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公开(公告)号:US20240216695A1
公开(公告)日:2024-07-04
申请号:US18609485
申请日:2024-03-19
Applicant: Advanced Neuromodulation Systems, Inc.
Inventor: Daran DeShazo , Steven Boor
CPC classification number: A61N1/36153 , A61N1/3606 , A61N1/37235 , A61N1/378
Abstract: An implantable medical device (IMD) includes multiple stimulation engines for independently stimulating respective electrode sets of a lead system while avoiding collisions and/or channel contention during stimulation delivery. A first voltage multiplier is configured to generate an adjustable target voltage having sufficient headroom at an output node that is commonly coupled to anodic nodes of respective stimulation engines. Each stimulation engine includes a secondary voltage multiplier to drive the respective anode and a current regulator powered by a floating voltage supply, wherein the current regulator is coupled to a cathodic node and configured to control how much stimulation current is pulled from the patient tissue.
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公开(公告)号:US11992682B2
公开(公告)日:2024-05-28
申请号:US17139965
申请日:2020-12-31
Applicant: ADVANCED NEUROMODULATION SYSTEMS INC.
Inventor: Christopher S. L. Crawford
CPC classification number: A61N1/36067 , A61N1/37205 , A61N1/37235 , A61N1/37282
Abstract: This application is generally related to systems and methods for providing a medical therapy to a patient by tracking patient activity and adjusting medical therapy based on occurrence of different types of activities performed by the patient according to clinician defined stimulation program scheduling rules.
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公开(公告)号:US11969600B2
公开(公告)日:2024-04-30
申请号:US17355677
申请日:2021-06-23
Applicant: ADVANCED NEUROMODULATION SYSTEMS, INC.
Inventor: Daran DeShazo , Gavin Rade
CPC classification number: A61N1/37235 , A61N1/37223 , A61N1/378 , A61B5/367 , A61N1/36038 , A61N1/36053 , A61N1/36062 , A61N1/36082 , A61N1/362 , A61N1/38 , A61N1/39622 , A61N2/006
Abstract: An implantable medical device (IMD) includes one or more stimulation engines (SEs) and selectively connectable output switching circuitry for driving a plurality of output nodes associated with a respective plurality of electrodes of the IMD's lead system when implanted in a patient. The output switching circuitry may be configured to facilitate self-test mode (STM) functionality in the IMD (e.g., when it is in a hermetically sealed package) by using a dual mode switch in series with a stimulation engine selection switch with respect to each output node in the output switching circuitry under mode selection control.
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公开(公告)号:US11938316B2
公开(公告)日:2024-03-26
申请号:US18167218
申请日:2023-02-10
Applicant: Advanced Neuromodulation Systems, Inc.
Inventor: Joshua R. Feler , Claudio A. Feler
IPC: A61N1/05
CPC classification number: A61N1/0553
Abstract: Paddle lead including a lead body having a distal end, a proximal end, and a central axis extending therebetween. The lead body includes opposite first and second sides that extend between the distal and proximal ends. The paddle lead also includes electrodes disposed along the first side of the lead body that are configured to apply neurostimulation therapy within an epidural space of a patient. The electrodes are electrically coupled to conductive pathways that extend through the proximal end of the lead body. The lead body includes a flexible material a flexible material that is configured to flex when a fluid pressure is imposed on the lead body in the epidural space. The lead body is configured to have a non-planar contour that folds or curves about the central axis when experiencing the fluid pressure.
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公开(公告)号:US20240017075A1
公开(公告)日:2024-01-18
申请号:US18221373
申请日:2023-07-12
Applicant: Advanced Neuromodulation Systems, Inc.
Inventor: Hyun-Joo Park , Yagna Pathak
IPC: A61N1/36
CPC classification number: A61N1/36189 , A61N1/36139 , A61N1/36071
Abstract: Devices and methods to effectuate waveform distortion adjusted stimulation therapy of tissue, based on an inverse model of the tissue, are disclosed. In some aspects a linear model of an electrode used to delivery therapy and of the tissue is determined. Parameter values of the linear model may be determined based on measuring voltage feedback during application of stimulation and/or measurement waveforms. The parameter values of the linear model of the electrode and tissue may be used to determine a forward model of the electrical response of the tissue. From the forward model, an inverse model of the tissue may be determined and the inverse model can be used to modify or filter a stimulation waveform to reduce waveform distortion caused by tissue, such as tissue primitive and/or tissue capacitance. Accordingly, providing therapy with the filtered waveform may have increased efficacy by accounting for and adjusting for waveform distortion.
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16.
公开(公告)号:US20240017073A1
公开(公告)日:2024-01-18
申请号:US18352546
申请日:2023-07-14
Applicant: Advanced Neuromodulation Systems, Inc.
