IP Library Granted Patent US 10,279,183
Granted Patent B2
US 10,279,183 · App. 15/140,039 · Granted May 7, 2019

Systems and methods for detecting intrathecal penetration

Inventors: Jon Parker (San Jose, CA); James R. Thacker (Homer, AK)
Assignee: Nevro Corp.
A61N1/36142A61B5/0538A61N1/0551A61N1/08A61N1/36071
View Patent ↗
Loading inventors, assignments & file history…
Monitor This Case
Get email alerts when status or documents change.
Order Certified Copies
Most orders are placed with the USPTO same day — all within 24 business hours.
Order via The Patent Place →
Pre-filled with this patent's details
Quick Facts
Patent No.
US 10,279,183
App. No.
15/140,039
Granted
May 7, 2019
Kind
B2
Abstract

Systems and methods for detecting intrathecal penetration are disclosed. A method in accordance with one embodiment includes detecting a value corresponding to an impedance of an electrical circuit that in turn includes an electrical contact located within the patient, and patient tissue adjacent to the electrical contact. The method further includes comparing the detected value to a predetermined criterion, and, if the detected value meets the predetermined criterion, identifying penetration of the patient's dura based at least in part on the detected value.

Claims (28)

1. A computer-readable medium for use with a patient, having instructions that, when executed:

receive information corresponding to an impedance measured between two electrical contacts, carried by a signal delivery device, and intervening patient tissue adjacent to the electrical contacts;

compare the information to a predetermined criterion;

if the information meets the predetermined criterion, provide an indication that the patient's dura has been penetrated; and

if the information does not meet the predetermined criterion, cause a pulse generator to generate a neural modulation signal to be delivered to the patient via the signal delivery device.

2. The computer-readable medium of claim 1 wherein the indication is a first indication, and wherein the instructions, when executed:

provide a second indication, indicating that the patient's dura has not been penetrated, in response to the information not meeting the predetermined criterion.

3. The computer-readable medium of claim 1 wherein the neural modulation signal has a frequency of from about 3 kHz to about 50 kHz.

4. The computer-readable medium of claim 1 wherein the predetermined criterion includes a reference impedance of about 50 ohms or less.

5. The computer-readable medium of claim 1 wherein the predetermined criterion includes a reference impedance of about 200 ohms or less.

6. The computer-readable medium of claim 1 wherein the indication includes an indication presented at a display device.

7. The computer-readable medium of claim 1 wherein the indication includes an aural indication.

8. A computer-readable medium for use with a patient, having instructions that, when executed:

receive information corresponding to an impedance determined between electrical contacts carried by a signal delivery device, and intervening patient tissue adjacent to the electrical contacts; and

if the information meets a predetermined criterion, provide an indication that the patient's dura has been penetrated; or

if the information does not meet the predetermined criterion, cause a neural modulation signal to be delivered to the patient via the signal delivery device.

9. The computer-readable medium of claim 8 wherein the neural modulation signal has a frequency of from about 3 kHz to about 50 kHz.

10. The computer-readable medium of claim 8 wherein the signal delivery device is coupleable to a pulse generator, wherein the indication is a first indication, and wherein the instructions, when executed, provide a second indication, indicating that the patient's dura has been penetrated, in response to the information not meeting the predetermined criterion.

11. The computer-readable medium of claim 8 wherein the predetermined criterion includes a reference impedance of about 50 ohms or less.

12. The computer-readable medium of claim 8 wherein the predetermined criterion includes a reference impedance of about 200 ohms or less.

13. A computer-readable medium for use with a patient, having instructions that, when executed:

receive information corresponding to an impedance measured between electrical contacts carried by a signal delivery device, and intervening patient tissue adjacent to the electrical contacts;

compare the information to a predetermined criterion;

if the information meets the predetermined criterion, provide an indication that the patient's dura has been penetrated, wherein the predetermined criterion includes a reference impedance of 50 ohms or less; and

if the information does not meet the predetermined criterion, cause a neural modulation signal to be delivered to the patient via the signal delivery device.

14. The computer-readable medium of claim 13 wherein the indication is a first indication, and wherein the instructions, when executed:

provide a second indication indicating that the patient's dura has not been penetrated, in response to the information not meeting the predetermined criterion.

15. The computer-readable medium of claim 13 wherein the neural modulation signal has a frequency of from about 3 kHz to about 50 kHz.

Assignments (4)
RELEASE OF SECURITY INTEREST Recorded Apr 4, 2025
From: WILMINGTON TRUST, NATIONAL ASSOCIATION, AS AGENT
To: NEVRO CORP.
Reel/Frame 070743/0001 →
PATENT SECURITY AGREEMENT Recorded Dec 1, 2023
From: NEVRO CORP.
To: WILMINGTON TRUST, NATIONAL ASSOCIATION, AS AGENT
Reel/Frame 065744/0302 →
CORRECTIVE ASSIGNMENT TO CORRECT THE RECEIVING PARTY DATA PREVIOUSLY RECORDED AT REEL: 038406 FRAME: 0191. ASSIGNOR(S) HEREBY CONFIRMS THE ASSIGNMENT. Recorded Dec 8, 2016
From: PARKER, JON; THACKER, JAMES R.
To: NEVRO CORP.
Reel/Frame 040854/0042 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 28, 2016
From: PARKER, JON; THACKER, JAMES R.
To: NEVRO CORPORATION
Reel/Frame 038406/0191 →
Continuity (3)
Continuation 14326301 · Jul 8, 2014
Division 12895438 · Sep 30, 2010
Related Publication 20160354609A1 · Dec 8, 2016