DK2736468T3 - Indretning til behandling af den sensoriske kapacitet for en person - Google Patents

Indretning til behandling af den sensoriske kapacitet for en person Download PDF

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Publication number
DK2736468T3
DK2736468T3 DK12744102.0T DK12744102T DK2736468T3 DK 2736468 T3 DK2736468 T3 DK 2736468T3 DK 12744102 T DK12744102 T DK 12744102T DK 2736468 T3 DK2736468 T3 DK 2736468T3
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Prior art keywords
brain
patient
sensory
ultrasonic
cortex
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DK12744102.0T
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English (en)
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Alexandre Carpentier
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Université Pierre Et Marie Curie (Paris 6)
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • A61B8/0808—Detecting organic movements or changes, e.g. tumours, cysts, swellings for diagnosis of the brain
    • A61B8/0816—Detecting organic movements or changes, e.g. tumours, cysts, swellings for diagnosis of the brain using echo-encephalography
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/58—Testing, adjusting or calibrating the diagnostic device
    • A61B8/582—Remote testing of the device
    • 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
    • A61N1/0531—Brain cortex electrodes
    • 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
    • A61N1/0539—Anchoring of brain electrode systems, e.g. within burr hole
    • 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
    • A61N1/36064—Epilepsy
    • 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
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/375—Constructional arrangements, e.g. casings
    • A61N1/3756—Casings with electrodes thereon, e.g. leadless stimulators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N2007/0004—Applications of ultrasound therapy
    • A61N2007/0021—Neural system treatment
    • A61N2007/0026—Stimulation of nerve tissue
    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04R—LOUDSPEAKERS, MICROPHONES, GRAMOPHONE PICK-UPS OR LIKE ACOUSTIC ELECTROMECHANICAL TRANSDUCERS; DEAF-AID SETS; PUBLIC ADDRESS SYSTEMS
    • H04R2225/00—Details of deaf aids covered by H04R25/00, not provided for in any of its subgroups
    • H04R2225/67—Implantable hearing aids or parts thereof not covered by H04R25/606
    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04R—LOUDSPEAKERS, MICROPHONES, GRAMOPHONE PICK-UPS OR LIKE ACOUSTIC ELECTROMECHANICAL TRANSDUCERS; DEAF-AID SETS; PUBLIC ADDRESS SYSTEMS
    • H04R25/00—Deaf-aid sets, i.e. electro-acoustic or electro-mechanical hearing aids; Electric tinnitus maskers providing an auditory perception
    • H04R25/35—Deaf-aid sets, i.e. electro-acoustic or electro-mechanical hearing aids; Electric tinnitus maskers providing an auditory perception using translation techniques
    • H04R25/353—Frequency, e.g. frequency shift or compression

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Radiology & Medical Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Psychology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Cardiology (AREA)
  • Electrotherapy Devices (AREA)

Claims (15)

