neural population via an implanted signal delivery device to induce a motor response in a first muscle, and low frequency electrical stimulation can be administered to the target neural population via the same signal delivery device to induce a motor response in a second muscle that is different than the first muscle.
The present technology provides systems and methods for delivering electrical stimulation having relatively long pulse widths to treat patient neuropathies, including diabetic neuropathy. For example, some embodiments include delivering a therapy signal having individual pulses with pulse widths of between about 5 milliseconds and 2 seconds. The therapy signals may restore sensation lost in association with the diabetic neuropathy and/or reduce pain or other abnormal sensations associated with the diabetic neuropathy.
Systems and methods for producing asynchronous neural responses to treat pain and/or other patient conditions are disclosed. A method in accordance with a particular embodiment includes selecting a target stimulation frequency that is above a threshold frequency, with the threshold frequency corresponding to a refractory period for neurons of a target sensory neural population. The method can further include producing a patient sensation of paresthesia by directing an electrical signal to multiple sensory neurons of the target sensory neural population at the stimulation frequency, with individual neurons of the sensory neural population completing corresponding individual refractory periods at different times, resulting in an asynchronous sensory neuron response to the electrical signal.
A61N 1/36 - Applying electric currents by contact electrodes alternating or intermittent currents for stimulation, e.g. heart pace-makers
A61N 1/05 - Electrodes for implantation or insertion into the body, e.g. heart electrode
A61N 1/372 - Arrangements in connection with the implantation of stimulators
15.
SELECTIVE HIGH FREQUENCY SPINAL CORD MODULATION FOR INHIBITING PAIN, INCLUDING CEPHALIC AND/OR TOTAL BODY PAIN WITH REDUCED SIDE EFFECTS, AND ASSOCIATED SYSTEMS AND METHODS
Selective high-frequency spinal cord modulation for inhibiting pain with reduced side effects and associated systems and methods are disclosed. In particular embodiments, high-frequency modulation in the range of from about 1.5 KHz to about 50 KHz may be applied to the patient's spinal cord region from an epidural, cervical location to address at least one of high back pain, mid-back pain, low back pain, and leg pain without creating paresthesia in the patient.
Electrical therapy applied to the brain with increased efficacy and/or decreased undesirable side effects, and associated systems and methods, are disclosed. A representative method includes applying a therapy signal to a patient, via at least one electrode at a subdural or epidural location at the patient's brain, to provide effective therapy that reduces or eliminates the effects of a patient disorder. The therapy signal does not induce any non-therapeutic side effects, and has a frequency in a frequency range of from 1.2 kHz to 500 kHz, an amplitude in an amplitude range from 0.1 to 20 mA, and a pulse width in a pulse width range from 1 microsecond to 400 microseconds.
Systems for disease treatment using electrical stimulation are disclosed. A representative method for treating a patient includes changing an activity, expression, or both activity and expression of a fast sodium channel, a glial cell, or both a fast sodium channel and a glial cell of the patient by applying to a target neural population of the patient an electrical therapy signal having a frequency in a frequency range of 1.5 kHz to 100 KHz.
Selective high-frequency spinal cord modulation for inhibiting pain with reduced side effects and associated systems and methods are disclosed. In particular embodiments, high-frequency modulation in the range of from about 1.5 KHz to about 50 KHz may be applied to the patient's spinal cord region to address low back pain without creating unwanted sensory and/or motor side effects. In other embodiments, modulation in accordance with similar parameters can be applied to other spinal or peripheral locations to address other indications.
Systems for disease treatment using electrical stimulation are disclosed. A representative method for treating a patient includes changing an activity, expression, or both activity and expression of a fast sodium channel, a glial cell, or both a fast sodium channel and a glial cell of the patient by applying to a target neural population of the patient an electrical therapy signal having a frequency in a frequency range of 1.5 kHz to 100 kHz.
Implanted pulse generators with reduced power consumption via signal strength-duration characteristics, and associated systems and methods are disclosed. A representative method for treating a patient in accordance with the disclosed technology includes receiving an input corresponding to an available voltage for an implanted medical device and identifying a signal delivery parameter value of an electrical signal based on a correlation between values of the signal delivery parameter and signal deliver amplitudes. The signal deliver parameter can include at least one of pulse width or duty cycle. The method can further include delivering an electrical therapy signal to the patient at the identified signal delivery parameter value using a voltage within a margin of the available voltage.
The present technology provides systems and methods for directly suppressing nerve cells by delivering electrical stimulation having relatively long pulse widths and at amplitudes below an activation threshold of the nerve cells. For example, some embodiments include delivering a therapy signal having individual pulses with pulse widths of between about 5 ms and 100 ms. Directly suppressing the nerve cells is expected to reduce the transmission of pain signals.
The present technology is directed generally to electrical stimulation and associated systems and methods. For example, the present technology provides stimulation schedules/regimens that are expected to reduce the amount of power required for paresthesia-free stimulation, while maintaining the benefits of paresthesia-free stimulation. This is accomplished by reducing the dose of paresthesia-free neurostimulation provided to a patient over time. The dose can be reduced without a corresponding reduction, or significant reduction, in effectiveness.
Electrical therapy applied to the brain with increased efficacy and/or decreased undesirable side effects, and associated systems and methods, are disclosed. A representative method includes applying a therapy signal to a patient, via at least one electrode at a subdural or epidural location at the patient's brain, to provide effective therapy that reduces or eliminates the effects of a patient disorder. The therapy signal does not induce any non-therapeutic side effects, and has a frequency in a frequency range of from 1.2 kHz to 500 kHz, an amplitude in an amplitude range from 0.1 to 20 mA, and a pulse width in a pulse width range from 1 microsecond to 400 microseconds.
An external neurostimulator includes a housing including a base housing and a top housing, a power source, a pulse generator, and a first and second series of spring-loaded pins electrically coupled to the pulse generator. The top housing includes a central portion, a first side door hingedly coupled to a first side of the central portion, and a second side door hingedly coupled to a second side of the central portion. Each of the first side door and the second side door include a channel formed thereon that is configured to directly receive a proximal end portion of an implantable lead. Each channel includes a series of longitudinally spaced-apart openings formed on the first side door and the second side door, respectively. The first and second series of spring-loaded pins extend through the series of longitudinally spaced-apart openings of the channel on the first and second side doors, respectively.
Spinal cord modulation for inducing paresthetic and anesthetic effects, and associated systems and methods are disclosed. A representative method in accordance with an embodiment of the disclosure includes creating a therapeutic effect and a sensation in a patient by delivering to the patient first pulses having a first set of first signal delivery parameters and second pulses having a second set of second signal delivery parameters, wherein a first value of at least one first parameter of the first set is different than a second value of a corresponding second parameter of the second set, and wherein the first pulses, the second pulses or both the first and second pulses are delivered to the patient's spinal cord.
The present technology is directed generally to electrical stimulation and associated systems and methods. For example, the present technology provides stimulation schedules/regimens that are expected to reduce the amount of power required for paresthesia-free stimulation, while maintaining the benefits of paresthesia-free stimulation. This is accomplished by reducing the dose of paresthesia-free neurostimulation provided to a patient over time. The dose can be reduced without a corresponding reduction, or significant reduction, in effectiveness.
A power control circuit for use with devices that will be placed in a flammable sterilizing gas includes a bi-stable switch that is configured to produce an output to place the circuitry of a connected device in a run state or a sleep state. The bi-stable switch controls one or more transistors to drain energy from energy storage devices in the circuitry of the connected device to a level below an ignition level of a sterilizing gas. A remotely actuatable switch can be actuated from outside of a packaging in which the power control circuit is placed to cause the bi-stable switch to produce an output that puts the circuitry in the run state without removing the power control circuit from the packaging.
A61N 1/36 - Applying electric currents by contact electrodes alternating or intermittent currents for stimulation, e.g. heart pace-makers
G05F 1/56 - Regulating voltage or current wherein the variable actually regulated by the final control device is DC using semiconductor devices in series with the load as final control devices
31.
