US 20050131484A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2005/0131484 A1 Boveja et al. (54) (43) Pub. Date: Jun. 16, 2005 METHOD AND SYSTEM FOR PROVIDING (57) PULSED ELECTRICAL STIMULATION TO PROVIDE THERAPY FOR A method and system for providing pulse electrical stimu ABSTRACT lation to at least one of sacral plexus or its branches or ERECTILE/ SEXUAL DYSFUNCTION, PROSTATITIS, PROSTATITIS PAIN, AND portions, inferior hypogastric plexus or its branches or portions, superior hypogastric plexus or its branches or portions in a patient, to provide therapy for one of erectile/ CHRONIC PELVIC PAIN sexual dysfunction, prostatitis, pelvic pain, and pain origi (76) Inventors: Birinder R. Boveja, Milwaukee, WI nating from prostatitis pathology. The stimulation system comprises both implanted and external components. The (US); Angely Widhany, Milwaukee, WI (US) pulsed electrical stimulation may be provided using one of the following stimulation systems: a) an implanted stimulus receiver with an external stimulator; b) an implanted stimu lus-receiver comprising a high value capacitor for storing charge, used in conjunction with an external stimulator; c) a Correspondence Address: BIRINDER R. BOVEJA & ANGELY WIDHANY P. 0. BOX 210095 programmer-less implantable pulse generator (IPG) which is operable with an external magnet; d) a programmable MILWAUKEE, WI 53221 (US) implantable pulse generator; e) a combination implantable device comprising both a stimulus-receiver and a program (21) Appl. No.: 10/862,630 mable IPG; and f) an implantable pulse generator (IPG) comprising a rechargeable battery. The stimulation pulses (22) Filed: Jun. 7, 2004 can be provided uni-directionally. In one embodiment, the Publication Classi?cation external components such as the programmer or external (51) Int. Cl.7 ..................................................... .. A61N 1/08 stimulator may comprise a telemetry means for networking. The telemetry means therefore, allows for interrogation or programming of implanted device from a remote location, (52) U.S. Cl. .............................................................. .. 607/39 over a wide area network. RF CARRIER OSCILLATOR /232 I, BUFFER AMPLIFIER '"232 \I/ CARRIER /236 DRIVER \I/ HYPOGASTRIC &SACRAL /246 MODULATOR FILTER /I\ MODULATING SIGNAL DRIVER I 248 244 PREAMPLIFIER \242 'I‘ BANDPASS 240 MODULATING SIGNAL SOURCE LINEAR POWER FINAL POWER AMPLIFIER / \ 'I FILTER LINEAR BANDPASS 9 INTERMEDIATE _% /238 250 ’ AMPLIFIER / 252 6 FLEX“? % BANDPASS FILTER / RECIEVER 254 48 ClR/CUTRY ' 256 Patent Application Publication Jun. 16, 2005 Sheet 2 0f 63 L4 L5 S1 S2 S3 US 2005/0131484 A1 Pudenal S4 20nerve FIG.2 Sciatc 24nerve Patent Application Publication Jun. 16, 2005 Sheet 3 0f 63 US 2005/0131484 A1 ‘ii ‘i! i fii Patent Application Publication Jun. 16, 2005 Sheet 4 0f 63 >6253 92569am @2598E ho225gbomwtmn 2.90 % % 2560 US 2005/0131484 A1 mEzwoum.caw F y g w.QE Patent Application Publication Jun. 16, 2005 Sheet 5 0f 63 US 2005/0131484 A1 Brain centers ---- Paresympathetic pathways Sympathetic pathways _ ' Sensory pathways FIG. 5 Patent Application Publication Jun. 16, 2005 Sheet 6 0f 63 US 2005/0131484 A1 Corpus cavernosium 22 Cavernous nerve 28 FIG. 6 ’ * ‘_ Symphysis pubis l. ’— Cavernous nerve 28 Penile crus FIG. 7 Patent Application Publication Jun. 16, 2005 Sheet 7 0f 63 US 2005/0131484 A1 Left lobe of liver ‘ Body of Gallbladder 1' - a ' I “a stomach _ Tail of pancreas iv Decending colon Superior _ hypogastric Lumbosacral plexus trunk ‘ H lsulrgg?rrtic nerve p t - ypogas r|c nerve I Inferior P I _ , V‘ ' ssa?ghnic ~ . " nerve hypogastric plexus Sigmoid colon Mlddle rectal plexus Rectum BEST AVAILABLE COPY Patent Application Publication Jun. 16, 2005 Sheet 8 0f 63 hMagni-meou M. as Lgtoeanderator 2Q0) '03 3G) D.C US 2005/0131484 A1 Patent Application Publication Jun. 16, 2005 Sheet 10 0f 63 <: > US 2005/0131484 A1 Resting state + + + + + + : __ _ — _ _ Excitestate — — __— I +++++++ +++++++ 'somv __®__ _ _ CF —@3‘ A ion potential i Mi‘? Action potentials 0 » Site of summation (lflflflfl -amVlJUUUU of multiple stimuli FIG. 9 Patent Application Publication Jun. 16, 2005 Sheet 11 0f 63 Mo_-.i.i1l: t mE . o6mw$95c.a?z8:5o69rqgwm:u .9QwmcE2aoz6?3g5wmE’n:u c2Eo.wa5mz:r?nco90bms3 :uHz38En9cQo25:zwu8.0Em?3 US 2005/0131484 A1 .orU_n_ Patent Application Publication Jun. 16, 2005 Sheet 12 0f 63 2501? wzxwi w4565 2% US 2005/0131484 A1 Patent Application Publication Jun. 16, 2005 Sheet 13 of 63 US 2005/0131484 A1 /7 Computer(progamin Staion) 270 /42 000 U 000 12FIG. Patent Application Publication Jun. 16, 2005 Sheet 14 0f 63 166 F7 61 g\164 T £1 58 62i 80 $ 4% 76 H/ 7 US 2005/0131484 A1 73% F14AIG. Jll) 64’ Patent Application Publication Jun. 16, 2005 Sheet 15 0f 63 US 2005/0131484 Al 55 168 W1 1 169 167 160 F14BIG. Patent Application Publication Jun. 16, 2005 Sheet 17 0f 63 US 2005/0131484 A1 Patent Application Publication Jun. 16, 2005 Sheet 18 0f 63 LT US 2005/0131484 A1 mifctoTEo: .OEw? 5%0 ‘ ‘ 31552BwasAm:Ho _ l QEQQ:eEQEEsau III CZ: 25 _ ouzEam Patent Application Publication Jun. 16, 2005 Sheet 19 0f 63 69658.2 3 US 2005/0131484 A1
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