公开(公告)号：US09084882B1

公开(公告)日：2015-07-21

申请号：US14191065

申请日：2014-02-26

Applicant: Advanced Neuromodulation Systems, Inc.

Inventor： Aaron Raines

IPC: A61N1/00 ,  A61N1/05

CPC classification number: A61N1/0553 ,  A61N1/086

Abstract: The present disclosure provides systems and methods for neurostimulation. The system includes an electrode assembly for a paddle lead. The electrode assembly includes a wire wound around a bobbin to form an inductor. The wire is coupled to an input contact plate and an output contact plate. The bobbin is inserted into an aperture defined through an electrode, such that the inductor is substantially surrounded by the electrode.

Abstract translation: 本公开提供了用于神经刺激的系统和方法。 该系统包括用于桨导线的电极组件。 电极组件包括缠绕在线轴上的线以形成电感器。 线耦合到输入接触板和输出接触板。 线轴被插入通过电极限定的孔中，使得电感器基本上被电极包围。

公开(公告)号：US20140200639A1

公开(公告)日：2014-07-17

申请号：US14048352

申请日：2013-10-08

Applicant: Advanced Neuromodulation Systems, Inc.

Inventor： Alan De La Rama

IPC: A61N1/05

CPC classification number: A61N1/0553 ,  A61B5/0408 ,  A61N1/0476 ,  A61N1/0551 ,  A61N1/36071

Abstract: Self-expanding lead including a lead body having a distal body end, a proximal body end, and a central axis extending therebetween. The lead body includes first and second outer arms and an inner arm disposed between the first and second outer arms. The first and second outer arms and the inner arm extend lengthwise between the proximal body end and the distal body end. The lead also includes an array of electrodes that are configured to apply a neurostimulation therapy within an epidural space of a patient. At least some of the electrodes are positioned along the first and second outer arms. Each of the first and second outer arms includes a resilient member that is biased to flex the corresponding first and second outer arms from a collapsed condition to an expanded condition in a lateral direction away from the inner arm.

Abstract translation: 自膨胀引线，包括具有远端本体端的引线体，近端本体端部和在其间延伸的中心轴线。 引线体包括第一和第二外臂以及设置在第一和第二外臂之间的内臂。 第一和第二外臂和内臂在近端本体端和远端本体端之间纵向延伸。 引线还包括被配置为在患者的硬膜外腔内施加神经刺激疗法的电极阵列。 至少一些电极沿第一和第二外臂定位。 第一和第二外臂中的每一个包括弹性构件，弹性构件被偏置以使相应的第一和第二外臂从折叠状态弯曲到远离内臂的横向方向的扩张状态。

公开(公告)号：US08774940B2

公开(公告)日：2014-07-08

申请号：US13788944

申请日：2013-03-07

Applicant: Advanced Neuromodulation Systems, Inc.

Inventor： Claudio Feler

IPC: A61N1/05

CPC classification number: A61N1/0553

Abstract: An implantable stimulation system including an epidural lead for spinal cord stimulation that includes a paddle having an array of electrodes coupled to conductors within the paddle body. The paddle is elongated in shaped with the distal end of the paddle having a tabbed or extended portion with the lead exiting the extended portion of the paddle an angle relative to the longitudinal axis of the paddle.

Abstract translation: 一种植入式刺激系统，包括用于脊髓刺激的硬膜外引线，其包括具有耦合到所述桨体内的导体的电极阵列的桨叶。 桨叶呈细长形状，其中桨的远端具有带翼片或延伸部分，其中铅离开桨叶的延伸部分相对于桨叶的纵向轴线的角度。

公开(公告)号：US08755898B2

公开(公告)日：2014-06-17

申请号：US13970043

申请日：2013-08-19

Applicant: Advanced Neuromodulation Systems, Inc.

Inventor： Crystal Goddard ,  Jason Pounds ,  Tom Younker ,  Karen Overton ,  Jonathan Avedikian

IPC: A61N1/00

CPC classification number: A61N1/36146 ,  A61N1/36071 ,  A61N1/3615 ,  A61N1/36164 ,  A61N1/36185 ,  A61N1/37241 ,  A61N1/37247

Abstract: In one embodiment, a method for the controlling of the stimulation pulses being delivered via electrodes to a patient during the programming of a pulse generator using a controller device and selecting of a minimum amplitude that corresponds to the minimum amplitude for which the patient can detect stimulation; selecting an electrode combination defined in the controller device; setting the stimulation amplitude; making a determination of the amplitude for the stimulation pulses is greater than the perception amplitude, and if so, changing the amplitude of the stimulation pulses to be less than or equal to the perception amplitude; and if not or subsequent to the changing of the amplitude, changing the selected one of a plurality of electrode combinations to a different combination.