1. System (1) til behandling af i det mindste én sensorisk kapacitet for en person, omfattende en stimuleringsindretning, som omfatter en elektronisk omformer (7) for et sensorisk signal til elektroniske signaler, for styring af i det mindste én transducer til at udsende signaler, som er billeder af det sensoriske signal, hvilken stimuleringsindretning er en indretning (3) til direkte ultralydsstimulering af den sensoriske cortex i patientens hjerne (B), hvilken ultralydsstimuleringsindretning omfatter: • i det mindste én bærer (2, 2i), som kan implanteres i patientens kranie (C), og som inkluderer i det mindste én indvendig væg (22) kendetegnet ved, at ultralydsstimuleringsindretningen omfatter • i det mindste én ultralydstransducer (4), som er båret af bæreren (2), og som omfatter organer til at udsende fokuserede ultralydsbølger (U) igennem den indvendige væg (22) i bæreren, uden at passere igennem kraniet (C), imod en bestemt zone i den sensoriske cortex i patientens hjerne (B), med henblik på at generere en modulation af hjerneaktiviteten i cortex, hvilken ultralydstransducer (4) drives af den elektroniske omformer til at udsende fokuserede ultralydssignaler (U), som er billeder af det sensoriske signal.
2. Behandlingssystem ifølge krav 1, kendetegnet ved, at den elektroniske omformer (7) har sin indgang forbundet med i det mindste én føler (6, 61), som er indrettet til at opfange et sensorisk signal (5), som foreligger i personens omgivelser.
3. Behandlingssystem ifølge krav 2, kendetegnet ved, at føleren (6) er en mikrofon, som er indrettet til at opfange omgivelseslyde, og at ultralydstransduceren (4) fokuserer ultralydsbølgerne imod en bestemt zone i den primære auditive cortex i patientens hjerne (B).
4. Behandlingssystem ifølge ethvert af kravene 1 til 3, kendetegnet ved, at bæreren omfatter en enhed (2), som har fastgørelsesorganer (24) til fastgørelse til patientens kranie og fortrinsvis i et borehul, idet enheden (2) har en udvendig væg (21), som er forbundet med den indvendige væg (22) via en perifer væg (23).
5. Behandlingssystem ifølge krav 2, kendetegnet ved, at føleren (61) er et billedoptagelsessystem, og at ultralydstransduceren (4) fokuserer ultralydsbølgerne imod en bestemt zone i patientens visuelle cerebrale cortex.
6. Behandlingssystem ifølge krav 1 eller 5, kendetegnet ved, at ultralydsstimuleringsindretningen (3) har to implanterbare enheder (2i), hvori ultralydstransducerne (4) er monterede, idet hver implanterbar enhed (2i) har en indvendig overflade, igennem hvilken de fokuserede ultralydsbølger udsendes, idet hver implanterbar enhed er forsynet med en konkav halvstiv vinge (22), som har en indvendig overflade, som forlænger den indvendige overflade af enheden og igennem hvilken de fokuserede ultralydsbølger også udsendes.
7. Behandlingssystem (1) ifølge ethvert af kravene 1 til 6, kendetegnet ved, at ultralydsstimuleringsindretningen (3) omfatter variable styrings- og fokuseringsorganer for ultralydsbølgerne (U), som udsendes imod den målrettede zone i den sensoriske cortex.
8. Behandlingssystem (1) ifølge krav 7, kendetegnet ved, at styrings- og fokuseringsorganerne for ultralydsbølgerne (U) omfatter organer til elektronisk at scanne i det mindste én zone i den sensoriske cortex for behandling med de udsendte ultralydsbølger (U).
9. Behandlingssystem (1) ifølge ethvert af kravene 1 til 8, kendetegnet ved, at bundvæggen (22) i bæreren (2) omfatter en udvendig overflade, som er dækket med et fleksibelt materiale med varierende tykkelse, for at tilvejebringe en kontinuert kontaktovergang til hjernen (B) eller dura mater og at fremme udbredelse af ultralydsbølger (U) ind i hjernen (B).
10. Behandlingssystem (1) ifølge ethvert af kravene 1 til 9, kendetegnet ved, at justerings- og styreorganerne omfatter en ekstern fjernstyring til at styre og drive ultralydsstimuleringsindretningen trådløst.
11. Behandlingssystem (1) ifølge ethvert af kravene 1 til 10, kendetegnet ved, at justerings- og styreorganerne omfatter en ekstern styreindretning, som kan forbindes med ultralydsstimuleringsindretningen (3).
12. Behandlingssystem (1) ifølge ethvert af kravene 1 til 11, kendetegnet ved, at den elektriske effektforsyningsindretning (8) omfatter i det mindste et genopladeligt batteri, som er anbragt i enheden (2) eller implanteret under huden på patients krop.
13. Behandlingssystem (1) ifølge ethvert af de foregående krav, kendetegnet ved, at det omfatter elektroder (11) på en udvendig kontaktflade på den indvendige væg (22) i enheden (2) til at overvåge den elektriske aktivitet i hjernen og til at forhindre ethvert epileptisk anfald.
14. Behandlingssystem (1) ifølge ethvert af de foregående krav, kendetegnet ved, at det omfatter en nødstopkontakt (9) i den øvre væg i bæreren.
15. Behandlingssystem (1) ifølge krav 1, kendetegnet ved, at den elektroniske omformer (7) har sin indgang forbundet med et system til at levere computerbehandlet sensorisk information, som er lagret i systemet eller som stammer fra et i afstand beliggende apparatur.
DK12744102.0T 2011-07-27 2012-07-24 Indretning til behandling af den sensoriske kapacitet for en person DK2736468T3 (da)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201161512087P 2011-07-27 2011-07-27
FR1156862 2011-07-27
PCT/FR2012/051757 WO2013017778A1 (fr) 2011-07-27 2012-07-24 Dispositif de traitement de la capacite sensorielle d'une personne et procede de traitement a l'aide d'un tel dispositif

Publications (1)

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DK2736468T3 true DK2736468T3 (da) 2016-08-01

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US (1) US9669239B2 (da)
EP (1) EP2736468B1 (da)
DK (1) DK2736468T3 (da)
ES (1) ES2584388T3 (da)
WO (1) WO2013017778A1 (da)

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