SYSTEMS AND METHODS FOR DELIVERING NEUROSTIMULATION, INCLUDING REDUCED DOSES OF NEUROSTIMULATION
The present technology is directed generally to electrical stimulation and associated systems and methods. For example, the present technology provides stimulation schedules/regimens that are expected to reduce the amount of power required for paresthesia-free stimulation, while maintaining the benefits of paresthesia- free stimulation. This is accomplished by reducing the dose of paresthesia-free neurostimulation provided to a patient over time. The dose can be reduced without a corresponding reduction, or significant reduction, in effectiveness.
An applicator for applying an external wearable device to a target skin location, the external wearable device having an adhesive layer coupled thereto. The applicator includes an actuator and a plurality of claws configured to receive the external wearable device when in a retracted state. Actuation of the actuator from a first position to a second position causes the plurality of claws to transition from the retracted state to an extended state. The actuator in the second position also places an axial force onto the external wearable device as to press the adhesive layer of the external wearable device onto the target skin location.
Stimulation for treating sensory deficits in patients with spinal cord injuries and/or peripheral polyneuropathy, and associated systems and methods. A representative method includes addressing the patient's somatosensory dysfunction, resulting from neuropathy and/or spinal cord injury, by directing an electrical therapy signal to the patient's spinal cord region, the therapy signal having a frequency in a frequency range from 200 Hz to 100 kHz.
Stimulation for treating sensory deficits in patients with spinal cord injuries and/or peripheral polyneuropathy, and associated systems and methods. A representative method includes addressing the patient's somatosensory dysfunction, resulting from neuropathy and/or spinal cord injury, by directing an electrical therapy signal to the patient's spinal cord region, the therapy signal having a frequency in a frequency range from 200 Hz to 100 kHz.
A surgical system for preparing the sacroiliac (SI) joint for a fusion, comprising a sliding joint finder and a working cannula. The working cannula comprises a body having a central axis that runs the length of the body. The body of the working cannula comprises a distal end, a proximal end and a central cavity that is positioned along the central axis of the working cannula and has suitable dimensions for sliding the working cannula over the sliding joint finder and the working cannula further comprises two protrusions extending proximally. In addition, the two protrusions have uneven lengths such that when the working cannula is inserted, the longer of the two protrusions engages the SI joint at a superior end of the SI joint and the shorter of the two protrusions engages the SI joint at an inferior end of the SI joint.
Systems and methods for the efficient use of an implantable pulse generator (IPG) battery are disclosed. A representative system for adjusting an electrical signal of an IPG associated with delivering therapy to a patient comprises a computer readable medium having instructions that cause the IPG to deliver a supply voltage at a first value, adjust the supply voltage from the first value until a threshold break occurs, and, based at least in part of the threshold break, increase the supply voltage from the second value to a third value. As therapy is delivered to the patient, the system iteratively adjusts the supply voltage to approach and reflect a variable minimum voltage needed to provide the requested current to the IPG.
Systems and methods for using sensory threshold and/or adaptation for neurological therapy screening and/or parameter selection. A representative method for establishing a treatment regimen for a patient includes: in response to a first indication of a characteristic of the patient's sensory response to an electrical stimulus, providing a second indication indicating suitability of an electrical signal for delivery to the patient to address a patient condition, wherein the electrical signal has a frequency in a frequency range from 1.2 kHz to 100 kHz.
A61N 1/36 - Applying electric currents by contact electrodes alternating or intermittent currents for stimulation, e.g. heart pace-makers
G16H 40/60 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
A61N 1/372 - Arrangements in connection with the implantation of stimulators
38.
SYSTEMS AND METHODS FOR CONCURRENTLY DELIVERING HIGH FREQUENCY AND LONG PULSE WIDTH ELECTRICAL STIMULATION
The present technology is directed generally to electrical stimulation and associated systems and methods. For example, in some embodiments a first electrical signal can be applied to a target neural population via two or more electrodes on a signal delivery element, and a second electrical signal can be applied to two or more different electrodes on the signal delivery element. The first electrical signal and the second electrical signal can have different parameters. For example, the first electrical signal can have a frequency under 1.2 kHz and the second electrical signal can have a frequency greater than 1.2 kHz. In some embodiments, the first electrical signal has a relatively long pulse width, such as between about 5 milliseconds and about 2 seconds, such that it approximates a direct current signal.
Improving motor function in spinal cord injury patients (among others) via electrical stimulation, and associated systems and methods are disclosed. A representative method includes, in a patient having a spinal cord injury, improving the patient's gait response by delivering an electrical signal that includes repeating pulse packets delivered at a first frequency of from 2 Hz to 200 Hz. The electrical signal is delivered from an epidural location at the patient's spinal cord, and the individual pulse packets include a first period during which pulses are delivered at a first frequency of from 1 kHz to 5 kHz and a first pulse width of from 80 microseconds to 400 microseconds and a first amplitude from 0.1 mA to 20 mA, followed by a second period during which pulses are (a) not delivered, or (b) delivered at a second frequency higher than the first frequency, and/or a second pulse width shorter than the first pulse width, and/or a second amplitude less than the first amplitude.
Systems and methods for identifying and treating patients with high frequency electrical signals. A representative method for identifying a patient as a candidate for pain treatment includes identifying a first sensory threshold, delivering an electrical signal to a neural population of the patient at a frequency in a frequency range of 1.5 kHz to 100 kHz and, while and/or after delivering the electrical signal to the patient, identifying a second sensory threshold of the patient. If the second sensory threshold is less than the first, the method can include identifying the patient as a candidate for receiving an electrical signal at a frequency in the foregoing range for pain treatment.
System and methods for detecting impedance changes and for adjusting electrical therapy based on impedance changes are disclosed herein. A method in accordance with a particular embodiment includes applying a therapeutic, paresthesia-less electrical signal to a patient via a patient modulation system that includes a signal delivery device in electrical communication with a target neural population of the patient. The method can include monitoring on a periodic basis an impedance of an electrical circuit that includes the signal delivery device. The method can further include detecting a change in the impedance that indicates a fault and providing an indication that the fault exists.
Systems and methods for treating congestive heart failure with high frequency stimulation are disclosed. A representative method for treating a patient includes applying an electrical signal having a frequency of from about 1 kHz to about 100 kHz to the patient via a treatment system that includes a signal delivery element in electrical communication with the patient's vagus nerve at a portion of the vagus nerve located at or proximate to the anterior interventricular junction of the patient's heart. The method can further include automatically detecting at least one physiological parameter of the patient, automatically determining at least one of an ejection fraction of the patient's heart and a correlate of the ejection fraction based on the detected parameter, and automatically adjusting the applied signal based on the determined ejection fraction.
Variable amplitude signals for neurological therapy, and associated systems and methods are disclosed. A representative method includes activating automatic delivery of an electrical therapy signal to a patient's spinal cord region at a frequency in a frequency range between 1.5 kHz and 100 kHz, via at least one signal delivery contact carried by an implanted signal delivery device. The delivery can include repeatedly and automatically delivering the electrical therapy signal at each of multiple therapy signal amplitudes to the at least one signal delivery contact, without the therapy signal generating paresthesia in the patient. The foregoing process can be used as a screening tool to screen responders from non-responders in the context of a non-paresthesia-generating therapy, and/or can be used during long-term treatment, for example, for chronic pain.
A61N 1/36 - Applying electric currents by contact electrodes alternating or intermittent currents for stimulation, e.g. heart pace-makers
A61N 1/05 - Electrodes for implantation or insertion into the body, e.g. heart electrode
44.
HIGH FREQUENCY STIMULATION FOR TREATING SENSORY AND/OR MOTOR DEFICITS IN PATIENTS WITH SPINAL CORD INJURIES AND/OR PERIPHERAL POLYNEUROPATHY, AND ASSOCIATED SYSTEMS AND METHODS
High frequency stimulation for treating sensory and/or motor deficits in patients with spinal cord injuries and/or peripheral polyneuropathy, and associated systems and methods. A representative method includes addressing the patient's somatosensory dysfunction and/or motor dysfunction, resulting from neuropathy and/or spinal cord injury, by directing an electrical therapy signal to the patient's spinal cord region, the therapy signal having a frequency in a frequency range from 1.5 kHz to 100 kHz.
