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    • 3. 发明授权
    • Means and method for the intracranial placement of a neurostimulator
    • 用于颅内放置神经刺激器的方法和方法
    • US06427086B1
    • 2002-07-30
    • US09557168
    • 2000-04-21
    • Robert E. FischellDavid R. FischellAdrian R. M. UptonDennis R. PottsBenjamin D. Pless
    • Robert E. FischellDavid R. FischellAdrian R. M. UptonDennis R. PottsBenjamin D. Pless
    • A61N136
    • A61B5/6814A61B5/0476A61B5/4094A61N1/36017A61N1/36025A61N1/3605A61N1/36064A61N1/37235
    • Disclosed is a means and method for placing an implantable neurostimulator control module into a place in the cranium where cranial bone has been removed. The method for accomplishing this cranial implantation is by first removing a patient's hair over the site of the implant, then cutting the scalp at that site and pulling it back to expose the cranium. A neurosurgeon would then remove a portion of the cranial bone to accept a control module to be implanted within that hole. The control module would then be placed into that hole. It is also conceived that the control module would be fixed in place by the use of one or more attachment devices such as a multiplicity of bone screws placed through holes in one or more flanges that extend over the cranium beyond the control module. The implantation could also include a fairing placed around the control module to provide a smooth contour under the patient's scalp. Also described is a spacer shim placed under the flange(s) to adjust the position of the control module so that its bottom surface does not put pressure on the dura mater lying directly over the brain tissue at the bottom of the hole. It is also envisioned that a resorbable disk could be placed under the bottom surface of the control module to further protect the brain and/or to elute an anti-biotic or anti-inflammatory substance to reduce the possibility of infection and/or inflammation.
    • 公开了一种用于将可植入的神经刺激器控制模块放置在颅骨已被移除的头颅中的位置的手段和方法。 完成这种颅骨植入的方法是首先将患者的头发去除植入物的部位,然后在该部位切割头皮并将其拉回以暴露颅骨。 然后,神经外科医生将去除颅骨的一部分以接受待植入该孔内的控制模块。 然后将控制模块放入该孔中。 还可以想到,控制模块将通过使用一个或多个附接装置固定在适当的位置,例如通过一个或多个凸缘中的孔布置的多个骨螺钉,所述多个骨螺钉在颅骨上延伸超过控制模块。 植入还可以包括放置在控制模块周围的整流罩,以在患者的头皮下面提供平滑的轮廓。 还描述了放置在凸缘下方的间隔垫片,以调节控制模块的位置,使得其底部表面不对直接位于孔底部的脑组织的硬脑膜施加压力。 还可以设想,可再吸收的盘可以放置在控制模块的底表面下方以进一步保护大脑和/或洗脱抗生素或抗炎物质以减少感染和/或炎症的可能性。
    • 6. 发明授权
    • System for treatment of neurological disorders
    • 神经障碍治疗系统
    • US6016449A
    • 2000-01-18
    • US957869
    • 1997-10-27
    • Robert E. FischellDavid R. FischellAdrian R. M. Upton
    • Robert E. FischellDavid R. FischellAdrian R. M. Upton
    • A61N1/36
    • A61B5/0476A61B5/4094A61B5/6814A61N1/3605A61N1/36025A61N1/36082A61N1/37211
    • Disclosed is a multiple electrode, closed-loop, responsive system for the treatment of certain neurological diseases such as epilepsy, migraine headaches and Parkinson's disease. Brain electrodes would be placed in close proximity to the brain or deep within brain tissue. When a neurological event such as the onset of an epileptic seizure occurs, EEG signals from the electrodes are processed by signal conditioning means in a control module that can be placed beneath the patient's scalp, within the patient's chest, or situated externally on the patient. Neurological event detection means in the control module will then cause a response to be generated for stopping the neurological event. The response could be an electrical signal to brain electrodes or to electrodes located remotely in the patient's body. The response could also be the release of medication or the application of a sensory input such as sound, light or mechanical vibration or electrical stimulation of the skin. The response to the neurological event can originate from devices either internal or external to the patient. The system also has the capability for multi-channel recording of EEG related signals that occur both before and after the detection of a neurological event. Programmability of many different operating parameters of the system by means of external equipment provides adaptability for treating patients who manifest different symptoms and who respond differently to the response generated by the system.
