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44 results about "Vagal stimulation" patented technology

Method and system for vagal blocking and/or vagal stimulation to provide therapy for obesity and other gastrointestinal disorders

Method and system to provide therapy for obesity and gastrointestinal disorders such as FGIDs, gastroparesis, gastro-esophageal reflex disease (GERD), pancreatitis and ileus comprises vagal blocking and / or vagal stimulation. Vagal blocking may be in the afferent or efferent direction, and may be with or without stimulation pulses. Blocking may be provided by one of a number of different electrical blocking techniques. Electrical signals may be provided with an external stimulator in conjunction with an implanted stimulus-receiver, or an implanted stimulus-receiver comprising a high value capacitor for temporary power source. In one embodiment, the external stimulator may comprise an optional telemetry unit. The addition of the telemetry unit to the external stimulator provides the ability to remotely interrogate and change stimulation programs over a wide area network, as well as other networking capabilities,
Owner:NEURO & CARDIAC TECH

Vagal stimulation for atrial fibrillation therapy

Apparatus for treating a subject suffering from spontaneous atrial fibrillation includes an electrode device, adapted to be coupled to a vagus nerve of the subject, and a control unit, adapted to drive the electrode device to apply an electrical current to the vagus nerve, and to configure the current to maintain the spontaneous AF for at least about 24 hours, so as to modify blood flow within the atria and reduce risk of thromboembolic events.
Owner:MEDTRONIC INC

Vagal stimulation for anti-embolic therapy

Apparatus (20) for treating a subject (30) suffering from spontaneous atrial fibrillation includes an electrode device (22), adapted to be coupled to a site of the subject (30) selected from the list consisting of: a vagus nerve (24) of the subject (30), an epicardial fat pad of the subject (30), a pulmonary vein of the subject (30), a carotid artery of the subject (30), a carotid sinus of the subject (30), a vena cava vein of the subject (30), and an internal jugular vein of the subject (30), and a control unit (32), adapted to drive the electrode device (22) to apply an electrical current to the site, and to configure the current to maintain the spontaneous AF for at least about 24 hours, so as to modify blood flow within the atria and reduce risk of thromboembolic events.
Owner:MEDTRONIC INC

Device and procedure to treat cardiac atrial arrhythmias

A non-invasive vagal stimulation device and method. The device comprises a body having a vibration member. The stimulation is created by the vibration member which has a vibratory rate that can be adjusted from being off to a preferred operating range. The non-invasive stimulation method consists of placing the non-invasive stimulation device in the vicinity of the carotid artery bifrication where arises a carotid sinus and body which contain afferent sensory nerves that travel to medulla oblongata of brain, and either applying pressure in place, or moving the device along the target arm. The method can be accomplished either with the vibration feature of the device turned on or off.
Owner:NEUROSIGNAL TECH

Implantable digital device for tissue stimulation

An implantable vagal stimulation device with high-energy efficiency and novel data sensing is provided for use in a wide variety of applications where neural stimulation is required, including human heart rate control. The stimulation device uses low-impedance circuitry and digital waveforms to minimize energy losses, thereby requiring a relatively small battery. Front-loaded, passive filtering is employed to reduce electromagnetic noise sensitivity, leaving a clear physiological signal without degradations. This physiological signal is processed by a derivative zero transition detector (DZD), which is immune to variations in input signal dynamic range unlike traditional methods. Information that the DZD receives can be then interpreted and used along with an algorithm to execute appropriate vagal nerve stimulation.
Owner:KENERGY INC

Device and procedure to treat cardiac atrial arrhythmias

InactiveUS7011638B2ElectrotherapyChiropractic devicesCarotid bifurcationNon invasive
A non-invasive vagal stimulation device and method. The device comprises a body having a vibration member. The stimulation is created by the vibration member which has a vibratory rate that can be adjusted from being off to a preferred operating range. The non-invasive stimulation method consists of placing the non-invasive stimulation device in the vicinity of the carotid artery bifrication where arises a carotid sinus and body which contain afferent sensory nerves that travel to medulla oblongata of brain, and either applying pressure in place, or moving the device along the target arm. The method can be accomplished either with the vibration feature of the device turned on or off.
Owner:ORTIZ & LOPEZ PLLC