Systems and methods for treating a patient having a blood glucose abnormality, such as type 2 diabetes (T2D), using an electrical signal are disclosed. A representative method for treating a patient includes, based at least in part on a patient indication of a blood glucose abnormality, positioning at least one implantable signal delivery device proximate to a target location at the patient's spinal cord within a vertebral range of from about C8 to about T12. The method further includes directing an electrical signal to the target location via the implantable signal delivery device, wherein the electrical signal has a frequency in a frequency range of from 1.2 kHz to 100 kHz.
A61N 1/36 - Applying electric currents by contact electrodes alternating or intermittent currents for stimulation, e.g. heart pace-makers
A61N 1/05 - Electrodes for implantation or insertion into the body, e.g. heart electrode
46.
HIGH FREQUENCY ELECTROMAGNETIC STIMULATION FOR MODULATING CELLS, INCLUDING SPONTANEOUSLY ACTIVE AND QUIESCENT CELLS, AND ASSOCIATED SYSTEMS AND METHODS
Electromagnetic stimulation for treating diseases, conditions associated with diseases and/or inhibiting pain with reduced side effects and associated systems and methods are disclosed. In particular embodiments, high-frequency stimulation in the range of from about 1.5 kHz to about 100 kHz may be applied to a patient's target tissue region to treat the disease, associated condition and/or to inhibit pain. Electrical stimulation in accordance with similar parameters can directly affect a cellular membrane, such as a neuron and in particular, a spontaneously active neuron and/or a quiescent neuron.
The present technology is directed generally to electrical stimulation and associated systems and methods for preferentially and/or selectively activating and suppressing motor neurons and/or motor responses, such as to treat a motor dysfunction in patients. For example, in some embodiments high frequency electrical stimulation can be administered to a target neural population via an implanted signal delivery device to induce a motor response in a first muscle, and low frequency electrical stimulation can be administered to the target neural population via the same signal delivery device to induce a motor response in a second muscle that is different than the first muscle.
Selective high frequency spinal cord modulation for inhibiting pain, including cephalic and/or total body pain with reduced side effects, and associated systems and methods
Selective high-frequency spinal cord modulation for inhibiting pain with reduced side effects and associated systems and methods are disclosed. In particular embodiments, high-frequency modulation in the range of from about 1.5 KHz to about 50 KHz may be applied to the patient's spinal cord region from an epidural, cervical location to address at least one of high back pain, mid-back pain, low back pain, and leg pain without creating paresthesia in the patient.
The present technology provides systems and methods for directly suppressing nerve cells by delivering electrical stimulation having relatively long pulse widths and at amplitudes below an activation threshold of the nerve cells. For example, some embodiments include delivering a therapy signal having individual pulses with pulse widths of between about 5 ms and 100 ms. Directly suppressing the nerve cells is expected to reduce the transmission of pain signals.
The present technology provides systems and methods for directly suppressing nerve cells by delivering electrical stimulation having relatively long pulse widths and at amplitudes below an activation threshold of the nerve cells. For example, some embodiments include delivering a therapy signal having individual pulses with pulse widths of between about 5 ms and 100 ms. Directly suppressing the nerve cells is expected to reduce the transmission of pain signals.
A lead anchor comprising a longitudinally extending anchor body and a retainer. The longitudinally extending anchor body having a lumen positioned to receive a spinal cord lead therethrough and having a retainer pocket intersecting the lumen. The retainer is positioned in the retainer pocket. The retainer comprises a first grip member having at least one first aperture, a second grip member having at least one second aperture, and at least one U-shaped resilient portion connecting the first and second grip members.
The present technology is directed generally to spinal cord modulation and associated systems and methods for treating pain and other patient conditions. In particular, the present technology includes modified high frequency neuromodulation signals and administration patterns.
The present technology is directed generally to spinal cord modulation and associated systems and methods for treating pain and other patient conditions. In particular, the present technology includes modified high frequency neuromodulation signals and administration patterns.
G16H 20/30 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
42 - Scientific, technological and industrial services, research and design
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
(1) Downloadable computer software application for use with a medical device for pain control to program, optimize, and adjust electrical stimulation therapy, based on input from the user; downloadable computer software application for use with a medical device for pain control to optimize and adjust electrical stimulation therapy; recorded computer software application for use with a medical device for pain control to optimize and adjust electrical stimulation therapy; downloadable mobile applications for use with a medical device for pain control to program, optimize, and adjust electrical stimulation therapy.
(2) Medical device, namely, an implantable electrical stimulation device for pain control; medical device, namely, a spinal cord stimulator for pain control; medical device for use in tissue and neural tissue for modulating neurological signals; electrical neuromodulation therapy device for pain control; implantable pulse generator for use with a medical device for pain control; implantable pulse generator for use with a spinal cord stimulator for pain control; implantable pulse generator and embedded computer software to optimize and adjust electrical stimulation therapy provided by a spinal cord stimulator; pulse generator for use with a medical device for pain control; pulse generator for use with a spinal cord stimulator for pain control; pulse generator and embedded computer software to program, optimize and adjust electrical stimulation therapy provided by a spinal cord stimulator; feature of a medical device that provides electrical stimulation therapy to a patient by way of leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; feature of a medical device that provides electrical stimulation therapy to a patient by way of implantable leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; feature of a medical device for pain management that enables remote programming and optimization of electrical stimulation therapy via telemetry or wireless technology; medical device for pain management that enables remote programming, adjustment, and optimization of electrical stimulation therapy. (1) Providing online non-downloadable computer software application for use with a medical device for pain control to optimize and adjust electrical stimulation therapy, based on input from the user; providing online non-downloadable computer software application for use with a medical device for pain control to optimize and adjust electrical stimulation therapy; providing temporary use of online, non-downloadable software, namely, cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; platform as a service (PAAS) featuring a cloud-based patient management and support software platform for receiving, storing, tracking, managing, and analyzing patient medical information; software as a service (SAAS) featuring cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; providing temporary use of online, non-downloadable medical software for receiving, storing, tracking, managing, and analyzing patient medical information.
(2) Remote patient support program to facilitate use and programming and optimization of a pain management device; data services in the nature of healthcare services, namely, receiving health data generated by remote, patient-implanted pain management devices and mobile apps associated with the devices, analyzing that health data, and generating customized feedback for users of patient-implanted pain management devices.
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
42 - Scientific, technological and industrial services, research and design
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
(1) Downloadable computer software application for use with a medical device for pain control to program, optimize, and adjust electrical stimulation therapy, based on input from the user; downloadable computer software application for use with a medical device for pain control to optimize and adjust electrical stimulation therapy; recorded computer software application for use with a medical device for pain control to optimize and adjust electrical stimulation therapy; downloadable mobile applications for use with a medical device for pain control to program, optimize, and adjust electrical stimulation therapy.
(2) Medical device, namely, an implantable electrical stimulation device for pain control; medical device, namely, a spinal cord stimulator for pain control; medical device for use in tissue and neural tissue for modulating neurological signals; electrical neuromodulation therapy device for pain control; implantable pulse generator for use with a medical device for pain control; implantable pulse generator for use with a spinal cord stimulator for pain control; implantable pulse generator and embedded computer software to optimize and adjust electrical stimulation therapy provided by a spinal cord stimulator; pulse generator for use with a medical device for pain control; pulse generator for use with a spinal cord stimulator for pain control; pulse generator and embedded computer software to program, optimize and adjust electrical stimulation therapy provided by a spinal cord stimulator; feature of a medical device that provides electrical stimulation therapy to a patient by way of leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; feature of a medical device that provides electrical stimulation therapy to a patient by way of implantable leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; feature of a medical device for pain management that enables remote programming and optimization of electrical stimulation therapy via telemetry or wireless technology; medical device for pain management that enables remote programming, adjustment, and optimization of electrical stimulation therapy. (1) Providing online non-downloadable computer software application for use with a medical device for pain control to optimize and adjust electrical stimulation therapy, based on input from the user; providing online non-downloadable computer software application for use with a medical device for pain control to optimize and adjust electrical stimulation therapy; providing temporary use of online, non-downloadable software, namely, cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; platform as a service (PAAS) featuring a cloud-based patient management and support software platform for receiving, storing, tracking, managing, and analyzing patient medical information; software as a service (SAAS) featuring cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; providing temporary use of online, non-downloadable medical software for receiving, storing, tracking, managing, and analyzing patient medical information.