Inventor: Steven Boor
CPC classification number: A61N1/36153 , A61N1/36062 , A61N1/0534
Abstract: The present disclosure provides systems and methods for mitigating stimulation pulse glitches when a voltage multiplier is stepped during delivery of stimulation current to a patient. An implantable pulse generator (IPG) includes pulse generating circuitry configured to generate stimulation pulses to be applied to a patient at an output of the IPG, voltage multiplier circuitry configured to step an output voltage to an anode of the pulse generating circuitry, and glitch mitigating circuitry configured to mitigate current glitches generated when the output voltage is stepped during generation of a stimulation pulse.
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公开(公告)号:US11857789B2
公开(公告)日:2024-01-02
申请号:US17186630
申请日:2021-02-26
Applicant: ADVANCED NEUROMODULATION SYSTEMS, INC.
Inventor: Steven Boor , Daran DeShazo
CPC classification number: A61N1/36071 , A61N1/08 , A61N1/0452 , A61N1/0456 , A61N1/0534 , A61N1/0551
Abstract: A neurostimulation (NS) system and method are provided. The NS system includes an array of electrodes positioned within a patient. The array of electrodes includes an active electrode. The active electrode is configured to be a cathode electrode located proximate to neural tissue of interest that is associated with a target region. The NS system includes an anode electrode and an electromagnetic interference (EMI) antenna. A control circuit is configured to control delivery of a NS therapy during a therapy delivery interval. The NS therapy is to be delivered between the anode electrode and the active electrode. The NS system develops a residual voltage between the anode electrode and the active electrode over the therapy delivery interval. A current regulator (CR) circuit is connected to the cathode electrode. The CR circuit is configured to control current flow through the cathode electrodes. During a discharge operation, the control circuit is configured to manage the CR circuit to control a discharge current flow over the discharge operation to discharge the residual voltage after therapy delivery in a manner that follows an actively emulated passive discharge (AEPD) profile. During the discharge operation, the CR circuit is connected to the inactive electrode. The CR circuit receives, as a first input, an EMI feedback signal from the EMI antenna. The CR circuit is configured to regulate the discharge current flow through the active electrode based on the EMI feedback signal, to maintain the AEPD profile over the discharge operation while in a presence of an EMI event.
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公开(公告)号:US11806540B2
公开(公告)日:2023-11-07
申请号:US17065176
申请日:2020-10-07
Applicant: Advanced Neuromodulation Systems, Inc.
Inventor: Scott DeBates , Germinal Ibarrola , Doug Lautner
CPC classification number: A61N1/37264 , A61N1/3605 , A61N1/37258 , A61N1/37282
Abstract: The present disclosure provides systems and methods for managing communications in a remote therapy system. A method includes initiating a remote therapy session by establishing communications between a patient device and an implantable medical device implanted in a patient, and establishing communications between the patient device and a clinician device, determining, using the patient device, a distance between the patient and the patient device, comparing, using the patient device, the determined distance to a threshold distance, and managing the communications between the patient device and the implantable medical device based on the comparison.
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公开(公告)号:US11779757B2
公开(公告)日:2023-10-10
申请号:US17382294
申请日:2021-07-21
Applicant: Advanced Neuromodulation Systems, Inc.
Inventor: Matthew Lopez
CPC classification number: A61N1/086 , A61N1/36062 , A61N1/36114
Abstract: One or more antennas are electrically coupled to one or more switches of an implantable medical device (IMD) in which the one or more switches are additionally electrically coupled to one or more lead wires of an IMD lead. The one or more switches also are electrically coupled to one or more electrodes or electrical circuitry of the IMD's implantable pulse generator (IPG). In response to exposure of the IMD to an energetic electromagnetic field, a voltage signal is induced in the one or more antennas and provided, possibly via one more filters, as a control signal to the one or more switches. Receipt of the control signal by the one or more switches automatically configures the one or more switches into a non-conductive state, thereby electrically isolating the one or more lead wires from the one or more electrodes or the IPG electrical circuitry.
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20.
公开(公告)号:US11724115B2
公开(公告)日:2023-08-15
申请号:US17170473
申请日:2021-02-08
Applicant: Advanced Neuromodulation Systems Inc.
Inventor: Luis Ortiz Hernandez , Li Sun , Nicholas Sachs
CPC classification number: A61N1/3787 , A61N1/08 , A61N1/36142 , A61N1/37247
Abstract: A wireless charger device is configured to charge an implantable medical device (IMD). A patient controller obtains one or more power parameters from the charger device during charging of the IMD. The patient controller estimates a temperature range of the IMD using the one or more power parameters from the charger device and compares to a heating threshold. The patient controller then determines whether one or more spacers are recommended in response to the comparison. The one or more spacers are removably attached to the wireless charger device and are configured to lay in a position between the wireless charger device and a patient's skin to increase a charging path.
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