Automated search to identify a location for electrical stimulation to treat a patient

    公开(公告)号:US08483836B2

    公开(公告)日:2013-07-09

    申请号:US13226969

    申请日:2011-09-07

    IPC分类号: A61N1/36

    摘要: A stimulation system, such as a spinal cord stimulation (SCS) system, having an automated search to establish a program to treat a patient with electrical stimulation. The stimulation system includes an electrical stimulation generator, a medical lead coupled to the electrical stimulation generator, and a programmer with a communication interface, a display screen, and a user interface. The display screen displays an image of a spinal column and a position of the medical lead relative to the spinal column. The system includes an automated search that stimulates a series of regions and receives patient feedback via the user interface. The system then stimulates a series of subregions within a subset of the regions based on the feedback, receives additional feedback, and identifies a subset of the subregions location for stimulation based on the additional feedback.

    CONFIGURING ELECTRICAL STIMULATION TO TREAT A PATIENT
    12.
    发明申请
    CONFIGURING ELECTRICAL STIMULATION TO TREAT A PATIENT 有权
    配置电刺激治疗患者

    公开(公告)号:US20130060301A1

    公开(公告)日:2013-03-07

    申请号:US13226956

    申请日:2011-09-07

    IPC分类号: A61N1/36

    摘要: A stimulation system, such as a spinal cord stimulation (SCS) system, having a programmer with a user interface. The programmer determines a position of an implanted medical lead with respect to a patient's spinal column. The programmer overlays the medical lead, an initial stimulation field, and an initial target stimulation area within the initial stimulation field on an image of the spinal column. A user enters, via the user interface, graphical manipulations of displayed boundaries of the initial stimulation field and the initial target stimulation area. The graphical manipulations of the stimulation field and the target stimulation field are independent of each other and they may move and/or alter the shape of the boundaries. The programmer then determines stimulation parameters to drive the implanted medical lead to generate the displayed stimulation field and target stimulation field as manipulated by the user.

    摘要翻译: 刺激系统,例如脊髓刺激(SCS)系统,具有具有用户界面的程序员。 程序员确定植入的医疗引线相对于患者的脊柱的位置。 程序员将脊髓的图像上的医疗引线,初始刺激场和初始刺激区域内的初始目标刺激区域叠加起来。 用户通过用户界面输入初始刺激区和初始目标刺激区的显示边界的图形操作。 刺激场和目标刺激场的图形操作彼此独立,它们可以移动和/或改变边界的形状。 然后,程序员确定刺激参数以驱动植入的医疗引线以产生由用户操纵的显示的刺激区域和目标刺激区域。

    Positioning leads on patient model using a graphical user interface
    14.
    发明授权
    Positioning leads on patient model using a graphical user interface 有权
    使用图形用户界面在患者模型上定位导线

    公开(公告)号:US09174048B2

    公开(公告)日:2015-11-03

    申请号:US13226939

    申请日:2011-09-07

    IPC分类号: A61N1/36 A61N1/372

    摘要: A stimulation system, such as a spinal cord stimulation (SCS) system, for storing position information of an implanted medical lead implanted in a patient. A communication unit is configured to receive, from a first programmer, position data that indicates an actual position of the implanted medical lead with respect to a spinal column of the patient and an anatomically correct image of the spinal column. The communication unit is further configured to forward the position data, and to transmit both to a second programmer. The second programmer is then able to display a representation of the implanted medical lead on the anatomically correct image in an anatomically correct location and in an actual orientation based on the position data.

    摘要翻译: 刺激系统,例如脊髓刺激(SCS)系统,用于存储植入患者体内的植入医用铅的位置信息。 通信单元被配置为从第一编程器接收指示植入的医疗引线相对于患者的脊柱的实际位置的位置数据和脊柱的解剖学上正确的图像。 通信单元还被配置为转发位置数据,并将两者传送到第二编程器。 然后,第二编程器能够基于位置数据在解剖学正确的位置和实际取向上在解剖学正确的图像上显示植入的医疗引线的表示。

    IDENTIFYING AN AREA FOR ELECTRICAL STIMULATION TO TREAT A PATIENT
    16.
    发明申请
    IDENTIFYING AN AREA FOR ELECTRICAL STIMULATION TO TREAT A PATIENT 有权
    识别电刺激治疗患者的区域

    公开(公告)号:US20130060299A1

    公开(公告)日:2013-03-07

    申请号:US13226897

    申请日:2011-09-07

    IPC分类号: A61N1/36

    摘要: A stimulation system, such as a spinal cord stimulation (SCS) system, having a programmer for identifying an area for electrical stimulation to treat a patient. The programmer includes a communication interface, a display screen, and a user interface. The communication interface communicates with the electrical stimulation generator to generate electrical stimulation and the display screen displays a patient model. The user interface receives user input identifying an area of pain on the patient model via a selection of the area of the body part. The programmer then associates the area of pain identified with a spinal column location, and displays on the display screen a suggested medical lead position and/or a suggested stimulation area on an image of a spinal column based on the step of associating.

