A spinal cord stimulator (SCS) system and method for placing SCS electrodes in a patient for spinal cord stimulation therapy. The SCS system comprises a stimulator and an amplifier unit. The amplifier unit comprises an algorithm module to store and process algorithms for processing data received from recording electrodes placed in a patient's body. The recording electrodes send real-time electromyography (EMG) data related to the patient to the algorithm module. The algorithm module processes the real-time EMG data, including filtering the EMG data to remove artifacts generated by the SCS electrodes. The SCS system compares the filtered EMG data in real-time with the pre-clinical EMG data and displays the comparison data on the display device. The displayed data is used, by the surgeon, for lateralization of the SCS electrode.

A Spinal Cord Stimulator (SCS) electrode placement system that includes a stimulator, at least one amplifier, a processing unit, the processing unit programmable with software. The automated system aids surgeons in placing SCS electrodes by determining neurophysiologic position. It does this by adjusting parameters and stimulating the muscles of a patient from the SCS electrode to capturing electrophysiologic signal such as Electromyography (EMG) data from different muscles. This data is then collected at various positions on the SCS electrode and then aggregated to display the location of the SCS electrode. The data is then visually outputted to the surgeon to help make a lateralization decision. All aspects of the system can be manually adjusted by the surgeon.

Selective high-frequency spinal cord modulation for inhibiting pain with reduced side effects and associated systems and methods are disclosed. In particular embodiments, high-frequency modulation in the range of from about 1.5 KHz to about 50 KHz may be applied to the patient's spinal cord region to address low back pain without creating unwanted sensory and/or motor side effects. In other embodiments, modulation in accordance with similar parameters can be applied to other spinal or peripheral locations to address other indications.

Selective high-frequency spinal chord modulation for inhibiting pain with reduced side affects and associated systems and methods are disclosed. In particular embodiments, high-frequency modulation in the range of from about 1.5 KHz to about 50 KHz may be applied to the patient's spinal chord region to address low back pain without creating unwanted sensory and/or motor side affects. In other embodiments, modulation in accordance with similar parameters can be applied to other spinal or peripheral locations to address other indications.

The techniques of the disclosure describe example medical devices, systems, and methods for interleaving a plurality of low-frequency electrical stimulation pulse trains delivered by a plurality of sets of electrodes of an implantable medical device (IMD) to effectively deliver a combined high-frequency electrical pulse train to a target tissue area. In one example, each set of the plurality of sets of electrodes has a unique anode and cathode. In another example, a clinician adjusts the size or shape of the target tissue area receiving the combined high-frequency electrical pulse train by selecting different combinations of the plurality of sets of electrodes.

A neuromodulation device for measuring an evoked response comprising a first electrode; a second electrode, wherein the first and second electrodes are alternately configured as a stimulation electrode; a sensing electrode for sensing an evoked response to a stimulus pulse; and a controller configured to measure an evoked response at the sensing electrode after a stimulus pulse at a first stimulation electrode configuration and after a stimulus pulse at a second alternate stimulation electrode configuration, and to add said pair of measurements.

Representative methods, apparatus and systems are disclosed for providing concurrent electrical stimulation and electrical recording in a human or non-human subject, such as for neuromodulation, with the apparatus coupleable to an electrode array. A representative apparatus is typically an integrated circuit including: stimulation circuits, recording circuits, and blocking circuits responsive to control signals to block the stimulation voltage or current on an electrode from a corresponding recording circuit, while other recording circuits may simultaneously record electrical signals from other electrodes and generate recorded data. A representative stimulation circuit may include current sources; a first multiplexer for current source selection; a second multiplexer for electrode selection; a switchable voltage offset circuit; a switchable grounding circuit; and a stimulation controller providing control signals to provide the electrical stimulation, such as biphasic or monophasic stimulation, and bipolar or unipolar stimulation. Off-chip communication, control, along with power and voltage level control, are also provided.

A hearing device for use with a cochlear implant system is disclosed. An input portion receives, as a stimulus, an acoustic signal, converts the acoustic signal into an electrical acoustic signal and provides the electrical acoustic signal. A processing portion processes the electrical acoustic signal and conducts an active grounding procedure. An implant portion being implantable at least partially in a cochlea of the user comprises a plurality of operation electrodes and a reference electrode, e.g. an external electrode being grounded and implantable outside of the cochlea of the user. The operation electrodes are driven by the processing portion on the basis of the electric acoustic signal. An electrode state setting section sets the plurality of operation electrodes into one of a high impedance state, a grounded state and a stimulating state in which a signal based on the electric acoustic signal is supplied to a stimulation electrode of the plurality of operation electrodes. An electrode state setting pattern determining section selects, according to an operation mode of the cochlear implant system, one of a plurality of electrode state setting patterns, wherein each of the electrode state setting patterns is adapted to enable a stimulation by a stimulation electrode of the plurality of operation electrodes being in a stimulating state and at least one of the plurality of operation electrodes being in a grounded state or in a high impedance state. The electrode state setting section sets the plurality of operation electrodes into the specified electrode state according to the selected electrode state setting pattern.

A system for restoring muscle function to the lumbar spine to treat low back pain is provided. The system may include one or more electrode leads coupled to an implantable pulse generator (IPG) and a tunneler system for subcutaneously implanting a proximal portion of the lead(s). The system may also include a handheld activator configured to transfer a stimulation command to the IPG, and an external programmer configured to transfer programming data to the IPG. The stimulation command directs the programmable controller to stimulate the tissue in accordance with the programming data. The system may include a software-based programming system run on a computer such that the treating physician may program and adjust stimulation parameters.

A field measurement algorithm and measuring circuitry in an implantable stimulator, and an field modelling algorithm operable in an external device, are used to determine an electric field in a patient's tissue. The field measuring algorithm provides at least one test current between two electrodes, and a plurality of voltage differentials are measured at different combinations of the electrodes. The voltage differential data is telemetered to the field modelling algorithm which determines directional resistance at different locations in the patient's tissue. The field modelling algorithm can then use a stimulation program selected for the patient and the determined directional resistances to determine voltages in the patient's tissue at various locations, which in turn can be used to model a more-accurate electric field in the tissue, and preferably to render an electric field image for display in a graphical user interface of the external device.