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公开(公告)号:US11364386B2
公开(公告)日:2022-06-21
申请号:US16449056
申请日:2019-06-21
Applicant: ADVANCED NEUROMODULATION SYSTEMS, INC.
Inventor: Germinal Ibarrola , Scott DeBates
Abstract: A system, method and a network architecture for facilitating remote care therapy via secure communication channels between clinicians and patients having one or more IMDs, wherein certain unique information retrieved from an IMD is used in association with an encryption key infrastructure system for establishing trusted relationships between a clinician device, a patient's device and the patient's IMD. A cloud-based remote care session manager is provided for registering and validating the clinician and patent devices based on the IMD data used as trust indicia. In one embodiment, trusted associations between the devices are only established when the devices in close proximity of each other, e.g., in an in-person setting.
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公开(公告)号:US11364086B2
公开(公告)日:2022-06-21
申请号:US16265737
申请日:2019-02-01
Applicant: ADVANCED NEUROMODULATION SYSTEMS, INC.
Inventor: Robert E. Jones , Galen L. Smith
IPC: A61B90/11 , A61B90/50 , A61N1/05 , A61B1/313 , A61B10/04 , A61B17/00 , A61B17/34 , A61B18/00 , A61B90/10 , A61M25/01 , A61B5/24
Abstract: A trajectory guiding apparatus and one or more methods associated therewith for facilitating precision-guided alignment and implantation of a DBS therapy device in a patient. Orthogonally disposed first and second arcuate racks are independently actuatable by respective pinion drives, wherein the first arcuate rack is coupled to a base support and the second arcuate rack is operative to support a slider assembly arranged to accommodate an instrumentation column (IC) containing the therapy device. The first pinion drive is actuatable to cause a first curvilinear motion of the second arcuate rack including the slider assembly, the first curvilinear motion defined along a first arcuate path on a first perpendicular plane. The second pinion drive is actuatable to cause a second curvilinear motion associated with the slider assembly including the IC, the second curvilinear motion defined along a second arcuate path congruent with the second arcuate rack's curvature and disposed on a second perpendicular plane orthogonal to the first perpendicular plane.
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公开(公告)号:US20220184393A1
公开(公告)日:2022-06-16
申请号:US17227185
申请日:2021-04-09
Applicant: Advanced Neuromodulation Systems, Inc.
Inventor: Aaron Raines
Abstract: The present disclosure provides a stimulation lead for providing stimulation signals to nerve tissue and improved methods for constructing and manufacturing such a stimulation lead. The stimulation lead and/or methods includes a lead with a cable disposed within. At each end of the lead body a portion of the cable is exposed, and a metal ferrule is securely attached to the exposed cable portion. An electrode/contact is then securely attached to the metal ferrule such that the electrode covers the metal ferrule, a portion of the lead body, and a transition point where the exposed cable exits the lead body. A tine component may be swaged around a portion of the term end, configured to provide a retaining force against an force acting upon the stimulation lead, while allowing insertion of the stim end of the stimulation lead during implantation, and extraction of the stim end during explantation.
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公开(公告)号:US20220184380A1
公开(公告)日:2022-06-16
申请号:US17119204
申请日:2020-12-11
Applicant: Advanced Neuromodulation Systems, Inc.
Inventor: Aaron Raines , Manasi Reardon
Abstract: The present disclosure provides systems and methods for exogenous neurostimulation. An exogenous neurostimulation system includes an electrode pad comprising a plurality of electrodes configured to be applied to skin of a patient, and a pulse generator communicatively coupled to the electrode pad, the pulse generator operable to generate burst waveforms for delivery to the skin of the patient via the electrode pad.
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185.
公开(公告)号:US20220175458A1
公开(公告)日:2022-06-09
申请号:US17113385
申请日:2020-12-07
Applicant: Advanced Neuromodulation Systems, Inc.
Inventor: Yagna Pathak , Hyun-Joo Park , Simeng Zhang , Anahita Kyani , Erika Ross , Dehan Zhu , Douglas Lautner
Abstract: The present disclosure provides systems and methods for estimating an orientation of an implanted deep brain stimulation (DBS) lead. Such methods include generating an initial image dataset, down-sampling a respective image or adding noise to images of the subset of the initial image dataset, and re-slicing at least a subset of the modified image dataset along an alternative primary imaging axis, to generate an integrated image dataset. The method also include partitioning the integrated image dataset into a preliminary training image dataset and a testing image dataset, and re-sizing at least a subset of the preliminary training image dataset with a localized field of view around a depicted DBS lead, to generate a training image dataset. The method further includes training a machine-learning model using the training image dataset, and executing the trained machine-learning model to estimate, during a DBS implantation procedure, an orientation of a subject implanted DBS lead.
