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Neurostimulation Devices Patent Landscape 2026

Neurostimulation Devices Patent Landscape 2026
Competitive Landscape

Neurostimulation Devices Patent Landscape in 2026

The neurostimulation devices field is a heavily concentrated, mature arena in which Medtronic and Boston Scientific Neuromodulation together account for the dominant share of the hundred largest filers’ combined output. Annual volume peaked in 2022 and has since eased, signaling a field transitioning from rapid expansion toward consolidation and incremental differentiation.

10,041
Patent families in scope
54%
Top-5 share of top-100 filers
-10%
3-yr filing growth (lag-adj.)
United States
Leading jurisdiction
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Published byPatSnap Insights Team··7 min readVerified by PatSnap Eureka data
Overview

Medtronic and Boston Scientific lead a highly concentrated field

The neurostimulation devices landscape is dominated by two incumbents: Medtronic and Boston Scientific Neuromodulation hold the top two positions, with Medtronic at 8,074 patent records and Boston Scientific Neuromodulation at 7,894 patent records — the closest first-to-second gap among any major medical-device segment.

The top five filers collectively account for 54% of the hundred largest filers’ combined total, a concentration level that signals high barriers to displacing established leaders through volume alone. Cardiac Pacemakers ranks third at 2,513 patent records, already less than a third of the leader’s count, indicating a pronounced two-tier structure.

Leading applicants
#ApplicantPatent recordsShare
1Medtronic Inc8,074
2Boston Scientific Neuromodulation Corporation7,894
3Cardiac Pacemakers Inc2,513
4Advanced Neuromodulation Systems Inc1,386
5Pacesetter Inc1,099
6Nevro Corp888
7Regents of the University of California868
8Saluda Medical Pty Ltd605
9LivaNova USA Inc576
10BIOTRONIK SE & CO KG561
#ApplicantPatent recordsShare
11LivaNova PLC554
12ElectroCore Inc514
13Nyxoah405
14The Cleveland Clinic Foundation376
15Cirtec Medical Corp365
16Ecole Polytechnique Federale de Lausanne (EPFL)362
17The Board of Trustees of the Leland Stanford Junior University358
18Duke University355
19Axonics Inc333
20Sceneray320
↗ Hover a row · click a company to ask Eureka

The depth of Medtronic’s and Boston Scientific’s portfolios — both anchored in core electrotherapy (A61N) and overlapping into surgical diagnostics (A61B) and healthcare informatics (G16H) — means new entrants must differentiate on technology route, indication, or geography rather than competing head-on in established stimulation modalities.

Counts for the most recent 18–24 months are subject to publication lag and likely understate actual activity; apparent softness in 20242026 data should not be interpreted as a structural retreat. Longer-window growth, applicant concentration, and technology-route coverage are therefore more reliable signals than the latest-year bar alone.

Source: PatSnap Eureka. Chart shows the top applicants ranked by patent records; the corpus total is measured in patent families. These figures use different units and should not be compared directly.Explore deeper in Eureka →
Trends & Structure

Activity peaked in 2022; electrotherapy dominates the technology mix

Two charts together reveal the field’s maturity: filing volume has pulled back from its 2022 peak while the IPC composition shows a lopsided concentration in core electrotherapy classes, with adjacent informatics and surgical classes representing a smaller but growing fraction.

Annual filing trend

Annual filings climbed from 1,228 in 2017 to a peak of 1,406 in 2022 before easing to 1,090 in 2023 and 916 in 2024. The 2025 and 2026 data points (485 and 28 respectively) reflect publication lag rather than a real collapse and should be read as incomplete. The overall multi-year window recorded a recent-growth figure of –10%, consistent with a field that has passed its peak filing rate but retains substantial ongoing activity.

Annual filing trendAnnual values from 2017 to 2026, peaking at 1,406 in 2022.1,22820171,07620181,32120191,35720201,13420211,40620221,090202391620244852025282026↗ Hover for values · click a bar to ask Eureka

Technology composition

A61N (Electrotherapy and radiation therapy) is overwhelmingly dominant at 19,013 patent records, dwarfing all other classes. A61B (Diagnosis and surgery) is the second branch at 5,872 records, reflecting the growing integration of sensing and closed-loop feedback into stimulation platforms. G16H (Healthcare informatics) at 1,376 records and A61M (Devices for body fluids) at 1,228 records represent emerging adjacencies worth monitoring.

Technology compositionA61N · Electrotherapy & radiation therapy leads with 19,013; A61B · Diagnosis & surgery 5,872.A61N · Electrotherapy & …19,013A61B · Diagnosis & surgery5,872G16H · Healthcare inform…1,376A61M · Devices for body …1,228G06F · Electric digital …701A61F · Implants & prosth…312A61K · Medicinal prepara…295H02J · Power supply & gr…281↗ Hover for values · click a bar to ask Eureka
Source: PatSnap Eureka. Technology-branch counts are measured in patent records; a single patent family can carry several IPC classes, so class totals can exceed the family total in scope.Explore deeper in Eureka →
Key Patents

Highly cited patent families surfaced by the query

Citation-heavy patent families returned by the query. Use this section as citation context, not as a curated list of the most topic-specific patents.

