WO2010065888A3 - System and method to define target volume for stimulation in brain - Google Patents

System and method to define target volume for stimulation in brain Download PDF

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Publication number
WO2010065888A3
WO2010065888A3 PCT/US2009/066821 US2009066821W WO2010065888A3 WO 2010065888 A3 WO2010065888 A3 WO 2010065888A3 US 2009066821 W US2009066821 W US 2009066821W WO 2010065888 A3 WO2010065888 A3 WO 2010065888A3
Authority
WO
WIPO (PCT)
Prior art keywords
patient
stimulation
brain
vta
target volume
Prior art date
Application number
PCT/US2009/066821
Other languages
French (fr)
Other versions
WO2010065888A2 (en
Inventor
Christopher R. Buston
Cameron C. Mcintyre
Original Assignee
The Cleveland Clinic Foundation
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by The Cleveland Clinic Foundation filed Critical The Cleveland Clinic Foundation
Priority to AU2009322153A priority Critical patent/AU2009322153B2/en
Priority to EP09802058.9A priority patent/EP2374083B1/en
Priority to CA2745435A priority patent/CA2745435C/en
Priority to JP2011539747A priority patent/JP2012510877A/en
Priority to US13/128,785 priority patent/US8644946B2/en
Priority to ES09802058T priority patent/ES2741828T3/en
Publication of WO2010065888A2 publication Critical patent/WO2010065888A2/en
Priority to US12/881,903 priority patent/US8594800B2/en
Publication of WO2010065888A3 publication Critical patent/WO2010065888A3/en
Priority to US13/765,306 priority patent/US8812126B2/en

Links

Classifications

    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/50—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0526—Head electrodes
    • A61N1/0529—Electrodes for brain stimulation
    • A61N1/0534—Electrodes for deep brain stimulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36071—Pain
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/70—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients

Abstract

One embodiment provides a computer- implemented method that includes storing a volume of tissue activation (VTA) data structure that is derived from analysis of a plurality of patients. Patient data is received for a given patient, the patient data representing an assessment of a patient condition. The VTA data structure is evaluated relative to the patient data to determine a target VTA for achieving a desired therapeutic effect for the given patient.
PCT/US2009/066821 2005-11-28 2009-12-04 System and method to define target volume for stimulation in brain WO2010065888A2 (en)

Priority Applications (8)

Application Number Priority Date Filing Date Title
AU2009322153A AU2009322153B2 (en) 2008-12-04 2009-12-04 System and method to define target volume for stimulation in brain
EP09802058.9A EP2374083B1 (en) 2008-12-04 2009-12-04 System and method to define target volume for stimulation in brain
CA2745435A CA2745435C (en) 2008-12-04 2009-12-04 System and method to define target volume for stimulation in brain
JP2011539747A JP2012510877A (en) 2008-12-04 2009-12-04 System and method for defining a target volume for brain stimulation
US13/128,785 US8644946B2 (en) 2008-12-04 2009-12-04 System and method to define target volume for stimulation in brain
ES09802058T ES2741828T3 (en) 2008-12-04 2009-12-04 System and procedure to define the target volume for stimulation in the brain
US12/881,903 US8594800B2 (en) 2008-12-04 2010-09-14 System and method to define target volume for stimulation of the spinal cord and peripheral nerves
US13/765,306 US8812126B2 (en) 2005-11-28 2013-02-12 System and method to define target volume for stimulation of the spinal cord and peripheral nerves

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US12000608P 2008-12-04 2008-12-04
US61/120,006 2008-12-04

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US13/480,858 Continuation-In-Part US8538543B2 (en) 2004-07-07 2012-05-25 System and method to design structure for delivering electrical energy to tissue

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US12/881,903 Continuation-In-Part US8594800B2 (en) 2005-11-28 2010-09-14 System and method to define target volume for stimulation of the spinal cord and peripheral nerves

Publications (2)

Publication Number Publication Date
WO2010065888A2 WO2010065888A2 (en) 2010-06-10
WO2010065888A3 true WO2010065888A3 (en) 2010-10-14

Family

ID=41692819

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2009/066821 WO2010065888A2 (en) 2005-11-28 2009-12-04 System and method to define target volume for stimulation in brain

Country Status (7)

Country Link
US (3) US8644946B2 (en)
EP (1) EP2374083B1 (en)
JP (2) JP2012510877A (en)
AU (1) AU2009322153B2 (en)
CA (1) CA2745435C (en)
ES (1) ES2741828T3 (en)
WO (1) WO2010065888A2 (en)

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