(2) Remote patient support program to facilitate use and programming and optimization of a pain management device; data services in the nature of healthcare services, namely, receiving health data generated by remote, patient-implanted pain management devices and mobile apps associated with the devices, analyzing that health data, and generating customized feedback for users of patient-implanted pain management devices.
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
42 - Scientific, technological and industrial services, research and design
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
Downloadable computer software application for use with a medical device for pain control to program, optimize, and adjust electrical stimulation therapy, based on input from the user; downloadable computer software application for use with a medical device for pain control to optimize and adjust electrical stimulation therapy; recorded computer software application for use with a medical device for pain control to optimize and adjust electrical stimulation therapy; downloadable mobile applications for use with a medical device for pain control to program, optimize, and adjust electrical stimulation therapy; computer software to optimize and adjust electrical stimulation therapy through a spinal cord stimulator; computer software to program, optimize and adjust electrical stimulation therapy provided by a spinal cord simulator. Medical device, namely, an implantable electrical stimulation device for pain control; medical device, namely, a spinal cord stimulator for pain control; medical device for use in tissue and neural tissue for modulating neurological signals; electrical neuromodulation therapy device for pain control; implantable pulse generator for use with a medical device for pain control; implantable pulse generator for use with a spinal cord stimulator for pain control; implantable pulse generator; pulse generator for use with a medical device for pain control; pulse generator for use with a spinal cord stimulator for pain control; pulse generator; medical device that provides electrical stimulation therapy to a patient by way of leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; medical device that provides electrical stimulation therapy to a patient by way of implantable leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; medical device for pain management that enables remote programming and optimization of electrical stimulation therapy via telemetry or wireless technology; medical device for pain management that enables remote programming, adjustment, and optimization of electrical stimulation therapy. Providing online non-downloadable computer software application for use with a medical device for pain control to optimize and adjust electrical stimulation therapy, based on input from the user; providing online non-downloadable computer software application for use with a medical device for pain control to optimize and adjust electrical stimulation therapy; providing temporary use of online, non-downloadable software, namely, cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; platform as a service (PAAS) featuring a cloud-based patient management and support software platform for receiving, storing, tracking, managing, and analyzing patient medical information; software as a service (SAAS) featuring cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; providing temporary use of online, non-downloadable medical software for receiving, storing, tracking, managing, and analyzing patient medical information. Data services in the nature of healthcare services, namely, receiving health data generated by remote, patient-implanted pain management devices and mobile apps associated with the devices, analyzing that health data, and generating customized feedback for users of patient-implanted pain management devices; provision of pain management assistance services in the form of a patient support program provided remotely to assist in the use, programming and optimization of a pain management device.
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
42 - Scientific, technological and industrial services, research and design
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
Downloadable computer software application for use with a medical device for pain control to program, optimize, and adjust electrical stimulation therapy, based on input from the user; downloadable computer software application for use with a medical device for pain control to optimize and adjust electrical stimulation therapy; recorded computer software application for use with a medical device for pain control to optimize and adjust electrical stimulation therapy; downloadable mobile applications for use with a medical device for pain control to program, optimize, and adjust electrical stimulation therapy; computer software to optimize and adjust electrical stimulation therapy through a spinal cord stimulator; computer software to program, optimize and adjust electrical stimulation therapy provided by a spinal cord simulator. Medical device, namely, an implantable electrical stimulation device for pain control; medical device, namely, a spinal cord stimulator for pain control; medical device for use in tissue and neural tissue for modulating neurological signals; electrical neuromodulation therapy device for pain control; implantable pulse generator for use with a medical device for pain control; implantable pulse generator for use with a spinal cord stimulator for pain control; implantable pulse generator; pulse generator for use with a medical device for pain control; pulse generator for use with a spinal cord stimulator for pain control; pulse generator; medical device that provides electrical stimulation therapy to a patient by way of leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; medical device that provides electrical stimulation therapy to a patient by way of implantable leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; medical device for pain management that enables remote programming and optimization of electrical stimulation therapy via telemetry or wireless technology; medical device for pain management that enables remote programming, adjustment, and optimization of electrical stimulation therapy. Providing online non-downloadable computer software application for use with a medical device for pain control to optimize and adjust electrical stimulation therapy, based on input from the user; providing online non-downloadable computer software application for use with a medical device for pain control to optimize and adjust electrical stimulation therapy; providing temporary use of online, non-downloadable software, namely, cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; platform as a service (PAAS) featuring a cloud-based patient management and support software platform for receiving, storing, tracking, managing, and analyzing patient medical information; software as a service (SAAS) featuring cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; providing temporary use of online, non-downloadable medical software for receiving, storing, tracking, managing, and analyzing patient medical information. Data services in the nature of healthcare services, namely, receiving health data generated by remote, patient-implanted pain management devices and mobile apps associated with the devices, analyzing that health data, and generating customized feedback for users of patient-implanted pain management devices; provision of pain management assistance services in the form of a patient support program provided remotely to assist in the use, programming and optimization of a pain management device.
59.
Variable amplitude signals for neurological therapy, and associated systems and methods
Variable amplitude signals for neurological therapy, and associated systems and methods are disclosed. A representative method includes activating automatic delivery of an electrical therapy signal to a patient's spinal cord region at a frequency in a frequency range between 1.5 kHz and 100 kHz, via at least one signal delivery contact carried by an implanted signal delivery device. The delivery can include repeatedly and automatically delivering the electrical therapy signal at each of multiple therapy signal amplitudes to the at least one signal delivery contact, without the therapy signal generating paresthesia in the patient. The foregoing process can be used as a screening tool to screen responders from non-responders in the context of a non-paresthesia-generating therapy, and/or can be used during long-term treatment, for example, for chronic pain.
Selective high-frequency spinal cord modulation for inhibiting pain with reduced side effects and associated systems and methods are disclosed. In particular embodiments, high-frequency modulation in the range of from about 1.5 KHz to about 50 KHz may be applied to the patient's spinal cord region to address low back pain without creating unwanted sensory and/or motor side effects. In other embodiments, modulation in accordance with similar parameters can be applied to other spinal or peripheral locations to address other indications.
An external neurostimulator includes a housing including a base housing and a top housing, a power source, a pulse generator, and a first and second series of spring-loaded pins electrically coupled to the pulse generator. The top housing includes a central portion, a first side door hingedly coupled to a first side of the central portion, and a second side door hingedly coupled to a second side of the central portion. Each of the first side door and the second side door include a channel formed thereon that is configured to directly receive a proximal end portion of an implantable lead. Each channel includes a series of longitudinally spaced-apart openings formed on the first side door and the second side door, respectively. The first and second series of spring-loaded pins extend through the series of longitudinally spaced-apart openings of the channel on the first and second side doors, respectively.
High frequency electromagnetic stimulation for modulating cells, including spontaneously active and quiescent cells, and associated systems and methods
Electromagnetic stimulation for treating diseases, conditions associated with diseases and/or inhibiting pain with reduced side effects and associated systems and methods are disclosed. In particular embodiments, high-frequency stimulation in the range of from about 1.5 kHz to about 100 kHz may be applied to a patient's target tissue region to treat the disease, associated condition and/or to inhibit pain. Electrical stimulation in accordance with similar parameters can directly affect a cellular membrane, such as a neuron and in particular, a spontaneously active neuron and/or a quiescent neuron.
Selective high-frequency spinal chord modulation for inhibiting pain with reduced side affects and associated systems and methods are disclosed. In particular embodiments, high-frequency modulation in the range of from about 1.5 KHz to about 50 KHz may be applied to the patient's spinal chord region to address low back pain without creating unwanted sensory and/or motor side affects. In other embodiments, modulation in accordance with similar parameters can be applied to other spinal or peripheral locations to address other indications.