    摘要翻译: 刺激系统,例如脊髓刺激(SCS)系统,具有用于识别用于电刺激的区域以治疗患者的程序员。 程序员包括通信接口,显示屏和用户界面。 通信接口与电刺激发生器通信以产生电刺激,并且显示屏显示患者模型。 用户界面通过选择身体部位的区域来接收识别患者模型上疼痛区域的用户输入。 程序员随后将与脊柱位置相关的疼痛区域相关联,并且基于关联步骤在显示屏幕上显示建议的医疗引导位置和/或脊柱图像上的建议的刺激区域。

    Remote barrier operator command and status device and operation
    17.
    发明授权
    Remote barrier operator command and status device and operation 有权
    远程屏障操作员指令和状态设备和操作

    公开(公告)号:US09507335B2

    公开(公告)日:2016-11-29

    申请号:US13485687

    申请日:2012-05-31

    摘要: The present disclosure provides a barrier operator system in which a remotely located transceiver type controller is in wireless communication with a transceiver type adapter connected to a barrier operator, and in electronic communication with the barrier operator's microcontroller. The controller is operable to wirelessly transmit door operator status inquiries to the adapter. This may be effected automatically in connection with the transmission and receipt by the adapter of door toggle commands or separate and apart from same. The status information is wirelessly transmitted by the adapter in broadcast form without source or destination address to the remote device in a signal that is non-addressed broadcast door operator (and, indirectly, door) status information by relying upon the receipt of the message by the remote within the specific time limit of the reception window of the remote.

    摘要翻译: 本公开提供了一种屏障操作员系统,其中远程定位的收发机型控制器与连接到屏障操作器的收发器型适配器无线通信,并与屏障操作员的微控制器进行电子通信。 控制器可操作以将门操作员状态查询无线传送到适配器。 这可以通过适配器的门拨动命令的传输和接收而自动实现,或者与其分离和分开。 状态信息由适配器以广播形式无源地或目的地地址无线传输到远程设备,信号是非寻址广播门控操作员(以及间接的门)状态信息,依靠接收消息的方式 遥控器在遥控器的接收窗口的具体时限内。

    AUTOMATED SEARCH TO IDENTIFY A LOCATION FOR ELECTRICAL STIMULATION TO TREAT A PATIENT
    18.
    发明申请
    AUTOMATED SEARCH TO IDENTIFY A LOCATION FOR ELECTRICAL STIMULATION TO TREAT A PATIENT 有权
    自动搜索以确定电刺激治疗患者的位置

    公开(公告)号:US20130060302A1

    公开(公告)日:2013-03-07

    申请号:US13226969

    申请日:2011-09-07

    IPC分类号: A61N1/36

    摘要: A stimulation system, such as a spinal cord stimulation (SCS) system, having an automated search to establish a program to treat a patient with electrical stimulation. The stimulation system includes an electrical stimulation generator, a medical lead coupled to the electrical stimulation generator, and a programmer with a communication interface, a display screen, and a user interface. The display screen displays an image of a spinal column and a position of the medical lead relative to the spinal column. The system includes an automated search that stimulates a series of regions and receives patient feedback via the user interface. The system then stimulates a series of subregions within a subset of the regions based on the feedback, receives additional feedback, and identifies a subset of the subregions location for stimulation based on the additional feedback.

    摘要翻译: 诸如脊髓刺激(SCS)系统的刺激系统具有自动搜索以建立用于治疗患有电刺激的患者的程序。 刺激系统包括电刺激发生器,耦合到电刺激发生器的医疗引线,以及具有通信接口,显示屏和用户接口的编程器。 显示屏幕显示脊柱的图像和医疗引线相对于脊柱的位置。 该系统包括刺激一系列区域并通过用户界面接收患者反馈的自动搜索。 该系统然后基于反馈来刺激该区域的子集内的一系列子区域,接收另外的反馈,并且基于附加反馈来识别用于刺激的子区域位置。

    POSITIONING LEADS ON PATIENT MODEL USING A GRAPHICAL USER INTERFACE
    19.
    发明申请
    POSITIONING LEADS ON PATIENT MODEL USING A GRAPHICAL USER INTERFACE 有权
    使用图形用户界面定位患者模型的引导线

    公开(公告)号:US20130060300A1

    公开(公告)日:2013-03-07

    申请号:US13226939

    申请日:2011-09-07

    IPC分类号: A61N1/36

    摘要: A stimulation system, such as a spinal cord stimulation (SCS) system, for storing position information of an implanted medical lead implanted in a patient. A communication unit is configured to receive, from a first programmer, position data that indicates an actual position of the implanted medical lead with respect to a spinal column of the patient and an anatomically correct image of the spinal column. The communication unit is further configured to forward the position data, and to transmit both to a second programmer. The second programmer is then able to display a representation of the implanted medical lead on the anatomically correct image in an anatomically correct location and in an actual orientation based on the position data.

    摘要翻译: 刺激系统,例如脊髓刺激(SCS)系统,用于存储植入患者体内的植入医用铅的位置信息。 通信单元被配置为从第一编程器接收指示植入的医疗引线相对于患者的脊柱的实际位置的位置数据和脊柱的解剖学上正确的图像。 通信单元还被配置为转发位置数据,并将两者传送到第二编程器。 然后,第二编程器能够基于位置数据在解剖学正确的位置和实际取向上在解剖学正确的图像上显示植入的医疗引线的表示。