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US6002964A Expired / Lapsed US ⏱️ 0.0 years remaining

Epidural nerve root stimulation

Assignee: Advanced Neuromodulation Systems Inc
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Filing: 1998-07-15
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Granted: 1999-12-14
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Expires: 2018-07-15
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Abstract

Abstract A method of managing chronic pain produced by a variety of disorders or conditions which afflict the pelvic region and which is transmitted through the lumbosacral region of the human body. The method includes techniques for positioning one or more stimulation leads within or about the sacrum to enable electrical energy to be applied to spinal nervous tissue, including nerve roots, to inhibit the transmission of pain.

Inventors

  • 👤 Claudio A. Feler
  • 👤 Kenneth M. Alo

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 14:53
CPC Classifications
A; A61; A61N; A61N1/00; A61N1/02; A61N1/04; A61N1/05; A61N1/0551; A61N1/0553

Claims Analysis

Total Claims: 21
Claim 1
Independent Claim 110 words
A method of managing chronic pelvic pain using a signal generator and at least one stimulation lead having an electrode portion and a connector portion, where the connector portion is electrically connectable to the signal generator, the method comprising the steps of: surgically implanting the at least one stimulation lead so that the electrode portion of the at least one stimulation lead lies in a plane substantially parallel to selected sacral nerve roots within the epidural space of a sacrum; coupling the at least one stimulation lead to the signal generator; and delivering electrical energy from the signal generator to the electrode portion of the at least one stimulation lead.
Claim 2
Independent Claim 110 words
A method of managing chronic pelvic pain using a signal generator and at least one stimulation lead having an electrode portion and a connector portion, where the connector portion is electrically connectable to the signal generator, the method comprising the steps of: surgically implanting the at least one stimulation lead so that the electrode portion of the at least one stimulation lead lies in a plane substantially parallel to selected sacral nerve roots within the epidural space of a sacrum; coupling the at least one stimulation lead to the signal generator; and delivering electrical energy from the signal generator to the electrode portion of the at least one stimulation lead.
Claim 3
Dependent Claim 23 words
A method in accordance with claim 1, wherein a plurality of stimulation leads are implanted and coupled to at least one signal generator.
Claim 4
Dependent Claim 21 words
A method in accordance with claim 1, wherein the electrical energy has a signal frequency within the range of 50-3,000 Hz.
Claim 5
Dependent Claim 41 words
A method in accordance with claim 1, wherein the electrode portion of the at least one stimulation lead additionally extends along one or more of the following portions of the sacral nerve roots: dorsal root ganglia, sacral plexus, and peripheral nerve.
Claim 6
Dependent Claim 23 words
A method in accordance with claim 1, wherein the electrode portion of the at least one stimulation lead extends through a sacral foramen.
Claim 7
Dependent Claim 60 words
A method in accordance with claim 1, wherein the at least one stimulation lead is inserted at a vertebral position superior to S1/S2 and advanced within the epidural space in an inferior direction prior to a final position, wherein an intermediate portion of the at least one stimulation lead is substantially parallel to a longitudinal axis of the epidural space.
Claim 8
Dependent Claim 38 words
A method in accordance with claim 1, wherein the at least one stimulation lead is inserted through a sacral hiatus and advanced within the epidural space of the sacrum in a superior direction prior to a final position.
Claim 9
Dependent Claim 22 words
A method in accordance with claim 1, wherein the at least one stimulation lead is positioned through at least a partial laminectomy.
Claim 10
Dependent Claim 25 words
A method in accordance with claim 1, wherein the at least one stimulation lead is positioned through at least a partial removal of ligamentum flavum.
Claim 11
Independent Claim 139 words
A method of managing chronic pelvic pain using at least one signal generator and at least one stimulation lead having an electrode portion and a connector portion, where the connector portion is electrically connectable to the signal generator, the method comprising the steps of: inserting the at least one stimulation lead at a vertebral position superior to S1/S2 into an epidural space and advancing the lead in an inferior direction, substantially parallel to a longitudinal direction of the epidural space; positioning the lead so that the electrode portion of the lead lies in a plane substantially parallel to selected sacral nerve roots within the epidural space of a sacrum; coupling the at least one stimulation lead to the signal generator; and delivering electrical energy from the signal generator to the electrode portion of the at least one stimulation lead.