    • 公开了一种用于治疗某些神经系统疾病如癫痫,偏头痛和帕金森病的多重电极闭环应答系统。 脑电极将放置在靠近脑部或脑组织深处。 当出现诸如癫痫发作的神经系统事件时,来自电极的EEG信号由控制模块中的信号调节装置处理,该控制模块可以放置在患者的头皮之下,患者的胸部内,或者位于病人的外部。 然后,控制模块中的神经事件检测装置将产生用于停止神经系统事件的响应。 响应可以是对脑电极或位于病人身体远端的电极的电信号。 该反应也可以是药物的释放或者诸如声音,光或机械振动或电刺激皮肤的感觉输入的应用。 对神经系统事件的反应可以来自患者内部或外部的装置。 该系统还具有在检测神经系统事件之前和之后发生的EEG相关信号的多通道记录的能力。 通过外部设备对系统的许多不同操作参数的可编程性提供了适应性,用于治疗表现不同症状的患者,并且对系统产生的反应有不同的反应。
    • 8. 发明授权
    • Methods for responsively treating neurological disorders
    • 反应性治疗神经系统疾病的方法
    • US06459936B2
    • 2002-10-01
    • US09932175
    • 2001-08-17
    • Robert E. FischellDavid R. FischellAdrian R. M. Upton
    • Robert E. FischellDavid R. FischellAdrian R. M. Upton
    • A61N118
    • A61N1/36135A61N1/36017A61N1/36025A61N1/36064A61N1/36067A61N1/36075A61N1/37252
    • Disclosed is a multiple electrode, closed-loop, responsive system for the treatment of certain neurological diseases such as epilepsy, migraine headaches and Parkinson's disease. Brain electrodes would be placed in close proximity to the brain or deep within brain tissue. When a neurological event such as the onset of an epileptic seizure occurs, EEG signals from the electrodes are processed by signal conditioning means in a control module that can be placed beneath the patient's scalp, within the patient's chest, or situated externally on the patient. Neurological event detection means in the control module will then cause a response to be generated for stopping the neurological event. The response could be an electrical signal to brain electrodes or to electrodes located remotely in the patient's body. The response could also be the release of medication or the application of a sensory input such as sound, light or mechanical vibration or electrical stimulation of the skin. The response to the neurological event can originate from devices either internal or external to the patient. The system also has the capability for multi-channel recording of EEG related signals that occur both before and after the detection of a neurological event. Programmability of many different operating parameters of the system by means of external equipment provides adaptability for treating patients who manifest different symptoms and who respond differently to the response generated by the system.
    • 公开了一种用于治疗某些神经系统疾病如癫痫,偏头痛和帕金森病的多重电极闭环应答系统。 脑电极将放置在靠近脑部或脑组织深处。 当出现诸如癫痫发作的神经系统事件时,来自电极的EEG信号由控制模块中的信号调节装置处理,该控制模块可以放置在患者的头皮之下,患者的胸部内,或者位于病人的外部。 然后,控制模块中的神经事件检测装置将产生用于停止神经系统事件的响应。 响应可以是对脑电极或位于病人身体远端的电极的电信号。 该反应也可以是药物的释放或者诸如声音,光或机械振动或电刺激皮肤的感觉输入的应用。 对神经系统事件的反应可以来自患者内部或外部的装置。 该系统还具有在检测神经系统事件之前和之后发生的EEG相关信号的多通道记录的能力。 通过外部设备对系统的许多不同操作参数的可编程性提供了适应性,用于治疗表现不同症状的患者,并且对系统产生的反应有不同的反应。
    • 9. 发明授权
    • Data recording methods for an implantable device
    • 可植入装置的数据记录方法
    • US06360122B1
    • 2002-03-19
    • US09628977
    • 2000-08-02
    • Robert E. FischellDavid R. FischellAdrian R. M. Upton
    • Robert E. FischellDavid R. FischellAdrian R. M. Upton
    • A61B504
    • A61B5/0476A61B5/4094A61B5/6814A61N1/36025A61N1/3605A61N1/36082A61N1/37211G06F19/00