Devices for controlling spinal cord modulation for inhibiting pain, and associated systems and methods, including controllers for automated parameter selection
Devices for controlling spinal cord modulation for inhibiting pain, and associated systems and methods, including controllers for automated parameter selection are disclosed. A particular embodiment includes receiving a first input corresponding to a location of a signal delivery device implanted in a patient, establishing a positional relationship between the signal delivery device and an anatomical feature of the patient, receiving a second input corresponding to a medical indication of the patient, and, based at least in part on the positional relationship and the indication, automatically identifying a signal delivery parameter in accordance with which a pulsed electrical signal is delivered to the patient via the signal delivery device.
A61N 1/36 - Applying electric currents by contact electrodes alternating or intermittent currents for stimulation, e.g. heart pace-makers
A61N 1/05 - Electrodes for implantation or insertion into the body, e.g. heart electrode
A61N 1/372 - Arrangements in connection with the implantation of stimulators
66.
HIGH FREQUENCY STIMULATION FOR TREATING SENSORY AND/OR MOTOR DEFICITS IN PATIENTS WITH SPINAL CORD INJURIES AND/OR PERIPHERAL POLYNEUROPATHY, AND ASSOCIATED SYSTEMS AND METHODS
High frequency stimulation for treating sensory and/or motor deficits in patients with spinal cord injuries and/or peripheral polyneuropathy, and associated systems and methods. A representative method includes addressing the patient's somatosensory dysfunction and/or motor dysfunction, resulting from neuropathy and/or spinal cord injury, by directing an electrical therapy signal to the patient's spinal cord region, the therapy signal having a frequency in a frequency range from 1.5 kHz to 100 kHz.
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
Goods & Services
Downloadable computer software application for use with a medical device for pain control to program, optimize, and adjust electrical stimulation therapy, based on input from the user; downloadable computer software application for use with a medical device for pain control to optimize and adjust electrical stimulation therapy; recorded computer software application for use with a medical device for pain control to optimize and adjust electrical stimulation therapy; downloadable mobile applications for use with a medical device for pain control to program, optimize, and adjust electrical stimulation therapy Medical device, namely, an implantable electrical stimulation device for pain control; medical device, namely, a spinal cord stimulator for pain control; medical device for use in tissue and neural tissue for modulating neurological signals; electrical neuromodulation therapy device for pain control; implantable pulse generator for use with a medical device for pain control; implantable pulse generator for use with a spinal cord stimulator for pain control; implantable pulse generator and embedded computer software to optimize and adjust electrical stimulation therapy provided by a spinal cord stimulator; pulse generator for use with a medical device for pain control; pulse generator for use with a spinal cord stimulator for pain control; pulse generator and embedded computer software to program, optimize and adjust electrical stimulation therapy provided by a spinal cord stimulator; feature of a medical device that provides electrical stimulation therapy to a patient by way of leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; feature of a medical device that provides electrical stimulation therapy to a patient by way of implantable leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; feature of a medical device for pain management that enables remote programming and optimization of electrical stimulation therapy via telemetry or wireless technology; medical device for pain management that enables remote programming, adjustment, and optimization of electrical stimulation therapy
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
Goods & Services
Downloadable computer software application for use with a medical device for pain control to program, optimize, and adjust electrical stimulation therapy, based on input from the user; downloadable computer software application for use with a medical device for pain control to optimize and adjust electrical stimulation therapy; recorded computer software application for use with a medical device for pain control to optimize and adjust electrical stimulation therapy; downloadable mobile applications for use with a medical device for pain control to program, optimize, and adjust electrical stimulation therapy Medical device, namely, an implantable electrical stimulation device for pain control; medical device, namely, a spinal cord stimulator for pain control; medical device for use in tissue and neural tissue for modulating neurological signals; electrical neuromodulation therapy device for pain control; implantable pulse generator for use with a medical device for pain control; implantable pulse generator for use with a spinal cord stimulator for pain control; implantable pulse generator and embedded computer software to optimize and adjust electrical stimulation therapy provided by a spinal cord stimulator; pulse generator for use with a medical device for pain control; pulse generator for use with a spinal cord stimulator for pain control; pulse generator and embedded computer software to program, optimize and adjust electrical stimulation therapy provided by a spinal cord stimulator; feature of a medical device that provides electrical stimulation therapy to a patient by way of leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; feature of a medical device that provides electrical stimulation therapy to a patient by way of implantable leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; feature of a medical device for pain management that enables remote programming and optimization of electrical stimulation therapy via telemetry or wireless technology; medical device for pain management that enables remote programming, adjustment, and optimization of electrical stimulation therapy
69.
Neuromodulation for altering autonomic functions, and associated systems and methods
Electrical stimulation, including high frequency stimulation, for altering autonomic functions, and associated systems and methods are disclosed. A representative method includes directing an electrical signal to a target tissue at (a) a ventral region of the patient's spinal canal, (b) a sympathetic chain structure, or (c) both (a) and (b), at a frequency in a range from 1 kHz to 100 kHz, and an amplitude that does not generate an objectionable, patient-detectable sensation.
Spinal cord modulation for inducing paresthetic and anesthetic effects, and associated systems and methods are disclosed. A representative method in accordance with an embodiment of the disclosure includes creating a therapeutic effect and a sensation in a patient by delivering to the patient first pulses having a first set of first signal delivery parameters and second pulses having a second set of second signal delivery parameters, wherein a first value of at least one first parameter of the first set is different than a second value of a corresponding second parameter of the second set, and wherein the first pulses, the second pulses or both the first and second pulses are delivered to the patient's spinal cord.
The disclosed technology provides systems and methods of communication between implanted medical devices, e.g., implanted pulse generators, and handheld consumer devices, e.g., smartphones, via standard wireless communication protocols, e.g., Bluetooth or Bluetooth Low Energy (BLE) operating in the unlicensed 2.4 GHz frequency band.
H01Q 1/27 - Adaptation for use in or on movable bodies
H01Q 1/22 - SupportsMounting means by structural association with other equipment or articles
H01Q 1/24 - SupportsMounting means by structural association with other equipment or articles with receiving set
H01Q 3/00 - Arrangements for changing or varying the orientation or the shape of the directional pattern of the waves radiated from an antenna or antenna system
A61N 1/372 - Arrangements in connection with the implantation of stimulators
Autonomic nervous system control via high frequency spinal cord modulation, and associated systems and methods. A method for treating a patient in accordance with a particular embodiment includes selecting a neural modulation site to include a neural population of the patient's spinal cord, and selecting parameters of a neural modulation signal to at least reduce an autonomic system deficit in the patient.
Methods for automatically programming a signal generator in a patient therapy system and associated systems are disclosed. A representative method comprises retrieving data including therapy program parameters, level of efficacy, and medication use corresponding to a plurality of time periods; identifying from the data a target time period having a corresponding level of efficacy; determining from the data if medication was used during the target time period; determining from the data if medication was used during a prior time period immediately before the target time period; calculating a lead position confidence factor; and programming the signal generator to repeat therapy with the therapy program parameters corresponding to the target time period if the confidence factor is greater than a threshold value and medication was used during the prior time period and not during the target time period.
Paddle leads and delivery tools, and associated systems and methods are disclosed. A representative system is for use with a signal delivery paddle that is elongated along a longitudinal axis, and has a paddle length and a first cross-sectional area distribution that includes a first maxima. The system comprises a delivery tool including a proximal handle and a distal connection portion positioned to removably couple to the signal delivery paddle. The paddle and the delivery tool together have a combined second cross-sectional area distribution along the length of the paddle, with a second maxima that is no greater than the first maxima.
36 - Financial, insurance and real estate services
42 - Scientific, technological and industrial services, research and design
Goods & Services
Medical records claims coding assistance services for others in the nature of assignment of diagnostic and procedural codes for purposes of reimbursement from private insurance and government healthcare payers. Administration of insurance plan services featuring in the framework of physician's assistance programs that facilitate patient access to medical devices by providing physicians and other healthcare providers with insurance referral and reimbursement assistance and support services, namely, prior authorizations, prior authorization appeals, claim appeals, billing, coding, and coverage identification and guidance, patient insurance benefit investigations, and updatin g and reporting of insurance benefits to patients. Providing temporary use of online, non-downloadable software, namely, cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; Platform as a service (PAAS) featuring a cloud-based patient management and support software platform for receiving, storing, tracking, managing, and analyzing patient medical information; Software as a service (SAAS) featuring cloudbased patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; Providing temporary use of online, non-downloadable medical software for receiving, storing, tracking, managing, and analyzing patient medical information.