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公开(公告)号:US20220161040A1
公开(公告)日:2022-05-26
申请号:US17228238
申请日:2021-04-12
Applicant: Advanced Neuromodulation Systems, Inc.
Inventor: Chris Dawson , Adam Jackson , Aaron Raines , Manasi Reardon
Abstract: Systems and methods which provide a bulkhead anchor configuration in which an anchor body includes flexure finger members and a radial bulkhead operable in cooperation to impart a radial compressive force to a corresponding lead body are described. A first portion of a bulkhead anchor body may comprise a plurality of flexure finger members disposed in a corolla configuration forming an anchor lumen through which a lead body may be inserted. A second portion of the bulkhead anchor body may comprise a radial bulkhead having a flexure profile configured to operatively engage the flexure finger members. A locking mechanism may be used to retain the first and second portions of the bulkhead anchor in their relative positions such that the radial compressive force is maintained upon the lead body indefinitely.
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公开(公告)号:US20220143411A1
公开(公告)日:2022-05-12
申请号:US17091336
申请日:2020-11-06
Applicant: Advanced Neuromodulation Systems, Inc.
Inventor: Jeffrey Urbanski , Ted Alfonso , John Gonzalez
Abstract: The present disclosure provides systems and methods for a conductor assembly for an implantable lead cable. The conductor assembly includes a conductive element extending over an axial length from a proximal end to a distal end. The conductor assembly includes an inner dielectric layer coaxially covering the conductive element over the axial length. The conductor assembly includes an inner conductive layer coaxially covering the inner dielectric layer over the axial length, the inner conductive layer comprising a contiguous metal coating having a thickness in a range of 1 to 50 microns.
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188.
公开(公告)号:US20220062624A1
公开(公告)日:2022-03-03
申请号:US17008058
申请日:2020-08-31
Applicant: Advanced Neuromodulation Systems, Inc.
Inventor: Aaron Raines
Abstract: A method of forming a stimulation lead includes forming an implantable lead body, including helically winding at least one cable about a mandrel to form a coiled cable assembly in a first, restrained state. Helically winding the at least one cable includes applying a tensile force to the at least one cable as the at least one cable is wound about the mandrel. Forming the lead body also includes releasing the tensile force from the at least one cable to allow the coiled cable assembly to release stored mechanical energy and transition from the restrained state to a second, relaxed state in which the coiled cable assembly is substantially free of stored mechanical energy. The method further includes subjecting the lead body to a reflow process by applying heat to the lead body, where the tensile force is released prior to the lead body being subjected to the reflow process.
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189.
公开(公告)号:US20220023638A1
公开(公告)日:2022-01-27
申请号:US17498983
申请日:2021-10-12
Applicant: Advanced Neuromodulation Systems, Inc.
Inventor: Daran DeShazo , Steven Boor , Gavin L. Rade
Abstract: An implantable medical device (IMD) includes an adjustable capacitive voltage multiplier (CVM) that is responsive to diagnostic circuitry configured to provide control signals within a single stimulation current pulse for adjusting the voltage output applied to an electrode of the IMD's lead system. A control counter is coupled to the diagnostic circuitry for incrementing or decrementing an N-bit counter output signal operative to reconfigure a charge pump arrangement of the CVM so as to facilitate an adjusted voltage output.
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公开(公告)号:US20210330978A1
公开(公告)日:2021-10-28
申请号:US16855212
申请日:2020-04-22
Applicant: Advanced Neuromodulation Systems, Inc.
Inventor: Steven Boor , Daran DeShazo
Abstract: The present disclosure provides systems and methods for circuitry for an implantable pulse generator (IPG) of a neurostimulation system. The circuitry includes at least one anode node, at least one cathode node, a plurality of switching circuits, each switching circuit coupled to the at least one anode node and the at least one cathode node, and a plurality of output channels, each output channel coupled between an associated switching circuit and at least one electrode. The circuitry further includes a first DC blocking capacitor coupled between the at least one anode node and the plurality of switching circuits, a second DC blocking capacitor coupled between the at least one cathode node and the plurality of switching circuits. The circuitry further includes mitigation circuitry operable to limit DC leakage from the plurality of switching circuits through the plurality of output channels.
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