Vagal stimulation for cardioversion of atrial fibrillation

Apparatus (20) for treating a subject (30) suffering from spontaneous atrial fibrillation includes an electrode device (22), adapted to be coupled to a site of the subject (30) selected from the list consisting of: a vagus nerve (24) of the subject (30), an epicardial fat pad of the subject (30), a pulmonary vein of the subject (30), a carotid artery of the subject (30), a carotid sinus of the subject (30), a vena cava vein of the subject (30), and an internal jugular vein of the subject (30), and a control unit (32), adapted to drive the electrode device (22) to apply an electrical current to the site, and to configure the current to maintain the spontaneous AF for at least about 24 hours, so as to modify blood flow within the atria and reduce risk of thromboembolic events.
Owner:MEDTRONIC INC

Selective neurostimulation for treating epilepsy

A method and device for treating epilepsy are disclosed which provide for electrical, chemical or magnetic stimulation of certain areas of the brain to modulate neuronal activity of areas associated with symptoms of epilepsy. Deep brain stimulation is combined with vagus nerve stimulation to enhance symptomatic relief of the disorder. Some embodiments also employ a sensing capability to optimize the therapeutic treatment regimen.
Owner:LIVANOVA USA INC

Control of vagal stimulation

Methods and apparatuses for stimulation of the vagus nerve to treat inflammation including adjusting the stimulation based on one or more metric sensitive to patient response. The one or more metrics may include heart rate variability, level of T regulatory cells, particularly memory T regulatory cells, temperature, etc. Stimulation may be provided through an implantable microstimulator.
Owner:SETPOINT MEDICAL CORP

Adaptive cardiac resyncronization therapy and vagal stimulation system

An adaptive feed-back controlled system for regulating a physiological function of a heart in which a hemodynamic sensor continuously monitors the physiological performance of the heart. Three implanted electrodes sense and pace the right atrial, right ventricle and left ventricle. A learning neural network module receives and processes information for the electrodes (18) and sensors (22), and is controlled by a deterministic module for limiting said learning module. A pulse generator (16), is also controlled by the deterministic module, and stimulates both the heart and the vagus (20).
Owner:ROM RAMI

System and method of using vagal stimulation to assess autonomic tone and risk of sudden cardiac death in an implantable cardiac device

A method and apparatus for using vagal stimulation to detect autonomic tone and assess a patient's risk of sudden cardiac death (SCD) are presented. The method involves stimulating the patient's vagus nerve in order to induce a drop in arterial blood pressure, which simulates the patient's cardiovascular response to a premature ventricular contraction (PVC). Sinus rhythm data just before and immediately following the stimulation is recorded and analyzed for a degree of heart rate turbulence (HRT) in order to detect abnormalities in autonomic tone and assess the risk of SCD. In an embodiment, the method is implemented in an implantable cardiac device (ICD), which can deliver arrhythmia prevention therapy based on the risk of SCD. The method can assess the patient's vagal activity on-demand by measuring HRT without relying on naturally occurring PVCs and eliminates the risk of causing arrhythmia associated with artificially inducing PVCs in order to measure HRT.
Owner:PACESETTER INC

Adaptive Cardiac Resyncronization Therapy and Vagal Stimulation System

An adaptive feed-back controlled system for regulating a physiological function of a heart in which a hemodynamic sensor continuously monitors the physiological performance of the heart. Three implanted electrodes sense and pace the right atrial, right ventricle and left ventricle. A learning neural network module receives and processes information for the electrodes (18) and sensors (22), and is controlled by a deterministic module for limiting said learning module. A pulse generator (16), is also controlled by the deterministic module, and stimulates both the heart and the vagus (20).
Owner:ROM RAMI

Heart rate variability analysis method, apparatus and application

The invention relates to a heart rate variability (HRV) analysis method, apparatus and application. A low-cost, portable and wearable signal acquisition device is employed to obtain electrocardiography (ECG) signals of an epileptic patient within 24 hours before operation, the time domain, the frequency domain and the non-linear index of long-range and short-range ECG are calculated by means of a stylized HRV analysis method, based on the characteristic parameter representing the modulating effect degree of the vagus nerve to the heart rate, i.e., the vagus nerve activity, the curative effect of vagus nerve stimulation (VNS) operation to medically intractable epileptic patients is predicted accurately and efficiently, unnecessary appropriation expenditure is avoided, the optimal opportunity for treatment is prevented from being delayed, by means the HRV characteristic parameter of ECG, VNS operation indication patients are selected definitely, and the curative effect of the VNS therapy is improved on the whole.
Owner:TSINGHUA UNIV +1

Method of vagal stimulation to treat patients suffering from congestive heart failure