Featured patent
US20250050109A1Published 2025-02-13

Systems and methods for coordinating therapies

Boston Scientific Neuromodulation Corporation

A system may be configured for treating a condition and may include at least one therapy delivery system, at least one event detector and a controller. The therapy delivery system(s) may be configured to deliver at least two therapies to at least two therapy targets including deliver a first therapy to a first therapy target and deliver a second therapy to… (excerpt from the patent abstract)

Systems and methods for coordinating therapies — patent drawingSystems and methods for coordinating therapies — patent drawing
Representative drawings from the patent document.
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Highly cited patent families surfaced by this query
#PatentCitations
1Rechargeable spinal cord stimulator system3,865
2Rechargeable spinal cord stimulator system1,664
3Vagal nerve stimulation techniques for treatment o…1,226
4Positioning system for neurological procedures in …1,217
5Modulated high frequency tissue modification1,198
6Adaptive brain stimulation method and system1,171
7Apparatus and method for treating peripheral vascu…1,065
8Implantable pulse generators using rechargeable ze…1,026

Ranked by total forward citations. Citation counts favour older and broadly cited patent families, and broad or adjacent patents may appear when they match the search scope. Treat this section as citation context, not as a curated list of the most topic-specific patents.

Source: PatSnap Eureka. Citation-ranked patent families surfaced by this query.Open in Eureka →
Insights

What the portfolio structure means for R&D strategy

The combination of a past-peak filing curve, extreme leader concentration, active academic co-filing, and US-heavy jurisdiction coverage shapes where incremental R&D investment is most and least likely to find defensible white space.

Decline

Field is past its 2022 peak — consolidation phase

The lifecycle stage is Decline, with annual filings easing back from the 2022 peak of 1,406. This does not indicate an exit from innovation; it signals that core electrostimulation technology is mature and incremental patents face a crowded prior-art landscape. R&D investment should prioritize differentiated indications or novel delivery mechanisms where the art is thinner.

Past-peak · 2022 apex
Concentration

Two-player duopoly at the top; tier-two gap is wide

Medtronic (8,074 records) and Boston Scientific Neuromodulation (7,894 records) are nearly matched at the summit, while third-ranked Cardiac Pacemakers (2,513 records) sits at roughly 31% of the leader’s count. The top-five filers hold 54% of the hundred largest filers’ combined output. New entrants face a formidable prior-art wall in mainstream spinal cord and vagal nerve stimulation; niche indication strategies offer a more realistic entry path.

High concentration · duopoly
Collaboration

Academic co-filing is active; Regents of UC is the hub

The Regents of the University of California is the most active co-filer, appearing in the top four collaboration pairs: 51 co-filed records with NeurσSigma, 35 with the US Department of Veterans Affairs, 16 with the University of Louisville Research Foundation, and 16 with Caltech. Boston Scientific Neuromodulation co-files actively with Surgical Theater (22 records) and MRI Interventions (15 records). These partnerships signal that academic-industry bridging remains a key mechanism for innovation at the boundary of neuromodulation and surgical planning.

Academic-industry co-filing
Geography

US-centric filing; EPO and PCT remain secondary

The United States accounts for the largest share of patent records at 11,313, followed by Europe via EPO at 3,701 and WIPO PCT filings at 2,749. Australia is a notable fourth at 1,492, likely reflecting Saluda Medical’s home-market filings. Canada (617 records) is the only other jurisdiction with meaningful volume. The absence of significant Asian jurisdiction filings in this corpus suggests either strategic gaps or a corpus scope that under-represents Asian applicants — worth investigating before assuming market freedom-to-operate in those regions.

US-dominant · EPO secondary
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Top collaboration links
ApplicantCollaboratorCo-filings
Regents of the University of CaliforniaNeurσSigma Inc51
Regents of the University of CaliforniaUS Department of Veterans Affairs35
Cyberonics IncEAST TENNESSEE STATE UNIV24
Boston Scientific Neuromodulation CorporationSurgical Theater Inc22
Regents of the University of CaliforniaUniversity of Louisville Research Foundation Inc16
Regents of the University of CaliforniaCalifornia Institute of Technology16
Boston Scientific Neuromodulation CorporationMRI Interventions Inc15
Cyberonics IncFlint Hills Scientific LLC12
Boston Scientific Neuromodulation CorporationAugusta University Research Institute Inc10
Cardiac Pacemakers IncDuke University10

Co-filing pairs, ranked by the number of jointly-filed patent families.

Source: PatSnap Eureka. Insights are derived from applicant rankings, collaboration pairs, jurisdiction counts, and lifecycle indicators in the neurostimulation corpus.Explore insights →
Leaders

Boston Scientific gaining ground on Medtronic; both anchored in A61N

The two leaders share nearly identical technology profiles — electrotherapy (A61N 1) as the primary focus, surgical diagnostics (A61B 5) as secondary, and healthcare informatics (G16H) as a growing tertiary — but their filing momentum is diverging sharply.

