Stimulation system for treatment of dysphagias
Stimulation system, comprising an implantable stimulation device ( 60 ), at least one implantable stimulation electrode ( 70 ) and at least one initializing sensor ( 40 ), whereby the initializing sensor ( 40 ) is configured to detect in the implanted state a voluntarily controlled muscle movement, a voluntarily induced brainwave or a voluntarily generated nerve pulse of a patient during the initial phase of a swallowing process and to generate a sensor signal in response thereto either continuously or in a clocked cycle or in response to the preceding and to send this signal to the stimulation device ( 60 ), and whereby the stimulation device ( 60 ) is configured to trigger the delivery of a stimulation pulse via the stimulation electrode ( 70 ) in response to such a sensor signal of the initializing sensor ( 40 ) which is based on a voluntarily initiated swallowing process.
1. A stimulation system for treatment of dysphagias comprising:
an implantable stimulation device ( 60 );
at least one implantable stimulation electrode ( 70 );
at least one initializing sensor ( 40 ) configured to be attached in or to a palate of a patient wherein said at least one initializing sensor is further configured to detect a swallowing process in the patient through detection of a pressure of a tongue against the palate of said patient,
generate a sensor signal continuously, or in a clocked cycle and
send the sensor signal to the implantable stimulation device ( 60 ); and,
wherein the implantable stimulation device ( 60 ) comprises a computer unit ( 110 ) that is configured to
filter out of said sensor signal, a filtered sensor signal, that represents only signals which can be attributed to a voluntary initiation of said swallowing process through comparison of a chronological characteristic of said sensor signal to a pressure profile or patient-individual pressure profile to prevent unwanted stimulation of said swallowing process;
trigger a delivery of a stimulation pulse via the at least one implantable stimulation electrode ( 70 ) in response to the filtered sensor signal that represents a voluntary initiation of the swallowing process.
2. The stimulation system according to claim 1 , wherein the implantable stimulation device ( 60 ) comprises a timer and is configured to induce the delivery of the stimulation pulse after a predetermined delay time after receipt of a triggering sensor signal.
3. The stimulation system according to claim 1 , wherein the implantable stimulation device ( 60 ) is electrically connected to the at least one initializing sensor ( 40 ) via a sensor electrode line ( 50 ).
4. The stimulation system according to claim 1 , wherein the at least one initializing sensor ( 40 ) comprises a power supply and is configured to allow wireless transmission of the sensor signal to the implantable stimulation device ( 60 ).
5. The stimulation system according to claim 1 , wherein the at least one initializing sensor ( 40 ) is a pressure sensor and the sensor signal is processed in the at least one initializing sensor ( 40 ) itself.
6. The stimulation system according to claim 1 , wherein the at least one initializing sensor ( 40 ) is a pressure sensor configured to deliver the sensor signal to the implantable stimulation device ( 60 ) wherein the implantable stimulation device ( 60 ) is configured to process the sensor signal of the at least one initializing sensor.
7. The stimulation system according to claim 1 , wherein the at least one implantable stimulation electrode ( 70 ) is connected electrically to the implantable stimulation device ( 60 ) via a stimulation electrode line ( 80 ).
8. The stimulation system according to claim 1 , wherein the at least one implantable stimulation electrode ( 70 ) comprises a power supply and is wirelessly connected to the implantable stimulation device ( 60 ).
9. The stimulation system according to claim 1 , wherein the implantable stimulation device ( 60 ) has at least two stimulation electrodes ( 70 ) and/or at least two initializing sensors ( 40 ).
10. The stimulation system according to claim 1 , wherein the implantable stimulation device ( 60 ) comprises:
a stimulation pulse shaper ( 180 );
a memory ( 120 ) configured to store parameters for the computer unit to utilize; and,
wherein the computer unit ( 110 ) is further configured to
determine a time lag between a triggering sensor signal and the delivery of the stimulation pulse,
and/or determine a stimulation frequency,
and/or determine a type of stimulation,
and/or determine a duration of a stimulation cycle,
and/or determine a frequency of stimulation cycles, and
induce a corresponding pulse generation by the stimulation pulse shaper ( 180 ).
11. The stimulation system according to claim 10 , wherein the implantable stimulation device ( 60 ) further comprises a wireless data transmission unit ( 130 ), which is configured to receive parameters sent wirelessly via an external programming device ( 90 ) that are stored in the memory ( 120 ).
12. The stimulation system according to claim 1 , wherein the implantable stimulation device ( 60 ) is configured to induce an automatic adjustment of stimulation parameters.
13. The stimulation system of claim 1 further comprising an external programming device ( 90 ) that comprises at least one input interface and a wireless data transmission unit, which is configured to transmit stimulation parameters wirelessly to the implantable stimulation device ( 60 ).
14. The stimulation system of claim 13 wherein the external programming device ( 90 ) comprises a wireless data receiving unit and a parameter analyzing unit, which is configured to receive and analyze the stimulation parameters transmitted wirelessly from the implantable stimulation device ( 60 ).