An improved method is presented for evaluating the physiological status of a patient diagnosed with congestive heart failure and treating the patient accordingly to alleviate the congestive heart failure. As part of the method, the thoracic or cardiac impedance and ventilation of the particular patient are derived solely from an input consisting of cardiac signals (EKG) generated by electrical energy of the patient's heart as the heart is undergoing its cardiac cycle with a dynamic impedance obtained by subjecting the EKG to alternately high and low input impedances. The derived thoracic impedance and ventilation are used to control the pattern and rate at which stimulating electrical pulses are applied to the patient's vagus nerve by an implanted stimulator, in a manner to deliver therapy to the patient's heart by adjusting the heart rate to a prescribed target rate for alleviating the congestive heart failure. A change in state of the patient from one of rest to one of physical exercise and vice versa detected from the derived impedance and ventilation is accommodated by modifying the vagal stimulation therapy to adjust the patient's heart rate to a new target rate accordingly, while continuing to deliver the therapy for alleviating the congestive heart failure. A closed loop system is preferably employed for the control and adjustment functions.
Owner:MEDTRONIC INC

Control of cardiac arrhythmia by vagal stimulation at the atrioventricular and sinoatrial nodal fat pads of the heart

Vagal stimulation applied to the atrioventricular nodal (“AVN”) fat pad and the sinoatrial nodal (“SAN”) fat pad via epicardial leads is useful for controlling cardiac arrhythmia, including atrial fibrillation (‘AF”). In the case of AF, for example, vagal stimulation may be applied initially to the AVN fat pad to reduce ventricular rate, and vagal stimulation may be applied to the SAN fat pad after restoration of sinus rhythm to control atrial rate. The technique is applicable to control acute AF and chronic AF. The vagal stimulation may be optimized for exciting ganglia in the fat pads to produce dromotropic and chronotropic effects in the atrioventricular node and the sinoatrial node, respectively. In addition, the SAN fat lead can also be used to pace the atrium in case of sinus bradycardia.
Owner:THE CLEVELAND CLINIC FOUND

Vagal stimulation during atrial tachyarrhythmia to facilitate cardiac resynchronization therapy

InactiveUS20130138173A1Increased and variable ventricular rateMore intrinsic ventricular depolarizationsHeart stimulatorsVentricular rateAtrial cavity
The disclosure describes techniques for delivering vagal stimulation to decrease the ventricular rate response during an atrial tachyarrhythmia, such as atrial fibrillation. Decreasing the ventricular rate response during an atrial tachyarrhythmia may facilitate increased ventricular pacing for cardiac resynchronization therapy (CRT), and may also reduce the likelihood of inappropriately detecting a ventricular tachyarrhythmia during the atrial tachyarrhythmia. Furthermore, the vagal stimulation may augment vagal tone, which may facilitate long term left ventricular reverse remodeling and decrease atrial and ventricular arrhythmic burden in heart failure patients. An example system that delivers CRT comprises a processor that detects an atrial tachyarrhythmia in one or more atria of the heart, and monitors at least one of a ventricular rate or degree of ventricular pacing subsequent to the detected atrial arrhythmia. The processor controls a stimulation generator to deliver vagal stimulation based on the least one of a ventricular rate or degree of ventricular pacing.
Owner:MEDTRONIC INC

Lead for AV nodal vagal stimulation through an epicardial fat pad

A medical electrical lead for conducting electrical signals between an electrical stimulator and a heart site includes a lead body extending from a distal non-conductive disk member to a proximal connector for attachment to the stimulator, first and second spaced electrodes protruding from the disk member for puncturing engagement with the epicardial surface of the heart in the region of an AVN fat pad containing ganglia which extend to the AV node providing an electrical connection between the atrium and the ventricle, a first conductor extending from the first electrode to a first terminal of the connector, and a second conductor extending from the second electrode to a second terminal of the connector such that electrical current from the electrical stimulator is caused to flow through the ganglia between the first and second electrodes to stimulate the AV node to control ventricular rate in the presence of atrial fibrillation.
Owner:THE CLEVELAND CLINIC FOUND +1

Methods and apparatuses for reducing bleeding via coordinated trigeminal and vagal nerve stimulation

ActiveUS20200094055A1Shorten bleeding timeBleeding timeHead electrodesImplantable neurostimulatorsTrigeminal nerve stimulationBleeding time
Disclosed are apparatuses and methods for reducing or limiting blood loss and reducing bleed time in a subject by combined vagus and trigeminal stimulation. The apparatuses and methods may activate (e.g., electrically) one or more branches of the trigeminal nerve and may concurrently (at overlapping or near-overlapping time) independently activate the vagus nerve. This activation may be invasive or non-invasive.
Owner:THE FEINSTEIN INST FOR MEDICAL RES