Abstract translation: 在一个实施例中，在使用控制器设备对脉冲发生器进行编程期间，控制刺激脉冲的控制方法被传送到患者，并且选择对应于患者可以检测刺激的最小振幅的最小幅度 ; 选择在所述控制器装置中定义的电极组合; 设定刺激振幅; 确定刺激脉冲的振幅大于感知振幅，如果是，则将刺激脉冲的振幅改变为小于或等于感知振幅; 以及如果不是或之后改变振幅，则将多个电极组合中选择的一个改变为不同的组合。

公开(公告)号：US20140163654A1

公开(公告)日：2014-06-12

申请号：US13959572

申请日：2013-08-05

Applicant: Advanced Neuromodulation Systems, Inc., d/b/a St. Jude Medical Neuromodulation Division

Inventor： John Swanson

IPC: A61N1/05

CPC classification number: A61N1/0551 ,  A61N1/0553 ,  Y10T29/49147 ,  Y10T29/49204 ,  Y10T29/49208

Abstract: In one embodiment, a method, of fabricating a stimulation lead for stimulating tissue of a patient, comprises: providing a lead body, the lead body comprising a plurality of conductors embedded within insulating material; providing a plurality of terminals; electrically coupling the plurality of terminals with the plurality of conductors; providing a plurality of electrodes, the plurality of electrodes comprising a plurality of substantially continuous longitudinal trenches on a surface of the electrodes, the electrodes comprising areas of reflow material forming microstructures substantially continuously along walls of the longitudinal trenches; and electrically coupling the plurality of electrodes with the plurality of conductors.

Abstract translation: 在一个实施例中，制造用于刺激患者组织的刺激引线的方法包括：提供引线体，所述引线主体包括嵌入在绝缘材料内的多个导体; 提供多个终端; 将所述多个端子与所述多个导体电耦合; 提供多个电极，所述多个电极在电极的表面上包括多个基本上连续的纵向沟槽，所述电极包括基本上沿着纵向沟槽的壁连续地形成微结构的区域的回流材料; 并且将所述多个电极与所述多个导体电耦合。

公开(公告)号：US08731682B2

公开(公告)日：2014-05-20

申请号：US13708155

申请日：2012-12-07

Applicant: Advanced Neuromodulation Systems, Inc.

Inventor： William L Winstrom

IPC: A61N1/08

CPC classification number: A61N1/36128 ,  A61N1/3605 ,  A61N1/3787

Abstract: In one embodiment, an external charging device for recharging an implanted medical device, comprises: a battery for powering the external charging device; a coil for radiating RF power; drive circuitry for driving the coil according to a duty cycle; circuitry for generating a signal that is indicative of an amount of current flowing through the coil; and control circuitry for controlling the drive circuitry, wherein the control circuitry is operable to process the signal from the circuitry for generating to detect when a coil of the implantable medical device temporarily ceases absorbing RF power, the control circuitry modifying the duty cycle in response to detection of the coil of the implantable medical device temporarily ceasing absorbing RF power.

Abstract translation: 在一个实施例中，一种用于对植入的医疗装置再充电的外部充电装置，包括：用于为外部充电装置供电的电池; 用于辐射RF功率的线圈; 用于根据占空比驱动线圈的驱动电路; 用于产生指示流经线圈的电流量的信号的电路; 以及用于控制所述驱动电路的控制电路，其中所述控制电路可操作以处理来自所述电路的所述信号，用于产生以检测所述可植入医疗装置的线圈何时暂时停止吸收RF功率，所述控制电路响应于 可植入医疗装置的线圈的检测暂时停止吸收RF功率。

公开(公告)号：US08712545B2

公开(公告)日：2014-04-29

申请号：US13926612

申请日：2013-06-25

Applicant: Advanced Neuromodulation Systems, Inc.

Inventor： Richard B. North ,  Terry D. Daglow ,  Stephen L. Goldman

IPC: A61N1/05

CPC classification number: A61N1/0553 ,  A61N1/08 ,  A61N1/36071

Abstract: A paddle lead includes a plurality of electrodes configured in at least three rows of three electrodes with the second, intermediate row operable to provide anode guarding. The paddle lead further includes a plurality of grooves disposed on a surface opposite the electrodes to facilitate the insertion of the paddle lead within a patient by inhibiting the veering of the paddle lead to one side or the other of the dorsal column as the paddle lead is advanced along the dorsal column midline during implantation.