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
35 - Advertising and business services
41 - Education, entertainment, sporting and cultural services
42 - Scientific, technological and industrial services, research and design
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
(1) Computer software application for use with a medical device for pain control to select, optimize, and adjust electrical stimulation therapy, based on input from the user; downloadable mobile applications for use with a medical device for pain control to select, optimize, and adjust electrical stimulation therapy.
(2) Medical device, namely, an implantable electrical stimulation device for pain control; medical device, namely, a spinal cord stimulator for pain control; medical and surgical instruments and apparatus, namely, devices for use in tissue and neural tissue for modulating neurological signals and components specially adapted for use therewith; medical electrodes, electrode arrays, remote controls, chargers, and other parts and accessories specially adapted for use with an electrical stimulation device for pain control; medical device for use in tissue and neural tissue for modulating neurological signals, and parts and accessories specially adapted for use therewith, including medical electrodes, remote controls, and chargers; electrical neuromodulation therapy device for pain control, and parts and accessories specially adapted for use therewith, including medical electrodes, remote controls, and chargers; medical electrodes, electrode arrays, leads, surgical leads, paddles, paddle leads, remote controls, and chargers for medical devices, namely, implantable electrical stimulation devices and electrical stimulation devices for pain control; implantable pulse generator for use with a medical device for pain control; implantable pulse generator for use with a spinal cord stimulator for pain control; implantable pulse generator and associated computer software for use with a medical device, namely, a spinal cord stimulator for delivering pain therapy and for managing pain; pulse generator for use with a medical device for pain control; pulse generator for use with a spinal cord stimulator for pain control; pulse generator and associated computer software for use with a medical device, namely, a spinal cord stimulator for delivering pain therapy and for managing pain; feature of a medical device that provides electrical stimulation therapy to a patient by way of leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; feature of a medical device that provides electrical stimulation therapy to a patient by way of implantable leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; electrical stimulation therapy for pain management; feature of a medical device for pain management that enables remote optimization of electrical stimulation therapy. (1) Medical records claims coding assistance services for others in the nature of assignment of diagnostic and procedural codes for purposes of reimbursement from private insurance and government healthcare payers.
(2) Administration of physician's assistance programs featuring insurance plan services that facilitate patient access to medical devices by providing physicians and other healthcare providers with insurance referral and reimbursement assistance and support services, namely, prior authorizations, prior authorization appeals, claim appeals, billing, coding, and coverage identification and guidance, patient insurance benefit investigations, and updating and reporting of insurance benefits to patients.
(3) Providing temporary use of online, non-downloadable software, namely, cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; platform as a service (PAAS) featuring a cloud-based patient management and support software platform for receiving, storing, tracking, managing, and analyzing patient medical information; software as a service (SAAS) featuring cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; providing temporary use of online, non-downloadable medical software for receiving, storing, tracking, managing, and analyzing patient medical information; computer software application for use with a medical device for pain control to select, optimize, and adjust electrical stimulation therapy, based on input from the user.
(4) Providing online information in the field of pain management; remote patient support program to facilitate use and optimization of a pain management device; patient support program, namely, providing information, training, and guidance on use and optimization of a pain management device; medical services, namely, electrical stimulation therapy for pain management.
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
35 - Advertising and business services
41 - Education, entertainment, sporting and cultural services
42 - Scientific, technological and industrial services, research and design
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
(1) Computer software application for use with a medical device for pain control to select, optimize, and adjust electrical stimulation therapy, based on input from the user; downloadable mobile applications for use with a medical device for pain control to select, optimize, and adjust electrical stimulation therapy.
(2) Medical device, namely, an implantable electrical stimulation device for pain control; medical device, namely, a spinal cord stimulator for pain control; medical and surgical instruments and apparatus, namely, devices for use in tissue and neural tissue for modulating neurological signals and components specially adapted for use therewith; medical electrodes, electrode arrays, remote controls, chargers, and other parts and accessories specially adapted for use with an electrical stimulation device for pain control; medical device for use in tissue and neural tissue for modulating neurological signals, and parts and accessories specially adapted for use therewith, including medical electrodes, remote controls, and chargers; electrical neuromodulation therapy device for pain control, and parts and accessories specially adapted for use therewith, including medical electrodes, remote controls, and chargers; medical electrodes, electrode arrays, leads, surgical leads, paddles, paddle leads, remote controls, and chargers for medical devices, namely, implantable electrical stimulation devices and electrical stimulation devices for pain control; implantable pulse generator for use with a medical device for pain control; implantable pulse generator for use with a spinal cord stimulator for pain control; implantable pulse generator and associated computer software for use with a medical device, namely, a spinal cord stimulator for delivering pain therapy and for managing pain; pulse generator for use with a medical device for pain control; pulse generator for use with a spinal cord stimulator for pain control; pulse generator and associated computer software for use with a medical device, namely, a spinal cord stimulator for delivering pain therapy and for managing pain; feature of a medical device that provides electrical stimulation therapy to a patient by way of leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; feature of a medical device that provides electrical stimulation therapy to a patient by way of implantable leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; electrical stimulation therapy for pain management; feature of a medical device for pain management that enables remote optimization of electrical stimulation therapy. (1) Medical records claims coding assistance services for others in the nature of assignment of diagnostic and procedural codes for purposes of reimbursement from private insurance and government healthcare payers.
(2) Administration of physician's assistance programs featuring insurance plan services that facilitate patient access to medical devices by providing physicians and other healthcare providers with insurance referral and reimbursement assistance and support services, namely, prior authorizations, prior authorization appeals, claim appeals, billing, coding, and coverage identification and guidance, patient insurance benefit investigations, and updating and reporting of insurance benefits to patients.
(3) Providing temporary use of online, non-downloadable software, namely, cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; platform as a service (PAAS) featuring a cloud-based patient management and support software platform for receiving, storing, tracking, managing, and analyzing patient medical information; software as a service (SAAS) featuring cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; providing temporary use of online, non-downloadable medical software for receiving, storing, tracking, managing, and analyzing patient medical information; computer software application for use with a medical device for pain control to select, optimize, and adjust electrical stimulation therapy, based on input from the user.
(4) Providing online information in the field of pain management; remote patient support program to facilitate use and optimization of a pain management device; patient support program, namely, providing information, training, and guidance on use and optimization of a pain management device; medical services, namely, electrical stimulation therapy for pain management.
42 - Scientific, technological and industrial services, research and design
Goods & Services
Providing temporary use of online, non-downloadable software, namely, cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; platform as a service (PAAS) featuring a cloud-based patient management and support software platform for receiving, storing, tracking, managing, and analyzing patient medical information; software as a service (SAAS) featuring cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; providing temporary use of online, non-downloadable medical software for receiving, storing, tracking, managing, and analyzing patient medical information.