Leader · Medtronic

Medtronic

Medtronic leads the corpus at 8,074 patent records, concentrated in A61N 1 (3,159 records), A61B 5 (869 records), and G16H 20 (185 records). However, recent filing momentum is negative at –26%, indicating the company is allowing its filing rate to taper — consistent with portfolio optimization in a maturing field rather than strategic retreat. Competitors closing the gap should be monitored.

patent records: 8,074
Challenger · Boston Scientific Neuromodulation

Boston Scientific Neuromodulation

Boston Scientific Neuromodulation is the closest challenger at 7,894 patent records and is the only top-two player with positive recent filing momentum at +18%, narrowing Medtronic’s lead. Its technology mix mirrors Medtronic’s — A61N 1 (3,986 records), A61B 5 (560 records), G16H 20 (205 records) — but with a slightly higher emphasis on electrotherapy relative to diagnostics. At the current trajectory, the filing gap between the two leaders is narrowing.

patent records: 7,894
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Nevro CorpSaluda Medical+ more
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Leading-applicant momentum (recent 3 yrs, lag-adjusted)
ApplicantRecent (3 yrs)Trend
Boston Scientific Neuromodulation Corporation814▲ +18%
Medtronic419▼ -26%
Advanced Neuromodulation Systems Inc256▬ -2%
ElectroCore Inc61▼ -38%
Cardiac Pacemakers Inc6▼ -78%
Regents of the University of California60▲ +36%
Saluda Medical Pty Ltd111▲ +21%
Duke University15▼ -53%
Source: PatSnap Eureka. Player profiles combine patent record counts from the applicant ranking with recent filing momentum from the three-year trend comparison.Explore players →
Adjacent Branches

Under-served adjacent branches in informatics, drug delivery, and implants

Five IPC classes adjacent to the dominant A61N core each account for 4% or less of the corpus, representing areas where the neurostimulation patent art is relatively sparse. Two stand out for their plausible technical value and realistic entry path given existing industry capabilities.

G16H · Healthcare informatics

With 1,376 patent records and a 4% share of the corpus, healthcare informatics is the largest under-served adjacent branch. Closed-loop neurostimulation systems increasingly depend on real-time patient data processing, remote monitoring, and AI-guided parameter adjustment — all squarely within G16H scope. The entry path is realistic for software-capable medical device firms or digital health companies with existing FDA regulatory experience, and the University of California–NeurσSigma collaboration already points in this direction.

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A61F · Implants & prostheses

A61F accounts for 312 patent records and just 1% of the corpus, yet the integration of neurostimulation with structural implants — such as spinal implants with embedded electrodes or cochlear and retinal prostheses — represents a technically plausible convergence. The sparse coverage relative to the core A61N class suggests that cross-disciplinary innovation bridging device mechanics and stimulation delivery is not yet heavily contested, offering a differentiated portfolio position for orthopedic or ENT device manufacturers with stimulation know-how.

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A61M · Devices for body fluidsA61K · Medicinal preparations+ more
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Source: PatSnap Eureka. Adjacent branches are IPC classes with lower patent density relative to the dominant A61N class; sparsity is an observation, not a validated commercial opportunity.Explore emerging →
Route Matrix

How leaders differ by technology route across A61N, A61B, and G16H

Strength of each leader across the main technology routes.

PlayerA61N 1 · Electrotherapy & radiation therapyA61B 5 · Diagnosis & surgeryG16H 20 · Healthcare informaticsG16H 40 · Healthcare informaticsA61N 2 · Electrotherapy & radiation therapy
Boston Scientific Neuromodulation CorporationStrong · 3,986Emerging · 560Emerging · 205Emerging · 198Absent
MedtronicStrong · 3,159Moderate · 869Emerging · 185Emerging · 136Absent
Advanced Neuromodulation Systems IncStrong · 756Emerging · 143Emerging · 60Emerging · 129Emerging · 12
ElectroCore IncStrong · 391AbsentEmerging · 15Emerging · 15Moderate · 148
Cardiac Pacemakers IncStrong · 370Moderate · 103AbsentAbsentAbsent
Saluda Medical Pty LtdStrong · 257Strong · 185AbsentAbsentAbsent
Source: PatSnap Eureka. Matrix values are measured in patent records and should not be compared directly with family-level applicant totals.Compare in Eureka →
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Disclaimer. This page is generated from PatSnap Eureka data drawn from a limited snapshot of global patent and scientific-literature records, and is provided for general information and reference only.

Patent data carries inherent limitations: recent filings (typically the most recent 18–24 months) are under-counted due to standard publication lag; counts may be reported at either a patent-family or a patent-record basis and are not always directly comparable; classification, applicant-name, and citation data may contain errors, duplicates, or omissions; and the underlying search query defines and constrains the scope shown. As a result, the analysis may be incomplete or inaccurate and may not reflect the full technology landscape.

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