Abstract translation: 桨引线包括配置在至少三行三个电极中的多个电极，第二中间行可操作以提供阳极保护。 桨形引线还包括设置在与电极相对的表面上的多个凹槽，以便于通过在桨叶引线为止的情况下通过阻止桨叶导向背侧柱的一侧或另一侧而将桨导线插入患者体内 在植入期间沿着背脊柱中线前进。

公开(公告)号：US20140074213A1

公开(公告)日：2014-03-13

申请号：US14080104

申请日：2013-11-14

Applicant: Advanced Neuromodulation Systems, Inc., d/b/a St. Jude Medical Neuromodulation Division

Inventor： Hans Neisz ,  Ralph Cardinal ,  Jason J. Skubitz ,  Jason A. Shiroff

IPC: A61N1/05

CPC classification number: A61N1/0556

Abstract: Nerve cuff electrode including a tubular body having a longitudinal slit having electrodes disposed within the body. Wedge shape slits are formed into at least one of the interior wall and the exterior wall of the body, whereby the number and location of slits provided to facilitate the adjustment of the amount of compressive force of nerve cuff electrode about the nerve.

Abstract translation: 神经袖带电极包括具有设置在体内的电极的纵向狭缝的管状体。 楔形狭缝形成为主体的内壁和外壁中的至少一个，由此提供狭缝的数量和位置，以便于调节神经箍电极围绕神经的压缩力的量。

公开(公告)号：US20130338733A1

公开(公告)日：2013-12-19

申请号：US13970043

申请日：2013-08-19

Applicant: Advanced Neuromodulation Systems, Inc.

Inventor： Crystal Goddard ,  Jason Pounds ,  Tom Younker ,  Karen Overton ,  Jonathan Avedikian

IPC: A61N1/36

CPC classification number: A61N1/36146 ,  A61N1/36071 ,  A61N1/3615 ,  A61N1/36164 ,  A61N1/36185 ,  A61N1/37241 ,  A61N1/37247

Abstract: In one embodiment, a method for the controlling of the stimulation pulses being delivered via electrodes to a patient during the programming of a pulse generator using a controller device and selecting of a minimum amplitude that corresponds to the minimum amplitude for which the patient can detect stimulation; selecting an electrode combination defined in the controller device; setting the stimulation amplitude; making a determination of the amplitude for the stimulation pulses is greater than the perception amplitude, and if so, changing the amplitude of the stimulation pulses to be less than or equal to the perception amplitude; and if not or subsequent to the changing of the amplitude, changing the selected one of a plurality of electrode combinations to a different combination.

公开(公告)号：US20130312258A1

公开(公告)日：2013-11-28

申请号：US13873010

申请日：2013-04-29

Applicant: Advanced Neuromodulation Systems, Inc.

Inventor： John Swanson

IPC: A61N1/05

CPC classification number: A61N1/05 ,  A61N1/0551 ,  A61N1/0553 ,  H01R13/6658 ,  H01R24/58 ,  H01R2201/12 ,  Y10T29/49169 ,  Y10T29/53204

Abstract: In one embodiment, a stimulation lead for applying electrical pulses to tissue of a patient, the stimulation lead comprises: a plurality of electrodes on a first end of the lead body; a plurality of terminals on a second end of the lead body; a lead body comprising a flex film component disposed within insulative material, wherein (i) the flex film component comprises a plurality of electrical traces, (ii) the plurality of electrical traces electrically couple the plurality of electrodes with the plurality of terminals, and (iii) the flex film component comprises a plurality of bends along a substantial length of the lead body; wherein the stimulation lead is adapted to elastically elongate under application of stretching forces to the lead body without disconnection of the electrical connections between the plurality of electrodes and the plurality of terminals through the electrical traces of the flex film component.

Abstract translation: 在一个实施例中，刺激引线用于向患者的组织施加电脉冲，刺激引线包括：引线本体的第一端上的多个电极; 所述引线体的第二端上的多个端子; 包括设置在绝缘材料内的柔性膜部件的引线主体，其中（i）柔性膜部件包括多个电迹线，（ii）多个电迹线将多个电极与多个端子电耦合，以及（ iii）柔性膜部件包括沿着引线主体的相当长度的多个弯曲部; 其中所述刺激引线适于在施加拉伸力的情况下弹性伸长到所述引线主体，而不断开所述多个电极与所述多个端子之间的电连接，通过所述柔性膜部件的电迹线。