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
35 - Advertising and business services
36 - Financial, insurance and real estate services
41 - Education, entertainment, sporting and cultural services
42 - Scientific, technological and industrial services, research and design
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
Computer software application for use with a medical device for pain control to select, optimize, and adjust electrical stimulation therapy, based on input from the user; downloadable mobile applications for use with a medical device for pain control to select, optimize, and adjust electrical stimulation therapy; computer software for use with a medical device, namely, a spinal cord stimulator for delivering pain therapy and for managing pain. Medical device, namely, an implantable electrical stimulation device for pain control; medical device, namely, a spinal cord stimulator for pain control; medical and surgical instruments and apparatus, namely, devices for use in tissue and neural tissue for modulating neurological signals and components specially adapted for use therewith; medical electrodes, electrode arrays, remote controls, chargers, and other parts and accessories specially adapted for use with an electrical stimulation device for pain control; medical device for use in tissue and neural tissue for modulating neurological signals, and parts and accessories specially adapted for use therewith, including medical electrodes, remote controls, and chargers; electrical neuromodulation therapy device for pain control, and parts and accessories specially adapted for use therewith, including medical electrodes, remote controls, and chargers; medical electrodes, electrode arrays, leads, surgical leads, paddles, paddle leads, remote controls, and chargers for medical devices, namely, implantable electrical stimulation devices and electrical stimulation devices for pain control; implantable pulse generator for use with a medical device for pain control; implantable pulse generator for use with a spinal cord stimulator for pain control; implantable pulse generator for use with a medical device, namely, a spinal cord stimulator for delivering pain therapy and for managing pain; pulse generator for use with a medical device for pain control; pulse generator for use with a spinal cord stimulator for pain control; pulse generator for use with a medical device, namely, a spinal cord stimulator for delivering pain therapy and for managing pain; medical device that provides electrical stimulation therapy to a patient by way of leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; medical device that provides electrical stimulation therapy to a patient by way of implantable leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; medical device for pain management that enables remote optimization of electrical stimulation therapy. Medical records claims coding assistance services for others in the nature of assignment of diagnostic and procedural codes for purposes of reimbursement from private insurance and government healthcare payers. Administration of insurance plan services physician’s assistance programs in relation to physicians’ assistance programs that facilitate patient access to medical devices for providing physicians and other healthcare providers with insurance referral and reimbursement assistance and support services, namely, prior authorizations, prior authorization appeals, claim appeals, billing, coding, and coverage identification and guidance, patient insurance benefit investigations, and updating and reporting of insurance benefits to patients. patient support program, namely, providing information, training and guidance on use and optimization of a pain management device. Providing temporary use of online, non-downloadable software, namely, cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; platform as a service (PAAS) featuring a cloud-based patient management and support software platform for receiving, storing, tracking, managing, and analyzing patient medical information; software as a service (SAAS) featuring cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; providing temporary use of online, non-downloadable medical software for receiving, storing, tracking, managing, and analyzing patient medical information; providing an online, non-downloadable computer software application for use with a medical device for pain control to select, optimize, and adjust electrical stimulation therapy, based on input from the user. Providing online information in the field of pain management; remote patient support program, being remotely provided therapy services, for optimizing pain relief via use, and optimization of a pain management device; medical services, namely, electrical stimulation therapy for pain management; electrical stimulation therapy for pain management.
42 - Scientific, technological and industrial services, research and design
Goods & Services
(1) Providing temporary use of online, non-downloadable software, namely, cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; platform as a service (PAAS) featuring a cloud-based patient management and support software platform for receiving, storing, tracking, managing, and analyzing patient medical information; software as a service (SAAS) featuring cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; providing temporary use of online, non-downloadable medical software for receiving, storing, tracking, managing, and analyzing patient medical information.
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
35 - Advertising and business services
41 - Education, entertainment, sporting and cultural services
42 - Scientific, technological and industrial services, research and design
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
(1) Computer software application for use with a medical device for pain control to select, optimize, and adjust electrical stimulation therapy, based on input from the user; downloadable mobile applications for use with a medical device for pain control to select, optimize, and adjust electrical stimulation therapy.
(2) Medical device, namely, an implantable electrical stimulation device for pain control; medical device, namely, a spinal cord stimulator for pain control; medical and surgical instruments and apparatus, namely, devices for use in tissue and neural tissue for modulating neurological signals and components specially adapted for use therewith; medical electrodes, electrode arrays, remote controls, chargers, and other parts and accessories specially adapted for use with an electrical stimulation device for pain control; medical device for use in tissue and neural tissue for modulating neurological signals, and parts and accessories specially adapted for use therewith, including medical electrodes, remote controls, and chargers; electrical neuromodulation therapy device for pain control, and parts and accessories specially adapted for use therewith, including medical electrodes, remote controls, and chargers; medical electrodes, electrode arrays, leads, surgical leads, paddles, paddle leads, remote controls, and chargers for medical devices, namely, implantable electrical stimulation devices and electrical stimulation devices for pain control; implantable pulse generator for use with a medical device for pain control; implantable pulse generator for use with a spinal cord stimulator for pain control; implantable pulse generator and associated computer software for use with a medical device, namely, a spinal cord stimulator for delivering pain therapy and for managing pain; pulse generator for use with a medical device for pain control; pulse generator for use with a spinal cord stimulator for pain control; pulse generator and associated computer software for use with a medical device, namely, a spinal cord stimulator for delivering pain therapy and for managing pain; feature of a medical device that provides electrical stimulation therapy to a patient by way of leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; feature of a medical device that provides electrical stimulation therapy to a patient by way of implantable leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; electrical stimulation therapy for pain management; feature of a medical device for pain management that enables remote optimization of electrical stimulation therapy. (1) Medical records claims coding assistance services for others in the nature of assignment of diagnostic and procedural codes for purposes of reimbursement from private insurance and government healthcare payers.
(2) Administration of physician's assistance programs featuring insurance plan services that facilitate patient access to medical devices by providing physicians and other healthcare providers with insurance referral and reimbursement assistance and support services, namely, prior authorizations, prior authorization appeals, claim appeals, billing, coding, and coverage identification and guidance, patient insurance benefit investigations, and updating and reporting of insurance benefits to patients.
(3) Providing temporary use of online, non-downloadable software, namely, cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; platform as a service (PAAS) featuring a cloud-based patient management and support software platform for receiving, storing, tracking, managing, and analyzing patient medical information; software as a service (SAAS) featuring cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; providing temporary use of online, non-downloadable medical software for receiving, storing, tracking, managing, and analyzing patient medical information; computer software application for use with a medical device for pain control to select, optimize, and adjust electrical stimulation therapy, based on input from the user.
(4) Providing online information in the field of pain management; remote patient support program to facilitate use and optimization of a pain management device; patient support program, namely, providing information, training, and guidance on use and optimization of a pain management device; medical services, namely, electrical stimulation therapy for pain management.
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
(1) Feature of a medical device for pain management that enables remote optimization of electrical stimulation therapy. (1) Remote patient support program to facilitate use and optimization of a pain management device.
36 - Financial, insurance and real estate services
Goods & Services
Medical records claims coding assistance services for others in the nature of assignment of diagnostic and procedural codes for purposes of reimbursement from private insurance and government healthcare payers. Administration of insurance plan services in the framework of physicians assistance programmes that facilitate patient access to medical devices by providing physicians and other healthcare providers with insurance referral and reimbursement assistance and support services, namely prior authorisations, prior authorisation appeals, claim appeals, billing, coding and coverage identification and guidance, patient insurance benefit investigations, and updating and reporting of insurance benefits to patients.
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
Medical device for pain management that enables remote optimization of electrical stimulation therapy. Remote patient support programme, being remotely provided therapy services, for optimizing pain relief via use, and optimization of a pain management device.