    • Disclosed is a multiple electrode, closed-loop, responsive system for the treatment of certain neurological diseases such as epilepsy, migraine headaches and Parkinson's disease. Brain electrodes would be placed in close proximity to the brain or deep within brain tissue. When a neurological event such as the onset of an epileptic seizure occurs, EEG signals from the electrodes are processed by signal conditioning in a control module that can be placed beneath the patient's scalp, within the patient's chest, or situated externally on the patient. Neurological event detection means in the control module will then cause a response to be generated for stopping the neurological event. The response could be an electrical signal to brain electrodes or to electrodes located remotely in the patient's body. The response could also be the release of medication or the application of a sensory input such as sound, light or mechanical vibration or electrical stimulation of the skin. The response to the neurological event can originate from devices either internal or external to the patient. The system also has the capability for multi-channel recording of EEG related signals that occur both before and after the detection of a neurological event. Programmability of many different operating parameters of the system by means of external equipment provides adaptability for treating patients who manifest different symptoms and who respond differently to the response generated by the system.
    • 公开了一种用于治疗某些神经系统疾病如癫痫,偏头痛和帕金森病的多重电极闭环应答系统。 脑电极将放置在靠近脑部或脑组织深处。 当出现诸如发作癫痫发作的神经系统事件时,来自电极的EEG信号通过控制模块中的信号调节进行处理,所述控制模块可以放置在患者的头皮之下,患者的胸部内,或位于患者的外部。 然后,控制模块中的神经事件检测装置将产生用于停止神经系统事件的响应。 响应可以是对脑电极或位于病人身体远端的电极的电信号。 该反应也可以是药物的释放或者诸如声音,光或机械振动或电刺激皮肤的感觉输入的应用。 对神经系统事件的反应可以来自患者内部或外部的装置。 该系统还具有在检测神经系统事件之前和之后发生的EEG相关信号的多通道记录的能力。 通过外部设备对系统的许多不同操作参数的可编程性提供了适应性,用于治疗表现不同症状的患者,并且对系统产生的反应有不同的反应。
    • 10. 发明授权
    • Implantable device for patient communication
    • 用于患者通信的植入式装置
    • US06354299B1
    • 2002-03-12
    • US09609086
    • 2000-06-30
    • David R. FischellStephen T. ArcherRobert E. FischellAdrian R. M. Upton
    • David R. FischellStephen T. ArcherRobert E. FischellAdrian R. M. Upton
    • A61B1900
    • A61N1/37217A61N1/36025A61N1/36082A61N1/36135
    • An implantable device incorporating an acoustic transducer allows information and alerts to be communicated from the device to a patient. Sounds, including but not limited to buzzes, tones, sequences of tones, combinations of tones, complex sounds, and segments of reproduced or simulated human speech, are transmitted from an intracranially implanted portion of the device via bone conduction to the patient's ears, particularly the inner ears. In the disclosed embodiment, the acoustic transducer is used in cooperation with an implantable closed-loop system for the treatment of certain neurological disorders such as epilepsy, migraine headaches and Parkinson's disease, to warn the patient of an imminent seizure or other episode, to provide information to the patient on the state of the implantable apparatus, and to provide reminders and other information to the patient.
    • 结合声学换能器的可植入装置允许将信息和警报从装置传送到患者。 特别是通过骨传导从设备的颅内植入部分发送声音,包括但不限于嗡嗡声,音调,音调序列,音调的组合,复合声音和再现或模拟人类语言的段 内耳。 在所公开的实施例中,声换能器与用于治疗某些神经障碍如癫痫,偏头痛和帕金森病的可植入闭环系统配合使用,以警告患者即将发作或其他发作,以提供 向患者提供关于植入式装置的状态的信息,并向患者提供提醒和其他信息。