System and method for controlling a heart stimulator

In a system and method for controlling an implantable stimulator capable of producing pacing pulses to be delivered to cardiac tissue, as well as vagal stimulation pulses to be delivered to vagus nerve sites, upon detection of a premature cardiac event, such as a premature ventricular or atrial contraction, a simulated heart rate turbulence (HRT) procedure is applied if the intrinsic heart rate turbulence is weakened or absent. The simulated HRT includes a first phase in which the heart rate is increased, from the existing level, for a number of heart beats, a second phase in which the heart rate is decreased for a number of heart beats, and an optional third phase in which the heart rate is returned to said existing level.
Owner:ST JUDE MEDICAL

Wireless implant for motor function recovery after spinal cord injury

A wireless implant and associated system for motor function recovery after spinal cord injury, and more particularly a multi-channel wireless implant with small package size. The wireless implant can further be used in various medical applications, such as retinal prostheses, gastrointestinal implant, vagus nerve stimulation, and cortical neuromodulation. The system also includes a method and its implementation to acquire the impedance model of the electrode-tissue interface of the implant.
Owner:RGT UNIV OF CALIFORNIA

Methods and apparatuses for reducing bleeding via coordinated trigeminal and vagal nerve stimulation

Disclosed are apparatuses and methods for reducing or limiting blood loss and reducing bleed time in a subject by combined vagus and trigeminal stimulation. The apparatuses and methods may activate (e.g., electrically) one or more branches of the trigeminal nerve and may concurrently (at overlapping or near-overlapping time) independently activate the vagus nerve. This activation may be invasive or non-invasive.
Owner:THE FEINSTEIN INST FOR MEDICAL RES

Control of vagal stimulation

Methods and apparatuses for stimulation of the vagus nerve to treat inflammation including adjusting the stimulation based on one or more metric sensitive to patient response. The one or more metrics may include heart rate variability, level of T regulatory cells, particularly memory T regulatory cells, temperature, etc. Stimulation may be provided through an implantable microstimulator.
Owner:SETPOINT MEDICAL CORP

Cardiac defibrillation with vagus nerve stimulation

A method and system for treating cardiac arrhythmias which includes inserting one or more electrodes into a patient's neck, and connecting the electrodes to the vagus nerve in the patient's neck. A cardiac monitoring device detects a cardiac arrhythmia. A controller connected to an electrical power source provides electrical power to the electrodes to apply electrical stimulation to the vagus nerve when a cardiac arrhythmia is detected.
Owner:THE RES FOUND OF STATE UNIV OF NEW YORK

Pairing vagus nerve stimulation with emg-controlled functional electrical stimulation to enhance neuroplasticity and recovery

A combined closed-loop functional electrical stimulation (FES) and Vagal nerve stimulation (VNS) therapy system for treating neurological injuries. Detected EMG signals are used to determine movement (or intended movement) of an extremity. FES is then delivered to help evoke the movement, and VNS is delivered to enhance neuroplasticity and recovery.
Owner:BATTELLE MEMORIAL INST

Closed-loop percutaneous auricular concha vagal stimulator based on electroencephalogram signals

The invention provides a closed-loop percutaneous auricular concha vagal stimulator based on electroencephalogram signals. The closed-loop percutaneous auricular concha vagal stimulator comprises a support body, and further comprises an induction electrode, a stimulation electrode and a feedback control system which are arranged on the support body, wherein the induction electrode and the stimulation electrode are electrically connected with the feedback control system; and the support body comprises a U-shaped bracket and two groups of ear brackets arranged at two ends of the U-shaped bracket, a group of plug connectors which are slidably inserted into inner cavities of the ear brackets are arranged at the end part of each end of the U-shaped bracket, and the U-shaped bracket is telescopically connected with the ear brackets through the plug connectors. According to the closed-loop percutaneous auricular concha vagal stimulator based on the electroencephalogram signals, a U-shaped bracket structure is used, so the closed-loop percutaneous auricular concha vagal stimulator can be conveniently worn on the head of the human body; and meanwhile, the U-shaped bracket and the ear brackets are in telescopic connection, and the size of the support body can be flexibly adjusted according to the head size difference of different individuals, so better compatibility is obtained, and the wearing of the vagal stimulator is more convenient.
Owner:BEIJING SHIJITAN HOSPITAL CAPITAL MEDICAL UNIVERSTY
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