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
35 - Advertising and business services
36 - Financial, insurance and real estate services
41 - Education, entertainment, sporting and cultural services
42 - Scientific, technological and industrial services, research and design
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
Computer software application for use with a medical device for pain control to select, optimize, and adjust electrical stimulation therapy, based on input from the user; downloadable mobile applications for use with a medical device for pain control to select, optimize, and adjust electrical stimulation therapy; computer software for use with a medical device, namely, a spinal cord stimulator for delivering pain therapy and for managing pain. Medical device, namely, an implantable electrical stimulation device for pain control; medical device, namely, a spinal cord stimulator for pain control; medical and surgical instruments and apparatus, namely, devices for use in tissue and neural tissue for modulating neurological signals and components specially adapted for use therewith; medical electrodes, electrode arrays, remote controls, chargers, and other parts and accessories specially adapted for use with an electrical stimulation device for pain control; medical device for use in tissue and neural tissue for modulating neurological signals, and parts and accessories specially adapted for use therewith, including medical electrodes, remote controls, and chargers; electrical neuromodulation therapy device for pain control, and parts and accessories specially adapted for use therewith, including medical electrodes, remote controls, and chargers; medical electrodes, electrode arrays, leads, surgical leads, paddles, paddle leads, remote controls, and chargers for medical devices, namely, implantable electrical stimulation devices and electrical stimulation devices for pain control; implantable pulse generator for use with a medical device for pain control; implantable pulse generator for use with a spinal cord stimulator for pain control; implantable pulse generator for use with a medical device, namely, a spinal cord stimulator for delivering pain therapy and for managing pain; pulse generator for use with a medical device for pain control; pulse generator for use with a spinal cord stimulator for pain control; pulse generator for use with a medical device, namely, a spinal cord stimulator for delivering pain therapy and for managing pain; medical device that provides electrical stimulation therapy to a patient by way of leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; medical device that provides electrical stimulation therapy to a patient by way of implantable leads, namely, therapy selection and optimization based on patient input by way of a smart phone or computing device; medical device for pain management that enables remote optimization of electrical stimulation therapy. Medical records claims coding assistance services for others in the nature of assignment of diagnostic and procedural codes for purposes of reimbursement from private insurance and government healthcare payers. Administration of insurance plan services physician’s assistance programs in relation to physicians’ assistance programs that facilitate patient access to medical devices for providing physicians and other healthcare providers with insurance referral and reimbursement assistance and support services, namely, prior authorizations, prior authorization appeals, claim appeals, billing, coding, and coverage identification and guidance, patient insurance benefit investigations, and updating and reporting of insurance benefits to patients. Patient support program, namely, providing information, training and guidance on use and optimization of a pain management device. Providing temporary use of online, non-downloadable software, namely, cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; platform as a service (PAAS) featuring a cloud-based patient management and support software platform for receiving, storing, tracking, managing, and analyzing patient medical information; software as a service (SAAS) featuring cloud-based patient management and support software for receiving, storing, tracking, managing, and analyzing patient medical information; providing temporary use of online, non-downloadable medical software for receiving, storing, tracking, managing, and analyzing patient medical information; providing an online, non-downloadable computer software application for use with a medical device for pain control to select, optimize, and adjust electrical stimulation therapy, based on input from the user. Providing online information in the field of pain management; remote patient support program, being remotely provided therapy services, for optimizing pain relief via use, and optimization of a pain management device; medical services, namely, electrical stimulation therapy for pain management; electrical stimulation therapy for pain management.
36 - Financial, insurance and real estate services
Goods & Services
(1) Medical records claims coding assistance services for others in the nature of assignment of diagnostic and procedural codes for purposes of reimbursement from private insurance and government healthcare payers.
(2) Administration of physician's assistance programs featuring insurance plan services that facilitate patient access to medical devices by providing physicians and other healthcare providers with insurance referral and reimbursement assistance and support services, namely, prior authorizations, prior authorization appeals, claim appeals, billing, coding, and coverage identification and guidance, patient insurance benefit investigations, and updating and reporting of insurance benefits to patients.
90.
Systems and methods for producing asynchronous neural responses to treat pain and/or other patient conditions
Systems and methods for producing asynchronous neural responses to treat pain and/or other patient conditions are disclosed. A method in accordance with a particular embodiment includes selecting a target stimulation frequency that is above a threshold frequency, with the threshold frequency corresponding to a refractory period for neurons of a target sensory neural population. The method can further include producing a patient sensation of paresthesia by directing an electrical signal to multiple sensory neurons of the target sensory neural population at the stimulation frequency, with individual neurons of the sensory neural population completing corresponding individual refractory periods at different times, resulting in an asynchronous sensory neuron response to the electrical signal.
Electrical therapy applied to the brain with increased efficacy and/or decreased undesirable side effects, and associated systems and methods, are disclosed. A representative method includes applying a therapy signal to a patient, via at least one electrode at a subdural or epidural location at the patient's brain, to provide effective therapy that reduces or eliminates the effects of a patient disorder. The therapy signal does not induce any non-therapeutic side effects, and has a frequency in a frequency range of from 1.2 kHz to 500 kHz, an amplitude in an amplitude range from 0.1 to 20 mA, and a pulse width in a pulse width range from 1 microsecond to 400 microseconds.
Systems and methods for treating neurodegenerative disorders with high frequency stimulation are disclosed. A representative method for treating a patient includes applying an electrical signal to the patient via a treatment system that includes a signal delivery element positioned at or within a white matter of the patient's brain, spinal cord, or both, the electrical signal having a frequency of from about 1.5 kHz to about 100 kHz.
High frequency stimulation for treating sensory and/or motor deficits in patients with spinal cord injuries and/or peripheral polyneuropathy, and associated systems and methods
High frequency stimulation for treating sensory and/or motor deficits in patients with spinal cord injuries and/or peripheral polyneuropathy, and associated systems and methods. A representative method includes addressing the patient's somatosensory dysfunction and/or motor dysfunction, resulting from neuropathy and/or spinal cord injury, by directing an electrical therapy signal to the patient's spinal cord region, the therapy signal having a frequency in a frequency range from 1.5 kHz to 100 KHz.
Molded headers, implantable signal generators having molded headers, and associated systems and methods are disclosed herein. An implantable signal generator in accordance with a particular embodiment includes a can having a shell and a battery positioned at least partially within the shell. An output terminal can be operably coupled to the battery and positioned to provide electrical power to a signal delivery device. A pre-molded header having a plurality of openings can be coupled to the can, and the output terminal can be positioned at least partially within an individual opening.
A lead anchor comprising a longitudinally extending anchor body and a retainer. The longitudinally extending anchor body having a lumen positioned to receive a spinal cord lead therethrough and having a retainer pocket intersecting the lumen. The retainer is positioned in the retainer pocket. The retainer comprises a first grip member having at least one first aperture, a second grip member having at least one second aperture, and at least one U-shaped resilient portion connecting the first and second grip members.
Selective high-frequency spinal chord modulation for inhibiting pain with reduced side affects and associated systems and methods are disclosed. In particular embodiments, high-frequency modulation in the range of from about 1.5 KHz to about 50 KHz may be applied to the patient's spinal chord region to address low back pain without creating unwanted sensory and/or motor side affects. In other embodiments, modulation in accordance with similar parameters can be applied to other spinal or peripheral locations to address other indications.
A lead anchor comprising a longitudinally extending anchor body and a retainer. The longitudinally extending anchor body having a lumen positioned to receive a spinal cord lead therethrough and having a retainer pocket intersecting the lumen. The retainer is positioned in the retainer pocket. The retainer comprises a first grip member having at least one first aperture, a second grip member having at least one second aperture, and at least one U-shaped resilient portion connecting the first and second grip members.
Communication and charging assemblies for medical devices are disclosed herein. A communication and charging assembly in accordance with a particular embodiment includes a support element, with a communication antenna and a charging coil coupled to the support element. The charging coil can include wire loops having a plurality of wires and the support element can include a mounting surface shaped to match the charging coil and the communication antenna. In one embodiment, the communication and charging assembly are mounted in a header of an implantable signal generator.
H01Q 7/00 - Loop antennas with a substantially uniform current distribution around the loop and having a directional radiation pattern in a plane perpendicular to the plane of the loop
H02J 7/00 - Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries
H02J 50/05 - Circuit arrangements or systems for wireless supply or distribution of electric power using capacitive coupling
H02J 50/10 - Circuit arrangements or systems for wireless supply or distribution of electric power using inductive coupling
H02J 50/40 - Circuit arrangements or systems for wireless supply or distribution of electric power using two or more transmitting or receiving devices
H02J 50/70 - Circuit arrangements or systems for wireless supply or distribution of electric power involving the reduction of electric, magnetic or electromagnetic leakage fields
The present technology provides systems and methods for directly suppressing nerve cells by delivering electrical stimulation having relatively long pulse widths and at amplitudes below an activation threshold of the nerve cells. For example, some embodiments include delivering a therapy signal having individual pulses with pulse widths of between about 5 ms and 100 ms. Directly suppressing the nerve cells is expected to reduce the transmission of pain signals.
The present technology provides systems and methods for directly suppressing nerve cells by delivering electrical stimulation having relatively long pulse widths and at amplitudes below an activation threshold of the nerve cells. For example, some embodiments include delivering a therapy signal having individual pulses with pulse widths of between about 5 ms and 100 ms. Directly suppressing the nerve cells is expected to reduce the transmission of pain signals.