An intravascular catheter for nerve activity ablation and/or sensing includes one or more needles advanced through supported guide tubes (needle guiding elements) which expand to contact the interior surface of the wall of the renal artery or other vessel of a human body allowing the needles to be advanced though the vessel wall into the extra-luminal tissue including the media, adventitia and periadvential space. The catheter also includes structures which provide radial and lateral support to the guide tubes so that the guide tubes open uniformly and maintain their position against the interior surface of the vessel wall as the sharpened needles are advanced to penetrate into the vessel wall. Electrodes at the distal ends of the guide tubes allow sensing of nerve activity before and after attempted renal denervation. In a combination embodiment ablative energy or fluid is delivered to ablate nerves outside of the media.

A biomagnetic field measurement processing apparatus includes circuitry; and a memory storing computer-executable instructions that cause the circuitry to execute reconfiguring a current signal from a biomagnetic field signal; extracting a current component from the current signal; and based on the extracted current component, adding to each other at least two current waveforms among current waveforms of a plurality of inward currents that are current components directed toward a nerve axon from around the nerve axon, or adding to each other at least two current waveforms among current waveforms of a plurality of inward currents that are current components directed toward a muscle fiber from around the muscle fiber, and generating a current waveform to be displayed on a display device, according to the at least two current waveforms added to each other.

There is provided a nerve activity monitoring method that includes receiving an input signal indicative of activity in a nerve of a subject; receiving physiological data indicative of physiological activity in the subject; establishing a relationship between the physiological data and the input signal; identifying a plurality of periodic portions in the input signal based on the relationship between the physiological data and the input signal; and outputting the periodic portions identified.

An example of a system for delivering neurostimulation energy to a patient using a plurality of electrodes may include a stimulation circuit and a sensing circuit. The stimulation circuit may be configured to deliver the neurostimulation energy using stimulation electrodes selected from the plurality of electrodes and to control the delivery of the neurostimulation energy. The sensing circuit may be configured to receive one or more neural signals from sensing electrodes selected from the plurality of electrodes and may include a signal processing circuit. The signal processing circuit may include a detection circuit and an analysis circuit. The detection circuit may be configured to detect one or more attributes of neural responses from the received one or more neural signals. The analysis circuit may be configured to analyze the detected one or more attributes of the neural responses for one or more indications of a neurodegenerative disease.

A system may include a stimulator, sensing circuitry and a controller. The stimulator may be operably connected to at least one stimulation electrode, and configured to deliver an electrical waveform for an electrical therapy using the at least one stimulation electrode. The sensing circuitry may be operably connected to at least one sensing electrode, and configured to sense electrical potentials that are evoked by the electrical waveform to provide sensed evoked signals. The controller may be operably connected to the stimulator and the sensing circuitry. The controller may be configured to automatically define a sampling window, sample the sensed evoked potentials during the sampling window to provide sampled values, detect at least one feature from the sampled values, and automatically provide feedback for closed-loop control of the electrical therapy based on the at least one feature.

Described herein are catheters for use in analyzing neural activity of nerves that surround a biological lumen. Such a catheter comprises a handle including a first, second, and third actuators, and a shaft extending from the handle and including proximal and distal electrodes that are selectively deployable. The first actuator is configured to selectively deploy the proximal electrode in response to the first actuator being manually maneuvered. The second actuator is configured to selectively deploy the distal electrode in response to the second actuator being manually maneuvered. The third actuator is configured to selectively adjust a longitudinal distance between the proximal and distal electrodes in response to the third actuator being manually maneuvered.

Described herein are catheters for use in analyzing neural activity of nerves that surround a biological lumen. Such a catheter comprises a handle including a first, second, and third actuators, and a shaft extending from the handle and including proximal and distal electrodes that are selectively deployable. The first actuator is configured to selectively deploy the proximal electrode in response to the first actuator being manually maneuvered. The second actuator is configured to selectively deploy the distal electrode in response to the second actuator being manually maneuvered. The third actuator is configured to selectively adjust a longitudinal distance between the proximal and distal electrodes in response to the third actuator being manually maneuvered.

This disclosure relates to devices, systems, and methods for autotitrating stimulation parameters. In one example, a method includes controlling an implantable medical device to deliver electrical stimulation to a patient according to a plurality of electrical stimulation parameter sets, each electrical stimulation parameter set of the plurality of electrical stimulation parameter sets defining a respective electrical stimulation signal deliverable to the patient, obtaining, by one or more processors and for each electrical stimulation parameter set of the plurality of electrical stimulation parameter sets, a respective signal representative of an electrical response sensed from the patient in response to the electrical stimulation delivered to the patient according to the respective electrical stimulation parameter set, and determining, by the one or more processors and based on the obtained respective signals, a primary electrical stimulation parameter set that defines electrical stimulation therapy deliverable to the patient by the implantable medical device.

A processing device is configured to interface with a region of the brain of a subject that is responsible for forming concepts without sensory input. The processing device receives brain signals representative of at least one concept formed by the region of the brain without sensory input, and processes the received brain signals so as to convert the at least one concept to data that is representative of a tangible form of the at least one concept. In certain embodiments, the processing device processes data that is representative of at least one concept to be formed by the region so as to convert the data into one or more brain signals, and selectively providing the one or more brain signals to the region of the brain such that the at least one concept represented by the data is formed by the region of the brain without sensory input.

A processing device is configured to interface with a region of the brain of a subject that is responsible for forming concepts without sensory input. The processing device receives brain signals representative of at least one concept formed by the region of the brain without sensory input, and processes the received brain signals so as to convert the at least one concept to data that is representative of a tangible form of the at least one concept. In certain embodiments, the processing device processes data that is representative of at least one concept to be formed by the region so as to convert the data into one or more brain signals, and selectively providing the one or more brain signals to the region of the brain such that the at least one concept represented by the data is formed by the region of the brain without sensory input.