Claim 12
Independent Claim 139 words
A method of managing chronic pelvic pain using at least one signal generator and at least one stimulation lead having an electrode portion and a connector portion, where the connector portion is electrically connectable to the signal generator, the method comprising the steps of: inserting the at least one stimulation lead at a vertebral position superior to S1/S2 into an epidural space and advancing the lead in an inferior direction, substantially parallel to a longitudinal direction of the epidural space; positioning the lead so that the electrode portion of the lead lies in a plane substantially parallel to selected sacral nerve roots within the epidural space of a sacrum; coupling the at least one stimulation lead to the signal generator; and delivering electrical energy from the signal generator to the electrode portion of the at least one stimulation lead.
Claim 13
Dependent Claim 24 words
A method in accordance with claim 10, wherein a plurality of stimulation leads are implanted and are coupled to a plurality of signal generators.
Claim 14
Dependent Claim 21 words
A method in accordance with claim 10, wherein the electrical energy has a signal frequency within the range of 50-3,000 Hz.
Claim 15
Dependent Claim 42 words
A method in accordance with claim 10, wherein the electrode portion of the at least one stimulation lead further extends along one or more of the following portions of the selected sacral nerve roots: dorsal root ganglia, sacral plexus, and peripheral nerve.
Claim 16
Dependent Claim 23 words
A method in accordance with claim 12, wherein the electrode portion of the at least one stimulation lead extends through a sacral foramen.
Claim 17
Independent Claim 173 words
A method of managing chronic pelvic pain using a signal generator and at least one stimulation lead having an electrode portion and a connector portion, where the connector portion is electrically connectable to the signal generator, the method comprising the steps of: inserting the at least one stimulation lead at a vertebral position superior to S1/S2 into an epidural space and advancing the lead in an inferior direction, substantially parallel to a longitudinal direction of the epidural space; positioning the lead so that the electrode portion of the lead lies in a plane substantially parallel to selected sacral nerve roots and is capable of directly influencing, through delivery of electrical energy, at least one of: nerve tissue within the epidural space of a sacrum, a dorsal root ganglia of the sacrum, a sacral nerve plexus, and a peripheral nerve of a pelvic region; coupling the at least one stimulation lead to the signal generator; and delivering electrical energy from the signal generator to the electrode portion of the at least one stimulation lead.
Claim 18
Independent Claim 173 words
A method of managing chronic pelvic pain using a signal generator and at least one stimulation lead having an electrode portion and a connector portion, where the connector portion is electrically connectable to the signal generator, the method comprising the steps of: inserting the at least one stimulation lead at a vertebral position superior to S1/S2 into an epidural space and advancing the lead in an inferior direction, substantially parallel to a longitudinal direction of the epidural space; positioning the lead so that the electrode portion of the lead lies in a plane substantially parallel to selected sacral nerve roots and is capable of directly influencing, through delivery of electrical energy, at least one of: nerve tissue within the epidural space of a sacrum, a dorsal root ganglia of the sacrum, a sacral nerve plexus, and a peripheral nerve of a pelvic region; coupling the at least one stimulation lead to the signal generator; and delivering electrical energy from the signal generator to the electrode portion of the at least one stimulation lead.
Claim 19
Dependent Claim 24 words
A method in accordance with claim 15, wherein a plurality of stimulation leads are implanted and are coupled to a plurality of signal generators.
Claim 20
Dependent Claim 21 words
A method in accordance with claim 15, wherein the electrical energy has a signal frequency within the range of 50-3,000 Hz.
Claim 21
Dependent Claim 23 words
A method in accordance with claim 15, wherein the electrode portion of the at least one stimulation lead extends through a sacral foramen.

References Cited (Backward Citations)

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USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2002-12-13 2003-06-14 2003-12-14 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2006-12-13 2007-06-14 2007-12-14 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2010-12-13 2011-06-14 2011-12-14 $7700.00 Window Closed / Lapsed

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